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>>Mike Rothschild is here, listening, and flattered that you are
asking for his opinion!
Bravo, Mike. That was a well-written and well-considered
answer.
My own take (and I would like your comments on this) is that frequent Strep
throat is not an indication for tonsillectomy. After all, you're not
removing the throat -- the child can still get Strep. (I've had Strep
throat twice in the last 15 years, and I'm 45 years S/P tonsillectomy!)
For me, the question is to what degree the child gets severe tonsillitis with
those Strep infections, and particularly how much trouble he or she has with
swallowing and airway obstruction during those bouts. So I agree with your
implication, Mike, that requiring a certain arbitrary frequency of infections
may be too conservative, for children who suffer severely when they get Strep
tonsillitis.
Bob Mauro, MD
Greenwood Pediatrics
Littleton. CO
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