Charting Pediatrics

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...

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.  

Today's guests are Dr. Lori Prok and Pediatric Nurse Practitioner, Julieann Tibbetts, here to discuss the most common clinical presentations, causes, and treatment of Atopic Eczema. 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 Depart...

Today's guests are Dr. Jens Goebel and Dr. Robert Fuhlbrigge, here to discuss Henoch-Schönlein purpura (HSP). Dr. Goebel is the Section Head of Nephrology at Children's Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Fuhlbrigge is Section Head of Rheumatology at Children's Colorado and Professor of Pediatrics also at the University of Colorado School of M...

In today's episode, we're examining a case that started in a primary care pediatrician's office and ended in the Children's Hospital Colorado Aerodigestive Program .  Joining us are the three physicians involved in the patient's care examine: Larissa Applegate, MD, a pediatrician at Pediatrics West in Wheat Ridge, Colorado; RyanCaltagirone, MD , a pediatric emergency room physician at Children's C...

Treating STDs in adolescent patients can be a challenge for today's busy pediatrician. Eliza Buyers, MD of the Pediatric and Adolescent Gynecology team at Children's Colorado returns to our pediatric podcast to provide practical tools for preventing and treating sexually transmitted infections in teens. In this episode: Why STD rates are higher in adolescents and young adults How PCPs can address...

In today's episode all three hosts are in the recording studio for a round table discussion about provider self-care and compassion fatigue. The host team shares personal experiences and strategies they utilize for keeping them energized when cases have challenging outcomes. The host team includes is David Brumbaugh, MD , pediatric gastroenterologist and Associate Chief Medical Officer at Children...

Approximately 6 to 7 percent of children presenting with respiratory symptoms have acute sinusitis. In today's episode we are going to talk to Steven Hamilton, MD about the causes, diagnosis, treatment and safe antibiotic prescribing practices for the management of sinusitis in pediatric patients. Dr. Hamilton is a pediatric otolaryngologist from our Colorado Springs-based faculty and is an assist...

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...