Charting Pediatrics

Feeding is a primary concern for families of pre-term and low birth weight babies following NICU discharge. Many of these infants have gagging, swallowing, vomiting, aspirating concerns or feeding aversions; they don't seem to experience the sensation of hunger, making feeding each meal an arduous task for their caregivers. In today's episode, we talk with returning guests Laura Pickler, MD  and N...

Pediatric hypertension occurs in 2-5% of all pediatric patients and is one of the top five chronic diseases in children and adolescents. According to the National Heart, Lung and Blood Institute, the diagnosis is missed in up to 75% of pediatric patients in primary care settings and appropriate medication initiation occurs much less frequently than is indicated, according to current guidelines. In...

Acute flaccid myelitis (AFM ) is a rare but serious condition; one that strikes fear into the hearts of parents and providers alike. AFM affects the nervous system, specifically the gray matter of the spinal cord, which results in the presenting symptoms of a flaccid paralysis. This condition is not new. Acute flaccid myelitis appears to be caused most often by viruses, especially EV-D68, which is...

Today we are fortunate to be joined by a home-grown Denver pediatrician, child health advocate and legislator for the Colorado House of Representatives, Rep. Dr. Yadira Caraveo. Dr. Caraveo was born and raised in Denver and attended medical school at the University of Colorado. She completed her residency in pediatrics in Albuquerque, New Mexico at the University of New Mexico and is currently a p...

As we head into a busy travel season increasing numbers of our patients and families are venturing to high altitude to partake in activities such as sight-seeing, hiking and climbing. Children who travel to high altitude are at risk for developing some form of acute altitude illness and will seek advice from their primary care physician before traveling. In today's episode we talk to Christine Ebe...

Acute otitis media (AOM) is one of the most common reasons that patients present to our office. Not surprisingly, ear infections are also the most common reason why children receive a prescription for a course of antibiotics. In today's episode, we are going to talk to Peggy Kelley, MD about the classic symptoms and treatment for acute otitis media, safe antibiotic prescribing practices, and how t...

In this episode, Daniel Searing, MD , Professor of pediatrics and allergies at Children's Colorado, talks about seasonal allergies and pollen. He discusses the effects of pollen, how to treat and alleviate allergies, and more. In this episode, Dr. Searing discusses: Pollen and how it affects allergies Why cottonwood trees are a big pollinator, especially in the springtime Why rain and humidity shu...

As providers, the safety of our patients is paramount. In recent years, increased attention has been given to diagnostic error in medicine, specifically those that arise through error in cognitive perception, failed heuristics and biases. In today's episode, we are talking with Joe Grubenhoff, MD about error in diagnosis and strategies for reducing cognitive bias. Dr. Grubenhoff is the Associate M...

Measles is a highly contagious respiratory disease that spreads easily through the air or on infected surfaces; According to the American Academy of Pediatrics, of every 1,000 people who get measles, 1 to 2 will die.  And the numbers are even higher in developing countries where the case fatality rate is 4-10%.  As providers who care for kids, we urge our parents, schools and communities to protec...

In today's episode we dive in to the topic of toxicity and the most common overdoses in pediatric medicine. Our guest is Sam Wang, MD , returning from earlier this season when we covered the topic of Marijuana as Medicine (S2:E14) . Dr. Wang is a Pediatric Emergency Medicine Physician and Medical Toxicologist at Children's Hospital Colorado and the University of Colorado School of Medicine.  Let u...

HPV vaccine rates remain low with only about 16% of U.S. adolescents being fully vaccinated by the time they turn 13 according to the CDC. With about 34,000 cases of HPV-induced cancers annually, we as providers have an opportunity to encourage more parents to vaccinate their children. In this episode we talk with guests Brian Gablehouse, MD , and Sean O'Leary, MD , about HPV vaccination hesitancy...

Historically, there has not been a Food and Drug Administration – approved medical therapy to treat food allergies. This is about to change with emerging research in immune desensitization and clinical trials with food immunotherapy products that will likely soon hit the market. In today's episode, we will talk about these clinical trials, what two products are likely to be FDA-approved by the end...

As a continuation of our discussion of congenital heart disease from Season 2, Episode 21, we are going to look at the primary care provider's ongoing role caring for these patients; signs and symptoms of undiagnosed patients and how to support adolescent patients transitioning to adult care. Today's guest is Joe Kay, MD . Dr. Kay is Program Director of the joint Adult Congenital Heart Disease Pro...

