pediatric housecalls Robert R. Jarrett M.D. M.B.A. FAAP

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The Fading Art of the Physical Exam 

The physical exam has not diminished in it’s critical importance even one smidgen over the years. If anything it’s even more important now than ever. Unfortunately, some physicians have succumbed to other pressures and are short-changing patients by neglecting them in favor of added cost testing and other laboratory work.

Listen to this 5 minute story on NPR’s Morning Edition about the physical exam, its importance, its neglect and what some physicians and institutions are trying to do to get doctors to recognize its importance.

Parenting: Chris Coyier On “How To Be A Man” 

A successful web developer, author, speaker, blogger and entrepreneur, Chris often was invited to submit articles to “The Pastry Box Project” for publication. His complete submission portfolio can be read here.

Of particular interest to me is his take on “How To Be A Man,” a topic I’ve written about previously when we talked about things fathers should teach their sons; and one which every schoolyard in the world it seems testifies deafeningly that it is largely ignored by parents.

Chris’ pithy observations testifies poignantly that it’s often not that tough.

Lina Rogers, First School Nurse 

At the behest of an altruistic humanitarian doing work with the poor in the tenements of New York’s Lower East Side, Lina Rogers RN entered the schools to see if she could make a difference in October of 1902 – dressings were changed (rat bites), contagious students were dismissed with follow-up education on hygiene and prevention, the community assisted children without food or clothing and older children staying home to care for younger children while their parents worked were sought out.

Within six months, absenteeism fell by 90 percent, and the school board agreed to supply funds for 27 nurses. By 1914, there were close to 400 nurses in the schools of New York City. Other towns followed quickly, Los Angeles hiring its first in 1904. It all started with Lina Rogers RN, the first school nurse.

Ten Uncool Things About Getting Older 

Believe me, Ms “Lucky Orange Pants,” a “mommy blogger” who makes me smile, doesn’t yet have a clue what the “real” sucky things are about getting older; but, she shows a remarkable understanding for someone so… not quite so young anymore.

Sexual Attraction and Orientation 

Here is a link to a printout for teens about sexual attraction and orientation. A good read for parents as well. It’s important that each teen finds a “confidant.”

[ http://kidshealth.org/PageManager.jsp?dn=KidsHealth&lic=1&ps=207&cat_id=20016&article_set=50685 ]

Am I Ready To Have Sex? 

“Am I ready to have sex?” That’s a question only a rare parent will ever be asked by their teen. But, they might read an article on it – like this one.

[ http://www.healthychildren.org/English/ages-stages/teen/dating-sex/Pages/Deciding%20to%20Wait.aspx ]

Teenage Sexuality 

The American Academy of Pediatrics (AAP) has a page on their web site specifically for teens about sexuality (Ages and Stages). It’s something that you can direct them to or even personally show them as a part of your parenting discussions about puberty, growth, maturity and safety.

[ http://www.healthychildren.org/English/ages-stages/teen/dating-sex/pages/Teenage-Sexuality.aspx ]

Preventing Heat Stroke and Illness in Children: Guidelines 

We’ve spoken before about prevention of heat stroke and other illnesses in children athletes. Here is a concise list of guidelines and best practices from the American Academy of Pediatrics (AAP) for coaches, parents and other advocates for children to use when administering sports programs. There is also an audio commentary to accompany the guidelines.

Awesome As A Chocolate Bar – True Friendship 

“Chocolate Bar” means awesome to Dylan Siegel, the boy who wrote CHOCOLATE BAR, the book. At just 6 years old Dylan wrote it to raise money towards a cure for his best friend Jonah Pournazarian’s rare liver condition, Glycogen Storage Disease (GSD) Type 1b. His magnanimous act of friendship “went viral” into spots on prime-time news and sold enough copies to truly (and dramatically) make a difference in the research effort. What struck such a chord with the millions of viewers? Jonah’s struggle against a rare disease he didn’t deserve; or, Dylan exercising the pure faith of a child to be a true friend – you decide.

Best Thing You Can Do For Someone In The NICU 

Perhaps you’ve had a baby in the newborn intensive care unit (NICU); or, perhaps you’ve had a friend in that situation. If so, you’ve probably had a chance to contemplate the varied needs a parent experiences.

How do you be a friend for someone in the NICU? Here are some possibilities and a novel approach to a “virtual baby shower.”

Parenting: Loss and Grief – My Velveteen Rabbit 

The internet is a bizarre place where you can have so many “contacts” with people that you consider them “friends” without ever meeting them. Different generations may learn more levels of relationships; mine, calls someone a friend when I begin caring about them, share feelings and become willing to assist when able.

Remy Sharp has taught me about web development for many years although he resides across an ocean and we’ve never met. His personal blog recently revealed a “parenting” experience which many of us understand all too well. Dealing with loss and grief is, unfortunately, an all too frequent aspect of parenting. He’s given me permission to share with you if you’d like to read on…

Antibiotic Resistance – NOT A Good Thing 

This video is presented by kind of a “goofball”; but, the content (even though presented a bit theatrically) is fairly solid and gives some great advice for us to use while those who can try and figure out how to dig us out of this hole with bacteria developing antibiotic resistance.

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