Podcasts about AAP

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Best podcasts about AAP

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Latest podcast episodes about AAP

The Incubator
#467 - Navigating the Future of Pediatric Healthcare Funding

The Incubator

Play Episode Listen Later Sep 21, 2026 57:04 Transcription Available


Send us Fan MailBen sits down with Dr. Shetal Shah and AAP federal advocacy director Stephanie Glier to unpack HR1, the sweeping reconciliation bill that could cut $1.15 trillion in federal Medicaid spending over the next decade. With 40% of US births and up to 65% of NICU graduates covered by Medicaid, the stakes for neonatology are enormous. Shetal and Stephanie break down state directed payments, provider taxes, shortened retroactive coverage windows, and new work requirements, explaining how administrative friction alone could push families out of coverage. They also offer a clear playbook: connect with your AAP state chapter, share bedside stories with policymakers, and don't be more intimidated by a congressional office than by a resuscitation.----AAP Advocacy page: https://www.aap.org/en/advocacy/?srsltid=AfmBOoqcnlKDsPZkpNg6z6U7OlOuBqUiuCtWHrUPmRGzfqDiQEl-vf7sMyers CN, Beck AF. H.R. 1's Medicaid cuts threaten children's health. Health Affairs Forefront. January 20, 2026. Accessed August 28, 2026. https://www.healthaffairs.org/content/forefront/h-r-1-s-medicaid-cuts-threaten-children-s-healthLittle J, Kohler A. How H.R. 1 cuts and changes to Medicaid played out in 2026 state legislative sessions (Part 2). Georgetown University Center for Children and Families. July 2, 2026. Accessed August 28, 2026. https://ccf.georgetown.edu/2026/07/02/how-h-r-1-cuts-and-changes-to-medicaid-played-out-in-2026-state-legislative-sessions-part-2/Academy of Managed Care Pharmacy. Implications of H.R. 1 – the One Big Beautiful Bill Act. Academy of Managed Care Pharmacy. 2026. Accessed August 28, 2026. https://www.amcp.org/H.R.1Park E. New CMS guidance on H.R. 1's restrictions of state directed payments. Georgetown University Center for Children and Families. February 4, 2026. Accessed August 28, 2026. https://ccf.georgetown.edu/2026/02/04/new-cms-guidance-on-h-r-1s-restrictions-of-state-directed-payments/Mudumala A, Mohamed M, Tolbert J, Burns A. The impact of H.R. 1 on two Medicaid eligibility rules. KFF. September 22, 2025. Accessed August 28, 2026. https://www.kff.org/medicaid/the-impact-of-h-r-1-on-two-medicaid-eligibility-rules/ 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!

PVRoundup Podcast
What new guidance could change RSV prevention for infants and high-risk children this fall?

PVRoundup Podcast

Play Episode Listen Later Sep 17, 2026 4:48


This episode reviews updated AAP recommendations for RSV prevention in infants and high-risk children entering a second RSV season, phase 3 data suggesting TP53 mutation status may help identify patients with EGFR-mutated advanced non–small cell lung cancer who benefit from adding chemotherapy to osimertinib, and results from two phase 3 trials showing that the IL-33–targeting biologic tozorakimab reduced COPD exacerbations in patients who remained at risk despite standard inhaled therapy.

Virtual Curbside
Episode 401: #93-3 Psychosis: Hallucinations& Delusions

Virtual Curbside

Play Episode Listen Later Sep 15, 2026 24:31


This week on The Virtual Curbside, we take a closer look at hallucinations and delusions in children and adolescents. Our host Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD discuss how to approach the diagnosis while keeping safety at the forefront. A thorough history is essential, including the patient's family history, recent illnesses or infections, travel, changes in function, confusion, and the nature and timing of delusions or hallucinations. The conversation emphasizes the importance of considering both psychiatric and medical causes when a child presents with new or concerning symptoms.We also discuss the role of lab tests and imaging in the evaluation, including when additional medical workup is warranted and when symptoms require evaluation in the emergency department. The episode highlights the PREP program, a resource for young people experiencing a first episode of psychosis, and the Utah Psychiatric Call-Up Line, a publicly funded consultation resource available to primary care clinicians and pediatricians.This episode provides a practical framework for recognizing concerning symptoms, evaluating possible causes, assessing safety, and knowing when to seek additional support or urgent care.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at 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.

