How often do you perform physical exams on your patients? His top areas of expertise are X-Linked Hypophosphatemia and Hypophosphatemia. Definition: Pediatric Endocrinologist (for Parents) - KidsHealth If a patient has a tumor on their pituitary gland, what are the treatment options? It can lead to symptoms such as headaches, joint pain and vision problems. Many factors contribute to osteoporosis, including age-related changes to hormone levels. Definition, etiology, and evaluation of precocious puberty. I also think there will be more virtual interaction between medical providers and patients with doctors and nurses reviewing blood sugar data in the cloud.. Or some newer formulations can be given at longer intervals. Dr. Dauber references two case studies about growth and puberty: The growth case study refers to the PAPPA2 gene, which was particularly meaningful for Dr. Dauber since he got to know the family and was able to provide answers to a previously undiagnosed medical mystery about short stature. By doing this, I can develop a personalized treatment plan that takes into account their lifestyle, medical history, and any other factors that may be relevant. Henry Johnson Yes, just very distant ones, says Dr. Dauber. My approach to care involves taking into account the individual needs of each patient while providing them with comprehensive information about their condition and available treatments. Accessed Jan. 20, 2023. My approach is always tailored to each individual case, and I strive to provide the best possible care for my patients. Looking for more information about caring for a child with t1d? At each visit, the doctor: will check your child's growth; may order blood tests to see how your child's body is responding to the medicine; change the dose, if needed; Side effects are rare at the doses used for growth hormone deficiency. Q5: Can you predict height and growth by looking at genetic factors? You may also need to go back to the endocrinologist if the symptoms that brought you there in the first place are not improving with treatment.. Example: When I have a difficult conversation with a patient who doesnt want to follow my recommendations, I always make sure that I approach it in an empathetic and understanding manner. Obesity is a chronic (long-term) medical disease whereby the body carries too much body fat. It could be that the side effects were too severe or that they simply forgot. Example: As an endocrinologist, I believe the most important thing to remember when dealing with patients is that each individual has their own unique set of needs and concerns. In this case, manipulating growth pathways may help alleviate health problems associated with achondroplasia: lack of mobility or range of motion, an enlarged head, apnea, ear infections and spinal stenosis, or a compression or pinching of the spinal cord. This has given me an excellent understanding of how these systems can be used to diagnose and treat endocrine disorders. This content does not have an Arabic version. Endocrinologists must be able to recognize which glands are most important for their patients and how they can maintain balance. https://www.endocrine.org/patient-engagement/endocrine-library/precocious-puberty. Endocrinology is a subspecialty of internal medicine. and clinical education modules for a range of endocrine topics plus dozens of interactive decision algorithms and other point-of-care tools. (e in b.c))if(0>=c.offsetWidth&&0>=c.offsetHeight)a=!1;else{d=c.getBoundingClientRect();var f=document.body;a=d.top+("pageYOffset"in window?window.pageYOffset:(document.documentElement||f.parentNode||f).scrollTop);d=d.left+("pageXOffset"in window?window.pageXOffset:(document.documentElement||f.parentNode||f).scrollLeft);f=a.toString()+","+d;b.b.hasOwnProperty(f)?a=!1:(b.b[f]=!0,a=a<=b.g.height&&d<=b.g.width)}a&&(b.a.push(e),b.c[e]=!0)}y.prototype.checkImageForCriticality=function(b){b.getBoundingClientRect&&z(this,b)};u("pagespeed.CriticalImages.checkImageForCriticality",function(b){x.checkImageForCriticality(b)});u("pagespeed.CriticalImages.checkCriticalImages",function(){A(x)});function A(b){b.b={};for(var c=["IMG","INPUT"],a=[],d=0;dWhat Is a Pediatric Endocrinologist? - Cleveland Clinic The interviewer wants to know if you have experience diagnosing and treating these conditions, as well as how you would handle a patient who has one of these conditions. This article discusses 12 key questions thyroid patients should ask their endocrinologist during their appointment. This question is a great opportunity to show the interviewer that you have unique skills and experiences. Example: Yes, I have extensive experience diagnosing and treating mental health issues related to hormone imbalances. Accessed Jan. 20, 2023. Example: I believe my experience and qualifications make me stand out from other endocrinologists. Finally, I think its also important to create an open dialogue with my patients so they feel comfortable discussing their health issues and ask questions. What caused or is causing my thyroid issue? Describe a time when you had to make an ethical decision as an endocrinologist. . I am well-versed in the latest research on hormones and their effects on mental health, and I understand how to best manage these conditions through lifestyle changes, medications, and other treatments. Example: Yes, I am very familiar with the use of ultrasound in endocrinology. Ignoring an issue will not make it go away; it will only spiral out of control without any treatment. Practice