How many concussions are too many for a young athlete? When should sport retirement be considered? In today's episode we are going to look at the case of a high school athlete as the basis for exploring these questions with Julie Wilson, MD . Dr. Wilson is Co-Director of the Concussion Program at Children's Hospital Colorado and Assistant Professor at the University of Colorado School of Medicine....

The practice of pediatric pain management has developed significantly in the last decade with the use and validation of pain assessment tools specific to pediatric patients, yielding evidence-based pain management guidelines in children of all ages. Still, pharmacological intervention options coupled with practicing safe prescribing can be overwhelming in the primary care setting.  In today's epis...

A real public health problem has snuck up on us as pediatricians - vaping and e-cigarettes use. On today's episode, we will unpack the facts about e-cigarettes and vaping, provide you with practical tools to counsel your patients and families and talk about upcoming advocacy and policy work pertaining to e-cigarettes. Our guests today are Jennifer  Woods, MD , Medical Director of the Adolescent Me...

Integrative health care describes the blending of complementary and conventional therapies by practitioners to include all appropriate therapies in a patient-centered and evidence-based fashion. Today we will offer up some practical tips about how you can incorporate an integrative approach to your care of kids and adolescents with Rachel Workman, MD . Dr.  Workman runs the Integrative Medicine Cl...

In this episode we discuss how to respond to abnormal results of the newborn  Critical Congenital Heart Disease (CCHD) screening with  Chris Rausch, MD . Dr. Rausch is the Director of the Cardiopulmonary Exercise Laboratory at Children's Hospital Colorado and Associate Professor of Pediatric Cardiology at the University of Colorado School of Medicine.   In this Episode: Why Critical Congenital Hea...

Today we discuss pediatric trigger thumb  (also know as Trigger Finger, Flexor Tenosynovitis, or Stenosing Tenosynovitis) with Sarah Sibbel, MD . Dr. Sibbel is the Director of the Pediatric Hand and Upper Extremity Program and Surgical Director of the Brachial Plexus Center at Children's Hospital Colorado and Assistant Professor of Orthopedics at the University of Colorado School of Medicine.   In...

Happy holidays to you, our Charting Pediatrics listeners. Whether the snow is falling where you are, or your palm trees are wrapped in lights, we hope you will be enjoying these next couple of weeks with family and friends. In this season of celebration and reflection, we wanted to say thank you to you, our Charting Pediatrics listeners. Each week we get the opportunity to interview our pediatric...

On this episode we discuss the diagnosis and management of ovarian cysts and torsion risk with Patricia Huguelet, MD . Dr. Huguelet  is the Section Chief of Pediatric and Adolescent Gynecology at Children's Hospital Colorado and Associate Professor of Obstetrics and Gynecology at the University of Colorado School of Medicine. In this episode: Most common presentations/symptoms of ovarian cysts rep...

In this episode, we discuss abnormal pediatric head growth, shape and treatment options with Todd Hankinson, MD . Dr. Hankinson is a Pediatric Neurosurgeon at Children's Hospital Colorado and Associate Professor of Neurosurgery at the University of Colorado School of Medicine.  

On today's episode we discuss the most common clinical presentations, causes and treatments of atopic eczema with Lori Prok, MD and Julieann Tibbetts, PNP . Dr. Prok is a Pediatric Dermatologist at Children's Colorado and Associate Professor of Dermatology at the University of Colorado School of Medicine. Julieann is a Pediatric Nurse Practitioner in the Dermatology Department at Children's Colora...

Today we discuss the art and science of caring for young mothers in the pediatric practice. Hana Smith, MD and Amy Ehmer , PsyD, join us to discuss the Young Mothers Clinic and the Colorado Adolescent Maternity Program and opportunities to adopt aspects of this care model into the primary care practice. Dr. Smith is the Medical Director of the Young Mother's Clinic at Children's Colorado and assis...

This episode was recorded live from the 2018 American Academy of Pediatrics (AAP) National Conference and Exhibition in Orlando, Fla. with Leslie Walker-Harding, MD discussing addiction prevention in primary care. Dr. Walker-Harding is the chair of the Department of Pediatrics and the pediatrician-in-chief at Penn State Health Milton S. Hershey Medical Center and the Medical Director of Penn State...