Stories about: Practice

Prolonged grief of bereaved parents: How pediatricians can help

Richard Goldstein, MD, an expert on SIDS and prolonged grief, meets with a bereaved family.
Richard Goldstein, MD, program director of Boston Children’s Robert’s Program on Sudden Unexpected Death in Pediatrics, meets with a bereaved family.

Despite worldwide efforts to promote safe sleep over the years, sudden infant death syndrome (SIDS) continues to be the leading cause of post-neonatal infant mortality in every advanced country in the world. More infants die from unexplained infant deaths each year than children zero through 18 die from cancer.

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Blended diets offer benefits for children with feeding tubes

blender with food in it
PHOTO: ADOBE STOCK

For years, the standard practice for children with feeding tubes has been to provide them with commercially available formula as a source of complete nutrition. While some children have no difficulty tolerating these formulas, others may experience problems such as significant vomiting, diarrhea, retching or growth issues. For these patients, a blended diet may offer a number of benefits. …Read More

Evaluating tracheomalacia: Preventing misdiagnosis

doctor diagnosing tracheomalacia
IMAGE: ADOBE STOCK

The patient is back in your office with another bout of recurrent pneumonia — the third time this year. At 7 years old, he can’t wait to join his school’s soccer team, but his parents report that he gets winded easily. Does he have asthma? Or could his symptoms indicate another problem with his airway?

Symptoms such as noisy breathing, a barking cough, and frequent respiratory infections can signal tracheomalacia (also known as tracheobronchomalacia), says Russell Jennings, MD, surgical director for the Esophageal and Airway Treatment Center at Boston Children’s Hospital. In this condition, the airway narrows or collapses when a child breathes, leading to symptoms such as noisy breathing, a barking cough, recurrent pneumonia and cyanosis. …Read More

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