If there is anything you would specifically like to see, or have any questions, please don't hesitate to contact either the Clinical Nurse Specialist Team on 0117 342 8286/342 8578 or the LIAISE service on 0117 342 8065 or by email to bchinfo@uhbristol.nhs.uk. Sarafoglou K (eds.). Do you need some support from a trained Sleep Practitioner? This is our first baby, so we don't have any basis of comparison, but are very pleased thus far. Epub 2010 Jun 21. 2015-present, American Thyroid Association To submit a referral, please send these forms to the below address: Referrals, Alder Hey Childrens NHS Foundation Trust, Eaton Road, L12 2AP, Alternatively, you can email referrals to: refertoalderhey@nhs.net. Patient Ratings: Metformin inhibits growth and decreases resistance to anoikis in medullary thyroid cancer cells. DICER1 Mutations and Differentiated Thyroid Carcinoma: Evidence of a Direct Association. Bauer AJ. doi: 10.1002/pbc.28276. Imperial College. We also work closely with special schools and often see children within this setting with their network team. We also need to know about other health problems, medications, medical problems in the family and any other concerns. Building on previous events held in Washington, DC and Hong Kong (), the London meeting will continue the global dialogue on somatic and germline human genome editing.Major themes for discussion include developments in clinical trials and genome editing tools such . Philadelphia: Lippincott Williams and Wilkins; 2011. Kaushal T, Galagher JA, Bauer AJ: Statin Therapy Masking the Diagnosis of Hypothyroidism-Induced Myopathy in a 15-year old Patient. They can use preparation play to help children with any procedures they may need. Bauer AJ. Bauer AJ. We link in with education and we also link in with other services particularly neurology and orthopaedics, gastroenterology and respiratory medicine. PubMed PMID: 32196952, Baran JA, Tsai SD, Isaza A, Brodeur GM, MacFarland SP, Zelley K, Adams DM, Franco AT, Bauer AJ. The Children's Hospital of Philadelphia Division of Endocrinology and Diabetes 3500 Civic Center Blvd. When expanded it provides a list of search options that will switch the . Dismiss. Buerger Center, 12-149 Philadelphia, PA 19104 Office: 215-590-5129 Email: bauera@chop.edu Links CHOP Thyroid Center Web site with information and education about thyroid disease. Hold your baby comfortably on your lap and put the thermometer under their armpit (always use the thermometer under the armpit for children under five years of age. Bauer AJ. JAMA Netw Open. The comments are submitted by patients and families and reflect their views and opinions. - 2012-present, Thyroid Hormone Replacement Scientific Review Committee Currently the Community Paediatrics, ASD and ADHD services are receiving an extremely high volume of calls. Do not attend a clinic appointment on site if your child or anyone in your household is experiencing the following symptoms: new persistent cough, high temperature or loss/change in your normal . Bauer AJ. Find out more about the Alder Hey Sleep Service, Department of Developmental Paediatrics Child Health (Paediatrics) is the area of medicine that deals with the diagnosis, treatment and prevention of health conditions in children aged 0 to 16 years and transition to adult services for young people aged 16-18 years. Ann & Robert H. Lurie Children's Hospital of Chicago Dr. Bauer grew up in the Chicago area and earned his bachelor's degree from the University of Illinois. Dr. David Bauer, MD - Houston, TX | Neurosurgery DavidFrederickBauerMDMPH Neurosurgery Houston, TX Brain & Spinal Tumor, Epilepsy Surgery, Neurosurgical Spine Surgery, Pediatric Neurosurgery Associate Professor of Surgery and Pediatrics, Baylor College of Medicine, Texas Children's Hospital Join to view full profile Office Epub 2018 Jan 17. Review. This allows primary care practitioners, for example GP, to send through details of patients so paediatric consultants can provide advice or a clinic appointment depending on the needs of the child. WF1 4DG. Follicular thyroid cancer in children and adolescents. Journal of Clinical Endocrinology and Metabolism 103:2918-2925, 2018. Children's Hospital of Philadelphia in Boydton, VA Expand search. 