CARING FOR AMERICA’S CHILDREN Winter • 2007 i n s i d e . . . • Sites for Sore Eyes • Melnick at Large • Appellation Answers • Board of Trustees Election • New Members • In The News • Pediatrics....and then some! • New Pediatric Resource • New Member Benefit THE QUARTERLY PUBLICATION OF THE AMERICAN COLLEGE OF OSTEOPATHIC PEDIATRICIANS • Book Review

President’s Message PLAN NOW! Lee J. Herskowitz, DO, FAAP, FACOP

As we are will provide. getting in to While the election the business of will be polled by snail the new year, I mail and electronically, we will have for- want to make mal ceremonies at the June ACOP/AAP Community Pediatrics, sure our mem- meeting scheduled in Orlando, FL. This the Medical Home bership knows who their leadership is. As will be a landmark event for our college and Beyond the biennial musical chairs takes place this and we all expect it to set a precedent for year, we will be electing new members to further activities in tandem with the AAP. the board in a College election. We all expect to see a great turn out for June 29 - July 1, 2007 Moving off of the Board will be Ste- our College. Hilton at Walt Disney World ven Snyder (Past President) and Robert It has been so gratifying to see the Lake Buena Vista, Florida Locke. Jim Foy will serve a second term. growth and enthusiasm of this college Osteopathic Sessions They have served dutifully and provided over the last two years while I have been As stated in the meeting brochure for great guidance to the Board. Some other in office. The growth in student and resi- the Future of Pediatrics Conference, physi- changes will be me stepping down from dent members has been satisfying since it cians seeking AOA Category 1-A credit will the President position and filling the assures us of the perpetuation of the orga- need to attend all osteopathic sessions. In Past-President slot. Robert Hostoffer nization. There has, likewise, been new addition, participants will be required to visit will be assuming the Presidency. Peg growth from residency graduates into the each vendor in the exhibit hall and obtain Orcutt-Tuddenham will be moving up ranks of our Fellows. I would expect the proof of their visit. In the brochure, these to fill the President-Elect position. John new generation to find worthwhile projects required sessions are noted with a specific Graneto will be filling Peg’s slot as to complement their skills while contribut- symbol. An attestation form, along with Secretary-Treasurer. There are several new ing to the growth and development of our the exhibit signature form, will be available trustees have taken positions during the past baby, the ACOP. I hope to see many of you from the ACOP Staff at the registration desk. year. They are Carl Backes, Michelle Bez in Orlando this June! Completion of these forms is required for and our student and resident representa- AOA Category 1-A credit. tives, Amy Sweigert and Nathaniel Brady, ACOP Call for Abstracts respectively. These two positions will both In addition to the AAP Call for Ab- change in the fall of each year. VISIT stracts, the ACOP will solicit abstract sub- We are fortunate to have several can- missions for this conference. ACOP Poster didates, who have all been significantly ACOPeds.org Only Abstract Submission Forms and involved in the college governance, for the Information (not the AAP Abstract Submis- two open slots for the Board of Trustees. for the Latest sions) will be available on the ACOP web I would be excited to have any of them be Meeting Updates www.ACOPeds.org on Thursday, March 1, participating on the Board work. Those 2007 with a deadline of April 20, 2007. candidates are Scott Cyrus, Jim Kirk, Mi- & Membership chael Hunt and J. Michael Metts. I find it Information To register, visit comforting to see the dedication and quality of leadership that any of these candidates www.pedialink.org/cmefinder 2006-2007 American College of Osteopathic Pediatricians Sites for Sore Eyes