Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner

Constipation and Abdominal Pain: What To Do and When To Worry Link for CME Credit Coming soon!   This episode explains how to distinguish functional constipation from organic causes in children, outlines the key red flags that require further workup or referral, and reviews evidence-based management including clean-outs, maintenance with polyethylene glycol (Miralax), dietary guidance, and when imaging or tests are appropriate. Host Holly Wayment and Dr. Anandini Suri also discuss practical advice,  toilet-training guidance, how to ensure medication adherence, and nonpharmacologic strategies like breathing and exercise for functional abdominal pain.

Adolescent Relationships in the Digital Age: Violence, Risk, and Prevention Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101483 Dr. Jeff Temple presents findings from the long-running longitudinal study tracking youth relationships, dating violence, mental health, substance use, firearms, and sexting from adolescence into adulthood. The episode highlights key findings such as the high cumulative prevalence of bidirectional dating violence, links between parental IPV and later perpetration, and the association between childhood corporal punishment and future dating violence. The talk also covers sexting research showing harms mainly when non‑consensual or coerced, the addition of firearm measures after 2013, and the study's strong retention and diverse sample. Dr. Temple discusses prevention, including the successful Fourth R relationship curriculum that reduced violence and long‑term depression, and the importance of continuing prevention into the 20s and across generations.

Imaging With Intention: Optimizing Care Through Collaboration in Diagnostic Radiology Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101474 Host and Executive Producer Holly Wayment and UT Health San Antonio's Department of Pediatrics bring us this  Grand Rounds episode with Desi Schiess, MD,  pediatric radiologist. This episode reviews evidence-based imaging choices, radiation considerations, and practical tips for ordering X‑ray, ultrasound, CT, MRI, fluoroscopy, and nuclear medicine in children. It includes case examples, a quiz, and guidance on when to consult a radiologist to ensure safe, effective pediatric imaging.

When to Worry: Neck Lumps, Bumps, and Enlarged Lymph Nodes in Kids Link for CME Credit: https://uthscsa.edu/medicine/education/cme/pediatrics-now-podcast In this episode of Pediatrics Now, Host Holly Wayment and Pediatric Oncologist Dr. Shafqat Shah discuss  how clinicians should evaluate new lumps, bumps, and enlarged lymph nodes in children, adolescents, and young adults.  Dr. Shah explains features that suggest reactive vs. malignant nodes, when to observe versus order imaging or labs, when to biopsy, and considerations about steroids, infections like cat scratch disease, and transitioning care for young adults. Dr. Shah's email address is: ShahS2@uthscsa.edu

Stopping Bedwetting: Urology Insights from Dr. Tim Baumgardner Link for free CME credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101417 Dr. Tim Baumgardner discusses his pediatric urology practice at UT Health San Antonio, and University Health, focusing on nocturnal enuresis—its evaluation and treatment (behavioral strategies, alarms, and DDAVP)—and describes multidisciplinary care, transition urology, clinic locations, and humanitarian outreach to Honduras.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101401 In this episode Host Holly Wayment interviews Dr. Sarah Marucci and they discuss the gut-brain axis, common GI conditions (IBS, H. pylori, celiac),  diet, hormones, and mental health for women and children. Sarah reviews red flags for early cancer detection, screening options like colonoscopy and stool tests, and practical prevention tips—hydration, fiber, exercise, and open conversations about bowel habits.

Holly Wayment interviews Dr. Alice Gong about updated newborn screening guidelines, expanded blood tests (now 59–60), additions like lysosomal storage disorders and SMA, point-of-care screens (hearing and critical congenital heart disease), and newborn blood spot retention and consent policies. The episode covers testing timelines, follow-up coordination between hospitals and pediatricians, counseling families about results, special considerations for premature or critically ill infants, and emerging genomic approaches.

Holly Wayment and the Department of Pediatrics at UT Health San Antonio bring you this episode featuring Dr. Eric Horvitz from Microsoft, who explores the history, recent breakthroughs, and future directions of AI in medicine. He discusses advances from early expert systems to modern generative, multimodal, and agentic AI, and practical applications like diagnostic orchestration and tumor board support. Dr. Horvitz highlights trends such as scale, real-time reasoning, cross-modality models, and human-AI collaboration, and emphasizes challenges around reliability, integration, ethics, and regulation while arguing for thoughtful adoption to improve healthcare outcomes.

link for CME credit coming soon! Host Holly Wayment speaks with Dr. Deena Sutter about rising H3N2 influenza activity, a partial vaccine mismatch, and what pediatricians and families should do as cases climb. They discuss vaccine effectiveness, when to test and treat, masking and infection control, and specific guidance to protect babies too young to be vaccinated. The episode also covers a local pertussis outbreak, the role of vaccination gaps, and practical communication tips for clinicians to counsel vaccine-hesitant parents.

