Roanoke, Virginia

Carilion Clinic Children's Hospital in the newspaper

Many thanks to Sarah Bruyn Jones for the excellent article on our children's hospital published  in the Roanoke Times on Sunday March 27. If you haven't seen it, give this  LINK a click to read it on line. I think it really describes how we have grown over the last few years. It highlights our services and points out some things that make being at the children's hospital different from being at a place that just happens to take care of children.

The paper article is a bit more in depth, with more pictures and a map of all the sites where we provide pediatric care, but the electronic version will give you a good sense of what's going on.

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got a prescription for that tylenol?

I was interested to read a story in the Wall Street Journal (WSJ) last week about some unintended consequences of the Affordable Care Act.

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motherhood and apple pie?

If you have lived in the US for more than an hour, you have undoubtedly heard the expression: "That's as American as motherhood and apple pie." I have no issues with the apple pie component of this statement, my last post on obesity notwithstanding. I have no knowledge of how well or poorly America treats its apples.

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on childhood obesity

I asked a colleague of mine--a pediatrician, and a mother--to write a post about childhood obesity. This is a topic everyone is talking about; from Michelle Obama to your local YMCA. Is it just a trend, or do we really need to be concerned? Are you ready to meet the challenges she poses for parents as well as physicians at the end?

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something might be wrong

Sorry, dear readers, I was fully intending to write a new post on Friday, but was stymied by something being wrong with my log on for this blog site. It has been fighting me all weekend, and just now I have managed to get on. Before I write too much I am testing it to see whether it is really working.

I promise you a post soon. Hopefully later this evening......

Leave me a comment or two so we can see if it is working correctly. The interface seems somehow different to me, although quite similar to its normal self

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it's just a little cough medicine....

Do you give cough or cold medicines to your less-than-2 year old child?

Did you know that in 2008, the FDA banned the use of over-the-counter cough and cold preparations in children under the age of 2 years? Did you know that many parents are still giving their young children these medications and many health care providers continue to recommend them? recently noted that 61 percent of parents continue to use over-the-counter cough and cold medications for their very young children, AND 57% of the parents reported that this practice was recommended by their child's health care provider.

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it seems every child in Roanoke has a fever

Many apologies to those of you who want to read my rambling posts, in that I have not written for ten days. Whenever I go more than a few days without a post, I feel awful. Unfortunately, the week that just ended was so busy I hardly had time to breathe, eat, sleep or ....well, you get the point.

So, last week was a week "on-service" which I have described in the past.

 This particular week was quite a busy one.

With 24 possible beds on the pediatric floor at the Carilion Clinic Children's Hospital at Roanoke Memorial Hospital, most of the week, between 16 and 19 of those beds were filled with patients for whom I was ultimately responsible.

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Do we need "disaster champions"?

Today, some of my colleagues and I are bringing teams of physicians and nurses together from many of the surrounding community hospitals in our region, for the first installment in a year-long program designed to build confidence and competency for these hospitals in dealing with children in disasters.

Starting with the horrific events of the 9-11 terrorist attacks the nation has slowly come to the realization that we are not very good at predicting the needs of children in disasters.

This lack of expertise was demonstrated in response to the hurricanes Katrina and Rita. For many years, children were considered (AND NO, I AM NOT KIDDING) a "special population" similar to PETS, that needed a couple of additional sentences included in a manual.

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...and the world of pediatric emergency medicine

Over a week ago I let you know that I was headed out for a number of important medical society and continuing education meetings.

I was planning to write at least every other day or night to share what I was learning and doing; to give you a behind-the-scenes view of how some of these organizations work and what they do. I am sad to report that I have been so busy, and so tired I neglected this blog in favor of more meetings, sweet dinners with old friends, and sleep, when I could manage to get some. Now, as I sit in the airport lounge waiting to make my last connection before I arrive in Roanoke, I finally have a few minutes to catch my breath and catch you up on the week's activities.

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