Board of Trustees President Uncommon Places to Get Advice Lee J. Herskowitz, DO, FACOP* By Gregory Garvin, DO, FACOP Vice President Associate Editor Robert W. Hostoffer, Jr., DO, FACOP* Many of you out there I’m sure are sizes that links to a page that allows the Secretary-Treasurer like me in the fact that when the new year reader to calculate portions, based on using rolls around you begin to want to lose a few your hand to estimate a serving size. For Margaret A. Orcutt-Tuddenham, DO, pounds. I think that I should have called this example, the palm of an average size hand CAPT, MC, FACOP* edition Uncommon Sites for Sore Eyes… is approximately three ounces and one Immediate Past President My daughter told me to look at the “V-8” thumb tip is 1 tsp. These are nice “rules of Steven M. Snyder, DO, FACOP* diet on the Internet (www.v8juice.com ) thumb” (just kidding!) and can help parents and, at face value, I thought this would be estimate portion sizes for kids. Executive Director a mistake. However, this site, as I’m sure There is also a link to Campbell’s Soup Stewart A. Hinckley* many other proprietary food sites, are, is home page and they have a “Wellness” *EXECUTIVE COMMITTEE just packed with helpful, sound advice website packed with useful information on written by very knowledgeable dieticians. sodium intake and blood pressure in children Trustees In addition, the helpful links and “FAQs” as well as for “professionals”, too. Carl R. Backes, DO, FACOP, FAAP can be used in your everyday practice to Another thing I find interesting about Michelle Bez, DO, FACOP help in giving sound advice. The good thing this type of surfing is what brand names James E. Foy, DO, FACOP for us, as pediatricians, is that we can filter are owned by the same parent company. John W. Graneto, DO, FACOP the material, use what is good and skip For example, I was not aware that V-8 Robert G. Locke, DO, FACOP the garbage. There is a link to the “V-8” and Prego for example are part of the diet and on that web page is a link to: Campbell’s Soup “family.” Nathanael S. Brady, DO, Resident Member http://mypramid.gov. with additionsal Although I must admit this surfing Amy Sweigart, Student Representative links to “for professionals” and for infor- excursion was not initially on a mission to Director of CME Program mation about “kids”. Under the FAQ’s, find web sites for Sites for Sore Eyes… Scott S. Cyrus, DO, FACOP there is a link to: http://www.nhbisupport/ it turned out to be a fun and interesting com/bmi/bminojs.htm . This is a handy adventure. PUBLISHER calculator that allows you to put in height If any members have any sites they Stewart A. Hinckley and weight and calculate BMI. There is a want me to review and pass on to the ACOP link for BMI tables as well. membership, please email me at: garving@ Co-Editors Another handy FAQ is about portion genesishealth.com. Arnold Melnick, DO, FACOP Stewart A. Hinckley ASSOCIATE EDITORS ACOP would like to thank the following preliminary supporters Gregory Garvin, DO, FACOP Robert G. Locke, DO, FACOP 2007 Future of Pediatrics CME Conference (Joint Meeting with the American Academy of Pediatrics) Pulse is published four times a year in conjunction with the American College of Community Pediatrics, the Medical Home, and Beyond Osteopathic Pediatricians, 2209 Dickens June 29 – July 1, 2007 • Hilton in the Walt Disney World Resort • Lake Buena Vista, FL Road, Richmond, VA 23230-2 0 0 5 ; 877-231-ACOP or fax (804) 282-0090. GOLD LEVEL No part of this publication may be reproduced without the express written consent of ACOP. Mead Johnson Nutritionals All rights reserved. (also supporting the Conduit for Success CD Project) The American College of Osteopathic Pediatricians is not responsible for statements made by any contributor. Statements or opinions 2007 ACOP Fall Conference expressed in Pulse reflect the views of the author(s) and not necessarily the official policy of the ACOP. Genzyme Therapeutics