Train2Perform
6 Training Myths You've Probably Believed (Busted With Real Research)

Train2Perform

Play Episode Listen Later Sep 13, 2026 11:45


Six training myths. Under twelve minutes. No fear-mongering, no gym-bro folklore, just what the research actually says about training your kid, or yourself, smarter.In this rapid-fire episode, Coach Julian goes through six of the most common training myths parents, athletes, and adult lifters hear all the time, and lays out exactly what the research says about each one.You'll learn:Whether lifting weights actually stunts a kid's growth (the AAP's position paper settles this one directly)Why soreness is a bad way to judge whether a workout "worked"Whether you really need to train every day to see results, and what a 2016 meta-analysis found actually drives progressWhy cardio alone leaves fat loss on the table, based on an 8-month randomized trial comparing cardio, weights, and both combinedWhat the research actually says about static stretching before a game, and why the timing matters more than the stretch itselfWhether strength training makes young athletes slower and bulkier (spoiler: the data says the opposite)If you've ever repeated one of these "facts" to your kid, your team, or yourself, this episode will change how you think about training in under fifteen minutes.This episode is for educational purposes based on current research and isn't a substitute for individualized coaching. For a program built on what the research actually says, visit trainwithpfp.com.In this episode:0:00 Cold open0:20 Myth 1: Lifting weights stunts a kid's growth1:50 Myth 2: Soreness means you had a good workout3:20 Myth 3: You need to train every day to see results4:50 Myth 4: Cardio alone is the best way to lose fat6:20 Myth 5: Static stretching before a game prevents injury7:50 Myth 6: Strength training makes young athletes slower and bulkier9:20 Wrap-up: which myth surprised you most?Sources referenced in this episode:Resistance Training for Children and Adolescents, AAP Position PaperThe Science of Sore: DOMS Explained, Stronger by ScienceHow many times per week should a muscle be trained to maximize hypertrophy? Schoenfeld & Grgic, systematic review/meta-analysis (PubMed)Strength Training Frequency research summary, PainScience.comCardio vs. Weights for Fat Loss (Willis et al. study breakdown), Precision NutritionA Systematic Review into the Efficacy of Static Stretching as Part of a Warm-Up for the Prevention of Exercise-Related Injury (PubMed)Static/dynamic stretching and injury/performance review, PMCYouth Resistance Training: mechanisms, strength gains, and speed/performance evidence, PMCYouth Strength Training: Top 5 Myths, Avery Faigenbaum, Ed.D.Mythbusting: Youth Resistance Training, ACSM

Virtual Curbside
Episode 400: #93-2 Psychosis: Schizophrenia

Virtual Curbside

Play Episode Listen Later Sep 8, 2026 22:41


In Episode 2 of our series on psychosis, we take a closer look at schizophrenia in children and adolescents, including the typical onset of symptoms, the role of genetics, and the relationship between cannabis use and psychosis. Our host Paul Paul Wirkus, MD, FAAP and guest Kristi Kleinschmit, MD review the disorders and conditions that commonly overlap with schizophrenia or occur at higher rates, including autism, major depressive disorder, bipolar disorder, schizoaffective disorder, anxiety, and substance use disorders.The conversation also explores how schizophrenia can progress over time and what clinicians can expect as the illness unfolds. We discuss the role of psychotherapy alongside other treatments and the important role pediatricians can play in supporting patients and families throughout the course of illness.Finally, we highlight the Utah Psychiatric Call-Up Line, a publicly funded resource available to Utah primary care and pediatricians for consultation and support when navigating psychiatric concerns. The episode also addresses the pediatrician's role in helping adolescents and young adults transition from pediatric to adult mental health care.Utah Call-Up Line: 801.587.3636 or https://healthcare.utah.edu/hmhi/programs/call-up.Have a question for our hosts or guests? Email questions@vcurb.com. For more information, additional episodes, and available CME/MOC credit, visit vcurb.com.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at 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.

The Pediatric Lounge
249 Have We Lost Trust in The Age of AI

The Pediatric Lounge

Play Episode Listen Later Sep 8, 2026 88:21


Pediatrics, Trust, and the Age of AI: Evidence, AAP Policy, and Vaccine MandatesHosts Herb and George welcome back Dr. Jesse Hackell to discuss declining trust in medicine amid overwhelming information and AI summaries, emphasizing the need for physicians to critically appraise evidence rather than rely on authority or EHR prompts. They debate perceptions of the American Academy of Pediatrics (AAP) as a “corporation” versus a volunteer membership organization, how AAP governance works, and how AAP outputs (technical reports, clinical reports, policy statements, and more rigorous clinical practice guidelines) should be read as guidance, not gospel or standards of care, with evolving examples like peanut introduction and biliary atresia screening. The conversation covers malpractice implications, screening controversies (e.g., ferritin/iron, milk and anemia), COVID-era messaging failures and politicization, vaccine policy opposing non-medical exemptions as choice with consequences, nuanced school-entry requirements (e.g., Florida Hib/pneumococcal), and tees up a future discussion on insurance and coverage for all children.00:00 Show Intro01:40 AI Trust Crisis03:42 Reading Evidence Today07:16 AAP Critics And Mission09:48 Volunteerism Versus Pay12:56 AAP Guidance Not Gospel18:20 Governance And Elections24:03 Types Of AAP Reports33:48 Med Legal Standards42:36 COVID And Vaccine Trust47:01 RFK And Opinion Politics48:02 Fauci Versus RFK48:49 Natural Immunity Messaging50:41 How Science Pivots52:36 Peer Review Explained54:22 Evidence Bars And Coercion57:32 Bright Futures Screening Debate58:59 Ferritin Screening Controversy01:05:01 Cow Milk And Iron Loss01:06:51 AI And Trust Erosion01:11:37 School Vaccine Exemptions01:18:03 Community Versus Freedom01:19:40 Florida Hib And PCV Nuance01:24:41 Insurance Policy Teaser01:26:58 Wrap Up And CreditsSupport the show

