March 5th, 2009 by Stacy Stryer, M.D. in News
Tags: Flu, Flu Vaccine, Influenza, Stacy Beller Stryer, stacy stryer, tamiflu, virus
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By Stacy Beller Stryer, M.D.
Between seeing the hoards of patients with multiple days of high fever and sore throat; taking care of my own daughter who was sick almost an entire week; and trying to allay the fears of countless parents who read about the deaths of two teens in our community due to influenza, I am exhausted. There is no doubt that the influenza virus has arrived and is wreaking havoc in our community. According to the Washington Post, our region has just begun to see an increase in the virus but has not yet reached its peak. Each year, the virus peaks at a different time, usually between December and March, although we only know after-the-fact when the peak incidence occurred.
According to the Centers for Disease Control, approximately 5% to 20% of the United States population develops the flu, over 200,000 are hospitalized, and about 36,000 people die. This includes children, particularly those with chronic illnesses such as asthma and heart disease.
There are many different strains of influenza virus and each year the strain changes. Researchers try to determine which type will be most prevalent for that particular year and, based on this information, develop a flu vaccine with the three most likely types of influenza A and B. Even if scientists aren’t 100% correct, antibodies which are made against one strain can provide protection against different strains if they are closely related. In addition, it is possible that a related strain, while not entirely preventing an illness, can still decrease its severity and prevent flu-related complications. For this reason, the CDC recommends that everybody get the flu vaccine each year.
So, how do you know if your child has the flu and not another virus? Often it is difficult to tell the difference. People use the word “flu” liberally and often, when someone says they have the flu, they actually don’t. You must actually be tested for it to know if you truly have the influenza virus. However, if you followed me in my office for one day, even four hours, you would get pretty good at picking out who probably has the flu. The specific symptoms can vary somewhat from year to year but they tend to be much more severe than other viruses. In general, they include several days of high fevers, headache, dry cough, sore throat, runny or stuffy nose, extreme tiredness and sore muscles. The cough is usually the last symptom to go away.
The flu is spread from respiratory droplets, meaning people who cough and sneeze can spread the virus to others nearby. People are usually infectious about one day before they get sick until about five days after they become sick, although the infectious period can vary.
What can you do for your child? First of all, you can try to prevent them from getting the flu in the first place by getting the flu vaccine in the fall (or even in January or February if the peak hasn’t occurred), and by teaching good hygiene and hand washing techniques. You can also remind your children to stay away from others who are sick and to keep their hands away from their own faces.
If your child does get the flu, antiviral medications are sometimes an option to help decrease the severity and length of the illness, and to prevent potential complications. In order to be effective, however, it must be given within the first 48 hours of symptoms or before symptoms even develop. Each year, the Centers for Disease Control tests the flu virus in different regions throughout the country to see if the particular strains are resistant to the antiviral medications available. This year they have found that the influenza A is highly resistant to Tamiflu, one of the more common antiviral medications prescribed. Data so far shows that most of the circulating viruses this year are the “A” type. Tamiflu helps children feel better, on average, about 1.5 days before someone who has not taken it.
As a physician, I must watch for evidence of bacterial infections that have developed along with influenza virus in my patients. More common bacterial co- infections include pneumonia, ear infections, and sinusitis. Dehydration and worsening of chronic medical problems, such as asthma, can also occur. In 2006-2007, the CDC documented an increased incidence of staphylococcus aureus infections and methicillin-resistant staphylococcus aureus (MRSA) in patients who were hospitalized for influenza or who eventually died. If your child has symptoms that continue to worsen or that don’t begin to resolve after several days, or if your child has shortness of breath, blue lips, cannot speak full sentences or other signs of breathing problems, you should see a doctor immediately.
February 19th, 2009 by Stacy Stryer, M.D. in News, Opinion
Tags: abstinence, bristol palin, Stacy Beller Stryer, teen pregnancy
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By Stacy Beller Stryer, M.D.
Bristol Palin hasn’t said anything new or different than the other teen moms I have met. When asked, every teen mom I have spoken with has said that she loves her child but it has been very difficult and, if given another chance, she would never have had a baby as a teen. All would have waited until they were much older. Bristol Palin says 10 years older. When I worked on the Navajo reservation, I did a program at a local high school where I invited teen moms to come in and speak to the students. They spent quite a long time talking about how difficult it was to have a child and how their lives, as they knew it, were gone forever. These teen moms advised every student to wait as long as possible.
