BONUS: How Doctors Diagnose Medical Child Abuse

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How does a doctor actually decide that a parent is making their child sick? Dr. John Melville is a child abuse pediatrician, president of the Ray E. Helfer Society, and one of the people who helped write the board exam that certifies child abuse pediatricians. In this bonus episode, he walks me through how medical child abuse is diagnosed. He explains the difference between Munchausen by proxy, factitious disorder imposed on another, and medical child abuse. And he answers the criticism that child abuse pediatricians are self-appointed experts who took a short course and now override the specialists who know the patient best. He also talks about what happens when he's wrong, in either…