Teaching conference on Friday of this week will be all about "stuff 4 year olds do". Enjoy this (annotated) primer on a day in the life of a preschooler! 6 am: Wake up, bright and early. Dress myself (for the most part), brush my teeth, and use the potty all without help (though supervision is… Continue reading 4 year olds #adayinthelife
It seems like it is always gastro season in clinic. Teaching conference tomorrow will be about one of the uncommon, but life threatening diagnoses associated with diarrhea in children. Do you know what to do for the masses of children with more mundane, acute viral gastroenteritis? Here's a quick post to review some common options… Continue reading what to do with all that poo
Every time I go into the children's section of a pharmacy there seem to be new remedies that I have heard nothing about. It's particularly embarrassing to be asked about a product, have no clue what it is, and then find that it is plastered all over the local Whole Foods baby section. Here is… Continue reading #tipsfornewpeds: children’s aisle and cough
Conference this week will cover the topic of home oxygen monitors and SIDS. I still find this a hard conversation as it comes from a parent's genuine fear of the worst possible outcome. It got me thinking, are there ways to approach this conversation to avoid alienating parents while still practicing evidence based medicine? Some… Continue reading What about a home O2 monitor?
This will be the first in a series of brief posts in honor of all the trainees starting their pediatric residencies in the next few weeks #TipsForNewPeds. My goal is to give you some familiarity with the world of products marketed for kids, a primer on what's out there so you can feel comfortable as… Continue reading #TipsForNewPeds The baby aisle
Today, our senior teaching resident reviewed an article from the Journal of Pediatrics titled Comparative Effectiveness of Dexamethasone versus Prednisone in Children Hospitalized with Asthma. This line of research has some interesting implications for primary care and how we manage outpatient asthma exacerbations. One thing that came up was how dex could be a benefit… Continue reading Take two and call in the morning
There is more than one way to talk about spitting up in typical infants. Here is a brief overview of how I approach the topic. I think the skill of providing reassurance about normal behaviors is crucial for any pediatric provider. The way a caregiver interprets a child's behavior can have far-reaching effects on the… Continue reading Oh, I just changed that onsie…
You are finishing up clinic visit for a healthy 6 month old and the parents ask you about some sort of sleep sack thing... They recently stopped swaddling the baby and are having a lot of trouble getting her to sleep without the wrap. Advice? The transition out of a swaddle can be a struggle… Continue reading I can’t move my arms
You see a three year old in clinic with the lesion shown. Should they be referred? What can be done? Often, even for (medically) benign conditions, families are seeking advice on how to help a child think about differences in their appearance. Check out this article from the Washington Post Parenting Section. Author Wendy Wisner… Continue reading Should we see the dermatologist?