The Incubator
#463 -

The Incubator

Play Episode Listen Later Sep 7, 2026 43:14 Transcription Available


Send us Fan MailDisclosure: Dr. Wanda Barfield appeared on this episode in her personal capacity. The views she expresses are her own and do not represent the official positions of the Centers for Disease Control and Prevention, the Department of Health and Human Services, or the United States government.The American Academy of Pediatrics has never had a neonatologist as president. This September, that could change. In this special episode, Ben sits down with Dr. Wanda Barfield, neonatologist, retired Rear Admiral and Assistant Surgeon General in the US Public Health Service, and longtime director of the CDC's Division of Reproductive Health, to hear what she would bring to the role. She lays out her three priorities, supporting pediatricians, protecting access, and leading with science and equity, and addresses the questions our field is wrestling with right now: training, staffing, the erosion of trust in science, and whether neonatology should go it alone. Her answer is that we are stronger together, and that having a neonatologist at the helm of the AAP would give our specialty a voice it has never had. Voting is open to AAP members through September 16. Meet the candidate, then go vote. 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!

Ask Doctor Dawn
Fall Vaccine Guide, Measles Outbreaks and SSPE Risk, Oral PCSK9 Blocker Inlicitide, Cancer Screening Criteria, and Prodromal Parkinson's Signs

Ask Doctor Dawn

Play Episode Listen Later Sep 4, 2026 47:17


Broadcast from KSQD, Santa Cruz on 9-03-2026: With CDC vaccine guidance politically contested, major medical societies (AAFP, AAP, ACOG, IDSA) issued their own recommendations through the Vaccine Integrity Project. Dr. Dawn recommends flu shots in October for peak Thanksgiving antibodies, high-dose flu vaccine (not adjuvanted) for frail seniors, and COVID/flu/RSV given at the same visit—except delay COVID vaccination four to six months after recent infection. Pregnant women should receive RSV vaccine at 32-36 weeks, and infants under eight months entering their first RSV season need vaccination if the mother wasn't vaccinated. RSV is one-time only for adults 75+, or for high-risk 50-74-year-olds. Measles is the most contagious human disease, transmissible through brief incidental contact (buses, taxis, carnival rides). Beyond acute mortality (one in 5,000 pre-vaccine), survivors face rare but catastrophic subacute sclerosing panencephalitis 10-40 years later—immune-mediated brain destruction comparable to Huntington's. Thirty percent of current outbreak cases are in adults reflecting decades of under-vaccination in certain communities, and pregnant unvaccinated mothers create a dangerous one-year window since the live vaccine cannot be given during pregnancy. Inlicitide (brand name Lipithandra) is the first oral PCSK9 inhibitor for LDL reduction, priced at $315/month versus $600 for the injectable version. Dr. Dawn positions it strictly as a treatment—not preventive—drug for patients who've had a heart attack or equivalent event and cannot achieve target LDL on statins alone, with prior authorization typically successful given documented disease. Updated cancer screening guidance from major societies: cervical cancer screening at 25 for HPV-vaccinated women (earlier if unvaccinated), annual mammograms from 45-54 then biennial, PSA screening starting at 50, and low-dose CT lung cancer screening at 50-80 for heavy smokers. Dr. Dawn pushes back on the 2018 Task Force downplaying of PSA screening, noting MRI-targeted transperineal biopsies have dramatically reduced false-positive complications. She also warns about rising male cancer diagnoses at later stages for stomach, lung, tongue, and throat cancers, and recommends the vinegar test for suspicious oral white spots. Parkinson's disease develops through a decades-long prodromal phase before motor symptoms appear—by tremor onset, at least half the substantia nigra neurons are dead. Four early warning signs: persistent loss of smell (90% of Parkinson's patients experience this up to 20 years before diagnosis; free scratch-and-sniff cards available from The Michael J. Fox Foundation), REM sleep behavior disorder (acting out dreams; 50-70% develop Parkinson's or Lewy body dementia within 5-10 years, 130-fold higher risk if over 50), chronic constipation (possibly linked to gut microbiome production of misfolded alpha-synuclein), and orthostatic hypotension. Available diagnostics include alpha-synuclein seed amplifier assay (CSF), skin biopsy, and DaTscan SPECT imaging (typically covered with "clinical uncertainty" documentation). A caller with insomnia asks about using vinegar to clean his new CPAP machine. Dr. Dawn recommends one part white vinegar to three parts warm water, then rinsing—or unscented Dr. Bronner's castile soap. She emphasizes avoiding bleach, alcohol, ammonia, scented soaps, and moisturizers, since mold prevention is the primary cleaning goal. Columbia University's STAR (Sperm Track and Recovery) AI system, inspired by astronomical star-detection algorithms, hunts vanishingly rare sperm in men with azoospermia by streaming semen through a hair-thin channel imaged 300 times per second. A robotic arm extracts flagged cells within milliseconds. Of 175 patients tested, 30% had recoverable sperm, and the system produced its first baby late last year for a couple with 20 years of infertility.

