POPULARITY
Categories
In this episode, Lois Lee, MD, MPH, FAAP, and Wanda Barfield, MD, MPH, FAAP, discuss why they're running for AAP President-Elect. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, ask the candidates about the pressing challenges facing pediatricians today and their vision for the future of the AAP. For resources go to aap.org/podcast.
This week we wrap up our series on supporting children's social, emotional, and relational health with a conversation focused on what pediatricians and other clinicians can take from the series and put into practice. Our host Paul Wirkus, MD and guests Neal Davis, MD and Quang-Tuyen "Q" Nguyen join us to reflect on the key messages from the previous episodes and explore how clinicians can incorporate relational health into everyday pediatric care, particularly when working with families facing additional challenges.The discussion emphasizes that supporting children's mental and relational health doesn't always require a lengthy intervention. Sometimes, it happens in the small encounters - a pediatrician showing genuine care, listening to a family, noticing what they need, and helping parents feel supported. We also consider how clinical care can be strengthened when the policies and systems surrounding families are designed to work for them rather than create additional barriers.Q shares practical insights into advancing relational health in pediatric practice and supporting vulnerable populations, while Neal offers a broader vision for the future of early childhood health care. The episode closes by looking at the role pediatricians, health systems, and communities can play in creating a healthier future for Utah's children and families.Book Club: Amazing GenerationHave a question? Email questions@vcurb.com.For more information about available credit, visit vCurb.com, or for information about the UTAAP, visit aaputah.org.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This week, we turn to one of the most common parenting questions in pediatric practice: screen time and digital wellness. Our host Paul Wirkus, MD, FAAP and guest Mark Witt, MD, discuss the unique role pediatricians have in helping families navigate technology use, while recognizing the challenge of addressing an increasingly complex topic within the limited time of a well-child visit.Rather than focusing only on a specific number of screen-time hours, the conversation emphasizes an age-specific approach and encourages pediatricians to consider what screen use may be displacing. We explore how increased screen time can affect physical activity, family time, sleep, and even where children use screens within the home. The discussion also highlights the value of establishing screen-free spaces and creating healthy boundaries around technology.Throughout the episode, our guest offers practical ways pediatricians can begin conversations about digital wellness and help families develop healthy, sustainable habits around screens.AAP Statement on Screen Time Book Club: Amazing GenerationHave a question? Email questions@vcurb.com. For more information about available credit, visit vCurb.com, or for information about the UTAAP, visit aaputah.org.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In Episode 2 of our quality improvement series on parenting advice in pediatric practice, we focus on the role pediatricians can play in supporting emotional resilience for both children and their parents. Host Paul Wirkus, MD, FAAP and guest Ryan Gottfredson, DO begin by discussing why quality improvement matters in clinical practice and how small, intentional changes can help pediatricians incorporate meaningful parenting guidance into routine care.The conversation explores modern parenting challenges, including stress, toxic levels of stress, and strategies for building resilience. We discuss how parents can teach resilience by modeling healthy behaviors, while maintaining balanced boundaries that provide children with both structure and support. Additional topics include helping children navigate failure, fostering independence, and finding the balance between parental authority and recognizing the humanity of both parents and children.Finally, we address a practical challenge familiar to every pediatrician: how to make space for these important conversations during a well-child visit when time is limited. The episode offers ideas for integrating parenting guidance into everyday clinical encounters without adding an unrealistic burden to already busy practices.Have a question? Email questions@vcurb.com.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Send us Fan MailNOTE: This episode reports on matters covered in the media and public statements; it does not allege guilt or wrongdoing by any individual or organisation named. Information is current as of recording and may have changed since.A factual look at the AFL's 2026 concussion-waiver case involving Geelong and Jake Kolodjashnij: what the reporting shows happened, how the AFL and AFLPA responded, and what it raises about consent, governance, and accountability in professional sport.04:00 - Introduction to Episode 06:30 - What is Said to Allegedly Happen13:45 - Geelong's Own Clubs Doctors 20:10 – The Money Question24:00 – Is there Double Standards with Hollands Case and Port Adelaide?29:35 – Risk to the Player 35:10 - Consent in Professional Sport40:16 – 2001 CISG/ Jordan Lewis Concussion 44:50 – Athletes Can Not See Past Next Week REFERENCE LIST1. Clark, Jay. Report via CODE Sports (video), summarised in “Shock concussion report as club's ‘secret deal' with player sets ‘dangerous example',” AFL Daily / NewsBeep, 2026. https://www.newsbeep.com/au/844998/2. “AFL club had secret concussion deal with player: report.” AAP, syndicated via Newcastle Herald. https://www.newcastleherald.com.au/story/9325028/afl-club-had-secret-concussion-deal-with-player-report/3. Edmund, Sam. “Revealed: Victorian giants named in secret concussion deal.” SEN, August 2026. https://www.sen.com.au/news/2026/08/05/afl-news-concussion-bombshell-secret-deal-afl-aflpa4. “AFL and AFLPA release statement: Victorian club at centre of secret concussion deal revealed.” Zero Hanger, 2026. https://www.zerohanger.com/victorian-club-at-centre-of-concussion-deal-revealed-180859/5. “Geelong avoids sanction over player concussion deal.” AAP wire report. https://www.bunburymail.com.au/story/9325028/geelong-avoids-sanction-over-player-concussion-deal/6. “Geelong Cats receive please explain letter from AFL over concussion deal.” AFL.com.au. https://www.afl.com.au/news/1578601/geelong-cats-receive-please-explain-letter-from-afl-over-concussion-deal7. “Cat identifies himself as concussion waiver player.” AAP, via Moree Champion. https://www.moreechampion.com.au/story/9326238/cat-identifies-himself-as-concussion-waiver-player/8. “Geelong's Jake Kolodjashnij outs himself as player who signed AFL concussion waiver.” Guardian Australia via AOL. https://www.aol.co.uk/articles/geelong-jake-kolodjashnij-outs-himself-091217000.html9. “Top-six hunting Cats coach kept out of concussion case.” AAP, via Moree Champion / Inverell Times. https://www.moreechampion.com.au/story/9326222/top-six-hunting-cats-coach-kept-out-of-concussion-case/10. “I apologise for the mistakes made: AFL Chair Craig Drummond sorry for Jake Kolodjashnij affair while he was president of Geelong Cats.” AFL.com.au. https://www.afl.com.au/news/1578906/i-apologise-for-the-mistakes-made-afl-chair-craig-drummond-sorry-for-jake-kolodjashnij-affair-while-he-was-president-of-geelong-cats11. “AFL chairman, CEO break silence on Cats concussion saga.” AAP, via Moree Champion / Inverell Times / Katherine Times. https://www.moreechampion.com.au/story/9326329/afl-chairman-ceo-break-silence-on-cats-concussion-saga/12. “Caroline Wilson grills Andrew Dillon over Geelong concussion saga.” 3AW. https://www.3aw.com.au/caroline-wilson-grills-andrew-dillon-over-geelong-concussion-saga/13. “AFL CEO Andrew Dillon speaks on Geelong-concussion-deal saga, potential punishments.” Zero Hanger. https://www.zerohanger.com/afl-ceo-andrew-dillon-speaks-on-geelong-concussion-deal-saga-potential-punishments-18096714. “AFL club Geelong under scrutiny over alleged concussion deal with player.” AOL / PA Media. https://www.aol.co.uk/articles/afl-club-geelong-under-scrutiny-063851000.html15. Rooke v Australian Football League & Geelong Football Club, Third Party Notice, Supreme Court of Victoria, filed 18 September 2025 (Geelong's claim against twelve named former club doctors: Hugh Seward, Peter Larkins, Andrew Irwin, Chris Bradshaw, Geoff Allen, Drew Slimmon, David Long, James McLaren, Peter Ryan, Gregory Lindquist, Jeanne McGivern, Kendall Brooks). https://www.supremecourt.vic.gov.au/sites/default/files/2025-10/Rooke%20-%20Third%20Party%20Notice%20%5BRedacted%5D.pdf16. “Australian Court Dismisses, In Part, Concussion Claim Against AFL.” Sports Litigation Alert. https://sportslitigationalert.com/australian-court-dismisses-in-part-concussion-claim-against-afl/17. “2023 Geelong Football Club season.” Wikipedia. https://en.wikipedia.org/wiki/2023_Geelong_Football_Club_season18. “Jake Kolodjashnij.” Wikipedia. https://en.wikipedia.org/wiki/Jake_Kolodjashnij19. “Kade Kolodjashnij.” Wikipedia. https://en.wikipedia.org/wiki/Kade_Kolodjashnij20. “Clubs to get cap relief for medically retired players.” AFL.com.au, June 2024. https://www.afl.com.au/news/1153880/clubs-to-get-cap-relief-for-medically-retired-players21. “AFL grants club relief for concussed, medically retired players.” Zero Hanger, June 2024. https://www.zerohanger.com/afl-grants-club-relief-for-concussed-medically-retired-players-152023/22. “AFL bans new Blue for illicit drugs policy breach.” AFL.com.au, Nov 2023. https://www.afl.com.au/news/1064667/afl-bans-new-carlton-blues-recruit-elijah-hollands-for-illicit-drugs-policy-breach23. “Hollands victim of mental health episode, not substance related.” SEN, April 2026. https://www.sen.com.au/news/2026/04/17/afl-2026-carlton-elijah-hollands-vision-collingwood-game-concerning-footage24. “Carlton cop big fine from AFL for Hollands mishandling.” ESPN, May 2026. https://www.espn.com/afl/story/_/id/48682566/afl-news-carlton-elijah-hollands25. “Blues speak after copping hefty fine for Hollands affair.” AFL.com.au, May 2026. https://www.afl.com.au/news/1513236/afl-announces-outcome-of-investigation-into-elijah-hollands-for-carlton-blues-against-collingwood-magpies26. “Power hit with huge AFL fine over concussion error.” ESPN. https://africa.espn.com/afl/story/_/id/38130230/afl-port-adelaide27. “Nigel Lappin.” Wikipedia; “Lions get Lappin up for '03 Grand Final despite broken ribs.” AFL.com.au. https://en.wikipedia.org/wiki/Nigel_Lappin ; https://www.afl.com.au/news/89240/lions-get-lappin-up-for-03-grand-final-despite-broken-ribs28. “2004 AFL Grand Final.” Grokipedia. https://grokipedia.com/page/2004_AFL_Grand_Final29. “Trent Croad.” Wikipedia; “Injury forces Croad into retirement.” Hawthorn FC. https://en.wikipedia.org/wiki/Trent_Croad ; https://www.hawthornfc.com.au/news/759776/injury-forces-croad-into-retirement30. “Bulldogs veteran plays down broken back.” ESPN, 2016. https://www.espn.com.au/afl/story/_/id/17690413/bulldogs-veteran-plays-broken-back31. “Bulldog