pediatric housecalls Robert R. Jarrett M.D. M.B.A. FAAP
Hello, and welcome to Pediatric House Calls. I am… A Physician board certified in Pediatric medicine with Clinical experience including caring for infants, children and teens – well these days mostly children and teens up to twenty-one; An Administrator experienced in top medical management for several national health insurance companies; An Author of health care manuals, newspaper columns and even children's stories; A Business Medical Consultant for drug companies, insurance companies and
physician practices; A Veteran of the US Navy in the Vietnam era;
And… I make House-Calls.
Julie Lythcott-Haims is a Harvard lawyer but we’ll try not to hold that against her; mainly, because she is also the mother of two teenagers and deserves some slack. Her other life experiences are being married (to the same husband) for over 25 years despite living in silicon valley and caring for her elderly mother. Oh, yea, and she’s the author of the NY Times best selling book: How to raise an adult written while she was dean of freshmen for 10 years at Stanford.
I read an article recently about the many medical breakthroughs the world would have missed if the detractors, naysayers and just plain and simple evil-intentioned haters had their way; and I decided to turn it into an article.
I’ve mentioned nine so far in the previous two parts including: Dr. Ignaz Semmelweis who was basically killed for suggesting his colleagues wash their hands; the vitriol made public by the new fangled internet against Dr. Prusiner over disease caused by proteins; and, the delay in cancer therapy caused by the “good ol’ boy’s.” Read more→
There are four causes of bowel obstruction in children: Herniation, Adhesions, Volvulus and Intussusception. I’ll describe the four (shown in photo) but expand a bit on intussusception—which is the topic of this article.
A bowel obstruction, inability of food to pass completely through the intestinal system unimpeded, can occur at any age and there are many causes; but, time has shown us that we can narrow the most probable causes down a bit based upon age. Read more →
In part one I already confessed to being in a profession full of egos which, like it or not, sometimes get in the way of rational consideration of things new or which are going against long used practices.
And I even asserted that pediatricians don’t have as much trouble with that as other specialists; proposing, somewhat tongue-in-cheek, that it was because we were all used to dealing with adolescents whose very body language conveys that every adult around them “just doesn’t have a clue.” Read more→
It’s one thing to live 102 years and witness two generations of medical advancements and still quite another to be the one who made many of those advances!
Further, it’s even more unusual when the Decagenarian set out to do nothing but “be a good doctor” yet ended up with over 750 articles, 12 books and, get this, TWO lifetime achievement awards—why not he saw almost two lifetimes come and go. Read more →
Unfortunately, I’m in a profession where egos flair at the drop of a hat either through overwhelming skepticism, inordinate caution, debilitating fear of being wrong or as yet some unknown neurological or psychiatric condition.
I wish I was smart enough to write a definitive article on that, it would do the world a favor.
But I’m not, so this is not about that; it’s about the unfortunate result of all that—the often adolescent refusal to accept new knowledge when it is presented. Read more→
Let’s talk head lice for a moment. When I trained it wasn’t too difficult to diagnose or treat. THEN things began to change and the darn things started to become resistant to the medications we used to do them in—that, and the fact that there was found some degree of neurotoxicity which made us all nervous and VERY careful. Read more →