Dr. Schmitt is professor of pediatrics, University of Colorado School of
Medicine, and Director of General Consultative Services, The Children's Hospital
of Denver. He is also a member of the Contemporary Pediatrics editorial board.
The first call center was introduced in 1988 as a uniquely pediatric innovation. This month’s article presents a brief history of call centers, discusses their advantages, and describes how they will improve patient care.
Toilet training done badly can lead to medical complications. This second of two articles describes in detail how to treat toilet training problems before they cause harm. Includes three Guides for Parents.
Q I have treated an 8-year-old boy and
his 5-year-old sister in my practice for the past two years. They have always
been healthy and seem to have good interactions with each other, their mother,
and me when they are in the office. However, at a routine well-child examination,
the boy's mother informed me of two concerns about her son and even broke down
in tears when describing them.
Q My patient is an 8-year-old boy whose progress
I have been following since he was born. For the past four or five years he
has had only one behavior problembut it is a severe one: He refuses to
have his bowel movements on the toilet.