Tonight, I was enjoying a kid-friendly dinner with my boys, when I looked up just in time to see my oldest holding his stomach, with terror in his eyes.
Many of us are taken aback by the media attention given to an overly-tanned mother accused of bringing her young child into a tanning bed. We also read about a push to ban children from tanning in salons in some states. I see a much bigger problem in my pediatric practice and that is the exposure to natural ultraviolet (UV) rays in kids who are playing outdoors during the spring and summer.
Longtime followers know I love a simple study with results that can be used by parents and doctors to make life easier, happier, and healthier. Today’s example confirms that doctors need to listen when parents notice something odd about their children.
Every year, I attend at least one coding seminar. And every year I come back with lots of information and tips. But it seems increasingly more difficult to schedule time and sit down with my doctors to relay what I have learned. Sometimes, I get a few minutes, but usually, we never get around to it.
"The various clinical forms of leishmaniasis are also on the rise; the number of reported cases has tripled over the last 10 years." I read this in a 2008 Pan American Health Organization (PAHO) report on Healthcare in Nicaragua.
Leishmaniasis, I thought.
I don't know anything about leishmaniasis.
As I sit at work in the ER at 3 am after a night up with my own baby coughing and seeing multiple children with bronchiolitis, RSV sits heavily on my mind. I sent all of the children that I treated in the ER home tonight with the same advice that I use for my own children, but no "magic" cure. I tell my patients, truthfully, that if I had a cure to the common cold, I would happily give it out (and use it myself).
As I’ve said before, the biggest problem with health care delivery in the USis cost, which seems to have taken a back seat to other issues meant to be addressed by health care reform. We spend about $2.5 trillion dollars a year on health care—that’s over eight thousand dollars a year for every man, woman, and child. What’s that getting you?
In the past few months I’ve been asked a couple of times what advice I would give to someone that is opening a practice from scratch. And in the same conversation I’m asked, “do you think, considering everything that is going on now, it is a good idea to open a medical practice?”
My short answer is, “go for it!” My long answer is, well, more complicated.
These animals are all Scary and the first letter of each name starts with an “S.” A Silly coincidence.
I wanted to retouch on an earlier topic regarding overuse injuries and focus on specific types. As briefly discussed before, apophysitis is one of the most common types of overuse injuries in children. Here’s a more in depth focus of what apophysitis is, where in the body apophysitis is most common, and how it is treated.