All posts by James O'Neill

Find your Coach’s Cap

Michael Greenwald, MD
Associate Professor, Pediatrics and Emergency Medicine
Emory University/Children’s Healthcare of Atlanta

Physicians wear many hats. At times we are teachers and other times psychotherapists. We are asked to diagnose and also to counsel. With experience each of us learns when to switch hats. But there is one important role that we sometimes fail to recognize and embrace: the role of “coach.”

Coaching is very similar to teaching but there are important differences. read more

Searching For Myocarditis during Bronchiolitis Season

Author

Michael S. Mitchell

Assistant Professor of Emergency Medicine

Section of Pediatric Emergency Medicine

Wake Forest University School of Medicine

Winston Salem, NC 27157

msmitche@wakehealth.edu

Introduction

“In this world nothing can be said to be certain, except death and taxes.” –Benjamin Franklin

Death, taxes, and bronchiolitis.

Providers of pediatric patients know all too well that the winter season is characterized by colder weather, shorter days, and an abundance of children with bronchiolitis. Bronchiolitis is a dynamic disease and thus can have a varied presentation. It is within this variety of symptoms that overlapping medical conditions can hide, masquerading as bronchiolitis, especially as providers quickly become numb to the disease due to the overwhelming volume of patients presenting with similar symptoms. Myocarditis is one such disease with the potential for significant morbidity. Although it is rare, its symptoms significantly overlap those of bronchiolitis. It is the intent of this article to highlight these two disease states in helping pediatric providers identify myocarditis, essentially finding the proverbial needle in the haystack. read more