Dr. Molly’s Weblog

Molly O’Shea starts a revolution in pediatric care

Wall-e June 29, 2008

Filed under: mental and emotional health, musings — drmolly @ 9:51 pm

It was a chilly, rainy morning and instead of watching another episode of ‘Fairly Odd Parents’ we all hopped in the van and headed up to St. Joseph.  What a beautiful town!  It is situated quite literally on the edge of Lake Michigan and the water is visible from every place in town.  By the time we got there the sun was out.  We strolled around for a awhile and went into a terrific little toy store, akin to Adventures In Toys in Birmingham, where the kids got little souvenirs of our trip. 

After lunch, we saw Wall-e.  It was a suprisingly quiet and good movie.  It seemed a little long to me but the messages were terrific.  SPOILER ALERT!  I AM ABOUT TO GIVE AWAY THE HEART AND SOUL OF THE MOVIE!  The basis of the movie is that humans created so much trash that they had to abandon the planet to have it cleaned up by robots of which Wall-e was the only one remaining after 700 years.  He lived a quiet existence sustained by ‘treasures’ he finds among the trash and watching an old video of ‘Hello Dolly’ dreaming of having someone else to connect with.  Meanwhile, the humans were all on a cruise ship of sorts in space which was supposed to be a temporary plan but turned into a permanent one when the planet couldn’t be cleaned up of all the toxic waste.  Over the centuries in space, the humans have become completely isolated from one another (and their own identity) as they lived in a world of liquid meals and virtual reality screens.  They never actually walked around but were transported from here to there on mobile easy chairs while they watch a virtual reality and never talked to each other.  They were separated from the children and each other.  Periodically, the space cruise ship sends a probe to earth to determine if it is habitable and that is when Wall-e meets Eve and falls in love.  He is desperate for connection and even though they can’t speak the same language they communicate beautifully.  Wall-e wants nothing more than to hold Eve’s hand, to touch and connect, to share a part of life together.  The movie progresses of course and has its twists and turns but the message remains the same: that what makes us human, what makes us whole, is being connected to one another.  Wall-e and Eve connect and the humans disconnect from the virtual and connect with themselves, each other, and reality.

It is easy in this world of the internet and text messaging and far-flung families to forget how important it is to touch each other physically and emotionally.  It is easy to remain emotionally self-sufficient in many ways, not ‘bothering’ others with the sadness or challenge or happiness in our lives and indeed we can lead a very content life in this way.  But when we connect and share ourselves with someone else, trust that person to listen and care, our lives are much more enriched. 

I am reminded of how easy it is to disconnect when I feel the difference on vacation with my family.  I try to connect in big and small ways each day but this prolonged closeness is wonderful.  And magical. And a lot like holding hands.

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com

 

Sand everywhere June 28, 2008

Filed under: musings — drmolly @ 10:00 pm

Ok it’s official, I love vacation.  I love the jigsaw puzzles and the Scrabble games and the body surfing and the fire pit digging and the book reading and the dinner cooking (for real!) and the Sponge Bob and HGTV watching (we don’t have cable at home) and the smells of summer on the lake.  I don’t even mind the sand that is everywhere (and I do mean everywhere). 

Declan loves the food.  He loves it so much that he woke up at 2 am and was rummaging around in the kitchen making his breakfast because he was so excited to have Trix and Cinnamon Toast Crunch and Lucky Charms since these are vacation treats.  Before I go on let me tell you something about Declan, he LOVES to eat.  The kid is a walking stick figure but eats a ton of food.  He will eat anything….he would eat an old shoe if I told him he’d like it….but usually chooses really healthy stuff and since he seems to be self regulating well, I only limit the times he can eat (meals and snack times) so he doesn’t eat constantly.  Even so it was incredibly unusual to have him awaken in the middle of the night trolling for food.  It was like he had taken Ambien and was sleep eating!  He was hard to corral back into bed and then awoke at 5 and 6 am and had to be returned to bed again!  I am hoping for a sounder sleep tonight!

