Archive for primary care
Thyroid nodules in children: When to refer
You’re doing a regular well-child check when you think you feel a lump in the front of the neck. Or neck imaging done for some other reason shows a nodule in the thyroid. Could that lump be thyroid cancer? What should your next steps be? A thyroid nodule is a growth that forms within the ... Read More
More than the blues: Navigating postpartum depression
Whether you’ve given birth to your first child or you’re adding a member to your growing family, childbirth is a profound experience. After that, caring for a newborn is a round-the-clock endeavor — even if you’re prepared. The transition from pregnancy to parenthood is called the postpartum period. For insight on what parents can expect ... Read More
How to help your child rekindle friendships at any age
A new school year is often full of promise, but a lot hangs in the balance this year. The Centers for Disease Control and Prevention (CDC) is endorsing a return to full-time in-person learning with proper COVID-19 precautions. Some of the motivation for returning to in-person learning stems from the toll in-home learning may have ... Read More
SMART: A new approach to asthma management
Until recently, the typical approach to asthma involved two inhalers. In its first update since 2007, the National Asthma Education and Prevention Program now recommends the use of Single Maintenance and Reliever Therapy (SMART) for selected patients. Rather than an inhaled corticosteroid for daily maintenance and an inhaled bronchodilator for exacerbations, SMART uses the same ... Read More
Practice positivity: Navigating body image with your child
Children receive thousands of messages every day about ‘how the world works’ and the role of kids and adolescents in it. Sometimes they learn things explicitly, but they also receive cues from mass and social media, family and peers. Body image is no exception. In young people, negative messages about bodies and appearances can contribute ... Read More
Providing culturally responsive care to refugee and immigrant families
Refugee and immigrant parents and children have unique care needs. They have left their former lives behind, often due to discrimination, poverty, violence, or even ethnic cleansing operations. They may have witnessed or experienced torture or the death of a loved one. Once resettled in the U.S., parents must navigate and adjust to American culture, ... Read More
Regular physical activity linked to more ‘fit’ preteen brains
We know exercise has many health benefits. A new study from Boston Children’s Hospital adds another benefit: Physical activity appears to help organize children’s developing brains. The study, led by Dr. Caterina Stamoulis, analyzed brain imaging data from nearly 6,000 9- and 10-year-olds. It found that physical activity was associated with more efficiently organized, robust, ... Read More
Suicide prevention in teens: Can we intervene through primary care?
The past year has seen a disturbing rise in suicidal thoughts and attempts among adolescents, with a spike of suicidal teens going to emergency departments (EDs). This adds to a growing trend: From 2007 to 2016, ED visits for deliberate self-harm more than quadrupled nationwide among children age 5 to 17. In a recent review ... Read More
You’re not alone in asking: Five common questions about your baby’s first year
Having a baby often comes with a lot of two things: love and questions. While every infant and family are different, many pediatricians agree that there are common themes in what parents want to know in their child’s first year. We spoke with providers from Briarpatch Pediatrics and Wareham Pediatric Associates of Boston Children’s Primary ... Read More
Remember these seven things before bringing your newborn home from the hospital
Congratulations, you just had a baby! Now what? Whether it’s your first, second, or eighth child, the initial weeks of life with a newborn can be a sleep-deprived blur. Hopefully, your first few days postpartum come with the support of knowledgeable, compassionate nurses and hospital staff. So before being discharged home with your bundle of ... Read More