Mental health conditions are common among children with special health care needs (CSHCN).
According to 2022 data from the National Survey of Children’s Health, 51% of CA CSHCN ages 3-17 had 1+ diagnosed mental health conditions—attention deficit disorder or attention-deficit/hyperactivity disorder, anxiety problems, behavioral or conduct problems, or depression—compared with just over 5% of their peers without special health care needs.
👀 New data out from Centers for Disease Control and Prevention show a worrying trend: prenatal care rates dropped substantially in 2022—a smaller share of births got 1st trimester prenatal care and a larger share didn't got late or no care compared with 2021 and 2020.
Schloendorff v. Society of New York Hospital - Wikipedia
"Every human being of adult years and sound mind has a right to determine what shall be done with his own body; and a surgeon who performs an operation without his patient's consent commits an assault for which he is liable in damages. This is true except in cases of emergency where the patient is unconscious and where it is necessary to operate before consent can be obtained."
Rethinking Mastectomies: Why Transmasculine Top Surgery May Be Healthier Than You Think
Emry Cohen, MD for Assigned Media
"A healthy body is not synonymous with a cisgender body, and having breasts is not a marker of increased healthiness. But, most importantly, we need to let people make choices for their bodies and mind our own business."
Avoid getting 'solar retinopathy' during the upcoming #solareclipse. Some advise from the Canadian Ophthalmological Society (eye doctors with MDs). And what solar retinopathy is.
Most new doctors face some form of sexual harassment, even after #MeToo
Kara Gavin write up of Frank et al., JAMA Health Forum 2024
"She notes that surgical training programs, which include general surgery and specialties that include surgical training -- such as gynecology, urology, otolaryngology, neurosurgery, plastic surgery and orthopedic surgery -- have the most work to do."
❤️ Preeclampsia and gestational diabetes can affect the heart health of both mother and child, suggests a new study led by The Ohio State University Wexner Medical Center.
The study, which included 3,317 mother-child pairs, examined the childrens' BMI, blood pressure, cholesterol, and glucose at ages 10 to 14 using data from the Hyperglycemia and Adverse Pregnancy Outcome (HAPO) study.
“This presents an opportunity for us to intervene early in childhood and recommend healthy changes for the family to help improve their child’s health later in life,” said lead researcher Kartik Venkatesh. https://bit.ly/43CRRHo
This is a good piece.
“Today we have a whole new breed of physicians whose eminence is due more to their media exposure than their accomplishments. The likes of Mehmet Oz, Deepak Chopra, Steven Gundry, Joseph Mercola and Christiane Northrup have become mega-influencers and continually use their eminence to upset the evidence-loaded cart.” #Science#Scicomm#Medicine#MedMastodon#Canada
Circumcision as Child Abuse: The Legal and Constitutional Issues
W Brigman, 23 J. Fam. L. 337 (1984-1985)
"This paper will examine the medical and psychological case against routine neonatal circumcision and will discuss the potential legal and constitutional barriers to treating the practice as child abuse."
"Suits for damages against surgeons, hospitals, and conceivably parents, are possible because 'malice in the sense of ill will or a desire to cause injury is not essential to sustain a recovery for intentional wrongdoing. It is enough for the plaintiff to show that the defendant knowingly and intentionally did the act which caused the damage and that damage was substantially certain to follow.' "
The CDC has issued a Health Alert advisory regarding an increase in global and U.S. measles cases with guidance on steps recommended to prevent measles for international travelers aged 6 months or older and for all children aged 12 months or older. From January 1 to March 14, 2024, CDC has been notified of 58 confirmed cases of measles in the US, 93% of which were linked to international travel. (CDC Health Alert Network
March 18, 2024)
Periodic reminder: CDC has a series of 3 CME (continuing medical education) courses for ME/CFS
"Expert Guidance on Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS)"
"The activities in this series will help clinicians recognize the ME/CFS symptom spectrum, treat those patients, and use evidence-based approaches to help alleviate or eliminate symptoms or comorbid conditions"
"People with Long COVID in Australia have poor health outcomes that are comparable with another emerging disease known as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) …
Quality of life and disability scores were significantly poorer for both Long COVID and ME/CFS when compared with healthy people"
Any Canadian pediatricians here? What do you think about the new CPS statement on managing febrile infants? I need comments for a story and a contact. @medmastodon#MedMastodon#pediatrics#paediatrics
3/ Something else they did. The denied my feeding tube supplies and kit last month, which I have been using since April 2012, because during the medical review, they saw a doctor wrote a prescription for an oral drug & didn't put "crush and administer via g-tube" language in the script.
They figured if I could take a drug by mouth, I didn't need a feeding tube.
This is them just being pissy and obtuse. Even their insurance appeal reviewer did a 'smdh.' #MedMastodon#Health#Insurance
Reidentification With Birth-Registered Sex in a Western Australian Pediatric Gender Clinic Cohort
Cavve et al., 2024, JAMA Peidatr.
"These findings from a pediatric gender clinic audit indicate that a small proportion of patients, and a very small proportion of those who initiated medical gender-affirming treatment, reidentified with their birth-registered sex during the study period."
So, it turns out some #pilots get tubes placed in their ears to help with air circulation through their eustachian tubes during pressure changes. From what I understand the tubes fall out at 6 months. They are inserted via small hole in the ear drum. My QUESTION: is it safe to put in tubes multiple times? Do the tiny eardrum holes scar over each time, build up and affect hearing? Is there a limit to how many times tubes can be placed in?
Dismembering the Ethical Physician
Genuis, 2006. Postgrad Med J.
"Informed consent is not an objective reality that secures autonomy and negates paternalism, but a subjective interpretation heavily influenced by the state of knowledge and perception of the educating clinician, which in turn may reflect the values and perspective of that individual doctor."
Increasing evidence finds that reducing or eliminating meat from your diet and increasing plant-based foods -- especially certain types of #fiber, reduces inflammation and reduces symptoms from rheumatic diseases. Such as #rheumatoid#arthritis. Meat, on the other hand, increases inflammation. Fiber helps with the survival and proliferation of 'good' bacteria in the gut. This good bacteria reduces the amount of inflammation in the body. The less inflammation the better.
This reserach group in Amsterdam explains it pretty well on their website, and also encourage individualized exercise programs.