Charting Pediatrics

By Children's Hospital Colorado

Listen to a podcast, please open Podcast Republic app. Available on Google Play Store.


Category: Medicine

Open in Apple Podcasts


Open RSS feed


Open Website


Rate for this podcast

Subscribers: 46
Reviews: 0

Description

Children's Hospital Colorado faculty examine the latest treatment options for the most common chief complaints in pediatric medicine. We will talk about significant research and advances in pediatric medicine, the nuanced art of practicing pediatrics and everything in between.

Episode Date
Resident Files: Improving Care for Medically Complex Young Adults (S4:E31) with Michelle Brajcich, MD, Sam Robin, MD & Hannah Friedman, MD
26:25

Complex patients are increasingly common in primary care and often have poor clinical outcomes. Barriers within our healthcare system challenge effective care for complex patients within our hospital systems, but less is known about the potential impact and meaning of caring for complex patients on a daily basis for primary care providers (PCPs). Today, we are going to talk about improving care for medically complex young adults, including their experiences of health system barriers and facilitators and their strategies to enhance provision of effective care.

In our series, the Resident Files, we explore efforts of Children's Hospital Colorado and CU School of Medicine pediatric residents to examine the social determinants of health that impact the patients they see in primary care clinic and how all pediatric providers can make considerations for these impacts in their own practice.

Our guests for this Resident File episode are Dr. Michelle Brajcich, PGY2; Dr. Samantha Robin PGY2 and Dr. Hannah Friedman PGY2.

Do you thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

May 13, 2021
Introducing Pediatras En Línea
06:55

A new podcast from Children’s Hospital Colorado. Pediatras En Línea is a weekly podcast in Spanish for pediatric healthcare providers hosted by Carla Torres-Zegarra, MD. In this series, providers from around the globe will discuss the latest treatments and innovations for the delivery of pediatric medicine and the nuanced art of delivering care in their home communities. Watch for the launch on May 18, 2021.

Listen and subscribe on SpotifyiTunesGoogle Podcasts and Google Play beginning May 18.

Do you suggestions for a topic or guest for Pediatras En Línea? Write to us, pediatrasenlinea@childrenscolorado.org 

May 12, 2021
The Pandemic & Pediatrics: An Update on Vaccines, Variants and Schools with Jessica Cataldi, MD, Sam Dominguez, MD and Sean O'Leary, MD (S4:E30)
29:36

Join Dr. Brumbaugh and the Children's Colorado ID Team on May 13 at 6 p.m. MST for the next COVID-19 Provider Town Hall, featuring live Q&A, Register now: https://bit.ly/2RoiezA 

It has been almost a month since Pfizer requested to expand use of its COVID-19 vaccine to adolescents ages 12 to 15. The request asks the Food and Drug Administration to amend their vaccine’s emergency use authorization, which the FDA originally granted late last year for people ages 16 and up. Meanwhile, our colleagues in Michigan are seeing record numbers of hospitalized pediatric patients, creating a greater sense of anticipation and urgency for the vaccine’s approval down to age 12. In this episode we will delve into vaccines, variants, schools and more as we examine the latest impacts the pandemic has had on pediatrics.

Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Dr. Sam Dominguez. And not only is Sam with us, but we have the expertise of returning Infectious Diseases experts Dr. Sean O’Leary and Dr. Jessica Cataldi.

For those of you who don’t know, Children’s Colorado has hosted virtual COVID-19 Town Halls for pediatricians since March 2020 – these Town Halls have been anchored and fueled by the expertise of Sam, Sean & Jess and we are exceptionally fortunate to be joined by all of them on the podcast today. Register for our next Town Hall here: ://bit.ly/2RoiezA 

Don't miss Post-Acute COVID Syndrome in Pediatrics with Donna Curtis, MD & Rachel Workman, MD (S4:E29)

Do you have thoughts about today's episode or suggestion for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

May 04, 2021
Post-Acute COVID Syndrome in Pediatrics with Donna Curtis, MD & Rachel Workman, MD (S4:E29)
34:14

While statistics indicate that children have largely been spared from the worst effects of COVID-19, little is known about what causes a small percentage of them to develop serious illness. Providers are now reporting the emergence of downstream complications that mimic what’s seen in adult “long haulers.” In this episode, Dr. Donna Curtis and Dr. Rachel Workman join us as we consider how pediatricians can support patients who are dealing with the lingering effects of post-COVID infection.

Donna Curtis, MD is an infectious diseases physician at Children’s Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Rachel Workman, MD runs the Integrative Medicine Clinic at Children’s Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

Patient-Led Research Collaborative for COVID-19

Join us for our next Virtual COVID-19 Town Hall on May 13 at 6 p.m. (MST) where we unpack the latest research on the pandemic and how it is impacting kids, as well as Q&A with the Children's Colorado Infectious Diseases team. Register today: https://bit.ly/3tZ1CwH

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Apr 27, 2021
Screening for Iron & Vitamin D Deficiency with Liliane Diab, MD (S4:E28)
27:59

In the last decade, studies have shown the fundamental role Vitamin D plays in disease and health. Vitamin D deficiency often develops in childhood and is estimated to impact one in 10 U.S. children. Prolonged and untreated vitamin D deficiency can impact multiple organs and functions, but it rarely causes overt symptoms and often goes unnoticed. In this episode, we are joined by Liliane Diab, MD to discuss screening for iron and Vitamin D deficiency.

Dr. Diab is part of the Clinical Nutrition team at Children’s Hospital Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Apr 20, 2021
Bone Stress Injuries with Aubrey Armento, MD & Amanda McCarthy, Sports Nutritionist (S4:E27)
42:47

The growing prevalence of specialization and year-around training in youth sports has contributed to an increase in bone stress injuries in children. In today’s episode we are going to discuss the factors which contribute to stress injuries, including nutrition, hormonal health, age of the athlete and more.

Our guests on this episode are Aubrey Armento, MD and Amanda McCarthy, Sports Nutritionist from the Sports Medicine Center at Children's Hospital Colorado.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Apr 09, 2021
A Difficult Week in Colorado: Discussing Firearm Safety (S4:E26)
31:24

This has been a tragic week on top of an already difficult year for us in Colorado. On Tuesday, March 23, a gunman opened fire at a local grocery store in Boulder, killing 10 people; the suspect is a 21-year-old. Our community mourns another mass shooting.

As our Charting Pediatrics team grieves with our neighboring community, we are reminded of the critical role that we as pediatricians can play in promoting gun safety and safe storage of fire arms.

Locally, in Colorado Children’s Hospital Colorado is supporting HB21-1106, a firearm storage safety legislation which requires three main things:

  1. Gun owners to securely store their guns
  2. Federally licensed gun dealers to provide a locking device
  3. The Colorado Department of Public Health and Environment to publish information on safe storage

The bill passed the House on March 9 and has been introduced in the Senate and assigned to the Senate Judiciary Committee for a hearing. We encourage our Colorado listeners to contact your local lawmakers to support the bill. If you have questions about how you can be further involved in advocacy efforts please email us, chartingpediatrics@childrenscolorado.org

This is a rebroadcast from Season 2 that covers practical tips for talking with your patient families about firearm safety. 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Mar 29, 2021
Sacral Dimples with Todd Hankinson, MD (S4:E25)
22:13

Join Dr. Brumbaugh and the Children's Colorado Infectious Diseases team this Thursday, March 25 at 6 p.m. MST for our virtual COVID-19 Town Hall with live Q&A and discussion about the latest developments in the ongoing pandemic and the impact to pediatrics. Register here: https://register.gotowebinar.com/register/2692793450142707472 

Sacral dimples are relatively common and seen in around 2-4% of healthy, newborn babies and are not cause for concern. Although the cause of them is unknown, in most cases, sacral dimples are simply signs of minor abnormalities as the baby grows inside the womb, but in rare cases, they can indicate a deeper spinal abnormality. In this episode, we are joined by Todd Hankinson, MD to discuss the epidemiology of sacral dimples, their associated pathophysiologic conditions and indications they are associated with congenital anomalies.

Dr. Hankinson is the Chief of Neurosurgery at Children’s Hospital Colorado and is Professor of Neurosurgery and Pediatrics at the University of Colorado School of Medicine. 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Mar 23, 2021
Resident Files: Just Like Us Books, Why Representation Matters in Children's Literature (S4:E24)
23:06

Many of our patients grow up never seeing a character that looks like themselves in a book. In fact, research suggests that 75% of characters in children’s books are white. Being able to relate to a character in a book helps entice our early readers that reading is fun and link themselves to the story. Seeing ones-self as the lead character of a book gives our patients an idea of what they might become. Diversity in literature matters. In today’s Resident Files episode, we discuss an initiative called Just Like Us Books that pediatric residents at Children’s Hospital Colorado have launched.

Our guests for today's episode are all PGY3 pediatric residents at Children's Hospital Colorado and the University of Colorado School of Medicine: Alexis Ball, MD; Katelyn Soares, MD and Ariel Porto, MD. 

Books included in Just Like Us Project:

  • It’s Okay to Be Different by Todd Parr (Preschool-1 year)
  • First Laugh, Welcome Baby! By Rose Ann Tahe
  • Antiracist Baby by Ibram X. Kendi (baby-3 years)
  • Hair Love by Matthew A. Cherry (Preschool-3 years)
  • Worm Loves Worm by J.J. Austrian (Preschool-3 years)
  • And Tango Makes Three by Justin Richardson (2-5 years)
  • Antiracist Baby by Ibram X. Kendi (baby-3 years)
  • Round is a Tortilla by Roseanne Thong (3-5 years)
  • Fry Bread by Kevin Noble Maillard (3-6 years)
  • The Proudest Blue by Ibtihaj Muhammad(Preschool-3 years)
  • Same, Same, but Different by Jenny Kostecki-Shaw (4-7)
  • A Family Is a Family Is a Family by Sara O’Leary (4-7 years)
  • Sulwe by Nyong’o Lupita (4-8)
  • Just Ask, Be Different, Be Brave, Be You by Sonia Sotomayor (4-8 years)
  • Anh’s Anger by Gail Silver (4-8 years)
  • Other Words for Home by Jasmine Warga (8-12years)

 

List of books we like with some broad categories that we were thinking about for inclusivity:

Inclusive books - characters from all types of backgrounds 

  • It’s Okay to Be Different by Todd Parr (Preschool-1 year)
  • I Am Me by Tristan Towns
  • Little Dreamers: Visionary Women Around the World by Vashti Harrison (8-12 years)
  • Think Big, Little One by Vashti Harrison (Baby-3 years)
  • Dream Big, Little One by Vashti Harrison (Baby-3 years)
  • Be Kind by Pat Zietlow Miller (4-8 years), characters are very diverse and inclusive, not explicitly about that, but nice to see all of the different kids getting along
  • Same, Same, but Different by Jenny Kostecki-Shaw (4-7). Penpals in US and India tell each other about their lives and they see that even though they live in different parts of the world, they do a lot of the same things

Inclusive families: parents who look different 

  • Life with My Family by Renee Hooker and Karl Jones (3-7 years)
  • A Family Is a Family Is a Family by Sara O’Leary (4-7 years)
  • Heather Has Two Mommies by Leslea Newman (Preschool-2 years)
  • I am Perfectly Designed by Karamo Brown (4-8 years)

Black/African/African American

  • Amazing Grace by Mary Hoffman (4-8 years)
  • I Am Enough by Grace Byers (4-8 years)
  • Little Leaders: Bold Women in Black History by Vashti Harrison (8-12 years)
  • Little Legends: Exceptional Men in Black History by Vashti Harrison (8-12 years)
  • Change Sings: A Children’s Anthem by Amanda Gorman (4-8 years)
  • All Because You Matter by Tami Charles (Preschool-3 years)
  • Hair Love by Matthew A. Cherry (Preschool-3 years)
  • I Like Myself by Karen Beaumont (4-8)
  • Sulwe by Nyong’o Lupita (4-8): about colorism within the Black community, photo of Lupita on the back cover
  • New Kid by Jerry Craft (pre-teen, graphic novel/chapter book)
  • Miami Jackson Sees It Through by Patricia McKissack (8-11, early chapter book)
  • Brown Boy Joy by Dr. Thomshia Booker (3-7)

LatinX/Hispanic

  • Julian Is a Mermaid by Jessica Love (4-8 years)
  • Round is a Tortilla by Roseanne Thong (3-5 years)
  • Green is a Chile Pepper by Roseanne Thong (3-5 years)
  • One is a Pinata by Roseanne Thong (3-5 years)
  • The Day of the Dead by Bob Barner (2-5 years)
  • Schomburg: The Man Who Built a Library by Eric Velasquez (7-12, lots of words but also great pictures on every page). True story about an afro-Puerto Rican man who immigrated to the US from Puerto Rico and collected books created a library about the achievements of African people/descendants throughout the ages
  • Separate is Never Equal by Duncan Tonathiuh (4-12). True story about Sylvia Mendez’ family’s fight for desegregation in CA, family was Mexican.
  • All around us by Xelena Gonzalez -  gentle story that celebrates family, culture, community and the connectedness of all thing

Indigenou/Native American 

  • Fry Bread by Kevin Noble Maillard (3-6 years)
  • We Are Water Protectors by Carole Lindstrom (Preschool-1 year)
  • The Pencil by Susan Avingaq. About an Inuit family who lives in an iglu
  • First Laugh, Welcome Baby! By Rose Ann Tahe. Story about a new baby and the significance of the first laugh in Navajo culture  
  • Sweetest Kulu by Celina Kalluk (1-3). Poem written for a baby about Inuit values and respect for the land, seems like a good bedtime story.