 American College of Osteopathic Pediatricians Pulse | Winter 2007 prescription. (We might even recommend to our colleagues who treat adults to do the same thing; it is also valuable for grown- MELNICK ups, even though it carries less import.) Oh, yes, one more thing. I also recom- mended that a diagnosis be included. Here I hear some moaning—but a diagnosis may a t l a r g e frequently clarify for the druggist exactly what you are prescribing. And that makes By Arnold Melnick, DO, FACOP the pharmacist better able to help you—and at our own house first. We must not try to serve your patient. The old privacy issue whip others into line until we ourselves raises its ugly head, but after all, pharma- Prescriptions are compliant. cists most of the time can determine the For those who worry about litigation patient’s diagnosis from the prescription or Re-visited and HIPPA requirements, let me point out previous medication. But just in case there Last year, I wrote a letter to the editor that this is not “privacy” information—it is is a question or confusion about the name of Contemporary Pediatrics advocating pertinent, maybe life-saving, information, of a medication (poor handwriting?), why some changes in our prescription writing in and it can be available to the pharmacist not be sure by including a diagnosis. order to improve the physician-pharmacist without us. As I said, physician and pharmacist relationship. It’s time to re-advocate — So let’s make it a ritual, a memorized working together make a great team for the specifically to our ACOP members absolute, to put age and weight on every prevention of medication errors. But what’s so valuable about enhanc- . ing the communication between them and us? Mainly, and it’s important, the better the APPELLATION ? ? relationship and the more we communicate ? ? ??? with our colleagues behind the counter, the less the likelihood of medication errors ...Whose name is it? – and we are all now aware of the high nswers number of mistakes that occur. A Hirschsprung’s Disease Among the most straightforward Megacolon due to lack of ganglionic cells causing improvements I suggested was something associated with dilation and hypertrophy of the colon. that many of you already do—in part or in whole. Every prescription for a child should Harald Hirschsprung bear the age and weight of that youngster. Born in in 1830, Harald Hirschsprung was a brilliant student from No need to explain to pediatricians why high school on. During his internship, he published several papers on visceral disease these two factors are important in the and then throughout his life he continued to produce a stream of papers in his field. dosage of almost all medications. Chil- His doctoral thesis (1861) was on atresia of the and small bowel. dren come in all sizes and shapes. There In 1870, he became chief physician of the Queen Louisa Hospital for Chil- are overweight kiddos, and underweight dren, which soon gained international fame for pediatric research.. He was a highly ones—and those who are normal weight for successful and famed physician, both in hospital work and in his private practice. age. Without a notation of age and weight, He demonstrated a wide range of interests in care of his patients, regardless of the the pharmacist cannot guess whether the severity of their illness or their status, and he was a champion for the care of poor medication dosage we write is appropriate. patients. Hirschsprung became the first pediatrician in Denmark; subsequently he We are all well aware that using averages was made honorary president of the Danish Pediatric Society, as well as a number will not do the trick; both numbers are of foreign ones. needed. A 12-year old child might be 30 At the Berlin Congress for Children’s Diseases in 1886, he delivered his pounds or 60 pounds. In some instances, sentinel lecture describing two infants who died from constipation associated that may change the dosage ordered.. with dilatation of the colon. His closing comment was, “It appears unquestionable In the rush of practice, we may forget that the condition is caused in utero, either as a developmental abnormality or as to include these data when we write our a disease process. prescriptions—or we might occasionally Among his many published interests were intussusception, rickets, rheu- not weigh a child at a particular visit. So if matic nodules and, of course, the disease that became known as Hirschsprung’s these figures do not appear, the pharmacist Disease. cannot double-check us. But if we do in- The controversy that existed about his disease was resolved in 1901 when Tille clude them, then the old reliable pharmacist recorded a paucity of ganglion cells in the colonic wall in Hirschsprung’s Disease, is there to call us and question what was proving his basic theory. written, and maybe save our hides. He began suffering from “cerebral sclerosis” in 1904 and it progressed over While I admit that these important the years until he died at age 85 in 1916. numbers are probably omitted more often by non-pediatricians, we must always look

