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  Vol. 162 No. 1, January 2008 TABLE OF CONTENTS
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  On My Mind
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Random Thoughts Continued

Murray Feingold, MD

Arch Pediatr Adolesc Med. 2008;162(1):8.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Twenty-one years ago in this journal I wrote an article entitled, "Random Thoughts."1 At that time I had practiced pediatrics for 24 years and shared some of my random personal thoughts concerning pediatricians and the practice of pediatrics.

I have now practiced pediatrics for 45 years, and I thought it would be interesting, at least to me, to re-evaluate what I said then and to comment on today's pediatric scene as viewed from a well-seasoned, and, I hope, not overripe, pediatrician and clinical geneticist.

In the 1986 article I discussed some of the things I disliked, such as patients being called "clients," health professionals and parents being addressed by their first names, and administrators telling me I have to learn how to market my product. These dislikes remain.

During the ensuing years newer dislikes have emerged:

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