Reflux, colic, gas, milk intolerance, or general demeanor...there are many reasons for an overly fussy baby. Many babies who cry excessively swallow lots of air and always appear to have belly pain or gas, so figuring out the reason for a baby's fussiness can be challenging. I will focus on infant gastro-esophageal reflux in this post.
A mother asks: “My son is 5 and he has no signs of being sick. But I have been noticing that his body is hot to the touch and his temperature is high (101 – 102) while he is sleeping. In the daytime he is usually around 98.6 or 99, but it worries me when he sleeps because it always goes high. Is this normal?”
In our area, there was an increase in “whooping cough” cases mainly due to an outbreak in several schools this school year.
As a result, the IL Department of Public Health issued a requirement that all children entering the sixth and the ninth grade will be required to provide proof they received Tdap. The letter they sent to parents made clear that if they didn’t have proof that the child received the shot, the child would be excluded from school.
Now, what does a patient centric, profit driven private practice supposed to do when faced with a mandate like this?
Intestinal parasites in Nicaragua are endemic and the water is the most common source.
During my recent vacation to California, I rode across the Golden Gate Bridge, swerved back and forth down one of the most crooked streets in America (San Francisco’s Lombard Street), and drove several hours to Yosemite National Park and through Napa Valley. Although the sites were spectacular, the motion sickness that accompanied the car travel (also known as car sickness) put a damper on the experience.
Stress fractures can be a scary diagnosis, because it is often a season ending injury, which is difficult for a young athlete to handle. It is rare for stress fractures to occur before the teenage years, but it can happen if a young child is over-training.
A parent asks: “My 11-month-old daughter was seen for odd shaking of her torso and head at weird times. They said it was a shuddering attack. What is that? Do I need to worry?”
I get this question from time to time. Especially from people that are thinking about opening their own practice.
As with most things, it is hard to say unless one understands the situation. For example, some doctors go for profitability regardless of lifestyle, while others are going for lifestyle and don’t mind forgoing some profitability.
The step forward yesterday was the work at the clinic. We saw over 10 families, most with more than 1 child, and courtesy of the portable printer, each mother was presented with treatment recommendations written in Spanish.
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.