Virtual Curbside
Episode 399: #93-1 Psychosis

Virtual Curbside

Play Episode Listen Later Sep 1, 2026 23:04


This month we turn to psychiatric topics, beginning with an important clinical question: when a child or adolescent presents with unusual thoughts, perceptions, or behaviors, how do we distinguish psychosis from other psychiatric or medical conditions?In this episode, our host Paul Wirkus, MD and guest Kristi Kleinschmit, MD discuss psychotic experiences and how they can occur in conditions including major depression, bipolar disorder, and OCD, as well as with substance use and trauma or PTSD. We explore how to think about experiences such as imaginary friends and vivid imagination, and when symptoms such as catatonia should prompt a closer evaluation.The conversation also emphasizes the importance of looking beyond a psychiatric diagnosis. Infection, other medical illnesses, and genetic syndromes can all play a role in changes in behavior or perception, making a thoughtful history and appropriate medical evaluation essential. The episode offers pediatricians a framework for recognizing concerning symptoms, considering the broader differential diagnosis, and determining when additional evaluation or referral is needed.Have a question for our hosts or guests? Email questions@vcurb.com. For more information, additional episodes, and available CME/MOC credit, visit vcurb.com.The Virtual Curbside is a podcast of the American Academy of Pediatrics, Utah Chapter (UTAAP), connecting pediatricians and subspecialists through practical, accessible pediatric education. Learn more about UTAAP at 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.

The Pediatric Lounge
248 Life after Clinical Practice, what next? Jeanne Marconi M.D

The Pediatric Lounge

Play Episode Listen Later Sep 1, 2026 60:26


Life After Clinical Practice: Finding Impact Beyond the Exam RoomOn The Pediatric Lounge, Herb and George welcome returning guest Jeanne Marconi to discuss “Life After Clinical Practice: What's Next?” Jeanne describes stepping away from patient care during COVID, wanting to scale what she built in practice (integrated urgent care, behavioral health, lactation, nutrition/obesity care), and helping develop a behavioral health arm at PM Pediatrics leveraging telehealth. The group debates who represents pediatrics, arguing that the AAP prioritizes child advocacy over pediatrician advocacy, while clinical practice faces declining visit volume, rising costs, a worsening payer mix and skewed RVU incentives, growing chronic and mental health complexity, and low adoption of recommendations, which can overwhelm clinicians and erode family trust. Jeanne outlines paths for “burnt on” physicians: redesign services within practice, pursue governance/boards, advocacy, or nonclinical roles, and accept starting as a beginner. They discuss private equity tradeoffs, instability, and the need for strong change management centered on explaining “why,” addressing resistance, and building community forums for pediatricians. Jeanne highlights nonprofit work supporting youth aging out of foster care and her board role at Elizabeth Seton Children's Center, urging colleagues to support one another's mental health and view transitions as applying medical skills in new ways.00:00 Podcast Welcome00:37 Meet Dr Marconi02:12 Leaving Clinical Practice03:36 Building Behavioral Health04:33 Who Speaks Pediatrics06:42 Practice Pressures Today08:05 Payment Model Problems14:08 Guidelines And Evidence17:29 Burnt On And Pivoting20:35 Paths Beyond Medicine21:43 Private Equity Reality28:27 Costs And Practice Change32:18 Finding Your Impact33:44 Drop the Doctor Ego33:58 Reframing Leaving Medicine35:22 Becoming a Change Agent38:18 Change Management That Works40:03 Generational Shifts in Practice43:06 AI Tools for Better Leadership46:26 When to Move On51:10 Passion Versus Paycheck51:50 Mental Health and Toxicity53:14 Building Community Meetups57:23 Advocacy That Feeds the Soul59:03 Final Takeaways and WrapSupport the show

Pediatrics On Call
Meet the AAP President-Elect Candidates – Ep. 304

Pediatrics On Call

Play Episode Listen Later Aug 25, 2026 27:32


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.

Virtual Curbside
Episode 398: #92-4 Parenting Advice: Relational Health

Virtual Curbside

Play Episode Listen Later Aug 25, 2026 31:23


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.

