Repeated bumps to the head are bad for children. This sounds incredibly obvious, yet as a society, we don’t particularly act like we get it at all.
When the Bruins made it into the Stanley Cup finals, I thought about all the young hockey players who would be inspired to practice harder and play harder in the hope of one day doing the same. And I wondered: if they bumped their …
Youth sports should never knowingly risk brain damage
Typically, teen girls do not need a pelvic exam until they are 21. Most parents are surprised to hear this, especially if they know their teen is sexually active.
About 1/2 of teen girls are sexually active during high school which puts them at risk for sexually transmitted infections (STI) and unwanted pregnancy. However, for routine prevention and care, girls rarely need an internal pelvic or speculum exam during high school. …
When does a teen girl need a pelvic exam?
The evidence has become quite clear: bed sharing, or co-sleeping, increases the risk of sudden infant death syndrome (SIDS).
The latest study to reinforce the risk of bed sharing comes out of the UK (with contributions from New Zealand and Germany). Published in the British Medical Journal, Bed sharing when parents do not smoke: is there a risk of SIDS? An individual level analysis of five major case–control studies, …
Bed sharing and co-sleeping increases the risk of SIDS
Angelina Jolie shared publicly her decision to have a preventive double mastectomy after genetic testing revealed that, due to a mutation in the BRCA1 gene, she carried an 87% risk of developing breast cancer and a 50% risk of developing ovarian cancer. Jolie identifies her mother’s decade-long struggle with ovarian cancer and death from that disease six years ago as one of the primary influences behind her decision.
Angelina Jolie’s …
When is genetic testing appropriate for children?
Teens, smartphones, Facebook, Instagram, and a myriad of other social apps. What do they have in common? Well they simply go together these days. Just look around and if you spot a teen, he/she is likely virtually connected, phone firmly in hand.
The social landscape has certainly changed since our own teen years and it’s up to us as parents to catch up.
There …
If your teens are on social media, you need to be there too
Twelve years ago, in its landmark study Crossing the Quality Chasm, the Institute of Medicine (IOM) found that “the health care industry is plagued with overutilization of services, underutilization of services, and errors in health care practice.” In simple English, the IOM reported that health care was riddled with overuse, underuse and misuse of medical services.
The IOM also defined quality health care as “the degree to which health services for …
Some patients are receiving too little care
Kathy wrote about her son: “What can cause a 9-year-old boy to poop in his pants occasionally and not feel it? He was completely potty trained at age three. I have found dirty underwear and poop on the bathroom floor–and it just concerns me that he is unaware of it. It has been suggested at checkups that he may be constipated. My mother suggests he may simply not be paying …
When a child can’t feel his poops
I will never forget my first Kenny G concert. It was in the fall of 1994, just a few weeks after I had undergone my second eye surgery, which I had needed to repair my cranial nerve palsy. By that time, I’d already suffered through five other operations from the neck up, and in my seven-year-old mind, I had somehow convinced …
The inspirational power celebrities have on patients
If you believe in vaccines, can you speak up?
When we are unsure about decisions, we want to know what our friends and loved ones think. This is normal and understandable; after all, these are people who are important to us, people whose opinions we value and trust.
We also turn to these people when making medical decisions–including ones about immunizations. While what …
If you believe in vaccines, please speak up
Our bodies are mostly water — about 60% water, in fact. This varies a little with age and sex, but it is a good rough estimate. Of that 60% water, about a third of it is outside the body’s cells, so-called extracellular fluid, and two thirds of it is inside the body’s cells, so-called intracellular fluid. The easiest way to remember this is the “60/40/20″ rule: total body water is …
A pediatrician’s approach to dehydration in children
It is easy to assume that the real problem with our healthcare system is “not enough” – not enough physicians, not enough MRIs, not enough money.
But a growing number of studies show that more healthcare is not always better and the more expensive drug or treatment option is not necessarily the right choice. In fact, sometimes more care – specifically care that you don’t need – can be harmful for …
Providing the right amount of healthcare
Many years ago, I worked as a counselor at the city camp in North Miami Beach, Florida. Camp “No Mi Be” was attended by what seemed to be a countless number of very active, very inquisitive, and pretty-much-unstoppable 10-year-old boys.
We learned quickly that the best way to start the day was with running. Run, run, run. We’d make the kids run back and forth to the fence, or run around …
How exercise benefits kids with ADHD
Last week I served lunch at my son’s school. It was a hoot, really, serving an entire K-8 school lunch. Dishing out lasagna, broccoli, pizza, and grilled cheese provided all sorts of insight into what lunch is like in 2013. My son didn’t choose exactly as I’d predict (see below). When a 33-year prospective study published recently which connects childhood ADHD with adult obesity, …
The link between ADHD and obesity
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As someone who has been a parent for 22 years, I know firsthand just how hard driving kids around can be. When they are little they cry, as they get older they ask a million questions and fight with their siblings, and when they get older there’s the whole issue of the radio, not to mention the chaos of friends in the car. But a study recently released suggests that when …
It’s time for parents to stop distracted driving
I’m not sure I’ve ever been great at being still. As a kid, I joined one activity after another. Not because my parents told me I should. I just liked it. Staying busy. But, I could concentrate. Quiet the mind. I’d sit and read for hours on end or close my eyes and listen to a cassette tape from beginning to end.
Even through busy high school and college years, a …
Finding mindfulness in unexpected places
It is hard to see a child in pain.
I have seen quite a few children in the emergency departments of South Carolina in the past three years, more than I could have imagined just a while ago.
Now, in the interest of full disclosure, I am not a child psychiatrist by trade. Like any general psychiatrist, my training provided me with didactic …
A psychiatric disorder or a profound lack of discipline in our kids?
When we think of strokes, we imagine older adults. Yet, one out of every 2,800 newborns (under 1-month) suffers a stroke. In children up to 18, it occurs in 11 out of 100,000. I know how serious this can be – my daughter experienced a stroke before birth. The day before she was born, we discovered she had hydrocephalus (water on the brain). When she was a day old, an …
Recognizing the signs and symptoms of stroke in children
A few weeks ago my wife, my son, and I went out for dinner. My son, though usually well-behaved and pleasant, was boisterous and disruptive, alternately leaping off his seat to crawl under the table and banging his silverware on his water glass to see what different volume of sound he could make it produce. Our tolerance for disciplining him patiently having been exhausted in us both by our respective challenging …
Why setting consistent boundaries is important
Autism is a communication disorder where children have difficulty relating to other people. Pediatricians watch for speech delay as a sign of autism. Even before your child is expected to start talking, around a year old, you can watch for communication milestones. Problems attaining these milestones may indicate autism or other disorders such as hearing loss, vision loss, isolated language delay, or other developmental delays.
By six weeks of age, your …
How to know if your baby has autism
We’ve all been hearing about the cool app Snapchat, which allows people to send pictures and videos that only last a few seconds before disappearing. Because of the disappearing thing, the worry that I keep reading about is that teens will use it for sexting, figuring that it’s no problem if they take sexy pictures or videos, because they won’t last.
Now I worry about sexting as much as anybody else …
Why this pediatrician is worried about Snapchat
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