Stories about: Practice

When rectal prolapse requires a referral

colorectal

Rectal prolapse: It’s a visually alarming problem that can send worried parents straight to their child’s pediatrician, if not the emergency department. Despite its often-graphic appearance, rectal prolapse is usually benign and easily treated. Indeed, the majority of young children who experience rectal prolapse can be treated without surgery and won’t have a recurrence. …Read More

Functional abdominal pain: ‘The pain is real’

A guide for PCPs to functional abdominal pain

As physicians, we are trained on the classic medical model. A patient has a symptom, we do a test, we find a disease, we give a therapy, and the issue goes away. Unfortunately, chronic diseases like functional abdominal pain do not fit neatly into this model.

The majority of the hundreds of thousands of children a year who experience abdominal pain will improve with time. But for some children, their pain becomes chronic and debilitating. According to the Rome IV guidelines, once a child has experienced eight weeks of abdominal pain, we have to consider functional abdominal pain. …Read More

Learning disabilities: Kids and families struggle beyond the academics

Boy with learning disabilities struggles with homework

Most research on learning disabilities focuses on remediating specific academic skills like reading and math. But struggles at school and with homework can create an enormous amount of stress and anxiety for children and families, says neuropsychologist Deborah Waber, PhD, who directs the Learning Disabilities Program at Boston Children’s Hospital. …Read More

Notes from a nurse on the stem cell transplant unit

Stem cell transplant nurse with patient
Colleen caring for a child on 6W

I have worked at Boston Children’s Hospital for the last 10 years, the first two as a co-op and the last eight as a staff nurse — all on 6W. I just love this floor. We’re a small, 14-bed unit that provides longer-term care for children undergoing bone marrow transplants. We see different types of leukemia and other cancer and blood disorders such as neuroblastoma, aplastic anemia and myelodysplastic syndrome. We also see other genetic, metabolic and hematologic diagnoses like CVID, Wiskott-Aldrich syndrome, SCID, adrenoleukodystrophy and sickle cell disease, some of which we treat with gene therapy. …Read More