All Better Pediatrics

A prominent British medical journal on Tuesday retracted a 1998 research paper that set off a sharp decline in vaccinations in Britain after the paper’s lead author suggested that vaccines could cause

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The retraction by The Lancet is part of a reassessment that has lasted for years of the scientific methods and financial conflicts of Dr. Andrew Wakefield, who contended that his research showed that the combined measles, mumps and rubella vaccine may be unsafe.

But the retraction may do little to tarnish Dr. Wakefield’s reputation among parents’ groups in the United States. Despite a wealth of scientific studies that have failed to find any link between vaccines and autism, the parents fervently believe that their children’s mental problems resulted from vaccinations.

Tom Skinner, a spokesman for the Centers for Disease Control and Prevention, called the retraction of Dr. Wakefield’s study “significant.”

“It builds on the overwhelming body of research by the world’s leading scientists that concludes there is no link between M.M.R. vaccine and autism,” Mr. Skinner wrote in an e-mail message.

A British medical panel concluded last week that Dr. Wakefield had been dishonest, violated basic research ethics rules and showed a “callous disregard” for the suffering of children involved in his research. Dr. Richard Horton, editor in chief of The Lancet, said that until that decision, he had no proof that Dr. Wakefield’s 1998 paper was deceptive.

“That was a damning indictment of Andrew Wakefield and his research,” Dr. Horton said.

With that decision, Dr. Horton said he could retract the 1998 paper. Dr. Wakefield could not be reached for comment.

Jim Moody, a director of SafeMinds, a parents’ group that advances the notion the vaccines cause autism, said the retraction would strengthen Dr. Wakefield’s credibility with many parents.

“Attacking scientists and attacking doctors is dangerous,” he said. “This is about suppressing research, and it will fuel the controversy by bringing it all up again.”

Dr. Wakefield is part of a small but fervent group of doctors who discourage vaccinations because of a seeming link with autism.

Dr. Wakefield’s paper reported on his examinations of 12 children with chronic intestinal disorders who had a history of normal development followed by severe mental regressions. He speculated that the combined measles, mumps and rubella vaccine may have caused some sort of chronic intestinal measles infection that in turn damaged the children’s brains. He suggested that the combined vaccine should be split into three separate shots and given over a longer period of time.

But an investigation by a British journalist found financial and scientific conflicts that Dr. Wakefield did not reveal in his paper. For instance, part of the costs of Dr. Wakefield’s research were paid by lawyers for parents seeking to sue vaccine makers for damages. Dr. Wakefield was also found to have patented in 1997 a measles vaccine that would succeed if the combined vaccine were withdrawn or discredited.

After years of investigation, the General Medical Council in Britain concluded that Dr. Wakefield had subjected 11 children to invasive tests like lumbar punctures and colonoscopies that they did not need and for which he did not receive ethical approval.

After Dr. Wakefield’s study, vaccination rates plunged in Britain and the number of measles cases soared.

In the United States, anti-vaccine groups have advanced other theories since then to explain why they think vaccines cause autism. For years, they blamed thimerosal, a vaccine preservative containing mercury. Because of concerns over the preservative, vaccine makers in 2001 largely eliminated thimerosal from routinely administered childhood vaccines.

But this change has had no apparent impact on childhood autism rates. Anti-vaccine groups now suggest that a significant number of children have a cellular disorder whose effects are set off by vaccinations.

With each new theory, parents’ groups have called for research to explore possible links between vaccination and autism. Study after study has failed to show any link, and prominent scientific agencies have concluded that scarce research dollars should be spent investigating other possible causes of autism.

 
 
 

By Jennifer LaRue Huget

 

What did you crave when you were pregnant: Chocolate? Tacos? Sardines? Or were you more driven by food aversions than by cravings?
Whichever foods your pregnancy drives you toward or makes you recoil from, the new what-to-eat-while-pregnant book “Feed the Belly,” by Frances Largeman-Roth (Sourcebooks, 2009) can help you figure out how to consume enough of the nutrients you and your growing baby need even as you tiptoe through the minefield of cravings, aversions and weight gain.

Largeman-Roth got the idea for her book when she was just thinking about starting a family. As senior food and nutrition editor at Health magazine, she was nutrition-savvy and well aware of the books and other resources available to pregnant women who want to maintain healthful diets. Finding many of those guides too rigid and daunting, she aimed for a lighter, more encouraging tone.

The premise of “Feed the Belly” is that if food doesn’t taste good, it doesn’t matter what wealth of nutrients it delivers because nobody’s going to eat it. To that end, she enlisted chefs to provide tasty, nutritious recipes, such as Mark Bittman’s Smashed Edamame and Potatoes With Miso and Iron Chef Cat Cora’s Cinnamon-Stewed Chicken. The book also features a tear-out menu listing a week’s worth of meals and snacks.