Guidelines . Find a Pediatric Endocrinologist. Your health problem can't wait. The endocrinologist will tell you how often your child should come in when treatment starts. But if you're still looking for diabetes resources, here are a few ideas: The first appointment is scheduled, now what? During this time, I gained valuable experience managing conditions such as diabetes, thyroid disease, growth disorders, and puberty-related issues. Being in this Membership Directory means the listed providers are board certified and have paid Society dues, but is not an endorsement or recommendation. British Medical Journal. Endocrinologists often perform physical exams on their patients to assess the patients overall health and wellness. Diagnosis Diagnosing precocious puberty involves: Reviewing the child's and the family's medical histories. Disorders and diseases that originate elsewhere can also end up causing symptoms in your endocrine system. What makes you stand out from other endocrinologists? What is a Pediatric Endocrinologist? What is a Pediatric Endocrinologist? - HealthyChildren.org Why are there variations of height within populations, such as Asia and Latin America? Dr. Payas Joshi Pediatrics Dr. Basti Bharatesh Devendra Dermatology Dr. Naveen Thomas Dentistry Dr. Atul Prakash Orthopedician and Traumatology Dr. Muhammad Zohaib Siddiq Cardiology Dr. Shyam Kalyan. With the benefit of hindsight and the clarity of parenthood, here are four considerations as you prepare yourself for that initial visit. Andrew Dauber, M.D., MMSc., the division chief of endocrinology at Childrens National, spoke about epigenetics how genes are expressed and about all things related to pediatric endocrinology in a recent Ask Me Anything (AMA) chat with Reddits science community. The first question you have is likely, "Where do I start?" Cushings syndrome is a condition that occurs when the body produces too much cortisol. Are There Any New Medications I Should Know About? Its frightening to ask if theres anything wrong, but its a necessary question to better inform your lifestyle and dietary choices. Know the top questions to ask your endocrinologist before your appointment. Bradley SH, et al. After the treatment stops, puberty starts again. There is a well-known difference in the genetic makeup of various populations which likely underlies the differences across the globe. Running blood tests to measure hormone levels. Parents Need Answers on Pediatric Gender Medicine - WSJ July 1, 2023, 7:38 pm. I remember my first week after being diagnosed as a crash course in the logistics of diabetes (how to give a shot, how to check my blood sugar, etc.) Pediatric endocrinology - Mayo Clinic Children's Center - Mayo Clinic To ease some of the mental burden associated with adding a new member to your child's healthcare team, here's a look at what to expect and how to prepare. This might include more blood tests to check hormone levels or, in girls, an ultrasound to check for an ovarian cyst or tumor. After a year, the implant is removed. When your primary care doctor suspects changes in hormone levels are contributing to osteoporosis, you may see an endocrinologist for evaluation and to develop a treatment plan. 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My goal is always to provide comprehensive care and help patients make informed decisions about their health.. A great example is the NPR2 gene, which when mutated can cause short or tall stature. I am well-versed in the various tests used to assess endocrine function, such as thyroid hormone levels, cortisol levels, and glucose tolerance tests. Provide an example of a patient you have treated with thyroid cancer. I can accurately interpret these results and make informed decisions about patient care based on the data provided. Pediatric endocrinologists treat children and adolescents and are used to interacting with children and their families. This idea also changes over time.. Finally, hormone replacement therapy may be needed if the tumor affects the production of hormones from the pituitary gland.. The patient had been prescribed insulin to help manage their condition, but they were not taking it as directed. Do you have any experience diagnosing and treating mental health issues related to hormone imbalances? Example: Cushings syndrome is a hormonal disorder caused by prolonged exposure to high levels of cortisol, which can be due to either an adrenal tumor or long-term use of corticosteroid medications. My child has other health conditions. Finally, I provide them with recommendations on how to best manage their condition and ensure optimal health outcomes. In this guide, well provide you with some sample questions and answers that will help you ace your interview and land the job. Know the questions to ask your endocrinologist and decide if you trust in their answers. Hormones are chemicals controlled by your endocrine glands that help coordinate and control many of your bodys activities. Is it possible (in theory) to Top of Formselect them just to gain the positive effects of gigantism without the health risks? Take a copy of your child's growth record if you're seeing a new health care provider who doesn't have your child's medical records. 