I am no longer surprised. The presentations are varied. ‘‘I think I have wax in my ear.’’ ‘‘He keeps tugging at his ear.’’ ‘‘I hear a buzzing in my ear.’’ Sometimes it’s the shocked look one of my new pediatric residents gives to me, stating, ‘‘I think I see a bug in his ear.’’ By the end of the third year of their residency, regrettably, this surprised reaction fades as cases of ‘‘cockroach ear’’ become commonplace. Read more
It’s a rainy weekday morning in North Philadelphia, and once again, as I have been doing for the last 15 years, I sign on to our electronic health-records database and prepare for the 26 young patients, ages 1 month to 20 years, on my schedule. It’s a few days after the White House’s 2018 budget proposal, “A New Foundation for American Greatness,” was released last month.
Most of my patients are on Medicaid, although I also check to see whether any have insurance benefits such as discounted gym memberships, a big help for low-income families struggling with obesity.
Reviewing clinical notes, I’m reminded that several of the families have what’s known as food insecurity, Read more