Stories about: Practice

Effective use of antibiotics starts with a complete allergy history

Effective antibiotic use starts with allergy history
PHOTO: ADOBE STOCK

This week is Antibiotic Awareness Week, a week focused on using antibiotics appropriately to provide the best clinical outcomes and avoid antibiotic resistance.

As physicians who care for patients with antibiotic resistant infections and those with antibiotic allergies, we know that there are real clinical advantages to being able to use “narrow” beta-lactam antibiotics such as amoxicillin. In fact, for many diagnoses, patients have better outcomes when they are treated with beta-lactam antibiotics that are targeted to their specific bacteria.  …Read More

Quick Note: Previsit screening checklist improves teamwork and access

Doctor uses previsit screening checklistI am sure many colleague primary care providers are familiar with the soaring feeling of frustration when at the end of a visit, hand on the doorknob and ready to move on to the next patient, you are unexpectedly halted by your patient’s one last question. Often the one last question — aka the “doorknob” question — is in fact so important to your patient’s health and one you wish you’d been asked earlier in the encounter. …Read More

Why expert care is crucial for aspiration

Dr. Rachel Rosen explains her new study about aspiration
PHOTO ILLUSTRATION: PATRICK BIBBINS/BOSTON CHILDREN’S HOSPITAL

Aspiration, or the entrance of food or liquid into a child’s airway, is associated with oropharyngeal dysphagia and other swallowing problems. It is more common in premature babies and those with neurological abnormalities, although it can occur in any child. Parents typically bring their children to pediatricians when they observe choking, regurgitation, coughing and other symptoms related to feeding. …Read More

‘The right thing for patients’

surgery for transgender patients

On a Monday morning in late January 2018, surgeons and clinical staff entered the operating room with one primary goal: to forever change the life of the young man who lay before them. More than 14 hours later, the team had made history, performing the first phalloplasty — surgical creation of a penis — for a transgender patient at a major U.S. pediatric hospital. …Read More