Charting Pediatrics

Latest Episodes:

What to Expect With a Tonsillectomy and Adenoidectomy with Soham Roy, MD (S6:E10) Oct 25, 2022

Show notes

Getting your tonsils out used to mean spending a few days in the hospital and getting ice cream for breakfast, lunch, and dinner. Tonsillectomy and adenoidectomy, or T&A, is the second most common childhood surgery performed. It is important for pediatricians to have a detailed understanding of indication for referral, pre- and post-surgical management, and how this procedure has evolved over time. Today we are joined by an Otolaryngology expert to talk about tonsillectomy and adenoidectomy surgeries, when it is needed, and how this surgery is beneficial to patients.

Today I am happy to be speaking with Dr. Soham Roy.

Dr. Roy Soham is the chair of Pediatric Otolaryngology at Children's Hospital Colorado and is a professor and vice chair at the university of Colorado school of medicine.

Cardiac Screening and Return to Play Guidelines with Chris Rausch, MD (S6:E9) Oct 18, 2022

Show notes

Approximately 35 to 45 million youths, 6 to 18 years of age, participate in some form of athletics. The COVID-19 pandemic has affected many aspects of the lives of children and families, including youth sport activity. As children present for health supervision visits and preparticipation physical evaluations, parents and athletes likely will ask questions about how best to ensure safety when considering a return to sports participation and physical activity. In addition, there are lingering concerns about the risk of myocarditis in this population, from disease and vaccination. In this episode we will evaluate the most current guidance on this topic and discuss the risk of myocarditis, all from a cardiology perspective.

Today I am happy to be speaking with Dr. Chris Rausch.

Resources:

https://www.jacc.org/doi/abs/10.1016/j.jacc.2022.02.003

https://www.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/covid-19-interim-guidance-return-to-sports/

Updated Hyperbilirubinemia Management Guidelines with Christine Gold, MD (S6:E8) Oct 11, 2022

Show notes

Recently, the American Academy of Pediatrics (AAP) revised clinical guidelines on hyperbilirubinemia and how to treat infants born at at least 35 weeks. Although it is common for many newborn infants to experience jaundice, it is important for physicians and primary care providers to understand and monitor newborn babies to ensure they don't develop hyperbilirubinemia. In this episode, we are going to discuss what primary care providers should know about these new guidelines and how they are different than the previous guidelines.

Today I am happy to be speaking with Dr. Christine Gold.

Resources:

New 2022 AAP Hyperbilirubinemia guidelines: https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of?autologincheck=redirected?nfToken=00000000-0000-0000-0000-000000000000 Old 2004 AAP guidelines: https://publications.aap.org/pediatrics/article/114/1/297/64771/Management-of-Hyperbilirubinemia-in-the-Newborn Bili Tool: https://bilitool.org Pedicalc: https://peditools.org/bili2022/

Screening for Mental Health Risk Factors in Primary Care with Robert Hilt, MD and Sandra Fritsch, MD (S6:E7) Oct 04, 2022

Show notes

Primary care providers and Pediatricians play a vital role in the identification, prevention, and management of pediatric mental health. With the increased need for mental health services and limited access to resources, early detection is a crucial first step. On this episode, we are going to discuss the importance of routine mental health screenings and the tools and resources primary care providers can leverage within the medical home.

Today I am happy to be speaking with Dr. Robert Hilt and Dr. Sandra Fritsch. Dr. Hilt is a professor at the University of Washington, Department of Psychiatry and Behavioral Sciences and a psychiatrist at Seattle Children's Hospital. Dr. Fritsch is a psychiatrist that works in our Child and Adolescent Psychiatry department here at Children's Colorado. Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado.

Re-Emergence of Polio and New Wave of EVD-68 with Kevin Messacar, MD (S6:E6) Sep 27, 2022

Show notes

In the early 1950's, Polio was one of the most unknown and feared disease in the United States. According to the CDC, polio caused hundreds of thousands of cases of paralysis before the development of a vaccine. Since the vaccine, there have been no new cases, until now. In addition, we are seeing the continued spread of another virus that can cause paralysis, Enterovirus D68. Today we will talk about the possible relationships between these two viral diseases and what you our healthcare providers need to be aware of for prompt diagnosis and treatment.

Today I am delighted to be speaking with my colleague Dr. Kevin Messacar.

Kevin works in the Infectious Disease department at Children's Hospital Colorado and is an Associate professor in the department of pediatrics at the University of Colorado school of Medicine.