defender played finals series with a broken back.” AFL.com.au, 2016. https://www.afl.com.au/news/59655/bulldog-defender-played-finals-series-with-a-broken-back32. “Bulldogs' bionic man retires after remarkable 15-year career.” AFL.com.au, 2019. https://www.afl.com.au/news/133337/bulldogs-bionic-man-dale-morris-retires-after-remarkable-career33. “‘Would like to know why': AFL questioned over failed intervention during major concussion.” Zero Hanger, 2026. https://www.zerohanger.com/would-like-to-know-why-afl-questioned-over-failed-intervention-during-major-concussion-17911334. “Timeline of how the AFL has addressed concussion.” AFL.com.au. https://www.afl.com.au/concussion/timeline35. “Ex-AFL player challenges league over concussion compensation.” Insurance Business Australia. https://www.insurancebusinessmag.com/au/news/workers-compensation/exafl-player-challenges-league-over-concussion-compensation-574064.aspx36. “Former Western Bulldog Aiden O'Driscoll not giving up on AFL dream.” The Nightly, 2025. https://thenightly.com.au/sport/afl/former-western-bulldog-aiden-odriscoll-not-giving-up-on-afl-dream-seeks-second-opinion-on-medical-retirement-c-1827363437. “Duties and Loyalties of AFL Club Doctors: A Hopeless Conflict of Interest.” Polaris Lawyers. https://www.polarislawyers.com.au/legal-compass/duties-and-loyalties-of-afl-club-doctors-a-hopeless-conflict-of-interest38. “Why the AFL Is Its Own Worst Enemy When It Comes to Concussions, Tribunals and Player Safety.” Melbourne Sports Law Association. https://www.melbournesla.com/sports-law-forum/q7spsuhe52wr7fajn5qlvlxpl1xrn839. “AFL rules out using neutral doctors during games.” ESPN. https://www.espn.com/afl/story/_/id/40135833/afl-rules-neutral-independent-doctors-jeremy-cameron-concussion40. “'Additional safeguard': AFL makes concussion changes.” ESPN. https://africa.espn.com/afl/story/_/id/48107582/afl-concussion-changes-lawsuit-arc-doctors41. “Concussion sufferers launch class action against AFL.” ESPN. https://africa.espn.com/afl/story/_/id/35854961/afl-sued-former-players-class-action-concussion42. Deubert, Christopher R., and I. Glenn Cohen. “Club Doctors.” Football Players Health Study, Harvard Law School. https://footballplayershealth.harvard.edu/wp-content/uploads/2016/11/07_Ch2_Club_Docs.pdf43. “Goldman's dilemma.” Wikipedia. https://en.wikipedia.org/wiki/Goldman's_dilemma44. Connor, J., et al. “Would they dope? Revisiting the Goldman dilemma.” British Journal of Sports Medicine, 2013. https://pubmed.ncbi.nlm.n
The 2GuysTalking All You Can Eat Podcast Buffet - Everything We've Got - Listen Now!
We are continuing our series of podcasts called “Pediatric Sport Medicine Profiles.” There have been some individuals who have been significantly influential in this pediatric sports medicine, whether it be training many of us, people who have completed critical research, those who have been leaders of major organizations, or were just trailblazers in the profession. Some who have accomplished several of those things. Today on the podcast we are profiling a colleague who has had significant impact in advocating for protecting our young athletes. Connect with The Host! Subscribe to This Podcast Now! The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix! Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today! Links from this Episode: -- Dr. Mark Halstead: On the Web -- On X -- Michele Labotz - https://facultyprofiles.tufts.edu/michele-labotz -- AAP Patient Care Physical Activity https://www.aap.org/en/patient-care/physical-activity/ -- TrueSport Expert Series on Preparation and Recovery https://truesport.org/video/michele-labotz-preparation-recovery/ -- AAP Council on Sports Medicine and Fitness https://www.aap.org/en/get-involved/aap-councils/council-on-sports-medicine-and-fitness/ -- National Council of Youth Sports https://ncys.org/ -- Sexual Violence in Sport: AMSSM Position Statement https://pubmed.ncbi.nlm.nih.gov/32554408/ Calls to the Audience Inside this Episode: -- Be sure to interact with the host, send detailed feedback via our customized form and connect via ALL of our social media platforms! Do that over here now! -- Interested in being a guest inside The Pediatric Sports Medicine Podcast with Dr. Mark? Tell us now! -- Ready to share your business, organization or efforts message with Dr. Mark's focused audience? Let's have a chat! -- Do you have feedback you'd like to share with Dr. Mark from this episode? Share YOUR perspective! Be an Advertiser/Sponsor for This Program! Tell Us What You Think! Feedback is the cornerstone and engine of all great podcast. Be sure to chime in with your thoughts, perspective sand more. Share your insight and experiences with Dr. Mark by clicking here! The Host of this Program: Mark Halstead: Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). He has served as a team physician or medical consultant to numerous high schools, Vanderbilt University, Belmont University, Washington University, St. Louis Cardinals, St. Louis Blues, St. Louis Athletica, and St. Louis Rams. He serves and has served on many local, regional and national committees as an advisor for sports medicine and concussions. Dr. Halstead is a national recognized expert in sport-related concussions and pediatric sports medicine. — Dr. Mark Halstead on Facebook — Dr. Mark Halstead on LinkedIn — Dr. Mark Halstead on X — Learn Why The Pediatric Sports Medicine Podcast Exists... The Guest Featured Inside this Program: Michele Labotz, MD Dr. Michele Labotz is an Associate Professor at Tufts School of Medicine. She completed her undergraduate training at the University of Michigan as well as University of California-Irvine followed by medical school at Dartmouth. She completed her intern year at the University of Wisconsin and the remainder of her pediatric residency at Maine Medical Center. Her sports medicine fellowship was completed at the University of North Carolina. She has practiced medicine in both Hawaii and Maine. She has been involved with numerous publications, has served on several Board of Directors and has been on the Executive Committee to the AAP's Council on Sports Medicine and Fitness. She also received the Thomas Shaffer Award from the AAP, pediatric sports medicine's highest honor, in 2025.
Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner
Episode 29: Treating Teen Obesity: A National Leader in Bariatric Surgery on GLP-1 vs. Surgery https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10103150 FACULTY: Richard Peterson, MD is a Professor and serves as the Chief of Bariatric and Metabolic Surgery for UT Health San Antonio and is the medical director of the Christus Weight Loss Institute at Westover Hills. OVERVIEW: Host Holly Wayment sits down with Dr. Richard Peterson to unpack the shifting landscape of pediatric obesity care. Dr. Peterson explains why GLP-1 medications have driven down bariatric surgery volumes — and why surgery still offers the most durable outcomes for obesity and its complications. He walks through updated pediatric referral criteria, compares results across medication and surgical pathways, and outlines when a combined or individualized approach makes the most sense. For pediatricians, the takeaways are practical: recognize obesity as a disease, partner with obesity specialists, navigate insurance and access barriers, and intervene early to improve long-term outcomes for adolescents and their families. The American Academy of Pediatrics released updated obesity guidelines in 2023 that moved away from the old “watchful waiting” approach. Under the new guidance, providers should offer weight-loss medications to patients age 12 and older with obesity, alongside lifestyle treatment, and patients 13 and older with severe obesity should be evaluated for bariatric surgery. Severe obesity is defined as a BMI at or above 120% of the 95th percentile for age and sex. Medication isn't meant to be a first-line or standalone treatment — the AAP still supports intensive health behavior and lifestyle treatment as the initial step in pediatric weight management. In a follow-up policy statement, the AAP called severe pediatric obesity an “epidemic within an epidemic” and urged that insurance cover surgery and follow-up care at high-quality multidisciplinary centers. OVERALL LEARNING OBJECTIVE: Increased awareness and education for pediatric providers DISCLOSURE TO LEARNERS: Speaker: Richard Peterson, MD has disclosed he is a consultant for Teleflex/Standard Bariatrics, Medtronic, and Intuitive. The relevant financial relationships noted for Dr. Peterson have been mitigated. The Pediatrics Now Podcast Planning Committee members: Steven Seidner, MD, and Holly Wayment have no relevant financial relationships with ineligible companies to disclose. The University of Texas at San Antonio and Steven Seidner, 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 University of Texas at San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Texas at San Antonio designates this live activity up to a maximum of 0.50 AMA PRA Category 1 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 and acceptance. Credit may be obtained upon successful completion of the activity's evaluation. RELEASE DATE: 8/12/2026 EXPIRATION DATE: 8/31/2028
This month, we begin a new series on quality improvement initiatives that pediatric practices can implement to support families. Our first episode focuses on promoting social and emotional health by equipping pediatricians with practical strategies to help parents foster resilience, healthy relationships, and emotional well-being in their children.Our host Paul Wirkus, MD, FAAP and Cindy Brough, MD discuss the importance of building awareness, empathy, effective communication, problem-solving skills, self-confidence, and a strong sense of self from an early age. The conversation introduces a simple framework for coaching families through emotions: "notice, name, normalize, and navigate." We also explore how pediatricians can help parents provide consistent guidance, model healthy emotional regulation, and tailor expectations to a child's developmental stage.Additional topics include teaching conflict resolution, supporting positive peer relationships, recognizing when social withdrawal or changes in friendships may signal a concern, and understanding how a parent's own social and emotional health influences their child. Throughout the episode, Dr. Brough shares practical conversation starters that pediatricians can incorporate into routine visits, along with a wealth of evidence-based resources to support families in raising emotionally healthy children.Have a question? Email questions@vcurb.com.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Failure to thrive is out, faltering weight is in! Join us as pediatric gastroenterologist and guideline author Dr. Praveen Goday weighs in on the new AAP guideline for faltering weight. Learn how to use z-scores to identify children at risk for malnutrition, when nutritional intervention should precede diagnostic testing, and practical strategies to support catch-up growth across the pediatric age spectrum. Tune in to learn how to tip the scales toward healthy growth while avoiding unnecessary testing.
