By Cindy Schmidt, M.D., M.L.S.
published 06/01/2015
updated 04/29/2016
Complete episode 1, episode 2, episode 3, episode 4, episode 5, episode 6, and episode 7 before beginning this episode.
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Sarah brings Emily in to see you for a 1-year check-up.
You are pleased to see that after physical therapy, occupational therapy, and continued anti-parasitic therapy, Emily's psychomotor development is within normal limits.
Sarah is also doing well with a lot of help from her Mom and her maternal grandparents.
Later in the week of Emily's one-year check-up, you meet a friend who works for the state health department. You talk about the public health issues that Sarah's case raised: 1) the controversy concerning prenatal toxoplasmosis screening and 2) the prevention and treatment of obesity in adolescents.
Sarah and Emily were fortunate. All of Sarah's and Emily's healthcare providers -- the primary care physician (you), the nurse, the dentist, the ultrasonographers, radiologists, clinical laboratory technicians, the infectious disease specialist, nutritionist, pharmacist, physical therapist, occupational therapist, and the school counselor worked hard to communicate with Sarah and with each other. Sarah has a supportive mother and grandparents and has been able to stay in school and flourish. Emily's health is as good as could be hoped. As you reflect on the case, you wish inter-professional and patient-professional communication could always be this exemplary. Your resolve to seek good communication is strengthened.
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