Tag Archives: Pediatrics

Women and Children First Interview with Dr. Paul Smolen


Paul Smolen is a teacher, a thinker and pediatric pearl generator. I sat down with Docsmo for a wonderful conversation about his lengthy and thoughtful career. He discusses his podcast, learning while on the job and what made it all work. He leaves us with his 10 favorite pediatric parenting pearls. I know that you will find his wisdom most useful. Please enjoy my conversation with Dr. Paul Smolen, aka Docsmo.


Dr. M


Insulin Resistance Tour with Dr. M


Have you ever wondered why we are struggling as a society to maintain health? This podcast is the place where you can start to understand the root cause or the headwaters of the disease river. Insulin resistance, in my mind is the root of the problem. The Answer to the dilemma is within these audio minutes for you to listen to at your leisure and at your pace to understand this complex topic distilled down into palatable bites.



Dr. M

Dr. M’s SPA Newsletter Volume 11 Issue 25 Covid Update #37


What are the latest data trends with COVID and children? What vaccine related issues have arisen? We answer these questions and more!

Quick hits

1) Sequelae following a moderate to severe COVID infection continue to plague medical systems. In a new study in the British Medical Journal, we see a 14% increased risk of developing new onset clinical conditions.

“14% of adults aged ≤65 who were infected with SARS-CoV-2 (27 074 of 193 113) had at least one new type of clinical sequelae that required medical care after the acute phase of the illness, which was 4.95% higher than in the 2020 comparator group. The risk for specific new sequelae attributable to SARS-Cov-2 infection after the acute phase, including chronic respiratory failure, cardiac arrythmia, hypercoagulability, encephalopathy, peripheral neuropathy, amnesia (memory difficulty), diabetes, liver test abnormalities, myocarditis, anxiety, and fatigue, was significantly greater than in the three comparator groups (2020, 2019, and viral lower respiratory tract illness groups).” (Daugherty et. al. 2021)……….

Read More: Link


Dr. M

From the desk of Doc Smo: Pediatric Practice, the New Frontier (article)

I get a lot of reading material each week, way more than I can possibly digest with a full time job and a cutting edge blog to run. On Sunday, I received a newsletter from the Center for Disease Control with recent information that they have collected and published. I also get various pediatric new journals, including the journal Pediatrics, as part of my membership to the Academy of Pediatrics. While diving into these publications this week, I was struck by the number of articles that revolve around mental health issues. I went into the practice of pediatrics because I really enjoyed the practice of infectious disease. Pediatrics was an infectious disease specialty when I signed up for duty. Not any more; it seems to be evolving into a mental health specialty. Let me give you a flavor of some of the information that is coming at pediatricians these days:

Pediatrics, November 2011
“Media, Profanity, and Aggression”
“‘Action signs’ for Child Behavioral Health Problems”
“Shyness vs. social phobia”
“School Nurse Treatment of Adolescent Smoking”
“Correlates of Sedentary Behavior in Preschool Children”
“ADHD: Clinical Practice Guideline”
“Media Use by Children Younger than Two Years of Age”

The Mortality and Morbidity Newsletter from the CDC, January 2012
“Quick Stats- Depression in the population divided by age”

Pediatric News, December 2011
“Don’t Let Comorbidities Keep Obese Child on the Couch”
“15 Minute Interview for Serious Mental Disorders”
“Teen Behavior Involving Sexting Varies Widely”

The shift in pediatric practice from infectious disease to a mental health is undeniable. Fortunately, I feel that I am much better equipped to advise families with regards to behavioral issues now that I have 30 years of pediatric experience under my belt. Those families that I tried to help 30 years ago didn’t get as much bang for their buck. We were simply not trained or prepared to help families with behavioral problems, let alone families encountering true mental illness. If things keep going in the direction that I am seeing, the next generation of pediatricians better get ready for an ever-increasing amount of childhood anxiety, depression, behavioral problems, developmental disorders, and autism. Hopefully they will up to the challenge.