Talking Pediatrics is a clinical podcast by Children's Minnesota where the complexes are everyday. Each week we bring you intriguing stories and relevant pediatric health care information as we partner with you in the care of your patients. Our guests, data, ideas and practical tips will surprise, challenge and perhaps change how you care for the most amazing people on earth...kids.
There is a lot of mis and dis information out there around gender affirming care for youth. This is both fueled by and leads to a general misunderstand about the basic ethical considerations present similar to other aspects of clinical care. On this episode of A Question of Ethics, Dr. Wolfe talks with the head of Children's Gender Clinic to discuss the ethical considerations around gender affirming care for youth.
Evaluation of a child with edema can be stress-inducing given the differential diagnoses invoked including nephrotic syndrome, liver disease, and heart failure. Determining the cause involves dusting off some principles of physics. Protein, namely albumin, hangs onto water to maintain intravascular osmotic pressure. Not having enough protein causes leakage into surrounding tissues to create characteristic puffiness, begging the question: are we losing protein or not making enough? If protein and osmosis are not the primary drivers, we must also consider capillary hydrostatic pressure as we see with the engorged vessels of heart disease or the retention of fluids with chronic kidney disease. This case investigates a toddler with an initial complaint of periorbital edema and abdominal distention to frame an approach to edema in pediatrics.
Measles is back, with the largest outbreak in this country in 30 years. Two children have died and several people have been hospitalized by the extremely contagious disease that was once considered eliminated, but has surged again as vaccine hesitancy has spread. As public health funds are cut across the country and misinformation about measles and vaccines permeate our highest public health positions, Patsy Stinchfield, MS, CPNP, measles expert, joins us to discuss the situation.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-back-with-a-vengeance-measles-2025-5-23-25/
In this episode, Dr. Courtney Herring talks with Dr. Nadia Maccabee-Ryaboy about cannabinoid hyperemesis syndrome (CHS), a malevolent downstream condition related to cannabis use being seen in a growing uptrend of adolescent emergency department visits and hospital admissions. Listen in on the discussion that circles around clinical practice guidelines addressing how best to identify, manage, and support patients with CHS as public policy and public health collide.
In this episode of Equity Actions, James Burroughs engages in a compelling conversation with Yinka Ajose, Senior Director of Clinical Operations, and Tonya Montesinos, Senior Director of Clinical Practice. Together, they explore the importance of advocating for equitable roles among staff, providing essential resources to patients and families, and gaining a deeper understanding of community needs.
On today's "Specialty Spotlight With Siva", Siva welcomed Dr. Steven Goudy, President Elect of the American Cleft Palate and Craniofacial Association. He is a passionate advocate for patients and families navigating the challenges of cleft and craniofacial conditions and in this episode they explore his insights into cleft and craniofacial care and his vision for advancing advocacy and improving outcomes for these patients. This conversation is especially relevant for parents and providers who play a crucial role in supporting children and families affected by visible differences.
On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings.
On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings.
Pediatric clinicians have obligations to their patients and law enforcement. But it can be challenging to figure out how to navigate situations where these obligations conflict or where there is uncertainty about the right thing to do. This has increased with recent exectuive branch agendas. Dr. Alyssa Burgart is the Associate Director of Pediatric Bioethics at the Stanford Center for Biomedical Ethics, Medical Director of Ethics for the Stanford Medicine Children's Health, and writes about ethics and culture in her substack Poppies & Propofol. She joins Dr. Wolfe to discuss the ethics of interacting with law enforcement, speficially immigration and customs enforcement (ICE).
We are blessed to have a very international patient population at our clinic in Minneapolis, helped by the Twin Cities reputation as a safe and supportive place for immigrants, refugees and asylees. With roots abroad, many of our families frequently travel home, where infectious disease exposures carry a unique profile compared to that of the U.S. It is therefore not surprising that having a returning traveler with fever, especially when ill appearing, can be a stressful trip down infectious disease memory lane. Today's episode will explore fever in a returning traveler and tools to narrow your differential during these encounters.