During her recent interview, Bristol commented on how she is no longer living for herself and how her new life is not “glamorous” at all. And, although her son is not even two months old yet, Bristol has decided that she wants to become a spokesperson for the prevention of teen pregnancy. This teen mom thinks that merely telling a teen to be abstinent is not realistic.
Although the teen birth rate had been decreasing steadily for over a decade, the most recent national data, compiled in 2005 and 2006, documented a 3% increase in teen births from 40.5 to 41.9 births per 1,000 girls ages 15 to 19. This increase was seen in almost every age and racial group. During a similar time period, teens surveyed in schools nationwide more frequently reported being sexually active and less frequently used contraception, when compared to the previous decade. Experts in the field have speculated as to why these numbers have begun to increase again. Possible reasons include societal changes, recent high profile teen pregnancies (such as Jamie Lynn Spears and, yes, Bristol Palin), positive display and lack of consequences when sex and teen pregnancy occur in the media, fewer educational programs available, and changing policies within the nation (such as teaching abstinence only as the only alternative).
Bristol is lucky because she has a lot of family support, both emotionally and financially. However, most teen moms don’t have much help, and they face extreme financial difficulties. Teens, who are used to following their own schedule and thinking mainly about themselves, must deal with being awakened multiple times a night and basically being at their baby’s beckon call. They can no longer shower when they want, sleep when they are tired, and eat on their own schedules. Teen moms must also deal with the increased risk of medical problems in themselves and their children. They are less likely to have adequate prenatal care, their babies are more likely to be born early, at a lower birth weight, and to die in the first year of life.
In terms of education, it becomes difficult for teen moms to even finish high school. Only 40% of teen moms graduate from high school, compared to 75% of those who don’t have kids. Plus, teens are more likely to live in poverty, as greater than 75% of unmarried teen moms go on welfare within 5 years of having a baby. Their children also suffer. About 78% of them live in poverty, compared to 9% born to married, women over age 20 who have graduated from high school. These children are also more likely to do poorly in school and drop out before graduating high school.
Unlike other high profile teen parents, Bristol is speaking out. She is telling teens to wait to have kids. And she is telling adults that teaching abstinence is not enough. We need to be discussing these topics at school AND at home. We need to know where our teens are when we’re not home. And they need to know about sexually transmitted diseases, teen pregnancy and contraception before they have a sexual relationship. They must be prepared.
January 28th, 2009 by Dr. Val Jones in Announcements, News, Quackery Exposed
Tags: Acquisition, Bloggers, Content, Dr. Geoffrey Rutledge, Health Bloggers, HealthCentral Network, Medbloggers, Ron Gutman, Scam, Stealing, Wellsphere
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In a press release dated January 28, 2009, the HealthCentral Network announced the acquisition of a company called Wellsphere from its young CEO, Ron Gutman. Many of my fellow medical bloggers are familiar with Wellsphere as they’ve received countless email form letters from Wellsphere’s CMIO, Dr. Geoffrey Rutledge. The form letters are flattering, and suggest that the company would like to feature the blogger’s writing on their platform.
But what happens next is disturbing – to become a member of Wellsphere, bloggers provide access to their blog’s RSS feed. Hidden in the fine print is the blogger’s consent for Wellsphere to publish the entire feed (in other words, all of the blogger’s written work) and that once it’s published on their site, they own the intellectual property rights to it.
Astonishingly Wellsphere convinced some 1700 bloggers to join their network, and have now sold their site (which is comprised almost entirely of blog post content) to HealthCentral Network for an undisclosed amount, likely in the millions.
How much did the bloggers get for their writing? As far as I know, zero dollars.
In the reference section below you will see copies of emails sent by Dr. Rutledge and excerpts from the website’s Terms of Use document.
Is this the biggest scam ever pulled on health bloggers? You decide. If you have any additional information, feel free to post it in the comments section below.
Addendum: HealthCentral Network CEO tells Wall Street Journal “most bloggers are happy about Wellsphere.” If you disagree, send protest Tweet #wellsphere or leave comment below.
References:
Here is the introductory form email sent out by Dr. Rutledge:
Hi Dr. Jones,
I was on a search for the best medical blogs, when I found you at X. I think your blog is great. I’d like to invite you to participate in the network of medical expert bloggers at Wellsphere, but perhaps I should explain a bit about myself and about Wellsphere as background.
