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DISPATCHES

A medical home far away from homePediatricians know that coordination and advocacy work. What happens, however, when we are faced with complex cases in conditions that are nontraditional and prohibitively difficult?
Bridging the gapBrainstorming with others on our medical team, we sought to bridge the gap between hospital and MH for our pediatric patients.
Treating obesity at ground zeroI found myself in the trenches of the war on obesity in 2000 when I began working as a general pediatrician at a local community clinic in Southern California. I immediately became aware of the day-to-day barriers that my patients were facing and I began to take on the responsibility of making sure that the children I was seeing would not only survive, but also thrive.
The diaper bank conceptFor the nearly 6 million children under the age of 3 years who are living in poor or low-income families, small things such as clean diapers can impact big things including health and well-being.
Coding griefKevin's mother and father came to what should have been his 4-month group well-child appointment without him.
A call to careAs a general surgery resident on my research sabbatical in East Africa, I observed the high burden of surgical disease children suffered there, particularly in trauma and burn injuries. Although international aid was being directed to infectious diseases, few governmental or nongovernmental funding agencies seemed to be addressing the issue of trauma and burn injuries in the pediatric population.
Prescribing preventionThe Fruit and Vegetable Prescription (FVRx) Program began with the testimonials of the families enrolled in the childhood weight management clinic I had started in my community health center in 2006.
Learning to care for mental healthI believe many physicians in primary care are troubled practicing in the current healthcare environment. Regardless of what they earn, many feel they are too busy and don’t have time to adequately listen to the concerns of their patients and their families.

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