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Growth hormone for children with Prader–Willi
I have always maintained that paediatricians are very nice people, but we can be autocratic in the way we make decisions. Because of lack of data, many times there is uncertainty about the correct length of therapy or diagnostic test to perform. For example, I have been involved in numerous discussions over the years about the likelihood of herpes encephalitis in young acutely ill, febrile infants. The history and physical examination are consistent with, but do not confirm herpes and for various reasons the diagnostic tests are equivocal. Our consultants almost always recommend 21 days of acyclovir. I have often thought, and at times asked, why not talk with the parents about the various therapeutic options: treat or don’t treat; 14 days versus 21 days. The general response from my colleagues is that we should decide what is best, and with some brief explanation, emphasise the serious consequences of the
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