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

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Eat All You Take: Portion Distortion

Did you get all those “tricks” to give them a HAND over portion distortion?

– Food labels can’t be relied on
– Serve children on smaller plates, they’ll look larger.
– Dish out families food in kitchen on plates and bring them to the table, learn correct portion control.
– Don’t let children serve themselves out of “family-sized” bowls, they’ll always take too much.
– “Lend them a HAND,” teach them “rules of thumb” for portion control using their hand as an example. As it GROWS, so does the portion size.
– The FIST represents the portion size of rice, cereal, fruits or vegetables for a single meal.
– The size of the PALM represents the amount of protein, about 4 or 5 ounces, that should make up a DAILY serving size for a child or teen.
– The TOP OF THE THUMB’s FIRST JOINT represents the amount of mayonnaise, butter or salad dressing for a single meal.
– Eating at restaurant, wait to see what portion size comes for your child before ordering yourself so you can share theirs if it’s too large, or cut it in half and serve it as a second meal later on.
– Parents, you need to set a good example: if you don’t ask for seconds, your child won’t either.

Super, advice and tips.

Ways To Lower Risk Of Allergies

Even though you may show little gratitude for it on a routine basis, I know you think that your wonderful “developed” country universally has lower rates of every disease than those poor, unfortunate undeveloped areas with little health care. Am I right? And it largely has to do with better hygiene… right? Huh? Huh?
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William Harvey – Discovery of Circulation

We’ve only just begun, it seems, on our listing of the “50 most influential doctors in history,” a list made some time ago by a medical blog for physicians.

Today we chronicle the man who discerned the true nature of circulation, our number 46 on the list, William Harvey a contemporary of Galileo and Shakespeare and physician to King George of Great Britian.
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“Presidential” Medicine

Anyone who hasn’t just about had enough of all things “presidential” by now must have spent the last year living in a cave somewhere.

I’ve found some “presidential medicine” related stuff that you probably “ought to know.” Just sayin!
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Rheumatic Fever Video

Here is a video I found that contains information about Rheumatic Fever for “medical types.” A DISCLAIMER is that the commentary is being delivered by a HIRED VOICE-OVER ARTIST, according to the authors bio. I say that, because he apparently knows how to pronounce “synergy” but not “Sydenham” or that “arthralgia” is NOT “muscle pain” but rather “joint pain.”

He gives basically good information but sort of sounds like he’s parroting text material and unsure about specifics of the disease – I would highly doubt he’s a pediatrician. Yes, “Sydenham” IS the name of the discovering physician.

3 Rashes And Their Heart Problems

We’ve chatted about rashes before (ok, a lot) and we’ve talked about heart diseases before. Heart diseases only very rarely are associated with rashes. And only an infinitesimally small number of rashes cause heart disease. When they do, it’s worth talking about… so let’s chat about rashes and heart.
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Zora Janžekovič – Pediatric Burn Pioneer

A while ago now, I decided to write a series of articles based on a magazine list described as the “top 50 influential doctors in history.”

The list, a big undertaking if not a bit ostentatious; the series of articles, a satisfying and most rewarding ride through the history of my profession – a ride even any parent would find an unexpected and critical benefit.
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Trying to Unsuscribe

James Veitch
TED: How To Unsubscribe

It happens to all of us: you unsubscribe from an unwanted marketing email, and a few days later another message from the same company pops up in your inbox. Comedian James Veitch turned this frustration into whimsy when a local supermarket refused to take no for an answer. Hijinks ensued.

For James Veitch, a British writer and comedian with a mischievous side, spam emails proved the perfect opening to have some fun, playing the scammers at their own game.

Packed full of Nigerian princes, can’t miss investment opportunities and eligible Russian brides, James Veitch’s correspondence with email spammers leads to surprising, bizarre and usually hilarious results – and a book deal.

Out of this experiment came his first book: Dot Con.

In 2014, his first solo comedy show The Fundamental Interconnectedness of Everyone with an Internet Connection, premiered at the Edinburgh Fringe to wide acclaim.

His second show, Genius Bar, focused on his time working for Apple, chronicles his attempts to fix his relationship using the same troubleshooting techniques he’d been using to fix iMacs, iPhones and iPods.

He is currently writing his third show and preparing to tour the UK.

Single Dose of Old Drug Boosts Memory, Attention

Once, I read more than I wanted to about a common (and then extremely inexpensive) drug because I had a patient with seizures (Dilantin). It seems the company had found a multitude of uses for it and produced it for things like emulsifying agents including paint. There were so many I couldn’t stop reading.
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Back To School Immunization Update – 2016

It seems like all I do is write “back-to-school” articles. I probably don’t but it sure seems like it.

We need, once again, to update you on back-2-school immunization strategies because – as nearly every telephone triage system in the world claims – “options have recently changed.”
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Peanut Allergy – Possible Treatment

We can treat the results of a “peanut allergy attack” but not prevent the issue. How could we? We don’t have a clue what is making such a health crisis now that didn’t occur 20-30 years ago.

There is no immunotherapy or pills to prevent it. Bee stings we know about. They cause anaphylaxis crises too. We’ve found that deliberately injecting miniscule amounts of bee sting venom into an allergic person (under controlled conditions of course) and then slowly increasing the strength of the injection can eventually help the person “get over” the sting allergy – or at least make it less severe.

Well, apparently they’ve been experimenting with a similar thing for peanuts. A skin patch – like a nicotine patch to stop smoking – with tiny amounts of peanut allergen is worn on the arm or somewhere. And, eventually, over time (perhaps a year or so) the persons reactions diminish to some extent.

Like the doc said in the video: “the patient is probably not going to be able to eat a peanut butter sandwich” but just making the reaction less extreme will give a very welcome buffer to what is a literally a life threatening event.

Cardiac Arrest in a Child Athlete

Most of you let your children participate in sports so it’s critical that you know this. Bear with me, it’ll be fun – and something you want to talk to the coach about.
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