A 75 year-old male Mr Bright comes to your office for his annual health checkup. You advise him to get the influenza vaccine. He insists, ‘every time I take the flu vaccine I get the flu’. After a few weeks, you receive a letter in the mail from his health insurance company which includes a list of ‘unvaccinated seniors’ in your practice. Your office manager calls everyone on the list and encourages them to come in and get vaccinated. Mr.Bright takes the call and becomes very angry, “I told the doctor that I’m not getting that damn vaccine. Why do you keep calling me?”, and hangs up abruptly. What is the best response to this patient?
A mother brought her 3 year-old female child to your office for a wellness pediatric physical examination. Her past medical history is significant for normal developmental milestones. Of the following, what developmental milestones can you expect in this child?
When you were on call, a mother called your office with a frightened voice. When she suddenly opened the door, her one-year old son got frightened and started to cry inconsolably, then he held his breath as his lips became blue. He moved his hands and legs like he got a seizure attack and urinated. After a few seconds he passed out. Now he is breathing again normally and playing with his toys. When a similar attack happened two months ago, the patient’s pediatrician ran some blood tests and ECG which returned normal. Mother would like to know what she should do next time if a similar episode happens to her baby. Which of the following is true regarding these breath-holding spells?
When you were on call, a mother called your office with a frightened voice. When she suddenly opened the door, her one-year old son got frightened and started to cry inconsolably, then he held his breath as his lips became blue. He moved his hands and legs like he got a seizure attack and urinated. After a few seconds he passed out. Now he is breathing again normally and playing with his toys. When a similar attack happened two months ago, the patient’s pediatrician ran some blood tests and ECG which returned normal. Mother would like to know what she should do next time if a similar episode happens to her baby. What would be the best advice to give to this mother regarding her baby’s loss of consciousness?