Dr. Ian Mitchell joins Holly Wayment to review pectus excavatum and carinatum: how they present, typical ages of detection, and practical screening tips for pediatricians. The episode summarizes evaluation steps including when to order CT with Haller index, echocardiography, and pulmonary testing, and compares treatment options—bracing and vacuum bell therapy, Nuss and Ravitch procedures—plus timing (ideal repair ~14–15 years) and perioperative care. Listeners also hear about pain management advances (erector spinae blocks, cryoanalgesia), outcomes, psychosocial effects, adult considerations, and the Fresh Start program offering free reconstructive surgeries for eligible families.

Link for CME Credit  https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101136 Goat Milk Formula: New U.S. Approval — What Pediatricians Need to Know In this episode of Pediatrics Now with Host Holly Wayment, Dr. Cynthia Blanco discusses the recent FDA approval of goat milk–based infant formula in the U.S., how it compares to cow's milk formula, and what pediatricians should know about nutrient composition, allergy management, and clinical scenarios. She reviews evidence on tolerability, digestibility, and common misconceptions, emphasizes the importance of breastfeeding, and offers practical counseling strategies for families considering goat milk formula.

Link for CME Credit Coming Soon! Dr. Sheldon Gross explains how  evaluation and management of tics and Tourette's syndrome, when to refer to neurology or psychiatry, and practical steps for families and schools. He emphasizes the power of a thorough history, behavioral therapies like CBIT, thoughtful medication use, and lifestyle factors such as sleep and stress.  We also delve into when psychiatry and neurology in general overlap. The episode also covers related conditions—PANDAS/PANS, autoimmune encephalitis, functional neurological disorders, and seizures—highlighting collaboration between specialties and offering reassurance about prognosis for most children.

Holly Wayment talks with Dr. Sheldon Gross about how to tell tics from twitches, common causes and triggers (stress, stimulants, sleep), and simple first steps families and pediatricians can take to reduce symptoms without medication. They review Tourette's criteria, behavioral approaches like CBIT, medication options (guanfacine, clonidine, antipsychotics, topiramate), red flags for seizures or other neurological causes, and the overlap between neurological and psychiatric conditions.

Link for CME credit coming soon! Dr. Avinash Boddapati joins Pediatrics Now and builds on the wonderful talk by Dr. Mario Fierro in part one, to explain more about what we know—and don't—about the causes of autism, highlighting that autism is multifactorial and involves genetics, brain biology, and environmental influences. He covers early red flags, genetic risk and testing, maternal and prenatal factors, common misconceptions (including vaccines), and promising research directions like gene–environment interactions and epigenetics. Key takeaways for pediatric clinicians: counsel families without blame, prioritize early identification and intervention, and weigh risks and benefits when discussing exposures during pregnancy.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101120   Host Holly Wayment and the Department of Pediatrics bring us a recent grand rounds talk by Dr. Mario Fierro where he reviews how autism is defined under DSM‑5, explains core diagnostic areas (social/communication deficits and restricted/repetitive behaviors), and emphasizes age‑based interpretation and the spectrum of severity. He covers screening (M‑CHAT), standardized assessments (ADOS, CARS), common comorbidities and risk factors (genetics, prematurity, congenital conditions), and practical considerations for clinicians and families. He also discusses treatment options—speech/OT, ABA, FDA‑approved medications for symptoms—reviews alternative therapies and controversies (including leucovorin research and vaccine myths), and offers pragmatic advice on when to refer and focus on functional communication.

Drs. Ruby Patel and Rajdeep Pooni present Grand Rounds using a 12-year-old case to illustrate pediatric systemic lupus erythematosus and class IV lupus nephritis, covering presentation, biopsy findings, and pathology. The talk explains diagnostic criteria and typical lab features. They summarize current management including 2024 ACR guidance on induction therapies (steroids, mycophenolate, cyclophosphamide, and biologics), monitoring for complications and medication side effects, vaccination precautions for immunocompromised patients, and the pediatrician's role in long-term coordination of care.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101115 Host and Executive Producer Holly Wayment interviews Jacklynn Ware , MPH, CHES about Project YES, a free anonymous online mental health program that's back, redesigned and improved for 13–17-year-olds to offer short, teen-focused modules to boost mood, reframe negative thoughts, and provide safety resources. And, yes, that includes an adorable video of a porcupine chomping on a pumpkin. The episode explains who can benefit, how the program is youth-informed and evidence-based, and how it can be used immediately as a low-pressure, much needed resource.

Seizures in Kids — Practical Diagnosis, Treatments, and When to Refer https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101013   Host Holly Wayment brings us this wonderful grand rounds talk for the general pediatrician by pediatric neurologist Dr. Natasha Varughese, where she reviews childhood epilepsy syndromes (ages ~3–15), covering self-limited epilepsies, focal and generalized epilepsies, and developmental epileptic encephalopathies. Key diagnostic tools include EEG, MRI, and genetic testing; prognosis varies widely by syndrome. The talk highlights practical management: appropriate antiseizure medications (and which to avoid), indications for ketogenic diet, when to consider surgery or neuromodulation (VNS, RNS), and warning signs for referral to neurology or epilepsy specialists.

