pediatrics

Dietary supplement use, albeit nutritional products or alternative medicines, is a very lucrative industry that is for the most part riddled with overly auspicious claims in support of the notion they are a panacea.

Such faulty, unsubstantiated beliefs abound, yet still these by and large unregulated substances manage to enhance the bottom line of countless companies - making them a multi-billion dollar business especially in the adult sphere. Due to the many preventable adverse drug reactions they cause, a team of researchers set out to quantify their use in the pediatric and adolescent populations where such intake data is unclear.

How was this studied

In a letter just...

The “opioid epidemic” consistently addressed in the news, by politicians and throughout social media conflates many aspects of the issue, often speaking interchangeably about prescription medications and illicit drugs. When the narrative and identifying of the problems get so confused and blurred or legal and political grandstanding becomes more about virtue signaling than honest analysis of multifactorial causal agents and helpful action, the solutions get further and further out of reach. As does the suffering.

The mere existence of an opioid pill is not why there is a crisis.

Myths abound in the public forum surrounding who caused it, what “it” actually is, how we got here, what it will take to fix it and who we can blame for the totality of a truly complex situation....

A multidisciplinary team from Texas just published their work in PLOS Medicine on U.S. vaccination rates in children, specifically focusing on nonmedical exemptions (NMEs) in states and counties. With 72.2% of those 19 to 35 months of age fully vaccinated nationwide, the researchers sought to determine the impact of parental concerns over safety and efficacy in opt out rates due to religious and philosophical beliefs. Their analysis of data was based on the 18 states that allow more nonspecific, philosophical-belief NMEs that can include religious objections.

What did they discover?

         As summarized from...

In an ideal world, a government governs while a parent parents. This utopia, in my view, would involve a symbiotic relationship that, together, advances the best interest of a child. But, somehow in our cultural reality, this desired balance is demonstrably out of whack to the point the concept of a child walking to school requires its own legislation.

A few months ago, the Governor of Utah felt compelled to sign into law bill SB65 which somewhat modifies the definition of child neglect. According to the...

In a long overdue action, the U.S. Food and Drug Administration (FDA) is informing consumers about the hazards of benzocaine-containing over-the-counter (OTC) oral health products which are typically used by parents for infants and young children to manage teething discomfort. The announcement conveys the agency is warning companies if they continue to sell it or market it to this population, then they will be subject to regulatory measures.

FDA Commissioner Scott Gottlieb, M.D. goes on to state:

“The FDA is committed to protecting the American public from products that pose serious safety...

Ever the optimist, I long for the day gratuitous personal attacks in the public sphere become passé. But, alas, yesterday was not that day. When our First Lady Melania Trump revealed her “Be Best” campaign would focus on children, a vital aspect of her three-prong program was neglected uniformly throughout all broadcast and social media fronts when it is in such need of increased awareness.

Mrs. Trump aims to among other concerns, "bring attention to neonatal...

“At all costs” breastfeeding messages are a consistent refrain from policymakers to activist organizations. I would argue when they exclude discussion of formula, concomitant disease, realistic personal and infant challenges along with what is in the best interest of the family such well-intentioned directives are routinely misguided, even intellectually dishonest.

A recent piece in Medscape ...

Apparently, we are at a point where the Governor of Utah was compelled to sign into law bill SB65 which somewhat modifies the definition of child neglect. In an effort to make it more difficult to penalize parents who encourage self-reliance in our overly protective, often fear-driven culture, the newly amended legislation (which goes into effect May 8) permits a child “whose basic needs are met and who is of sufficient age and maturity to avoid harm or unreasonable risk of harm, to engage in independent activities.”

These include, but are not limited to the following (as stated in the bill, link here): 

  • traveling to and from school,...

Misperceptions abound surrounding infant nutrition and what is best for baby. Breastfeeding or formula use seems to be an area of continuous polarization and new trends like importing specific organic formulas from overseas for being so-called "more pure" or "natural" reflects a current wave.

Fortunately, I had the opportunity to do a series of interviews that will debunk some myths and assuage many concerns in an effort to support those navigating the exciting, but unpredictable world of parenthood for the Fox Podcast Network.

Here, I am recording the series with host Teresa Priolo in the Manhattan Fox 5 New York studios.

The first one...

An observable trend in pediatrics, during my tenure practicing in New York City, was the consistent truncating of pediatric divisions and services. One by one pediatric floors in hospitals closed, then pediatric emergency rooms until those specifically pediatric trained were staffing remaining facilities over less and less hours. Urgent care centers proliferated, and more and more they and adult emergency rooms stretched employees beyond the scope of their training to cover children and infants -- despite their discomfort with the proposition.

Errors in dosing and wrong diagnoses were consistently picked up when I would assess patients in follow-up. Don’t get me started on the unnecessary CT scan exposures, excessive antibiotic use or low quality care, in general.

The...