Immigrants/Refugees

  • The Proudest Blue by Ibtihaj Muhammad(Preschool-3 years)
  • Watch Me: A Story of Immigration and Inspiration by Doyin Richards (3-5 years)
  • Islandborn by Junot Diaz (5-8 years)
  • Other Words for Home by Jasmine Warga (8-12years) (pre-teen, chapter book). About a girl who wears a hijab who moves from Syria to the US and is newly labeled “Middle Eastern”, and embraces her culture and grows into herself

Disability

  • I Just Do It Differently by Donna Grinyer
  • I Will Dance by Nancy Bo Flood (Preschool-3 years)
  • Just Ask, Be Different, Be Brave, Be You by Sonia Sotomayor (4-8 years): kids of many different ethnicities with medical and developmental differences. Sotomayor was diagnosed with DM as a kid!
  • My Brother Charlie by Holly Robinson Peete and Ryan Elizabeth Peete. Black author co-wrote with her son who has autism. Story about Black siblings, one of whom has autism 

Gender/Sexual Orientation Diversity

  • It Feels Good to be Yourself: A Book About Gender Identity by Theresa Thorn (5-8 years)
  • Julian Is a Mermaid by Jessica Love (4-8 years)
  • Stella Brings the Family by Miriam B. Schiffer (5-8 years)
  • Worm Loves Worm by J.J. Austrian (Preschool-3 years)
  • And Tango Makes Three by Justin Richardson (2-5 years)

 

Different religions/culture (some overlap with immigrants/refugees)

  • Hats of Faith by Medeia Cohan (1-3, board book). Pictures of different “hats” that people of different faiths wear
  • The Diwali Gift by Shuchi Mehta (3-8). About Indian culture
  • Same, Same But Different by Jenny Sue Kostecki-Shaw (4-7). About two children who are penpals in the US and India

 

Anti-bias/Activism

  • V is for Voting by Kate Farrell and Caitlin Kuhwald (3-6 years)
  • A is for Activist by Innosanto Nagara (3-7 years)
  • Antiracist Baby by Ibram X. Kendi (baby-3 years)
  • No! My First Book of Protest by Julie Merberg (baby-3 years)
  • An ABC of Equality by Chana Ginelle Ewing (baby-5 years)
  • Woke Baby by Mahogany L. Browne (baby-3 years)

 

Emotions

  • When You Can’t See Me Smile: A book for children to help express and understand emotions, moods, and feelings while wearing a mask by Emily Alston
  • Anh’s Anger by Gail Silver (4-8 years)
  • Steps and Stones by Gail Silver (4-8 years)
  • Peace, Bugs, and Understanding by Gail Silver (Preschool-3 years)
  • My Magical Words by Becky Cummings

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

 

 

 

Mar 09, 2021
When the Loss of Smell Lingers, Olfactory Training for Post-COVID-19 Infection with Kenny Chan, MD (S4:E23)
30:46

Register for our next COVID-19 Town Hall on March 11 at 6 p.m. MST: https://register.gotowebinar.com/register/3191284534166093839 

COVID-19 has disrupted people’s ability to smell, for days or months and has been well-documented at this point in the pandemic, but researchers aren’t sure why. Even less is known about the long-term effects on children who have not regained their sense of smell months after recovering from COVID-19, a phenomenon that is believed to be vastly underreported. Pediatric patients are less likely to articulate to a provider or to their parents that they cannot smell or taste normally.

On today’s episode, we talk with Kenny Chan, MD about the existing supportive evidence for olfactory training to help with post-COVID-19 infection recovery and a new research study being launched at Children’s Colorado to help learn more about these patients.

Dr. Chan is the Chair of Pediatric Otolaryngology at Children’s Hospital Colorado and is Professor of Otolaryngology and Surgery at the University of Colorado School of Medicine.

JAMA Insights Article: Olfactory Dysfunction in COVID-19 Diagnosis & Management

Mar 05, 2021
The Eyes Have It: Common Pediatric Eye Emergencies with Emily McCourt, MD (S4:E22)
38:35

The first person to see a child following an eye emergency plays a critical role in preventing and treating an eye injury and subsequent visual loss. A basic, five minute eye exam can help providers determine how urgent an ocular problem is and the appropriate treatment approach. In today’s episode Emily McCourt, MD shares clinical pearls to help providers diagnose and triage a child who presents with an eye injury. 

Dr. McCourt is the Chair of Pediatric Ophthalmology at Children’s Hospital Colorado and is Associate Professor of Pediatric and Adult Strabismus at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Feb 23, 2021
Resident Files: Hearing Screening in Pediatrics with Jordan Yoeli, MD (S4:E21)
23:44

Hearing loss is the most common developmental disorder identifiable at birth and its prevalence increases throughout school‐age due to the additions of late‐onset, late identified and acquired hearing loss. Under identification and lack of appropriate management of hearing loss in children has broad effects and impact on educational, cognitive and social development. According to the American Academy of Pediatrics For all children, regular surveillance of developmental milestones, auditory skills, parental concerns, and middle-ear status should be performed in the medical home. On today’s Resident Files episode we are going to walk through the hearing screening schedule and risk indicators with Jordan Yoeli, MD, PGY-3 pediatrics resident at Children's Hospital Colorado and the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

 

Feb 16, 2021
A Pandemic & Pediatrics Update: Vaccines, Variants & MIS-C with Sam Dominguez, MD (S4:E20)
21:43

Register for our next COVID-19 Town Hall - Thursday, February 11 at 6 p.m. MST. Read more about our COVID-19 Town Hall series for pediatric providers here.

The number of COVID-19 cases, deaths and hospitalizations are steadily declining in the U.S., signaling we may have turned a corner in the pandemic. And after a challenging start to rolling out the vaccine, about 31.6 million people in the US have received at least one dose of the COVID vaccine, including about 9.1 million people who are fully vaccinated. In today’s episode, we discuss the latest in the journey to end the pandemic and what it means for pediatrics with Sam Dominguez, MD.

Dr. Dominguez is a pediatric infectious diseases physician at Children’s Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future podcast topic? Write to us, chartingpediatrics@childrenscolorado.org 

Feb 09, 2021
Healthy Weight, Stigma & Eating Disorders with Jennifer Hagman, MD and Matt Haemer, MD (S4:E19)
37:27

Join our next COVID-19 Provider Town Hall on Thursday, February 11 at 6 p.m. MST: https://bit.ly/3cMwxH5 

Throughout the COVID-19 pandemic we have examined various impacts this time has had on the pediatric population. In recent months, the Charting Pediatrics host team has received multiple emails from pediatricians around the globe who are observing increased number of patients struggling with health weight stigma and eating disorders as the pandemic lingers on. The clinical experiences and observations of our colleagues writing in inspired today’s discussion with Jennifer Hagman, MD and Matt Haemer, MD.

Dr. Hagman is Director of the Eating Disorder Program at Children’s Hospital Colorado and Professor of Psychiatry at the University of Colorado School of Medicine.

Dr. Haemer helps lead the Nutrition team at Children’s Colorado and is Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine.

Resources Mentioned:

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Feb 02, 2021
Common Breathing Issues During Respiratory Season with Ben Hughes, MD (S4:E18)
24:04

Respiratory diseases account for nearly a quarter of all pediatric consultations. And in addition to the usual suspects on our differentials, we now have the consideration of COVID-19. In today’s episode, we talk with Ben Hughes, MD about the most common breathing issues during respiratory season, important diagnostic considerations and treatments options.

Dr. Hughes is a pediatric pulmonologist at Children’s Hospital Colorado and lives locally on the Western Slope of Colorado in Grand Junction; he is Assistant Professor of Pediatrics and Pulmonary Medicine at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jan 26, 2021
Why It's Time to Return to In Person Learning with Sean O'Leary, MD (S4:E17)
13:51

New studies from Germany, Norway and the U.S. offer yet more data to show that childcare facilities and elementary schools should remain open or re-open to full-time, in-person learning as quickly as possible. Despite these research findings, schools across the US have largely been closed to in-person learning since the pandemic reached critical mass in the U.S. in March 2020. On today’s episode, we are going to talk through these recent studies and the advocacy needed to support the re-opening of schools to full-time, in-person learning.

https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.26.1.2002011

https://www.nejm.org/doi/10.1056/NEJMc2026670

https://pediatrics.aappublications.org/content/early/2021/01/06/peds.2020-048090

Today we are joined by returning guest Dr. Sean O’Leary, an Infectious Disease physician at Children’s Colorado and Director of the Colorado Pediatric Practice-Based Research Network. Sean is also a spokesperson for the American Academy of Pediatrics and can regularly be found being interviewed and quoted in the New York Times, C-SPAN, PBS and CNN to name a few.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jan 22, 2021
When Substance Use Disorders Come to Pediatrics with Debbie Singer, MD & Paula Riggs, MD (S4:E16)
34:50

In this episode we are joined by Dr. Debbie Singer and Dr. Paula Riggs to discuss their successful collaboration screening adolescents for substance use disorders, implementing the SBIRE (screening for evaluation) vs SBIRT (referral for treatment) approach, and its rationale and effectiveness in this partnership between primary care pediatrics and psychiatry.

Debbie Singer, MD is a primary care pediatrician at Every Child Pediatrics in Denver, Colo. and Fellow of the American Academy of Pediatrics (FAAP).

Paul Riggs, MD is Director of the Division of Addiction Science, Prevention & Treatment; Vice Chair of Faculty Affairs for the Department of Psychiatry and Professor of Psychiatry at the University of Colorado School of Medicine; and Director of the Encompass Clinic. 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jan 12, 2021
A Twist: New COVID-19 Variants with Sam Dominguez, MD (S4:E15)
26:31

COVID-19 Provider Town Hall: COVID-19 Variants & Vaccine Focus: https://bit.ly/3ndY8Cs on Thursday, January 7, 2021 at 6 p.m. MST.

For the last month of the pandemic, hope and excitement have surrounded the COVID vaccination deployment as more than 3 million Americans received their first vaccine dose by the close of 2020. While the pandemic is far from over, there is a sense of hope that the vaccine represents the beginning of the end. As this hope was rising, a new variant of the virus emerged with an unusually large number of mutations. This variant seems to spread more easily and quickly than other variants and was first detected in September 2020. It is now highly prevalent in London and southeast England, and has since been detected in numerous countries around the world, including the United States and Canada. In today’s episode, we are going to talk with Sam Dominguez, MD about the details of the virus variant mutations and what that means for pediatrics and the vaccine.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 and 4 of the podcast.

We are pleased to welcome back Dr. Sam Dominguez to the podcast. Sam is a pediatric infectious diseases physician at Children’s Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jan 06, 2021
Autism, Developmental Delays & the Impact of COVID with Caitlin Middleton, PhD and Abigail Angulo, MD (S4:E14)
28:52

The COVID-19 pandemic has presented uncountable challenges for each of us, but as we considered some specific patient populations that have particularly been impacted our kids with autism and developmental delays come to mind. These children are especially vulnerable to the effects of the pandemic due to overall more significant healthcare needs, their dependency on community-based and school-based services and global mental health concerns. On today’s episode we talk with Caitlin Middleton, PhD and Abigail Angulo, MD through the considerations primary care providers should make for their patients with autism and developmental delays as we move through the latest wave of the pandemic.

Dr. Middleton is part of the Developmental Pediatrics team at Children's Hospital Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

Dr. Angulo is part of the Developmental Pediatrics team at Children's Hospital Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jan 05, 2021
Part II: Foster Care, COVID-19 & Pediatric Care with James Kaferly III, MD & Sara Hills, PhD (S4:E13)
33:06

Last month we introduced you to Part I of primary care for children and teens living in out-of-home care -- In today’s follow-up episode, we will discuss important aspects of the physical exam; considerations for ACE scores and their impacts to overall child health; and finally, how to advocate for this patient population particularly during the pandemic.

We are fortunate to be joined by Denver Health pediatrician Dr. James Kaferly and happy to welcome Dr. Sara Hills, Clinical Psychologist from Denver Health.

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Dec 15, 2020
The Intersection Between Aviation & Medicine with United Airlines (S4:E12)
50:53

Safety and teamwork are second nature for pediatric providers. In medicine, we have long looked to the airline industry as a leader in the application of crisis response and as the ideal of high reliability. Coming from a shared reality that even the most experienced professionals are vulnerable to human error, both aviation and medical professionals rely on problem-solving strategies to optimize responses to critical incidents.

In this epsiode we discuss the collaborative work of physicians at Children's Colorado and Human Factors and Pilot Development leaders at United Airlines.

Our guests are Robby Bishop, MD, Director of the Simulation Lab at the Children's Hospital Colorado Heart Institute; Rob Strickland, Senior Manager of Human Factors and Pilot Development at United Airlines; and Carlos Porges, Psy.D, Neuropsychologist, Boeing 757/767 Pilot and member of the Human Factors and Development Team at United Airlines.

Paper: Crisis Resource Management in Medicine: A Clarion Call for Change

Video: Crisis Resource Management in Medicine: A Clarion Call for Change

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Dec 08, 2020
Rebroadcast: COVID-19 Taking Care of Adult Patients During the Pandemic with Aaron Manning, MD and Steven Humphrey, MD (S3:E49)
40:11

Join us for our bi-weekly COVID-19 Virtual Provider Town Hall series featuring updates from Children's Infectious Diseases team and live Q&A: https://bit.ly/3qiKGzV  - our next Town Hall is on Thursday, December 3, 2020 from 6-7:30p.m. MST.

