HEART FUNCTION (POTS)

by drnieman on May 12, 2019

in Uncategorized

Whenever I have residents or medical students in my office, I do my best to remind them to enquire about the quality of life for patients who come to meet with us. In our zest to deal with facts and evidence, we may at times forget to ask this important question: “Please tell me more […]

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GUILTY PARENTS

by drnieman February 5, 2019

P When Dr. Benjamin Spock published his seminal book, “Dr. Spock’s Baby and Child Care” in the middle of the 20 th Century, he may have been motivated by parents who asked similar, recurring questions. At the time there were far less cooks in the How-To-Parent-Wisely kitchen. Spock became internationally renowned for his down-to-earth wisdom […]

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MARIJUANA AND BREASTFEEDING

by drnieman October 13, 2018

Doctors, midwifes, psychologists, and nurses will have to carefully consider the advice they will offer to pregnant and lactating mothers who have chosen to use marijuana in whatever form or for whatever reason. According to a landmark study from San Diego by Kerri Bertrand and her colleagues, published in last month’s journal Pediatrics, marijuana is […]

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LITTLE ADULTS

by drnieman September 13, 2018

“Children are the living messages we send to a time we will not see.” These are the introductory words of a book, The Disappearance of Childhood, a classic bestseller I frequently review when I observe how our culture continuously trends toward rushing childhood. The author, the late Neil Postman, who was the Chair of the […]

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MIGRAINE HEADACHES

by drnieman August 7, 2018

A recent headline in one of the pediatric journals I subscribe to caught my eyes: “Kids with Migraine Not Receiving Optimal Treatment.” Migraine is indeed one of the most common reasons for referrals to a pediatric neurology clinic. World-wide the prevalence is 7.7 %. Approximately 10% of school-aged children suffer from migraine and boys are […]

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THE WEED EXPERIMENT

by drnieman July 5, 2018

CANADA’S CHILDREN AND YOUTH EXPERIENCE ABOUT TO START Since the current Canadian government informed the nation that they intend to legalize marijuana, much has been written on this extremely controversial and at times confusing topic. Some of the writing dealt with facts; some failed miserably to hide biases–both sides being guilty of dishonesty and subjectivity. […]

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NONPHARMACOLOGIC TREATMENT FOR ATTENTION-DEFICIT/HYPERACTIVITY DISORDER

by drnieman June 27, 2018

Many options other than the use of pharmaceutical products exist for the treatment of attention-deficit/hyperactivity disorder (ADHD). The most common medications used in the treatment are by far psychostimulants. Alternative medications to psychostimulants are the so-called non-stimulant products—a class of medications which is becoming increasingly popular, most likely because side effects impacting appetite and sleep […]

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NEW INFORMATION ON ALLERGIES

by drnieman May 14, 2018

Introducing Allergenic Foods I have always maintained that there is a common theme when it comes to discussing politics, religion and food: consensus is virtually impossible, but compromise is an option. The current guidelines by Health Canada, the Canadian Pediatric Society and allergists on the matter of when to introduce foods which are known to […]

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THE YOUNG, HEALTHY GUT

by drnieman April 5, 2018

In the development of health and disease there are key moments where future trajectories are established. This early programming sets the stage for long-term health and also the prevention of future diseases. These so called critical windows were originally known as the “Baker Hypothesis” Baker identified an association between fetal malnutrition and hypertension later in […]

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NUTRITION AND EARLY BRAIN DEVELOPMENT

by drnieman February 2, 2018

THE FIRST 1,000 DAYS A few years ago I found myself in a huge ballroom of a hotel just outside Chicago. It was at a special meeting of the American Academy of Pediatrics (AAP) that I discovered the AAP’s agenda of prioritizing early brain development. The discussions centered on toxic stress (bathing the fetal brain, […]

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