Charting Pediatrics

In our series, the Resident Files , we feature the thoughts and work of the talented pediatric residents of Children's Hospital Colorado and the University of Colorado School of Medicine. We are joined by Nadia Hoekstra, MD and Joe Zakhar, MD to explore the tenets of how our resident and fellow teams collaborated with leadership from the Children's Colorado Heart Institute to implement a program c...

Today Kerry Reed, NP and host David Brumbaugh, MD talk about constipation management, one of the most common issues in pediatrics.    Kerry is a nurse practitioner in the Digestive Health Institute at Children's Colorado and is Senior Instructor of Pediatrics, Gastroenterology, Hepatology & Nutrition at the University of Colorado School of Medicine.   Do you have questions about this episode or su...

According to the American Academy of Pediatrics, 1 in 4 children in the United States are part of an immigrant family unit. By definition, immigrant children are those born outside the United States or who have at least one foreign-born parent. In the last decade, global conflicts have propelled the migration of these families, creating a more diverse migrant population and given rise to divisive...

In this episode we are joined by Sue Apkon, MD and Julie Parsons, MD to discuss the impact cutting edge therapies for neuromuscular disease have had on improving the outcome and quality of life for patients. Sue is the Fischahs Endowed Chair of Pediatric Rehabilitation Medicine at Children's Colorado and is Professor of Physical Medicine & Rehabilitation at the University of Colorado School of Med...

Last week, the federal government took a final step toward making the Pfizer COVID vaccine available to adolescents in the U.S. when the CDC formally recommended the vaccine for use in children ages 12 to 15. The approval of the vaccine for our adolescent patients is exciting. It also presents a unique opportunity for us, as pediatricians, to spend time engaging with families to address their ques...

Today we are joining Trainees for Child Injury Prevention (T4CIP) for their Day of Action in bringing attention to high-powered magnet injuries in kids and teens. T4CIP is a group of pediatricians and medical trainees from across the country who are passionate about childhood injury prevention. High-powered magnets have caused thousands of injuries and are considered to be among the most dangerous...

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 fo...

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 Ma...

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...

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 pediatri...

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...

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...

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...

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...

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 b...

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 mont...

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...

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 Acad...

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...

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...

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 a...

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,...

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 pe...

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 vacc...

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-base...