Pediatrics
It’s time to stop focusing on family weight
My eyes fell upon a horrible newspaper headline from 2008: “Fat kids die earlier.” That is the first article that I remember talking about obesity in childhood, but there were plenty more in the early 2000s. At the time, I clipped it because it reinforced my approach at the time: identify issues, educate, act, and avoid.
Over the past two decades, there has been an increase in the prevalence of children …
An angel in the woods: a tragic story and the gift of life
We lived in the woods. Five acres of trees. You could barely see the sky. We left the big city for this piece of heaven. And by chance, we met a couple that had a 5-year-old daughter. Our son was four years old. They became best friends. They’d swing on the swing set, play in the sandbox, and splash each other in our little pool.
Kayla was this sweet, tiny girl. …
Pediatric mental health is a growing epidemic. Here’s how Illinois is leading the way to solve that.
One of my friends in middle school was known for her uncanny ability to brighten up any space she walked into. But when we hit high school, she had become more withdrawn and dejected, and her self-esteem plummeted. She was clearly struggling, but at the time, I didn’t know what the signs of depression were and was at a loss for how to support her. She and I had no …
Where have all the pediatric beds gone? The consequence of strict admission criteria.
In the tale of the Pied Piper of Hamelin, the piper tunefully leads the children astray and to their doom.
Well, the piper has returned. Actually, he has been back for several years, but few noticed. This time he is not making off with the children but rather the beds they lie in, specifically pediatric hospital beds. This was not really obvious except to pediatricians until the recent calamitous “triple epidemic” …
The power of a sticker: reflections on my journey as a pediatric resident
In my third week of residency, I gave out my first sticker.
My medical assistant opened the drawer and revealed the rolls of stickers, asking me to choose for my patient, who waited behind the door I just closed, their smile joining all the other little smiles that filled this room before and would continue to fill after.
The mind took me years back to little feet in pink and white flowery …
Clinicians serving under-resourced populations should seize opportunity for free lifestyle medicine education
As a pediatrician serving under-resourced families in Washington, D.C., I was glad to see health leaders converge for the White House Conference on Hunger, Nutrition, and Health. Solutions to food insecurity and diet-related diseases are urgently needed to address the crisis of chronic disease, which afflicts six in 10 Americans.
One of the important issues discussed at the conference is the critical need for more education and training in nutrition …
Are pediatricians too nice?
One summer a few years ago, I went to pick my son up from camp. He was attending a week-long specialty day camp where the kids spent a week with an expert in some area of interest. The camp offered everything from basketball, soccer, and tennis to acting, magic, and chess. It was the first time I was going to pick him up, and I wasn’t exactly sure where to …
Is there a third pathway of resilience?
My social media feed has increasingly included stories of friends “quiet quitting.” A term popularized through TikTok, quiet quitting is a reaction to the exploitation of employee labor without providing additional compensation. Simultaneously, my IRL conversations have been filled with stories of the Great Resignation, in which employees have voluntarily resigned, often without other employment secured. A recent report by the U.S. Surgeon General recognized the problem of workplace …
Measles: a preventable disease that is making a comeback
I see there has been yet another measles outbreak; at the time of writing, the count is 59 in central Ohio. All are either unvaccinated or not fully vaccinated. No doubt local pediatricians are being flooded with worried parents proffering their offspring for viewing with the statement, “Could this rash be measles, doctor?”
This certainly happened to me in 2019 when doing some primary care practice. That year experienced a massive …
With RSV, it’s time for primary care to step up to the plate
Every pediatrician is familiar with this endemic seasonal virus, expecting to see several cases in their office during the winter months and maybe even admit the occasional one for inpatient care. Even amongst the latter, most do well and recover without incident, though the stay can be prolonged.
However, the respiratory syncytial virus — when it causes pneumonia and bronchiolitis (inflammation of the small airways — can result in serious illness …
Aesthetics and the physician’s eye
The fall sunlight calls my eye to notice little things: the veins on a yellowing maple leaf. The askew feather on a chicken’s wing. The faintest breeze tricking the pond into patterned sin waves around a lone white duck.
What do we owe this world but our ability to parse and observe, to interpret, to be filled enough by moments of abject beauty to return to the ugliness and try to …
Protecting children from bad medical care
Unfortunately, at least from where I sit, suboptimal medical care seems to abound. And every encounter of my family members with the health care behemoth is an opportunity for them to become a recipient of it.