Begin The Journey
Sab Delay Kyun? Am I Late? 5 Sawaal/5 Jawaab

Begin The Journey

Play Episode Listen Later Aug 20, 2026 15:11


Zindagi Race Nahi, Ek Khoobsurat Safar Hai....Kabhi-kabhi mujhe lagta hai ki hum zindagi jeene se zyada, usse race ki tarah measure karne lage hain. Kisi ki naukri lag gayi, kisi ki shaadi ho gayi, kisi ne ghar le liya… aur hum sochne lagte hain — “Main peeche kyun reh gaya?”Lekin kya zindagi ki koi deadline hoti hai?Iss episode mein main baat kar raha hoon un 5 sawaalon ki, jo shayad humein samajhne mein madad karein ki hum jis pressure ko lekar chal rahe hain, woh sach mein hamara hai bhi ya nahi.Main apni journey aur experiences se yeh samajhne ki koshish karta hoon ki har insaan ka waqt alag hota hai.Aap late nahi hain. Aap bas apne waqt par taiyaar ho rahe hain.Toh doosron ki race dekhkar apni zindagi ko judge karna thoda kam kijiye. Apne pace ki izzat kijiye. Kyunki zindagi jeetne ki race nahi hai… mehsoos karne ka ek khoobsurat safar hai.Agar meri yeh baat aapke dil tak pahunchi, toh mujhe zaroor batayiyega.-----------------------------------------------------------------------------------------------------------------------------------------------Come Meet Yourself Through Stories That Heal Book tickets to watch my show - 'Kahanibaaz...Stories That Heal'Click to book: https://tr.ee/KBsuAD-------------------------------------------------------------------------------------------------------------------------------------------------------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.Come, be a part of my online family : https://linktr.ee/AshishvidyarthiAlshukran BhandhuAlshukran Zindagi

Virtual Curbside
Episode 397: #92-3 Parenting Advice: Screentime & Digital Wellness

Virtual Curbside

Play Episode Listen Later Aug 18, 2026 21:41


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.

Headfirst: A Concussion Podcast
Monologue: The Cost of Consent - Concussion, Vocation and the Assumption of Risk