Pulse | Winter 2007 American College of Osteopathic Pediatricians  ACOP 2007 Board of Trustees Candidates You may make two (2) selections. Scott S. Cyrus, D.O, FACOP Michael G. Hunt, DO Scott S. Cyrus, D.O, I have been most active FACOP is board certified with the ACOP’s committee on Pediatrician practicing Tulsa, continuing medical education. Oklahoma. He’s a graduate of In Oklahoma, I am on the Board Oklahoma State University Col- of Trustees for the Oklahoma lege of Osteopathic Medicine Osteopathic Association, Board and has been a resident of Tulsa of Trustees for Oklahoma Safe most of his life. He is a mem- Kids, and a board member of ber of the Board of Trustees the Mercy Health Network that for the Oklahoma Osteopathic governs the multispecialty clinic Association and past President in which I practice. During my of the Tulsa Osteopathic Medi- stay in Oklahoma, I have started cal Society. Dr. Cyrus has been two pediatric services, and cur- a member of the ACOP since rently working to incorporate Healthy Steps (the pediatric program 1995 and has been the CME Director for the past five years. He that emphasizes complete health and behavioral care to children less has been active in the AOA and ACOP since 1998. Dr. Cyrus is than three years of age) in my practice. I have practiced pediatrics married to Janell, board member for the Advocates for the AOA, since graduating from my residency in 1994. and they have five children. Dr. Cyrus has worked extensively with I have been invited by the Sisters of Mercy to join the lead- the ACOP board and with the management companies to improve ership team to implement an enterprise-wide electronic medical the CME programs over the past five years. The goal was to provide record. I will be the pediatric physician champion for the project. quality programs to the nation’s Osteopathic Pediatricians. As the project matures, I will participate in the organization’s quality and business endeavors. James Kirk, DO Because my life experiences, I am excited to bring the best pediatric care to as many children as possible. Dr. Kirk graduated from LaSalle College in 1973 and Philadelphia College of Osteo- J. Michael Metts, DO, FACOP, FAAP pathic Medicine in 1977. He Dr. Metts is a 1996 graduate completed a rotating Internship of Des Moines University and a at Washington Memorial Hospi- graduate of a pediatrics residency tal and his Pediatric Residency at the University of Missouri in Training at the Medical Center 1999. After two years of primary of Delaware. In 1982, he joined care practice, he became medical the Neonatology Fellowship director of a pediatric hospitalist Training Program at St. Chris- group. He has been the Chair topher’s Hospital for Children at of the Department of Pediatrics Temple University. He is Board at Des Moines University since Certified by the American Board of Pediatrics in Pediatrics and 2002. His passion is teaching pe- Neonatal-Perinatal Medicine. diatrics to medical students and Dr. Kirk is full-time faculty at University of Florida School of residents, and is the past recipi- Medicine Jacksonville, as an Attending Neonatologist at Wolfson ent of the teacher of the year award from the Mercy Mayo Family Children’s Hospital and Shands Jacksonville. Dr. Kirk has been Practice Residency program. Dr. Metts has been active in ACOP Program Director of University of Florida Pediatric Residency in the Pediatric Department Chair Committee this past year. Program since 1994.

