Pediatricians and the clinicians who care for children writing on KevinMD about child health: childhood illness, development, vaccines and the parents who refuse them, breastfeeding and the pressure around it, childhood obesity, prevention, and the realities of caring for young patients and their families. Most contributors are pediatricians. For a maintained record of what pediatricians have said about children's health since 2004, from fever and sleep through obesity, abuse, teenagers, and Medicaid, see Children's health: what pediatricians say, in their own words. For what physicians have said about vaccines and vaccine hesitancy, from the autism claim through measles, exemptions, and federal policy, see Vaccines: what physicians say, in their own words. For what child psychiatrists and pediatricians have said about children's and teens' mental health, see Mental health: what psychiatrists and physicians say, in their own words. For what pediatricians have said about breastfeeding and postpartum care, see Women's health: what physicians say, in their own words.
"Gimme five," the TV doctor said to his little patient as he entered the exam room. As I watched this scene in an evening TV program, I was reminded of one of my pediatric practice's most gratifying stories, which happened…
“Gimme five,” the TV doctor said to his little patient as he entered the exam room. As I watched this scene in an evening TV program, I was reminded of one of my pediatric practice’s most gratifying stories, which happened over 20 years ago.
Before the days of cellphones, the internet, and social media, I had become the local expert on support groups. After realizing how what I learned from support …
Them: "I have never heard of this." Me: "That's OK, let me explain what is going on. Your child has a condition called multi-system inflammatory syndrome in children, which we call MIS-C. We see this condition after a COVID infection…
Them: “I have never heard of this.”
Me: “That’s OK, let me explain what is going on. Your child has a condition called multi-system inflammatory syndrome in children, which we call MIS-C. We see this condition after a COVID infection where the whole body becomes inflamed, causing fevers. You get inflammation in the small blood vessels of your eyes and skin, which is why your son has red eyes and a …
It was my son's birthday, and I wanted to give him a gift he would remember. He had written a story when he was seven years old about eating boogers. As a urologist, I can attest that this is not…
It was my son’s birthday, and I wanted to give him a gift he would remember. He had written a story when he was seven years old about eating boogers. As a urologist, I can attest that this is not a healthy habit and do not recommend it. I helped him publish his first book, Boogers for Brunch, on Amazon.
Our medical system is failing our children. The rate of chronic diseases in children is skyrocketing. Obesity has increased. Behavioral health issues are at new highs, making suicide a leading cause of death in children. During the pandemic, rates of…
Our medical system is failing our children. The rate of chronic diseases in children is skyrocketing. Obesity has increased. Behavioral health issues are at new highs, making suicide a leading cause of death in children. During the pandemic, rates of pediatric preventive health visits, vaccinations, and screening tests have decreased, thereby losing opportunities for early intervention.
My wife and I were on a short flight from Rome to Brindisi in the region called Puglia in the southern part of Italy last year. As we were starting to taxi down the runway, I heard a child crying…
My wife and I were on a short flight from Rome to Brindisi in the region called Puglia in the southern part of Italy last year.
As we were starting to taxi down the runway, I heard a child crying a few rows behind us, but it was very different from a baby’s or a normal child’s crying. It reminded me of when I have experienced autistic children screaming, usually from …
Suppose you have watched the news, been on social media, or have had any conversations with others. In that case, it should not be a surprise that health care workers are physically, mentally, and emotionally exhausted and extremely burned out.…
Suppose you have watched the news, been on social media, or have had any conversations with others. In that case, it should not be a surprise that health care workers are physically, mentally, and emotionally exhausted and extremely burned out.
We are currently entering our third year of a global pandemic. So, burnout physicians are not a big surprise, especially when doctors’ opinions are marginalized over political beliefs about a virus. …
This episode is sponsored by Athelas, the number one provider of remote patient monitoring. "In the ongoing saga of the pandemic, there is the debate whether to wear a mask or not. These are physical masks that temporarily hide our…
This episode is sponsored by Athelas, the number one provider of remote patient monitoring.
