Last week I had an all-too-common experience at my office: I saw an 18-month old child who was very sick with several chronic conditions.
He was covered with eczema that was itchy, day and night. He couldn’t sleep due to the itching, and was being medicated with a steroid cream. He has asthma, which has led to emergency room visits and repeated courses of inhaled medications to open his airways, and has allergies to multiple foods. His mother keeps an Epi-Pen close at all times in case of a life-threatening reaction to an accidental exposure to an allergenic food.
As if this were not enough, he has acid reflux and is taking a medication to suppress the production of his stomach acid.