VISIT www.ACOPeds.org TO VOTE! Deadline for Voting - March 16, 2007

 American College of Osteopathic Pediatricians Pulse | Winter 2007 ACOP 2007 Welcome New ACOP Members Election Process Fellow Candes Lynne Dotson...... Blacksburg, VA The ACOP Board of Trustees Elec- Jay A. Lovenheim, DO, FAAP, FACOP.... Courtney A. Downey...... Philadelphia, PA tion will be conducted electronically and, ...... South Orange, NJ Diana E. Drogalis...... Philadelphia, PA in order to vote, you will need to go to the Intern Jerita J. Dubash...... Ashburn, VA ACOP website at www.ACOPeds.org. Laura T. Brookshire, DO...Loxahatchee, FL James A. Duerkes...... Plantation, FL From the Menu, you will need to click on Valerie N. Ritter, DO...... Gainesville, FL Cynthia L. Eckersley...... Fort Worth, TX Members Only, then click Member Direc- Josph T. Ellenburg...... Christiansburg, VA tory, log in, then ACOP 2007 Election Pediatric Student Club Darci E. Evans...... La Habra, CA Ballots. Follow the directions as posted Kimberly P. Ackerman...... Ft. Worth, TX Danielle A. Ferraquti...... Lansdale, PA for each position. Lynn W. Acquaviva...... Quakertown, PA Cassidy M. Foley...... Biddeford, ME As listed in the ACOP Bylaws, the Meghan E. Allman...... Pomona, CA Heath B. Foreman...... Fort Worth, TX following categories of membership may Jay A. Allport...... Bedford, TX Lauren C. Francisco...... Pikeville, KY vote – Fellow, Associate, Candidate (Resi- Jamak N. Almasi...... Fort Worth, TX Christopher W. Frederick.. Claremont, CA dent/Fellows), Emeritus. Nirav R. Amin...... Fort Worth, TX Hetal Gadhia...... Pflugerville, TX If you would prefer a paper ballot, Jack Anderson...... Pikeville, KY Andrea F. Gajeton...... Plantation, FL please contact the ACOP Administrative Of- Kristin M. Andruska...... Pomona, CA Teresa M. Gallo...... Boca Raton, FL fice at: (877) 231-2267, Fax: (804) 282-0090 Danielle H. Aretz...... Benicia, CA Jacqueline L. Garda...... Southlake, TX or email at [email protected]. Laura Arnold...... Ft. Worth, TX Nicole A. Gavallas...... Miami, FL The ACOP 2007 on-line election Leigh M. Atcheson.... Fort Lauderdale, FL Robert K. Gordon...... Benicia, CA ballot is available until Friday, March 16, Wendy J. Bailey...... Chino Hills, CA Nasim Gorji...... Walnut Creek, CA 2007. Rachna Bali...... West Sacramento, CA Elaine F. Gould...... Benicia, CA Brittany L. Barrett...... Hurst, TX Board of Trustees Lauren A. Gray...... Ft. Worth, TX Kate L. Barron...... DeSoto, TX You may vote for a maximum of two Heather M. Gregory...... West Covina, CA Deidre E. Bass...... Coral Spring, FL candidates, including write-ins. For write- Ingrid G. Grove...... Vallejo, CA Helen Basyuk...... Philadelphia, PA ins you must make a check in the write-in Stacey G. Hackett...... Philadelphia, PA Jenna A. Baum...... Davie, FL box as well as write in the candidate’s name Jillian M. Hammes...... San Diego, CA Caralee R. Blair...... Pikeville, KY for the vote to be counted. Once you have Michelle N. Henry.... Fort Lauderdale, FL Elizabeth A. Blankenship...... Corona, CA cast your vote by clicking on “Submit my Lauren Hermann...... Ft. Worth, TX Jeromy T. Boucher...... Davie, FL vote”, you will be unable to change your Christopher T. Higgins....Philadelphia, PA Keren Braithwaite...... Miami, FL vote or return to the ballot. Please make Jessica M. Hirsch...... Pomona, CA Sean N. Branch...... Davie, FL selections carefully before clicking the Erin B. Hitchcock ...... Davie, FL Daniel W. Brody...... Pikeville, KY submit button. Lon K. Hoang...... Fort Worth, TX Jeff Brown...... Biddeford, ME The below-listed Nominations were Jessica N. Hodges...... Ft. Worth, TX Christen Buirley...... La Verne, CA received from the floor of the ACOP Busi- Susan M. Holencik...... Philadelphia, PA Samuel H. Byron...... Pikeville, KY ness Meeting conducted during the AOA/ Lisa M. Hudak...... Plantation, FL Luly C. Cabanillas...... Davie, FL ACOP meeting, October 16-19, 2006, Las Amy M. Hunt...... Saginaw, TX Amy