On this Episode E&I Suite, we dive into an inspiring conversation as James Burroughs welcomes Tikki Brown, the Commissioner for the Minnesota Department of Children, Youth, and Families. Listen in as the two converse on Tikki's background, her journey into human services, and taking on her new role as a Commissioner. James and Tikki explore her remarkable journey into human services, her strategic vision for building a diverse leadership team, and the critical importance of addressing disparities among youth and families in Minnesota.
On today's episode EBC, Courtney sits down with pediatric gastroenterologist, Dr. Ramalingam Arumugam, to discuss a lurking danger in our own homes.With approximately 3500 button battery ingestions per year, it is the 4th leading cause for calls to poison control centers in the United States.With high risk of morbidity and and an escalating risk of severe morbidity and mortality due to the increased use of larger and more powerful button batteries, we'll explore past the natural history and reivew what federal regulations are being proposed and/or activated to protect our most vulnerable consumers....children.
"Conscience-based objection' is a term that has been around a long time. Since the pandemic and a number of political and legal efforts in the nation, the term has been employed more frequently. But what is a conscience-based objection? What are the ethical considerations around when and how one might have a claim of concience? What is required of a clinician when it might impact a patient's right to access care? What is required of a leader or employer? We talk with legal bieothicist Thaddeus Pope to disucss issues around conscience-based objections in healthcare.
On this episode, we navigate the overwhelming world of teens and screens with Erin Walsh, co-founder of the Spark and Stitch Institute and formerly with the National Institute on Media and the Family. Join us as we tackle social media, setting limits, the bottomless pit of YouTube and how pediatric clinicians can advise patients and parents toward healthier relationships with the screens in their lives.
In this episode of Equity Actions, James Burroughs chats with Malik Rucker, V3 Sports Executive Director. Malik was a high school star athlete in North Minneapolis. He used his excellent skills as a student athlete and football cornerback to show others how they can strive for success and accomplish community building goals. Malik has dedicated his post football career to bringing attention to the importance of health and well being for youth and how changing attitudes, healthy living mental models and access to physical exercise facilities can transform community. Listen to Malik discuss the importance of addressing the social determinants of health.View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-equity-actions-bringing-well-being-back-to-the-neighborhood-12-2-24/
On this "Outside Hospitalist" episode of Talking Pediatrics, Dr. Gabi Hester chats with Children's Minnesota Sports Medicine and Pediatric Emergency Medicine physician Dr. Laura Nilan, and Tria Orthopedics Certified Athletic Trainer, Micaela Kelso-Otieno, about keeping young athletes healthy.
In this episode of Specialty Spotlight with Siva, we sit down with pediatric and fetal cardiologist, Dr. Lisa Howley, to explore the latest in early detection and management of congenital heart disease (CHD). From in-utero diagnosis to postnatal care, learn how advances in technology and treatment are transforming care for the tiniest of patients. Join us for an insightful conversation on the journey to healthier little hearts.
On today's Evidence Based Charm, Courtney welcomes Dr. Gabi Hester as they merge community and pediatric-centric health worlds to review and discuss sepsis—a dual-faced threat to children's lives. From definitions to diagnostic tools, listen as they meander through this often-overlooked infectious phenomenon that kills more children per year than cancer.
In Minnesota, we are currently grappling with yet another measles outbreak, a danger that is entirely avoidable with adequate vaccination rates. This is the reality of a post-COVID era defined by politicized basic healthcare and well-funded anti-vaccination groups striking fear in well intentioned parents. Indeed, conversations with vaccine hesitant parents can be some of the most challenging in our work as pediatricians, taking not only time in tight schedules but also extreme patience and resolve. This episode's cases will explore evidence-based communication strategies to address vaccine hesitancy released by the AAP earlier this year. With the help of vaccine expert Patsy Stinchfield MS, CPNP-PC, we'll also delve into public health interventions to consider for our current outbreak.