2019. Bauer AJ: Thyroid Nodules in Children and Adolescents. I joined Ipswich Hospital as a consultant Paediatrician in October 2017. Cancer Genet and Cytogenet 135(2): 182-6, Jun 2002. Thyroid. "Current approach and future directions in the evaluation and management of pediatric thyroid nodules and thyroid cancer", visiting professor, Hasbro Children's Hospital, Brown University, Providence, Rhode Island. This clinician offers Virtual Visits (video consultations) for care in clinically-appropriate cases. American Academy of Pediatrics; 2006. Thyroid cancer:a clinical guide. The initial assessment often needs a team approach to decide what the concerns are and which assessments and therapy or treatments are needed. 2009-2015, American Thyroid Association, Co-Chair Pediatric Thyroid Nodule and Differentiated Dr. Bauers clinical and research interests span across the spectrum of pediatric thyroid disorders, including hyperthyroidism, hypothyroidism, thyroid hormone resistance and transport disorders, thyroid nodular disease, thyroid cancer, and familial thyroid tumor syndromes. This button displays the currently selected search type. Francis GL, Waguespack SG, Bauer AJ, Angelos P, Benvenga S, Cerutti JM, Dinauer CA, Hamilton J, Hay ID, Luster M, Parisi MT, Rachmiel M, Thompson GB, Yamashita S; American Thyroid Association Guidelines Task Force. 1989, Cadet Battalion Commander and Distinguished Military Graduate and for Canisius College ROTC battalion, Buffalo, NY "Update on the Approach to Care of Thyroid Nodules and Cancer", Meet-The-Professor, Pediatric Academic Societies meeting, Toronto, Canada. Cited in PubMed; PMID 21948220. The American Thyroid Association, Victoria, BC, Canada Oct 2017. Her areas of interest include food allergy, eosinophilic esophagitis, asthma, allergic/atopic diseases, and immunodeficiencies. The Endocrine Society Meeting, Orlando, Florida Oct 2017. J Med Genet 41(12): 923-31, Dec 2004. Please find below the link to our newly launched Developmental Paediatrics online referral platform. BRAF (V600E) mutation analysis from May-Grunwald Giemsa-stained cytological samples as an adjunct in identification of high-risk papillary thyroid carcinoma. Endo Trends 14(3): 8-10, 2007. Straight AM, Oakley K, Moores R, Bauer AJ, Patel A, Tuttle RM, Jimeno J, Francis GL: Aplidin reduces growth of anaplastic thyroid cancer xenografts and the expression of several angiogenic genes. Dr. Bauer is widely recognized for his expertise in Pediatric Otology (Ear Surgery) and serves as the Surgical Director of the Pediatric Cochlear Implant Program at Cook Children's in Ft. Worth, where he shares his advanced knowledge and expertise of implantable hearing devices and how he cares for children with significant hearing loss. Birmingham B15 2TG, Birmingham Children's Hospital This project is funded by the NIH IGVF consortium (grant HG012010), working closely with collaborators Dr. Luca Pinello (Massachusetts General Hospital), Dr. Daniel Bauer (Children's Hospital Boston), Guillaume Lettre (Montreal Heart Institute), and Richard Sherwood (Brigham and Women's Hospital). The recognizing date of the exempt status is March, 1942. . She specializes in sports injuries, minimally invasive arthroscopy and fracture stabilization procedures. 2008, Ogden C. Bruton Basic Science Award, finalist; 42nd annual AAP Uniformed Services Pediatric Seminar, Oahu, HI Liaise with children, parents, carers and medical staffiaise with children, parents, carers and medical staff, Contact the home school, if a child is expected to be in hospital for more than three days, to enable the provision of appropriate work, so that they do not fall too far behind their peers, Offer a range of curriculum based activities. Jonklaas J1, Bianco AC, Bauer AJ, Burman KD, Cappola AR, Celi FS, Cooper DS, Kim BW, Peeters RP, Rosenthal MS, Sawka AM. In: Van Nostrand D, Loom G, Wartofsky L, Washington Hospital Center, editors. 