Headfirst: A Concussion Podcast

Play Episode Listen Later Aug 18, 2026 42:53


Send us Fan MailThis episode picks up where our last one left off, brief update new developments in the Geelong concussion waiver case. But the real focus is bigger than one club: we're unpacking what "they accept the risk" actually means, why professional sport gets treated as a calling rather than a job, and what that costs players when it comes to consent, tax structures, and basic workplace protection. We'll hold both sides of that argument up fairly, and test it against how any other Australian workplace would be judged for doing the same thing.  03:44 – New Developments08:44 – The Debate on Player Accepting the Risk 14:27 – Vocation vs Job Perspective in Sport20:29 – Taxation and Financial Structures in Professional Sports23:20 – Workers Compensation and Athlete Protections28:10 – Taxation and Risk32:53 - Comparative Analysis of Workplace Safety and Sports38:51 – Conclusion  REFERENCE LIST1. “Geelong to face significant financial sanction over concussion waiver.” SEN, 8 August 2026. https://www.sen.com.au/news/2026/08/08/afl-2026-afl-ceo-andrew-dillon-speaks-on-geelongs-secret-concussion-waiver-with-jake-kolodjashnij2. “Timeline becomes clearer as Geelong Cats prepare response to AFL's please explain over Jake Kolodjashnij concussion waiver.” AFL.com.au. https://www.afl.com.au/news/1582383/timeline-becomes-clearer-as-geelong-cats-prepare-response-to-afls-please-explain-over-jake-kolodjashnij-concussion-waiver3. “Geelong ‘welcomes' AFL please explain as captain responds to concussion waiver debacle.” Yahoo Sport Australia / Zero Hanger. https://au.sports.yahoo.com/geelong-welcomes-afl-please-explain-013608927.html ; https://www.zerohanger.com/geelong-cats-patrick-dangerfield-captain-responds-to-concussion-waiver-debacle-backs-in-ceo-181057/4. “Cats board hold crisis meeting over concussion deal.” AAP, via Inverell Times / Moree Champion. https://www.inverelltimes.com.au/story/9327256/cats-board-hold-crisis-meeting-over-concussion-deal/5. “Cats board meets to discuss concussion controversy.” K ROCK 95.5. https://www.krock.com.au/national/geelong-cats/cats-board-meets-to-discuss-concussion-controversy/6. “AFL delivers fresh concussion saga statement.” Zero Hanger, 11 August 2026 (Andrew Dillon's 'club obligations' memo; Craig Drummond's full statement). https://www.zerohanger.com/afl-delivers-fresh-concussion-saga-statement-181096/7. Nichol, Matt. “Not-for-profit organisations and the tax status of professional sport: Revisiting the exemption status of the Australian Football League and its clubs.” CQUniversity. https://acquire.cqu.edu.au/articles/journal_contribution/Not-for-profit_organisations_and_the_tax_status_of_professional_sport_Revisiting_the_exemption_status_of_the_Australian_Football_League_and_its_clubs/287554948. Nichol, Matt. “Australia's major sports codes are considered not-for-profits – is it time for them to pay up?” The Conversation / CQUniversity. https://theconversation.com/australias-major-sports-codes-are-considered-not-for-profits-is-it-time-for-them-to-pay-up-2509149. “Sporting organisations.” Australian Taxation Office (confirms sporting tax-exemption category distinct from registered charity status). https://www.ato.gov.au/businesses-and-organisations/not-for-profit-organisations/your-organisation/does-your-not-for-profit-need-to-pay-income-tax/types-of-income-tax-exempt-organisations/sporting-organisations10. Windholz, Eric. “Why sports stars get less support than other injured workers – and how we can fix it.” Monash Lens / The Conversation. https://lens.monash.edu/why-sports-stars-get-less-support-than-other-injured-workers-and-how-we-can-fix-it/ ; https://theconversation.com/why-sports-stars-get-less-support-than-other-injured-workers-and-how-we-can-fix-it-20070211. “Injured sports stars are not entitled to workers' compensation. How we can fix the problem.” SmartCompany (Eric Windholz). https://www.smartcompany.com.au/people-human-resources/injured-sports-stars-not-entitled-workers-compensation/12. Windholz, Eric. “Professional athletes and injury insurance: A better way forward.” Sport, Business and Management, 2025. https://journals.sagepub.com/doi/full/10.1177/1037969X25133713113. “The future of injury insurance and workers' compensation in Australian sport.” Monash University Faculty of Law. https://www.monash.edu/law/news/articles/2021/the-future-of-injury-insurance-and-workers-compensation-in-australian-sport14. “WHS and pro athletes: the next frontier in regulation.” Citation Group. https://citationgroup.com.au/resources/whs-and-the-professional-athlete-the-final-frontier-for-workplace-regulation/15. “Chapter 4: Coverage and eligibility for benefits” and “Table 4.4: Treatment of sportspersons and sporting injuries.” Safe Work Australia. https://www.safeworkaustralia.gov.au/book/comparison-wc-arrangements-29ed/chapter-4 ; https://www.safeworkaustralia.gov.au/book/comparison-workers-compensation-arrangements-australia-and-new-zealand-2021-28th-edition/chapter-4-coverage-and-eligibility-benefits/table-44-treatment-sportspersons-and-sporting-injuries16. Riewoldt, Nick. “What happens during AFL contract negotiations?” ESPN, 2016. https://www.espn.com.au/afl/story/_/id/16111020/nick-riewoldt-happens-afl-contract-negotiations17. Riewoldt, Nick. “My experiences with concussion.” ESPN, 2016. https://www.espn.com/afl/story/_/id/15180632/my-experiences-concussion18. “Don't knock concussion protocols: Riewoldt.” AFL Players' Association. https://www.aflplayers.com.au/news-feed/stories/dont-knock-concussion-protocols-riewoldt

Dostcast
Abhijit Iyer Mitra on CJP Degree Fraud, Tarun Tejpal, and Adani Acquittal | Dostcast

