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Pediatrician John D. Michael discusses his article, “How attention therapy transforms speech delay in young children.” In this engaging conversation, John explains that sustained attention is crucial for developing effective speech and …
Subscribe to The Podcast by KevinMD. Watch on YouTube. Catch up on old episodes!
Pediatrician Gary Kirkilas discusses his article, “Cannabis advertising takes a page from the tobacco playbook.” In this conversation, Gary explains how legal cannabis companies are adopting tactics once used by tobacco companies …
Childhood medical challenges can leave lasting imprints, not only on the child but also on those inspired to turn their personal struggles into a path of healing. This narrative explores the transformative journey of a pediatric neurologist whose early encounters with debilitating pain shaped a career rooted in empathy and innovation. Three key themes define this journey: The influence of personal adversity on career choice, the role of resilience in …
As a rising developmental pediatrician, I often become a small part of a life-changing moment in my patients’ lives. I help them navigate the challenges of autism, ADHD, and other developmental disabilities. I celebrate their successes and offer support during their struggles.
Like myself, most of the patients I serve come from immigrant backgrounds, and English is not their first language. We work through tears and frustrations but also hang onto …
The nomination of Robert F. Kennedy Jr. as Secretary of Health and Human Services raises concerns about the potential impact on public health policy. As hearings on his candidacy take place, it is important for senators to consider how his views and public statements have influenced physicians, children, and the broader health care system.
Kennedy has been a prominent figure in the discussion around vaccines, often promoting claims that contradict established …
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Navigating the uncharted waters of long COVID in children, Elham Raker shares a deeply personal journey of advocating for her daughter’s health while questioning the medical system’s approach to chronic illness. This episode …
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Susan Landers shares her heartfelt journey as a neonatologist navigating the challenges of burnout, the rewards of practicing medicine, and the complex emotions surrounding early retirement. From her intimate experiences in the NICU …
Watching the images of fires burning in and around Los Angeles is very triggering. I’m sure it is the same for other Western North Carolinians. It has not been that long since Hurricane Helene caused catastrophic flooding that devastated our communities, and it is not over for us.
At first, you are energized to do what needs to be done in the moment. But then, you are left with emptiness, exhaustion, …
In order to develop good speech and conversation skills, a child must pay attention to the speaker and respond back when spoken to. The importance of sustained attention, listening to, and focusing on another person by the young child is often overlooked and not recognized by parents and therapists alike. Many children with a speech delay and those with suspected autism show decreased attention along with their speech delay. Many …
The cries of a newborn baby are usually a sign of life and hope, but for many families in low and middle-income countries, these cries can signal the beginning of a long and arduous journey. Congenital heart diseases (CHDs) are a significant health burden, particularly in these regions, where they account for the highest years of disability. Despite advancements in medical science, the incidence of CHDs remains constant or may …
In December, the questions parents ask in the hospital are different. Instead of “Will my child be OK?” we pediatric hospitalists hear:
“We have plane tickets to go skiing for Christmas. Will he be well by then?”
“She’ll be home for Christmas, right? We’ve never been away from home for Christmas.”
“It’s his first Christmas. He’ll be discharged by then, right?”
And every other variation you can think of. The hospital for Christmas is …
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We explore the critical role of early intervention programs in supporting children with developmental delays. Pediatrician Maria Mba Wright shares insights into recognizing red flags like poor joint attention, navigating therapy options, and …
As medical students, we all take the Hippocratic oath—a pledge to help patients and, of course, not to cause harm in any treatments we provide. It is a core element in the care of our patients. We would never want to do anything that could make things worse. But is it that simple?
As medical diseases have become more and more complex, can we ethically say we will not offer a …
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I wrote an opinion piece, as a graduating medical student, in KevinMD a little over six years ago, expressing the importance of supporting medical students through confidence and encouragement. As a pediatric attending now, with my own trainees, I continue to support this “ask,” but I would love to add to it and give it a different perspective.
I recently realized that I have been feeling quite far removed from …
Imagine seeing a commercial featuring Ryder and Marshall from the popular kids’ cartoon Paw Patrol lighting up cigarettes and enjoying a smoke together. It’s hard to fathom that happening, but in 1961 beloved cartoon characters Fred Flintstone and Barney Rubble happily smoked cigarettes in an ad for Winston. Most children of that era could easily recite the ad slogan: “Winston tastes good like a cigarette should.”
With that sort of youth …
There is something strangely captivating about the RVU (relative value unit) system in medicine. It’s as if it has become our own “precious”—a golden ring that offers power and financial viability, yet comes at a great cost. Just like the One Ring in Tolkien’s The Lord of the Rings, the RVU system exerts a powerful, almost mesmerizing hold on the medical profession. It promises us control—of our practices, our autonomy, …
“Do any of you have children?” the patient’s mother asked each of my team members during rounds. I (STG), as the attending, quickly jumped in and mumbled, “Yes, I have (as a foster parent),” and redirected the conversation back to the medical management of her child.
It was not until a week later, when I was attending a talk on microaggressions, that I realized my team members may have perceived the …
In medicine, when something isn’t working, we tend to fix it. Whether it’s a treatment plan that isn’t delivering results or a clinical process that’s creating inefficiencies, we identify the problem, adjust the approach, and find a better solution. But when it comes to the RVU (relative value unit) system—the very framework that dictates how physicians are compensated—we seem to be stuck. Despite growing evidence of its flaws, its inherent …
There was an article published recently addressing the shortage of pediatricians. Though the article focused on this specific shortage, it actually raised many additional questions regarding the physician workforce in general. It is difficult to disagree that continuing to decrease reimbursement, increasing maddening payment schemes, and increasing regulatory requirements to pediatricians and physicians in general will have predictable results. There will be physician shortages, and patient access will be compromised.
Hospitals …
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