Author: Maureen McCarthy

Medical interpreters: Improving communication and care

Interpreter-ServicesA Vietnamese-speaking family arrives for a well visit and their clinician is English-speaking. Since the family understands some English, the family and provider move forward with the appointment.

During the visit, some aspects of the conversation were misunderstood or completely missed. The family completes the visit and schedules a three-month follow up appointment. Because of the language gap, the family did not schedule necessary, pre-follow up testing because they thought all testing was to be done during the next visit.

According to Teresa Amado, senior interpreter with Boston Children’s Interpreter Services, this is a common scenario — and one that shines a critical light on the need for a medical interpreter during appointments. …Read More

VUR updates: Q&A with a pediatric urologist

VUR-leadThe American Urological Association (AUA) recently reviewed and validated the 2010 clinical guidelines, Management and Screening of Primary Vesicoureteral Reflux (VUR) in Children.

Although the guidelines remain intact, the AUA expanded its scope to include guidelines for the screening of siblings of children with VUR and of infants diagnosed prenatally with hydronephrosis.

Boston Children’s Urologist and Director of Quality and Safety, Caleb Nelson, MD, MPH, provides guidance on the detection and treatment of reflux in children, and offers clinical insight on the screening of siblings and those diagnosed prenatally with hydronephrosis. …Read More

Managing daytime wetting: Q&A with the Voiding Improvement team

Pediatricians and clinical staff manage patients with urinary incontinence on a regular basis. In fact, an estimated 20 percent of boys and 17 percent of girls, ages 6 to 7 years old experience some form of daytime or nighttime wetting.

Because of the highly personal and private nature of the condition, many children and families are reluctant to talk about wetting with their pediatricians.

Notes discussed the condition with Carlos Estrada, Jr., MD, urologist and director of the Voiding Improvement Program (VIP) at Boston Children’s Hospital, along with Nursing Program Director Pamela Kelly, MS, RN, CPNP, and they offer the following insight on the overall diagnosis and treatment of daytime wetting in children.

…Read More

Challenging case: Diagnosing thyroid cancer

thyroid-cancer

The Thyroid Program at Boston Children’s Hospital is one of the first and largest centers in the United States exclusively devoted to the care and treatment of children with thyroid diseases. The expertise of a comprehensive, integrated team — including endocrinology, radiology, surgery, nuclear medicine, oncology and pathology, as well as oncologists from the Rare Tumors Program at Dana-Farber/Boston Children’s Cancer and Blood Disorders Center — attracts patients from across the country and around the world. …Read More