Tag Archives: antibiotics

Interesting Conversations 2015 (Pedcast)

Welcome to another edition of DocSmo.com, one of the most popular pediatric blogs out there. I feel really fortunate to have such a great job that allows me to have interesting conversations with so many intelligent fascinating people. As you can imagine, I get asked a lot of questions and many of these questions lead to interesting conversations so I thought once in a while, maybe I would share some of these questions and discussions with my blog audience. So here goes, my inaugural pedcast that I call “Interesting Conversations”. Continue reading

Rethinking Antibiotics (Pedcast)


Fascinating new study in Pediatrics April 2015 that raises new questions about a medical tool that has been around for almost 100 year, antibiotics. First discovered in the 1930s, antibiotics have undoubtedly saved millions of lives and have been a great tool for medical science. Until recently, doctors and scientists thought of antibiotics as targeted weapons that are able to selectively destroy germs that our bodies were fighting, invasive germs, and leave the host, your child, with a balance of  healthy bacteria, so called normal flora. Continue reading

Cutting Down Antibiotic Use (Article)



Overuse of antibiotics has been a source of worry for both health care professionals and patients for some time. Antibiotics, such as penicillin, help a child’s body destroy or slow down the growth of disease causing bacteria. When you or your child has an infection, whether through ingestion of contaminated food or an infection of an open wound, an antibiotic can be lifesaving. Have you ever wondered why you cannot buy antibiotics over the counter, without a prescription? The answer to that question is simple. Even if you were smart enough to know which one to buy, this practice would undoubtedly lead to even greater overuse of antibiotics with all of it’s attendant consequences;  gastrointestinal problems, such as diarrhea from C. Diff,  drug to drug interactions in which antibiotics interfere with other treatments, and dangerous antibiotic resistance, such as we are seeing around the globe.


Fortunately, a recent study has demonstrated a simple way to prevent some antibiotic overuse. Previously, patients or parents bought and used antibiotic beyond the date when antibiotic use is to end because they simply overlooked the stop order. With the new intervention, your doctor will not only place an “x” on the stop date but also draw a line through the remainder of the month so that you will follow the doctor’s prescription protocol form. This simple method has had significant reductions in number of days when antibiotic was taken..


By flagging a stop date on a patient’s prescription, doctors have discovered another method of safely reducing antibiotic use.  Longtime followers of my blog will remember articles about the so called “Wait and see” approach to treating ear infections that have previously been shown to significantly reduce antibiotic use in children.  (https://www.docsmo.com/doc-smo-bugs-or-drugs-whos-winning/). When it comes to antibiotics and children, that old saying, “Less is more”, just may be true.  Hopefully, the “ Stop now” approach to writing prescriptions will help keep antibiotic use to a minimum.


Your comments are welcome at www.docsmo.com.  Until next time.


Smo Notes:







Written collaboratively by John Eun and Paul Smolen M.D.



Avoiding Ear Infections, Dr. Sheila Kilbane (Pedcast)

Doc Smo here, your pedcast host.  Thanks for joining me  today for another edition of DocSmo.com, the pediatric podcast dedicated to children and their parents.  I am very fortunate to have as my returning guest, Dr. Sheila Kilbane, an integrative pediatrician and expert about much of life, to talk to us about a very common pediatric health problem, otitis media.  Anyone with children is very familiar with how frequently children are affected by otitis media or middle ear infections.  These infections are complications of bad colds and we all know that children get a lot of colds. So lets see how an integrative pediatrician approaches a child with  recurrent ear infections.   Maybe Dr. Kilbane just might be able to help your children avoid that ear infection nastiness.


Welcome Dr. Kilbane.



Question 1:Why do children get ear infections?


Question 2: For children with CHRONIC EAR INFECTIONS of CHRONIC EAR CONGESTION, how does the Integrative approach different than traditional pediatrics?

(Decrease mucous/ enhance immune response/ decrease inflammation/avoid antibiotics)


Question 3: How do you do these things?

(Stop dairy, probiotics, vitamin D, immunocap, correct structural problems)


Question 4: Which children do you suspect have structural problems in their Eustachian tubes?


Question 5: How do you reduce inflammation in a child’s body?


Question 6: Which children is the integrative approach most appropriate for?


Let’s summarize the integrative approach

-Reduce mucous production from inhaled allergy and oral allergy to food, mostly milk

-Correct structural problems

-Enhance child’s immune system

-Reduce inflammation by changing diet





Well, Dr. Kilbane, as always, you bring a fresh approach and viewpoint to both parents and physicians and I really appreciate that. You and I are on the same page, we both want to inform parents and make things better for children. I can’t thank you enough for sharing your time and expertise with us today.


This is Dr. Paul Smolen, you know, Doc Smo, thanking you for joining us and hoping your little dears, always have nice clear ears.  Until next time.