With COVID-19 cases surging across the United States and Europe we hope this episode is a timely refresher for any of our pediatric colleagues who are being called into service to care for adult patients. 

In this rebroadcast of S3:E49, we have a case discussion around functional and high-yield adult medicine topics that might be useful for pediatricians helping to care for adult patients in the middle of the pandemic.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 & 4 of the podcast.

Today we are fortunate to be joined by Dr. Aaron Manning and Dr. Steven Humphrey.

Steven is a pediatric hospitalist at Children’s Hospital Colorado and Instructor of Pediatrics at the University of Colorado School of Medicine.

Aaron is also a pediatric hospitalist at Children’s Colorado and is Assistant Professor of Hospital Medicine at the University of Colorado School of Medicine.

  1. POPCoRN (Pediatric Overflow Planning Contingency Response Network): https://www.popcornetwork.org/. This site is a multi-institutional collaboration that was created during the COVID-19 pandemic as a vehicle for optimizing adult care in pediatric environments. It contains many “one-pagers” which review the management of a variety of common adult conditions, links to adult protocols shared by various institutions, and recommendations regarding care of patients with COVID-19 among others.
  2. Adult medicine guidebooks: Several organizations have made available their adult medicine guidebooks free of charge.
    1. UCSF Department of Medicine Hospitalist Handbook (currently free in the Apple and Google App Stores)
    2. MGH Resource Guide for Commonly-Encountered Inpatient Topics (available via the POPCoRN website)
    3. Society for Hospitalist Medicine: Non-Hospitalist Onboarding. This resource offers a step by step guide to preparing non-hospitalists for the inpatient management of adult care (available via the POPCoRN website)
    4. University of Pennsylvania Hospitalists Primer. A resource meant to prepare non-hospitalists for the care of hospitalized adults (http://pennhspprimer.com/)

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Dec 02, 2020
Resident Files: Social Determinants of Health (S4:E11)
25:57

In our new  series, the Resident Files, we explore efforts of Children's Hospital Colorado and CU School of Medicine pediatric residents to examine the social determinants of health that impact the patients they see in primary care clinic and how all pediatric providers can make considerations for these impacts in their own practice.

Our guests today are CU School of Medicine Pediatric Residents, Telly Cheung, MD and Elizabeth Kerr, MD.

Social Determinants of Health Resources from the AAP

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org  

Dec 01, 2020
Advancement Towards a COVID-19 Vaccine with Sean O'Leary, MD (S4:E10)
15:10

Register for the next Provider COVID-19 Town Hall on Thursday, December 3 from 6-7:30 p.m. MST: https://bit.ly/33eMy2D 

Today on Charting Pediatrics, we will talk about what to expect from the public release of the COVID-19 vaccine, what it means for pediatrics and facts you can begin sharing with parents in your practice to arm them with knowledge and confidence in this vaccine.

Major breakthroughs have developed since we last visited the topic of Operation Warp Speed and the race for a COVID-19 vaccine. Pfizer’s vaccine candidate has shown to be 95 percent effective and Moderna’s has been similar at 94.5 percent, rivaling some of the most potent vaccines that we have. With vaccine candidates showing robust immune response there is mounting anticipation for a vaccination that could bring an end to the pandemic. This news comes as community spread of the virus is raging and hospitalizations have surged across the United States. 

Sean O’Leary, MD is our guest for this episode. Dr. O'Leary is an Infectious Disease physician at Children’s Colorado and Director of the Colorado Pediatric Practice-Based Research Network. Sean is also a spokesperson for the American Academy of Pediatrics and can regularly be found quoted in publications like the New York Times.

Nov 20, 2020
Antimicrobial Stewardship in Primary Care with Nicole Poole, MD and Sarah Parker, MD (S4:E9)
39:31

The CDC estimates that at least 30 percent of antibiotic prescriptions dispensed from the outpatient setting are unnecessary. Providers working in primary care are perhaps the most influential healthcare providers in addressing the issue of antibiotic resistance, as the inappropriate antibiotic prescribing practices remain high. In this episode Sarah Parker, MD and Nicole Poole, MD join us to discuss the use of antimicrobial stewardship programs and how they be implemented in primary care.

Dr. Parker is the Medical Director of Children’s Antimicrobial Stewardship Program and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Dr. Poole is an Infectious Diseases Physician focused on Outpatient Antimicrobial Stewardship at Children’s Colorado and is Assistant Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Nov 18, 2020
COVID-19 & the Pediatric Healthcare Landscape with Madeleine McDowell, MD, Karyl Kopaskie, PhD and Raphe Schwartz (S4:E8)
35:56

As the United States enters the eighth month of the pandemic surrounded by a backdrop of payer pressures, demands for virtual care and societal unrest, our healthcare system is challenged daily to navigate uncharted territory. From rapid scaling COVID-19 testing and safety operations to securing PPE from disrupted supply chains, and trying to assure patient families that it is safe to continue to come to clinics and hospitals for care….

Our pediatric healthcare landscape has forever been changed by COVID-19. And as COVID-19 cases are surging across the U.S. and parts of Europe, we are acutely reminded that end of the pandemic is not readily in sight. In this episode, we will discuss the pediatric healthcare landscape and its forecasted pandemic recovery and considerations for primary care providers.

On this episode we are joined by Children's Hospital Colorado Chief Strategy Officer Raphe Schwartz, and from Sg2 Healthcare Intelligence services, Karyl Kopaskie, PhD, Associate Principal; and Madeleine McDowell, MD, Principal and Medical Director.

If you have thoughts about today's episode or suggestions for a future topic, write to us: chartingpediatrics@childrenscolorado.org 

Nov 12, 2020
Where is This Pandemic Headed for Pediatrics with Sam Dominguez, MD (S4:E7)
26:04

Register for this week's Provider Town Hall: Thursday, November 5 from 6-7:30 p.m. MST: https://attendee.gotowebinar.com/register/3768862387713545741

COVID-19 cases are surging across the U.S. and parts of Europe, outpacing the anticipated winter respiratory season. Locally in Colorado, community transmission is also on the rise with the Colorado Department of Public Health and Environment warning that hospitalizations in the state are likely to blast through the peaks of April and could overwhelm the state’s intensive care units by January. In this our 27th COVID-19 podcast, we will delve into the latest epidemiology of the pandemic and where things are headed for pediatrics.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 and 4 of the podcast.

We are fortunate to be joined once again by un-official Charting Pediatrics co-host, Sam Dominguez, MD. Sam is a pediatric infectious diseases physician at Children’s Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Do you have feedback about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Nov 04, 2020
Part I: Foster Care, COVID-19 & Pediatric Care with James Kafferly III, MD (S4:E6)
22:50

Register for this week's Provider Town Hall: Thursday, November 5 from 6-7:30 p.m. MST: https://attendee.gotowebinar.com/register/3768862387713545741

In today’s episode, we discuss special health care considerations for children and teens living in out-of-home placements, including foster care/kinship care/group home settings, particularly during the COVID-19 pandemic.

Today we are joined by James Kafferly III, MD, pediatrician from Denver Health.

Fostering Health Resources for Providers by the AAP

Healthy Foster Care America from the AAP

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

  

Nov 03, 2020
Pediatrics: How the Pandemic Accelerated Publication with Lewis First, MD and Alex Kemper, MD (S4:E5)
43:05

Register now for the next COVID-19 Pediatric Provider Town Hall:

https://register.gotowebinar.com/register/3768862387713545741 

As a trusted pediatric publisher of peer-reviewed research, clinical references, patient education and coding & payment resources, the American Academy of Pediatrics has played a pivotal role in making the latest research and articles from its Pediatrics Journal related to COVID-19 available for free. In this episode, we are going to talk about the unique rapid scaling and dissemination of reliable clinical information during COVID-19 with Lewis First, MD, Editor-in-Chief of Pediatrics and Alex Kemper, MD, Deputy-Editor-in-Chief of Pediatrics.

The editor of Pediatrics is Lewis R. First, MD, MS, [lewis.first@uvm.edu] Professor and Chair, Department of Pediatrics, University of Vermont College of Medicine, and Chief of Pediatrics, University of Vermont Children’s Hospital.

The deputy editor is Alex R. Kemper, MD, MPH, MS, Division Chief, Ambulatory Pediatrics, Nationwide Children’s Hospital [alex.kemper@nationwidechildrens.org].

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Oct 27, 2020
Open Hearts: Outcomes and Transparency in Pediatric Cardiology (S4:E4)
25:22

Register for this week's COVID-19 Provider Town Hall! Live Q&A with the Children's Colorado pediatric infectious disease team and updated epidemiology of the pandemic : https://register.gotowebinar.com/register/7276255001809281037 

Hospitals and pediatric practices are under increasing pressure to be publicly transparent about their quality and safety outcomes. The rapid growth of quality improvement initiatives and surgical outcomes in pediatric heart care has made national news headlines in recent years, demonstrating the correlation between pediatric heart surgical volumes and outcomes for kids. On today’s episode we are going to discuss outcomes transparency in pediatric heart care and the work that one nonprofit has done to lead the way in data transparency.

Today we are fortunate to be joined by David Kasnic, Executive Director for the non-profit, Conquering CHD.

15 Participating Centers
AdventHealth for Children – Orlando, FL
Advocate Children’s Hospital – Oak Lawn, IL
Ann & Robert H. Lurie Children’s Hospital – Chicago, IL
Children’s Healthcare of Atlanta – Atlanta, GA
Children’s Hospital Colorado – Aurora, CO
Children’s Hospital Los Angeles, Los Angeles, CA
Children’s National – Washington, DC
Children’s Wisconsin – Milwaukee, WI
Cincinnati Children’s Hospital – Cincinnati, OH
Medical University of South Carolina – Charleston, SC
Nationwide Children’s Hospital – Columbus, OH
New York Presbyterian Hospital – Columbia – Cornell – New York, NY
Seattle Children’s Hospital – Seattle, WA
University of California at Davis Health – Sacramento, CA
University of Michigan Congenital Heart Center – Ann Arbor, MI
 
How to Get Involved: Patients and Families
  1. Visit the Hospital Navigator launch blog at conqueringchd.org/hospital-navigator-launch
  2. Check the list of participating centers
  3. Use the Patient and Family Advocacy Toolkit to talk to your center about joining
 
How to Get Involved: Providers/Hospitals
  1. Visit the Hospital Navigator launch blog at conqueringchd.org/hospital-navigator-launch
  2. Download the invitation letter and submission form
  3. Send questions to Rebeka Acosta, Education Coordinator, at racosta@conqueringchd.org 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Oct 20, 2020
COVID-19 & Return to Play Cardiac Screening Guidelines with Chris Rausch, MD (S4:E3)
24:21

Register for tomorrow night's COVID-19 Virtual Provider Town Hall! Thursday, October 8 2020 from 6-7 p.m. MST

In this episode, we will focus on when to order an ECG and other cardiac considerations for return to play after COVID-19 infection.

Approximately 35 to 45 million youth ages 6 to 18 participate in some form of athletics. As more of these young athletes return to sport amid the lingering pandemic, primary care providers are navigating new guidance about the evaluation and clearance of patients who have recovered from COVID-19. And because COVID-19 infections in pediatric patients are more likely to be asymptomatic or mild compared to adults, pediatric providers will frequently be presented with return-to play questions for patients who had asymptomatic or very mild disease.

On Season 3, Episode 56 of the podcast we covered the initial guidance on the return to sport during COVID-19.

Chris Rausch, MD is the Pediatric Cardiology Medical Director and Director of the Cardiopulmonary Exercise Laboratory at Children’s Colorado and is Associate Professor of Pediatrics and Cardiology at the University of Colorado School of Medicine.

Cardiac Evaluation for Post COVID-19 (SARS-CoV-2) Infection Return to Play in Children and Adolescents by the Children's Hospital Colorado Scientific Advisory Council

Oct 07, 2020
I Get By With a Little Help From My Friends: Resiliency with Jenny Reese, MD (S4:E2)
28:14

On this episode we are going to talk with Jenny Reese, MD about practical approaches to self-care and resiliency as we continue to move through this pandemic.

Societal interruptions at every turn. Working remotely. Virtual school. Financial and health uncertainties. Massive disruptions to the delivery of healthcare, including impacted volumes and private practice business. The impact of the COVID-19 pandemic on every aspect of our lives is apparent. As providers who have uniquely felt the impacts of these changes because of our profession, it is imperative to take time to consider our own resiliency.

Dr. Reese is the Section Head of Pediatric Hospital Medicine at Children’s Colorado and is Associate Professor of Clinical Practice and Pediatrics at the University of Colorado School of Medicine. 

Sep 29, 2020
COVID-19 & Vaping: A Call to Advocacy and Intervention with Robin Deterding, MD (S4:E1)
22:02

Register today for our next COVID-19 Virtual Provider Town Hall with updates from our Infectious Diseases team and live Q&A from participants. https://register.gotowebinar.com/register/8317728907959325456

Just before the COVID-19 pandemic we were witnessing a fast-growing and new epidemic for pediatricians --the association between teen vaping and acute lung injury. It is not surprising that a recent study by researchers at Stanford University has shown a link between vaping and a substantially increased risk of COIVD-19 among teenagers and young adults. Today we are going to revisit the topic of EVALI – E-Cigarette or Vaping Associated Lung Injury – and the impact and of COVID-19 on teens who vape with Robin Deterding, MD.

