What about really sick kids? Since we are in the age of the COVID we need to understand that children can have some very serious , albeit thankfully very rare, complications with a SARS CoV2 infection. But that said the American Academy of Pediatrics is strongly behind reopening schools because of all of the other positive impacts on children that schools have on them. Further the issue of dealing with hospitalized children and those with serious critical illness touches any rational person deeply. How do pediatricians deal with such things? What about the pediatricians who deal regularly with children who die from their illnesses. How do they cope with that? Kawasaki-like disease (Multisystem Inflammatory Syndrome) https://www.cdc.gov/mmwr/volumes/69/wr/mm6932e2.htm#:~:text=In%20April%202020%2C%20during%20the,in%20England*%20(1). Kawasaki disease https://www.heart.org/en/health-topics/kawasaki-disease#:~:text=Kawasaki%20disease%20(KD)%2C%20also,vessels%2C%20particularly%20the%20coronary%20arteries. School and Covid https://services.aap.org/en/news-room/news-releases/aap/2020/pediatricians-educators-and-superintendents-urge-a-safe-return-to-school-this-fall/ Clusters https://www.theatlantic.com/health/archive/2020/09/k-overlooked-variable-driving-pandemic/616548/ Health Systems Science https://www.ama-assn.org/education/accelerating-change-medical-education/teaching-health-systems-science https://www.amazon.com/Health-Systems-Science-Susan-Skochelak/dp/0323694624 Fisher House https://fisherhouse.org/ Guess what? They do have a Fisher House at Elmendorf https://fisherhouse.org/programs/houses/house-locations/ CDC Vaccine Schedule https://www.cdc.gov/vaccines/schedules/index.html Autism and Vaccinations https://autismsciencefoundation.org/what-is-autism/autism-and-vaccines/ For those of you willing to wear another type of uniform and leave medical school without debt, Neil discussed the HPSP program, his time at Joint Base Elmendorf Richardson and how we both like working with mid-levels. HPSP https://www.goarmy.com/amedd/education/hpsp.html https://www.health.mil/Training-Center/Clinicians-and-Healthcare-Providers Shoot me any comments or questions @TR Fredricks on Facebook Look for more Rotations Content at mediainmedicine.com Rotations and on Soundcloud and iTunes at Rotations Podcast. Intro and Outro Music: Tunnel Vision by Stanley Gurvich Courtesy of Artlist.io Produced by: Todd Fredricks DO and Brian Plow MFA Edited by: Todd Fredricks DO Rotations is part of the Media in Medicine family of medical storytelling and is copyrighted. Rotations is made possible by the generous understanding and accommodation of our beloved institution, Ohio University and by the Ohio University Heritage College of Osteopathic Medicine and Scripps College of Communications. The comments and ideas expressed on Rotations are that of the content creators alone and may not reflect official policy or the opinion of any agency of the Ohio University.