Pediatrics
Understanding migraine symptoms in children
If you’ve experienced a migraine headache before, the sensation is often very distinct: throbbing pain, sensitivity to light and loud noise, and sometimes nausea and vomiting. Migraine symptoms can be uncomfortable and distressing.
Equally concerning is when a migraine sufferer recognizes these symptoms in their child. Migraines typically emerge during early adolescence, particularly when females reach menarche (their first menstrual period). However, as many as half of the children can experience …
How junk food marketers exploit children’s impact on family food choices
Would you let a clown influence what brand of car you buy? How about choosing your household appliances based on the advice of a cartoon bird or tiger?
Probably not. But young people in your family will likely let cartoons and mascots influence where your family eats out or what cereal you buy – indeed, many of your food purchases. Those choices and many others like them will, in turn, affect …
Juggling medicine and motherhood: a doctor’s journey
When my children were in preschool, parents often commented at school events that they did not know I worked or was a physician. I never knew how to handle that double-edged sword. Ostensibly a compliment, their surprise at a working parent’s presence at school felt like an insult; their shock over my medical life cast doubt on my professionalism. I smiled benignly and changed the subject.
For years, I worked in …
How early intervention can transform a child’s speech development
The American Academy of Pediatrics’ recent decision to move away from the “wait and see” philosophy to a more proactive intervention when dealing with childhood obesity got me reflecting on how “wait and see” is still used in many other aspects of children’s development.
As a speech therapist and a mother of a child who was at risk for developmental delays, I had personal experience with this approach. My son …
Adolescent medicine at risk [PODCAST]
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Join Meredithe McNamara, a pediatrician and adolescent medicine specialist, in discussing the challenges adolescent medicine physicians face due to the current political climate. We explore the impact of unfilled pediatrics residency spots and the importance of their …
How a teenager with seizures became the face of trauma-informed care
A teenage girl was found alone, having a seizure on a bench outside our clinic’s front door. She had never been inside our clinic, but it was our fault she was seizing.
The office manager from the dentist’s office upstairs found the girl as she returned from lunch. Not knowing what to do, she opened our clinic door and called for help. Our front office staff summoned the doctors from our …
The surprising impact of medical students on patients
There are a few clinical scenarios that stand out to me from my undergraduate medical education. I completed a combined MD/MPH program, and I remember coming back from the year of public health, inserted between years two and three of medical school, feeling rusty and often in the way. One conversation I’ll always remember is one I overheard between an attending on my family medicine rotation (my first rotation of …
Closing the empathy gap in health care [PODCAST]
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Nicole Rochester is a pediatrician and advocate for improving the doctor-patient relationship. She shares her personal experiences and discusses the importance of intentional human connection in clinical encounters. We delve into the root causes of the empathy …
Gender-neutral registration for unresponsive individuals
When registering individuals who are unresponsive to stimuli, unconscious, unaware, or lacking alertness, it has been customary to assign them the names John Doe or Jane Doe, based on physical characteristics, while also assigning their sex accordingly. If their family members or legal guardians arrive or are contacted, their sex is determined based on their recollections until the individuals themselves awaken and become capable of expressing their gender preferences, affirming …
An elder mentor’s message to new medical students
For 21 years, I have had the privilege and honor of coaching and mentoring medical students. Most of this mentoring takes place in my outpatient internal medicine-pediatrics practice, where each student spends two to three days with me every week for a month-long rotation. Additionally, I have been fortunate enough to work with students from all years as a facilitator in the REACH and 4C coaching programs. Throughout these experiences, …
5 tips for ending office visits on time
The visit is winding down. You’re getting ready to go, hand on the doorknob, saying goodbye. And then you hear, “Doc, one more thing.” Or perhaps you’re more familiar with the patient who has a laundry list of issues all to be addressed in the fifteen-minute appointment slot.
These visits have in common that they are both certain to back you up. Have multiple in the day, and you are …
Can minors truly consent to reversible puberty blockers in gender-affirming health care?
Gender-affirming health care (GAH) is a rapidly developing sector within the medical profession that can include indirect therapies such as counseling, direct therapies such as hormone treatments, puberty blockers, or gender-affirming surgeries. A main ethical concern with GAH resides in its use on adolescents, and this paper will primarily explore the use of puberty blockers, sometimes called GnRH analogues, on minors.
Considering that most children start puberty around the age of …
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Navigating youth mental health [PODCAST]
How direct primary care saved my career and my life
In late 2017, I was standing in the hallway between two different departments in a hospital where I was rounding on a particularly busy day. As a hospitalist, I was very familiar with this facility and where to go in order to find a moment of peace away from the hustle and bustle of my workday.
As I held the stack of rounding sheets in my hand, I had a fleeting …
Unveiling the emotional toll: a resident physician’s journey through pediatric loss
We take care of the living, and remember those who passed, what they taught us, and how they touched us.” These were some of the words my parents said to me after I called them, sobbing in tears, that my patient had passed away. She was only eight years old. To most of her doctors, she was the patient with retinoblastoma that had metastasized to her liver, causing her to …
Revolutionizing postpartum care: Transforming breastfeeding support for families
An open response to “Breast or Bottle: The Illusion of Choice” by Amy Kennedy, MD.
We see and hear you and are so sorry you endured these experiences. We are physicians practicing breastfeeding and lactation medicine, and we acknowledge the overwhelming lack of support for families after birth. Many of us have come to this field after experiencing our own similar challenges, and we would like to offer a different …
Navigating gender-affirming care: Pediatricians’ perspective on open discussions and societal fears
“We fear that CPS is going to take them away,” the mother of my patient chokes with tears. My patient on the inpatient pediatric wards looks at me with guarded eyes. I can still see the markings on their neck where they tried to strangle themselves. They were intubated in the pediatric ICU. This transgender patient and their family have gone through a living hell only to come out again …
Breaking free from BMI’s limitations for fair and effective care
The 2023 Clinical Practice Guideline for Evaluation and Treatment of Children and Adolescents with Obesity heralds a new era of evidence-based anti-obesity treatments for children, a cause I wholeheartedly support. However, amidst these advancements, I harbor concerns about the ongoing reliance on the body mass index (BMI) as a screening and diagnostic tool.
Originally designed for population-level assessments, the ease of measuring BMI and its historical precedence has led …
Fixing the system and prioritizing patient care [PODCAST]
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Join us for a thought-provoking episode as we sit down with Cindy Rubin, a pediatrician and breastfeeding medicine specialist. Cindy opens up about the challenges faced by physicians in the current health care system, particularly the constraints …
Past Week
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Why feeling unlike yourself is a sign of physician emotional overload
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The loss of community pharmacy expertise
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Accountable care cooperatives: a community-owned health care fix
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Sibling advice for surviving the medical school marathon [PODCAST]
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Why polio eradication needs sanitation
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A doctor on high-functioning alcoholism
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Past 6 Months
Recent Posts
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Past Week
-
Why feeling unlike yourself is a sign of physician emotional overload
-
The loss of community pharmacy expertise
-
Accountable care cooperatives: a community-owned health care fix
-
Sibling advice for surviving the medical school marathon [PODCAST]
-
Why polio eradication needs sanitation
-
A doctor on high-functioning alcoholism
-
Past 6 Months
Recent Posts