Dr. Deterding is the Chief of Pulmonary Medicine at Children’s Colorado and is Professor of Pediatrics at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topics? Write to us, chartingpediatrics@childrenscolorado.org 

Sep 22, 2020
Introducing: Charting Pediatrics Season 4
11:40

A new season of Charting Pediatrics launches on Tuesday, September 22! 

Hear Dr. Brent, Dr. Brumbaugh and Dr. Nicklas reflect on Season 3, the pandemic and what is to come on an exciting new season of the podcast.

Association for Medical Education in Europe: Charting Pediatrics e-Poster

Do you have topic or guest suggestions for Season 4 of the podcast? Write to us, chartingpediatrics@childrenscolorado.org 

Sep 18, 2020
Cold Case: Will the Flu Season be Canceled? COVID-19 Pediatric Updates with Sam Dominguez, MD (S3:E69)
30:35

Join our next Virtual COVID-19 Provider Town Hall

As countries in the Southern Hemisphere move through what would normally be their influenza season, early data indicates that efforts to stop COVID-19 have all but eliminated the typical viral spread of flu in those communities. These early behaviors have providers in the Americas speculating if influenza will take a similarly mild course, while others warn of a “Twindemic” dual impact of COVID-19 and influenza. In this our 21st COVID-19 podcast, we will delve into the latest epidemiology of the pandemic, how pediatricians might think about the approaching flu season and what testing to order.

Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Dr. Sam Dominguez. Sam is a pediatric infectious diseases physician at Children’s Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Resources and Publications Mentioned in this Episode:

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Sep 15, 2020
En Español: Afecciones cutáneas comunes en el primer año de vida with Carla Torres-Zegarra, MD (S3:E68)
24:03

En este episodio nos acompaña Carla Torres-Zegerra, MD, para discutir los problemas dermatológicos más comunes en el primer año de vida en español.

In this episode we are joined by Carla Torres-Zegerra, MD, to discuss the most common dermatology issues in the first year of life, the episode was recorded in Spanish.

You can follow Dr. Torres-Zegerra on Instagram @dermaskinmd where she posts dermatology tips for providers.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 
Aug 31, 2020
Drowning Prevention with Laura Bricklin, MD and Emma Harding, MD (S3:E67)
26:32

Drowning is quick and silent.

It is also the single-leading cause of death among children aged 1-4 and is a top cause death among teens. As pediatricians, we offer an important voice to help educate our parents, patients and community about how to keep kids safe in and around the water. Recently two of our pediatric residents, Dr. Laura Bricklin and Dr. Emma Harding, were awarded a CATCH grant for drowning prevention and are joining us today to review important water safety information for bathtubs, pools and open water.

Aug 27, 2020
Operation Warp Speed & the Race to Develop a COVID-19 Vaccine with Sean O'Leary, MD (S3:E66)
34:11

Join us for our next COVID-19 Virtual Provider Town Hall on Thursday, August 27 from 6-7:30 p.m. MST with the Children's CO Infectious Disease Team, including epi and literature updates: https://attendee.gotowebinar.com/register/4385745584068080396

Countries around the world are racing to develop a vaccine to end the COVID-19 global pandemic. In the United States, Operation Warp Speed – led by the Department of Health and Human Services and the Department of Defense -- involves almost $11 billion funding to seven different companies to develop vaccines. Three of these companies – Monderna, AstraZeneca and Pfizer – are in late stage trials. Today on Charting Pediatrics we are joined by Sean O'Leary, MD to talk about these accelerated efforts and what role a vaccine would play in pediatrics.

Today we are joined by returning guest Dr. Sean O’Leary, an Infectious Disease physician at Children’s Colorado and Director of the Colorado Pediatric Practice-Based Research Network. Sean is also a spokesperson for the American Academy of Pediatrics – if you have seen any major media coverage on the return to school, you have probably seen Sean quoted.

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Aug 20, 2020
Diagnosis & Management of Scoliosis with Lori Karol, MD (S3:E65)
31:20

Scoliosis affects between 2 and 3 percent of the population with the primary onset age being between 10-15 years old, occurring equally among both genders.

On this episode, Lori Karol, MD joins us to unpack the diagnosis and management of scoliosis. Dr. Karol in the new Chief of Pediatric Orthopedic Surgery at Children’s Colorado and is Visiting Professor of Orthopedics at the University of Colorado School of Medicine.

Aug 18, 2020
Masks, COVID-19, Asthma & the Return to School (S3:E64)
20:52

Please join us for this week's COVID-19 Virtual Provider Town Hall, Thursday, August 13 from 6-7:30 p.m. MST: 

https://attendee.gotowebinar.com/register/4458292460271814414

The topic of face masks or face coverings use and their efficacy has rapidly morphed into one of the most divisive topics in American culture. Mandated by many government bodies in the US and around the globe, these face coverings have been encouraged to slow the spread of COVID-19. We have heard from many of you, our listeners, that parents are asking for anticipatory guidance around mask wearing and their children, particularly chronic asthmatics.  In this our 18th COVID-19 podcast, we will discuss the AAP guidance around pediatric patients and face coverings, considerations for asthmatic patients and how these fit in with the return to school.

In this episode we are joined by returning guest Monica Federico, MD, Medical Director of the Clinical Alignment and Asthma Programs at Children’s Colorado and Associate Professor of Pediatrics at the University of Colorado School of Medicine.

Mask Exemptions During the COVID-19 Pandemic: A New Frontier for Clinicians, published by JAMA

Cloth Face Coverings for Children During COVID-19 from the American Academy of Pediatrics 

Example letters referenced by Dr. Federico are forthcoming at the Charting Pediatrics website.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Aug 11, 2020
Introducing Pediatrics On Call from the AAP with Joanna Parga-Belinkie, MD and David Hill, MD (S3:E63)
30:55

When most of us were going through medical training the word podcast had still yet to be uttered. A mash-up of broadcast and ipod, the word was first introduced in 2004. But by 2020 the podcast platform has developed into an essential tool for dissemination of information amongst humans. Now we can get information on any conceivable topic and it seems inevitable that this will transform all continuing education, including medical education. We know that in pediatrics we still need trusted resources and in that spirit, today we are excited to introduce you to a new podcast on the block that you need to be aware of, AAP’s new Pediatrics On Call Podcast, we’re going to talk to its co-hosts and  discuss the future of CME and learning for pediatricians.

Today we are pleased to be joined by Joanna Parga-Belinkie, MD and David Hill, MD, co-hosts of the AAP’s new podcast, Pediatrics On Call.

Joanna is assistant professor of clinical pediatrics at the University of Pennsylvania  and a pediatrician at Children’s Hospital of Philadelphia. She co-created the podcast Baby Doctor Mamas as her first foray into podcasting and has been a contributor and writer for many news outlets including The New York Times, NPR and NBC News.

David is a pediatrician at Goldsboro Pediatrics in Wayne County, North Carolina, where he practices both hospitalist pediatrics and outpatient pediatrics. He is an adjunct assistant professor of pediatrics at the University of North Carolina Chapel Hill. He has written and commentated for NPR’s All Things Considered, is a frequent contributor to Parents Magazine and author of several books.

Aug 04, 2020
CAR-T Cellular Therapy: Advancing Pediatric Cancer Treatment with Terry Fry, MD and Michael Verneris, MD S3:E62
39:37

Cellular therapy is a new type of immunotherapy that is bringing hope to pediatric patients with blood cancers. 

The therapy is more specifically known as chimeric antigen receptor T cell therapy (or CAR-T cell therapy), and it has been hailed as a breakthrough in the field of immunotherapy. CAR-T cell therapy "takes the brakes" off the immune system's response. Essentially, it trains the cells within the immune system, called T cells, to see tumors they weren't naturally developed to recognize.

Two years ago, we had the brilliant team of Terry Fry, MD and Mike Verneris, MD join us to discuss this therapy for patients with leukemia and other cancers; you can go back and listen to that initial discussion on Season 1, episode 33. We continue to hear from listeners how much they enjoyed this discussion of clinical invocation and application and decided that it was time to bring Dr. Fry and Dr. Verneris back to hear an update on their work and what the latest in the space of CAR-T cell therapy is.

Jul 29, 2020
Kawasaki Disease or MIS-C: What We Are Learning About COVID-19 Presentation in Pediatrics with Mimi Glode, MD and Jim Todd, MD (S3:E61)
45:02

As the COVID-19 pandemic enters its 8th month, we continue to learn more about how SARS-CoV2 impacts our pediatric population, including the severe Kawasaki-like disease, Multisystem Inflammatory Syndrome in Children Associated with COVID-19, or MIS-C. In this, our 17th COVID-19 podcast we will cover the clinical presentation of MIS-C, how it differs from Kawasaki’s and what the early literature is saying. We are fortunate to be joined by two giants in the field of Pediatric Infectious Diseases: Jim Todd, MD and Mimi Glode, MD. 

Dr. Glode is the former Section Head of Infectious Diseases at Children’s Colorado and is Professor Emerita of Pediatric Infectious Disease at the University of Colorado School of Medicine. Dr. Glode is an internationally recognized as an expert on Kawasaki disease and immunization pioneered the use of IVIG for the treatment for Kawasaki disease.

Dr. Todd is the former-Jules Amer Chair in Community Pediatrics and Section Head of Epidemiology at Children’s Hospital Colorado and Clinical Professor Emeritus in Pediatrics at the University of Colorado School of Medicine and is known for his discovery of Toxic Shock Syndrome.

What We Know About Multisystem Inflammatory Syndrome in Children (MIS-C) Associated with COVID-19

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jul 23, 2020
Overcoming Demographic Disparities in Medicine with Vijaya Vemulakonda, MD, JD (S3:E60)
34:57

Prenatally diagnosed with hydronephrosis, babies of ethnic minorities get surgery sooner than white ones, often within the first year. That's well documented; the trickier question is why. What role does implicit bias play, or at what point during the process does it come into play? What imaging studies do surgeons order, and how do they interpret the findings? How do those interpretations influence the decision whether to do surgery, or when?

On today’s episode, we are going to talk with Vijaya Vemulakonda, MD, JD, about her work studying demographic disparity in medicine and how the electronic health record can help close the gap. Dr. Vemulakonda is a pediatric urologist at Children’s Colorado and Associate Professor of Surgery and Urology at the University of Colorado School of Medicine.

Read more about Dr. Vemulakonda's research

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jul 16, 2020
COVID-19 School Re-Entry Guidance with Sean O'Leary, MD and Heidi Baskfield, JD (S3:E59)
33:21

In this our 16th COVID-19 podcast, we will delve into the return to school guidance that both Children’s Hospital Colorado and the American Academy of Pediatrics have released and talk about how pediatricians can be advocates for the safe return to in-person learning in their communities.

When schools across the United States halted in-person learning because of COVID-19 this Spring, many of us never predicted that students would remain in a remote learning status for the remainder of the school year. As school districts and teachers worked tirelessly to utilize all resources at their disposal, it became apparent that virtual learning was not an ideal education setting. From the lack of learning equity and access to critical services for many students to mental health impacts, many educators and pediatricians began talking about the importance of in-person learning resuming in some fashion for fall 2020. 

Today we are joined by returning guest Sean O’Leary, MD. Sean is an infectious disease physician at Children’s Colorado and Director of the Colorado Pediatric Practice-Based Research Network.

And we are happy to welcome Heidi Baskfield, JD to the podcast. Heidi is a lawyer by training and the Vice President of Population Health and Advocacy at Children's Hospital Colorado.

COVID-19 Return to School Risk-Based Guide from Children's Hospital Colorado

COVID-19 Planning Considerations: Guidance For School Re-Entry from the AAP

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jul 01, 2020
What We've Learned About COVID-19 in Pediatrics with Sam Dominguez, MD (S3:E58)
25:45

Months of progress in the United States has been overshadowed this week by a resurgence of COVID-19 cases, with areas of the South and West experiencing their first strong wave of cases. Earlier this week Texas Children’s Hospital announced they are admitting adult patients to help with surge capacity in Houston. As pediatric providers, we are considering ongoing PPE preparedness for an unknown future, what the latest literature is telling us about the virus in kids and what a vaccine or treatment option might look like. In this our 15th COVID-19 podcast, we will delve into these topics and more as we unpack what we’ve learned about COVID-19 in pediatrics with Dr. Sam Dominguez.

Today we are fortunate to be joined once again by my un-official Charting Pediatrics co-host, Sam Dominguez, MD. Sam is a pediatric infectious diseases physician at Children’s Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

COVID-19 Risk/Benefit Gauge from the Colorado Department of Public Health & Environment  

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jun 26, 2020
Passion into Progress - Providing Positive Impact to Equity in Pediatric Medicine (S3:E57)
23:27

Across our organization, our Children’s Hospital Colorado team members have engaged in dialogue about the institutional origins of systemic racism, the targeted injustices that continue in Black communities, and the ways our social structures produce disparities in education, housing, economics, and health. Today we want to bring this conversation to the podcast and talk about the opportunity our pediatric provider community has in turning the passion of these conversations into progress by providing positive impact to equity in pediatric medicine. In this moment, it is necessary for us all to demonstrate clarity, courage and fortitude to address these long-standing injustices.

Today our guest is Brandi Freeman, MD. Dr. Freeman is a pediatrician at the Children’s Colorado Child Health Clinic and Assistant Professor of Pediatrics at the University of Colorado School of Medicine. She is an advocate for Diversity and Inclusion in the Health Professions workforce.