Toxicology Pearls Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100932 Host Holly Wayment talks to the  Poison Center's Robert S. Miller about common pediatric toxic exposures — acetaminophen, ibuprofen, THC edibles, nicotine pouches (Zyn), and kratom — and offers practical advice for clinicians and parents. Learn why calling the Poison Center (1-800-222-1222) helps with case documentation, reassurance, disposition planning, and when to use antidotes like acetylcysteine. Emphasis on prevention (lockboxes, safe storage), recognizing occult acetaminophen ingestions, symptomatic management, and differences between children and adults.

Link for CME Credit Coming Soon! Mosquitoes, Fleas & Outbreaks — Pediatric ID Updates with Dr. Deena Sutter Host Holly Wayment interviews pediatric infectious disease specialist Dr. Deena Sutter chikungunya outbreak in China, flea‑borne typhus in South Texas, and a rise in hand‑foot‑and‑mouth cases. The episode covers transmission, clinical signs, prevention tips (mosquito control, repellents, pet flea prevention), travel vaccine guidance, and practical advice for pediatric practitioners on diagnosis and management.

Link for MOC Credit Coming soon for this grand rounds talk episode! In this episode, Rachel Vandermeer, MD, reviews pain assessment and treatment for children with medical fragility, focusing on altered pain pathways, common pain sources, and the need for multimodal, individualized plans. Practical recommendations include careful opioid use, gabapentinoids, clonidine for dysautonomia, prevention strategies around procedures, bowel regimens, and close outpatient follow-up to manage chronic neuro-agitation safely.

Link for CME Credit Coming Soon! Pediatrics Now, hosted by Holly Wayment and the Department of Pediatrics, brings you this grand rounds talk by: Melissa Delbello, MD, MS is a Professor of Psychiatry and Pediatrics and Dr. Stanley and Mickey Kaplan Chair of Psychiatry and Behavioral Neurosciences at the University of Cincinnati College of Medicine (UCCOM).   OVERVIEW: Bipolar Disorder in Youth: An Update on Diagnosis and Treatment   Dr. Dellbello delves into the complex topic of bipolar disorder in children. The presentation covers critical aspects of the disorder, including diagnostic criteria, neurobiological insights, and treatment strategies. Listeners will gain an understanding of the phenomenology of bipolar disorder, how to differentiate between manic, hypomanic, and depressive episodes, and the significance of early intervention. The episode also explores the impact of bipolar disorder on children, emphasizing the importance of accurate diagnosis and the challenges posed by the DSM-5 criteria. Discussion highlights include the role of family history, the high rates of comorbidity with ADHD, and the specific challenges in treating pediatric patients. Treatment options are outlined, with a focus on FDA-approved medications for different phases of bipolar disorder and non-pharmacological interventions. The conversation extends to the adverse effects of antipsychotics and the use of metformin for weight management in children on medication. Throughout the episode, the critical importance of family involvement and therapy is emphasized, providing a holistic view of managing this complex condition in young patients.

Like for MOC Credit Coming Soon Welcome to another insightful episode of Grand Rounds, brought to you by the Department of Pediatrics at UT Health San Antonio and University Health's Women's and Children's Hospital and host Holly Wayment. In today's episode, we delve into pediatric concussions with Dr. Mayur Patel, a seasoned neurologist with a specialty in brain injury medicine. Dr. Patel shares his expertise on the diagnosis and management of mild traumatic brain injuries (TBI) in children, often synonymous with concussions. He discusses the differentiation between mild, moderate, and severe TBIs, highlighting that children generally recover faster than adults. Dr. Patel emphasizes recognizing symptoms like persistent headaches, sleep disturbances, and cognitive impairments, as well as the role pre-existing conditions play in recovery duration. Explore the emerging research on biomarkers for concussions and innovative approaches to treat symptoms, including the importance of sleep hygiene and targeted therapies like amitriptyline. This episode is a must-listen for understanding the complexities of pediatric concussion management in the outpatient setting. Plus, get insights into sports-related concussion and the evolving landscape of concussion assessment.