In this Q&A episode of our Postural Orthostatic Tachycardia Syndrome (POTS) series, host Paul Wirkus, MD, FAAP and guest Kirti Sivakoti, MD, answer listener questions about diagnosing and managing POTS in pediatric patients. The discussion explores how to distinguish POTS from conditions with overlapping symptoms, including Mast Cell Activation Syndrome (MCAS) and other common POTS mimics, and when referral to an immunologist may be appropriate.We also review commonly used medications for symptom management, including practical considerations for initiating and tapering therapy as patients improve. Additional topics include the effects of caffeine, stimulant medications, ADHD treatments, and vasoconstrictors on orthostatic symptoms, helping clinicians navigate treatment decisions in children and adolescents with complex presentations.Throughout the episode, Dr. Sivakoti emphasizes the importance of individualized care, careful assessment, and ongoing follow-up to optimize outcomes for patients living with POTS.Have a question? Email questions@vcurb.com. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Information about the AAP program: https://www.aap.org/en/patient-care/neonatal-care/nicu-verification-program/https://publications.aap.org/pediatrics/article/151/6/e2023061957/191305/Standards-for-Levels-of-Neonatal-Care-II-III-and?autologincheck=redirectedKey TakeawaysThe NICU verification survey is designed as a collaborative partnership, not a punitive inspection, with the explicit goal of helping facilities identify and implement opportunities for improvement in neonatal care.The AAP standards for levels of care provide a common language and consistent evaluation framework across all facilities—rural and urban—ensuring unbiased assessment based on uniform criteria.The three-year cyclical process with rotating surveyor teams ensures continuous quality improvement while preventing bias, allowing facilities to demonstrate progress on previously identified areas for improvement.Direct engagement with the entire care team—from leadership to frontline staff and ancillary services—provides valuable insights into resource needs, workflow processes, and opportunities to elevate the quality of care provided to neonates and families.Quotable Moments"Our goal is to help facilities identify opportunities for improvement because we know facilities are doing great things and the best of their abilities to provide the best care.""The survey is your time to shine. I find that there's sometimes a misconception that the survey is really focused on finding deficiencies, and that is not our goal.""Through the AAP standards for the levels of care, it really defines the common language that we're all using. So that way, when we come into a facility, and like Nicole said, it could be a rural setting or an urban setting, we're still using the same language and standards to evaluate those facilities.""It's not like, oh, so-and-so is coming back again. They already said this about us, but it's a totally different team of experts that are coming in and truly giving an unbiased evaluation."Show Notes by Barevalue.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.
Rahul Gandhi Drama Openly Makes it AAP v Congress | Govt Should Show Spine and Remove CJP Too
In this episode of our Postural Orthostatic Tachycardia Syndrome (POTS) series, we look beyond diagnosis and treatment to discuss what the future holds for children and adolescents living with POTS. Host Paul Wirkus, MD, FAAP and guest Kirti Sivakoti, MD, review the long-term prognosis, highlighting what is currently known about recovery, symptom progression, and functional outcomes over time.The conversation also explores the complex relationship between POTS and other conditions, including the impact of COVID-19, eating disorders, chronic pain syndromes, and functional neurologic disorders. We discuss how these overlapping conditions can influence diagnosis, management, and quality of life, and examine where current research is headed as our understanding of POTS continues to evolve.Finally, our Dr. Sivakoti shares what they believe is the most misunderstood aspect of POTS and identifies one of the most undervalued interventions that can make a meaningful difference for patients. This episode offers practical insights into the evolving science of POTS while reinforcing the importance of a comprehensive, individualized approach to care.Have a question? Email questions@vcurb.com. Listener questions will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Information about the AAP program: https://www.aap.org/en/patient-care/neonatal-care/nicu-verification-program/https://publications.aap.org/pediatrics/article/151/6/e2023061957/191305/Standards-for-Levels-of-Neonatal-Care-II-III-and?autologincheck=redirectedKey TakeawaysThird-party NICU verification addresses the evidence-based gap between self-assessed and actual capability, preventing facilities from overstating their level of care.The AAP's 12-18 month pre-survey engagement model allows hospitals to identify and remediate deficiencies before formal evaluation, reducing surprises and enabling proactive improvement.Successful verification requires multidisciplinary participation from C-suite leadership, clinical staff, and support services to ensure coordinated preparation and sustainable change.The three-year partnership structure emphasizes continuous quality improvement and ongoing support rather than punitive auditing, fostering collaborative relationships between surveyors and facilities.Tennessee's stable regionalization system positions the state uniquely to leverage verification data for statewide outcome improvements through risk-appropriate care placement.Quotable Moments"Where you're born affects your outcomes. And that being in the appropriate risk situation with appropriate care for mom and for baby and the appropriate resources really determines outcomes.""Our goal is that there's no surprises at the site visit, but that facilities really feel prepared going into that site visit itself.""Care is better when we can get everybody working together and working on the same. So we love to look at how those teams are working together, how they're communicating with each other.""Everything I do as a surveyor is reviewed multiple times by multiple people. It's never just the opinion of a single individual."Show Notes by Barevalue.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.
In Episode 2 of our series on Postural Orthostatic Tachycardia Syndrome (POTS), we focus on evidence-based treatment strategies to help children and adolescents manage symptoms and improve daily functioning. Our guest reviews the foundation of POTS management, emphasizing lifestyle interventions such as maintaining adequate hydration, increasing salt intake when appropriate, establishing healthy sleep habits, and implementing a gradual, structured exercise program.The discussion also explores the role of nutrition, compression garments, and heat avoidance in reducing symptom burden, along with practical accommodations that can support patients at school and in everyday activities. Finally, we review pharmacologic treatment options, discussing when medications may be appropriate and how they fit into an individualized care plan. Throughout the episode, the emphasis is on developing a comprehensive, patient-centered approach that helps children and adolescents regain function and improve their quality of life.Have a question? Email questions@vcurb.com. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This month we begin a new series on Postural Orthostatic Tachycardia Syndrome (POTS), exploring the diagnosis and management of this increasingly recognized condition in pediatric patients. In this episode, host Paul Wirkus, MD, FAAP and guest Kirti Sivakoti, MD, provide an overview of POTS before discussing current approaches to diagnosis and recent updates in the field. We review the diagnostic criteria, including orthostatic symptoms and the degree of functional impairment, and consider how these factors help guide clinical evaluation and management.The conversation also examines the growing understanding of POTS as a spectrum disorder, with many patients experiencing overlapping symptoms and contributing conditions. Finally, we discuss how to distinguish POTS from vasovagal syncope and review current thinking on the underlying causes and pathophysiology of POTS. This episode provides pediatricians with a practical framework for recognizing and evaluating children and adolescents with orthostatic intolerance.Have a question? Email questions@vcurb.com. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Talking about weight with children can feel uncomfortable. What if the words we choose today shape how they see themselves for the rest of their lives? Dr. Emily shares why the conversation around children's weight deserves a completely different approach. Drawing from years of coaching families, personal experiences, and insights from Your Child Is Not Their Weight by AAP, she explains how well-meaning comments can unintentionally affect a child's confidence, relationship with food, and body image. Instead of focusing on numbers or appearance, you'll discover practical ways to build healthy habits, nurture self-esteem, and create meaningful conversations that help children feel loved, accepted, and supported—no matter their size. ✨ In this episode, you'll learn: Why talking about a child's weight often does more harm than good. How to encourage healthy habits without shame or fear. The powerful influence parents, grandparents, teachers, and caregivers have on children's body image. Simple ways to model body confidence and positive self-talk at home. When—and how—to have difficult conversations with compassion and care. If you've ever worried about a child's health or wondered how to approach sensitive topics without damaging their confidence, this episode is for you. ❤️ Every child deserves to grow up believing they are worthy, capable, and loved—not because of their weight, but because of who they are. Ready for more guidance and support? Head to www.emilyvinzantmd.com or follow Dr. Emily on Facebook and Instagram for more science-backed common-sense health.
