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Editorials |

Pediatricians Are Not Just Small Internists

Bruce K. Rubin, MD, FCCP
Author and Funding Information

Affiliations: Winston-Salem, NC
 ,  Dr. Rubin is Professor and Chair of the Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC.

Correspondence to: Bruce K. Rubin MD, FCCP, Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC 27157-1081; e-mail: brubin@wfubmc



Chest. 2006;129(5):1118-1121. doi:10.1378/chest.129.5.1118
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We pediatricians like to remind anybody who will listen that children are not just small adults. The diseases of childhood are those of growth and development, and response of the growing child to the external environment. Genetic diseases such as cystic fibrosis and primary ciliary dyskinesia are usually first diagnosed in the young child, and significant congenital abnormalities of the airways, thorax, and lung are diagnosed and treated initially in the first years of life. Therapy is directed at maximizing growth potential of the child, with the recognition by pediatricians that interventions early in life can benefit the growing child and the adult; the child is clearly the father to the man.

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