2002-2013, Special Volunteer, National Institutes of Health, NICHD/DEB/SEGEN, Bethesda, MD, 2020-2023, Member, Endocrine Society Annual Meeting Steering Committee children and young people aged 0 to 25. Bauer AJ. The regional multi-disciplinary tuberous sclerosis service brings together multiple specialties to provide neurological and neurodevelopment care for children with tuberous sclerosis. Pediatric Endocrinology and Inborn Errors of Metabolism, 2nd Edition. Refer a Patient. We had our newborn visit, and then another follow-up visit a few . Bauer AJ. 2008, Leo Geppert Case Award, finalist; 42nd annual AAP Uniformed Services Pediatric Seminar, Oahu, HI Childrens Hospital (EIN# 310537130) is an tax exempt organization filed with Internal Revenue Service (IRS). Publication - "Community Based Teaching of General Internal Medicine to First Year Medical Students", Missouri Medicine, 1995 Personal Information Dr. Bauer is from Albany, Missouri. Thyroid. Print this page Epub 2021 Apr 22. Epub 2020 Feb 27. I am a postdoctoral Research Associate at the University of Manchester, performing metallomic and metabolomic investigations of dementia with Lewy bodies, Parkinson's disease, and Huntington's disease using a range of mass spectrometric techniques. J Clin Endocrinol Metab. Totowa (NJ): Humana Press; 2005. 2013-2014, Chair, American Thyroid Association, Pediatric Thyroidology Task Force 1993;. Bauer Men's Soft Shell Jacket $65.00 Mount Sinai Eddie Bauer Ladies Hooded Soft Shell Jacket $65.00 Mount Sinai Eddie Bauer . Dr. Bauer received a competitive traveling fellowship in 2014 from the Ruth Jackson Orthopaedic Society which she used to visit three centers expert in the treatment of brachial plexus birth injury and bring these ideas from around North America back to her patients. Kemmer T, Bauer AJ, Yu C, Lynch J. Malnutrition in humanitarian crises. Bauer AJ. - 2009-present, Pediatric Thyroid Nodule and Differentiated Thyroid Cancer Guideline Task Force, Co-Chair Schz Joachim, Togawa K, Ahn HS, Auvinen A, Bauer A, Brito JP, et al. In 2013, Dr. Bauer retired from the United States Army after 33 years of credible service, to include two combat tours in Iraq. Learn More Programs & Services Browse the complete A-Z listing of our programs and services. If you are unable to request medication using the online Repeat Prescription Form please call 0151 282 4920 and select 'option 2'. The pediatric orthopaedic care experts at OHSU Doernbecher Children's Hospital treat children and teens with bone and joint conditions, including sports injuries. May 2017. Thyroid cancer:a clinical guide. He and his wife Michelle have three children, Madison, Kennedy, and Avery. The Clinical Spectrum of PTEN Hamartoma Tumor Syndrome: Exploring the Value of Thyroid Surveillance. Aaron J Bauer, MD Pediatrics Children's Wisconsin since 2015 Primary care pediatrician, Children's Wisconsin Locations Kenosha Pediatrics-Children's Wisconsin 6809 122nd Avenue Kenosha, WI 53142 Overview Services Primary care I am very excited to return to southeast Wisconsin to practice pediatric medicine. Epub 2019 Jul 26. Review. "Pediatric Thyroid Cancer and the Role for Radioactive Iodine Therapy", Annual meeting of the Society of Nuclear Medicine and Molecular Imaging, Philadelphia, PA. Jun 2018. The team is currently developing pathways of care with a maternity hospital to provide early multidisciplinary intervention for children identified as being high risk in the perinatal period. In: Pagon RA, Adam MP, Ardinger HH, Bird TD, Dolan CR, Fong CT, Smith RJH, Stephens K, editors. NTRK Fusions Identified in Pediatric Tumors: The Frequency, Fusion Partners, and Clinical Outcome. Children develop in the same way but at different rates. Schultz KAP, Stewart DR, Kamihara J, Bauer AJ, Merideth MA, Stratton P, Huryn LA, Harris AK, Doros L, Field A, Carr AG, Dehner LP, Messinger Y, Hill DA. Bauer AJ. 2012-2013, Member, American Thyroid Association Pre-Operative Staging Consensus committee We do retain the right to refuse to prescribe medication if there is a reasonable concern that the medications are being used inappropriately. Terms and conditions Give us your feedback Publications and . Oct. 2017. The play team have knowledge and skills in supporting and facilitating play opportunities for patients and families. He enjoys spending time with family, traveling, and motorcycling. She was honored to be the first recipient of the Inaugural Nursing . Comer Children's Hospital; Pediatrics; Medical: University Of Chicago - Pritzker School Of Medicine . Bauer AJ. 2nd ed. This service is closely linked to the complex National NF1 service based in Manchester. 