Dostcast

Play Episode Listen Later Aug 16, 2026 93:24


Get your Neo1 here: https://neosapien.ai/shop?utm_source=dostcast&utm_medium=youtube&utm_campaign=dostcast_podcast&utm_content=video_descriptionFull episode summary powered by Neosapien: https://dostcast.notion.site/Abhijit-Iyer-Mitra-Episode-Notes-3be36616963e80858d36eb973dc1a53c?source=copy_link====================================================================Subscribe to Dostcast Clips:https://www.youtube.com/@dostcastclips?sub_confirmation=1Listen to Dostcast on Spotify: https://open.spotify.com/show/70vrbHeSvrcXyOeISTyBSy?si=be05dbdd564245d9Join the Dostcast Janta Party on WhatsApp for regular updates: https://whatsapp.com/channel/0029VbAZwo5D8SDs5kf94N3TWant to suggest a guest?Fill this form: https://docs.google.com/forms/d/1ft_-1QDs7XpsSWnaPOeF21yUlhk9bzKvwHSyh4hHfBU/edit?usp=drivesdk====================================================================Abhijit Iyer-Mitra is a defence and geopolitics analyst who made his name saying the things most commentators hedge. He reads the primary documents, follows the money, and interrogates ideology instead of wearing it. Here he turns that lens on the Cockroach Janta Party and its founder, Abhijit Dipke — the Boston University degree, the funding that doesn't add up, and the AAP machinery sitting under the satire. He is blunt, forensic, and completely uninterested in the hero story being built around India's newest protest movement.In this episode, Vinamre and Abhijit discuss:- Why he calls the Cockroach Janta Party an AAP rebuild — Dipke's 2020–2023 meme work for the party, and how an online joke became a Jantar Mantar movement- The Boston University degree, line by line — the missing graduation, a $12,500 scholarship against a $48,000 semester, and why he says no communications student writes this badly- "Deep state" versus real intelligence operations — the total absence of Dipke's digital trail in the US, and what Abhijit thinks it actually points to- Narrative as a weapon — P. Chidambaram, the myth of "ground reality," and why he argues truth is now whatever gets amplified loudest- Why Che Guevara is still a campus hero — the torture, the Stalin and Mao double standard, and how the left rewrote fascism and captured the humanities- Marco Rubio in Kolkata and the "anti-national" funding question — Dinesh Thakur, the Gautam Adani acquittal, and Umar Khalid's bail- The Tarun Tejpal and Newslaundry saga — the reversed acquittal, his case against the newsroom, who he says was writing the cheques, and his advice to anyone entering journalismFollow Abhijit Iyer-Mitra on:Instagram: https://www.instagram.com/abhijitiyermitra/X: https://x.com/IyervvalTimestamps: 00:00:00 – Reality of CJP00:06:11 – Bharadwaj–Saurav Das link00:10:52 – CJP vs AAP00:14:46 – Boston University degree thread00:18:04 – Did Dipke graduate?00:29:22 – BU spy activity claims00:36:27 – Narrative vs truth00:41:01 – Chidambaram, ground reality00:46:36 – Che Guevara hero worship00:54:59 – Scandinavia communism myth00:59:45 – Marco Rubio, foreign funding01:05:18 – Adani, Umar Khalid01:12:09 – Tarun Tejpal, Newslaundry01:24:16 – Who funds Newslaundry?01:29:11 – Journalism career advice01:31:40 – Conclusion==================================================================Vinamre Kasanaa is a writer at heart, podcaster and entrepreneur by craft.He spends a significant part of his time reading and researching.With over 500 podcasts under his belt, he's interviewed everyone—from HNIs and industry leaders to everyday superheroes.Follow Vinamre:LinkedIn: https://www.linkedin.com/in/vinamre-kasanaa-b8524496/Instagram: https://www.instagram.com/vinamrekasanaa/Twitter: https://twitter.com/VinamreKasanaaDostcast: Instagram: https://www.instagram.com/dostcast/Twitter: https://twitter.com/dostcast==================================================================Contact Us:For business inquiries: dostcast@egiplay.com

Virtual Curbside
Episode 396: #92-2 Parenting Advice: Emotional Resilience in Children & Families

Virtual Curbside

Play Episode Listen Later Aug 11, 2026 30:50


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.

Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner
Treating Teen Obesity: A National Leader in Bariatric Surgery on GLP‑1s vs. Surgery

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

Play Episode Listen Later Aug 5, 2026 52:20 Transcription Available


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  

Virtual Curbside
Episode 395: #92-1 Parenting Advice: Social & Emotional Health for Children

Virtual Curbside

Play Episode Listen Later Aug 4, 2026 27:22


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.

The Cribsiders
S7 Ep187: #187: Weight For It… New Guidelines on Faltering Weight!

The Cribsiders

Play Episode Listen Later Jul 29, 2026 60:59


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.

Virtual Curbside
Episode 394: #91-4 POTS: Q & A

Virtual Curbside

Play Episode Listen Later Jul 28, 2026 20:18


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.

Healthy Mom Healthy Baby Tennessee
EO: 227 American Academy of Pediatrics (AAP) NICU Verification Program Part 2 with Nicole Faster and Drs. Colleen Moss and Tami Wallace

Healthy Mom Healthy Baby Tennessee

Play Episode Listen Later Jul 24, 2026 14:50


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.

The Jaipur Dialogues
Rahul Gandhi Drama Openly Makes it AAP v Congress | Govt Should Show Spine and Remove CJP Too

The Jaipur Dialogues

Play Episode Listen Later Jul 23, 2026 14:00


Rahul Gandhi Drama Openly Makes it AAP v Congress | Govt Should Show Spine and Remove CJP Too

Virtual Curbside
Episode 393: #91-3 POTS: Future

Virtual Curbside

Play Episode Listen Later Jul 21, 2026 20:29


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.

Healthy Mom Healthy Baby Tennessee
EO: 226 American Academy of Pediatrics (AAP) NICU Verification Program Part 1 with Nicole Faster and Drs. Colleen Moss and Tami Wallace

Healthy Mom Healthy Baby Tennessee

Play Episode Listen Later Jul 17, 2026 29:01


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.

Virtual Curbside
Episode 392: #91-2 POTS: Treatment Options

Virtual Curbside

Play Episode Listen Later Jul 14, 2026 30:01


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.