The book offers detailed information about key nutrients and how much of them a pregnant woman should consume. But Largeman-Roth also suggests women relax and enjoy the experience of being pregnant rather than sweat over their daily choline intake.

Still, recipes are indexed according to key nutrients, so if your physician says you’re low on, say, iron, you can easily find foods rich in that mineral. Recipes are also organized according to the common cravings they satisfy. (You can find some of them at http://www.franceslargemanroth.com/recipes; you can also download a shopping list for healthful foods there.)

Largeman-Roth says pregnancy is not the time to overindulge in food or to let your exercise routine fall by the wayside. She suggests it’s a great time to take stock of your diet and physical activity and work toward becoming your healthiest self. Among other helpful exercise suggestions, the book offers a guide to modifying yoga poses to accommodate your pregnant body: downward dog with bent knees, for example.

One of the great challenges for pregnant women — particularly those who are overweight to start with — is to cram in all the nutrients their bodies and babies need without taking in too many calories. “Feed the Belly,” in keeping with standard medical advice, points out that pregnant women really should consume just 300 extra calories per day, and only in the second and third trimesters. Overweight or obese women, Largeman-Roth suggests, should talk with their doctors about how much weight they should gain during pregnancy, as overweight moms put their infants at risk of being larger than average (which can have implications for their future health). And being overweight increases a mom’s risk of developing gestational diabetes and preeclampsia and of delivering by Caesarean section. She notes that recent research suggests that some pregnant women should even consider dieting, a notion that has long been taboo.

As Largeman-Roth notes in her book, women who are overweight during pregnancy tend to stay that way afterward, many of them never returning to a normal, healthy weight. Research published in this month’s issue of the journal Obstetrics & Gynecology showed that women who gain weight during pregnancy, especially in the first trimester, when no extra calorie intake is required, are at especially high risk of developing gestational diabetes.

Largeman-Roth doesn’t sugarcoat the grim news about the need to keep pregnancy weight gain in check. But for the most part, she writes in a breezy, I’m-your-pal style, which many moms-to-be will find appealing. At my age, with my childbearing days long behind me, I could do with a little less lingo — the word “vajayjay,” in particular, grates. But as it happened, Largeman-Roth became pregnant while writing and gave birth to her daughter when “Feed the Belly” was in the final stages of editing. So she clearly was in tune with what a pregnant woman needs to know — and how she wants that information delivered.

The Milk Mustache Mobile Tour will be stopping at the Mid-South Baby Expo on March 27. 

America’s milk processors are traveling coast-to-coast with the Drink Well. Live Well. Tour to encourage Americans to not only live well, but drink well with milk. Milk is naturally nutrient-rich like no other beverage, some may even say milk is nature’s wellness drink. Providing an array of benefits in every glass, milk has been endorsed by more than 250 celebrities and its benefits are supported by hundreds of scientific studies. Drinking milk is one of the simplest things you can do every day and feel good about, for you and your family.

At tour events, you can experience free, interactive activities including:

FROM ALL BETTER PEDIATRICS, PC!

The 2010 Mid-South Baby Expo is a week from this Saturday. We encourage you to become a fan on Facebook, to find out the latest on seminars, sponsor participation, Tips for you and your baby, and much, much more.

Become a fan today!

Link:    http://bit.ly/b1m8AC

Effective March1, 2010 we officially changed the name of our practice to All Better Pediatrics –“Healthcare for kids.  Helpcare for parents”. 

 There are so many reasons why we decided to change the name-we could write a book! Here are a few of the most important reasons:

1.  Almost no one can remember the current name, can you?

2.  The name ‘All Better’ reflects what we do because, whether they were seen for a sick or well visit, those are the words every parent and child want to hear from their pediatrician.

3. The name ‘All Better’ reflects the value added to the doctor patient relationship.  Some examples of adding value include taking your evening and weekend calls, being the only pediatrician in Memphis to offer breastfeeding assistance services on site, and helping first-time parents navigate the maze of challenges that arise when they bring a child home from the nursery.

4. The old name was so long and wordy that moms would tell me, “I referred my friend to you but she could not remember the name and could not find you on-line”.  No one forgets the name All Better Pediatrics!

On a future post I will explain the concept of “Healthcare for kids. Helpcare for parents” in more detail.

By the way the complete name of our practice was Pediatric and Adolescent Medicine of East Memphis.

All Better Pediatrics, PC and The 2010 Mid-South Baby Expo are teaming up for a promotion that’s tough to turn down.