This week primary care physicians Kate Rowland, Mark Ebell, Gary Ferenchick and Henry Barry discuss four new studies: screentime for children, discontinuing levothyroxine, a new mRNA flu vaccine from Moderna, and nicotinamide adenine dinucleotide (NAD) Supplementation for healthy aging.Links to articles:AAP screen time policyDiscontinuing levothyroxine studymRNA flu vaccine from ModernaNAD supplementsQuiz: Bixomania study
BED SHARING DISCUSSIONS SHOULD BE CLEARED WITH YOUR CHILD'S CLINICIAN. This episode is not personal advice. If there is one topic that makes parents go quiet in my exam room, it is this one. Where is your baby actually sleeping? Not where you planned for them to sleep. Not what you told your mother-in-law. Where are they really sleeping at 2am when you are exhausted and just need everyone to rest? I brought Dr. Michael Milobsky on the show because he is one of the few pediatricians willing to have this conversation out loud. Twenty-seven years in practice, father of seven, grandfather of five, and someone who has been in every corner of pediatric medicine. We sat down and got honest about bedsharing in a way that I wish every parent could hear from their own doctor. Here is what I want you to know before you hit play. I used to be the doctor who said independent sleep space and moved on. No room for nuance, no real conversation. And what I have come to understand over the last several years is that when parents feel judged, they stop telling us the truth. And when that happens, we lose the chance to actually keep babies safe. This episode is not about telling you what to do. It is about giving you the information you deserve so you can make the most informed choice for your family. What We Talk About Why so many parents are not being honest with their pediatrician about where their baby sleeps, and why that silence is the bigger safety problem What the AAP guidelines are actually designed to do, and where they fall short in a real clinical conversation The specific risk factors that make bedsharing significantly more dangerous, including smoking, alcohol, sedating medications, soft bedding, prematurity, and very young infants The Safe Sleep Seven, what it covers, what its limitations are, and why it is still a useful harm reduction tool How bedsharing is practiced in other countries and why the surface and setup matter as much as the decision itself Why breastfeeding changes the biology of bedsharing and shifts the risk picture in meaningful ways What both of us did with our own kids, because real talk requires real transparency Room sharing versus bedsharing, and what the updated AAP recommendations actually say Why most pediatricians default to the hard line, and why it is usually about time in the system, not ignorance of the nuance What to do if your pediatrician will not have this conversation with you Connect with Dr. Michael Milobsky on Instagram @drmichaelmilobsky and visit his site linktr.ee/milobsky . 00:00 - Pediatric Sleep Guidance: The Nuance of Bed Sharing 04:15 - Meet Dr. Michael Milobsky: From the ER to Raising 7 Kids 08:30 - Why Strict AAP Safe Sleep Guidelines Fail Exhausted Parents 13:10 - Co-Sleeping Around the World vs. Mainstream US Pediatrics 17:45 - Understanding Risk Stratification in the Marriage Bed 21:20 - Navigating Survival Mode and Chronic Sleep Deprivation 25:55 - Infant Temperaments: Evaluating Your Baby's "Cuddle Quota" 30:15 - High-Risk Factors: Alcohol, Sedating Medications, and Sobriety 34:40 - The Biology of Breastfeeding Proximity vs. Formula Feeding 38:10 - Breaking Down the Safe Sleep Seven Framework 42:50 - The Hidden Dangers of Couches, Armchairs, and Recliners 46:15 - Systemic Issues: Why Pediatricians Lack Time for Nuanced Advice 50:30 - How to Safely Discuss Your Sleep Choices with Your Doctor 53:20 - Outro: Shifting to Supportive, Non-Judgmental Pediatric Guidance Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and subscribe to PedsDocTalk. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. Join the newsletter! Shop Dr. Mona's favorite products: https://shopmy.us/shop/pedsdoctalk (paid link) And don't forget to follow @pedsdoctalkpodcast on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the PedsDocTalk Podcast Sponsorships page of the website. Learn more about your ad choices. Visit podcastchoices.com/adchoices
BED SHARING DISCUSSIONS SHOULD BE CLEARED WITH YOUR CHILD'S CLINICIAN. This episode is not personal advice. If there is one topic that makes parents go quiet in my exam room, it is this one. Where is your baby actually sleeping? Not where you planned for them to sleep. Not what you told your mother-in-law. Where are they really sleeping at 2am when you are exhausted and just need everyone to rest? I brought Dr. Michael Milobsky on the show because he is one of the few pediatricians willing to have this conversation out loud. Twenty-seven years in practice, father of seven, grandfather of five, and someone who has been in every corner of pediatric medicine. We sat down and got honest about bedsharing in a way that I wish every parent could hear from their own doctor. Here is what I want you to know before you hit play. I used to be the doctor who said independent sleep space and moved on. No room for nuance, no real conversation. And what I have come to understand over the last several years is that when parents feel judged, they stop telling us the truth. And when that happens, we lose the chance to actually keep babies safe. This episode is not about telling you what to do. It is about giving you the information you deserve so you can make the most informed choice for your family. What We Talk About Why so many parents are not being honest with their pediatrician about where their baby sleeps, and why that silence is the bigger safety problem What the AAP guidelines are actually designed to do, and where they fall short in a real clinical conversation The specific risk factors that make bedsharing significantly more dangerous, including smoking, alcohol, sedating medications, soft bedding, prematurity, and very young infants The Safe Sleep Seven, what it covers, what its limitations are, and why it is still a useful harm reduction tool How bedsharing is practiced in other countries and why the surface and setup matter as much as the decision itself Why breastfeeding changes the biology of bedsharing and shifts the risk picture in meaningful ways What both of us did with our own kids, because real talk requires real transparency Room sharing versus bedsharing, and what the updated AAP recommendations actually say Why most pediatricians default to the hard line, and why it is usually about time in the system, not ignorance of the nuance What to do if your pediatrician will not have this conversation with you Connect with Dr. Michael Milobsky on Instagram @drmichaelmilobsky and visit his site linktr.ee/milobsky . 00:00 - Pediatric Sleep Guidance: The Nuance of Bed Sharing 04:15 - Meet Dr. Michael Milobsky: From the ER to Raising 7 Kids 08:30 - Why Strict AAP Safe Sleep Guidelines Fail Exhausted Parents 13:10 - Co-Sleeping Around the World vs. Mainstream US Pediatrics 17:45 - Understanding Risk Stratification in the Marriage Bed 21:20 - Navigating Survival Mode and Chronic Sleep Deprivation 25:55 - Infant Temperaments: Evaluating Your Baby's "Cuddle Quota" 30:15 - High-Risk Factors: Alcohol, Sedating Medications, and Sobriety 34:40 - The Biology of Breastfeeding Proximity vs. Formula Feeding 38:10 - Breaking Down the Safe Sleep Seven Framework 42:50 - The Hidden Dangers of Couches, Armchairs, and Recliners 46:15 - Systemic Issues: Why Pediatricians Lack Time for Nuanced Advice 50:30 - How to Safely Discuss Your Sleep Choices with Your Doctor 53:20 - Outro: Shifting to Supportive, Non-Judgmental Pediatric Guidance Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and subscribe to PedsDocTalk. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. Join the newsletter! Shop Dr. Mona's favorite products: https://shopmy.us/shop/pedsdoctalk (paid link) And don't forget to follow @pedsdoctalkpodcast on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the PedsDocTalk Podcast Sponsorships page of the website. Learn more about your ad choices. Visit podcastchoices.com/adchoices
In part two of this two-part series, Mike and Ryan discuss why families often abandon medication too quickly after a single difficult trial, the importance of trial-and-error in finding the right medication regimen, and why genetic testing isn't the shortcut many parents hope it will be.Find Mike @ www.grownowadhd.comFind Ryan @ www.adhddude.comTimestamps[00:00:00] Start[00:00:46] Why Families Give Up on Medication Too Easily[00:01:30] Two Main Stimulant Categories Explained[00:03:42] Non-Stimulant Medication Options[00:04:22] Why Medication Alone Is Not Enough[00:07:15] Genetic Testing Is Not Recommended[00:09:43] Key Takeaways on ADHD Medication[00:12:13] Final Thoughts on Kids and Medical DecisionsCitationsAmerican Academy of Child and Adolescent Psychiatry. (2020). Clinical use of pharmacogenetic tests in prescribing psychotropic medications for children and adolescents. https://www.aacap.org/aacap/Policy_Statements/2020/Clinical-Use-Pharmacogenetic-Tests-Prescribing-Psychotropic-Medications-for-Children-Adolescents.aspxAmerican Academy of Child and Adolescent Psychiatry. (2022). Attention-deficit/hyperactivity disorder: Parents' medication guide. https://www.aacap.org/App_Themes/AACAP/docs/resource_centers/resources/med_guides/ADHD_Medication_Guide-web.pdfAmerican Psychiatric Association. (n.d.). What is ADHD? https://www.psychiatry.org/patients-families/adhd/what-is-adhdCenters for Disease Control and Prevention. (2024). Clinical care of ADHD. https://www.cdc.gov/adhd/hcp/treatment-recommendations/index.htmlDalsgaard, S., Leckman, J. F., Mortensen, P. B., Nielsen, H. S., & Simonsen, M. (2015). Effect of drugs on the risk of injuries in children with attention deficit hyperactivity disorder: A prospective cohort study. The Lancet Psychiatry, 2(8), 702–709. https://doi.org/10.1016/S2215-0366(15)00271-0Dalsgaard, S., Østergaard, S. D., Leckman, J. F., Mortensen, P. B., & Pedersen, M. G. (2015). Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: A nationwide cohort study. The Lancet, 385(9983), 2190–2196. https://doi.org/10.1016/S0140-6736(14)61684-6de Vries, W., Boer, M., Stevens, G. W. J. M., & van Dorsselaer, S. (2025). Exploring concept creep: Youth's portrayal of ADHD on TikTok. SSM Mental Health, 7, 100374.Harpin, V., Mazzone, L., Raynaud, J. P., Kahle, J., & Hodgkins, P. (2016). Long-term outcomes of ADHD: A systematic review of self-esteem and social function. Journal of Attention Disorders, 20(4), 295–305. https://doi.org/10.1177/1087054713486516Myer, N. M., Boland, J. R., & Faraone, S. V. (2018). Pharmacogenetics predictors of methylphenidate efficacy in childhood ADHD. Molecular Psychiatry, 23, 1929–1936.Shaw, M., Hodgkins, P., Caci, H., Young, S., Kahle, J., Woods, A. G., & Arnold, L. E. (2012). A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: Effects of treatment and non-treatment. BMC Medicine, 10, 99. https://doi.org/10.1186/1741-7015-10-99Wetterer, L. (2020). Attention-deficit/hyperactivity disorder: AAP updates guideline for diagnosis and management. American Family Physician, 102(1), 58–60.Wolraich, M. L., Hagan, J. F., Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., Holbrook, J. R., Lehmann, C. U., Lessin, H. R., Okechukwu, K., Pierce, K. L., Winner, J. D., & Zurhellen, W. (2019). Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 144(4), e20192528. https://doi.org/10.1542/peds.2019-2528Yeung, A., Ng, E., & Abi-Jaoude, E. (2022). TikTok and attention-deficit/hyperactivity disorder: A cross-sectional study of social media content quality. The Canadian Journal of Psychiatry, 67(12), 899–906. https://doi.org/10.1177/07067437221082854
Send us Fan MailAs Diretrizes 2026 do Programa Brasileiro de Reanimação Neonatal acabaram de ser publicadas — e neste episódio a gente vai trazer as novidades.Percorremos os dois documentos lançados pela SBP em 12 de junho de 2026: as diretrizes para recém-nascidos com 34 semanas ou mais e as diretrizes para prematuros com menos de 34 semanas. Discutimos o que mudou em relação a 2022, o que foi reforçado e o que é novidade estrutural — do briefing ao debriefing, do clampeamento tardio ao escalonamento de oxigênio por faixa gestacional, do CPAP na sala de parto à abordagem ética nos limites da viabilidade.E fazemos isso ao lado do NRP 9ª edição, as diretrizes americanas de 2025 da AHA e AAP — que você conheceu no episódio 66 — para entender onde Brasil e Estados Unidos convergem e onde, deliberadamente, divergem.Almeida MFB, Guinsburg R et al. Reanimação do RN ≥34 semanas: Diretrizes SBP 2026. DOI: 10.25060/PRN-SBP-2026-1 https://www.sbp.com.br/?acervo_download=1&post_id=62422&nonce=942dd601abGuinsburg R, Almeida MFB et al. Reanimação do RN
This market looks like 2022 in three uncomfortable ways: investors are nervous about inflation, interest rates are still driving market behavior, and expensive growth stocks are vulnerable to sharp resets. But 2026 is not a copy-and-paste repeat of 2022. The investor who understands the similarities and the differences will be less likely to panic, chase, or rebalance at the wrong time.Today's Stocks & Topics: Invesco Aerospace & Defense ETF (PPA), Market Wrap, Grayscale Ethereum Staking Mini ETF (ETH), Allison Transmission Holdings, Inc. (ALSN), Advance Auto Parts, Inc. (AAP), Is This 2022 All Over Again? The Market Risk Checklist for 2026 (Today), Newmont Corporation (NEM), SPDR Gold Shares (GLD), Capital Flowing Into AI Is It A Warning Sign?, Zombie Unicorn Companies. Our Next Wealth Webinar: “Beyond the Yield: How to Invest for Your Income Needs” June 30th, 2026 - 12:00 pmTo sign up: https://us06web.zoom.us/webinar/register/5717793889555/WN_XuoDgMVwSv6wZXXurrZTLgOur Sponsors:* Check out Anthropic and use my code Claude.ai/invest for a great deal: https://www.anthropic.com* Check out Chilipad and use my code sleep.me/INVEST for a great deal: https://sleep.me* Check out Plaud AI and use my code INVEST for a great deal: https://plaud.ai* Check out Progressive: https://www.progressive.com* Check out Quince and use my code quince.com/invest for a great deal: https://www.quince.com* Check out TaskRabbit and use my code INVEST for a great deal: https://taskrabbit.com* Check out TruDiagnostic and use my code INVEST20 for a great deal: https://www.trudiagnostic.comAdvertising Inquiries: https://redcircle.com/brands
For many families, water represents joy, summer afternoons, swimming lessons, beach vacations, backyard pools and time spent together. But in pediatrics, we also know that water can become dangerous in seconds, often quietly and without warning. Drowning remains one of the leading causes of preventable death in children, and recent updates from the American Academy of Pediatrics reinforce that prevention must be layered, proactive and tailored. In this episode, we explore how pediatricians can support drowning prevention, because some of the most important work in pediatrics happens long before an emergency occurs. We are joined by Jason Woods, MD. He specializes in emergency medicine at Children's Hospital Colorado and is the Associate Program Director of the Pediatric Emergency Medicine Fellowship Program at the University of Colorado School of Medicine. He is also an associate professor. Some highlights from this episode include: The AAP guidelines and toolkit details about drowning prevention Why the definition of drowning has changed and why that matters How drowning prevention is layered The role of the pediatrician in feeling confident to counsel families on this topic For more information on Children's Colorado, visit: childrenscolorado.org.