My name is Dr. Geoff Rutledge, and, like you, I understand the power of the Internet to help people. I’m a physician (board certified in IM and EM) who previously practiced, taught, and carried out research at Stanford and Harvard medical schools, before I built and launched the first consumer ehealth service that became WebMD.com.
I now work with Wellsphere, which is a next-generation online platform that helps people achieve their health and healthy living goals – it is a major advance in the way people find and share information and services. Our platform connects millions of users with the valuable insights and knowledge from health leaders and medical experts like you — take a look at how the platform works at www.wellsphere.com. Stanford University was so impressed that they deployed our service for the entire campus (see stanford.wellsphere.com). We sell our service to employers and health plans – you won’t see today any ads or commercial services on our free public site.
I offer you the opportunity to be a featured medical expert blogger for a new Wellsphere community. Members and visitors will see your postings highlighted, featured, and clearly marked as authored by a true medical expert.
When you join, we will feature you on our medical experts page (here is the preliminary design for this page: http://www.wellsphere.com/medical-experts.htm), and I will highlight your participation and your postings in my personal blog, which is featured prominently on the homepage of wellsphere.com (Dr.Geoff’s MedBlog, http://medblog.wellsphere.com/).
We will republish the postings you’ve already written for you (through your RSS feed), and feature them not only on the community pages of the site, but also within a new dynamic magazine-like Wellsphere360 section, where we give users a comprehensive view of medical expert information, plus news, videos, local resources, and member postings on topics you write about. You can see a sample of a Wellsphere360 special section at http://www.wellsphere.com/Wellsphere360/diabetes-type-2.htm
Also, I will select the best medical bloggers to feature on our homepage at www.wellsphere.com.
Your posts will link back to your blog, so you will benefit from Wellsphere’s high ranking and large readership interested in your topic, which will give you more traffic, additional relevant audience, and a higher ranking for your blog. Wellsphere has well over a million visitors per month, and is growing rapidly.
If you would like us to feature you, just send me an email to Dr.Rutledge@wellsphere.com.
Good health,
Geoff
—
Geoffrey W. Rutledge MD, PhD
Dr.Rutledge@wellsphere.com
http://www.wellsphere.com
Here is a follow up email after I declined to join the network:
Hi Dr. Val,
We haven’t met, but I’ve been following your journey. We sent you an invitation to republish your blog from RevolutionHealth on Wellsphere, though I understood why that was somewhat problematic. I’m looking forward to seeing your new site at http://drvalblog.com/
Have you followed the advances that Wellsphere has made in creating a consumer-focused site that makes it easy to find both medical expert content and knowledge, and patient/community support?
If you would be interested in reaching the Wellsphere audience (now significantly exceeding that of RevolutionHealth, with over 2 million visitors per month), I would be pleased to extend the offer to republish your blog postings on Wellsphere.
We also could list you as a Notable Wellsite on topic pages of your interest (for which we ask only that you either list us on your blogroll, or take advantage of our free Health Knowledge Finder widget, or post an “I’m featured on Wellsphere” badge on your site.)
Cheers, Geoff
Here is a follow up email sent to a blogger who declined to join the network:
Hi XXX,
I just wanted to follow up on the invitation I sent you to be a featured blogger on Wellsphere.com. I was impressed with your blog at XXX, and invited you to be a featured blogger in the new General Medicine community. We can also promote your blog in our new dynamic, magazine-like WellPages (with no extra work for you)! If you’re interested in being featured and promoting your blog to the larger Wellsphere audience, please drop me an email!
Good Health!
Geoff
–
Here is more information on how this works:
We republish your articles on our site, and include links back to your site. We also publish your profile with a link back to your site, and we feature you on special sections on topics that you write on, and in your topic-based community.
We will set up your profile if you don’t already have one, so you don’t have to do anything but give us permission to republish your content on our site. We don’t require a particular schedule for posting, though we have invited you to become a Wellsphere health blogger based in part on your history of posting on your blog.
Our growing network of bloggers (now over 1700) have told us they value what Wellsphere is trying to accomplish – helping people of all walks of life and across the spectrum of health to achieve healthier lives. They also appreciate the opportunity to reach the larger (and also rapidly growing!) Wellsphere audience, and to benefit from links in each posting that drive traffic back to their blogs.
We would be happy to include you in our network as we expand into health topics.