Jun 18, 2020
Return to Sport During COVID-19 with Aubrey Armento, MD and Julie Wilson, MD (S3:E56)
35:10

As communities begin to emerge from stay-at-home orders, the question of return to sports and recreation is on the minds of many. While professional and collegiate sports may take longer to resume play and allow spectators in the stands, youth sports organizations are hopeful that they may be able to lead the way in restoring a sense of normalcy to everyday life. Given the unprecedented circumstances posed by the COVID-19 pandemic, there is no clear prescription for success, but guidance is emerging to help shape the re-opening of youth sports. In this our 14th COVID-19 podcast, we will discuss those considerations and guidance with Julie Wilson, MD and Aubrey Armento, MD.

Dr. Wilson has joined us on Season 1 and 2 of the podcast to discuss the topic of concussion management – she serves as Club Outreach Medical Director of the Children’s CO Sports Medicine Center and is an Assistant Professor of Orthopedics and Pediatrics at the University of Colorado School of Medicine.

Dr. Armento is a Primary Care Sports Medicine Physician at Children’s Sports Medicine Center and Assistant Professor of Orthopedics at the University of Colorado School of Medicine.

Resources Mentioned in this Episode:

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jun 11, 2020
Clinical Effectiveness in Pediatric Medicine with Lalit Bajaj, MD (S3:E55)
27:46

Clinical effectiveness seeks to answer the question “What works?” in healthcare; what are the best ways to prevent, diagnose and treat diseases in children? Today we are going to talk with Lalit Bajaj, MD, MPH/MPSH and dive in to clinical effectiveness and look at how those practices are be applied here at Children’s Colorado and beyond and the impact of this work to the primary care setting.

Dr. Bajaj is a Pediatric Emergency Medicine Physician, Professor of Pediatrics and Emergency Medicine at the University of Colorado School of Medicine, and Director of Clinical Effectiveness at Children’s Hospital Colorado.

Pediatric Clinical Pathways

Button Lalit Mentions in the Podcast

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

This episode was recorded prior to COVID-19.

Jun 09, 2020
Innovation in Pediatric Medicine with John Barnard, MD (S3:E54)
26:07

We are privileged to have John Barnard, MD join us on the podcast today to discuss exciting pediatric research breakthroughs in fields of genomics, gene therapy, and more.

Dr. Barnard is from Nationwide Children’s Hospital where he serves as the chief of Pediatrics, president of The Research Institute and holds the Ann I. Wolfe Endowed Chair in Pediatric Research Leadership. He is also the chair of the Department of Pediatrics and professor of Pediatrics, Gastroenterology, Hepatology and Nutrition at The Ohio State University College of Medicine. 

This episode was recorded prior to the COVID-19 pandemic.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jun 02, 2020
COVID-19 En Pediatria en Español with Edwin Asturias, MD (S3:E53)
31:30

In this episode we cover the COVID-19 global pandemic, en Español with Edwin Asturias, MD.

Dr. Asturias is part of the Infectious Disease Team and Director for Latin America at Children’s Colorado and Professor of Pediatrics & Infectious Diseases at the University of Colorado School of Medicine. Dr. Asturias is headed for Guatemala on May 24 to become their Presidential Commissioner for the COVID-19 Response.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

May 21, 2020
Healthy Habits Weight Gain for Kids in COVID-19 (S3:E52)
28:11

Register for our Weekly COVID-19 Town Hall, 5/21 from 6-7 p.m. MST

The COVID-19 Pandemic has presented unprecedented challenges to maintaining healthy habits and healthy weight for our patients and families. We know that kids tend to loose structure and gain excess weight in the summer – we saw this prior to COVID-19 and we are now facing the most stressful and unpredictable summer of our lifetime. In this our 12th COVID-19 podcast, we will discuss healthy routines for pediatricians to discuss with patients and parents in their practice to help protect and preserve healthy habits and weight.  

Today we are fortunate to be joined by Matt Haemer, MD and Richard Boles, PhD of our Clinical Nutrition Team at Children’s Hospital Colorado.

Dr. Haemer helps to lead the nutrition team at Children’s Hospital Colorado and is Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine.

Dr. Boles is psychologist with the Clinical Nutrition Team at Children’s and Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine.

Key Points
  • The habits that help kids maintain healthy weight during the COVID19 pandemic are the same habits that help with mental health, good school performance, and healthy peer relationships. By focusing on the healthy routines we’ll talk about today, pediatricians can support parents as they help their children achieve all these goals. Lifestyle Medicine Psychologist Richard Boles PhD offers practical advice that pediatricians can share with families to help maintain healthy habits during this very challenging time.
  • Pediatricians play a critical role in helping parents to promote healthy habits. They can help parents realize when a child’s weight gain is unhealthy, offer brief follow-up counseling to help families set goals for lifestyle change, refer families for extra help when needed, and share  resources like those below. 
  • A primary care provider can make a single referral to Children’s Hospital Colorado’s Lifestyle Medicine Program to address any and all medical problems from excess weight that a child may have, or to help children prevent these medical problems at any age. You can reach any of the Lifestyle Medicine team for consult or referral via OneCall, 720-777-3999.

Fitness:

Children's Hospital Colorado's Lifestyle Medicine Exercise Physiologist, Michael Witten MS has compiled a variety of fitness videos that kids of different ages and fitness levels can do at home, maybe with their parents! Subscribe to the CHCO Wellness Center gym Youtube channel:

https://www.youtube.com/playlist?list=PLpuAXaEwLGbpvi_sqs9ZdhUJchqVGInP2

 

Nutrition and Food Resources 

The Food Bank of the Rockies has an updated list of all the food banks and food distribution sites: https://www.foodbankrockies.org/emergency-assistance/

Our dietitians recommend families try kid-friendly healthy recipes from the CHOP CHOP website: https://www.chopchopfamily.org/recipes/ 

Food preparation videos from the professional society of Registered Dietitians: https://www.eatright.org/food/planning-and-prep/cooking-tips-and-trends/basics-of-meal-prepping

Shopping and meal preparation tips to save money on healthy food from Cooking Matters, an organization dedicated to reducing food insecurity for families with kids: http://cookingmatters.org/tips

Psychology and Mental health:
American Psychological Association: tips on learning at home, supporting play, and parenting in the era of COVID-19:  https://www.apa.org/topics/covid-19/parenting-caregiving

Children’s Hospital Colorado has recommendations to help pediatricians and parents talk with children about the pandemic: https://www.childrenscolorado.org/conditions-and-advice/coronavirus-covid19-resources-updates/ 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

May 19, 2020
Multisystem Inflammatory Syndrome in Children Associated with COVID-19 (S3:E51)
27:49

Register for our weekly Provider Town Hall During COVID-19, May 21 from 6-7 p.m. MST.

In recent weeks, there has been an outbreak of severe Kawasaki-like disease at the Italian epicenter of the SARS-CoV2 epidemic and as of May 12, the state of New York Health Department had identified 102 kids with potential infection. Up to this point, our pediatric population had seen a relatively mild disease course during this pandemic, but these recent developments have captured the attention of pediatricians, parents and the global news media. Yesterday the CDC officially named this the Multisystem Inflammatory Syndrome in Children, Associated with COVID-19. In this, our 13th COVID-19 podcast we will cover the clinical presentation of MIS-C, how it differs from Kawasaki’s and what the early literature is saying.

Sam Dominguez, MD, PhD, is an Infectious Disease physician at Children's Colorado and Associate Professor of Pediatrics at the University of Colorado School of Medicine.

Todd Carpenter, MD, is Director of the Pediatric Intensive Care Unity at Children's Colorado and Professor of Pediatrics at the University of Colorado School of Medicine.

 

May 16, 2020
Women and Babies in the Era of COVID-19 (S3:E50)
54:06

In this our 11th COVID-19 podcast, we will discuss clinical considerations for women and babies in the era of COVID-19 with Jessica Cataldi, MD and Erica Wymore, MD.  

Join us for this week's Provider Town Hall, Thursday, May 14 from 6-7 p.m. MST: https://attendee.gotowebinar.com/register/5938843139417544973

The global pandemic has impacted every area of life, including the considerations and concerns that new mothers have bringing their babies into the world – will they be able to have a partner’s support in their birthing room? Is it safe to breastfeed their baby if they, the new mother, test positive for SARS-CoV2? Should any family or friends be allowed around the baby? Is it safe to bring the baby in for routine checkups and well-child care in the middle of the pandemic? There are many questions that surround this special and critical time in a new mother and baby’s life. 

Dr. Cataldi is a pediatric infectious disease physician at Children’s Colorado and is Assistant Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Dr. Wymore is a neonatologist at Children’s Colorado and Assistant Professor of Pediatrics and Neonatology at the University of Colorado School of Medicine.

https://perinatalcovid19.org/neoclear/

 

May 13, 2020
COVID-19: Caring for Adult Patients During the Pandemic with Aaron Manning, MD and Steven Humphrey, MD (S3:E49)
40:11

Join us for our weekly Virtual Town Hall for Providers during COVID-19, Thursdays from 6-7 p.m. MST

In this, our 10th COVID-19 podcast, we will have a case discussion around functional and high-yield adult medicine topics that might be useful for pediatricians helping to care for adult patients in the middle of this pandemic.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 of the podcast.

Today we are fortunate to be joined by Dr. Aaron Manning and Dr. Steven Humphrey.

Steven is a pediatric hospitalist at Children’s Hospital Colorado and Instructor of Pediatrics at the University of Colorado School of Medicine.

Aaron is also a pediatric hospitalist at Children’s Colorado and is Assistant Professor of Hospital Medicine at the University of Colorado School of Medicine.

  1. POPCoRN (Pediatric Overflow Planning Contingency Response Network): https://www.popcornetwork.org/. This site is a multi-institutional collaboration that was created during the COVID-19 pandemic as a vehicle for optimizing adult care in pediatric environments. It contains many “one-pagers” which review the management of a variety of common adult conditions, links to adult protocols shared by various institutions, and recommendations regarding care of patients with COVID-19 among others.
  2. Adult medicine guidebooks: Several organizations have made available their adult medicine guidebooks free of charge.
    1. UCSF Department of Medicine Hospitalist Handbook (currently free in the Apple and Google App Stores)
    2. MGH Resource Guide for Commonly-Encountered Inpatient Topics (available via the POPCoRN website)
    3. Society for Hospitalist Medicine: Non-Hospitalist Onboarding. This resource offers a step by step guide to preparing non-hospitalists for the inpatient management of adult care (available via the POPCoRN website)
    4. University of Pennsylvania Hospitalists Primer. A resource meant to prepare non-hospitalists for the care of hospitalized adults (http://pennhspprimer.com/)

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

May 05, 2020
COVID-19 Convalescent Plasma & Antibody Testing with Sam Dominguez, MD and Kyle Annen, DO (S3:E48)
31:57

One of the bright spots during the COVID-19 pandemic has been the promising and experimental use of convalescent plasma, which was recently approved by the FDA for emergency treatment. The donation of antibody-rich blood from patients who have recovered from the SARS-CoV2 virus has been pioneered by Dr. Kyle Annan and the team at Children’s Colorado. I

n this, our 9th COVID-19 podcast we will cover the topic of convalescent plasma, discuss the current epidemiology of the pandemic, and talk through the impacts of loosened shelter-in-place orders around the country.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 of the podcast.

Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Dr. Sam Dominguez. Sam is a pediatric infectious diseases physician at Children’s Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Additionally, we are joined by Dr. Kyle Annen who is Director of the Blood Donor Center at Children’s Colorado and Assistant Professor of Pathology at the University of Colorado School of Medicine.

Join our weekly COVID-19 Virtual Provider Town Hall - Thursday, April 30, 2020 from 6-7 p.m. MST

Donate convalescent plasma

ABC News Coverage of convalescent plasma for COVID-19

Do you have thoughts about today's episode or suggestions for a future podcast? Write to us, chartingpediatrics@childrenscolorado.org 

Apr 27, 2020
Toxic Shock Syndrome with the Physician Who Discovered it, Jim Todd, MD (S3:E47)
34:58

In this episode we will discuss the diagnosis and management of TSS and are privileged to be joined by Jim Todd, MD who first discovered TSS in 1975. 

Toxic shock syndrome (TSS) is a cluster of symptoms that involves many systems of the body. Certain bacterial infections release toxins into the bloodstream, which then spreads the toxins to body organs and can cause severe damage and illness. 

Dr. Todd is the previous Section Head of Infectious Diseases, Jules Amer Chair, and Community Pediatrics and Director of Epidemiology at Children’s Hospital Colorado. He is also a Professor Emeritus in Pediatrics at the University of Colorado School of Medicine.

Apr 21, 2020
Recovered from SARS-CoV-2: Two Doctors Share Their Experience (S3:E46)
30:12

In this, our 8th COVID-19 podcast, I talk to two of my pediatric colleagues, Sean O’Leary, MD and Robin Larabee, MD who have had COVID-19 and are now recovered. We will discuss their symptoms and disease course in depth in hopes that it provides greater education and context for how different people have experienced COVID-19.

As we move into our second month of the global pandemic most of us know someone who has contracted the SARS-CoV2 virus; this especially probable for you our listeners, as fellow healthcare workers who have many colleagues caring for COVID-positive and exposed patients.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3, Episodes 31, 36 and 38, 41, 42, 43 and 44.