In this Q&A episode of our pediatric neurology series, we answer listener questions about some of the most rapidly evolving areas in neurology and genetics. The discussion begins with the relationship between child abuse evaluations and Brief Resolved Unexplained Events (BRUE), including important considerations when assessing infants with unexplained symptoms.Host Paul Wirkus, MD, FAAP and guest Josh Bonkowsky, MD then explore the neurologic basis of developmental disorders and the growing role of advanced diagnostics such as genome sequencing and MRI. Our guests discuss how these tools can provide valuable insights into underlying conditions and increasingly influence treatment decisions and long-term care planning.The conversation also examines the complex relationship between genes, brain development, and the symptoms children experience. As genetic testing becomes more widely available, we consider the promise of gene therapy, the emerging field of precision medicine, and realistic timelines for translating these advances into everyday clinical practice. Finally, we discuss the benefits of obtaining a genetic diagnosis-even when a cure is not yet available-including connecting families with resources, reducing isolation, informing future care decisions, and the potential expansion of newborn screening programs as genetic therapies continue to develop.Have a question? Email questions@vcurb.com. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Send us Fan MailReanimação Neonatal 2026: as novas diretrizes da SBP, o NRP 9ª edição e o que o mundo faz na sala de partoAs Diretrizes 2026 do Programa Brasileiro de Reanimação Neonatal acabaram de ser publicadas — e neste episódio a gente vai do começo ao fim.Percorremos os dois documentos lançados pela SBP em 12 de junho de 2026: as diretrizes para recém-nascidos com 34 semanas ou mais e as diretrizes para prematuros com menos de 34 semanas. Discutimos o que mudou em relação a 2022, o que foi reforçado e o que é novidade estrutural — do briefing ao debriefing, do clampeamento tardio ao escalonamento de oxigênio por faixa gestacional, do CPAP na sala de parto à abordagem ética nos limites da viabilidade.E fazemos isso ao lado do NRP 9ª edição, as diretrizes americanas de 2025 da AHA e AAP — que você conheceu no episódio 66 — para entender onde Brasil e Estados Unidos convergem e onde, deliberadamente, divergem.Acesse os documentos em: Atualizaçãoes para < de 34 semanas:https://www.sbp.com.br/?acervo_download=1&post_id=62424&nonce=711e6f792cAtualizações para ≥ de 34 semanas: https://www.sbp.com.br/?acervo_download=1&post_id=62422&nonce=dc7617f0a8 Não esqueça: você pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1Lembrando que o Podcast está no Instagram, @incubadora.podcast, onde a gente posta as figuras e tabelas de alguns artigos. Se estiver gostando do nosso Podcast, por favor dedique um pouquinho do seu tempo para deixar sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. Isso é importante para a gente poder continuar produzindo os episódios. O nosso objetivo é democratizar a informação.Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.orgEvidência, cuidado e contexto brasileiro - esse é o nosso roteiro.
In his weekly clinical update, Daniel Griffin and Vincent Racaniello express concern about vaccine policy and ACIP, scaling back of the CDC's role in global public health, shingles vaccine and dementia, new screwworm cases, the Ebola outbreak in the Congo and Uganda and where the hantavirus outbreak began, before Dr. Griffin deep dives into the measles outbreak, recent statistics on RSV, influenza and SARS-CoV-2 infections, the Wasterwater Scan dashboard, Johns Hopkins measles tracker, Virgina outbreak of measles, how to access and pay for Paxlovid, how more people were negatively impacted by influenza than COVID, discontinuing contact precautions for COVID, where to go for answers about long COVID-19, and contacting your federal government representative to stop the assault on science and biomedical research. Subscribe (free): Apple Podcasts, RSS, email Become a patron of TWiV! Links for this episode Today we filed a motion asking the First Circuit to expedite our appeal of the district court's order in the AAP lawsuit that left ACIP—the nation's vaccine advisory committee—without a quorum (X) CDC advisers drop decades-old universal hepatitis B birth dose recommendation, suggest blood testing after 1 dose (CIDRAP) HHS asks for expedited appeal of court ruling on US vaccine policy (CIDRAP) New Plan Scales Back C.D.C.'s Work on Diseases Abroad (NY Times) Zoster Vaccination and Dementia: Interpreting the Signal and Testing the Mechanisms (CID) Safety and Immunogenicity of 1 or 2 Additional Doses of the Adjuvanted Recombinant Zoster Vaccine Administered 5–6 Years After Primary Vaccination in Adults ≥50 Years (OFID) Dashboard SCREWWORM.Gov (USDA: Animal and Plant Health Inspection Service) CDC Activates Emergency Operations Center for New World Screwworm Response (CDC Newroom) Head-to-head comparison suggests flu was much more likely to lead to hospitalization than COVID last winter (CIDRAP) FDA Issues Emergency Use Authorization for Generic Over-the-Counter Drug to Treat New World Screwworm in Dogs and Cats (FDA) Fact Sheet: Emergency Use Authorization of Nitenpyram Tablets (nitenpyram) for New World Screwworm (NWS) (FDA) Ebola dashboard (ebola.fyi) EBOLA:The Democratic Republic of the Congo, 2026 (WHO) Bundibugyo virus disease outbreak Democratic Republic of the Congo (WHO: Democratic Republic of Congo) Ebola Outbreak: Current Situation (CDC:Ebola) Big Ebola outbreak puts spotlight on little known virus (Science) Ebola outbreak spreads to crowded displacement camp in Congo (Reuters) Ebola outbreak in DR Congo expands into large displacement camp (CIDRAP) Congo Ebola outbreak may be worst ever, Africa CDC says (Reuters) Advocacy groups are urging the release of the monoclonal antibody MBP134 and any other requested investigational therapeutics (Citizen.org) Hantavirus dashboard (Hantavirus.up Hantavirus on board with Prof. Vincent Racaniello (microbeTV) How did the cruise ship hantavirus outbreak start? (Science) Wastewater for measles (WasterWater Scan) Measles cases and outbreaks (CDC Rubeola) Big outbreak, bright lights…Measles Dashboard( South Carolina Department of Public Health) Utah measles outbreak response (Utah Department of Health and Human Services) UtahMeasles Dashboard (Utah Department of Health and Human Services) US measles cases continue to climb, especially in Virginia(CIDRAP) Measles (VDH: Virginia Department of Health) Tracking Measles Cases in the U.S. (Johns Hopkins) Measles vaccine recommendations from NYP (jpg) Weekly measles and rubella monitoring (Government of Canada) Measles (WHO) Get the FACTS about measles (NY State Department of Health) Measles (CDC Measles (Rubeola)) Measles vaccine (CDC Measles (Rubeola)) Presumptive evidence of measles immunity (CDC) Contraindications and precautions to measles vaccination (CDC) Adverse events associated with childhood vaccines: evidence bearing on causality (NLM) Measles Vaccination: Know the Facts (ISDA: Infectious Diseases Society of America) Deaths following vaccination: what does the evidence show (Vaccine) Anguished Parents, Crying Doctors: Life Amid Utah's Measles Outbreak (Wired) Characteristics of Patients Hospitalized with Measles During an Outbreak — West Texas, January–March 2025 (CDC:MMWR) Influenza: Waste water scan for 11 pathogens (WastewaterSCan) USrespiratory virus activity (CDC Respiratory Illnesses) Respiratory virus activity levels (CDC Respiratory Illnesses) Flu vaccine recommendations: Vaccines and Related Biological Products Advisory Committee March 12, 2026 Meeting Announcement (FDA) WHO updates all 3 viral strains to be included in fall flu shots (CIDRAP) FDA vaccine advisers recommend adding subclade K to fall shots (CIDRAP) Weekly surveillance report: clift notes (CDC FluView) Influenza Vaccine and Associated Infection and Death in California, 2024 to 2025 (JAMA Network OPEN) OPTION 2: XOFLUZA $50 Cash Pay Option (xofluza) RSV: Waste water scan for 11 pathogens (WastewaterSCan) Respiratory Diseases (Yale School of Public Health) USrespiratory virus activity (CDC Respiratory Illnesses) RSV-Network (CDC Respiratory Syncytial virus Infection) Vaccines for Adults (CDC: Respiratory Syncytial Virus Infection (RSV)) Economic Analysis of Protein Subunit and mRNA RSV Vaccination in Adults aged 50-59 Years (CDC: ACIP) Respiratory Diseases (Yale School of Public Health) Waste water scan for 11 pathogens (WastewaterSCan) COVID-19 deaths (CDC) Respiratory Illnesses Data Channel (CDC: Respiratory Illnesses) COVID-19 national and regional trends (CDC) COVID-19 variant tracker (CDC) SARS-CoV-2 genomes galore (Nextstrain) Seasonal influenza versus COVID-19 hospitalisation risk during the 2025–26 influenza season (LANCET: Infectious Diseases) Discontinuingcontact precautions for COVID-19: the science says its time (Infection Control and Hospital Epidemiology) 2024-2025 COVID-19 Vaccine and Major Adverse Cardiovascular Events Among US Veterans (JAMA Internal Medicine) Where to get pemgarda (Pemgarda) EUAfor the pre-exposure prophylaxis of COVID-19 (INVIYD) Infusion center (Prime Fusions) CDC Quarantine guidelines (CDC) NIH COVID-19 treatment guidelines (NIH) Drug interaction checker (University of Liverpool) Help your eligible patients access PAXLOVID with the PAXCESS Patient Support Program (Pfizer Pro) UnderstandingCoverageOptions (PAXCESS) Infectious Disease Society guidelines for treatment and management (ID Society) Molnupiravir safety and efficacy (JMV) Convalescent plasma recommendation for immunocompromised (ID Society) What to do when sick with a respiratory virus (CDC) Managing healthcare staffing shortages (CDC) Anticoagulation guidelines (hematology.org) Daniel Griffin's evidence based medical practices for long COVID (OFID) Long COVID hotline (Columbia University Irving Medical Center) The answers: Long COVID Reaching out to US house representative Letters read on TWiV 1332 Dr. Griffin's COVID treatment summary (pdf) Timestamps by Jolene Ramsey. Thanks! Intro music is by Ronald Jenkees Send your questions for Dr. Griffin to daniel@microbe.tv Content in this podcast should not be construed as medical advice.
