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January 24, 1986

Child medicine grows up

JAMA. 1986;255(4):443-447. doi:10.1001/jama.1986.03370040013002

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On May 1, 1972, pediatrician John Morgan helped bring Mary Jo into the world. Since then, he has treated her measles, sewn up her cut knee, and watched her grow and develop from year to year. She was always the sweet little girl who read the tattered issues of Children's Digest cover-to-cover while sitting in the waiting room. She wore her waist-length hair in braids, lived in overalls and tennis shoes, and spoke of nothing but horseback riding. But today, as he passes the waiting room, he sees her and is surprised. An issue of Glamour has replaced the Children's Digest. Her hair is lopped off at the shoulder, her face touched with makeup, and she wears high heels and a drop-waist dress. She has undergone metamorphosis from a little girl into a teenager.

As pediatricians begin to see their babies grow up, suddenly they are faced with problems of