Sean has joined us several times on the podcast to discuss vaccines and vaccines hesitancy, he is a pediatric infectious diseases physician at Children’s Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Sean is also an active spokesperson with the AAP on the topic of vaccines and services as the Director of the Colorado Children’s Outcome Network.

Additionally, we are pleased to have Dr. Robin Larabee join us today as well. Robin is a pediatrician in Denver and partner with Sapphire Pediatrics.

Apr 20, 2020
New FDA-Approved Drug for Cystic Fibrosis Patients with Scott Sagel, MD (S3:E45)
29:50

Today’s guest is Dr. Scott Sagel, here to discuss the care of patients with cystic fibrosis (CF) and the clinical research that has led to the advances in access to these breakthrough therapies. Dr. Scott is a Pediatric Pulmonologist at Children’s Hospital Colorado and a Professor of Pediatrics at the University of Colorado School of Medicine.

Apr 14, 2020
Coronavirus SARS-CoV-2 or COVID-19 All About That PPE (S3:E44)
32:40

In recent weeks, the podcast has received hundreds of questions from listeners around the topic of PPE. So today, this episode is for you. We are going to cover all things PPE while reviewing the current epidemiology of COVID-19.

We are now entering our second month of the global COVID-19 Pandemic. Our world has never experienced anything like this before – some days feel like they have contained an entire month’s worth of change and challenges. One of the difficult realities that many healthcare providers have faced is a shortage of necessary PPE. Additionally, what is the truth about the efficacy and use of homemade cloth face coverings? How should providers approach PPE as we move out of the peak of the pandemic? We will cover these topics and more in this episode.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3, Episodes 31, 36 and 38, 41, 42 and 43.

Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Sam Dominguez, MD, PhD. Sam is a pediatric infectious diseases physician at Children’s Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Additionally, we are excited to have Pat Givens, DHA, EdM, RN, NEA-BC, as a guest today as we dive in to PPE. Pat is the Chief Nursing Executive for Children’s Hospital Colorado and is serving as our PPE Guardian during the COVID-19 Pandemic.

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Apr 10, 2020
Coronavirus, SARS-CoV-2 or COVID-19 Mental Health During the Pandemic (S3:E43)
24:53

In this episode, we are going to discuss practical ways primary care providers can protect their own mental health needs and also deliver meaningful mental health support to their patients and families during the COVID-19 global pandemic.

Mental health; never has there been a more crucial time for our primary care providers to talk openly about finding creative and innovative ways to support the mental health needs both of their patients and for themselves. The COVID-19 pandemic has impacted every area of life. Nothing feels normal. Maintaining one’s mental health while practicing social distancing, online learning and school, loss of routine and regular social interactions is a challenge! 

On the podcast we have previously covered a number of topics related to the COVID-19 pandemic – you can go back and listen to those discussions on Season 3, Episodes 31, 36 and 38, 41 and 42.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Apr 07, 2020
Coronavirus, SARS-CoV-2 or COVID-19 Implementing Telemedicine (S3:E42)
35:27

In this episode, we are going to talk to the Telehealth team at Children’s Hospital Colorado and share how primary care providers could operationalize the delivery of care through telehealth quickly to help navigate the COVID-19 pandemic and looking to the future post-pandemic.  

For all the reasons that COVID-19 has turned our personal and professional lives upside down, it has positively accelerated the delivery of care through telehealth.

Until a few weeks ago, most of our ambulatory providers administered care through telehealth as a secondary, less preferred option in cases where distance between provider and patient was too far to be together in person. In this episode we are joined by Christina Olson, MD; Fred Thomas, PhD and Alison Brent, MD.

Christina Olson, MD is Telehealth Medical Director at Children’s Colorado and Assistant Professor of Pediatrics at the University of Colorado School of Medicine

Fred Thomas, PhD is Director of Telehealth at Children’s Colorado and Executive Director of ECHO Colorado; He has academic appointments in the Departments of Psychiatry, Pediatrics and Family Medicine in the Colorado School of Medicine.

And finally, we turn the mic on Charting Pediatrics co-host, Alison Brent, MD. Alison is a Pediatric Emergency Medicine Physician at Children’s Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. She is currently serving on the Executive Committee of the AAP Section of Telehealth Care.

Telehealth Resources Mentioned:

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

 

Mar 31, 2020
Coronavirus, SARS-CoV-2 or COVID-19 Innovative Approaches to Primary Care (S3:E41)
34:55

As the COVID-19 global pandemic has entered its third week, our healthcare providers are realizing the dramatic impact this has had on how we deliver care. Our lives have been touched not only professionally, but certainly personally as well. The uncertainty that this pandemic has driven into our lives is equally matched by the resiliency and ingenuity of our healthcare providers and larger community to come together to face this head on. In this episode, we will cover the current epidemiology of COVID-19, answer listener submitted questions and talk about the creative delivery of primary care that you could consider implementing in your practice as you navigate the pandemic.

On the podcast we have previously covered the clinical presentation of the coronavirus in pediatrics, what providers should do if their clinical suspension is high and approaches to pediatric care during the mitigation phase of this pandemic – you can go back and listen to those discussions on Season 3, Episodes 31, 36 and 38.

Today we are fortunate to be joined again on the podcast by Sam Dominguez, MD, PhD a pediatric infectious diseases physician at Children’s Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Maya Bunik, MD is the Medical Director of the Child Health Primary Care Pediatrics Clinic at Children's Hospital Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Bunik was previously on the podcast to discuss Breastfeeding Management, you can listen to that on Season 1, Episode 10.

Kelly Galloway, RN, is the Director of Patient Care Services for primary care at Children's Hospital Colorado.

COVID-19 Resources for Providers

COVID-19 Resources for Patients and Families

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Mar 25, 2020
Changes in the Delivery of Pediatric Critical Care with Todd Carpenter, MD and Cameron Gunville, DO (S3:E40)
27:54

In this episode we talk with Todd Carpenter, MD and Cameron Gunville, DO about drivers behind general growth in pediatric critical care bed occupancy that has outpaced the general inpatient population; the most important critical care interventions in the last 10 years that has benefited children and the important outcome metrics that define success in pediatric critical care.

Dr. Carpenter is the Medical Director of the PICU at Children’s Hospital Colorado and is Professor of Pediatrics and Critical Care at the University of Colorado School of Medicine.

Dr. Gunville is the Associate Medical Director of the PICU at Children’s Hospital Colorado and is Associate Professor of Pediatrics and Critical Care at the University of Colorado School of Medicine.

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Mar 25, 2020
Managing Button Battery & Other Foreign Body Ingestions with David Brumbaugh, MD (S3:E39)
29:10

Kids are notorious for exploring small objects and putting them up their nose, in their ear or swallowing them. Some ingestions like button batteries and small, b-b sized magnets are potentially life-threatening for children and adolescents. Catastrophic and fatal injuries can occur when the object becomes lodged in the esophagus, where injury can extend beyond the esophagus to the trachea or aorta.

In this episode, we are going to turn the mic on host, David Brumbaugh, MD, to look at the presentation and treatment of ingested foreign objects and the anticipatory guidance primary care providers can give to their patients and families.

What our listeners may not know about Dr. Brumbaugh is that he has a job beyond co-hosting Charting Pediatrics; he is a pediatric gastroenterologist and Associate Chief Medical Officer at Children’s Hospital Colorado and is Associate Professor of Pediatrics at the University of Colorado School of Medicine.

Ingested Button Battery Clinical Pathway

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Mar 17, 2020
Coronavirus SARS-CoV-2 or COVID-19 Important Updates Mitigation Phase with Sam Dominguez, MD (S3:E38)
25:53
Coronavirus. COVID-19. Since we last recorded the podcast the World Health Organization has named COVID-19 a global pandemic.
 
We have previously covered the clinical presentation of the coronavirus in pediatrics and what providers should do if their clinical suspension is high – you can go back and listen to both of those discussions on Season 3, Episodes 31 and 36.
 
Given the rapidly changing nature of this situation and the virus’ spread throughout our local Colorado communities we wanted to provide you with an update as we move from a containment to a mitigation strategy. In this episode we will cover the current epidemiology of COVID-19, answer listener submitted questions and provide you with resources of where to find ongoing resources.
 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Mar 14, 2020
Rural and Tertiary Care Bridges with Bird Gilmartin, MD (S3:E37)
24:56

There are many great things about living in rural communities. Across a broad range of healthcare indicators though, our children in rural America are doing more poorly urban areas — higher all-cause mortality rates, higher disability rates, higher rates of obesity and higher risks for suicide and unintentional injury. More than 50% of rural counties in the United States do not have a pediatrician and the number of patients per physician and healthcare professional shortage areas is twice that of a traditional urban area.

What is it like to practice and take care of kids in a more rural setting? In this episode we will discuss rural and tertiary care bridges with Bird Gilmartin, MD.

Dr. Gilmartin is the Pediatric Medical Director at Uinta Medical Group in Evanston, Wyoming. She is a member of the American Academy of Pediatrics (AAP) Section on Early Career Physicians and was the recipient of the AAP's 2019 Award for Outstanding Service to Maltreated Children.

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Mar 10, 2020
Coronavirus, SARS-CoV-2 or COVID-19 Important Updates for Providers with Sam Dominguez, MD (S3:E36)
35:37

Coronavirus. COVID-19. It is safe to say that this virus is on the minds of people across the globe and there is increased anxiety among the general public who are seeking guidance from their healthcare providers. And many healthcare providers are looking to their regional healthcare centers and the local/national health authorities for guidance – this is an emerging, rapidly evolving situation.

In mid-February we recorded our first episode about COVID-19 where we covered the clinical presentation of the coronavirus in pediatrics and what providers should do if their clinical suspicion is high – you can go back and listen to that on Season 3, Episode 31.

Today we are going to examine the current epi of the situation, answer listener submitted questions in follow-up to our previous COVID-19 episode and provide you with resources of where to find ongoing resources.

Today we are going to examine the current epi of the situation, answer listener submitted questions in follow-up to our previous COVID-19 episode and provide you with resources of where to find ongoing resources. We are fortunate to be joined again on the podcast by Dr. Sam Dominguez, a pediatric infectious diseases physician at Children’s Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Mar 05, 2020
The Importance of Social Networks, Social Norms & Attitudes in Infant Care Practice Decisions with Rachel Moon, MD (S3:E35)
22:04

In this episode we have the privilege of welcoming Rachel Moon, MD back to the podcast to discuss the importance of social networks, social norms and attitudes in infant care practice decisions.

Dr. Moon first joined us on Charting Pediatrics at the 2018 AAP Conference, you can go back and listen to Dr. Brumbaugh’s interview with her on Infant Safe Sleep Practices on Season 2, Episode 13

Dr. Moon is the Harrison Distinguished Teaching Professor of Pediatrics and the Division Head of Pediatrics at the University of Virginia School of Medicine.

Do you have questions about today's episode or suggestion for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Mar 03, 2020
State-Level Vaccination Advocacy with Zach Zaslow (S3:E34)
25:23

State-level vaccination advocacy is the topic of today's podcast with Zach Zaslow, Director of Government Affairs at Children's Hospital Colorado.

Colorado’s current vaccination rate for the measles, mumps and rubella vaccine among kindergarteners is 87.4%, one of the lowest in the nation. After more than 15 hours of testimony in committee hearing on February 19, Colorado Senate Bill 163, which aims to standardize and challenge vaccine exemption, passed its first hearing 3-2. Today we are bringing you a special edition of Charting Pediatrics to discuss vaccine legislation and advocacy in our local state of Colorado, specifically Senate Bill 163, which sets a Colorado- statewide immunization goal of 95%.

Zach Zaslow, Director of Government Affairs for Children’s Hospital Colorado, directs local, state, and federal policy and advocacy efforts with the goal of improving child health by being a voice for kids when and where public policy decisions are being made.

Join our 11,000+ advocates who speak up clearly and powerfully for kids’ health when public policy decisions are made by signing up today to be a Child Health Champion: https://bit.ly/2uixrab. To learn more about general advocacy efforts at Children’s Hospital Colorado visit www.childrenscolorado.org/advocacy. Finally, email advocacy@childrenscolorado.org with questions or if you’d like to get more involved by joining our and the Colorado AAP's statewide pediatricians' advocacy network, penning letters to the editor, attending advocacy events and more.
 
Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org
Feb 26, 2020
Management of Fecal Incontinence with Andrea Bischoff, MD (S3:E33)
27:27

There are few things that are more frustrating to parents and young patients than issues involving chronic constipation and involuntary defecation. These issues often have a significant negative impact on the quality of life for the child and the family. In today’s episode we are going to talk through the key features, diagnostic evaluation and treatment for fecal incontinence in children with Andrea Bischoff, MD.

Dr. Bischoff is an Associate Professor of Pediatric Surgery at the University of Colorado, School of Medicine, she’s also the Assistant Director of the International Centre for Colorectal and Urogenital Care at Children’s Hospital Colorado.

Connect with Doctors Pena Bischoff:

Facebook: @DrsPenaBischoff

Twitter: https://www.linkedin.com/in/andreabischoff

YouTube: https://www.youtube.com/watch?v=FMqLE0sE3zc

Instagram: @penabischoff

Website for Pena course is: www.penacourse.org

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Feb 25, 2020
Seizures & Spells: Diagnosis and Management of Events That Worry Us with Shavonne Massey, MD, MSCE and Mered Parnes, MD (S3:E32)
24:38

In this episode we discuss seizures and spells, and the diagnosis and management of events that worry us. This episode was recorded at the 2019 American Academy of Pediatrics NCE in New Orleans with Mered Parnes, MD and Shavonee Massey, MD, MSCE.