When it comes to shielding them, I have had some failures in the past — it took a minor stroke in my father, who lived in England, for me to realize that he had never …
ADVERTISEMENT
Digital philosophy: a critical tool for the mental health of children
The precipitous decline in the mental health of U.S. children and adolescents has been meticulously cataloged in newspaper articles, books, and documentaries. In our own pediatrics clinic, the numbers have skyrocketed — a baseball player unable to get out of his car for practice, a teenager with aggressive behavior masking underlying depression and anxiety, and another 9-year-old unable to attend school due to daily panic attacks. Every day now, we …
I saved a baby’s life
I saved a baby’s life today.
I say that not to impress anyone or to make myself out to be some kind of deity but because it is simply true.
A three-week-old baby arrived at my office, gray and limp, with agonal respirations and oxygen saturation of 67 percent. My team of dedicated office staff worked with me rapidly and seamlessly, providing oxygen, bag-mask ventilation, and emergency medical services (EMS) activation. Together, …
If growing a hospital pediatric program was only this easy
The goal of making a hospital pediatric program a greater presence in the community hinges upon two areas, building community and alliance with local pediatricians and creating more visibility in the public arena. Both are not mutually exclusive, and each affects the other. The goal is to create a positive experience for both areas that will enhance each individually as they connect with one another.
Unfortunately, if not done correctly, negative …
Advice from a pediatrician during the viral surge
As is the case throughout the country, central Ohio is in the midst of a viral surge with an unusually high number of ill children for this time of the year, leading to long delays in our urgent cares and emergency departments, in our primary care offices, and with over capacity inpatient units. It’s an extremely busy time for all of us and honestly makes for tiring and stressful days. …
Doctors: Dig deeper when children can’t gain weight
The Oxford dictionary defines insidious as “proceeding in a gradual, subtle way but with harmful effects.” Most people associate this term with clever criminals. I am writing this to ask you to think about it in another way.
Perhaps the greatest joy a person can experience is welcoming a child into the world with so many dreams and visions for the future. Ideally, those dreams come true. But not always. Sometimes …
Overcoming the trauma of a fatherless childhood
An excerpt from Absent-Father Syndrome: Overcoming the Trauma of a Fatherless Childhood.
“I’ve sat face to face in front of many adults who were crying their eyes out,” says Rachel Norman, founder of A Mother Far from Home. “They needed healing tools and positive coping mechanisms. They had low self-worth, nonexistent …
Adverse childhood experiences: Can government policy reduce trauma?
One of the most radical implications of the literature on early childhood trauma is that abuse needs to be eliminated from all of our relationships: our families, teachers, colleagues, and government. When government leaders create a new policy, they can proceed in a way that disempowers constituents, or they can proceed in a way that fosters dialogue and shared decision-making. Ironically, the development and implementation of California’s policy …
Past Week
-
Why palliative care is more than just end-of-life support
-
When life makes you depend on Depends
-
Guilty until proven innocent? My experience with a state medical board.
-
Why medical notes have become billing scripts instead of patient stories
-
How denial of hypertension endangers lives and what doctors can do
-
A powerful story of addiction, strength, and redemption
-
Past 6 Months
-
Why transgender health care needs urgent reform and inclusive practices
-
COVID-19 was real: a doctor’s frontline account
-
Why primary care doctors are drowning in debt despite saving lives
-
New student loan caps could shut low-income students out of medicine
-
Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years
-
mRNA post vaccination syndrome: Is it real?
-
Recent Posts
-
Why doctors should rethink investing compared to the average U.S. investor [PODCAST]
-
How chronic stress harms the heart in minority communities
-
Could antibiotics beat heart disease where statins failed?
-
The dying man who gave me flowers changed how I see care
-
Universities must tap endowments to sustain biomedical research
-
Exploring the science behind burnout [PODCAST]
-
Subscribe to KevinMD and never miss a story!
Get free updates delivered free to your inbox.
23
pages
Past Week
-
Why palliative care is more than just end-of-life support
-
When life makes you depend on Depends
-
Guilty until proven innocent? My experience with a state medical board.
-
Why medical notes have become billing scripts instead of patient stories
-
How denial of hypertension endangers lives and what doctors can do
-
A powerful story of addiction, strength, and redemption
-
Past 6 Months
-
Why transgender health care needs urgent reform and inclusive practices
-
COVID-19 was real: a doctor’s frontline account
-
Why primary care doctors are drowning in debt despite saving lives
-
New student loan caps could shut low-income students out of medicine
-
Confessions of a lipidologist in recovery: the infection we’ve ignored for 40 years
-
mRNA post vaccination syndrome: Is it real?
-
Recent Posts
-
Why doctors should rethink investing compared to the average U.S. investor [PODCAST]
-
How chronic stress harms the heart in minority communities
-
Could antibiotics beat heart disease where statins failed?
-
The dying man who gave me flowers changed how I see care
-
Universities must tap endowments to sustain biomedical research
-
Exploring the science behind burnout [PODCAST]
-