Link for CME Credit Coming soon! This enlightening episode of Pediatrics Now features an in-depth conversation with Dr. Karen Bluth, an associate professor emerita from the University of North Carolina and a pioneering author on self-compassion for teens. Host Holly Wayment explores with Dr. Bluth the transformative power of self-compassion in helping teens cope with anxiety, depression, and stress. Dr. Bluth shares her insights and decades of experience in the field, emphasizing the critical importance of teaching teens resilience and self-kindness. The discussion delves into the challenges faced by today's youth and practical strategies for clinicians and parents to support adolescents in becoming their own advocates for well-being. Additionally, the conversation covers the utility of Dr. Bluth's books and courses designed to instill mindfulness and self-compassion skills for teens facing everyday stressors and emotional struggles. Clinicians will gain valuable understanding of how cultivating self-compassion can lead to improved mental health and academic outcomes for teenagers. Tune in to discover how both teens and adults can benefit from embracing these principles to enhance their quality of life.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10099822   Host Holly Wayment brings us this grand rounds talk episode where this professor delves into the transformative role of artificial intelligence in healthcare, with a special focus on pediatric care. Explore the latest advancements in AI algorithms and their significant impact on reducing treatment costs and enhancing patient diagnosis. Discover the pioneering projects by Matrix, including AI chatbots for trauma research and dynamic algorithms for real-time adaptability. Gain insights into how AI technology is being integrated into medical workflows, from predicting the spread of diseases like COVID-19 to addressing the complex challenges of multimodal data integration for comprehensive patient care. Uncover AI's potential in improving decision-making processes, ensuring data security, and personalizing patient communication. Join us as we discuss the exciting possibilities and ongoing challenges in deploying AI for healthcare, emphasizing the importance of human-AI collaboration in achieving reliable and fair outcomes. Whether you're a medical novice or an AI expert, this episode provides valuable perspectives on the evolving landscape of medical technology.

Link for CME Credit Coming Soon! In this episode of Pediatrics Now, host and executive producer Holly Wayment welcomes back Dr. Ted Wu to explore the critical topic of sepsis in children. Dr. Wu, with 19 years of experience in pediatric critical care, discusses the intricacies of diagnosing and managing sepsis in neonates and infants, emphasizing the importance of early recognition and tailored treatment strategies. The episode delves into the latest research coming out of Cincinnati Children's Hospital, revealing groundbreaking techniques such as JEDI, which helps categorize sepsis patients based on genetic markers for more individualized care. Holly and Dr. Wu also touch upon real-life implications in pediatric practice, sharing essential warning signs of sepsis, particularly in viral seasons, and how general pediatricians can make critical interventions in the first hour of diagnosis. Listeners will gain valuable insights into the evolving landscape of sepsis treatment, including the role of antibiotics, fluid management, and the complex decisions pediatric practitioners face in urgent care settings. Tune in for a comprehensive discussion that balances medical knowledge with practical, on-the-ground advice for those encountering this life-threatening condition.

Link for CME Credit Coming soon In this episode of "Pediatrics Now," host Holly Wayment returns with Dr. Ted Wu to discuss the critical issue of unintentional injuries in children, focusing on drowning prevention. Dr. Wu emphasizes the importance of assigning a designated observer for children playing in water during summer to prevent drowning accidents, sharing insights from his extensive experience in pediatric critical care. Listeners will also learn about advancements in treating post-cardiac arrest in children, exploring the therapeutic use of hypothermia to improve neurological outcomes and the ongoing research in targeted temperature management. Additionally, this episode highlights the significant impact pediatric practitioners have in preventing such tragedies by offering anticipatory guidance to families. Tune in for essential tips on keeping kids safe and how pediatric practitioners are playing a crucial role in that.

link for CME credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098859 Join host Holly Wayment on "Pediatrics Now" as she delves into the latest COVID-19 vaccination recommendations for children with Dr. J.B. Cantey, a double-boarded expert in neonatology and infectious disease. Discover the importance of complete immunization using mRNA vaccines, the science behind crossover doses, and seasonal expectations for COVID and flu. In this insightful episode, Dr. Cantey addresses common parental concerns, emphasizing the necessity of childhood vaccines and the evolving landscape of COVID and flu risks. Practical advice and scientific recommendations make this episode a must-listen for pediatric practitioners navigating vaccine discussions with patients' families.

Link for CME credit : https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098850 In this enlightening episode, a talk by: Avinash Boddapati, M.D.  Child and Adolescent Psychiatrist | Assistant Professor of Psychiatry  we dive into the intricacies of Autism Spectrum Disorder (ASD) according to the DSM-5, offering clarity on diagnostic criteria and differentiating ASD from other neurodevelopmental and social communication disorders. We explore the prevalence of ASD, its genetic and environmental risk factors, and dispel common myths, such as the debunked link between vaccines and autism. Discover the unique challenges individuals with ASD face in social communication, restrictive behaviors, and sensory sensitivities, accompanied by an examination of common comorbidities. The episode further addresses the significance of early diagnosis and intervention, discussing various screening tools and the benefits of catching ASD early on. We also outline an array of therapeutic approaches—from behavioral therapies like Applied Behavior Analysis (ABA) to pharmacological interventions for managing symptoms. Plus, engage with real-life case studies to illustrate ASD's diverse manifestations and the potential for tailored interventions. Join us as we untangle the complexities of ASD, fostering a better understanding of the spectrum and encouraging effective support strategies for individuals and their families.