“In the ongoing saga of the pandemic, there is the debate whether to wear a mask or not. These are physical masks that temporarily hide our face, but we all wear another type of …
Can we agree to abandon the notion that COVID in children is “mild?” At least, as a medical community? We are taught to look at the data and guide our patients based on evidence. And the fact is, in a…
Can we agree to abandon the notion that COVID in children is “mild?” At least, as a medical community? We are taught to look at the data and guide our patients based on evidence. And the fact is, in a single week in January 2022, nearly 1 million pediatric cases were reported according to the American Academy of Pediatrics. Since the detection of the omicron variant, COVID-19 …
My husband Jeremy and I stood just inside the entrance of the NICU, between the front desk where we used to get our bright orange stickers, permitting our entry as proud parents of Reed Robinson, Room 363, and the washing…
My husband Jeremy and I stood just inside the entrance of the NICU, between the front desk where we used to get our bright orange stickers, permitting our entry as proud parents of Reed Robinson, Room 363, and the washing station, where we meticulously washed away any germs that could harm him. It had been about a week since Reed took his last breath in my arms and it took …
I stood outside the busy ICU room with Gregory's mom, holding her hand and talking softly, while the team inside removed his breathing tube and prepared him for his final trip home. Gregory was dying from a devastating brain tumor…
I stood outside the busy ICU room with Gregory’s mom, holding her hand and talking softly, while the team inside removed his breathing tube and prepared him for his final trip home. Gregory was dying from a devastating brain tumor with no known cure, and his mother had made the difficult decision to take him off his ventilator and bring him home to pass away among his family. When the …
"The weekend after Isabelle’s discharge, I take my shoes outside onto the driveway. The sky is a brilliant blue, and green tinges of leaves poke through shells of buds; the wind slips through my fleece. I scrub the spots of…
“The weekend after Isabelle’s discharge, I take my shoes outside onto the driveway. The sky is a brilliant blue, and green tinges of leaves poke through shells of buds; the wind slips through my fleece. I scrub the spots of blood with an antibacterial wipe, and tan shoe polish comes …
When our pediatric clinic added the PEARLS (Pediatric ACEs and Related Life-events Screener) questionnaire to well-child visits, we were worried that we would uncover trauma that we didn't know how to address. Our physicians feared that the volume of patients…
When our pediatric clinic added the PEARLS (Pediatric ACEs and Related Life-events Screener) questionnaire to well-child visits, we were worried that we would uncover trauma that we didn’t know how to address. Our physicians feared that the volume of patients with high scores would be overwhelming. We contended that this additional work was impossible because we don’t have support services like counseling. Beyond that, we expected our patients would be …
"In the months just prior to the infantile spasms, as Josephine’s mind had begun to develop and grow, so, finally, had my love for her. My lack of affection for her up until that point had troubled me, and it…
“In the months just prior to the infantile spasms, as Josephine’s mind had begun to develop and grow, so, finally, had my love for her. My lack of affection for her up until that point had troubled me, and it was with relief that I had realized I was …
"The victims of this now distorted concept of liberty are ones that we physicians encounter every day. The one that inspired this essay for me is an 11-year-old boy that I saw three weeks ago. He is a patient of…
“The victims of this now distorted concept of liberty are ones that we physicians encounter every day. The one that inspired this essay for me is an 11-year-old boy that I saw three weeks ago. He is a patient of mine in my pediatric practice who came to see me …
Your toddler has had a cough and runny, stuffy nose on and off for months. They also attend daycare and have a sibling in preschool. You are worried about the symptoms. You are also exhausted because your child's coughing and…
Your toddler has had a cough and runny, stuffy nose on and off for months. They also attend daycare and have a sibling in preschool. You are worried about the symptoms. You are also exhausted because your child’s coughing and congestion is not letting either of you sleep at night. Does this sound familiar?
You ask yourself, “Is this normal?” and “What is wrong with my child?”
Colder weather is upon us again – and so is cold and flu season. Nearly two years into the fight against COVID-19, we welcome children returning to schools, daycare, and sports. But with the loosening of restrictions and increased social…
Colder weather is upon us again – and so is cold and flu season. Nearly two years into the fight against COVID-19, we welcome children returning to schools, daycare, and sports. But with the loosening of restrictions and increased social contacts, we are also now seeing increased circulation of common seasonal respiratory viruses.
Kids are experiencing cough and cold symptoms, including fever, congestion, and sore throat due to other respiratory viruses …
Emily Watters is a physician and created a children's guide to getting vaccinated, in comic form. (Click to enlarge.) Emily Watters is a psychiatrist and can be reached at The Cartoon Shrink. Dr. Watters is a volunteer associate clinical professor…
Emily Watters is a physician and created a children’s guide to getting vaccinated, in comic form. (Click to enlarge.)
"Disrupting weight stigma and bias in health care starts with calling it out. The power of stories and shared experiences highlights the collective voice. I’m coaching TikTok Followers to own their health power and start speaking up during clinic visits…
“Disrupting weight stigma and bias in health care starts with calling it out. The power of stories and shared experiences highlights the collective voice. I’m coaching TikTok Followers to own their health power and start speaking up during clinic visits to make sure they get their questions answered. Future …
It was a Monday two years ago. I was still fresh from coming back from having been out of school from a COVID break. I was no older than 22, and I was in my pediatrics clerkship. I was greener…
It was a Monday two years ago. I was still fresh from coming back from having been out of school from a COVID break. I was no older than 22, and I was in my pediatrics clerkship. I was greener than a freshly watered lawn, and I felt every bit of it. It was one day into this rotation that I met Adam.
I am definitely getting my daughter vaccinated, and I acknowledge a minimal risk. Here is my reasoning, and perhaps this can help your family decide to get the vaccine for the kids in your family, too. Coronavirus is going to…
I am definitely getting my daughter vaccinated, and I acknowledge a minimal risk. Here is my reasoning, and perhaps this can help your family decide to get the vaccine for the kids in your family, too.
Coronavirus is going to be with us for a long time — years, decades, probably for the rest of our lives like influenza. It is even widespread in deer now, another reservoir …