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

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Sleeping With “Big Soda” and Conflict of Interest

I have to tell you I’m still pretty ticked-off finding out about this huge conflict of interest: Big Soda acting like Big Tobacco and the health-care industry falling for it! I’m not sure where I’ve been to not hear about this until now; but, thankfully, the American Academy of Pediatrics and a few others have already come clean and done the right thing!
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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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“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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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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How To Tell When Your Child Is Lying

Kang Lee
Researcher in children’s lying

Are children poor liars? Do you think you can easily detect their lying? Developmental researcher Kang Lee studies what happens physiologically to children when they lie. They do it a lot, starting as young as two years old, and they’re actually really good at it. Lee explains why we should celebrate when kids start to lie and presents new lie-detection technology that could someday reveal our hidden emotions.

Mr. Lee has devoted his career to understanding the development of social cognition and behavior.

With an international team based at the University of Toronto, he investigates the neurological and social basis of emerging social behaviors in young children. His two­-pronged research focuses first on how and when children develop the capacity to lie, to detect lies and to feel guilty about it afterwards.

The second focus of Lee’s research is facial recognition, which has led to revelations of when children develop the ability to distinguish races ­­and has helped explain why some people occasionally see Jesus’ face on a piece of toast.

We found that regardless of gender, country, religion, at two years of age, 30 percent lie, 70 percent tell the truth about their transgression. At three years of age, 50 percent lie and 50 percent tell the truth. At four years of age, more than 80 percent lie. And after four years of age, most children lie. So as you can see, lying is really a typical part of development. And some children begin to tell lies as young as two years of age.

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