——
Geoffrey W. Rutledge MD, PhD
Chief Medical Information Officer
Wellsphere, Inc.
http://www.wellsphere.com
Here is an email from Wellsphere mistakenly sent to my webmaster (he’s not a blogger):
Hi john,
We are excited to recognize you in our new YES, WE CARE! Campaign that honors everyday heroes, like you, who put themselves on the front lines in the quest for a healthier, happier world by spending their time and putting their hearts and souls into helping others in need. We’re particularly excited to have this chance to honor you, for dedicating your time and writing to help people improve their health and well-being. We’ve nominated YOU as one of our Everyday Heroes!
As part of the YES, WE CARE! Campaign, we are creating a special video to highlight some of the amazing stories we’ve heard that demonstrate that caring for others is alive and well today all over the world. We would love to include YOUR story in the video! If you would like to send us a short video (cell phone or webcams are just fine!) about what moved you to start your blog, or to share a moving story of caring that you were involved in or heard about, we’d be happy to include it in the video. You can also interview someone you think is an Everyday Hero, or tell their story. Please keep the length of your video between 20 seconds and 2 minutes. The video can be very casual and definitely does NOT need to be professional or polished – just be yourself!
Please send us the video ASAP, and no later than Sunday, October 19th.
We can’t wait to see your videos and are looking forward to recognizing you and other Everyday Heroes you know for your extraordinary contribution to the world!
To submit your video, send us your video as an attachment via email to wecare@wellsphere.com. If you would like to send a video directly from your cell phone, just email me at Dr.Rutledge@wellsphere.com and I’ll send you the cell phone number you can send a video-text message to.
Good health!
Geoff
—
Geoffrey Rutledge MD, PhD
Chief Medical Information Officer
Wellsphere
Dr.Rutledge@wellsphere.com
Here is an email from Wellsphere about their plans for a health blog conference:
Hi ,
This week, I’m excited to share the warm words we’ve heard about all of you and the early feedback we’ve heard about the Yes, We Care Campaign, and announce the world’s first Health Blogger Conference! We can’t wait to meet you in person…
Yes We Care!
The Yes We Care Campaign launched last week, and we’re thrilled to be able to honor you and your colleagues on the Map of Caring. The response has once again been quite dramatic. Many of you have already posted your Everyday Hero badges and the heartwarming Yes We Care! Video on your blogs. Here are a few of the comments we’ve heard about the campaign:
“I am thrilled to participate in your “YES, WE CARE !” Campaign and am most humbled in your nomination. What an amazing idea! Our blog continues with the hope of “paying it forward” and helping others, just as you are doing with Wellsphere. .. Thanks for doing such an amazing job!” – http://www.ranaesheart.com/
“Thank you so much for recognizing my site and the effort that went into creating it!!! It’s amazing people like yourselves that keep me going and make a contribution to the greater good of all !! thank you again my friends !!!” -http://liftheavy.wordpress.com/
“Here is the video from Wellsphere! It is very cool it’s a 10 minute video with people from all over trying to help heal the world! Awesome video guys!” http://thelifeofthomascslater.blogspot.com/
“I want to take this opportunity to thank Wellsphere for calling me a “Everyday Hero” for the lives I have touched. I want to say thank you for giving me that opportunity to do so.” http://ucanhope2.blogspot.com
Many of you commented that the Yes We Care video let you see and connect with other members of the Health Bloggers Network for the first time, and asked if we would consider organizing an event for everyone to meet and connect with each other. WHAT A GREAT IDEA!
I am very pleased to announce the world’s first Health Blogger Conference (“ HBC -09”)! This conference will be the largest gathering of health writers in history! The Conference will be by invitation only, and as a member of the Health Blogger Network, you will automatically be guaranteed an invitation. This will be a great place for you to meet fellow health bloggers, share best practices, discuss sources of ideas, learn how to promote your blog, and meet some of the most prominent figures in the world of health. There will be a series of organized information sessions and seminars, as well as fun events and ample opportunities for you to meet and mingle in a relaxed atmosphere. We will announce the location soon – somewhere you will enjoy a healthy, rejuvenating, experience.
