Tag Archives: Pediatrics

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 45

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Vaccines

In the coming months, I am going to take a deeper look at vaccines. I am fielding lots of questions in the office about the safety of vaccines. People are scared. Are they wrong? Should they be?

Let me start here: first off, I am solidly pro vaccine. That is not the same as to be in agreement with the current vaccine schedule or that vaccines are without risk. I believe that the vaccine schedule and the risk should be questioned on a rolling basis in perpetuetum. This is the function of medical science. Question dogma always. Look for errors of past thinking and reassess on a continual basis.

I think that on the face of it, the skepticism is well placed as the organizations tasked with our safety have made a mess of being honest during the COVID pandemic vaccine rollout….. plus a literature review.

Dr. M

Dr. M’s Women and Children First Podcast #83 – Ana Maria Temple, MD

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Dr. Ana-Maria Temple, MD, is an integrative pediatrician known for her whole child approach to children’s health. She studied medicine at the University of North Carolina at Chapel Hill School of Medicine before pursuing pediatric residency training at Penn State Milton S. Hershey Medical Center. In 2017, Dr. Temple further specialized by completing a fellowship in Functional Medicine at the Cleveland Clinic Foundation. She combines conventional medicine with functional and lifestyle-based strategies to address common childhood conditions such as eczema, asthma, and allergies. Dr. Temple has a particular focus on helping families reduce dependence on medications by making sustainable health and wellness changes.

With decades of clinical experience, Dr. Temple has been a vocal advocate for preventive care, emphasizing nutrition, environmental changes, and integrative treatments. She is the author of the two bestselling books Healthy Kids in an Unhealthy World and Ending the Eczema Epidemic. Additionally, Dr. Temple is a sought-after speaker and podcast guest, sharing her expertise on holistic pediatric care through various platforms. Today, we focus on her approach to eczema and children’s health.

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 44

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Treatment – sometimes it is just better to watch and wait.

Warts are a common ailment of childhood. Mostly a nuisance, sometimes a hindrance to function when located on the fingers and or areas of high use. There are two major types of wart type skin lesions – typical verrucous warts and molluscum contagiosum.

Google has great molluscum and wart Images

WARTS/MOLLUSCUM – To Treat Or Not To Treat?

Common warts and molluscum contagiosum lesions are benign, but bothersome viral skin lesions that are common in children. We see them all the time in clinic. A common viral wart is caused by the human papillomavirus (HPV). HPV infects the epithelium of the skin, leading to keratinocyte proliferation in the skin’s outer layer. This uncontrolled growth of the keratinocytes results in a thickened rough round lesion that we see. If the immune system fails to fully clear the virus, we see this lesion for months to years. Molluscum, caused by an unknown virus, follows a similar course with a dissimilar appearance. Neither molluscum nor warts have roots despite the myth propagated over the years. Molluscum lesions have a turbid white appearance under the umbilicated skin papule with the virus located within the upper skin layer. They are 1-4 mm in diameter. Viral warts are a little larger usually 3 -10 mm in size. They form a protective cap of dead skin (keratinocyte) cells and invade the deeper skin layer. The protective cap is rough like sand paper. Molluscum lesions peak around ages 2-7 years and for common warts the peak age is 7-15 years…. and more on a literature review.

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 38

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Section I

Are Smart Phones a benefit or a curse for the teenager in school? This is becoming a huge topic this past year or so. Logic would seem to dictate that this is a curse more than a benefit, but what does the data and expert opinion show?

The Scientific American article “Do Phone Bans Help Students Perform Better in School?” examines the growing trend of banning smartphones in schools to enhance student performance and well-being. Numerous U.S. cities, including New York and Los Angeles, have recently implemented or are considering bans on phones in classrooms. Schools use tools like the Yondr pouch, which locks phones away during school hours, to enforce these bans. These measures are popular with educators and parents, with 60% of likely voters in New York State supporting such restrictions. Charlotte Schools has this policy: “In accordance with Charlotte-Mecklenburg Schools Student Code of Conduct, personal technology devices, including cell phones must remain off and put away during school hours. Violations will result in confiscation of the personal technology device. The district is not responsible (monetary value or replacement) for theft, loss or damage to personal technology or other electronic devices brought onto CMS property.” (CMS) My informal poll has a higher number of parents interested in phone ban restrictions in North Carolina….plus a section on teen anxiety.

