Hot Topics: Pediatrics
by Craig Klugman, Ph.D.
After age 40, the risk of developing a cataract increases. By 75 years of age in the U.S.,half of whites, 53 percent of blacks and 61 percent of Latinx develop cataracts.…Full Article
by Leah McClimans, Ph.D.
The Autism CARES (Collaboration, Accountability, Research, Education and Support) Act is currently up for reauthorization before Congress.…Full Article
by Craig Klugman, Ph.D.
A controversy last week erupted out of freshman New York Congressperson Alexandria Ocasio-Cortez’s Instagram Live appearance and follow-up tweet saying that the facilities where the federal government is keeping detained children are “concentration camps.”
The Border Patrol Chief immediately called Ocasio-Cortez’s use of the term, “offensive”.…Full Article
by Florence Ashley B.C.L., LL.B
Hormonal interventions for trans youth are subject to controversy in the media and certain clinical circles.…Full Article
by Craig Klugman, Ph.D.
When I was growing up I recall parents talking about chicken pox parties where parents would arrange to expose their children to a person with an active infection.…Full Article
A pastor is scheduled for two surgeries: (1) to fuse part of his spinal cord and (2) to remove a tumor.…Full Article
“Examining ethical issues in TV medical dramas”
Jump to The Resident (Season 2; Episode 15): Insurance Fraud and Endangering Patients in Pursuit of Profit; Jump to The Good Doctor (Season 2; Episode 15): The Risk of Looking, Pediatric Decision-Making; Jump to Chicago Med (Season 4; Episode 15): Racism
Milo Trainor comes to the ED with severe backpain.…Full Article
by Craig Klugman, Ph.D.
A teenager comes to a medical clinic and asks for an MMR vaccine. Although this particular vaccine is usually given at 12-15 months of age with a second dose at ages 4-6 years, this 16-year-old has never been vaccinated.…Full Article
BioethicsTV (January 8-10, 2019): #NewAmsterdam; #ChicagoMed
An elderly woman arrives at the ED in the throes of her third heart episodeof the week.…Full Article
This blog post will appear in a future issue of the American Journal of Bioethics
by Nita Farahany, JD, PhD; Saheel Chodavadia; and Sara H.…Full Article
Transgender Children and the Right to Transition: Medical Ethics When Parents Mean Well but Cause Harm
Just Policy? An Ethical Analysis of Early Intervention Policy Guidance
When Parents Refuse: Resolving Entrenched Disagreements Between Parents and Clinicians in Situations of Uncertainty and Complexity
The Harm Principle Cannot Replace the Best Interest Standard: Problems With Using the Harm Principle for Medical Decision Making for Children
Best Interest, Harm, God’s Will, Parental Discretion, or Utility
Would you be willing to zap your child's brain? Public perspectives on parental responsibilities and the ethics of enhancing children with transcranial direct current stimulation
Children's perspectives on the benefits and burdens of research participation
The Default Position: Optimizing Pediatric Participation in Medical Decision Making
Pediatric Participation in Medical Decision Making: Optimized or Personalized?
From “Longshot” to “Fantasy”: Obligations to Pediatric Patients and Families When Last-Ditch Medical Efforts Fail
Normally, parents make decisions about their children’s health care. But when it comes to the prevention of sexually transmitted diseases and cancer, kids should have the right to protect themselves. That is why Senate Bill 3899A, which would allow teenagers, in consultation with their physicians, to receive vaccines against HPV (human papilloma virus), ought to become the law in New York.Full Article
Every year, the state of Illinois struggles to find a place for hundreds of children with serious mental-health issues—holding them in psychiatric hospitals for sometimes weeks or months even after they’re cleared for discharge.
Ever since scientists created the powerful gene-editing technique CRISPR, they have braced for the day when it would be used to produce a genetically altered human being. Now, the moment they feared may have come. What’s likely to happen next?Full Article
The children granted wishes were substantially less likely to visit the emergency department or to have an unplanned hospital admission within two years as compared with children who hadn’t received wishes. (Researchers matched the children’s personal and disease characteristics in the study.)
“My hypothesis is that these kids, when they come back, are more engaged with their families and medical providers, and perhaps they’re more adherent to their treatment plan,” says the study’s lead author Dr. Anup D. Patel, section chief of neurology at Nationwide Children’s Hospital and an associate professor of pediatrics at Ohio State University College of Medicine in Columbus.Full Article
Nearly 70,000 children end up in emergency rooms every year after experiencing adverse reactions to antibiotic drugs, according to an analysis by the Centers for Disease Control and Prevention (CDC) published in August in the Journal of the Pediatric Infectious Diseases Society.
About 74 million antibiotic prescriptions are doled out to kids each year, the study notes, and past research has indicated that at least one-third of these pediatric antibiotic prescriptions are unnecessary.
Results from a new study may lead to approval of what could be the first drug that ameliorates potentially deadly reactions in children with severe peanut allergies.Full Article
For many children with autism spectrum disorder (ASD), recognizing and responding to eye contact, body language, and tone of voice is a major challenge. Improving those social skills can take lots of work—putting a strain on caregivers with limited time, resources, and money for therapy. Now, a study shows that just 30 days with an in-home robot that provides social feedback can dramatically improve a child’s interactions with others.Full Article
Dr Bernadka Dubicka, who chairs the child and adolescent faculty at the Royal College of Psychiatrists, said: “Currently only one in four children and young people are treated for their mental health problems. “The fact that prescriptions for antidepressants are rising could reflect a slow but steady move towards treating everyone who is unwell.Full Article
The 4-year-old boy fancied himself a real-life superhero, wearing a blue T-shirt with photographs of his 4-month-old twin brothers, who were born with a rare immunodeficiency disease. Michael’s little brothers — Santino, “Sonny,” and Giovanni, “Gio” — needed a bone-marrow transplant, and when his parents told him that he was a donor match, Michael told them that he wanted to save his brothers and would give them some of his.Full Article
It’s a compelling narrative: A parent learns that his or her child has a fatal disease with no cure, and, though not a scientist, embarks on a quest to find some treatment. Such stories have played out in the plotlines of films such as Lorenzo’s Oil and Extraordinary Measures, on national morning shows and local news segments, and on crowdfunding pages to drum up support for the cause.Full Article