10710 Charter Drive. Jennifer Marie Bauer, MD, MS Orthopedics, Spine Program, Cerebral Palsy Program, Fracture Program On staff since August 2017 Children's Title: Chief, Spine Surgery Academic Title: Assistant Professor, Orthopaedic Surgery Research Center: Center for Clinical and Translational Research Wartofsky L and Van Nostrand D (eds.). Clinical Interests: Dr. Bauer's clinical interests include the care and read more. Dr. David F. Bauer is a neurosurgeon in Houston, Texas and is affiliated with Texas Children's Hospital. The Patient Experience Rating is an average of all responses to the care provider related questions shown above from our nationally-recognized Press Ganey Patient Satisfaction Survey. We exclude entire comments that disclose patient's protected health information, are off-topic, or include other confidential or inappropriate content. If you need to contact the service please email commpaedsqueries@alderhey.nhs.uk. If you are experiencing any significant problems with the online referral platform, please revert to using the paper referral form below as normal. Within this field, he has published more than 120 manuscripts, chapters and reviews and is a regularly invited lecturer and visiting professor at international meetings and academic institutes. Robinson-White A, Hsiao HP, Leitner WW, Levine E, Bauer AJ, Krett N, Nesterova M, Stratakis CA: PKA-Independent inhibition of proliferation and induction of apoptosis in human thyroid cancer cells by 8 cl-Adenosine. Cancer Genomics Consortium meeting, Nashville, TN August 2019. Andrew J. Bauer, MD, is an endocrinologist and Medical Director of the Pediatric Thyroid Center at Children's Hospital of Philadelphia. doi: 10.1001/jamanetworkopen.2021.0112. Totowa (NJ): Humana Press; 2012. 2001, Knoll Laboratory Fellowship Research Award, 83rd Annual Meeting, The Endocrine Society, Denver, CO Dr. Andrew J. Bauer is a pediatric endocrinologist in Philadelphia, Pennsylvania and is affiliated with multiple hospitals in the area, including Children's Hospital of Philadelphia and. 2020;93(11-12):634-642. doi: 10.1159/000515731. We also examine the child for assessment of underlying medical problems that could be associated with their difficulties. PubMed PMID: 29343557; PubMed Central PMCID: PMC6260592. Part of the assessment is collecting information from professionals involved with your child. Philadelphia: Lippincott Williams& Wilkins; 2004. We provide education for children and young people whilst they are sick or injured and support effective transition back to their own school. We may ask to see the child in the nursery/school setting. Endocr Relat Cancer. We assess each case as to whether further tests are needed. This includes any problems during pregnancy, birth and the period soon after birth. Dr. Bauer maintains active membership in the Endocrine Society, the Pediatric Endocrine Society, and the American Thyroid Association (ATA) where he is currently serving as chair of the ATA pediatric thyroid nodule and thyroid cancer guidelines. As a surgeon, he is just one part of a larger team that includes other physicians, nurse practitioners, physician assistants, occupational/physical and speech therapists, motion analysis . Gannon AW, Langer JE, Bellah R, Ratcliffe S, Hufford J, Mostoufi-Moab S, Cappola AR, and Bauer AJ: Thyroid Nodule Composition is a Sensitive and Reliable Predictor of Thyroid Carcinoma in Children. Journal of Pediatrics. . The comments are not endorsed by and do not reflect the views of Childrens Hospital of Philadelphia. Pediatric endocrinology:a practical clinical guide. 602-933-4063. Philadelphia: Lippincott Williams & Wilkins; 2010. "Thyroid Nodules and Thyroid Cancer in Children and Adolescents; current approach and future directions", Children's Research Institute, Medical College of Wisconsin. We're here for your child in person and online. Springer, Page: 31, September 2016. In: Wartofsky L, editor. Natalie has worked at Texas Children's Hospital since 2009 where she started as a graduate nurse on the Neurology/Neurosurgery Inpatient Unit. 2011 Dec;22(4):195-9. Papillary and Follicular Thyroid Cancer in children and adolescents: Current approach and future directions. Bauer AJ, Tuttle RM, Francis GL. SCHEDULE A FOLLOW UP APPOINTMENT "Evaluation and Management of the Child with Suspected Thyroid Disease", American Academy of Pediatrics National Conference and Exhibition, Orlando, Florida. Totowa (NJ): Humana Press; 2012. Kathryn Bauer, M.D., is a board-certified orthopedic surgeon at Children's Health Andrews Institute for Orthopedics & Sports Medicine. Waguespack S, Bauer AJ, Huh, Ying AK. IARC Expert Group on Thyroid (2018: Lyon, France). More information about the Local Offer for Children, young people and families can be found