I have HGTV awaiting me.  Off to play!

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com

 

Autism and mitochondrial disorders? June 28, 2008

Filed under: Health, autism, vaccines — drmolly @ 8:21 am

Another very good article appeared in the New York Times today about autism http://www.nytimes.com/2008/06/28/health/28vaccine.html?ref=health.  This article explored the relationship between a very rare set of genetic disorders, vaccination, and autism.  If you remember the noteworthy Hannah Poling case that was recently decided in the parents’ favor in which the parents asserted that their daughter’s autism was caused by her vaccines, the issue of mitochondrial disorders first got lay press attention.  Hannah Poling has a rare genetic condition that causes the energy producing parts of her cells (the mitochondria) to malfunction and the result is a condition that has all the features of autism.  A special committee is convening to consider how to best go forward with research to better understand this association since the vast majority of kids with mitochondrial disorders tolerate their vaccines with no problems.  Actually, the article mentions that most children with these disorders are identified after a routine viral illness like a cold that triggers the symptoms. 

The mitochondria, because they are the energy producers in all cells and are made up of RNA, are susceptible to mutation and as a result can cause problems even with no family history of a mitochondrial disorder.  The way these disorders are diagnosed is with a muscle biopsy and examination and so testing routinely for them is not done unless there are symptoms.  The typical symptoms include muscle weakness (hypotonia), delays in many areas of development, seizures and eye problems.  The milder kids may have a predominance of language and/or cognitive delays that look a lot like autism.  The good news is that most kids with these disorders tolerate vaccines just fine and it really is the one in a million children with mitochondrial conditions that will have an adverse effect from vaccines. 

I don’t bring this up to cause you to panic and wonder if your child has a mitochondrial disorder, or to encourage my families with autistic children to have muscle biopsies done (there is no treatment for these disorders) but rather to show that research and interest continues.  There are some people who believe that the medical establishment is interested in quashing any data that implicates vaccines in causing any adverse outcomes and that simply is not the case.  What the panel will do is discuss the cases at hand and design studies to explore the issue further and determine the breadth and depth of the association.  By studying the association, we can know more about what role, if any, vaccines played in the appearance of autism in these children and if a relationship between the two exists, discern what, if any, warning signs can be found to adjust vaccine choices for these children.

I am glad to be in a profession that will question and re-question things, that will not just lay a subject to rest when certain things have been laid to rest.  Autism is a life-long and at times severely disabling condition and until we can determine the cause(s), every possible link needs to be explored.

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com

 

ahhhh vacation June 27, 2008

Filed under: musings, technology — drmolly @ 9:05 pm

Hello from Union Pier, Michigan!  This morning the family and I embarked on a journey across the great state of Michigan which ended in a little town just north of the Indiana border.  Kevin and I had been here to a wonderful place called the Pine Garth Inn about 12 years ago and we were pampered and well fed and luxuriated on the beaches of Lake Michigan.  This was pre-kids….we have returned to this little town once since when Mairen was about 2 1/2 and Declan was about 6 months old…..not nearly as pampered or well fed (unless you consider baby food and lentils for my vegetarian daughter well fed).  Since then we have spent nearly every summer in West Michigan on the Lake for a week or so enjoying the simple pleasures of sand castle building, body surfing and fly and mosquito swatting.  Two summers ago (our last time in these parts) the black flies were such a force to be reckoned with that even on the beach we were constantly being nibbled at.  This summer is better….the beach is nearly free of flies and mosquitos and the water is remarkably warm for late June. 