Resources:

Polio MMWR: https://www.cdc.gov/mmwr/volumes/71/wr/mm7133e2.htm

EV-D68 MMWR: https://www.cdc.gov/mmwr/volumes/71/wr/mm7140e1.htm

AFM Consensus Recommendations: https://www.thelancet.com/article/S0140-6736(20)32723-9/fulltext

CDC Job Aid for AFM Reporting: https://www.cdc.gov/acute-flaccid-myelitis/downloads/job-aid-for-clinicians-508.pdf

AFM Physician Support Portal: https://wearesrna.org/living-with-myelitis/resources/afm-physician-support-portal/

https://www.cdc.gov/acute-flaccid-myelitis/downloads/examining-proximal-muscle-weakness-508.pdf

How to Treat and Overcome Daytime Wetting with Brian Miller, PA-C (S6:E5) Sep 20, 2022

Show notes

Toilet training is a natural milestone that many children master by the age of 3. Although accidents are bound to happen from time to time, consistent day time wetting may be linked to a more serious medical condition. On average, daytime wetting, or Diurnal enuresis, happens in about 3-4% of children and is commonly associated with dysfunctional voiding. Today, we are going to unpack some of the common reasons kids experience daytime wetting and what primary care providers can do to treat this in the medical home.

Today I am happy to be speaking with Brian Miller.

Brian Miller is PA-C Lead Advanced Practice Provider for Pediatric Urology here at Children's hospital Colorado.

Craniosynostosis and Development with Brooke French, MD and Allyson Alexander, MD (S6:E4) Sep 13, 2022

Show notes

It is not uncommon for newborn babies to have slight imperfections in their heads. Most of the time, these imperfections will fix themselves over time, or once they begin to develop. However, sometimes a more serious diagnosis will require medical interventions. Craniosynostosis is a condition where a baby's skull begins to fuse together too early. This occurs at birth or shortly after and if not treated, can affect brain development.

Today, I am excited to be speaking with my colleagues Dr. Brooke French and Dr. Allyson Alexander. Dr Allyson is a Pediatric Neurosurgeon here at Children's Hospital Colorado and is also an Assistant Professor at University of Colorado School of Medicine. Dr. Brooke French is the Co – Director of Cleft and Craniofacial Surgery Programs and is also the Director of Cosmetic Surgery here at Children's Hospital Colorado.

Launching Point and Introduction - History of Pediatric Mental Health in the U.S with Ron-Li Liaw, MD and Vice Admiral Vivek H. Murthy, MD, MBA (S6:E3) Sep 06, 2022

Show notes

The youth mental health crisis in America is not a new problem. The pandemic drove unprecedented numbers of kids to seek care at all levels and really brought this to the public's attention. In 2021, to highlight the mental health crisis in the United States, the surgeon general's office issued the Youth Mental Health Advisory. Today, as we begin our season 6 focus on mental health with our Charting Pediatrics Mental Health series, we are privileged to talk with our U.S Surgeon General, Dr. Vivek Murthy, and our very own Mental Health In-Chief Ron-Li Liaw.

Vivek Murthy serves as the 21st Surgeon General of the United States. Dr. Murthy is a renowned physician, research scientist, and entrepreneur. As the Nation's Doctor, the Surgeon General's mission is to help lay the foundation for a healthier country. Dr. Ron- Li Liaw is the Cannon Y. & Lyndia Harvey Chair in Child and Adolescent Psychiatry, the vice chair of Diversity, Equity, and inclusion and most recently, Ron-Li has been announced as the first ever Mental Health In-Chief for Children's Hospital Colorado.

Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado.

Impacts on Pediatric Medicine as we Emerge from the Pandemic with Raphe Schwartz and Rhae Gamber (S6:E2) Aug 30, 2022

Show notes

Since 2020, life as we know it has been turned upside down. Every person has had to deal with the repercussions of the global COVID-19 pandemic in their own individual ways. Pediatrics is no different. Pediatrics has changed immensely over the last few years, and as we emerge from the pandemic, many people are anticipating the "normal" of life to come back. However, it is important to understand that there may be a "new normal". In this episode, we will be discussing what has changed in the landscape of pediatrics, what will stay, and what areas will not recover.

Raphe Schwartz serves as Chief Strategy Officer at Children's Hospital Colorado and joining us from health care analytics and intelligence firm Sg2, Rhae Gamber, Senior Consulting Director of Women's Health & Pediatric Intelligence.

If any children's hospital leaders or pediatric providers are looking for more info on Sg2 visit https://www.sg2.com/childrens

Sleepless Nights and When to Refer to a Specialist with Antoinette Burns, DO (S6:E1) Aug 23, 2022

Show notes

Sleep is an essential function that is vital to the health and well-being of every individual yet millions of people either neglect or have trouble sleeping. Sleep issues in kids are among the most common problems that parents report when visiting their Primary Care provider. In fact, 20% of all children suffer from some type of sleeping problem. In today's episode, we are going to discuss common sleep disorders and when Primary Care providers should refer patients to a sleep specialist.

Today I am happy to be speaking with my colleague Dr. Antoinette Burns. Dr. Burns is a pediatric sleep physician. She is the Associate Medical Director of the Pediatric Sleep Lab in Colorado Springs, Colorado and is also an Associate Professor of Clinical Practice in the Department of Pediatrics at the University of Colorado school of Medicine.

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