K. Caravello...... Sacramento, CA Vegas, Nevada. Gretchen M. Inkumsah...... Pikeville, KY Beth A. Carella...... Vallejo, CA Alexandra Isakova...... Philadelphia, PA Board of Trustees Nominations are: Francine Cheng...... Ft. Worth, TX Jennifer K. Ische...... Pikeville, KY Sandy Cheung, MPH...... Glen Cove, NY • Scott S. Cyrus, DO, FACOP Aradhana S. Ishwar...... Swarthmore, PA Sarika Chopra...... Pomona, CA Malak W. Iskandar...... Blacksburg, VA • Michael G. Hunt, DO, FACOP Mary N. Chrisochos...... Plantation, FL Lena B. Jesrani...... Red Bluff, CA • James Kirk, DO, FACOP Gloria Chung...... Walnut, CA Zarba Jetpuri...... Euless, TX Jennifer E. Coady...... Pikeville, KY Brian F. Johnson...... Glendale, CA • J. Michael Metts, DO, FACOP Alexis R. Collins...... Betsy Layne, KY Jorieth M. Jose...... Claremont, CA Jennifer A. Collins...... Dallas, TX Remember, the election process will Yewah Jung...... Philadelphia, PA Bonnie E. Colville...... Miami Beach, FL close on Friday, March 16, 2007. If you Fari G. Kamalpour...... San Dimas, CA Elizabeth L. Combs...... Pikeville, KY have any problems, please do not hesitate Julie A. Katz...... Philadelphia, PA Jenny Faye Combs...... Pikeville, KY to contact me at the ACOP Administrative Tara N. Keefer...... Philadelphia, PA Eileen M. Conaway.....Christiansburg, VA Office, 2209 Dickens Road, Richmond, Stacey L. Keller...... Plantation, FL Jonathan S. Cordova...... Philadelphia, PA VA 23230-2005, (877) 231-2267, Fax: Saro Khajehgian...... Glendale, CA Michelle B. Covili...... Davie, FL (804) 282-0090 or email at bob@ACO- Sadia Khan...... Sugar Land, TX Allison J. Davidson...... Ft. Worth, TX Peds.org. Katherine M. Kielek...... Philadelphia, PA Lindsey C. Demetral...... Vallejo, CA Theresa J. Kim...... Elkins Park, PA Bob Specht Chrissy T. Doan...... Ft. Worth, TX ACOP Administrator Lisa M. Dodd...... Christiansburg, VA Continued on page 6 Pulse | Winter 2007 American College of Osteopathic Pediatricians  New Members Christina M. Raguckas.....Gouldsboro, PA Laura B. White...... Benicia, CA Continued from page 5 Rana Ann M. Ram...... Vallejo, CA Lynn M. Wilson...... Philadelphia, PA Shorook A Ramahi...... Plantation, FL Jessica L. Wirth...... Philadelphia, PA Amanda R. Kiser...... Pikeville, KY Kristin D. Ramsey...... Christiansburg, VA Kimberly J. Wolf...... South Pasadena, CA William K. Knapp...... Benicia, CA Josh B. Reed...... Fort Worth, TX Peony C. Wong...... Rosemead, CA Ashley E. Kurz...... Rosemont, PA Katiera T. Rivera...... Davie, FL Wisdeen V. Wu...... Arlington, TX Brad T. Kuske...... Pomona, CA Nicole M. Roberts...... Plantation, FL Anita D. Yang...... Philadelphia, PA Shannon Lambert...... San Dimas, CA Elicia D. Roos...... Davie, FL Shavon Yannuzzi...... Philadelphia, PA Melanie A. Lamprecht...... Vallejo, CA Heather A. Rutter...... Wilmington, DE Nitha A. Yoyakey...... Pembroke Pines, FL Nicholas J. Lanciano...... Philadelphia, PA Meghan M. Schott...... Ft. Worth, TX Sheryl J. Zayas...... Davie, FL Joni E. Landua...... Chino Hills, CA Erin E. Schreck...... Conshohocken, PA Jocelyn V. Zee...... Flowermond, TX Thuy N. Le...... Plantation, FL Sapna N. Shah...... Ft. Worth, TX Adam P. Zeigler...... Pikeville, KY Janet Leathers...... Glendale, AZ Jay N. Shah...... Fort Worth, TX Qiliang (Leon) Zhang...... Richmond, CA Erika L. LeBaron...... Ft. Worth, TX Priti A. Shah...... Fort Worth, TX Resident Nicholas W. Ligato...... Philadelphia, PA Shruti Shanker...... Davie, FL Barry J. Belcher, DO...... Charleston, WV Brian A. Lindsey...... Pikeville, KY Erika L. Shelburne...... Blacksburg, VA David R. Butler, DO...... Charleston, WV Richard P. Lion...... Davie, FL Ellen P. Shen...... Lancaster, PA Courtney F. Evans, DO... Charleston, WV Cristy Z. Liu...... Ft. Worth, TX Lauren K. Shepard...... Fort Worth, TX Anita B. Hawks, DO...... Charleston, WV Vivian Lo...... Davie, FL Samip R. Sheth...... Fort Worth, TX Brian P. Vaske, DO.West Palm Beach, FL Sneha Lokesh...... Davie, FL Ryan C. Sidebottom...... Fort Worth, TX Sherman S. Chu...... Maspeth, NY Collin J. Lovitt...... Vallejo, CA James J. Sierakowski...... Davie, FL Lindsay L. Madden...... Pikeville, KY Michelle M. Skinner...... Olney, MD David M. Mahon...... Bala Cynwyd, PA John F. Slaton...... Euless, TX In The News Lindsey H. Malik...... Claremont, CA Katrina R. Slone...... Pikeville, KY John D. Malone...... Plantation, FL Joshua M. Smalley...... Vallejo, CA Sarah A. Mankin...... Vallejo, CA Jessica M. Smith...... Pinsonfork, KY Low-iron and Matthew S. Martin...... Pikeville, KY Niels E. Snyder...... Philadelphia, PA Heeten P. Masters...... Arlington, TX Ambika K. Sohal...... Vallejo, CA Non-DHA/ARA Erika N. McGrady...... Fort Worth, TX Katherine A. Steinberg...... Ft. Worth, TX Formulas Being Alison R. McMaster...... Philadelphia, PA Rachel E. Stone...... Pikeville, KY Sweta (Tina) Mehta...... Davie, FL Matt J. Stringer...... Davie, FL Discontinued Mary Elizabeth Merlini...Philadelphia, PA Christine M. Stroka...... Philadelphia, PA Nicole L. Merritt...... Philadelphia, PA Christine E. Strunk...... Philadelphia, PA Mead Johnson Nutritionals has an- Donald J. Miller...... Vallejo, CA Meghan L. Sweeney...... Philadelphia, PA nounced it is discontinuing its routine infant Clark Montague...... Plantation, FL Shaye L. Tegeler...... Ft. Worth, TX formulas that do not include docahexaenoic Taylor J. Moore...... Chino Hills, CA Robert E. Terbrack...... Pikeville, KY acid (DHA) and arachidonic acid (ARA) as Daniel P. Murphy...... Benecia, CA Lori A. Thomas...... Blacksburg, VA well as its low-iron infant formulas. Jeffrey T. Nelson...... Chino, CA Richard S. Thompson.Christiansburg, VA The products being discontinued Anne M. Neumann...... Vallejo, CA Erik C. Thorell...... Philadelphia, PA are Enfamil with Iron (no DHA or ARA) Michelle R. Newkirk...... Claremont, CA Michelle T. Tran...... Blacksburg, VA and Enfamil Lipil Low Iron. The formula Jonathan H. Nguyen...... Fort Worth, TX An T. Tran...... Upland, CA manufacturer only will offer infant for- Lam-Phuong T. Nguyen...... Pomona, CA Rachel S. Treuting...... Davie, FL mulas that have DHA and ARA and are Nicole K.M. Nurse...... Philadelphia, PA Mark Trisna...... Ft. Worth, TX iron-fortified. Kevin T. O’Brien...... Davie, FL Jillian M.Trizna...... Philadelphia, PA Mead Johnson said these changes Angela M. O’Quinn...... Garrett, KY Julienne N. Tropel...... Claremont, CA reflect data that link DHA supplementation Asuka Ozaki...... Ft. Worth, TX Joala Martha P. Tubilleja...... Dania, FL of formula to improved mental and visual Jennifer M. Ozan...... Fort Worth, TX Amanda J. Tyler...... Pikeville, KY development and clinical evidence that sup- Anandita Pal...... Fort Worth, TX Alexis D. Ulerich...... Philadelphia, PA ports iron fortification of infant formulas at Monica Patel...... Carrollton, TX Namrata Varma...... Vallejo, CA 12 mg/L for growth and development. Neha A. Patel...... Fort Worth, TX Sheeba A. Varughese...... Ft. Worth, TX The Academy has long advocated Rickyn D. Patel...... Ft. Worth, TX Georgia Varvarelis Plymouth Meeting, PA that if an infant is not breast-fed, then only Alex Perez...... Davie, FL Shanna L. Vaughan...... Claremont, CA iron-containing formula should be used Antoine Pham...... Fort Worth, TX Serena M. Vidanage...... Philadelphia, PA (Pediatrics.1999;104;119-123). Nora B. Philbin...... Vallejo, CA Glen J. Vo...... Pikeville, KY Products will be removed from the Adam N. Phillips...... Davie, FL Laurie G. Waldron...... Philadelphia, PA market over the course of several months. Janet G. Philps...... Blacksburg, VA Kolby R. Walker...... Vallejo, CA For references and a letter to heath care Neal A. Pickering...Rancho Cucamonga, CA Michael A. Washinsky....Philadelphia, PA providers, visit the Mead Johnson Web site. Jessica L. Pritchard.....Christiansburg, VA Woodwin M. Weeks...Boynton Beach, FL Pediatricians also can contact their Mead Kell A. Quercetti...... Philadelphia, PA Chad E. Weldon...... Ft. Worth, TX Johnson representative with questions.