Kya aapko bhi kabhi social media scroll karte hue lagta hai ki sab log zindagi mein aapse aage nikal gaye hain? Ki har kisi ki life perfect chal rahi hai, aur bas aap hi struggle kar rahe hain?Dost, agar aapne kabhi aisa mehsoos kiya hai, toh yeh episode aapke liye hai.Hum aksar dusron ki life ke highlights ko apni life ke behind-the-scenes se compare karne lagte hain. Isi comparison ke chakkar mein anxiety, self-doubt aur unnecessary pressure badhta chala jaata hai. Lekin kya sach mein zindagi kisi race ka naam hai?Is episode mein, main apne kuch personal experiences aur learnings share kar raha hoon jo mujhe samajh aayi hain waqt ke saath. Hum baat karenge comparison ke is toxic cycle ko todne ki, apni journey ko accept karne ki, aur apni pace ko respect karne ki.Yaad rakhiye, zindagi 100-meter sprint nahi hai. Yeh ek lambi, khoobsurat walk hai. Aap late nahi hain. Aap bas apni kahani apne waqt par likh rahe hain.Toh chaliye, saath milkar thoda rukte hain, sochte hain, aur apni journey ko naye nazariye se dekhte hain.Alshukran BandhuAlshukran Zindagi#StopComparing #AshishVidyarthi #Motivation #SelfCare #RespectYourPace #MentalPeace #Inspiration #LoveYouZindagi #SocialMediaReality #GrowthMindsetPerforming live in your city next...For Tickets & Updates on Next Shows, click here: https://linktr.ee/AshishvidyarthiStories that heal ️"Kahanibaaz Ashish Vidyarthi"Where would you want me next?Subscribe and be a part of My YouTube Family ️️ Ashish Vidyarthi Podcast - / @ashishvidyarthipodcast ️ Ashish Vidyarthi Actor Vlogs - / ashishvidyarthiactorvlogs ️ Food Khaana With Ashish Vidyarthi - / foodkhaanawithashishvidyarthi ️ Anbudan Ashish Vidyarthi - / anbudanashishvidyarthi ️ KAHAANI KHATARNAAK GOI WITH ASHISH VIDYARTHI - / kahaanikhatarnaakgoibyashishvidyarthi Press the bell icon to be the first one to get notified each time I upload a new video.
In this episode of our pediatric neurology series, host Paul Wirkus, MD, FAAP and guest Josh Bonkowsky, MD explore the rapidly evolving field of gene therapy and its potential to transform the care of children with neurologic disorders. Our guest explains the science behind gene therapy, including how these treatments work to target the underlying causes of genetic disease.The conversation also examines emerging approaches to gene editing and the exciting possibilities these technologies hold for the future of pediatric medicine. Alongside the promise of these innovations, we discuss the challenges, ethical considerations, and unanswered questions that accompany this new era of precision medicine.Throughout the episode, our guest emphasizes the importance of helping patients and families understand complex treatment options so they can make informed decisions as the landscape of genetic diagnosis and therapy continues to evolve.Have a question? Email questions@vcurb.com. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Dr. Paul Aronson (Yale) joins the Cribsiders to help interpret the AAP's new Febrile Infant Guidelines (July 2021) in this jam-packed episode. He teaches us about the new 22-28 day-old group, updated antibiotic recommendations, other major changes in the guidelines, and the evidence behind it all.Click here for show notes!
Ryan & Mike take on ADHD kids' medication based on research and doctors, not social media. They cover untreated ADHD risks, debunk the psychiatrist myth, and put decisions with parents and prescribers.Find Mike @ www.grownowadhd.comFind Ryan @ www.adhddude.com{{chapters}}[00:00:00] Start[00:01:05] Why Parents Get Confused About Medication[00:03:40] The Risks of Untreated ADHD[00:06:46] Where Medication Misinformation Comes From[00:10:15] Do You Really Need a Child Psychiatrist?[00:13:34] Who Makes the Medication DecisionCitationsAmerican Academy of Child and Adolescent Psychiatry. (2020). Clinical use of pharmacogenetic tests in prescribing psychotropic medications for children and adolescents. https://www.aacap.org/aacap/Policy_Statements/2020/Clinical-Use-Pharmacogenetic-Tests-Prescribing-Psychotropic-Medications-for-Children-Adolescents.aspxAmerican Academy of Child and Adolescent Psychiatry. (2022). Attention-deficit/hyperactivity disorder: Parents' medication guide. https://www.aacap.org/App_Themes/AACAP/docs/resource_centers/resources/med_guides/ADHD_Medication_Guide-web.pdfAmerican Academy of Child and Adolescent Psychiatry. (n.d.). Pharmacogenetic testing. https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Pharmacogenetic_Testing-128.aspxAmerican Psychiatric Association. (n.d.). What is ADHD? https://www.psychiatry.org/patients-families/adhd/what-is-adhdCenters for Disease Control and Prevention. (2024). Clinical care of ADHD. https://www.cdc.gov/adhd/hcp/treatment-recommendations/index.htmlDalsgaard, S., Leckman, J. F., Mortensen, P. B., Nielsen, H. S., & Simonsen, M. (2015). Effect of drugs on the risk of injuries in children with attention deficit hyperactivity disorder: A prospective cohort study. The Lancet Psychiatry, 2(8), 702–709. https://doi.org/10.1016/S2215-0366(15)00271-0Dalsgaard, S., Østergaard, S. D., Leckman, J. F., Mortensen, P. B., & Pedersen, M. G. (2015). Mortality in children, adolescents, and adults with attention deficit hyperactivity disorder: A nationwide cohort study. The Lancet, 385(9983), 2190–2196. https://doi.org/10.1016/S0140-6736(14)61684-6de Vries, W., Boer, M., Stevens, G. W. J. M., & van Dorsselaer, S. (2025). Exploring concept creep: Youth's portrayal of ADHD on TikTok. SSM Mental Health, 7, 100374.Harpin, V., Mazzone, L., Raynaud, J. P., Kahle, J., & Hodgkins, P. (2016). Long-term outcomes of ADHD: A systematic review of self-esteem and social function. Journal of Attention Disorders, 20(4), 295–305. https://doi.org/10.1177/1087054713486516Myer, N. M., Boland, J. R., & Faraone, S. V. (2018). Pharmacogenetics predictors of methylphenidate efficacy in childhood ADHD. Molecular Psychiatry, 23, 1929–1936.Shaw, M., Hodgkins, P., Caci, H., Young, S., Kahle, J., Woods, A. G., & Arnold, L. E. (2012). A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: Effects of treatment and non-treatment. BMC Medicine, 10, 99. https://doi.org/10.1186/1741-7015-10-99Wetterer, L. (2020). Attention-deficit/hyperactivity disorder: AAP updates guideline for diagnosis and management. American Family Physician, 102(1), 58–60.Wolraich, M. L., Hagan, J. F., Allan, C., Chan, E., Davison, D., Earls, M., Evans, S. W., Flinn, S. K., Froehlich, T., Frost, J., Holbrook, J. R., Lehmann, C. U., Lessin, H. R., Okechukwu, K., Pierce, K. L., Winner, J. D., & Zurhellen, W. (2019). Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics, 144(4), e20192528. https://doi.org/10.1542/peds.2019-2528Yeung, A., Ng, E., & Abi-Jaoude, E. (2022). TikTok and attention-deficit/hyperactivity disorder: A cross-sectional study of social media content quality. The Canadian Journal of Psychiatry, 67(12), 899–906. https://doi.org/10.1177/07067437221082854
In Episode 2 of our pediatric neurology series, we explore how advances in diagnostic technology have transformed the field of neurology. Our guests discuss the evolution of neurologic evaluation - from early ultrasound imaging to CT and MRI - and how modern imaging has revolutionized the ability to diagnose and understand neurologic disease in children.Host Paul Wirkus, MD, FAAP and guest Josh Bonkowsky, MD also examine the growing role of genomic testing, which is increasingly available in clinical practice and providing families with greater diagnostic clarity. Alongside these advances come important philosophical and ethical questions: What is the value of diagnosing a condition when no cure exists? How much information do families want, and how should that information be shared?Our guest discusses a “leveled results” approach to genomic testing, emphasizing shared decision-making and giving families meaningful input into how much information they receive. Throughout the episode, the focus remains on helping patients and families make informed decisions while navigating uncertainty with compassion and transparency.Have a question? Email questions@vcurb.com. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
प्रधानमंत्री नरेंद्र मोदी का गुजरात दौरा, अंडमान सागर में प्राकृतिक गैस की नई खोज, कांग्रेस अध्यक्ष मल्लिकार्जुन खड़गे ने भरा राज्यसभा नामांकन, पश्चिम बंगाल में ममता बनर्जी ने वरिष्ठ नेताओं के साथ बैठक की, दिल्ली में अवैध निर्माण पर सख्त कार्रवाई, मालवीय नगर अग्निकांड पर AAP का बवाल, भारत-बांग्लादेश सीमा पर बढ़ा तनाव, ईरान ने आत्मरक्षा में जवाबी कार्रवाई की चेतावनी दी और पाकिस्तान-ईरान के बीच क्षेत्रीय हालात पर अहम बातचीत, सिर्फ़ 5 मिनट में सुनिए शाम 7 बजे तक की बड़ी ख़बरें.