504 plan for your child with type 1 diabetes, Clinical Insights (Healthcare Professionals), educating other adults that care for your child, our mental health is incredibly important, Finding a home medical supplier after spinal cord injury, Living with T1D: A guide for adults newly diagnosed with diabetes. Andrew Dauber, M.D., hosts an AMA chat with Reddit's science community and offers feedback about height, growth disorders and pediatric endocrinology. Bradley is an endocrinologist and assistant professor of . Top Questions to Ask Pharmacists. Polygenic risk scores will probably play more of a role in the future to help determine risk of a certain disease, says Dr. Dauber. One result of that could be having sex at an early age. How familiar are you with the latest technology used in endocrinology? Example: When diagnosing a patient with a hormone imbalance, the first step I take is to obtain a thorough medical history. Finally, it is important to ensure that the dose prescribed is appropriate for the patients age, weight, and overall health.. This question can help the interviewer get a sense of your knowledge about current developments in endocrinology. Endocrinologists often work with patients who have complex medical needs. What would you do to improve our current processes for communicating with patients? Hormones are involved in your growth, mood, reproduction, metabolism, and more. "),d=t;a[0]in d||!d.execScript||d.execScript("var "+a[0]);for(var e;a.length&&(e=a.shift());)a.length||void 0===c?d[e]?d=d[e]:d=d[e]={}:d[e]=c};function v(b){var c=b.length;if(0Pediatric Endocrinology | Endocrine Society WebMD does not provide medical advice, diagnosis or treatment. Reviewing the child's and the family's medical histories. What Is an Endocrinologist? What They Do, When to See One, and - WebMD To ease some of the mental burden associated with adding a new member to your child's healthcare team, here's a look at what to expect and how to prepare. Additionally, I understand the importance of keeping up with current research and trends in endocrinology. But it does involve minor surgery to put the implant under the skin of the upper arm. Annelou de Vries, a child and adolescent psychiatrist at the clinic, has worked with hundreds of transgender children, some of whom have gone on to medically transition as adults. You need to be able to communicate clearly and compassionately with your patients so they understand the treatment plan you recommend. When to See an Endocrinologist for Diabetes - Verywell Health Pediatric endocrinology visits should be seen as more of a sync point in the ongoing efforts of diabetes management. A pediatric endocrinologist can help you manage your child's diabetes in a way that makes the most sense for your entire family. This helps me gauge their level of comprehension and allows me to adjust my approach if needed. What websites do you recommend? They will assess your skin, hair, mouth, and teeth, as some hormone-related disorders can impact these areas. When problems in other systems or body parts impact your endocrine system, an endocrinologist will work in tandem with your primary care doctor or other specialists to come up with a treatment plan. Stay on top of the latest pediatric endocrinology news by following @EndoDocDauber and @ChildrensHealth on Twitter: #GrowUpStronger. Growth Hormone Deficiency (for Parents) - CHOC Childrens - KidsHealth There are even differences within Europe.. In my current role as an Endocrinologist, I have used ultrasound to diagnose conditions such as thyroid nodules, cysts, and tumors. Above all else, see a doctor you trust with your health. In children with peripheral precocious puberty, other hormone levels stay the same. When Should Your Child Visit a Pediatric Endocrinologist? During my time as a Endocrinologist, I have had the opportunity to work with many patients who suffer from both conditions. The truth is that I know plenty of people who have heights below the normal population, and they dont think they have a problem at all, says Dr. Dauber. A pediatric endocrinologist can diagnose and treat endocrine conditions in children and adolescents. July 14, 2023, 2:32 pm, by Or you might be sent to a specialist in the treatment of hormone-related conditions in children, known as a pediatric endocrinologist. I dont really get bothered by crazy theories, but it is upsetting when patients and their families get swindled into spending their money on therapies that arent truly effective, says Dr. Dauber. We really dont know the full effect of many genes and by enhancing them, we could be causing lots of problems that we cant anticipate. Finally, I will ensure that the patient has access to resources for support if needed.. It is essential to take into account any existing conditions, allergies, or other health concerns that could be affected by the medication being prescribed. Engage with the diabetes online community via, Typical meals and timing (e.g., cereal for breakfast at 7 a.m.), General idea of physical activity (e.g., PE every day from 10-11a.m. When your hormones are functioning correctly, you dont need to think about them. Before the appointment, talk to your child about what to expect. One example is a patient I treated last year who was diagnosed with papillary thyroid cancer. Finally, I take great pride in providing compassionate care and developing strong relationships with my patients. Accelerating Breakthroughs & Improving Care. Describe your process for reviewing a patients medical history and answering any questions they may have. You must know your body and everything that affects it, both good and bad. During this time, I assess their overall health and look for any potential signs or symptoms that could indicate an endocrine disorder. You're likely to start by seeing