Pediatrics
As a doctor, what I learned from knocking on doors for the presidential election
When I’m not knocking on exam-room doors as a pediatrician in New York City, I’m knocking on voters’ doors in Northampton, Pennsylvania—a small county that could determine the outcome of this year’s nail-biting presidential election.
Each time I walk up to a voter’s front door, my heartbeat quickens. You would think a doctor who talks to total strangers every day would be immune to such jitters. But even with a door-knocking …
The enduring cycle of violence: lessons from history’s darkest moments
Ecclesiastes was probably written by many ancient scholars, although Jewish tradition holds that it was written by King Solomon. Whatever the provenance, I think the first chapter holds a nugget of wisdom that we need to try hard to remember:
What has been is what will be,
and what has been done is what will be done; there is nothing new under the sun.
Is there a thing of which it is said,
“See, …
How this pediatrician overcame cerebral palsy and discrimination in medicine [PODCAST]
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We welcome Ron M. Aryel, a pediatrician who shares his powerful journey through medical school and residency as a physician with cerebral palsy. Facing discrimination, ableism, and hostility from colleagues and superiors, Ron …
Gaps in the pediatric care of autistic children
P.K. presents for a medical evaluation to the early intervention program. He is 26 months old. P.K.’s parents self-referred to the early intervention program because of concerns regarding a delay in his development. The mother reports that he is not saying any words and is not following directions. He does not turn to the sound of his name. He appears to be in his own world. When I, the pediatric …
How technology is changing dental appointments for patients with intellectual disabilities [PODCAST]
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We explore the unique challenges faced by patients with intellectual and developmental disabilities (IDD) during dental appointments. Our guests, Brian Jones, a health care executive, and Tina Saw, a dentist and health care …
A pediatrician’s reflections on resilience and rebuilding in Asheville after the hurricane
Reflections: Day 5
It’s a strange feeling to look down at my phone calendar and realize that nothing will be grayed out because it happened, but only because time keeps ticking.
It’s interesting and beautiful to watch my kids keep moving forward as the community around us is so devastated: playing music, rediscovering the joy that is reading, helping clean up the yard, making a game out of who does which chore …
How can you not love being a pediatrician?
Working as a pediatrician offers a unique and unparalleled joy—a privilege shared among those who dedicate their lives to caring for children and supporting families. This summer, while working on a U.S. military base in Germany, I experienced this joy in its fullest form. Rather than my usual role of just seeing sick kids in an ER, I’ve had the incredible opportunity to serve as a primary care pediatrician. Whether …
Why it’s so hard to admit when we don’t like our jobs
February 2017: Second day on service in months, and already I feel wiped. It’s exhausting. I feel that it is meaningful but so draining. And still, I’m not sure that I am even doing a good job.
A month later, I came home from a multi-level marketing (MLM) party at a colleague’s house, announcing my excited plans to embark on a new venture. I was going to start selling MLM skin …
How I overcame the challenges of ADHD parenting: a physician’s story [PODCAST]
The dual demands of a PICU physician
A physician in the pediatric intensive care unit (PICU) requires vast medical knowledge along with emotional resilience. I always thought I had a strong sense of compassion for my patients and their families until I had my own baby 1.5 years ago. It completely shifted my perspective. I started to understand parental grief and fear on a personal level, which reshaped my approach to work.
Before having a baby, I was …
How a pediatrician fights vaccine misinformation in a small town
When I took the final exam after years of pediatric training, hearing my professors say, “You are now qualified and equipped to manage a pediatric clinic; congratulations” was a deeply touching moment for me. I felt fortunate to experience the profound satisfaction of seeing my efforts to help children recognized and appreciated. With eager anticipation, I awaited the assignment to the place where I would begin my journey as a …
How a doctor with cerebral palsy defied the odds and transformed health care
About midway through my pediatric residency program at a well-known children’s hospital on the East Coast in the mid-1990s, I found out what was wrong with me.
I told the chief of the pediatric emergency department, a Jewish woman, that I had finally learned the name of a device after I had patients use it many times. I knew what it was for, but I hadn’t learned its name. It was …
A doctor’s journey in embracing her identity
I am the combination of two very different worlds—my mother is originally from El Salvador and Catholic, and my father is from Pakistan and Muslim. My parents are original trailblazers in my mind, creating a life together despite the unsure gaze of their respective families, who questioned the durability of their relationship, largely because they had never experienced one like theirs before. As a child and into adulthood, I felt …
Many kids benefit from GLP-1s. What happens when they have to stop taking them?
At the November 2022 Obesity Week in San Diego, it was clear something big was happening. A late-breaking session released results of the STEP TEENS phase IIIa trial, showing 16 percent weight loss in adolescents with obesity treated with once-weekly semaglutide (Wegovy) for 68 weeks. The side effects were manageable and similar to those experienced in adults: nausea, vomiting, and constipation.
A month later, semaglutide received FDA approval for weight management …
The practice of delayed gratification in medical training: a double-edged sword
As I led small group sessions during our medical school’s recent orientation, I was struck by the nervous excitement and hope radiating from our new first-year students. Their enthusiasm was palpable yet tinged with apprehension about the challenging journey ahead. Two themes emerged from our discussions. The first was a desire to dive in and tackle challenges ahead. As one student stated, “Enough talking, let’s start doing.” The second was …
Your baby is fine; her lips aren’t blue
I remember these words as if it were yesterday. Those memories are etched into my mind forever. I can’t forget them, nor do I want to, because I know that these experiences are not unique to me but happen all too often.
When my second child was four days old, I had her home with me, surrounded by family. It had been a busy few weeks because, for this pregnancy, I …
Battling burnout in pediatric intensive care [PODCAST]
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We delve into the critical issue of physician burnout with Jillian Bybee, a pediatric intensive care physician. Jillian shares her firsthand experiences from the front lines of health care, discussing the unique challenges …
Mediterranean diet boosts teen academic success
In 2024, Chilean scientists reported their findings on interesting research. They investigated the correlation between adolescent academic achievement and eating style. The researchers studied over a thousand kids between the ages of ten and fourteen.
A portion of the kids enjoyed a balanced and healthy Mediterranean diet. When they used oil, it was most likely extra-virgin olive oil. They packed their plates with boatloads of vegetables, fruits, cereals, nuts, and …
Prevent youth suicide: essential steps for parents to secure their home
This blog contains information about youth suicide which may be triggering for some readers. If you or a loved one is experiencing suicidal ideations, please seek attention from your own medical provider, call 988, or text 741741 for guidance and professional support.
As a child and adolescent psychiatrist, I spent a fair share of my day speaking to parents about suicide prevention. Oftentimes, when a parent is thinking about how to …
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