What’s next for pediatrics? Here’s the world according to Alan Guttmacher, MD, Director of the National Institute of Child Health and Human Development. Guttmacher did his internship, residency and fellowship in clinical genetics at Children’s Hospital Boston during the 1980s.
By Lois K. Lee
The use of computed tomography (CT) scans has dramatically changed the practice of medicine in the past two decades. Patients with abdominal pain are no longer routinely admitted for serial abdominal exams to evaluate for appendicitis, because now we can just get the CT. Children with head trauma may need less hospital observation time in the emergency department (ED), because we can just get the CT.
Philips (NYSE:PHG) is revealing a recall it began last month of eight lots of infant and neonatal carbon dioxide sampling lines after learning from their manufacturer, Oridion Systems Ltd., that they may contain hair-like plastic strands that infant patients might inhale.
At a conference in Texas a couple of years ago, I found myself — as at all good national conferences — talking to a colleague from my own institution. As we browsed the poster session, we talked about our respective work.
Eugenia Chan works in the Developmental Medicine Center at Children’s Hospital Boston, where I’m an emergency physician and health services researcher. I told Eugenia about The Online Advocate, a Web-based system I’d been developing for the past eight years. It screens patients and families for health-related social problems, provides feedback and helps them find services in their area that can assist them.
By Eugenia Chan
This is how it used to be when I saw a child with attention-deficit hyperactivity disorder: “You know, Dr. Chan, I really don’t think the medicine’s working,” the parent would tell me. “I just don’t see any difference in his behavior.”
“Well, the medicine has probably worn off by the time you see him at home,” I’d say. “What does his teacher think?”
“She hasn’t called me, so I assume there hasn’t been any trouble.” Then: “Oh — I was supposed to give her that questionnaire to fill out, wasn’t I? I’m so sorry, I totally forgot.”
By Tom Ulrich
Imagine: You’re a pediatric cardiologist who for years has worked on the design of a device that could revolutionize the treatment of a severe atrial arrhythmia.
But while you can find a lot of assistance and advice for bringing devices for adults to market, you find little help for devices intended for infants and children. What can you do?
Surprisingly little is known about the brains of babies under age 2 — because of the challenges of safely imaging children so young. Head-circumference measures at the pediatrician’s office tell very little about what’s going on inside.
But there’s much to know, because rapidly developing brains are vulnerable to injury.
The Institute for Pediatric Innovation Inc. added another hospital to the consortium of medical centers it’s assembled to develop medical products for infants and children.
The Cambridge, Mass.-based institute tapped Children’s Medical Center Dallas for its collaborative of seven health centers working to develop medical devices and pharmaceuticals specifically designed for pediatric indications.