We left the house around 10 after having handed off the key to the office to my brother Chuck and handed off the e-MDs installation discs to Nick, the engineer, and with the back of our van crammed with food and luggage and kids we started off.  By 10:10 the inevitable question was first uttered, ‘how long until we get there?’  We hadn’t even left Birmingham yet!  Thank goodness for portable DVD players!  Now when the kids were younger I absolutely poo-pooed the use of these portable babysitters and even thought those folks with the dvd players built into their cars were sort of sad since they were so interested in being disconnected from their kids.  About 2 years ago I became a convert.  To drive the nearly 4 hours without having to hear things like, ‘he’s touching me’ or ’stop looking at me’ or ‘you are breathing too loud’ was magical.  I arrived at our destination and actually wanted to get out of the car and be with the kids rather than running, screaming in the other direction.  The vacation started with a wonderful happy closeness and I have a portable dvd player to thank.  Anyhoo, we stopped in Marshall along the way for lunch at the Corner Cafe and sat outside in the sun for our midday meal.  We plugged along and arrived at Union Pier in plenty of time to explore our cottage (a gem!) and the beach and water (fantastic!). 

The little cottage we have rented looks quite plain on the outside but inside is wonderfully decorated and filled with comfortable furniture.  Beautiful prints, bright yellow walls, a skylight and windows galore are at the front of the house with a screened porch the size of a living room attached.  The kitchen is small but beautifully appointed and the dishes don’t look like the mis-matched hand-me-downs or flea market finds I am used to.  This place is both inviting and relaxing and very easy to live in.  NICE

On the way out, I made a few phone calls and other than answering a few emails I have been blissfully unplugged.  This is a wonderful and necessary thing at times.  I am loving the time away and the time with my kids.

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com

 

Logo preview, Ikea, Dynamic HR and more! June 26, 2008

Filed under: build out, community events, design/furniture/aesthetics — drmolly @ 10:28 pm

God love Christopher Billick at Skidmore.  He is something else.  I had decided to sponsor a movie series in Birmingham this summer (last Friday of the month for the next three months) http://www.enjoybirmingham.com/index.php?c=event&l=372 and needed a logo for the screen in Shain Park before the movie starts.  Christopher came through!  Here’s the first draft of the logo.  I will be changing some things but you get the idea…Have I got more good news!  I went to Ikea today and got a TON of stuff for the office.  I met with Harmony in the small business area and we went to town!  Although I will have 16 exam rooms, I am only outfitting 12 of them for now as well as the reception area, my office, the break room and the front reception desk.  Here are some links to the reception area chairs: http://www.ikea.com/us/en/catalog/products/50103171 not in the pattern you see but in Blad multicolor which you can click down on the product and see, http://www.ikea.com/us/en/catalog/products/S19840304 not the pattern you see but in Dillne Multicolor which you can click down on the product to see.  I also have cobbled together a reception desk of sorts from several components at Ikea.  Here are some of them: http://www.ikea.com/us/en/catalog/products/S69831118 (2 of these for the sides), http://www.ikea.com/us/en/catalog/products/48036310 for the front with a top on it…. http://www.ikea.com/us/en/catalog/products/30118343

I also ordered the leather sofas, desks, desk chairs and storage cabinets for 12 exam rooms as well as a funky light pink egg shaped desk for my office.  Neato!

Today was great too because I met with my HR and payroll company guys Dave and John and they are going to do all the heavy lifting when it comes to FICA, 401k, flexible spending, direct deposit, workman’s comp and health insurance.  They are also helping provide me with policy manuals for the employees and will get the HR part of my life organized.   Nice to outsource it!

Lastly, today was great because I saw the space again and the electrical and plumbing rough in are nearly done.  Wow!  I have some more pictures on the Build Out photos page and one includes Mark who looks like he is in prison (and he sort of is!)  Poor guy, he is working his but off to get this project done on time.  He has two boys, ages 10 and 7, who don’t even remember what he looks like because he has been working such long hours.  Goran, my electrician is doing a bang-up job and Mike from Cutting Edge Computers has already got my T1 line and voice lines in!  Wow!  Thanks to the hard working crew and a special thanks to Frank, my architect/builder, who is keeping everyone on track and under budget.

Tomorrow my family and I leave for Union Pier, Michigan for a week of R and R.  I am really looking forward to it and will be spending some time working on handouts and brochure materials and spending some time just reading ‘The Hakawati’.  I will continue to blog while away and keep you abreast of the build out, the weather and the slow and lazy summer days at the beach.

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com

 

 

Withdrawal June 25, 2008

Filed under: aap, mental and emotional health, musings — drmolly @ 10:50 pm

Today was my first day back in the swing of things (sort of).  When I got up this morning, the kids had decorated my dressing room and made a huge, colorful ‘Welcome Home Mom’ banner in the dining room.  Wonderful and sweet and genuine….then I had to lower the boom….I had to tell them that I needed to spend essentially the entire day doing stuff for the office….meet with my architect and make final choices on materials, do a few home visits, and have a meeting with my lawyer.  Talk about guilt!  Then, in my infinite wisdom (?stupidity) I offered them the option of accompanying me for the day which they readily accepted.  Now understand my kids are terrific and patient and polite and wonderful but even the perfect angels I was blessed with were not ready for the long haul they were in for.  Other than the ‘treat’ of a rushed meal out, my time was pretty much focused on my work.  After having been away for many days, this seemed like torture for all of us.  I had to do all this today since we are going away on our family vacation Friday and all this stuff needed to get done but still…what sort of parent schedules things in this way!  STUPID PARENT that’s who!  Conall was at one point clinging to my neck and giving me gentle kisses on my cheek (normally something I would relish since he is 7 and the times like this are fading fast) but instead I shooed him away since I needed to finish the discussion I was having with my architect.  NICE.  MOTHER OF THE YEAR material for sure.

Today and the busy-ness of the last several weeks have brought into sharp focus the fact that I am not a superwoman.  I am a mom and a pediatrician and a committee member for the AAP and a wife and a daughter and a new business owner and frankly, there aren’t enough hours in the day for all of that sometimes.  I am going to do some reassessment while on vacation with my family.  Don’t worry…the practice and the kids are givens…but I may back away from some of my other commitments with the AAP for a while even though I enjoy them.  Right now I feel like I am doing very little well and lots of things halfway and that is no way to live!  I want to focus on my practice and my kids for now and achieve a new balance and comfort and then pick up more outside commitments after that new equilibrium is reached. 

Soooo if the AAP leadership is reading this, let me say that I love serving on committees and running meetings and I love the friendships and stimulation the AAP involvement provides but I need to make my practice and my kids the priorities for a while at least and pull back.  I will still come to conferences to learn things and will still run a meeting or two a year but the six or eight meeting schedule I have been keeping is not realistic for now. 

In that same vein, since I will be on my family vacation, then in Austin for training and then in Chicago for the last meeting for a while, I am limiting my home visits.  By the time I get back in mid-July the office will be just two weeks from opening and I will have furniture and decor and supplies and everything else to focus on….I love the home visits but need to confine them to a more realistic space in my life.  When the office opens, I will be scheduling them in a more defined way to ensure a balance between work and the rest of my life. 

Tomorrow I will have photos of furniture pieces and buildout stuff!  I am meeting Chris at Ikea to place my order!  Get excited!

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com

 

lotsa logos June 24, 2008

Filed under: activity, design/furniture/aesthetics, technology — drmolly @ 8:39 am

Meeting with Tim and Christopher from Skidmore Studio in Royal Oak a week and a half ago was an amazing start to my digital venture.  We talked about my vision for the practice and how that vision can be translated into a visual image and web site.  The first step in the process is to design a logo that encompasses both a look and feel for what I am trying to do.  I specifically said I was looking for clean lines and an ‘adult’ look (as opposed to a cutsie kid logo which is great but not me).  What an amazing job they did!  Tim sent me 25 logos (they had actually done over 50) to peruse and comment on and naturally there were some I hated, some that I was lukewarm about and luckily there were two or three that I loved.  We are in the process of refining it now and I hope to have a final version soon to share with you!  Seeing the images they generated really reinforces for me the fact that they listened and ‘get’ me.  NICE!  I know the next steps in web design will be just as fruitful.