If you’d like to get involved in the Conference, here are some of the opportunities available to you:
– become an organizer
– become a volunteer
– give a talk or seminar
– organize a panel presentation
– suggest a topic for a talk or a panel
– suggest a speaker to invite to give a presentation
Here Are Excerpts From Wellsphere’s Terms of Service Document:
Ownership
…All Website Materials, including any intellectual property rights in such Website Materials, are the property of Wellsphere, its affiliates, licensors, or the designated owners, and are protected by applicable intellectual property laws. You should assume that everything you see on this Website is copyrighted unless otherwise noted, and may not be used without our written permission except as provided in these Terms…
Content You Submit to or Post on the Website
…You agree that any and all comments, information, photos, videos, feedback and ideas that you communicate to Wellsphere or submit or post to the Website or give Wellsphere permission to post to the Website (“User Materials”) will be deemed, at the time of communication to Wellsphere or submission or posting to the Website, to be the property of Wellsphere, and Wellsphere shall be entitled to full rights of ownership, including without limitation, the unrestricted right to use or disclose such User Materials in any form, medium or technology now known or later developed, and for any purpose, commercial or otherwise, without compensation to you. In the event that you have any rights in the User Materials that cannot be assigned or waived you hereby grant to Wellsphere a royalty-free, paid-up, exclusive, worldwide, irrevocable, perpetual license to (i) use, make, sell, offer to sell, have made, and further sublicense any such User Materials, and (ii) reproduce, distribute, create derivative works of, publicly perform and publicly display the User Materials in any medium or format, whether now known or later developed.
When you post your own copyrightable content on the Website or give Wellsphere permission to post your copyrightable content on the Website, you retain ownership of any copyright you claim to your submitted content. However, by posting your content or giving Wellsphere permission to post your content you automatically grant Wellsphere a royalty-free, paid-up, non-exclusive, worldwide, irrevocable, perpetual license to (i) use, make, sell, offer to sell, have made, and further sublicense any such User Materials, and (ii) reproduce, distribute, create derivative works of, publicly perform and publicly display the User Materials in any medium or format, whether now known or later developed…
January 16th, 2009 by Dr. Val Jones in Health Policy, News
Tags: Congress, Dr. Val Jones, Drew Altman, Expanding Coverage, Healthcare reform, Kaiser, Kaiser Family Foundation, Mollyann Brodie, Policy, Poll, Public Opinion, Robert J. Blendon, Survey, The Health Care Agenda For The New President And Congress
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The Kaiser Family Foundation and Harvard School of Public Health teamed up to survey Americans about their healthcare reform priorities (Kaiser has been doing this every year since 1992). A random sample of 1,628 adults participated in the telephone survey between December 4-14th, 2008. The results were presented at a press conference that I attended on January 15th.
Although you might want to view a presentation of the entire webcast here, I’ll summarize the points that I found the most interesting:
Dr. Robert Blendon (Professor of Health Policy at the Harvard School of Public Health) offered some fascinating commentary on the survey results:
1. Americans Are Fickle About Healthcare Reform Issues. Most public opinion polls do not take into account the degree of conviction with which people describe their health reform priorities. In reality, the public is generally quite ambivalent regarding the specifics of how to achieve reforms like improved access to care, and decreased healthcare costs. The Kaiser survey clearly demonstrated the public’s tendency to agree with specific reform ideas, but then change their minds when the potential downsides of such initiatives were described. So for example, most survey respondents liked the idea of an employer insurance mandate (requiring employers to subsidize employee health insurance costs), but when asked if they would favor it if it might cause some employers to lay off workers, then they no longer supported the mandate.
2. Public And Government Priorities Differ. While the public is primarily focused on relief from skyrocketing healthcare costs, the government is focused on healthcare delivery reform.
3. Americans Don’t Want Change To Affect Them. An underlying theme in the survey was that the average respondent didn’t want to pay more for healthcare, and they also did not want to be forced to change their current care and coverage arrangements.
4. It’s All About Money. America is in a near economic depression, and therefore the healthcare reform climate is very different from that of 1992 (when the Clinton reform plan stalled). Middle income Americans in an economic downturn are not willing to pay more taxes. The only way forward in our current economy is to find a revenue stream for reform that does not increase taxes on the average American. Blendon summarizes:
“It isn’t enough that all the groups agree on how to spend money on healthcare. ‘Who is going to pay?’ is the critical issue.”
At this point in time, it looks as if the American public is most supportive of the healthcare reforms listed below (but their opinion is certainly subject to change, depending on how the political discussions unfold, and how the media influences the debate). Blendon also cautions: “This doesn’t mean that this is a sensible health reform plan, it’s just what has public support at the moment.”