As a major sponsor of this year’s show, All Better Pediatrics has been given a limited amount tickets to be given to anyone who becomes a fan of All Better Pediatrics Fan page:

To Become a fan and get your tickets:

1.  “Click” http://bit.ly/aP4N2G

 2. Call  All Better Pediatrics 901.761.1880  to receive your  free tickets (limit 2 please).

But…..

When they’re gone they’re gone!  So call Today.

Hope to see you at the expo!

The Mid-South Baby Expo. will be held on Saturday March 27th from 10:00 AM to 3:00 PM at the AgriCenter.  Admission is only $5 per person, children 12 and under are free. A portion of the proceeds from this event will benefit a local Shelby County Charity that serves expectant and new parents.

The purpose of the Mid-South Baby Expo is to acquaint expectant and new parents with needed and pertinent educational resources within the Memphis Metro community. The event features exhibitor booths provided by health care providers, non-profit organizations and other businesses relevant to expectant and new parents, plus plenty of fun activities and educational seminars.

According to Pediatrician Dr. Tam Folz of All Better Pediatrics, PC , who has been involved at the Expo  since its inception,  “I believe participating in the expo helps me fulfill my practices mission of providing healthcare for kids and help care for parents.  Within  2 hour span an expectant mom can learn about all the healthcare activities that are available for new babies in the Mid-South”

This community event is unique in that it brings all area hospitals together in one setting. Also, the initial Mid-South Baby Expo in 2003 marked the first time that an event of this type was held in the right here in Memphis  within a large, easily accessible location.

The Expo’s ultimate goal has always been  to provide educational information for expectant and new parents. The Show will help navigate their journey into parenthood enabling them to make wiser and healthier choices for themselves and for their babies!

Below is a schedule of activities:

Time Event
11:30 Kindermusik Demonstration
12:00 Baby & Children’s Fashion Show
1:30 Car Seat Demonstration
2:30 Prenatal Yoga Demonstration
3:00 Maternity Fashion Show
3:30 Grand Door Prize Drawing

FOR IMMEDIATE RELEASE

 

Pediatric and Adolescent Medicine of East Memphis, PC Changes Name Today to ‘All Better Pediatrics, PC’

 

 Memphis, TN, March 1, 2010: Pediatric and Adolescent Medicine of East Memphis will officially change  it’s name today to All Better Pediatrics. Still a favorite with parents, All Better Pediatrics, PC’s new name and tagline lets the public know that top quality pediatric care is available for patients and unlimited education and guidance for new parents are also available.

“We changed the name to highlight and showcase the personal care for our patients. We also want to let new and expecting parents know that they are not alone and our guidance is always available.” said Dr. Tamara Folz, Owner of All Better Pediatrics, PC.

Meet The Staff

The All Better Pediatrics, PC family is composed of 9 employees including 3 medical assistants, 2 support staff, and the following Medical providers:

Tamara Folz, MD

Owner: All Better Pediatrics, PC , FAAP Member of AAP Breastfeeding Section

Previously, Dr. Folz worked in partnership with Dr. Hubert L. Dellinger, one of the original pediatricians in Memphis. When he retired in 2004, she took over his practice. Her goal: To create an atmosphere where patients and family will feel comfortable, safe, and are treated like a person, not a number.

Paul “PJ” Koltnow, PA-C

Physician Assistant

PJ is loved by both patients and parents for his caring and friendly style of practicing medicine.

Julie Lynne Ware, MD

FAAP member, American Board of Pediatrics, Fellow of Academy of Breastfeeding Medicine.

 Dr. Ware is dedicated to helping breastfeeding moms provide nutrition to their babies from the best possible source, their mother’s breast.

About All Better Pediatrics, PC

Since opening their office in 2004, All Better Pediatrics has always focused on meeting family medical needs in a manner that strives to be professional, courteous, and friendly. It is their belief that patients and parents be treated as individuals and not as just a chart number. ABP, PC prides itself on the close relationships they have developed with their patients and their families. All of the staff members are also parents, so they understand and appreciate the joys and anxieties of providing for children.

 To schedule a private, one-on-one guided tour of our practice with Dr. Folz, please contact our office at: 901.761.1880  

                                          ###    

                        Healthcare For Kids-Helpcare for Parents 

   It is strep throat season everyone.  Much of what PJ and I have seen in clinic this week is just that, strep throat.

Below is a link to the American Academy of Pediatrics website.  The article is intended to help you determine the difference between a sore throat, strep throat, and tonsillitis.

http://bit.ly/a7chjj

Let me know if you have any questions and we will be open from 10:00 AM to 1:00 PM Saturday and 1:00 to 2:00 Sunday (please get here at 1:00) providing healthcare to kids and helpcare to parents.  We will be open on Sundays through the end of flu season which is March 31st.

Have a nice weekend.

Dr. Tam

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