Pediatric Grand Rounds, No. 4
> 6/4/2006 2:30:04 PM

Hello, and welcome to the 4th edition of Pediatric Grand Rounds. Sunday is the perfect day to catch up on all the great blogging you missed throughout the week (and let’s be honest, Monday’s not too bad either). So sit back, relax and prepare yourself to be educated and entertained by some outstanding writing. And remember, in pediatrics, there are no small problems, only small patients.

This week’s first post comes from NeoNurseChic. In this touching post, Carrie, a neonatal nurse, discusses her experience with Jared, a young man who died from lymphoblastic lymphoma. Jared, she writes, may have lost his battle with cancer, but his bravery and strength helped her redefine what it meant to be a survivor. – Read “Remembering Jared”

Disease Proof, the blog of Joel Fuhrman, M.D., offers some helpful tips for getting your children to eat more healthfully. As obesity has grown to epidemic proportions, teaching kids to eat right has taken on an even greater importance. Disease Proof has the answers. —Read “The Secrets to Getting Your Children to Eat Healthfully”

Sudden infant death syndrome (SIDS) affects about 2,500 U.S. babies every year, and still remains largely unexplained. As Hsien Hsien Lei, PhD writes at her blog Genetics and Health, new research suggests that SIDS may be linked to two separate genes related to the heart. There is, however, still reason to be skeptical. –Read “Cardiac Genes Linked to Sudden Infant Death Syndrome”

A Difficult Patient is a beautifully written blog that seeks to close the communication gap between doctors and patients. In this entry, the blog’s writer, D.P., relates a humorous exchange between her son Little Joe and a doctor in training. It’s proof that there is a lot that kids can teach pediatricians who are willing to listen. –Read “Little Joe and the Future Doctor”

In an absolutely riveting post neonatalogist Phillip Gordon describes one of his more memorable moments from his rural rotation during residency. At Tales from the Womb Dr. Gordon has compiled a three part series describing his experiences in Southern Idaho. In part 1 he takes us into the ER with a child so out of control the doc considers breaking out the old “sew his ears to the mattress trick.” –Read “Illness in Idaho, Part 1”

Hannah, from Milliner’s Dream, is a doula and educator, but also a student studying to be a nurse. In this post she relates a recent experience with a baby named “Hope” born extremely preterm. Defined as before 28 weeks, these rare preemies usually struggle with many health complications. Hannah’s post is not only incisive and informative, but it will tug at your heartstrings. –Read “Keeping Hope Alive”

The differences between the way men and women are treated in medicine is often a hot topic of discussion. In this post from The World According to Megan the eponymous blogger writes about a friend who stood up for herself in the face of a demanding patient’s parent. As Megan notes, a term of endearment can be a good thing if it is used with the appropriate atmosphere of mutual respect. Otherwise, it can be a backhanded slap in the face. –Read “Let me call you sweetheart”

Smoking causes major health problems. This fact is rarely disputed. PediatricsInfo reports on a new study that illustrates the sleeper effect—children who try only one cigarette are at an increased risk for adolescent smoking. Understanding what causes children to try cigarettes, which eventually leads them to habitual smoking is an important step in curbing smoking nationwide. –Read “One Cigarette Smoked at Age 11 May Increase Risk for Adolescent Smoking”

Pediatric Grand Rounds founder Clark Bartram had a double dip of great pediatrics blogging this week over at Unitelligent Design. In the first post Dr. Bartram discusses the risks and payoffs that must be weighed when using imaging technologies such as MRI or CT scans in treating children. In the second post he laments the scourge of injuries that befall youths while using ATVs and other motorized vehicles. Both are terrific examples of what all good medical blogging should aspire to be. –Read “Too Much of a Good Thing” and “Asking for a Tragedy…”

Parents can often make being a pediatrician a difficult and thankless task, especially when they don’t hear what they want to regarding their child’s health. Here Flea relates a story of one mother who managed to push a number of his buttons. Make sure to check out the update, as the story truly does take a turn for the bizarre. –Read “Makes Me Wanna Howl”

Many age-adjusted health scales have been designed, as Shinga writes at Breath Spa for Kids, “to horrify or shame us about our lifestyle choices and health.” In this post she discusses the Hearts and Minds scale and how many children might score if information regarding their exposure to tobacco smoke as well as their physical and physiological markers were factored in. –Read “How Old Is Your Child in Heart and Minds Years?”

Finally, here at Anxiety, Addiction and Depression Treatments, we examined a new study that looked at how well children learn from television. According to the results, it would appear that interaction is the key. So, we ask, what of video games and their high level of interactivity? –Read “Team’s TV Study Points to Next Step”

We want to thank you for stopping by AADT and checking out all this great pediatrics blogging. Look for the 5th edition of Pediatric Grand Rounds back at Unintelligent Design on June 18th. Until then, take care of each other.


Kudos on a wonderful job done! Thanks for your hard work.M
Posted by: Megan 6/4/2006 5:37:26 AM

Thank YOU for hosting! Wonderful job and I am looking forward to PGR growing.Hh
Posted by: Hannah 6/4/2006 6:43:06 AM

Thanks for doing this! Great job!! I'm going to enjoy reading this over the next several days now that I'm on vacation!Only one correction regarding my entry (sorry!) - I'm not a neonatal nurse in training. I *am* actually a neonatal my RN/BSN last year. ;) Was an NNP in training but now am a PNP in training, however - so it's close!! :)Thanks again!! Take care!Carrie :)
Posted by: Carrie (NeoNurseChic) 6/4/2006 9:15:08 AM

great job , doc!!!
Posted by: Dr Sidharth sethi 6/5/2006 3:45:10 AM

Thanks for hosting--you've done an outstanding job!
Posted by: difficult patient 6/5/2006 10:25:46 AM

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