Elections affect all families and their children and pediatric clinicians sit at an important interface between voters and public policy as trusted community members. In this conversation with Minnesota Secretary of State Steve Simon, we discuss what families need to know about how to vote, how elections work and how to learn more about issues affecting kids. We also learn how to support our patients who are new to the polls and how to navigate tricky election issues and politics with younger kids.
LGBTQ youth are often trying to navigate social and family relationships, which can include struggling with their sprituality. This struggle can itself lead to trauma. We talk with an expert on LGBTQ spirituality and trauma to learn some ways to support youth in these spaces.
Year after year, tens of thousands of lives in the United States are lost to homicide due to a gun and, according to the CDC, in 2020 guns became the leading cause of death for children and teenagers. Dr. Marc Gorelick, CEO of Children's Minnesota, has been a consistent and fierce advocate for gun violence prevention and lends his expertise about this ongoing epidemic and how we can start to address this public health crisis.Go to savingourkidsbook.com to learn more about Dr. Gorelick's book, "Saving Our Kids: An ER Doc's Common-Sense Solution to the Gun Crisis."
Meet the new equity doctors at Children's Minnesota.
In this episode of Specialty Spotlight with Siva, Siva welcomes Pediatric Oncologist, Dr. Lane Miller. Listen back as Dr. Miller discusses the comprehensive work-up of children with newly discovered masses, providing a detailed overview of the diagnostic steps, key considerations, and best practices designed to equip primary care providers with the tools to manage these challenging cases effectively.
A conversation among three pediatricians on navigating mid-career changes.
On this debut episode of Evidence Based Charm: Guidelines with Courtney, we will journey through the pivotal decision points using the storyboard framework who, what, when, where, why, and how regarding periorbital infections. Periorbital infections are predominantly pediatric-centric disease. This collection of diseases has a myriad of etiological considerations that will begin the patient's story towards investigation and ultimately treatment. Intrigues and hidden antagonists will lurk so keen clinical senses will serve us best. Our expert guest, Dr. Nadia Maccabee-Ryaboy, will narrate and guide our journey to knowledge around periorbital infections.
On this episode of Talking Pediatrics, we are focusing on the “I” of LGBTQIA, which is the intersex community. It is estimated that about 2% of people wordwide have intersex traits and that there are around 40 different ways that people can express intersex traits or come to identify as intersex. Our guest Ly Baumgardt (it/he/they) is the intersex coordinator at TIGERRS and shares their expertise on how healthcare teams can best care for intersex patients.
For many families, the idea of their child going under general anesthetic can be frightening and a time of deep uncertainty. During these times, family often turn to their trusted Primary care providers for advice and counselling.In first installment of “Specialty Spotlight with Siva,” we welcome Dr. Megan Clinton. Dr. Clinton, is a renowned pediatric anesthesiologist, who will help us break down the complexities of pediatric anesthesia, addressing common concerns, best practices, and the latest advancements in the field. Whether you're looking to deepen your understanding or seeking practical tips for your practice, this episode promises to provide valuable insights and clarity. Tune in and let's demystify pediatric anesthesia together.View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-specialty-spotlight-siva-demystifying-pediatric-anesthesia-5-31-23/
Death from suicide amongst older kids and teens surpasses those from major medical illnesses like heart disease and cancer and has only been increasing worldwide over the past 20 years. As pediatricians, we play a pivotal role in early detection and prevention of suicidality. Recently the AAP has recommended screening adolescents at every health encounter, providing a safety net for intervention even when knee pain or acne are the chief complaints. But when a flag is positive, what do we do as pediatricians? We weren't trained for this! In this week's episode we hope to instill tools to help decide who needs emergency support, who can go home, and how to safety plan in a busy clinic setting.
Joining together with patients and families in pediatrics can present challenges, particularly when it involves convincing adolescents to follow medical recommendations. There are times when less than ideal compliance to a care plan is undertaken. This can leave clinicians in a confusing situation where they may not know what to do; where they are unsure how to do good for the patient and respect the adolescent's assent and dissent. This can lead us to having to consider a "least worst" option or path forward. On this episode we will talk to clinical ethicist Joel Wu who will talk about the ethical considerations around a "harm reduction" approach to these clinical situations.