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 37

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Upcoming Podcast and Current Book Review.

For all parents who love the content of this newsletter, I have a book for you to enjoy. It is a comprehensive look at parenting a child in modern times through the struggles of food, technology, stress and life in general.

My good friend Elisa Song is a Stanford, NYU and UCSF trained pediatrician and lover of children. In her recently published book, Healthy Kids, Happy Kids, she offers a comprehensive and integrative approach to pediatric health that will resonate deeply with today’s parents who seek to navigate the complexities of modern healthcare and modern life. Dr. Song’s dual expertise as a pediatrician and a mother is evident in her compassionate and practical guidance. Much like the work of our mentor Sandy Newmark, her book is relatable but more importantly scientifically grounded.

At the heart of Dr. Song’s philosophy is the idea that optimal health for children is not just the absence of disease but a state of overall well-being or optimal health, including: physical, emotional, and mental states. She emphasizes the importance of nutrition, advocating for whole, unprocessed foods while addressing the impacts of common allergens/intolerances, sugar, and artificial additives on children’s health. Her dietary recommendations are backed by a solid understanding of how nutrition influences immunity, inflammation, behavior, long-term development and ultimately chronic disease.

Plus, a discussion on cancer, autoimmunity in children post Covid…

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 36

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Section I

Literature Review

1) Long Covid in children – the symptoms are getting more clarity in who has what . From JAMA: 898 school-age children (751 with previous SARS-CoV-2 infection and 147 without) and 4469 adolescents (3109 infected and 1360 uninfected) were included in the analysis. The time between infection and symptom analysis was 1.5 years. In models adjusted for sex and race and ethnicity, 14 symptoms in both school-age children and adolescents were more common in those with SARS-CoV-2 infection history compared with those without infection history, with 4 additional symptoms in school-age children only and 3 in adolescents only. These symptoms affected almost every organ system. The cumulative data shows us that neurocognitive (Headache, attention concerns, sleep dysregulation), pain, and gastrointestinal symptoms in school-age children were common, but changed to loss of smell and/or taste, body aches and pain, focus struggles and fatigue related symptoms in adolescents. (Gross et. al. 2024) Age has a huge effect on these outcomes as the older population has more frequent and problematical disease findings. Mood disorder is highly associated with worsened findings. I suspect from the historical data set over the last four years that children with chronic mental stress, poor quality diets, sleep issues, and poor activity levels at baseline have worsened acute and long term prognosis.

Plus a section on a book review for Change Your Genes, Change Your Life.

Enjoy,

Dr. M

Dr. M’s SPA Newsletter Audiocast Volume 14 Issue 34

Podcast: Play in new window | Download

Subscribe: Email | RSS | More

Literature Review

1) Does oral health affect your life if you are sick and in intensive care? According to a new study in JAMA, the answer is yes. From the study: 10,742 patients – “toothbrushing was associated with significantly lower risk for Hospital Acquired Pneumonia and ICU mortality. Reduction in pneumonia incidence was significant for patients receiving invasive mechanical ventilation but not for patients who were not receiving invasive mechanical ventilation. Toothbrushing for patients in the ICU was associated with fewer days of mechanical ventilation and a shorter ICU length of stay. Brushing twice a day vs more frequent intervals was associated with similar effect estimates….Non-ICU hospital length of stay and use of antibiotics were not associated with toothbrushing.” (Ehrenzeller et. al. 2024)

Why does this matter? In effect, what this study shows is that patients with oral hygiene needs that are not met will have increased bacterial burdens leading to infectious disease risk via systemic inflammation and possibly bacterial translocation. At the end of the day, oral hygiene is very important to lower the total burden of inflammation in everyone, but especially in the most ill patient. It is super important for everyone to brush 2-3 x daily and floss daily at night…..

Plus a discussion on Back to School.

Enjoy, Dr. M

1 2 3 … 24