Tremendous article. Well written. Comprehensive. Compassionate [“DTD: the effects of child abuse and neglect”]. Sadly, the author failed to comment on the latest research in the area of epigenetics, which explains the anatomy and physiology behind the central nervous system changes caused by the abuse. Would love to see that covered in the future.— John Castle, RN, PA-C, Big Spring, Texas

These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.

Continue Reading