With summer comes heat – at least that’s how we do it in the U.S. (so far). And, for most of us: Summer Vacation, Little League and lot’s of sun.
Showing posts from: Illness
Due to editing and space constraints, my (newspaper) article on tonsillectomy two weeks ago did not present the entire picture of how physicians feel about this surgical procedure… and generated several additional questions – which we will cover here.
Although tonsils and sore throats are just little things, several concepts should be carefully understood.
I have been asked several times this week about tonsillectomy – whether or not a child should have their tonsils taken out by surgery. Usually the question is in response to a sore throat of some kind, whether or not there is an infected tonsil.
There are just so many variables (i.e. whether it is acute or chronic, allergic or contagious etc.) that my reply must be largely individualized; so, a short article cannot adequately cover the topic.
What would you think if your child, who had been toilet-trained for many years, began wetting the bed but was otherwise healthy and in no discomfort; or, if your little girl, 2 1/2 years old, began refusing to sit on the toilet, had a low-grade fever, and was extremely irritable; or, if your 15-year-old boy told you that he had pain on urination for the past four or five days and was now passing bloody urine; (more…)
I have been holding off writing a summer article until the weather made it clear that it really was summer. I don’t seem to have been quick enough on the draw, however, there was no spring to warn me.
When the weather warms up we begin seeing less contagious illnesses like colds, ear infections, chicken pox, etc. (very warm areas decrease illness in summer as people go indoors for air conditioning.)
What do pilgrim and pioneer children have in common with aborigines in the highlands of New Guinea, hamsters, and some children living in "progressive" homes of today?
The answer? A respiratory condition which had gone away but which has just recently been “rediscovered”; namely, recurrent pneumonia, cough, and wheezing which does not seem to be associated with infectious illness.
We’ve done this before but in this case history I won’t make you guess. It was between me and my “professor” many years ago. Attendings and residents both saw clinic patients but residents also had hospital ward rotations. An attending “summoned” me from the hospital to admit a child sitting quietly on her mothers lap in absolutely no distress.
I’m sure somebody like Steven King could make a good movie about this eight-legged bug, too small to be seen by the naked eye, but which lives by eating a persons top layer of skin and burrows through it to lay eggs that hatch in 4 days to an entirely new crop of bugs needing to feed.
When we began this journey through a pediatric resident’s “second brain” of commonly common child diseases, I had no intention on making it such an effort with this many parts; but, then again, I never do.
I’m realizing now that it’s a “no win” effort; because, after all, “how common is common?” The diseases could just keep on coming – but they won’t because I’m ending this effort today.
One caveat I forgot to mention before: (more…)
As much fun as this has been romping through the memories generated by reviewing the “second brain” notebook I used all through medical school and residency, I think that we might be nearing the end of this series: Child Diseases Parents Should All Know About.