Change in a Boy

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The patient was a seven-year-old boy, who came to see me with his mom. She said that he complained of sore throat two days prior and was “spitting up” the “phlegm”. She denied any fever, cough or vomiting up food. She was concerned that her son was not able to eat or drink anything for past two days. The boy was seen on the previous day by a different doctor who examined him and took a throat swab, which showed no strep. During our conversation the boy was sitting on the exam table with a paper cup constantly spitting his saliva in it. He was not coughing and did not appear to [Continue reading…]

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Toddlers Should Ride Rear-Facing to Age 2

The American Academy of Pediatrics released the new, 2011 policy on car seats. The biggest change from the previous policy is that parents are now advised to keep their toddlers in rear-facing car seats until age 2, or until they reach the maximum height and weight for their seat. The recommendation is supported by new research showing that children under age 2 are 75 percent less likely to die or be severely injured in a crash if they are riding rear-facing.

The previous policy, from 2002, cited age 12 months and 20 pounds as a minimum to ride forward-facing. As a result, many parents turned the seat to face the front of the car when their child celebrated his [Continue reading…]

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