Healthcare Reform Initiatives Currently Favored By Americans
Expanding Coverage
1. Health insurance mandate for children
2. Fill the Medicare doughnut hole
3. Tax credits to employers to help them offer coverage to more employees
4. Health insurance for the unemployed
5. Eliminate medical underwriting (“pre-existing condition” carve outs and such)
6. Expand Medicare to cover people ages 55-64 who are without health insurance
7. Require employers to offer health insurance to their workers or pay money into a government fund that will pay to cover those without insurance
8. Increased spending on medical care for veterans
9. Increased spending on SCHIP
Controlling Costs
1. Negotiate for lower drug costs under Medicare
2. Allow Americans to buy prescription drugs imported from Canada
3. More government regulation of healthcare costs
4. More government regulation of prescription drug costs
5. Regulate insurance companies’ administrative spending and profits
Raising Revenue
1. Increase the cigarette tax
2. Increase income taxes for people from families making more than $250,000 a year
***
As you can see, the public supports reform that would result in substantial increases in healthcare spending without a clear idea of how to pay for those initiatives. Our government, in partnership with healthcare’s key stakeholders, is going to need to come up with a reform plan that identifies new revenue streams to cover the costs associated with expanding coverage. I find it hard to believe that increasing taxes on cigarettes (and a few very wealthy Americans) is going to be sufficient. If ever there were a time to nurture our American entrepreneurial spirit, it’s now.
January 15th, 2009 by Stacy Stryer, M.D. in News, Uncategorized
Tags: cold medicines, health care, lipid screening, sids, stacy beller, stacy stryer, sudden infant death syndrome, third hand smoke, top pediatric stories
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By Dr. Stacy Beller Stryer, M.D.
Reflecting on the past year’s successes and failures as a parent is an important and worthwhile exercise to do each January. In previous January blogs, I have published my own list of resolutions for the New Year to help you get your own creative juices flowing. This year, however, I have decided to talk about the top five news stories related to pediatrics in 2008.
The top news story in 2008 is the election of Barack Obama as our next President. President-elect Obama wants affordable, comprehensive and portable health care for everybody . His goal is for all uninsured children to be able to sign up for healthcare plans. He wants to expand Medicaid and state health insurance programs, and to develop a government-funded health insurance plan that will compete with other companies. President-elect Obama also wants comprehensive health education taught in schools.
A second important pediatric-related news story is the recall of cough and cold medicines, including decongestants, expectorants and antitussives, for children, particularly those ages 2 years and less. The reason for the recall is because studies have found that the risks of dangerous side-effects far outweigh the benefits. A study which came out last year from the Centers from Disease Control found that over 1500 children under age 2 visited the emergency room for serious side effects due to taking cold medicines in 2004 and 2005, and that 3 children died. In addition, insufficient studies have evaluated the efficacy and side effects in children. Actually, these medicines were previously developed based on studies done with adults.
Another important finding concerns the use of cigarettes. If you smoke and light up that cigarette only when you are outside your house or when your children aren’t home, you may still be harming them (OK – this was reported in the January issue of Pediatrics but I heard about it December 31st!). According to a recent study published in Pediatrics , this “third-hand smoke” causes toxins to remain everywhere, such as on clothes, hair, couch cushions, and carpets, for extended periods of time. The toxins include heavy metals, carcinogens, and radioactive materials that children may ingest, especially if they are crawling on the carpets. If this isn’t enough of a reason to quit smoking, I don’t know what is!
Unlike some other fatal illnesses, researchers have been able to decrease the risk of sudden infant death syndrome (SIDS) significantly over the years when they discovered that placing an infant to sleep on his back significantly reduced the risk. Another study published last October in the Archives of Pediatrics and Adolescent Medicine that placing a fan in an infant’s room during sleep decreased the risk of SIDS by 72%.
The last news story which made significant changes in pediatric practice this past year concerns the identification and treatment of elevated cholesterol levels in toddlers and children. In July, the journal Pediatrics published revised guidelines for pediatricians, including initiation of lipid screening in children, beginning at age 2 years, in those who have a family history of high cholesterol or early heart disease, or in those who are overweight, have diabetes, or smoke. The American Academy of Pediatrics has also begun to recommend a decrease in the fat content of milk in overweight children beginning at age 1 year. Finally, they now recommend medication as early as age 10 years in certain children with elevated lipid levels despite exercise and diet change.
There are many other important findings from 2008, but I thought that these were among the most important. Now stop reading and get back to your New Year’s Resolutions for 2009!
