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The Informed Parent

What’s Up Doc?

by John H. Samson, M.D., F.A.A.P.
Published on Aug. 31, 2015

Variability In ADHD Care In Community-based Pediatrics

by Jeffery N. Epstein, PhD, Kelly J. Kelleher, MD, Rebecca Baum, MD, William B. Brinkman, MD, MEd, MSc, James Paugh, PhD, William Gardner, PhD, Phil Lichtenstein, MD, and Joshua Langberg, PhD  PEDIATRICS, Vol 134, Nu 6, Dec. 2014, p. 1136

The authors support our feelings that the diagnosis of ADHD is frequently accomplished after a short history session. And, based upon this, medication is prescribed. The patient is seen for follow-up in one-to-two months, whereas the physician moves on to the next case.

The child needs:

  1. Detailed history from parents and patient
  2. Comprehensive form completed by the teacher
  3. Careful physical examination to assess for medical causes of aberrant behavior or lack of attention
  4. If available Continuous Performance testing to document an attention deficiency and, if indicated, to optimize the dose of medication prescribed.
  5. If indicated, counseling to “unload the psychological baggage” that the child uses trying to compensate for his/her deficiencies.
  6. Evaluation for associated primary learning disabilities that are frequently seen in patients with ADD syndromes.
  7. On-going regular follow-up visits to be sure the results of the therapy are indeed occurring and beneficial, and to evaluate for side effects of the medication used.

When the authors refer to the need to improve the quality of care for ADD patients this is what they want. And as informed parents this is what you must expect.

Sinusitis And Pneumonia Hospitalization After Introduction Of Pneumococcal Conjugate Vaccine

by Ann Lindstrand, MD, MPH, Rutger Bennet, MD, PhD, Llias Galanis, MSc, Margareta Blennow, MD, PhD, Lina Schollin Ask, MD, Sofia Hultman Dennison, MD, Malin Ryd Rinder, MD, PhD, Margareta Eriksson, MD, PhD, Birgitta Henriques-Normark, MD, PhD, Ake Ortqvist, MD, PhD, and Tobias Alfven, MD, PhD   PEDIATRICS, Vol 134, Nu 6, Dec 2014  p. 1207

This is a short but well documented abstract that once again underlines the great value of immunizations; in this case, the pneumococcal vaccines.

This bacteria is still a significant cause of pneumonia and sinusitis, and was a major cause of serious bacterial meningitis prior to the use of these vaccines. Since the introduction of these vaccines the incidence of hospitalization for streptococcus pneumonia infections has been reduced significantly. The immunizing of children has saved not only many hospitalizations but death and terrible sequelae of the infections caused by this bacteria.

Those readers that refuse to immunize their children, please take note; you are being emotional  UNINFORMED parents.

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