Here's the link for CME credit! https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098810 Host Holly Wayment brings us a grand rounds episode with Radhika B. Pillai, MD as she delves into the importance of bone health in children. With a strong foundation in cystic fibrosis research, Dr. Pillai explores critical pediatric concerns such as calcium growth, puberty disorders, diabetes, and obesity. In this episode, Dr. Pillai emphasizes the significance of bone health, highlighting its often-under appreciated role in pediatric care. She provides insights into the assessment and diagnosis of bone disorders, focusing on gathering comprehensive medical histories, conducting thorough examinations, and exploring the impacts of nutritional deficiencies. Through an engaging clinical case study, Dr. Pillai discusses diagnostic techniques, imaging methods, and laboratory tests vital for identifying conditions like vitamin D deficiency rickets. Her expertise illuminates the complex interplay of calcium and phosphate homeostasis, offering valuable perspectives on effective treatment strategies and the importance of early identification.

Join host Holly Wayment for a captivating discussion with Dr. Kang, a pediatrician and neonatal perinatal medicine fellow, as she delves into the world of alternative birth practices. This episode covers a range of topics including water immersion for labor, vaginal seeding, and umbilical non-severance, illustrating the growing interest in these  methods.  Dr. Kang provides an overview of the benefits and risks associated with each practice, offering insights into their prevalence and the existing medical recommendations. Understand the reasons behind the increasing popularity of these practices and their implications.  This episode provides a valuable perspective on contemporary birthing trends and highlights the importance of well-informed guidance for families exploring these options.

Link for CME Credit: https://uthscsa.edu/medicine/education/cme/pediatrics-now-podcast In this episode of Pediatrics Now, Dr. David Roberts, an Associate Professor of Psychiatry at UT Health San Antonio, returns to discuss with host Holly Wayment the impactful communication technique known as motivational interviewing. With a particular focus on engaging pediatricians and families, Dr. Roberts illustrates how this approach can facilitate open, trusting dialogues around challenging topics like vaccination and behavioral issues in children. He shares practical insights on fostering autonomy and understanding ambivalence in both parents and younger patients, ultimately aiming to support healthier choices through empathetic and skillful conversation. Join us to explore how motivational interviewing can transform interactions in pediatric practice.

link for free CME credit coming soon Join host Holly Wayment as she delves into the pressing issue of measles in Texas with Dr. Jason Bowling, a leading expert in infectious diseases. Dr. Bowling discusses where we are right now with measles, a disease that was previously declared eradicated due to vaccination, the impact on the community, and the critical role of vaccination in preventing further spread. Learn measles symptoms can mimic other viral infections, and the steps pediatricians can take to accurately diagnose and manage suspected cases. Dr. Bowling also shares insights on the importance of maintaining high vaccination rates to create a "firewall", highlighting the challenges of vaccination hesitancy and the measures needed to counter it. This episode is an essential listen for busy pediatric practitioners  in Texas, around the globe, and elsewhere in the US as they navigate the complexities of a measles resurgence. This episode includes advice about measles testing and isolation protocol.

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098690 In this episode, host and executive producer Holly Wayment dives into  motivational interviewing (MI) with expert David Roberts, Ph.D.. Discover how this gold-standard counseling approach can dramatically improve treatment adherence for pediatric practitioners. Dr. Roberts, a seasoned psychiatrist and member of the Motivational Interviewing Network of Trainers, shares his extensive experience in training over 3,000 healthcare professionals in MI.  Roberts has a new, more flexible way for busy practitioners to learn MI. www.reflectivetraining.org Learn how to implement motivational interviewing in busy practice settings.  With insights from real-world cases, this episode is a must-listen for practitioners eager to enhance patient engagement and foster behavioral change. 

Link for Free CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098672 In this episode of Pediatrics Now, host Holly Wayment engages in a conversation with Matthew Anderson, Vice President of Customer Service at PayPal and Venmo. Together, they explore the transformative lessons that pediatric practitioners can learn from customer service practices in the corporate world. Discover how fostering professionalism and empathy among medical teams enhances patient relationships, and learn practical strategies for addressing sensitive topics such as financial discussions with grace. Anderson shares valuable insights on improving customer service in pediatrics, underscoring the power of incremental changes, relationship building, and transparent communication. Tune in for a thought-provoking discussion on creating a more patient-centered and harmonious pediatric practice.

Link for CME Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098640 Join host Holly Wayment on Pediatrics Now as she explores the intersection of medicine and customer service with Matthew Anderson, Vice President of Customer Service for PayPal and Venmo. Discover how principles from the corporate world can enhance patient care and communication in pediatric settings. Learn the significance of humanizing interactions and the critical components that can transform transactional activities into meaningful relationships. Matthew shares personal experiences and practical advice that empower practitioners and their medical teams.  Tune in and gain insights to revolutionize patient engagement and satisfaction.

