She has Mittle-what…?? Mittleshcmerz

Maria, a 14-year-old girl, came to the office late one Friday morning with a chief complaint of right lower abdominal...
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Whats up, doc?

October 2025   Pursuant to my last article a very rational approach has appeared in the July ’25 issue of...
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Inguinal Hernia…Why the Cough

As summer is rapidly coming to an end, countless sports physicals have been performed to get the student-athletes eligible for...
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Whats up, doc?

August 2025   There are several articles that will keep you an informed parent in the AAP NEWS. from July...
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Eyes Crossed and Pseudo Strabismus

Amy, a little 3-month-old was on my schedule with the chief complaint was that her eyes crossed   Entering the...
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Whats up, doc?

June 2025   PARENTS it is time to wake up! Being good parents is more than just being informed. It...
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Fifths Disease…It Must Be Spring

It was late morning, just before lunch. Grabbing the chart of my next patient I noticed that he was not...
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Whats up, doc?

April 2025   RISKS OF WATER BEAD INGESTION in Pediatrics, vol 155, issue 2, Feb 2025 pg.58. Here is a...
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Juvenile Spring Eruption…Just when you think you’ve seen it all

I grabbed the chart of my next patient and was intrigued by what the nurse had written as the chief...
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Whats up, doc?

February 2025   An article by Juan E.De la Cruz-Mena, MD, MSc, et al entitled SHORT-TERM DUAL THERAPY OR MONOTHERAPY...
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June 3, 2025

Whats up, doc?

June 2025   PARENTS it is time to wake up! Being good parents is more than just being informed. It is making proper decisions and taking action on them.  The recent outbreaks of measles and whooping cough tell us vaccines are needed to control serious illness in our children. Keep
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May 1, 2025

Fifths Disease…It Must Be Spring

It was late morning, just before lunch. Grabbing the chart of my next patient I noticed that he was not on the schedule.   Six-year-old Tyler had been sent home from kindergarten because the teacher noticed he had a rash. Mom was apologetic for not having an appointment. She explained
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April 1, 2025

Whats up, doc?

April 2025   RISKS OF WATER BEAD INGESTION in Pediatrics, vol 155, issue 2, Feb 2025 pg.58. Here is a new hazard for informed parent readers as Haugen et al describes the risks of water bead ingestion.  “Water beads consist of water-absorbent polymers made of polyacrylamide that can expand from
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March 1, 2025

Juvenile Spring Eruption…Just when you think you’ve seen it all

I grabbed the chart of my next patient and was intrigued by what the nurse had written as the chief complaint.   It said, “Red rash on the ears”. When I entered the room, I was warmly welcomed by five-year-old Max who was playing with hot wheel cars on the
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February 1, 2025

Whats up, doc?

February 2025   An article by Juan E.De la Cruz-Mena, MD, MSc, et al entitled SHORT-TERM DUAL THERAPY OR MONOTHERAPY WITH ACETAMINOPHEN AND IBUPROFEN FOR FEVER: A NETWORK META-ANALYSIS appeared in Pediatrics, Vol.154, nu 4, October 2024, pg. 60.  This article shows that giving a febrile child acetaminophen and Ibuprofen
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