This month we begin a new series on pediatric neurology issues, starting with a discussion with Josh Bonkowsky, MD, PhD, about his book Dancing Eyes, Dancing Feet. In this episode, our host Paul Wirkus, MD, FAAP and Dr. Bonkowsky trace the evolution of how clinicians understand and approach unexplained events in infants and children - from Sudden Infant Death Syndrome (SIDS) to Apparent Life-Threatening Events (ALTE), and more recently, Brief Resolved Unexplained Events (BRUE) and Functional Neurological Disorder (FND).The conversation explores how terminology, diagnostic approaches, and clinical thinking have changed over time, as well as the challenges providers face when balancing reassurance, evaluation, and uncertainty. We also discuss the important roles of the child's pediatrician and pediatric hospitalists in coordinating care, supporting families, and guiding follow-up after these often frightening events.Have a question? Email questions@vcurb.com. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
It's time for a safety focused episode. When can a baby sleep on their stomach? So many babies sleep better on their stomach, but when is it safe? In this episode I'm walking you through the safety guidelines and some things you can do to encourage baby to meet the milestones needed for safe tummy sleeping. Resources related to this episodePediatric PT /milestones IG accounts: @mommyandme.pt @nextsmallstep @milestones.and.motherhood AAP on tummy sleeping: https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/a-parents-guide-to-safe-sleep.aspxConnect with Kim Instagram: instagram.com/intuitive_parenting_dcFacebook: facebook.com/intuitiveparentingdcLearn more about working with Kim: https://intuitiveparentingdc.com/
In this Q&A episode of our infant formula and nutrition series, host Paul Wirkus, MD, FAAP and guest Steve Abrams, MD address common questions pediatricians hear from families during the newborn period. The discussion explores the role of lactose in infant formula, including when lactose-free options may - or may not - be appropriate. We also talk about normal newborn fussiness in the first weeks of life and how clinicians can help families distinguish typical infant behavior from signs that warrant further evaluation.The episode also reviews formula fortification, with a focus on preterm and NICU infants who may require additional nutritional support for growth and development. Our guests discuss when fortification is indicated, practical considerations for outpatient follow-up, and how pediatricians can guide families through feeding decisions with clear, evidence-based counseling.Have a question? Email questions@vcurb.com. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
DPC Is Growing in Pediatrics: Dr. Andrew Hertz on Zest's Expansion, Survey Findings, and the Future of CareThe Pediatric Lounge welcomes returning guest Dr. Andrew Hertz, co-founder and president of the Zest Pediatric Network, to discuss the growth of direct pediatric care (DPC) and results from Zest's national survey. Hertz reports Zest's expansion from three Cleveland-area practices to 10 sites opening by summer, with 13 physicians across Ohio, Pennsylvania, and Florida, and describes using annual surveys because pediatric DPC data was previously lacking and the movement is growing about 25% yearly. Survey findings include that pediatric DPC is largely women-led (about 90%), mid-career, mostly solo practices; most charge $100–$175 per child per month with panels under 250 patients; about 48% are AAP members; and many report improved satisfaction and less moral injury. They discuss DPC benefits such as reduced office, urgent care, and ED visits, challenges with insurance and Medicaid capitation without CPT codes, AI's operational promise and societal risks, and employer value focused more on employee satisfaction than pediatric ROI.00:00 Welcome Back Dr Hertz01:30 Zest Network Growth02:50 Why Survey DPC03:49 Who Joins DPC05:06 Boards and MOC Debate09:31 AAP Membership Questions13:54 Why DPC Is Rising18:22 AI vs EHR Efficiency22:03 Insurance and Capitation25:14 Hybrid Models and Access29:08 Costs and Who Can Afford32:45 Medicaid Capitation Hurdles35:06 Data Without CPT Codes36:24 Data Without Red Tape37:07 ICD-10 and Simple EMRs38:23 Holistic Prevention Coaching41:32 Defining DPC Success42:43 Net Promoter Score Explained46:10 NPS for Behavior Change49:19 Storytelling to Drive Adoption55:53 AI in Pediatrics Promise and Peril01:03:21 Beyond DPC Payment Models01:06:15 Employers and Care Navigators01:09:24 Closing Thoughts and Growth01:11:31 Podcast OutroSupport the show
Sağlık kuruluşlarından oluşan bir koalisyon, kaçak sigara ticaretine ilişkin endişeleri kullanan tütün şirketlerinin, on yıllardır süren sigara kontrol politikalarını bozup vergi indirimleri için baskı yaptığını söylüyor.Hafta içi Salı hariç her gün Avustralya doğu kıyıları saati ile 14:00 ile 15:00 arasında yayınlanan SBS Türkçe radyo programını artık dilediğiniz podcast yayıncısından dinleyebilirsiniz.Podcastlarımızı dinlemek ve bizi takip etmek için: https://podfollow.com/sbs-turkishBizi Facebook'ta da takip edebilirsiniz:Sağlık kuruluşlarından oluşan bir koalisyon, kaçak sigara ticaretine ilişkin endişeleri kullanan tütün şirketlerinin, on yıllardır süren sigara kontrol politikalarını bozup vergi indirimleri için baskı yaptığını söylüyor. Kanser Konseyi, Kalp Vakfı, Halk Sağlığı Derneği ve diğer kuruluşlar, hızla büyüyen yasadışı tütün ticaretine ilişkin Senato soruşturmasının ikinci gününe girilirken, yayınladıkları açık mektupta sektörün kamu politikasına müdahalesine karşı sıkı şeffaflık ve koruma önlemleri çağrısında bulundu. Sağlık kuruluşları, milletvekillerinin tütün devi Philip Morris'ten gizli olarak ifade aldıklarına dair haberlerden özellikle endişe duyduklarını belirtiyor.ÖNE ÇIKANLARKanser Konseyi, Kalp Vakfı, Halk Sağlığı Derneği ve diğer kuruluşlar, yayınladıkları kamuya açık mektupta halk sağlığı politikasında şeffaflık çağrısında bulunuyor. Mektup bu ayın başlarında küresel tütün şirketi Phillip Morris'in temsilcilerine soruşturma kapsamında gizli ve kamuya açıklanmayan ifade alındığının ortaya çıkmasından sonra yayınlandı. AAP haber ajansına göre, Phillip Morris temsilcileri, gizli ifadelerinde, hükümetin tütün vergisini düşürmesi halinde krizin azalacağını iddia etti, daha ucuz yasal sigaralar için lobi yaptı.Geçen hafta açıklanan bütçe, Avustralya'da büyüyen tütün karaborsasının federal bütçede milyarlarca dolarlık bir kayba yol açtığını ortaya koydu. Tütün vergisinden elde edilen gelirin her yıl düşerek, 2030 yılında yıllık 2 milyar doların biraz üzerine yaklaşacağı tahmin ediliyor.Analistler, sigara içme oranlarının düşmesinin bunda bir rol oynadığını, ancak asıl etkenin, hükümetin toplam tütün pazarının yarısından fazlasını oluşturduğunu tahmin ettiği yasadışı tütün satışlarındaki patlama olduğunu söylüyor.Tütün sektörü ve tiryakilik ile ilgili diğer bölümlerimiz:Elektronik sigaranın tehlikeleri ve bırakma teknikleriÇevrenizde kumar sorunu olan biri var mı?Victoria'da yasa dışı tütün satan işletmeler kapatılabilirAvustralya'da sigara konusunda çelişen bakış açılarıBir ülkenin kültürel normu diğerinin tabusu olduğunda...