On our return episode, Dr. A. Kade Goepferd interviews all of the new hosts for this season of Talking Pediactrics.
What does it mean to have a deficit perspective vs. an asset perspective? How do we move from incremental to transformational change when it comes to equity? McKnight Foundation President Tonya Allen joins guest host James Burroughs for a conversation on these topics and more – including Allen's one wish for our community.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-equity-actions-grantmaking-changemaking-mcknight-foundations-new-vision-12-1-23/
All pediatricians have encountered patients lost to follow up where, when finally presenting for well care, reviewing growth and development can be a jarring experience. Certainly social determinants factor in strongly as to why gaps exist and with limited data points and at times periods of different guardianship, putting the pieces together can be even more challenging. We review such a case today in which linear growth velocity in particular has noticeably dipped, touching on broader topics of short stature and how to interpret drifting height percentiles.
Each year in the United States, RSV leads to approximately 2.1 million outpatient visits among children younger than 5 and up to 80,000 hospitalizations. Coming off of a particular brutal RSV season last year, many of us in pediatrics are feeling wary heading into this winter, however, hope is on the horizon as a new RSV vaccine hit the market this fall. Join our conversation with pediatric pulmonologist Dr. Brian Carroll to help you get your practice and your patients ready for RSV season.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-ready-rsv-11-3-23/
Join us this week on Talking Peditrics as Adriene Thornton, Health Equity Manager, and Dr. Christa-Marie Singleton discuss the various ways clinicians can engage and positively impact health disparities inside and outside of the clinical setting. Dr. Singleton is the senior medical advisor in CDC's Office of the Associate Director for Policy and Strategy, Office of Health System Collaboration.
Are you up to date with the latest diabetes information and technology to provide the best care and guidance for your pediatric patients? About 1 in 300 kids are currently living with diabetes and there are new changes with the disease and the medications and technology used to treat diabetes all the time. Join this conversation with Kid Expert Emily Hassenstab, certified diabetes care and education specialist, to learn about new FDA approvals and technology that will impact your young patients living with and managing diabetes.
As a key social determinant of health, racism is known to impact lifelong wellbeing and resilience. This conversation with living legend Dr. Josie Robinson Johnson, illustrates how she has turned her social experiences of racism, bias and injustice into a life and future filled with hope and healing. Born in Houston, Texas in 1931, Dr. Johnson was born to be an activist, disruptor and civil rights leader. Listen as she shares her amazing story, beginning as a teenager canvassing for voting rights, through her delegation to represent Minnesota in the March on Washington in 1963 and her impact of helping create the African American studies department and become the first Black woman on the Board of Regents at the University of Minnesota.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-equity-actions-learning-living-legend-9-22-23/
Trauma informed care can look different for everyone and for every situation. Experts agree that nearly everyone has experienced some form of trauma, so how can we approach our care for pediatric patients using an approach that provides comfort and healing? Joining us is Dr. Heather Forkey, director of foster children evaluation service at UMass Memorial Health.
It is estimated that as many as ½ million children have tic disorders, and that the impact of these disorders can have consequences for school performance, mental health, social interactions, self-esteem and even measured levels of parenting frustration. Join our conversation with Dr. Mered Parnes, director of pediatric movement disorders clinic and assistant professor of child neurology at Texas Children's Hospital at Baylor College of Medicine.
On this Talking Pediatrics episode, Guidelines with Gabi guest host turns the microphone over to the ultimate experts in books for children - kids! We'll hear from kids about how books help them to explore their world, feel seen, discuss difficult topics, and be entertained. Plus you'll hear about a lot of great books and series to share with friends, family, and patients.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-guidelines-gabi-kids-first-book-club-8-11-23/
Skin and soft tissue infections are commonly induced by pressure and friction, causing disruption of the epidermal layer and microbial access to more vulnerable deeper tissue. This week's episode explores the possibility of such an infection in a 17-year-old transgender patient affirming as male in the setting of chest binding. With adolescent medicine specialist Dr. Katy Miller as well as show host Dr. Angela Kade Goepford, gender affirming care as well as assessing chronic pain in teenagers with mental health histories are explored as larger themes.
