To the Editor.—

In the "Evaluation and Treatment of Jaundice in the Term Newborn: A Kinder, Gentler Approach," Newman and Maisels1 focus on "unnecessary testing and treatment of many jaundiced term infants."1,p809 Although "routine screening with a more specific test" was suggested for galactosemia, none was mentioned in any of the five tables. In the follow-up commentaries only one other author mentioned galactosemia in the differential diagnosis of neonatal jaundice.2 After reading these several interesting papers it is still unclear to me whether reducing the frequency of tests for neonatal jaundice or excluding individual specific tests (ie, direct bilirubin) will benefit cost-effective analysis or be "a kinder, gentler approach" for babies.

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