Stories about: Practice

Expert’s Corner: A guide to managing knee injuries in athletes

knee-pain

Knee pain and injuries are common among young athletes. Although some parents may think to bring their child to the emergency department (ED) when a knee injury occurs, there are many cases when the injury is better managed by either a primary care provider (PCP) or an orthopedic specialist.

The following guide will help you manage knee pain in athletes and provide guidance on when to refer your patient to an orthopedic specialist. …Read More

Expert’s Corner: Four ways epilepsy care is changing

Epilepsy

On May 6, clinicians and families gathered at the 2017 Clavin Conference for Family Education in Epilepsy to discuss the latest information about this condition. A major theme that emerged at the conference was that epilepsy isn’t a one-size-fits-all condition — and seizure activity can change over time as young brains develop. Because children are one of the fastest-growing groups of Americans being diagnosed with epilepsy, keeping up with the latest in clinical care for epilepsy is crucial, says Phillip Pearl, MD, director of the Epilepsy Center at Boston Children’s Hospital. Here, he shares four recent trends in the field. …Read More

Seeing esotropia? Take fast action: Q&A with ophthalmologist

Diagram showing esotropia, aka an inward-turning crossed eye
Esotropia is the term used to describe an inward-turning crossed eye.

 

According to the American Academy of Ophthalmology, about 4 percent of children have some form of strabismus (crossed eye). In infants, the most common type of crossed eye is known as esotropia, which is when the eye or eyes turn inward.

Although it can sometimes be as simple as prescribing glasses to correct the eye’s alignment, it’s important to seek expert care early.

Early intervention can:

  • rule out any potentially serious underlying disease
  • identify appropriate treatment to quickly correct the crossed eye and
  • prevent lingering long-term effects.

Boston Children’s Ophthalmologist-in-Chief, David Hunter, MD, PhD, offers advice to pediatricians on what to do when a patient suddenly develops esotropia. …Read More

New study finds gun laws save lives: Q & A with lead author

firearm-safety

Firearm legislation is a contentious issue in this country. But researchers at Boston Children’s Hospital hope their new study may help shed some light on the topic. The narrative review, published in the November 14 issue of JAMA Internal Medicine found that stronger firearm laws are associated with reductions in firearm homicide rates.

Notes sat down with lead author Lois Lee, MD, MPH, of Boston Children’s Hospital’s Division of Emergency Medicine and Harvard Medical School to discuss the study’s findings and the implications of firearm safety on pediatric practice.

Q: What was the main takeaway of your study?

Lee: Overall, we found evidence that stronger firearm laws are associated with decreased homicides due to firearms. We grouped the laws into five general categories:

  • Laws that strengthened background checks
  • Laws that curbed firearm trafficking
  • Laws that improved child safety, including child access laws, laws requiring trigger mechanisms, and laws that imposed age restrictions for gun purchases and use
  • Laws banning military-style assault weapons
  • Laws restricting firearms in public places

Specifically, the laws that seemed to have the most effect were those that strengthened background checks and those that required a permit to purchase a firearm. …Read More