Dr. Stormee Williams, pediatrician and Chief Health Equity Officer at Children's Health Dallas, talks about the barriers that exist to health access, and the ways in which these can be addressed and improved while building trusting relationships with patients, families and communities.
In this "Guidelines with Gabi" episode of Talking Pediatrics, Dr. Gabi Hester discusses with the Kid Expert, Dr. Susan Kuldanek, pediatric hematologist, the new clinical practice guidelines for the diagnosis and management of children 5 years and younger with iron-deficiency anemia.
On this Trailblazers episode, we sit down with Representative Leigh Finke, the first openly transgender woman to serve in the Minnesota Legislature and a fierce advocate for LGBTQ rights, particularly the rights of transgender and gender diverse community. She was the author of the Trans Refuge Bill, signed into law in May 2023, which protects gender affirming care in the state of Minnesota. She was also named one of USA Today's Women of the Year. Listen as we talk about being a role model, creating change and improving the lives of trans and gender diverse kids and families.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-trailblazers-rep-leigh-finke-6-16-23/
Learn how the kid experts at Children's Minnesota are leveraging community relationships to address health disparities and social determinants of health. Meet the new Director of Community Health, Cindy Kaigama and learn how she will be using her lived experience and work experience to bring the organization and the community together to raise healthier children.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-health-equity-actions-importance-engaging-community-advocacy-improve-equity-healthcare-6-2-23/
Join us this week on Talking Pediatrics as James Burroughs shares his honest conversation with award-winning journalist and author, Roxane Battle, about health equity, community, and belonging.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-health-equity-make-work-everyone-5-19-23/
Many of us are familiar with the phrase "food insecurity" but how many of us know how common it is for our patients, or the ways food insecurity is impacting their life and health? And perhaps most importantly, do we know how to have a conversation about access to food and do we know how we can help? Join us in conversation with Dr. Kimberly Montez from Wake Forest University School of Medicine and the Share Our Strength program to learn more food insecurity screening, referral, and resource delivery to families.
Genetic counselors are a wonderful resource to pediatricians everywhere, working closely not only with medical geneticists, but also a host of sub-specialists. They wear many hats as families grapple with a new possible diagnosis - gatherers of information with trusty pedigrees, teachers of lofty medical concepts to anxious parents, guides through a bevy of genetic testing options carrying different pros, cons, and cost/coverage. They also provide vital emotional support to parents and children wondering: “what does this all mean for me, my family, and possibly my future family?”This week's episode features Dinel Pond, Children's Minnesota's lead genetic counselor, who guides us through expert family history-taking, strategies for explaining genetic concepts across different languages and educational backgrounds, and often encountered clinical cases.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-crack-case-family-history-always-pertinent-4-21-23/
On this Talking Pediatrics episode, Angela Kade Goepferd, MD talks with Kid Expert, Dr. Heidi Kamrath about what's trending in the newbor nursery, including diagnosis and treatment for sepsis, jaundice and hyperbilirubinemia, and hypoglycemia.
Moving toward equitable outcomes for kids means taking actions in addition to creating the case for change. From his background in education to his current position in the Governor's office, Gov. Tim Walz has a history of advocating for and creating change for the benefit of kids. Join hosts Angela Kade Goepferd, MD and James Burroughs as they talk to Gov Walz about what it takes to improve kids health in Minnesota.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-moving-needle-minnesota-equity-actions-gov-tim-walz-3-24-23/
On this Talking Pediatrics episode, Dr. Gabi Hester will discuss all-things pneumonia with pediatric hospitalist and Kid Expert, Dr. Courtney Herring. Their discussion will include the latest guidelines around antibiotic selection, shorter duration of therapy, and not needing blood cultures in most patients.View the transcript here:https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-guidelines-gabi-nothing-s-cough-3-10-23/
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