I wish I could cut and paste the two that I like the best (of note Kevin, Mairen, and a couple of close friends looked at them too and we all agreed on the final two) into the blog but they aren’t formatted in a way that could be copied.  I will make sure I have a copyable version when the final one is chosen to debut it here. 

Today is a travel day for me, finally returning home after a long but productive 5 1/2 days away.  I have missed my kids tremendously and look forward to reconnecting with them.  I will be in town Wednesday and Thursday before leaving for our week-long family vacation and will be blogging daily again from this point forward.  Lots will be happening at the suite and I will have photos for you tomorrow night with the updated stuff.  Electrical and plumbing are actively being installed now and we are making our final choices of finishes for the doors and sinks and cabinetry and are starting to think about wall covers.  I can’t wait to unveil my new office in just over 6 weeks!

Since I have been trapped inside for days, I expect you all to go outside and play on my behalf.  Take a walk or go swimming or work in the garden or swing at the park or stroll through town window shopping.  Anything!  Just get out and appreciate the wonderful aspects of your life.

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com

 

Fear of airports (but not flying) June 22, 2008

Filed under: mental and emotional health, musings — drmolly @ 9:49 pm

I really like traveling but hate the stress associated with getting to the airport gate.  I know many people who hate the flying part but for me, the stress comes long before that.  Perhaps it is in part due to the fact that I have been the lucky recipient of the random search on a fairly regular basis which adds a good 10 minutes to the time to get to the gate….maybe if I didn’t look so anxious about the whole thing I wouldn’t be ‘randomly’ picked so much.  Perhaps it is the fact that whenever I drive into the McNamara terminal parking structure every spot is filled except for the ones up on floor 10 which doesn’t even have elevator service.  Perhaps it is because I have to take about 22 pieces of clothing off, remove my laptop and the quart sized bag full of stuff just to get through the metal detector.  Or perhaps it is just that I don’t want anyone to see me running through the airport a la OJ Simpson with a dress and heels on when I am about as clumsy as could be.  Anyhoo, yesterday I was driving my Hertz rental back to O’Hare when I got, shall we say, just a little off course (read completely lost).  I have driven this route about seven times a year and never once gotten confused but yesterday I did.  I ended up driving about 10 miles out of the way and had to double back only to remember that I still had to fill the tank, return the car and get to the gate and my flight was only an hour away from takeoff!  Now I know you are thinking to yourself, “Plenty of time, RELAX!” but all I kept seeing was a missed flight and then a night in O’Hare all by myself.  Keep in mind that I usually am at the gate at least 1 hour and 20 minutes ahead of takeoff and don’t mind the long wait there.  Soooo, I was nearly having a nervous breakdown when I got to the gas pump and my credit card didn’t go through!  I ran into the station shack, slammed $35 on the counter and dashed back to fill up the tank.  Lucky for me I only had about 1/3 tank to fill since it took nearly the whole amount I had coughed up.  I then got to Hertz and had another near stroke.  When I had arrived on Thursday, it had taken over an hour to wait in line and get the rental (obviously I am not a Gold member) so when I drove in and saw seven cars in front of me in the return line I started hyperventilating.  By the time I got checked in and on the shuttle to the airport I was down to 30 minutes before take off.  I was relieved to know that because I had checked in and printed my boarding pass there was still a pretty good chance that I would have a seat assuming I could get through security quickly.  The shuttle driver, Lionel, was really nice and all but about the slowest driver on the face of the earth and so a good 10 more minutes ticked off the clock before he had dropped me at the terminal.  I had a carry on so I went straight to security and stripped and stacked and processed all my crap and then ran with my socks on to the gate.  I got there just before they closed the door and I made it to my seat in the nick of time! 

I bet for some of you this would be an adventure of sorts, a great story to recount, and other than a few beads of sweat, nary a bit of anxiety.  Well not for me.  Last night I woke up twice in a sweat reliving the sprint to the gate.  For me, the events of yesterday served to give reinforcement to an already exaggerated fear of missing a flight.  I bring this up not just to warn you that if you ever need a ride to the airport, you had better be ready six hours ahead of time, but also to point out that stress and anxiety are in the eye of the beholder.  We all have quirky things that stress us out.  Nearly all of which are based on something real, something that could actually go wrong, but our response is completely out of proportion to the actual risk. 

