Author profile
Wilma Arruda, MD,
CASE: 14-month-old Janine (not her real name) was referred for assessment of her “bowed legs.” X-rays showed cupping and fraying of the metaphysis and osteopenia. Further history revealed that Janine had been... Read More
It is the last week of August. I am seeing Susan (a fictitious patient) in my office as a referral from her family doctor. Susan is about to start kindergarten and her mom is worried about her daughter’s asthma.... Read More
It is 15:30 on Thursday. I retrieve the next chart in my door and see the patient is Scott, a 9-year-old boy. The referral note from one of my family physician colleagues asks me to see Scott for attention deficit... Read More
Shifting the spending in human capital to the young in British Columbia Baby Charlie (not his real name) is coming in for a follow-up appointment. He is just over 1 year old and I’ve been following him frequently... Read More
The scenario is all too familiar. It is Friday night. I am on call and asked to see 11-year-old “Jenna,” who has been brought to the emergency department by her mother because she is “out of control.” Jenna was raging... Read More