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In the November 2008 pediatric hypertension article, I was surprised to see in the clinical case presentation that the child's blood pressure was not measured off of his methylphenidate, despite the data in Table 2.

This 2-week-old boy was born with well-formed extra digits on both hands and feet. The extra digits on the hands were attached by a narrow band of tissue to the lateral base of each little finger, and there were 6 toes on each foot. Radiographs showed synostoses of the fifth and sixth metatarsals of both feet. No other anomaly was apparent. The father’s paternal grandfather, greatgrandfather, and cousin also had extra digits at birth; however, none had involvement of all 4 extremities.

Sometimes they come in as phone calls (“Is it OK to breastfeed my baby when I have a cold?”), at other times during “may-I-talk-to-youfor-a-minute” sessions at the end of a scheduled visit (“She’s in kindergarten and still sucking her thumb . . .”). Whatever their mode of delivery, questions from parents take up a significant chunk of a pediatrician’s day.