Kids are like this about many things….parents leaving the room, sleeping on their own, going to their first ‘drop-off’ party, spiders, bees, green vegetables, you get the picture.  We, as adults, are charged with the job of helping children learn perspective: to learn which things are really worthy of fear and anxiety, which are worthy of caution but no anxiety, and which are worthy of neither.  This is no easy task at times.  Children are often steadfast in their belief that there are monsters under the bed, or that the house next door is haunted and are difficult to dissuade.  When we, as parents, reinforce the concept of anxiety by not looking at reality ourselves and imagining the worst possible outcome we make matters worse. 

We, as parents, are guilty of hyperbole too.  We have fears of kidnapping, home invasion, sexual predators, etc that are way out of proportion to the reality of life.  It doesn’t help that television is quick to focus on and emphasize stories that reinforce these fears but the truth of the matter is that we instill a sense of anxiety in our children when we don’t allow them to play in the back yard for a few minutes on their own or don’t encourage them to walk to school with a friend when they are in grade school.  I know that we all grew up and played outside all summer with our parents having some vague idea of where we were but little else and I am not suggesting that complete hands off parenting is the answer either but what I am encouraging us all to do is to examine the reasons behind our reluctance to encourage independence in our kids.  For some parents, the idea of letting a child cry at night and learn to fall asleep on her own results in so much anxiety for them that they cannot encourage their child to achieve this important milestone.  For other parents, transitioning to table foods is significantly delayed because of a parent’s fear that the child will choke when in reality the risk of that is exceedingly low.  For some parents, the normal assertions of independence that children make in the form of defiance results in such anxiety that the parent ‘gives in’ or ‘gives up’ trying to set appropriate limits for kids (whether those kids are 3 or 13).  For some parents, allowing their child to make mistakes and even fail is so stressful that they will do nearly everything in their power to prevent that from happening. 

Children learn about anxiety from us.  Look closely at how you manage your own worries, how you encourage or discourage confidence in your children, and look closely at your flight time before you leave the house!

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com

 

Hello from Elk Grove Village! June 20, 2008

Filed under: aap — drmolly @ 10:23 am

I love doing things for the American Academy of Pediatrics.  I have been a member since medical school and have served on national committees and in the leadership of the Michigan Chapter since 1994.  Most of what I have done for the national group has been in the area of continuing medical education (CME).  I have set up CME programs for the pediatricians in Michigan and after doing that for about 4 years was tapped to come to the national organization and do the same thing.  The AAP tries hard to make the conferences geared to the practicing pediatrician both practical and stimulating and puts on one huge meeting each fall for 5 days in cities around the country (this year in Boston) for about 10,000 pediatricians.  This weekend the group that plans the content and chooses the faculty is meeting in glamorous Elk Grove Village, IL where the AAP is headquartered to duke it out.  The committee is made up of about 35 pediatricians and specialists from all over the country and we read through the literally thousands of session proposals to put together a meeting that will be diverse and practical and even highlight the cutting edge information in our specialty.  Since I am one of only two private practice pediatricians on the committee, I have to fight to keep the program relevant and interesting to the generalist in practice.  It is a wonderful group of people and I have made many friends as a result of my work with the Academy.  I always learn something when I come to these meetings even though they are not CME activities themselves because the specialists come with an ax to grind on whatever the cutting edge topics are.  I remember five years ago the Infectious Disease specialist in the group was really pushing to have MRSA (the resistant staph bug) prominently placed on the meeting agenda and we all thought he was nuts.  MRSA was a rare problem, one that was specific to the hospitalized or very ill child and the thought that this was something the practicing pediatrician needed to be well versed in seemed remote and sort of sensational.  We agreed to put it on the agenda for the meeting which was 18 months later.  By the time the meeting came, we were all knee deep in MRSA and those sessions were completely full. 

So far I have no MRSA smoking guns to report from this meeting but I can tell you that being involved in this way keeps me engaged in learning.  I have always loved to learn but there are times when life sort of gets away from me and the ability to spend time perusing journals and reading review articles is non-existent.  These meetings and my involvement in their planning helps fill that space for me, keeps me current and intrigued by the world of science and pediatric medicine.  This fall, in Boston, I will have my national debut as a speaker.  I have run these meetings (as a sort of emcee) but have not been a faculty member at the national level.  I was asked to prepare a talk on Developmental and Behavioral issues using primarily video tapes of patients and photos (the session is called Visual Diagnosis) to highlight particular issues.  I am just now starting to get the slides together and would love to get more video footage of kids with either developmental issues (like delays) and especially children with speech issues including the transient stuttering of the preschoolers and a variety of kids on the Autism spectrum.  If you have a child with developmental issues/delays or speech and language issues and would be willing to let me interview you and your child in your home to use clips of as teaching tools I would greatly appreciate it!

The break here is over so I am back to work for the Academy.

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com  

 

My kinda studs! June 18, 2008

Filed under: build out, illness, musings — drmolly @ 10:44 pm

First off let me tell you, there is one wicked viral illness goin’ ’round!  Take a look at poor Conall (my 7 year old)…this is a picture from yesterday…Soooo if you have kid looking like my poor sweet boy, know that the fever lasts 3-4 days and the illness has reddish eyes with no goop, some sore throat and stomach ache. 

On a much brighter note, the studs are going in at the new office!  I put some new photos on the build out page and Mark is working hard to get the whole thing done on time.  The fire suppression team was in today as well finishing up the sprinkler system so that even I won’t be able to destroy the place! 

I spent the morning doing more paper and computer work to get myself all set with insurances and my EMR and I must say THAT is one boring job!  My mom and Mairen took all the stuff to have it faxed since neither of us has a fax at home and there was so much stuff it took 2 hours to fax it all!  YIKES!

Tomorrow I leave for Chicago for a meeting at the American Academy of Pediatrics.  I sit on a couple of committees for them and this meeting is one where we plan all the educational sessions for the National Conference and Exhibition that happens each fall.   There are about 10,000 people in attendance at the fall meeting so planning it is a really big job.  Now before you get jealous and picture me shopping the Magnificent Mile, you must know that the meeting goes from 2-10p Thursday, 630a-10p Friday and Saturday and 7a-12p on Sunday.  AND to make matters worse, the AAP isn’t even in the city!   I travel to scenic Elk Grove Village (actually it is quite scenic) several times a year to be locking in a series of conference rooms with other pediatricians from all over the country.  Oddly enough, I am looking forward to the planning meeting this weekend…it is a slug fest as we each try to get our pet sessions on the program.  The group who puts the meeting together is great and largely made up of specialists so a general pediatrician like me actually pulls some weight for a change.  I get to tell the specialists they are all wet when they want to put some esoteric thing on the program.  NICE! 

I am travelling a lot over the coming four weeks and will still be blogging (it is cathartic at the end of the day) and checking my email but will be somewhat less accessible.  After getting back from this meeting, my family leaves on Friday for our week-long vacation in Union Pier, Michigan which is just north of the Indiana border on Lake Michigan.  http://www.butterflybungalow.com/index.html  This place is nicer than my house!  I may never come home!

After the week of family vacation, I head out to Austin for e-MDs EMR training from Sunday night through Saturday morning before making one more Chicago trip for a meeting from the next Wednesday through Friday.  Sooooo if you were hankering for a home visit, you may have a bit of a wait!

If you have questions, comments, or want to schedule appointments for anytime after August 3rd, feel free to email me at drmolly@birminghampediatrics.com or call 248 770 7245.

Eat, love and play and each day will be your best!

Molly O’Shea, MD  Birmingham Pediatrics + Wellness Center

www.birminghampediatrics.com