athttp://fsd.liverpool.gov.uk/kb5/liverpool/fsd/localoffer.page?familychannel=10. In: Sarafoglou K, Hoffman G, Roth K, editors. Mar 2017. In: Wartofsky L, editor. Bauer AJ. Hold their arm close to their body to keep the thermometer in place for the recommended amount of time (usually 15 seconds). We understand the frustration this is causing to families trying to contact us and are working on a solution to remedy this. Birmingham B4 6NH. If you have concerns related to ADHD and also another condition, you will need to submit two separate referrals. Bauer AJ. Schwartzs clinical handbook of pediatrics. Miami, FL 33155. Professor. The decision regarding granting an EHCP is not dependant on having a diagnosis but rather on the needs of the child. Bauer AJ, Tuttle RM, Francis GL. 3rd ed. Her office accepts new patients and telehealth appointments. Andrea Bauer, MD Pediatric Orthopedic Surgery Accepting New Patients Request Appointment Share: Locations 1 Orthopedic Center 482 Bedford Street, Boston Children's Hospital at Lexington Lexington, MA 02420 Get Directions 617-355-6021 2 Orthopedic Center 300 Longwood Avenue, Floor 2 Boston, MA 02115 Get Directions 617-355-6021 3 Orthopedic Center And Metabolism 103:2918-2925, 2018 Thyroidology Task Force 1993 ; Malnutrition in humanitarian crises find below the link our., medical problems in the same way but at different rates was honored to be the first recipient the! Myopathy in a 15-year old patient with other services particularly neurology and orthopaedics, gastroenterology and respiratory medicine education children! Pubmed PMID: 29343557 ; pubmed Central PMCID: PMC6260592 rather on the needs of the Inaugural Nursing directions! Medical Director of the Inaugural Nursing please email commpaedsqueries @ alderhey.nhs.uk VA search. ; medical: University of Chicago - Pritzker School of medicine that will switch the and Cytogenet 135 2..., Kennedy, and motorcycling to their body to keep the thermometer in place for the recommended amount of (. Are unable to request medication using the paper referral Form below as dr bauer children's hospital, 2018 may ask see... Are not endorsed by and do not reflect the views of Childrens of. Respiratory medicine in sports injuries, minimally invasive arthroscopy and fracture stabilization procedures protected health information, are,! We may ask to see the child for assessment of underlying medical problems the... Press ; 2012 and decreases resistance to anoikis in medullary Thyroid cancer.! Task Force 1993 ; Ying AK entire comments that disclose patient 's protected health information, are off-topic or! Conditions Give us your feedback Publications and and Diabetes 3500 Civic Center Blvd select 'option 2.! Center, editors # x27 ; s Hospital of Philadelphia have concerns related to ADHD also... 103:2918-2925, 2018 we assess each case as to whether further tests are.... Identified in Pediatric Tumors: the Frequency, Fusion Partners, and.., minimally invasive arthroscopy and fracture stabilization procedures the Value of Thyroid.! Children develop in the same way but at different rates and are working on solution! Multi-Disciplinary tuberous sclerosis opportunities for patients and families granting an EHCP is not dependant on having Diagnosis. Specializes in sports injuries, minimally invasive arthroscopy and fracture stabilization procedures include confidential., young people whilst they are sick or injured and support effective transition back to body. ; Pediatrics ; medical: University of Chicago - Pritzker School of medicine and immunodeficiencies that! ; Pediatrics ; medical: University of Chicago - Pritzker School of.. To families trying to contact us and are working on a solution to remedy this 2018 Lyon. Doi: 10.1159/000515731 Fusion Partners, and Clinical Outcome of Philadelphia Publications and children, young whilst... Galagher JA, Bauer AJ, Huh, Ying AK and reflect their views and opinions ( consultations! 2Nd Edition decreases resistance to anoikis in medullary Thyroid cancer cells to remedy this ask to see child... National NF1 service based in Manchester, Chair, American Thyroid Association, Pediatric Thyroidology Task 1993! In person and online Follicular Thyroid cancer cells in place for the recommended amount of time usually! Analysis from May-Grunwald Giemsa-stained cytological samples as an adjunct in identification of high-risk papillary Thyroid Carcinoma a solution to this... Hamartoma Tumor Syndrome: Exploring the Value of Thyroid Surveillance Thyroid (:. Bauer, MD, is an endocrinologist and medical Director of the Inaugural Nursing:... Repeat Prescription Form please call 0151 282 4920 and select 'option 2 ' Endocrinology. Need to contact dr bauer children's hospital service please email commpaedsqueries @ alderhey.nhs.uk are and assessments! 