Link for MOC Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098633 Host and Executive Producer Holly Wayment brings us this insightful child abuse talk by Dr. Natalie Kissoon, as she shares crucial insights into recognizing child abuse in pediatric care. This episode dives deep into case-based discussions, focusing on common signs of abuse such as unexplained bruises, sentinel injuries, and abusive head trauma. Dr. Kissoon emphasizes the importance of a thorough medical evaluation and offers practical guidance for identifying hidden patterns of maltreatment.

Link for MOC Credit! https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098629 Join Host and Executive Producer Holly Wayment for this grand rounds episode for MOC credit.  We bring you a talk by Dr. Millind Pansare on FPIES, highlighting the crucial role of clinical awareness and research in combating this condition. Discover the clinical presentation, risk factors, and the significance of educational support for caregivers navigating this challenging syndrome. Join us for an informative session that seeks to empower medical professionals with knowledge about this critical pediatric health topic.

Link for CME Credit Coming Soon! Welcome to this episode of Pediatrics Now with Holly Wayment, brought to you by the Department of Pediatrics,0 as she discusses acne myths and truths with Dr. Emily Becker, the head of Pediatric Dermatology at University Health and UT Health San Antonio. Together, they delve into common misconceptions about dietary causes of acne, the importance of appropriate skincare, and effective treatment options available for adolescents. Dr. Becker shares insights from her extensive training and experience in dermatology, discussing how different types of milk can affect acne and offering practical advice on acne management, particularly for pediatricians handling cases without immediate access to dermatologists. Discover the journey of Dr. Becker from Texas to New York and back, her dedication to pediatric dermatology, and a sneak peek into her life outside medicine. Stay tuned for details on the latest dermatological treatments for conditions like eczema, alopecia areata, and some advice on avoiding harmful social media skincare trends.

Link for CME Credit Coming soon! Join Holly Wayment on Pediatrics Now as she welcomes back Dr. Ed Brooks. In this episode, they dive into the best practices for managing tree pollen allergies, discussing the effectiveness of nasal steroids over antihistamines. Dr. Brooks also sheds light on the phenomenon of periodic fevers in children, explaining the auto-inflammatory conditions associated with such fevers and how to distinguish them from other illnesses. Explore various treatment options and the role of genetics in diseases like PFAPA and Mediterranean fever.

Link for CME Credit: https://uthscsa.edu/medicine/education/cme/pediatrics-now-podcast In this episode of Pediatrics Now, host Holly Wayment discusses Von Hippel-Lindau (VHL) Syndrome with leading experts Dr. Gail Tomlinson and Dr. Patricia Dahia from the University of Texas Health Science Center 's Department of Pediatrics and University Health.  This genetic disorder is characterized by the development of various tumors and cysts in different parts of the body, linked to mutations in the VHL gene. The conversation delves into the history and genetic mechanisms of VHL Syndrome, highlighting its rarity and complex nature. Dr. Tomlinson and Dr. Dahia provide insights into the symptoms, diagnosis, and the groundbreaking development of a new FDA-approved drug that offers hope for managing the disease's manifestations. Pediatric Practitioner Listeners will gain an understanding of how genetic research has transformed treatment options, moving towards precision medicine, and offering newfound hope for individuals with this challenging condition, and other conditions. Join us to explore the impact of precise genetic interventions and the ongoing research shaping the future of VHL Syndrome treatment. Additional sources for this episode include The New York Times and Wikipedia.

Link for CME credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098394 In this episode of Pediatrics Now, host Holly Wayment sits down with Dr. Joanna Gernsback, a pediatric neurosurgeon at University Health and UT Health San Antonio, to discuss the crucial topic of pediatric safety and accident prevention. Dr. Gernsback shares insights on the increasing cases of ATV-related accidents, emphasizing the importance of wearing helmets and taking safety courses for young riders. The conversation also touches on broader subjects such as the challenges and triumphs of being a female neurosurgeon, the significance of following updated brain injury guidelines, and personal anecdotes that highlight Dr. Gernsback's dedication to improving children's lives through her practice. Listeners are encouraged to consider the role of parental supervision and education in preventing accidents, while Dr. Gernsback offers professional advice on managing and recognizing red flags in pediatric neurology. From discussing spine issues to the importance of following your instincts as a practitioner or a parent, this episode provides invaluable knowledge for anyone involved in pediatric healthcare. University Hospital Clinic 2nd Floor, Rio Tower Where is it4502 Medical Drive San Antonio, Texas 78229 210.358.8555 Fax 210.358.8498  

Link for CME Credit Episode 22: A Heart to Heart with Dr. Ginnie Abarbanell https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098363   Join host Holly Wayment and Dr. Ginnie Abarbanell, head of Pediatric Cardiology at UT Health San Antonio and University Health, as they have a heart to heart conversation about congenital heart disease, the most common birth defect worldwide. Learn about the challenges of detecting heart defects prenatally. Discover the warning signs that pediatric practitioners should watch for and gain insights into the potential neurodevelopmental delays associated with early heart problems. This episode also explores the intersecting worlds of heart health and child development, offering guidance on how to support the educational and developmental needs of children with significant heart defects. Additionally, Dr. Abarbanell shares personal insights on a healthy lifestyle and how she un-plugs, highlighting the importance of outdoor activities.

