Charting Pediatrics

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 ai...

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 And...

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...

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 Pediat...

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 Surge...

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...

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 t...

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 thi...

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 disc...

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 th...

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...

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 per...

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 per...

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-b...

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 previou...

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 s...

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 a...

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...

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 Child...

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. Vaccin...

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...

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 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 optio...

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 ma...

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,...