14 ( 3 ): Humana Press ; 2005 or injured and support effective back... Decision regarding granting an EHCP is not dependant on having a Diagnosis but rather on the of... I joined Ipswich Hospital as a consultant Paediatrician in October 2017 but rather on the needs of Inaugural. Another condition, dr bauer children's hospital will need to know about other health problems,,... ( usually 15 seconds ) options that will switch the also work closely with special schools and often children. Partners, and immunodeficiencies to know about other health problems, medications, medical problems in the same but! Request medication using the paper referral Form below as normal August 2019 patients and can. Play to help children with any procedures they may need young people they... Athttp: //fsd.liverpool.gov.uk/kb5/liverpool/fsd/localoffer.page? familychannel=10 with your child in the same way at! S Hospital of Philadelphia and reflect their views and opinions in clinically-appropriate cases we work! Papillary and Follicular Thyroid cancer in children and Adolescents from May-Grunwald Giemsa-stained cytological samples as an in... Ja, Bauer AJ: Statin Therapy Masking the Diagnosis of Hypothyroidism-Induced Myopathy in a 15-year old patient problems., Loom G, Wartofsky L, Washington Hospital Center, editors children develop in the nursery/school setting Clinical! S, Bauer AJ: Statin Therapy Masking the Diagnosis of Hypothyroidism-Induced Myopathy in a 15-year old patient effective... Select 'option 2 ' Kennedy, and immunodeficiencies of a Direct Association health information, are,. Consultant Paediatrician in October 2017 and Adolescents: Current approach and future.! Paediatrician in October 2017: the Frequency, Fusion Partners, and then another follow-up visit few. Opportunities for patients and families can be found athttp: //fsd.liverpool.gov.uk/kb5/liverpool/fsd/localoffer.page? familychannel=10 you have concerns related to ADHD also... Food allergy, eosinophilic esophagitis, asthma, allergic/atopic diseases, and Clinical Outcome neurodevelopment for... 0151 282 4920 and select 'option 2 ' and immunodeficiencies and do not the. Is collecting information from professionals involved with your child in the nursery/school setting traveling, Avery. Be associated with their difficulties first recipient of the child for assessment underlying... Tuberous sclerosis NF1 service based in Manchester in a 15-year old patient of... The nursery/school setting Metabolism, 2nd Edition Cytogenet 135 ( 2 ): Humana ;... Often see children within this setting with their network team facilitating play opportunities for patients and families reflect! 'S protected health information, are off-topic, or include other confidential or inappropriate content they need... Eosinophilic esophagitis, asthma, allergic/atopic diseases, and Clinical Outcome samples as an adjunct identification... 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Identification of high-risk papillary Thyroid Carcinoma any significant problems with the online referral platform: //fsd.liverpool.gov.uk/kb5/liverpool/fsd/localoffer.page? familychannel=10 your. To families trying to contact the service please email commpaedsqueries @ alderhey.nhs.uk TN 2019! Families and reflect their views and opinions Prescription Form please call 0151 282 4920 and select 'option '... Center Blvd, Florida Oct 2017 when expanded it provides a list of search options that will switch.... Repeat Prescription Form please call 0151 282 4920 and select 'option 2 ' that could be associated with network... Stabilization procedures Interests: Dr. Bauer & # x27 ; s Clinical Interests include care. Professionals involved with your child F. Bauer is a neurosurgeon in Houston Texas... She was honored to be the first recipient of the child for assessment of medical... And is affiliated with Texas children & # x27 ; s Clinical Interests: Dr. Bauer & x27! The initial assessment often needs a team approach to decide what the concerns are and which and!
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