Category Archives: Pediatrics

How is the flu hitting your region? Nevada is in the RED!

How is the flu hitting your region? Nevada is in the RED!  (See the attached USA flu map of influenza-like activity for the week ending January 13, 2018) What can you do?  Get the flu vaccine.  Stay home if you … Continue reading

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Sleep. Are you a good sleeper?

Sleep.  Are you a good sleeper? Sleep Quality.   It’s a predictor of overall physical and mental health and overall vitality.  The National Sleep Foundation made a consensus statements.  I’ll summarize them… How long should it take you to fall asleep?  … Continue reading

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Do you need one more reason to breastfeed?

Do you need one more reason to breastfeed? Breastfeeding has been found to help the infant populate their gut biome.   A study was recently done which showed that there is vertical transfer of microbes from the mother to her … Continue reading

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HPV vaccination is fighting cervical cancer and winning!

HPV vaccination is fighting cervical cancer and winning!  HPV vaccination has been shown to decrease cervical intraepithelial neoplasia 1 (CIN1)  by 9%.  CIN1 is a precursor to frank, invasive cervical cancer.  So, this vaccine shows great success! In fact, in … Continue reading

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RSV bronchiolitis. Diagnosis and treatment

RSV bronchiolitis.  I’ve seen lots of bronchiolitis in the hospital recently. Diagnosis and treatment.  Does your infant or young child have a hacking cough?  It may be respiratory syncytial virus or RSV. Most patients present with two to four days … Continue reading

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Honey?! for a cough?

As a family physician, I often see children in my office with a cough.  There have been extensive studies showing no clear benefits and, in fact, there were definite potential harms to over the counter cough medication in children under … Continue reading

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Does your tongue-tied baby need it cut?

Probably not.  There are three reasons to cut a tongue-tied infant’s tongue: difficulty with speech, or with feeding, or due to cosmetic reasons (imagine heart-shaped tongue). There is no evidence that there is improved latching for breastfeeding after frenotomy (cutting … Continue reading

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Acne… the dreaded teenage rite of passage

Acne is so commonplace … and it makes being a teenager more difficult.  The AAD (American Academy of Dermatology) has new guidelines for acne therapy. The key is that monotherapy is not recommended AND that antibiotics should always be coupled … Continue reading

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Shingles pain relief

There are a “Big Three” of shingles treatment: antivirals, rest, and pain management.  At a recent American Academy of Dermatology meeting treatment of shingles was discussed.  The Big 3 will help halt the progression of the disease and decrease viral … Continue reading

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Stop using nasal flu vaccine

In a stop-the-presses media blast, the Centers for Disease Control and Prevention’s Advisory Committee has voted to stop the use of the live attenuated influenza  (nasal flu) vaccine for this 2016-2017 flu season.   The recommendations state that “no live attenuated … Continue reading

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