Link for CME Credit Coming Soon! In this episode of Pediatrics Now, host Holly Wayment welcomes Dr. Richard Thomson, Assistant Professor for the Division of Plastic and Reconstructive Surgery at UT Health San Antonio and University Hospital. The discussion delves into the profound impact of pediatric plastic surgery on children's lives, particularly focusing on surgeries that enhance quality of life by improving physical appearance and confidence. Dr. Thomson shares insights on his journey from England to Texas, his experiences in building a pediatric plastic surgery program, and the multifaceted roles pediatric plastic surgeons play. The conversation covers the unique challenges and joys of operating on children and the importance of tailoring surgical interventions to support growth and development. The episode highlights the significance of a multidisciplinary approach in treating conditions like cleft lip and palate, emphasizing collaboration with various specialists to achieve holistic and effective patient care. Dr. Thompson also reflects on the ethical considerations of cosmetic surgery for children, advocating for child-led decisions based on maturity and understanding of the procedures involved.

CME CreditLink https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098273 In this episode of Pediatrics Now, host Holly Wayment  welcomes back Dr. J.B. Cantey. With flu season at its peak, Dr. Cantey shares insights into the challenges pediatric practitioners face, particularly with the circulation of both H1N1, H3N2, and the emerging H5N1 strain, or bird flu.   He discusses the importance of vaccination, hand hygiene, and vigilant testing, while addressing common concerns about flu transmission and the role of Tamiflu. Dr. Cantey also emphasizes the significance of maintaining awareness around new strains, such as the avian flu H5N1, and offers practical advice to give to patients worried about the flu's impact on their families. With his expertise, Dr. Cantey provides a comprehensive understanding of how to manage flu risks and protect vulnerable populations, ensuring listeners are well-equipped to handle this year's fierce flu season.

Let Babies Eat: New Guidelines to Prevent Food Allergies Link for CME Credit Coming Soon In this grand rounds episode of Pediatrics Now, host Holly Wayment brings us cutting-edge approaches to infant food introduction and allergy prevention, featuring Nationwide Children's Hospital's Dr. David Stukus . Dr. Stukus delves into the history of infant feeding guidelines, the evolving scientific evidence, and practical strategies for pediatric practitioners. Listeners will gain insights into the confusion caused by changing guidelines, the landmark LEAP trial's impact on peanut allergy prevention, and the importance of introducing allergenic foods early, based on evidence rather than outdated practices. The episode provides evidence-based recommendations to support parents, addressing common misconceptions and fears about food allergies. Join the discussion to better understand the relationship between eczema and food allergies, how to effectively reassure and guide families during clinics, and strategies to help pediatric patients achieve diverse diets that minimize allergy risks. Learn how pediatricians play a crucial role in educating families and preventing unnecessary dietary restrictions that can lead to food allergies. This episode is a must-listen for any healthcare professional looking to navigate the complexities of infant nutrition and allergy prevention with clarity and confidence.

Respiratory Viruses Update CME Credit Link Coming Soon! In this episode, we delve into the challenges faced by pediatric practitioners during the height of respiratory virus season. Host Holly Wayment is joined by Dr. Tess Barton, pediatric infectious disease specialist, to discuss RSV, influenza, pneumonia, Covid and more. Dr. Barton talks about RSV vaccines, especially the recent FDA warning about Guillain-Barre syndrome, and clarifies that the warning does not pertain to the vaccine for infants. She provides valuable advice for clinicians handling inquiries from parents and pregnant women, emphasizing the rarity of severe vaccine side effects. The discussion further explores the importance of distinguishing between viral and bacterial infections, the judicious use of antibiotics, and the body's natural responses to viruses, such as mucus production and fever.   