Dr. Massey is is a pediatric neurologist in the Division of Neurology at Children's Hospital of Philadelphia, specializing in the care of children with epilepsy and a Clinical Instructor in Pediatrics and Neurology.

Dr. Parnes is the Director of the Pediatric Movement of Disorders Clinic and an Assistant Professor of Child Neurology at Texas Children’s Hospital and Baylor College of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Feb 18, 2020
Coronavirus: What you need to know about COVID-19 with Sam Dominguez, MD, PhD (S3:E31)
26:09

What do you need to know about COVID-19? In this special episode we are joined by Sam Dominguez, MD to discuss the clinical presentation of the coronavirus in pediatrics, what providers should do if their clinical suspicion is high, and updated epidemiology of the situation.

Dr. Dominguez is a pediatric infectious disease physician at Children’s Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

This episode was recorded on Tuesday, February 11, 2020.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us at chartingpediatrics@childrenscolorado.org

Feb 13, 2020
Medical Missions in Pediatric Medicine with Brian Shaw, MD (S3:E30)
25:22

In this episode we dive in to the topic of medical missions, specifically surgical and perioperative care in resource-limited settings, with Brian Shaw, MD.

Dr. Shaw is a pediatric orthopedic surgeon from Children’s Hospital Colorado, Colorado Springs Hospital, Chief of the Section of Pediatric Surgery at Memorial Hospital for Children in Colorado Springs, Associate Professor of Orthopedic Surgery at the University of Colorado School of Medicine and Vice-Chair of the AAP Section on Orthopedics.

This episode was recorded live at the 2019 American Academy of Pediatrics NCE in New Orleans, La. 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Feb 11, 2020
Chronic Pelvic Pain with Stephen Scott, MD (S3:E29)
30:54

Pelvic pain most often involves the gastrointestinal or the urinary systems in pre-pubertal girls. However, during late adolescence, gynecologic conditions become more prevalent as etiologies for pelvic pain. Dysmenorrhea and noncyclic pelvic pain are common in adolescents and the management of chronic pelvic pain is often more complex than in adult women.

In today’s episode we will discuss how to diagnosis and treat possible gynecologic and non-gynecologic conditions of chronic pelvic pain in the adolescent female with Stephen Scott, MD.

 Dr. Scott is the endowed chair of Perinatal Mental Health and a member of the Pediatric and Adolescent Gynecology team at Children’s Hospital Colorado. Dr. Scott is an Associate Professor of Obstetrics and Gynecology and Pediatrics at the University of Colorado School of Medicine. 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

 

Feb 04, 2020
E-Cigarette or Vaping product use Associated Lung Injury EVALI Update with Robin Deterding, MD (S3:E28)
26:28

Earlier this fall we shared a special episode to update providers about the growing associations between vaping and more acute, severe lung injury called Vaping Associated Pulmonary Injury – you can listen to that content from Season 3, Episode 6. Today we are going to circle back to this topic with Robin Deterding, MD, and discuss its rapid evolution during the recent months.

Dr. Deterding is the Chief of Pediatric Pulmonary Medicine at Children’s Hospital Colorado and a Professor of Pediatrics at the University of Colorado School of Medicine.

Resources Mentioned in this Episode:

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Jan 30, 2020
Pediatric ACL Injury and Repair with Jay Albright, MD (S3:E27)
30:17

With Super Bowl season upon us we wanted to use the occasion to examine a common sports injury seen in our pediatric patient population – ACL injury and treatment.

An ACL tear was once an injury exclusive to professional or elite athletes, but the growing prevalence of specialization and year-around training in youth sports has contributed to a large rise in ACL tears in pediatric patients. In this episode, Jay Albright, MD joins us as we will look at the ACL tear case of a 16 year-old-female to highlight the diagnosis, treatment and recovery for these patients.

Dr. Albright is the Surgical Director of the Sports Medicine Center at Children’s Hospital Colorado and Assistant Professor of Orthopedics at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jan 28, 2020
Medication Management for Pediatric Hypertension Patients with Steve Daniels, MD (S3:E26)
29:22

Last season on the podcast we discussed the initial diagnosis and lifestyle management of hypertension in pediatric patients. If you have not had the opportunity to listen to that episode, go back and check out Season 2, Episode 36 as it will set the back drop for today’s discussion as we dive more specifically into medication management for pediatric hypertension patients.

In this episode we discuss medication management for pediatric hypertension patients with a pediatric cardiologist, Steve Daniels, MD, PhD and a clinical pharmacist, Dr. Megan Greene.

Dr. Greene is a pediatric clinical pharmacist at Children’s Hospital Colorado with a specialization in critical care and kidney and liver transplant pharmaceutical support, and also works in our pediatric hypertension clinic.

Dr. Daniels is the Pediatrician-in-Chief at Children’s Hospital Colorado and L. Joseph Butterfield Chair of Pediatrics within the University of Colorado School of Medicine, where he is a professor of pediatrics and epidemiology. He is a cardiologist by training and a sought-out expert in the fields of pediatric hypertension, dyslipidemia, and pediatric nutrition. 

Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents

If you have feedback or questions about today's episode or suggestions for a future topic, write to us at chartingpediatrics@childrenscolorado.org 

Jan 21, 2020
The History of Vaccines and Religion with Josh Williams, MD (S3:E25)
27:08

In this episode we discuss the history of vaccines and religion with Josh Williams, MD. For a discussion about today's anti-vaccination climate, listen to S3:E17, Peter Hotez, MD, PhD: Physician-Scientist, Pediatrician, Advocate.

Dr. Williams is a Pediatrician at Denver Health Medical Center and an Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Jan 14, 2020
Social Media: Friend or Foe? With Jenny Radesky, MD and Michael Rich, MD (S3:E24)
34:49

Is social media good or bad? How much or how little screen time should kids and adolescents have each day? What is the impact of screen time? What kind of digital footprint or reputation are parents creating for their children?

These questions and more are covered with our guests Jenny Radesky, MD and Michael Rich, MD who discuss social media and its impact on patients and families.

Dr. Radesky is a Developmental/Behavioral Pediatrician whose research focuses on family digital media use, child social/emotional development, and parent-child interaction.

Dr. Rich is the Director of the Center on Media and Child Health at Boston Children’s Hospital. He has developed media-based research methodologies and authored numerous papers and AAP policy statements, testified to the United States Congress, and makes regular national press appearances.

Do you have feedback about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

 

Jan 07, 2020
Happy Holidays
01:14

On behalf of the Charting Pediatrics team, we would like to wish you Happy Holidays and a very Happy New Year! 2019 has been a year of explosive growth for the podcast. We went from averaging 8,000 monthly downloads in January to more than 33,000 monthly downloads last month. Thank you to each one of you for listening and sharing the podcast with your colleagues. Connecting with some of you in person at the 2019 AAP Conference was really a highlight for us. We appreciate you coming by the booth and we love reading the emails and tweets that you send our way. We will be taking the next couple of weeks off from releasing new episodes and will look forward to kicking off our first episode of 2020 on Tuesday, January 7th. Happy Holidays!

Dec 31, 2019
Happy Holidays
01:14

On behalf of the Charting Pediatrics team, we would like to wish you Happy Holidays and a very Happy New Year! 2019 has been a year of explosive growth for the podcast. We went from averaging 8,000 monthly downloads in January to more than 33,000 monthly downloads last month. Thank you to each one of you for listening and sharing the podcast with your colleagues. Connecting with some of you in person at the 2019 AAP Conference was really a highlight for us. We appreciate you coming by the booth and we love reading the emails and tweets that you send our way. We will be taking the next couple of weeks off from releasing new episodes and will look forward to kicking off our first episode of 2020 on Tuesday, January 7th. Happy Holidays!

Dec 24, 2019
Addressing Poverty in Pediatric Care with Benard Dreyer, MD (S3:E23)
25:48

In this episode we are fortunate to be talking with Bernard Dreyer, MD from the New York University School of Medicine discussing school and health care provider partnerships that have been successful in addressing effects of childhood poverty.

Dr. Dreyer is past president of the American Academy of Pediatrics (AAP) having served as the 2016 AAP president.

Dr. Dreyer is a general and development-behavioral pediatrician who has spent his professional lifetime serving poor children and families. He is Professor of Pediatrics at NYU where he leads the Division of Developmental-Behavioral Pediatrics and is Director of Pediatrics at Bellevue Hospital; he also works as a hospitalist.

This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana. 

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Dec 17, 2019
Strategies to Help Sleepless Teens with Adiaha Spinks-Franklin, MD (S3:E22)
29:07

In this episode we have the pleasure to talking with Adiaha Spinks-Franklin, MD from Texas Children’s Hospital about strategies to help sleepless teens.

Dr. Spikes-Franklin is Associate Professor of Pediatrics at Texas Children’s Hospital and the Baylor College of Medicine in Houston.

Dr. Spinks-Franklin's research interests are in the areas of the cultural aspect of child development. Her previous research experience included studying the development of children in Senegal, West Africa, and studying the mental health impact of the aftermath of Hurricane Katrina on school-aged African American children in Houston. Other research experiences including exploring the racial identity development of school-aged African American and Latino children in the Houston area who are participating in a reading intervention program. She has also studied healthcare disparities among children with Autism Spectrum Disorders. She is currently studying the effect of Adverse Childhood Experience (ACEs) among children and adolescents with developmental disabilities. 

This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana. 

Topics Discussed in this Episode:

  • Common presentations that primary care providers will see in adolescents with sleep issues.
  • The importance of the patient’s history in determining the causes of symptoms.
  • The various factors, including the homeostatic and circadian drive, in regulating sleep.
  • The difference between REM and non-REM sleep and the physiological processes of each.
  • How sleep changes from childhood to adolescence.
  • Considering both the genetic and environmental components of sleep disorders.
  • How social media activity negatively impacts natural sleep rhythms.
  • What parents can do to mitigate some of the environmental hindrances such as electronics.
  • Maintaining a teen’s circadian rhythm by not allowing them to sleep in over weekends.
  • Examples of breathing techniques to help calm down hyperactive or anxious kids.
  • The benefits of gratitude journaling and general journaling before bed.
  • Night sports and adrenaline: encouraging parents to prioritize their children’s needs.
  • What families’ dinner- and bedtime routines reveal about a household.
  • Thoughts on medicating sleep disorders and how melatonin should be approached.

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

 

Dec 10, 2019
Adolescent Substance Abuse (S3:E21)
27:38

Substance use among adolescents is pervasive and commonly encountered in primary care pediatrics. According to the most recent Monitoring the Future Study published in 2018, opioid misuse among teens and marijuana use remains stable while vaping device use is climbing to record numbers. The general approach to the assessment and treatment of adolescents with substance use disorders is similar in some respects to adults; however, developmental considerations require an approach tailored to the cognitive, social, and legal status of adolescents.

In this episode we discuss the epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis of substance use and substance use disorder in adolescents with Christian Thurstone, MD.

Dr. Thurstone is the Director of Behavioral and Health Sciences at Denver Health and Professor of Psychiatry at the University of Colorado Denver.

Discussed in this episode:

  • HEADSS Screening Tool
  • Motivational Interviewing
  • Apply for a practitioner waiver to prescribe or dispense buprenorphine under the Drug Addiction Treatment Act of 2000 (DATA 2000) - Office-based treatment for opioid use in patients aged 16 years and above
  • How to diffuse tense family situations in the office
    • Show empathy
    • Slow the conversation down
    • Maintain confidentiality
    • Meet with teens and parents separately
    • EPE - Elicit Permission; Provide Advice; Elicit Feedback "What do you think about what I just said?"
  • Another good question to ask teens, "What do you already know about....."

Have feedback about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Dec 03, 2019
Newborns Exposed to Substances with Stephen Patrick, MD (S3:E20)
20:36

Each year thousands of babies born neonatal abstinence syndrome and require specialized medical and psycho-social support. In this episode we discuss the care for newborns who have been exposed to substances, specifically how primary care providers can understand the child's needs and support their caregivers. We are joined by Stephen Patrick, MD from the Vanderbilt University School of Medicine and recorded this discussion live from the 2019 American Academy of Pediatrics NCE in New Orleans. 

Dr. Patrick is a neonatologist and associate professor of pediatrics and is Director at the Vanderbilt Center for Child Health Policy. You can view Dr. Patrick's 2019 AAP NCE plenary session on this topic here.

You can reach Dr. Patrick on Twitter @stephenwpatrick and Dr. Brumbaugh on Twitter @DBrumbaughMD

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Nov 26, 2019
Housing and Child Health with Megan Sandel, MD (S3:E19)
23:27

In this episode we were privileged to sit down with Megan Sandel, MD, at the 2019 American Academy of Pediatrics NCE in New Orleans to discuss the impact of housing on child health. 

Dr. Sandel is an associate professor of pediatrics at the Boston University School of Medicine as well as an associate professor of environmental health at the Boston University School of Public Health. She has held both of these positions for the last eight years, but has been working with the university since 2002, first as an assistant professor. She is the former pediatric medical director of Boston Healthcare for the Homeless program and the first medical director of the founding site for medical-legal partnerships, Medical-Legal Partnership-Boston. In addition to publishing articles and serving on committees, she is considered an expert in her field on the topic of housing and child health.

Resources Mentioned in this Episode:

This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana. 

