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A multi-institution study from Canada that tracks the surge in asthma emergencies after the start of the school year serves to remind clinicians that back-to-school asthma is an annual and predictable phenomenon triggered by students' return to school with viral infections. The phenomenon has been documented in previous studies, in the United States and Canada, that showed that more than six times as many asthmatic children of elementary school age are admitted to the hospital in early fall than in summer.But you can make a difference when this seasonal wave overtakes young asthmatics: Give their parents appropriate counseling to help them lessen the morbidity that arises in the classroom and cafeteria. On that point, the American Lung Association offers insight and assistance.

Hearing parents of a deaf infant face emotional hurdles and complex choices about how to communicate with and educate their child. The counseling you provide can set the stage for success or failure. First of two parts.

On waking up from a nap, a 5-month-old infant was noted to have a watery right eye. The mother thought an eyelash was the problem and flushed the eye with water. Soon afterward, the eye watered again and began to close. There was no history of injury, foreign body, upper respiratory tract symptoms, or fever.