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
“Don’t ask, don’t tell” didn’t work for the military, and it doesn’t work for the deeply troubling issue of sexual assault either.
Our culture’s longstanding fear of asking and telling about sexual assault has contributed to an epidemic rate of child sexual abuse (1 in 4 girls and 1 in 6 boys, according to the Centers for Disease Control and Prevention in 2005). As a survivor of child sexual abuse, I can attest to the deep shame surrounding this issue that keeps both survivors and everyone else silent.
We should consider an alternative approach Read more