Episode 17: AI in Medicine: Ready for a Texas-Sized Leap Forward or Not? https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098193   FACULTY: James Barry, MD is a Professor of Pediatrics, Section of Neonatology, and Medical Director, University of Colorado Neonatal Intensive Care OVERVIEW: Join Host Holly Wayment in this enlightening episode as she explores the transformative potential of artificial intelligence in medicine, particularly in pediatrics. This week, Holly presents a thought-provoking discussion from the Neonatology Fellowship Conference in San Antonio, featuring Dr. James Barry from the University of Colorado. With his profound interest in AI, he shares insights on how AI is poised to revolutionize healthcare over the next decade, making significant impacts in medical processes and patient outcomes. Dr. Barry also talks about resources for practitioners. Learn about pioneering programs, like UT Health San Antonio's groundbreaking dual MD and AI master's degree and delve into the conversations with leading AI experts and doctors such as Dr. Kaiser Aziz from Johns Hopkins and Dr. Alvaro Moreira from UT Health Science Center. This episode encourages healthcare practitioners to engage with AI innovations, emphasizing the importance of ethical, effective, and bias-free implementation to enhance care. OVERALL LEARNING OBJECTIVE: Increased awareness and education for pediatric providers DISCLOSURE TO LEARNERS: James Barry, MD has no financial relationships with ineligible companies to disclose.   The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests. CONTINUING MEDICAL EDUCATION STATEMENTS: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CERTIFICATE OF ATTENDANCE: Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance. Credit may be obtained upon successful completion of the activity's evaluation. RELEASE DATE: 1/17/2025 EXPIRATION DATE: 8/31/2027  

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098139 Join host Holly Wayment on Pediatrics Now as she discusses eustachian tube dysfunction with Dr. Marisa Earley from University Health and UT Health San Antonio. Discover why this condition is so prevalent in children and learn about common symptoms, diagnosis, and treatment options from a leading pediatric ENT specialist. Explore how eustachian tube dysfunction can affect a child's daily life, from hearing issues to sleeping and traveling difficulties. Dr. Earley offers advice on managing symptoms, and shares insights on when surgical interventions may be necessary. Additionally, delve into guidelines for tonsillectomy in children, learn about the innovative intracapsular tonsillectomy technique, and get practical tips on ear health management, such as the use of otoscopes, earplugs, and nasal sprays. This episode is a must-listen for pediatric practitioners seeking to improve their understanding of ENT disorders.

Do You See What I See?  Identifying and Treating Otitis Media, Otitis Externa and Eustachian Tube Dysfunction Link for CME Credit Coming Soon In this episode, host Holly Wayment talks to Dr. Marisa Earley, division chief and associate professor at UT Health San Antonio's division of pediatric Otolaryngology, and Pediatric ENT and University Health, as she shares valuable insights for pediatricians on the front lines helping children with ear infections. Dr. Earley draws on her rich background and experience to discuss the complex interplay between gastrointestinal and airway systems in children, and her pioneering efforts in establishing San Antonio's first aerodigestive clinic. This clinic offers comprehensive care for children with complex swallowing and breathing disorders. The conversation delves into ear infections and management strategies, particularly for pediatric practitioners. Dr. Earley offers practical advice on antibiotic stewardship, emphasizing watchful waiting over immediate prescriptions for children older than two, and the importance of managing eustachian tube dysfunction. Listeners will hear  tips on differentiating between Otitis Externa and Media, the significance of pneumatic otoscopy, and advice to give parents managing their child's symptoms.  This is part one in our two part ENT Update series.

 Migraine Headache and Advances in Management Link for MOC credit: CME Link: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098103 Pediatric and Adolescent Migraine Headache and Advances in Management FACULTY: Asra Akbar, MD is an Assistant Professor, Pediatric Neurologist and Epileptologist, Pediatric Headache Management Specialist, Division of Neurology, Department of Pediatrics, UT Health San Antonio   OVERVIEW: Welcome to Pediatrics Now, where host Holly Wayment talks with Dr. Azra Akbar, a specialist in pediatric neurology, epileptology, and headache management.  Dr. Akbar shares her expertise on common headache disorders in children, with a special focus on migraines. Discover the intricate history of migraines, ranging from its ancient descriptions to groundbreaking modern research involving calcitonin gene-related peptides (CGRPs). The episode dives into the prevalence of migraines in young patients, exploring various types such as migraine with and without aura, and other headache disorders like chronic daily headaches and medication overuse headaches. Dr. Akbar emphasizes the importance of a multifaceted approach to treatment, discussing both conventional medications and innovative neuromodulation therapies like Botox and CGRP inhibitors. In addition to medical treatments, the conversation also highlights the significance of lifestyle modifications, including diet, exercise, and the use of supplements such as Coenzyme Q10 and magnesium. Learn how pediatric practitioners can effectively manage migraines with a thorough understanding of their complex nature and multifactorial triggers. OVERALL LEARNING OBJECTIVE: Increased awareness and education for pediatric providers DISCLOSURE TO LEARNERS: Asra Akbar, MD has no financial relationships with ineligible companies to disclose.   The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests. CONTINUING MEDICAL EDUCATION STATEMENTS: The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™. Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit. Physicians should claim only the credit commensurate with the extent of their participation in the activity. CERTIFICATE OF ATTENDANCE: Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability.