News
Maternal perinatal mortality: A pediatric issue
- Author:
- Barbara J. Howard, MD
Asking the mother how she is feeling in the days to weeks after birth should not just be a social nicety but rather an additional check for...
News
Too old for time out. Now what? Oppositional behavior in school-age children
- Author:
- Barbara J. Howard, MD
Reversing oppositional behavior requires consistent strategies for reinforcing appropriate behavior.
News
Reach Out and Read redux
- Author:
- Barbara J. Howard, MD
Reading has been shown to lower heart rate and muscle tension and reduce stress by as much as 68% in minutes, even lowering cortisol and...
Opinion
Addressing the new mortality: Counseling on lethal means
- Author:
- Barbara J. Howard, MD
It is now unfortunately an essential primary care skill to have nuanced conversations about reducing access to and use of deadly weapons (lethal...
Opinion
Can medication management smooth the journey for families of autistic children?
- Author:
- Barbara J. Howard, MD
Because of the shortage of specialists and increasing prevalence of autism, we need to be prepared to manage, monitor, and sometimes start...
Opinion
There are new things we can do to improve early autism detection
- Author:
- Barbara J. Howard, MD
We should all watch closely for early signs of autism, informed by research on the key findings that a professional might observe, as well as by...
Opinion
Since when does providing pediatric care require courage?
- Author:
- Barbara J. Howard, MD
Failing to have the courage to elicit sensitive information may delay the correct diagnosis, result in inappropriate tests or treatments, or miss...
Opinion
First weeks back to school: An uneasy transition
- Author:
- Barbara J. Howard, MD
This new school year brings a greater mix of feelings than usual for many families.
Opinion
Why do young men target schools for violent attacks? And what can we do about it?
- Author:
- Barbara J. Howard, MD
Lack of a positive connection to school characterizes children who are violent toward schools as well as those who drop out.
Opinion
What can be new about developmental milestones?
- Author:
- Barbara J. Howard, MD
While the milestones we were trained on were a good start and highlighted the developmental progression central to pediatrics, they were not based...
Opinion
Did you know these things about nicotine? Your patients don’t
- Author:
- Barbara J. Howard, MD
We need to inform youth that using e-cigarettes actually reduces rates of success in quitting.
Opinion
Don’t give up on relentless youth depression
- Author:
- Barbara J. Howard, MD
Even when patients are willing and able to go, mental health specialists are in short supply or have months-long waiting lists.
Opinion
Sorting out the meaning of misbehavior: The invisible culprit
- Author:
- Barbara J. Howard, MD
Throughout life, putting feelings into words is the main way meanings that are contributing to misbehaviors or parenting dysfunction can be...
Opinion
No more encopresis!
- Author:
- Barbara J. Howard, MD
While constipation has consequences besides functional fecal incontinence that are physical, emotional, and social, we can be supportive and...
Opinion
Is your patient having an existential crisis?
- Author:
- Barbara J. Howard, MD
COVID-19 has reduced or blocked access to old and new friends and the ability to fulfill Erickson’s stages of “mastery” and “productivity.”