Category: Pediatrics

A reflection on the last day of residency

I entered residency self-assured, if not in my scholarly achievements, at least in who I am as a person. I left slightly broken. Something happens to you in residency, and you don’t realize the transformation as it occurs. It may be the loss of a patie…

Peanut allergies: What is the best policy for schools?

Peanut allergies can be a serious problem, and many exposures happen when our kids are at school. On average, there are probably about 5 peanut-allergic children in each of our nation’s 100,000 school buildings. What’s the best policy for schools to us…

Non-therapeutic relationship or human kindness?

About two months ago, a 15-year-old Native American male was riding around in a stolen car on the reservation. “M” and the driver were drinking. And somehow, after he exited the vehicle at 4 a.m., the car struck him. Hours later, it became clear that s…

The myths and truths about med-peds physicians

Yes, med-peds is a real residency! It is a real specialty! And it is a practicing profession by many physicians today! It can open doors for so many wonderful professional opportunities. It is a discipline that can provide patients and communities extr…

The value of an immigrant child

Stefania was a 17-year-old Russian girl who presented herself to a port of entry in the United States seeking asylum. Stefania’s journey to this point was an unimaginable one. In her home country of Russia, she was a happy high school student living wi…

How a young girl helped me find the light in pediatrics

“You’re going to fall in love with her,” the nurse warned me, as I stood outside my eleven-year-old patient’s room ready to wake her up for surgery pre-rounds at 5:30 a.m. I offered back a tired smile and knocked on the door timidly. “Naomi?” I whisper…

How a young girl helped me find the light in pediatrics

“You’re going to fall in love with her,” the nurse warned me, as I stood outside my eleven-year-old patient’s room ready to wake her up for surgery pre-rounds at 5:30 a.m. I offered back a tired smile and knocked on the door timidly. “Naomi?” I whisper…

The first time I felt I truly helped a patient

November 2017. I was on my pediatrics rotation at a local community clinic. My attending asked me if I could see Johnathan (identifying information and event details altered to protect confidentiality), an eight-year-old boy who has been increasingly f…

How youth sports might be a risk factor for heart disease

“If only there was just one more creative way to increase my child’s sugar intake,” said no parent ever. As a pediatric cardiologist, I spend much of my day counseling parents of children with obesity, hypertension, and hyperlipidemia. I tell them to i…

The Wild West approach to PICU practice

I spent my early and mid-career years working in a pediatric intensive care unit (PICU) at a large academic center. We did almost everything except for a few things esoteric at the time — small bowel transplants, a few kinds of experimental surgery. I’…