pediatrics

The Centers for Disease Control and Prevention (CDC) just released their 2018 breastfeeding report card. It comes on the heels of  World Breastfeeding Week when the World Health Organization (WHO) and UNICEF-led Global Breastfeeding Collective published their scorecard (see here).

Just like last year, no...

I had the distinct pleasure of being a guest on CUNY-TV’s Smith Sabatino Show yesterday. When corresponding with multiple Emmy-winning, legendary co-host Rolland Smith prior to the appearance, I inquired as to the topics to be discussed (see below Notes section). In response, given the more conversational tone and vast scope of subject matter covered in the program, he replied with the general medically eclectic range along with the mating habits of armadillos. Though it was funny mixed in with the expected theme and clear that he was joking, he dangled the bait that I just can’t resist. If I don’t know about something, then my curious nature gets the better of me. So, what I came to learn about armadillo reproduction is a rather wise...

Identifying characteristics are essential to ensuring patient safety - so that the right treatment meets the right patient. Did you ever consider how many times you are asked your name and date of birth when seeking medical care? Consider those patients who arrive in the emergency room alone, unconscious and septic, or with dementia, unable to respond. Hospital staff sometimes has the help of a loved one, a note or call from a treating doctor, even a wallet to fill in the identity and history gaps. And while this is true for all of our patients, identification poses a particularly unique challenge in the newborn nursery, especially for those higher risk longer stays in the neonatal intensive care unit (NICU). Misidentification in this population and its untoward effects are such an...

The account of the Virginia-based Red Hen restaurant owner insisting Press Secretary Sarah Sanders leave the premises due to presumed political differences has been playing on a loop of social and mainstream media punditry. This got me thinking about a recent sea change within distinct segments of the medical community when it comes to refusing to allow vaccine-hesitant families as patients at certain practices. The American Academy of Pediatrics (AAP) has gone as far as sanctioning pediatricians kicking them out of a practice by making it official policy that this action can be used as an absolute last resort (see...

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...