Virtual Curbside
Episode 391: #91-1 POTS: Diagnostic Criteria

Virtual Curbside

Play Episode Listen Later Jul 7, 2026 28:23


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.

The School of Weight Loss
How to Talk to Kids About Weight

The School of Weight Loss

Play Episode Listen Later Jul 6, 2026 23:53


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.  

Primary Care Update
Episode 210: screen time, stopping levothyroxine, new mRNA flu vaccine, and NAS supplements.

Primary Care Update

Play Episode Listen Later Jul 2, 2026 36:37


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

The PedsDocTalk Podcast
Bed-Sharing and Safe Sleep Guidelines: Pediatricians Gets Real About Risk & Shame with Dr. Michael Milobsky

The PedsDocTalk Podcast

Play Episode Listen Later Jul 1, 2026 59:27


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

The PedsDocTalk Podcast
Bed-Sharing and Safe Sleep Guidelines: Pediatricians Gets Real About Risk & Shame with Dr. Michael Milobsky

The PedsDocTalk Podcast

Play Episode Listen Later Jul 1, 2026 59:27


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

The ADHD Guys Podcast
ADHD Medication: What Parents Need to Know | Part 2

The ADHD Guys Podcast

Play Episode Listen Later Jun 24, 2026 14:33


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

A Incubadora
#081 - Episodio 81: Journal Club 56 - Atualização Reanimação Neonatal SBP

A Incubadora

Play Episode Listen Later Jun 24, 2026 58:31


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

InvestTalk
Is This 2022 All Over Again? The Market Risk Checklist for 2026

InvestTalk

Play Episode Listen Later Jun 23, 2026 44:57 Transcription Available


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

Charting Pediatrics
New Drowning Prevention Guidance

Charting Pediatrics

Play Episode Listen Later Jun 23, 2026 29:03


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.  

Virtual Curbside
Episode 389: #90-4 Pediatric Neurology: Q & A

Virtual Curbside

Play Episode Listen Later Jun 23, 2026 16:26


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.

A Incubadora
#081 - Episodio 81: Journal Club 56 Especial Reanimação Neonatal SBP

A Incubadora

Play Episode Listen Later Jun 21, 2026 57:47


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.

This Week in Virology
TWiV 1332: Clinical update with Dr. Daniel Griffin

This Week in Virology

Play Episode Listen Later Jun 20, 2026 54:29


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.

Begin The Journey
Jab Bhi Lagey Sab Aagey Nikal Gaye - Comparison Se Kaise Bachein?

Begin The Journey

Play Episode Listen Later Jun 18, 2026 16:09


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.

Virtual Curbside
Episode 388: #90-3 Pediatric Neurology: Gene Therapy

Virtual Curbside

Play Episode Listen Later Jun 16, 2026 23:59


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.

The Cribsiders
S7 Ep180: INTERN BOOTCAMP: Febrile Infants - When Babies Are Too Hot

The Cribsiders

Play Episode Listen Later Jun 10, 2026 76:26


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!

The ADHD Guys Podcast
ADHD Medication: What Parents Need to Know | Part 1

The ADHD Guys Podcast

Play Episode Listen Later Jun 10, 2026 18:10


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

Virtual Curbside
Episode 386: #90-2 Pediatric Neurology: Genome Testing

Virtual Curbside

Play Episode Listen Later Jun 9, 2026 26:48


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.

Virtual Curbside
Episode 385: #90-1 Pediatric Neurology: FND

Virtual Curbside

Play Episode Listen Later Jun 2, 2026 28:02


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.

phd md physicians american academy pediatrics credits aap faap pediatric neurology sudden infant death syndrome sids ama pra category utah chapter functional neurological disorder fnd dancing feet
Virtual Curbside
Episode 387: #89-4 Infant Formula: Q & A

Virtual Curbside

Play Episode Listen Later May 26, 2026 13:13


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.

The Pediatric Lounge
237 How DPC is Growing in Pediatrics

The Pediatric Lounge

Play Episode Listen Later May 26, 2026 72:22


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

Virtual Curbside
Episode 384: #89-3 Infant Formula: Understanding Recalls

Virtual Curbside

Play Episode Listen Later May 19, 2026 18:44


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.

Virtual Curbside
Episode 383: #89-2 Infant Formula: Regulatory Changes

Virtual Curbside

Play Episode Listen Later May 12, 2026 26:14


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.

The PedsDocTalk Podcast
Co-Sleeping, Sleep Training, and the Conversation We Need to Have About Infant Sleep

The PedsDocTalk Podcast

Play Episode Listen Later Apr 1, 2026 55:54


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 Sharyl Attkisson Podcast
324. Top Pediatrics Group Sued Over Vaccine 'Racketeering'

The Sharyl Attkisson Podcast

Play Episode Listen Later Mar 29, 2026 35:12


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.