In this episode of our infant formula and nutrition series, host Paul Wirkus, MD, FAAP and guest Steve Abrams, MD take a closer look at formula regulation, importation, and the growing influence of social media on infant feeding decisions. Our guests discuss the FDA registration process for infant formulas, what it means when products are not FDA registered, and the potential benefits and limitations of imported formulas. The conversation also explores how manufacturing and safety standards differ across countries and whether imported formulas are necessarily “cleaner” or safer.We also address the powerful role social media plays in shaping parent perceptions, including marketing claims that certain formulas can “cure” common infant concerns such as reflux, colic, or fussiness. Finally, the episode emphasizes the significant dangers of homemade formula and provides guidance on how pediatricians can counsel families using clear, evidence-based information while acknowledging the pressures and confusion many parents experience.Have a question? Email questions@vcurb.com. Listener questions will be answered next week. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In Episode 2 of our infant formula and nutrition series, host Paul Wirkus, MD, FAAP and guest Steve Abrams, MD explore the question many families ask: how closely should infant formula resemble breast milk, and does it matter? Our guests discuss the science behind common formula ingredients, including oligosaccharides, prebiotics, postbiotics, and lactose, and review what evidence currently tells us about their role in infant nutrition and gut health.The conversation also compares different protein sources - including cow's milk, goat's milk, and plant-based formulas - and addresses common parent questions about specialty, premium, and organic products. We examine whether higher-cost formulas offer meaningful advantages and how pediatricians can help families make informed, practical decisions without unnecessary pressure or confusion. Throughout the episode, the emphasis remains on evidence-based guidance and supporting families in choosing safe, nutritionally appropriate options for their infants.Have a question? Email questions@vcurb.com. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This month we turn our focus to infant formula and nutrition, beginning with a discussion of formula safety and supply. In this episode, our host Paul Wirkus, MD, FAAP and guest Steve Abrams, MD revisit Operation Fly Formula and the broader challenges of maintaining a safe and reliable formula supply in the U.S. We review safety concerns related to contamination - including bacteria, viruses, and rare but serious risks such as botulism - and discuss why recalls, while essential, can be complex for both families and providers to navigate.The conversation also explores differences between liquid and powdered formulas, with an emphasis on preparation practices and how improper bottle hygiene can increase contamination risk. We highlight current FDA guidance on boiling and cooling water for formula preparation and provide practical tips for counseling families. Importantly, our guests strongly caution against homemade formula and offer strategies for pediatricians to have clear, supportive conversations with caregivers.Finally, we touch on concerns about heavy metals in infant nutrition, including ongoing efforts such as the Closer to Zero initiative, and what clinicians should know when addressing parent questions about safety and quality.Have a question? Email questions@vcurb.com. Listener questions will be answered in episode four. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Send us Fan MailDr. Surabhi Aggarwal, neonatologist at Stony Brook University, joins Ben and Rupa to share five years of experience building a LISA — Less Invasive Surfactant Administration — program from the ground up at her institution. She walks through the obstacles of getting IRB approval, gaining clinical buy-in from colleagues comfortable with intubation, and how the introduction of video laryngoscopy was the turning point that finally got the practice off the ground. She shares early results showing that 30% of eligible babies received surfactant via LISA rather than intubation, discusses the technical nuances of catheter placement and confirmation, and weighs in on the emerging SALSA technique using an LMA — with a candid admission that she may be a little biased. She also highlights her work with MidCan, the AAP mid-career neonatologist group supporting clinicians between seven and seventeen years post-training.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
In this Q&A episode of our psychiatric “grab bag” series, host Paul Wirkus, MD, FAAP and Jeremy Kendrick, MD tackle common and challenging scenarios related to panic and anxiety in pediatric patients. The discussion clarifies how panic disorders differ from OCD, helping clinicians distinguish overlapping symptoms and guide appropriate treatment.We also address school refusal, exploring how anxiety and panic can manifest in avoidance behaviors and how to support families in getting children back to school. The panel shares practical, real-time strategies for managing panic in the clinic setting - including in the office, hallway, or waiting room - so providers can respond effectively in the moment.Additional topics include medication selection based on specific clinical presentations and when to consider higher levels of care, including the role and value of inpatient services. This episode offers actionable insights to help clinicians confidently assess and manage complex anxiety-related concerns.Utah Psychiatric Consultation Line (801-587-3636) for real-time guidance.Have a question? Email questions@vcurb.com.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Send us Fan MailDr. Lyubina Yankova, hospitalist at Yale, presents findings from a large retrospective multi-center analysis across 106 sites examining whether the combination of procalcitonin and C-reactive protein (CRP) can match or outperform the inflammatory marker combinations currently recommended by the 2021 AAP guidelines for risk-stratifying febrile infants between 8 and 60 days of age. She shares why this combination showed similar sensitivity but higher specificity for detecting invasive bacterial infections — meaning fewer false positives, fewer unnecessary lumbar punctures, and fewer unnecessary antibiotics. She also addresses the limitations of retrospective data, why preterm infants were excluded from this analysis and what future research in that population might look like, and what it would take for guideline committees to feel confident enough to incorporate this combination into routine practice.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
In the third episode of our psychiatric “grab bag” series, we focus on the “angry adolescent” and the complex factors that can drive irritability and behavioral outbursts. Host Paul Wirkus, MD, FAAP and Jeremy Kendrick, MD discuss Disruptive Mood Dysregulation Disorder (DMDD) and how it differs from other mood and behavioral conditions. We explore how coexisting factors—such as substance use, trauma, and ADHD—can influence presentation, severity, and treatment outcomes.The conversation emphasizes the importance of identifying the underlying cause of a teen's anger to guide appropriate, individualized treatment. Evidence-based approaches, including cognitive behavioral therapy (CBT), are reviewed alongside practical considerations for management in primary care. We also discuss when it's appropriate to refer to a specialist or seek additional support, including use of the Utah Psychiatric Consultation Line (801-587-3636) for real-time guidance.Have a question? Email questions@vcurb.com. They will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this episode of our psychiatric “grab bag” series, we focus on panic disorders and how they present in pediatric patients. Host Paul Wirkus, MD, FAAP and Jeremy Kendrick, MD discuss the differences between panic and general anxiety, helping clinicians recognize key features that distinguish acute panic episodes from broader anxiety conditions.The conversation also explores the role of family dynamics in both the development and management of symptoms, along with evidence-based treatment approaches. These include cognitive behavioral therapy (CBT), the use of rescue and maintenance medications, and practical strategies such as deep breathing exercises to help patients manage symptoms in real time.We also highlight an important local resource for clinicians: the Utah Psychiatric Consultation Line at 801-587-3636, which provides support for managing pediatric mental health concerns in practice.Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Send us Fan MailThis week on The Incubator Podcast, Ben and Daphna cover five topics spanning clinical practice, emerging technology, and neonatal policy. They open with a large Swedish national cohort study from JAMA Network Open examining early prophylactic hydrocortisone in extremely preterm infants, debating whether a blanket approach to BPD prevention holds up across gestational ages and in the presence of chorioamnionitis.They then take a critical look at predischarge car seat tolerance screening, questioning whether this decades-old AAP recommendation still earns its place in routine NICU discharge planning given its failure to reduce mortality or readmissions.The conversation shifts to BPD-associated pulmonary hypertension, reviewing a PPHNet study that challenges whether current grading criteria and assessment timepoints adequately capture pulmonary vascular disease severity. They then explore oculomics — a compelling new frontier in which deep learning applied to routine ROP screening images can predict BPD and pulmonary hypertension weeks ahead of clinical diagnosis.The week closes with a Neo News policy discussion on the regulatory pressures threatening freestanding birth centers nationwide, and the downstream consequences for maternal health equity, newborn screening, and neonatal advocacy.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!
Infant sleep has become one of the most polarizing topics in modern parenting. In this thoughtful and nuanced conversation, I sit down with sleep consultant and family therapist Chrissy Lawler to unpack co-sleeping, sleep training, safety data, and the emotional charge surrounding these decisions. As a pediatrician, I was trained to follow AAP safe sleep guidelines, but real-world parenting, cultural practices, and honest conversations with families have pushed me to approach this topic with more openness and clarity. We discuss what the data actually shows, where the gaps exist, and why shame and fear-based messaging don't help families make safer decisions. Whether you co-sleep, sleep train, or are still figuring it out, this episode focuses on evidence, harm reduction, attachment, parental well-being, and finding what works for your unique family system. In this episode, we discuss: Why co-sleeping is so controversial, especially coming from a pediatrician AAP guidelines vs cultural sleep practices around the world The dangers of polarized, shame-based sleep messaging Harm reduction principles for families who choose to co-sleep Risk factors that increase sleep-related infant deaths What the data does and does not tell us about co-sleeping safety The “Safe Sleep Seven” and its limitations Sleep training myths, cortisol concerns, and attachment Why parental sleep and mental health matter just as much as baby sleep The impact of sleep deprivation on relationships and long-term family dynamics How to filter social media noise and make evidence-based decisions Foundational newborn sleep strategies to reduce desperation and unsafe practices The role of resilience, stress tolerance, and “good enough” parenting To connect with Chrissy Lawler follow her on Instagram @the.peaceful.sleeper, check out all her resources at https://www.thepeacefulsleeper.com/ and buy her book “The Peaceful Sleeper: An Intuitive Approach to Baby Sleep”: https://www.thepeacefulsleeper.com/book 00:00 – Intro 01:15 – A Pediatrician's Experience With Unsafe Sleep 02:07 – Why Parents Secretly Bedshare 02:54 – Introducing Chrissy Lawler and Her Work 05:04 – Why Safe Sleep Messaging Often Misses Real Life 07:03 – The Cultural Differences Around Infant Sleep 11:03 – Why Parents Feel Pressure Around Sleep Training 16:04 – What Actually Makes Co-Sleeping Dangerous 20:01 – Harm Reduction: If Families Choose to Bedshare 28:00 – Sleep Training Myths and Misunderstandings 38:00 – The Emotional Side of Infant Sleep Decisions 39:01 – How Shame Impacts Honest Conversations With Pediatricians 45:01 – Practical Ways to Make Infant Sleep Safer 48:02 – The Bigger Takeaway: Safety, Support, and Informed Choices Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and subscribe to PedsDocTalk. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. Join the newsletter! And don't forget to follow @pedsdoctalkpodcast on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the PedsDocTalk Podcast Sponsorships page of the website. Learn more about your ad choices. Visit podcastchoices.com/adchoices
The Children's Health Defense is suing the vaccine industry-funded American Academy of Pediatrics alleging tobacco-like racketeering over its practices. CHD's Mary Holland provides details. The AAP consistently claims it is science based and has done nothing improper.Subscribe to both of Sharyl's podcasts: “The Sharyl Attkisson Podcast” and “Full Measure After Hours.” Leave a great review, and share with your friends! Support independent journalism by visiting the new Sharyl Attkisson store.
The Children's Health Defense is suing the vaccine industry-funded American Academy of Pediatrics alleging tobacco-like racketeering over its practices. CHD's Mary Holland provides details. The AAP consistently claims it is science based and has done nothing improper.Subscribe to both of Sharyl's podcasts: “The Sharyl Attkisson Podcast” and “Full Measure After Hours.” Leave a great review, and share with your friends! Support independent journalism by visiting the new Sharyl Attkisson store.