pediatric housecalls Robert R. Jarrett M.D. M.B.A. FAAP

Hello, and welcome to Pediatric House Calls. I am…
A Physician board certified in Pediatric medicine with Clinical experience including caring for infants, children and teens – well these days mostly children and teens up to twenty-one;
An Administrator experienced in top medical management for several national health insurance companies;
An Author of health care manuals, newspaper columns and even children's stories;
A Business Medical Consultant for drug companies, insurance companies and physician practices;
A Veteran of the US Navy in the Vietnam era;
And…
I make House-Calls.

Sudden Cardiac Death in Child Athletes

Sudden Cardiac Death is, by definition, both sudden and unexpected – especially in a child whose life is supposed to revolve around “play” and “fun.” Unfortunately, it is also increasing.

Just as unfortunate, children’s “play” is often “industrialized” into major competitions with adult methods, standards and expectations leading to unintended consequences.
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Child Cardiac Arrest: Intro/Index

This was a fun series of articles to write, but about an almost terrible experience on a 17-year-old boy athlete. It made the papers when he ostensibly had a “heart attack” on the baseball field.

The reader gets to “see the patient” and make a diagnosis (and see my humorous side) while learning about the four causes of sudden cardiac arrest in a child.

In follow-up we see some of the emotional side-effects of the near-death experience, exacerbated by viewing social media; and learn methods of problem-solving the correct way.

5 Posts in "Child Cardiac Arrest" Series

  • Sudden Cardiac Arrest in a Child: Intro/Index – 25 Jul 2016
    A heart attack or death of a child is always a major and emotional event; but, when it occurs in an otherwise healthy child participating in a sport even it often makes the news. These posts explain most of the why, who and how's of these dramatic occurrences.

  • Sudden cardiac death – 26 Jul 2016
    Sudden cardiac death in children is an "eye-opener" and shouldn't happen, especially to a healthy athletic one… right. But it does happen, all too often; and when it does it often make the newspaper. This article lets you be involved with a 17-year-old athlete who does just that— good luck!

  • Sudden cardiac arrest - case – 7 Aug 2016
    A somewhat interactive educational article about the four most common causes of sudden cardiac arrest and collapse in a child: Hypertrophic cardiomyopathy, Myocardial infarction, Long-QT syndrome and Commotio cordis.

  • Commotio Cordis: Treatment and Prevention – 26 Aug 2016
    You made such an impression on that 17-year-old boy who nearly died on the baseball field last week that he's now back for his followup with the question: “When can I go back to playing baseball?” Well, how about it?

  • Commotio Cordis: Prevention and Return to Play – 9 Sep 2016
    HEEES BAAAAACK! The 17-year-old who you've (well I've) been treating for his heart problem: Commotio Cordis. He's several weeks now from his near-death experience and is back for his second follow-up and a discussion about: Survivability, Prevention and Return to Play.


If you’ve enjoyed this little romp through children’s sports issues you might like to read about children’s fitness.

Fireworks and Kids 

I’ve written about fireworks and kids before and the time is on us again. I missed the reminder this year for most of the country on July 4th; but, in Utah the battle starts all over again on July 24th, Pioneer Day, which sort of commemorates statehood.

And it is a battle; especially now that all the box stores began selling “mega-boxes” of the gunpowder laden flammables over a month ago and parents are dropping several hundred dollars on the stuff at a single “pop.”

Who do YOU think wins in the battle? The fireworks or the kid?

Keep it sane folks. Please!

Follow link to:  Fireworks and Kids 

Josh Grobin and Friend

We’ve had a fairly long sequence of pretty deep medical articles which, If I’m honest, were also exhausting to write for me; so, let’s take a bit of a break from the intensity and see something that is just so refreshing to me that it brings scratchiness to my throat when I see it. Here’s singer Josh Grobin doing what he does: sing. Watch his eyes and body language and see how he handles this girls experience.

I’m terribly sorry!
It seems as though You Tube just doesn’t like to serve older posts anymore. Josh Grobin is an unusually giving performer and this video with a youth audience member touched my heart deeply. I know many of you got to see it, I’m sorry it’s not here anymore.

See the video…

Safe Sleep For Infants: SIDS & SUIDs

The slogan “Back to Sleep” which revolutionized infant sleep methods has been changed to “Safe To Sleep” to broaden its scope and bring other causes of sleep-related infant death “into the fold” for research. Perhaps you already knew that, the slogan has been registered as a trademark of the US Department of Health and Human Services.
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Otitis Externa: Swimmer’s Ear, More Than An Annoyance

That gunky, smelly, puss draining out of your son’s ear is an infection called ‘Otitis Externa‘ – or possibly Otitis Media that has ruptured and is draining.

With the history you gave I’m guessing it’s ‘externa’ – you can call it ‘Swimmer’s Ear‘ but I don’t, cause it’s certainly caused by a lot more things than merely swimming.
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