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

 

Nov 19, 2019
Child Abuse Management in Pediatrics (S3:E18)
15:57

In this episode we discuss the diagnosis and management of child abuse in primary care pediatrics. We are pleased to be joined by Andy Sirotnak, MD who recently released his new book at the 2019 AAP NCE, Child Abuse Medical Diagnosis and Management.

Dr. Sirotnak is a Professor and Vice-Chair for Faculty Affairs in the Department of Pediatrics and the Director of the Child Protection Team at Children’s Hospital Colorado.

Do you have questions about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Nov 14, 2019
Peter Hotez, MD, PhD: Physician-Scientist, Pediatrician, Advocate (S3:E17)
30:50

The development and deployment of childhood vaccines represents the most important life saving achievement in the last century, but the status of our protection against vaccine-preventable illness is as fragile as ever in the United States. In 2019 we have already seen the most cases of measles since 1992 —  over 1200 — this for a disease that was declared eliminated from the U.S. in 2000. Vaccine hesitancy among families has been fueled by an anti-vaccine movement that has steadily organized during the last two decades, represents an existential threat to the health of children and is the subject of today’s podcast.

Our guest is a physician-scientist, pediatrician and advocate we admire greatly — Peter Hotez, MD, PhD. In today's episode we are going to talk about his new book, Vaccines Did Not Cause Rachel's Autism: My Journey as a Vaccine Scientist, Pediatrician and Autism Dad.

Dr. Hotez is Dean of the National School of Tropical Medicine and Professor of Pediatrics and Molecular Virology & Microbiology at Baylor College of Medicine where he is also the Director of the Texas Children’s Center for Vaccine Development (CVD) and Texas Children’s Hospital Endowed Chair of Tropical Pediatrics.  He is also University Professor at Baylor University, and Fellow in Disease and Poverty at the James A Baker III Institute for Public Policy.

Thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Nov 12, 2019
AAP Policy Statement on Bariatric Surgery (S3:E16)
17:47

Pediatric patients, ages 13 to 18 years, with severe obesity should have greater access to bariatric surgery, according to a new American Academy of Pediatrics (AAP) policy statement.

For pediatricians, that means seeking out high-quality multidisciplinary centers for patients who meet criteria; providing timely referrals; and facilitating care before and after surgery for adolescents with severe obesity, defined as a BMI ≥35 or ≥120% of the 95th percentile for age and sex, whichever is lower.

The policy statement, and a supporting technical report, were simultaneously published in Pediatrics.

Today’s guest is Thomas Inge, MD, discussing the new AAP policy statement on bariatric surgery. Dr. Inge is a Professor of Surgery and Pediatrics at the University of Colorado School of Medicine and Associate Surgeon in Chief, Director of Pediatric Surgery and the Director of the Center for Bariatric Surgery at Children's Hospital Colorado.

This episode of Charting Pediatrics Podcast was recorded live from the 2019 American Academy of Pediatrics NCE in New Orleans.

Do you have questions about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

Nov 07, 2019
In Case You Missed It: Published Studies that Could Change the Way You Practice With Lewis First, MD and Alex Kemper, MD (S3:E15)
43:19

In this episode we talk with Lewis First, MD and Alex Kemper, MD about studies published in the last year that could change the way you practice pediatrics.

Dr. First (@lewis_first) is Professor and Chair of the Department of Pediatrics at the Larner College of Medicine at the University of Vermont and Chief of Pediatrics at the University of Vermont Children’s Hospital. He serves as the Editor-in-Chief of Pediatrics, the peer-reviewed medical journal of the American Academy of Pediatrics.

Dr. Alex Kemper (@AlexRKemper) is the Division Chief of Primary Care Pediatrics at Nationwide Children’s Hospital and Professor of Pediatrics at The Ohio State University College of Medicine. He serves as the Deputy-Editor-in-Chief of Pediatrics

Articles Covered that can be found from Pediatrics:

  • Vaccines Updates - What can pediatricians do to increase vaccination rates in their practice?
  • How to evaluate a febrile infant under 2 months of age
  • Issues in Adolescent and Teen Patients — Suicidality and identifying risk
  • Cannabis Concentrate and Cannabinoids — Impact on children and adolescents, including vaping
  • LGBTQ Patient Care, including bullying issues and impact/outcomes based on state legislation (i.e. Proposition 8 from California) 
  • Smoking and Vaping - Combustable cigarettes and e-cigarettes 
  • CRAFFT instrument - Adapted screening for teens with substance abuse disorders 
  • Firearm Safety and Protection of Children from Firearms - Where pediatric firearm mortality has occurred relative to gun laws in the United States; morbidity and mortality of children in homes with firearms 
  • Telehealth - Quality of Care, antibiotic prescribing stewardship, patient satisfaction for Telehealth visits 
  • Electronic vs Print Books in Kids — Parents interact more with their children when they use a traditional print book than an ebook. 
  • Maintenance of Certification - Importance of improving quality of care

This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana. 

Do you have a question about this episode or a suggestion for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

 

Nov 05, 2019
Eosinophilic Esophagitis, EoE (S3:E14)
24:05

In young children, many of the symptoms of eosinophilic esophagitis resemble those of gastroesophageal reflux disease (GERD)—including feeding disorders and poor weight gain—so the child may be mistakenly diagnosed with GERD. In today’s episode we talk to Glenn Furuta, MD about the importance of a proper diagnosis of esophagitis in children, signs/symptoms to look for and effective treatment options.

Dr. Furuta is the La Cache Endowed Chair for GI Allergic and Immunologic Diseases, the Director of Gastrointestinal Eosinophilic Diseases Program at Children’s Colorado and a Professor of Pediatrics in Gastroenterology at the University of Colorado School of Medicine.

Do you have a suggestion for a future episode or feedback about this one? Write to us, chartingpediatrics@childrenscolorado.org 

Oct 29, 2019
Biliary Atresia with Cara Mack, MD (S3:E13)
20:40

Biliary atresia is a rare gastrointestinal disorder, occurring approximately 1 in 10,000 to 15,000 births in the United States, and is characterized by a destruction or absence of, all or a portion of the extrahepatic bile duct. Affected infants present with jaundice and fibrosis.

In some cases, additional abnormalities may be present, including cardiac defects and intestinal, spleen and kidney malformations; the exact cause of biliary atresia is unknown. In today’s episode we talk with Cara Mack, MD to unpack the clinical presentation, management and ongoing care for patients with biliary atresia.

Dr. Mack is a Professor of Pediatrics at the University of Colorado School of Medicine, a practicing Pediatric Hepatologist and the Director of the Pediatric Liver Center at Children’s Hospital Colorado.

Let us know if you have a suggestion for a future topic or thoughts about this episode!

 

Oct 22, 2019
Sepsis (S3:E12)
33:13

Sepsis remains one of the leading causes of morbidity and mortality in children despite improved understanding of the pathophysiology leading to better clinical management and survival. Recent studies have identified several areas that must be addressed by the clinician in order to continue to impact the morbidity and mortality associated with sepsis. In today’s episode we talk with Halden Scott, MD about the presentation, management and follow-up care of pediatric patients with sepsis.

Dr. Scott is an Associate Professor of Pediatrics and Emergency Medicine at the University of Colorado School of Medicine and a Pediatric Emergency Medicine Physician at Children’s Hospital Colorado.

Resources mentioned in today's episode:

 https://jamanetwork.com/journals/jamapediatrics/fullarticle/2595569

https://www.ncbi.nlm.nih.gov/pubmed/26711848/

https://www.ncbi.nlm.nih.gov/pubmed/25778743/

Oct 15, 2019
2019 AAP National Conference & Exhibition Live Recordings
01:59

Join us as we podcast live from the American Academy of Pediatrics National Conference and Exhibition in New Orleans on October 26 & 27, 2019! Stop by Booth #632 in the Exhibit Hall to say hello – our host team of Dr. Alison Brent, Dr. David Brumbaugh and Dr. Dan Nicklas would love to meet you!

Oct 10, 2019
Functional Abdominal Pain (S3:E11)
23:20

Functional abdominal pain disorders are the most common cause of chronic abdominal pain in children and adolescents. On today’s episode we are talk with Jaime Belkind-Gerson, MD to unpack the presentation, diagnosis and management of functional abdominal pain from the primary care perspective.

Dr. Belkind-Gerson is Director of the Neurogastroenterology and Motility Program at Children’s Hospital Colorado. He is al an associate professor of pediatric gastroenterology, hepatology and nutrition at the University of Colorado School of Medicine.

Red Flag Symptoms Concerning for an organic cause of GI Pain

  • Weight Loss
  • Persistent Diarrhea
  • Blood in stool
  • Waking from a dead sleep with pain
  • Persistent vomiting
  • Chronic fever

Photo described at the beginning of today's episode:

Photomicrograph of the lining of the intestine of a young female patient who had a biopsy done during a colonoscopy

Oct 08, 2019
Hospitalist Medicine in Pediatric Care (S3:E10)
18:31

Things have changed over the last 20 years, with more hospitals using people with expertise in Hospital medicine, known as “Hospitalists,” to care for patients who are admitted for an inpatient stay. 

In the mid-1990s, as pressures to provide outpatient care to large populations increased for general pediatricians, it became less efficient for them to care for patients in the hospital simultaneously. The field of hospital medicine arose, with physicians who were dedicated to the complexity of inpatient care.  Fellowship training followed soon thereafter to prepare doctors further for excellence in the inpatient ward environment.  In today’s episode, we will talk with Mark Brittan, MD about the history of “Hospitalists,” “Hospitalist” training, and where the field is heading in the future.

Dr. Brittan is an Associate Professor of Pediatrics in the Pediatric Hospital Medicine section and the Fellowship Director for Pediatric Hospital Medicine at the University of Colorado School of Medicine.

Oct 01, 2019
Depression Management and Medication in Pediatrics (S3:E9)
31:09

According to the American Academy of Pediatrics, studies show that up to 9% of teenagers meet criteria for depression at any one time, with as many as 1 in 5 teenagers having a history of depression at some point during adolescence.  In primary care settings, point prevalence rates are likely higher, with rates up to 28%. Because adolescents face barriers to receive specialty mental health services, only a small percentage of depressed adolescents are treated by mental health professionals.  

As a result, primary care settings have become the de facto mental health clinics for this population, although most primary care clinicians feel inadequately trained, supported, or reimbursed for the management of depression. In today’s episode we sit down with Jenna Glover, PhD and clinical pharmacist Dr. Danielle Stutzman to talk through practical approaches to depression screening, anticipatory guidance and medication management.

Dr. Glover is the Director of Clinical Psychology training at Children’s Hospital Colorado and Assistant Professor of Child Psychiatry at the University of Colorado School of Medicine. Dr. Stutzman is a Clinical Pharmacist at Children’s Hospital Colorado with a special interest in psychiatry medication.

 

Resources mentioned in today's episode:

 

Sep 24, 2019
Urologic Cancer in Children and Adolescents (S3:E8)
33:55

In today’s episode we talk with Nicholas Cost, MD about the diagnosis and management of pediatric urologic cancer in children and adolescents, including initial presentations and ongoing and follow-up management for primary care providers.


Dr. Cost is a Pediatric Urologist at Children’s Hospital Colorado and Associate Professor of Pediatrics of Surgery and Urology at the University of Colorado School of Medicine.

Let us know what you think about today's episode or share a suggestion for a future episode by writing to us, chartingpediatrics@childrenscolorado.org 

Send Dr. Brent a Tweet @AlisonBrentMD 

Sep 17, 2019
Most Common Eye Issues in Pediatrics (S3:E7)
32:37

Vision problems are common among school-age kids and there are many eye diseases and conditions that can affect a child’s vision. According to Prevent Blindness America, one in four school-age children have vision problems that, if left untreated, can affect learning ability, personality and adjustment in school.

In today’s episode we are going to talk with Dr. Emily McCourt to unpack the most common eye issues in pediatrics and front line screening in the primary care office.

Dr. McCourt is an ophthalmologist at Children’s Hospital Colorado and is associate professor of pediatric ophthalmology and strabismus at the University of Colorado School of Medicine.

Sep 10, 2019
Vaping Associated Pulmonary Injury (S3:E6)
20:23

Providers may have seen the reports from around the country of growing associations between vaping and more acute, severe lung injury; this is being called Vaping Associated Pulmonary Injury (VAPI). The CDC is involved and many states are now reporting vaping-associated pulmonary cases. In today’s special episode we are discussing VAPI and how to diagnosis, report and treat; our expert guest is Robin Deterding, MD, Chief of Pediatric Pulmonary Medicine at Children’s Hospital Colorado and Professor of Pediatrics at the University of Colorado School of Medicine.

Children’s Colorado is notifying providers that may see these patients. It is very unclear what is happening, but there is a severe, noninfectious respiratory failure spectrum with an ARDS-like picture. If you know of a past or current patient case that fits the below criteria please contact the Pulmonary Team via OneCall, 720-777-3999.

 

 

Additional Resources:

What Parents Need to Know About Teen Vaping 

Reporting suspected cases to the CDC

 

Report suspected cases to CDPHE’s Disease Reporting Line, 303-692-2700 or 303-370-9395 (after hours). This includes potential cases who presented since June 1, 2019. CDPHE personnel will conduct a medical record review and contact the patients to administer a thorough investigation questionnaire.

 

Charting Pediatrics Podcast: Teen E-Cigarette Use and the Vaping Epidemic (S2:E23)

Sep 05, 2019