your child's primary care provider. All rights reserved. I have been keeping up to date on the newest advancements and developments in this field for many years now. The challenge is more significant when dealing with an endocrine disorder, as these health issues are harder to diagnose. Depending on how the condition was diagnosed, you may already be done with this step. I strive to ensure they are comfortable and understand their condition and treatment plan.. In some cases, radiation therapy or chemotherapy may also be used in combination with surgery. Successful treatment not only makes the patient feel better, but also improves the physical changes in the face and body. 375 Mt Pleasant Ave, West Orange, NJ. I have also used it to monitor the growth of these lesions over time. Prescribes radiation therapy and medications. What is a Pediatric Endocrinologist? - Pediatric Endocrine Society Q7: Aside from using gene modifications to cure diseases, where or when should we draw the line in terms of enhancement? A pediatric endocrinologist is a doctor who specializes in the diagnosis and treatment of children with diseases of the endocrine system, such as diabetes and growth disorders. In addition, I am passionate about staying up-to-date on the latest research and advancements in endocrinology, attending conferences and seminars whenever possible. The health conditions that a pediatric endocrinologist treats can be very. Personally, I think using genome editing to promote height is a terrible idea. This helps build trust and ensures that they are getting the best care possible., Common Endocrinologist Interview Questions. Where do we draw the line between fixing, preventing disease and enhancing physical function? Endocrinologists are medical doctors who specialize in diagnosing and treating health conditions related to problems with the body's hormones, hormonal glands, and related tissues. Q10: How many genes control acromegaly? Advertising revenue supports our not-for-profit mission. Thirteen questions for a pediatric endocrinologist. (function(){for(var g="function"==typeof Object.defineProperties?Object.defineProperty:function(b,c,a){if(a.get||a.set)throw new TypeError("ES3 does not support getters and setters. Accessed Jan. 20, 2023. Endocrinology - Doctors - Mayo Clinic In my current role, I have had the opportunity to work with a variety of different technologies, including digital imaging systems, laboratory equipment, and electronic medical records. An interviewer may ask this question to assess how well you can handle challenging situations. Shikha 5.0/5.0. This basic idea is a good one, notes Dr. Dauber. 20 questions with answers in PEDIATRIC ENDOCRINOLOGY - ResearchGate They may also order blood work or urinalysis, perform a biopsy, or order an ultrasound or imaging tests like computed tomography and magnetic resonance imaging scans.. Treatment for precocious puberty depends on the cause. July 26, 2023, 7:28 pm, by Similarly, the thyroid gland produces hormones that control metabolism, growth, and development, so keeping it balanced is also critical. 4 Reasons Your Child Should Visit an Endocrinologist - Parents Joseph Barrera, MD. Diabetes Diabetes Mellitus without mention of complication, . Q13: According to almost every theory of how life evolved on Earth, from religion to evolution, we all have one common ancestor. How do you handle difficult conversations with patients who dont want to follow your recommendations? I completed my fellowship in Pediatric Endocrinology at a major hospital, where I was responsible for diagnosing and treating patients of all ages with endocrine disorders. Explain that you are familiar with common lab values and what they mean. Finally, I am open to discussing alternative options if the patient has any reservations about the recommended course of action.. People always point out the vast number of differences between races but in fact we are all more than 99.9 percent identical on a genetic level.. Precocious puberty. Before anything, you need to know any updates on your current conditions and their threat level to your health. Endocrinologists are qualified to diagnose and treat conditions like diabetes, thyroid diseases, infertility, growth issues, metabolic disorders, osteoporosis, some cancers, and disorders in the hormone-producing adrenal glands and pituitary glands. Finally, I always encourage open dialogue between myself and my patients so they feel comfortable asking any questions or expressing any concerns they may have.. Saying something like, "We'll be learning how to manage everything together, I'm here for you!" Endocrine Society is a global community of physicians and scientists dedicated to accelerating scientific breakthroughs and improving patient health and well being. There is a reason that evolution is a slow process that happens over millions of years. That being said, there are some notable exceptions such as Russell-Silver syndrome which presents with body asymmetry. Precocious puberty. Example: The most important thing for endocrinologists to remember when prescribing medications is the patients individual needs and medical history. After you know the situation with your current health concerns, you need to know any developing issues. A pediatric endocrinologist is a healthcare provider who specializes in children's endocrinology, a field of medicine that studies conditions related to your child's hormones.
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what to ask pediatric endocrinologist