 American College of Osteopathic Pediatricians Pulse | Winter 2007 PEDIATRICS... and then some! Another Member Benefit!

Some pediatricians have moved their attention to areas tangential to or complementing the practice of Pediatrics. This is one of a series. The revolutionary Conduit for Success CD will enable the ACOP to be a “conduit”, serving as the lead communications Margaret A. Orcutt-Tuddenham, CAPT, MC, FACOP mechanism between: • Members & Residents To any uninitiated whose mental though she didn’t learn this in her pediatric picture of a naval doctor is a uniformed residency, she was in the very first HSPS • Residency Directors & Student Clubs physician examining a patient in a sailor cohort. She spent time in the office of • American Osteopathic Board of suit, lose that perception – or talk to Captain ASDHA – Assistant Secretary of Defense Pediatrics & Program Dept. Chairs Margaret Orcutt Tuddenham. Her experi- for Health Affairs. Here, she had oversight • American Osteopathic Association & ences dispel that picture. Yes, “Peg” not for graduate medical education for all three American Academy of Pediatrics only did all the “medical stuff,” but had military services, especially quality issues This interactive CD will contain current some extraordinary duties. For over two “Oh,” she added, “a highlight was being presentations and input from each listed years, she was the mentor for the Health ‘top doc’ to the famous annual Marine group and will function as a reference and Professions Scholarship Program (HPSP) Corps Marathon in Washington.” Illustri- a link for these critical relationships. The CD for 1200 medical students who were on ous career, fascinating activities and widely will be distributed to all ACOP members, scholarships preparatory to entering the interesting activities. That’s what “Peg” program directors, department chairs, and service. She advised them and guided Orcutt-Tuddenham – Pediatrician -- added board examiners. Stay tuned for your latest member benefit! them through the rigors of the program. Al- to her 28-year naval career.

New Pediatric Practice Opportunity Resource is Board Certified/Board Eligible Pediatricians The Genesis Health System Physician Recruitment Department in Davenport, Now Available Iowa is looking for a Pediatrician for its busy Genesis Health Group practice in A new comprehensive resource cov- the Iowa Quad Cities. ering care and handling of children under • Join a collegial group of Pediatricians who are supported by a Nurse disaster conditions has become available Practitioner. There is already a significant patient base on which to build Pediatric Terrorism and Disaster Pre- your practice. paredness: A Resource for Pediatricians • Practice in an office run by experienced managers where you can concen- enables physicians to become informed and trate on your patients. aware of their roles in disaster prepared- • Take advantage of a very competitive salary, bonus and benefit pack- ness and response. It is a reference that age. pediatricians can consult in planning for, • Utilize the state-of-the-art facilities within Genesis Medical Center, a and responding to, natural disasters and 502 bed hospital that includes pediatric sub-specialists among its medical bioterrorist events. staff. The report covers such topics as • The call schedule is 1:4. coordinating with government agencies, The Iowa and Illinois Quad-Cities have a total combined population of care for mental health needs of children, a 400,000 people. The cities in the community are in both Iowa and Illinois, and how-to for pediatric offices for emergency are separated by the beautiful Mississippi River. We have a variety of universities, preparedness, and mechanisms and out- golf courses, museums, libraries, restaurants and theaters for the active family. comes of various categories of terror events The schools in Iowa consistently rank among the top schools nationally. Our local and natural disasters. schools, both public and private, have always been ranked in the top 5 in Iowa. The full report or a summary of it is The cost of living is extremely reasonable, while lifestyle options are plentiful. available from the Agency for Healthcare Should this interest you, I would appreciate your contacting me at (888) Research and Quality (AHRQ). Informa- 437-5480. You may fax your CV in confidence to (563) 421-7899 or email at tion on obtaining these papers or download- [email protected]. ing it yourself can be obtained at www. ahrq,gov/research/pedprep/resource.htm. Respectfully yours, Pediatric Terrorism and Disaster Pre- Mary Boyd, Manager paredness was prepared by the American Physician Recruitment Academy of Pediatrics for AHRQ,

Pulse | Winter 2007 American College of Osteopathic Pediatricians  PRE-SORTED STANDARD US Postage PAID Permit No. 304 Richmond, VA

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Book Review

by Stewart A. Hinckley

Parenthood: Laugh and Understand Your Child by Arnold Melnick, DO

Just as physicians read journals and attend lectures to continue their medical education, parents should read books, too. In his latest book, Parenthood: Laugh and Understand Your Child, Dr. Melnick encourages parents not to be nervous or afraid, and to use their intuition. He also suggests that parents shouldn’t interfere with their children or push them too much. This book would be an excellent learning tool for the parents of children in your practice as well as the basis for discussion among students, interns and residents. In addition, it is the only book on this subject written by a DO...and a fellow ACOP member! Dr. Melnick guides the reader on development, discipline, punishment, toilet training, sex education and more. This clever and funny book stresses that parents should under- stand their child’s limitations, set reasonable and high standards, enforce the rules and expect obedience. It is clear in this book that loving your children does wonders. Most importantly, talking with your child often means listening.

Parenthood: Laugh and Understand Your Child, published by PublishAmerica, Baltimore MD, 121 pages, soft cover, list price $17.95, is available directly from the publisher for $14.95, plus postage: (301) 695-1707 or www.PublishAmerica.com or any online ookstore.