As a pediatrician, watching enforcement of “zero tolerance” on children at our southern border has broken my heart. Every child needs safety and a sense of belonging. It defines who they are and shapes their perception of the world. For a young child, the loss of a parent is so devastating there can be no repair, only salvage of the wreckage.
Among female physicians, the relative risk of suicide is 2.3 times greater than the general female population. Each and every tragic loss of a female colleague should be honored as if we lost a part of ourselves. Their struggles must become ours; their survival is imperative for us all. If you are struggling, please know, we are here, we are listening, and we care.
PANDAS is thought to occur when a streptococcal infection triggers a misdirected immune response resulting in significant mood and behavior changes. The child quickly begins exhibiting symptoms of OCD, anxiety, tics, personality changes, and sensory sensitivities. The diagnosis of PANDAS is clinical, which means there are no lab tests confirm its existence. These diagnostic criteria were developed: