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Is Autism Caused By Fertility Treatment?

In the latest media barrage on autism, fertility treatment has come into question as a possible cause for this increasingly common developmental disorder. The reason is two research abstracts recently presented at the International Meeting for Autism Research in Philadelphia.

One study assessed the history of IVF (in vitro fertilization) among 574 children evaluated at a special center for autism in Israel. The researchers found that 10% of the group diagnosed as autistic had had IVF, compared to a background rate in the overall population which they quote as 3.5%. Not surprisingly, maternal age was higher in the IVF group and the rate of prematurity was higher in the autistic children.

The second study was a look into a pre-existing database — the Nurse’s Health Study — which collects data from a cohort of nurses over time. The researchers compared the reproductive history reported by women who also reported having a child with autism and compared it to that of women who did not report having an autistic child. Of those with autistic children, 48% reported infertility with 34% having used ovulation inducing drugs, compared with 33% and 24%, respectively, in women without autistic children, a difference that was statistically significant when controlled for maternal age and self-reported pregnancy complications.

A Time article getting a lot of media play calls the results of the second study “some of the strongest evidence to date” linking autism to fertility treatment. Unfortunately, that’s just not true. Read more »

*This blog post was originally published at The Blog that Ate Manhattan*

Social Health And Patient Empowerment: Are We In A Bubble?

I regularly talk to my patients’ parents about social health. What parents do, what they think, and how they socially experience their child’s health problems has become an interest of mine.

I can hear it now: “Of course patients won’t discuss their social health activities with you, you’re a doctor.” Perhaps, but I don’t think so. Actually, I’ve had some very interesting open dialog with a few of my long-term patient-parents. Many have children suffering with chronic diseases such as Crohn’s disease, eosinophilic enteropathy, and the like. The relationships I cultivate are open, and the nature of my dialog has been just as consistently open as other aspects of our relationship.

Interestingly, while nearly all have used online search to understand their disease, most have never connected with other disease sufferers in the online space. The concept of crowdsourcing is met with puzzled looks. Sure they’re e-patients, but I would characterize most of my patients as e-patients. The question is: What does that really mean? Read more »

*This blog post was originally published at 33 Charts*

Active Kids, Outdoor Play, And Little Mishaps

Outdoor play“Play, Incorporating Animistic and Magical Thinking Is Important Because It: Fosters the healthy, creative and emotional growth of a child; Forms the best foundation for later intellectual growth. Provides a way in which children get to know the world and creates possibilities for different ways of responding to it. Fosters empathy and wonder.”  — Rachel Carson, “A Sense of Wonder

Remember “Red Light, Green Light,” “One-Two-Three,” “Tag, You’re It,” “Mother, May I?” or “Kickball?” These are just some of the good old-fashioned outdoor games kids used to play, and they are making a comeback. There’s nothing better than the sound of kids playing outdoors. Even kids playing outside making up their own games can bring them a lot joy and can be great exercise. With all the technology that surrounds us today, it’s great to see kids playing in the park and in their backyards.

It’s no secret that outdoor play and fresh air are great for kids’ overall physical and emotional well-being. In fact, a study in the journal Pediatrics concludes that children ages 8 and 9 who had more than 15 minutes of recess had better classroom behavior. This study suggests that school children in this age group should be provided with daily recess. Read more »

*This blog post was originally published at Health in 30*

The Diabetic New Mommy

You know you’re a diabetic mommy when…

  • The bottle of glucose tabs is just as important as the bottle of breast milk in the diaper bag.
  • You have already started wondering how you’re going to explain juice as “medicine” to the kiddo.
  • When you wake up for 3am feedings and they double as a 3am blood sugar check.
  • You start cooing sweetly at your meter when it gives you a result of 100 mg/dl. (“Oooh, what a good meter you are! Yes you are!”)
  • Your baby ends up with a dot of blood on the back of her pajamas from your middle-of-the-night blood sugar check that didn’t stop bleeding right away.
  • When you talk about “the pump,” you need to clarify “the insulin one, not the boob one.”
  • Sometimes you have to draw numbers to see who gets to feed the baby. And by “draw” we mean blood samples.
  • Nothing makes you happier than a full baby with a clean diaper and a full pump with a full battery.
  • You need a diaper bag just for diabetes supplies.
  • Your bedside table has just as many burp clothes as used test strips gathered at its base.

And when the Dexcom starts to “BEEEEEEEP!” you wonder if it needs a diaper change.

*This blog post was originally published at Six Until Me.*

Why A Good Childhood Isn’t About Good Grades

Spring and standardized school testing become synonymous in many areas of the country for many public school students, including for my own children attending schools in Massachusetts.

As this annual rite of passage rolls around, I’m reminded of how important it is to help our kids remember that they’re so much more than the sum of their grades, test scores, and project results. Think back on your childhood: What do you remember? Is it the grades, the teachers, the homework amount? Did you have standardized tests and, if so, do you remember the results?

I recall blips of taking tests and filling out scantron sheets for all sorts of tests throughout my educational life. I recall being in class when graded papers, projects and tests were handed back to us. But the moments I recall the most were the times I overcame a challenge or a hurdle that seemed insurmountable at the time — and grew from it in unimaginable ways. Read more »

*This blog post was originally published at Dr. Gwenn Is In*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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