Podcasts about AAP

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You're listening to Burnt Toast! Today, my guest is Ash Brandin of Screen Time Strategies, also know as The Gamer Educator on Instagram. Ash is also the author of a fantastic new book, Power On: Managing Screen Time to Benefit the Whole Family. Ash joined us last year to talk about how our attitudes towards screen time can be…diet-adjacent. I asked them to come back on the podcast this week because a lot of us are heading into back-to-school mode, which in my experience can mean feelingsss about screen routines. There are A LOT of really powerful reframings in this episode that might blow your mind—and make your parenting just a little bit easier. So give this one a listen and share it with anyone in your life who's also struggling with kids and screen time.Today's episode is free but if you value this conversation, please consider supporting our work with a paid subscription. Burnt Toast is 100% reader- and listener-supported. We literally can't do this without you! PS. You can take 10 percent off Power On, or any book we talk about on the podcast, if you order it from the Burnt Toast Bookshop, along with a copy of Fat Talk! (This also applies if you've previously bought Fat Talk from them. Just use the code FATTALK at checkout.)Episode 208 TranscriptVirginiaFor anyone who missed your last episode, can you just quickly tell us who you are and what you do?AshI'm Ash Brandin. I use they/them pronouns.I am a middle school teacher by day, and then with my online presence, I help families and caregivers better understand and manage all things technology—screen time, screens. My goal is to reframe the way that we look at them as caregivers, to find a balance between freaking out about them and allowing total access. To find a way that works for us. VirginiaWe are here today to talk about your brilliant new book, which is called Power On: Managing Screen Time to Benefit the Whole Family. I can't underscore enough how much everybody needs a copy of this book. I have already turned back to it multiple times since reading it a few months ago. It just really helps ground us in so many aspects of this conversation that we don't usually have.AshI'm so glad to hear that it's helpful! If people are new to who I am, I have sort of three central tenets of the work that I do: * Screen time is a social inequity issue. * Screens can be part of our lives without being the center of our lives. * Screens and screen time should benefit whole families.Especially in the last few years, we have seen a trend toward panic around technology and screens and smartphones and social media. I think that there are many reasons to be concerned around technology and its influence, especially with kids. But what's missing in a lot of those conversations is a sense of empowerment about what families can reasonably do. When we focus solely on the fear, it ends up just putting caregivers in a place of feeling bad.VirginiaYou feel like you're getting it wrong all the time.AshShame isn't empowering. No one is like, “Well, I feel terrible about myself, so now I feel equipped to go make a change,” right?Empowerment is what's missing in so many of those conversations and other books and things that have come out, because it's way harder. It's so much harder to talk about what you can really do and reasonably control in a sustainable way. But I'm an educator, and I really firmly believe that if anyone's in this sort of advice type space, be it online or elsewhere, that they need to be trying to empower and help families instead of just capitalizing on fear.VirginiaWhat I found most powerful is that you really give us permission to say: What need is screen time meeting right now? And this includes caregivers' needs. So not just “what need is this meeting for my child,” but what need is this meeting for me? I am here recording with you right now because iPads are meeting the need of children have a day off school on a day when I need to work. We won't be interrupted unless I have to approve a screen time request, which I might in 20 minutes.I got divorced a couple years ago, and my kids get a lot more screen time now. Because they move back and forth between two homes, and each only has one adult in it. Giving myself permission to recognize that I have needs really got me through a lot of adjusting to this new rhythm of our family.AshAbsolutely. And when we're thinking about what the need is, we also need to know that it's going to change. So often in parenting, it feels like we have to come up with one set of rules and they have to work for everything in perpetuity without adjustment. That just sets us up for a sense of failure if we're like, well, I had this magical plan that someone told me was going to work, and it didn't. So I must be the problem, right? It all comes back to that “well, it's my fault” place.VirginiaWhich is screens as diet culture.AshAll over again. We're back at it. It's just not helpful. If instead, we're thinking about what is my need right now? Sometimes it's “I have to work.” And sometimes it's “my kid is sick and they just need to relax.” Sometimes it's, as you were alluding to earlier, it's we've all just had a day, right? We've been run ragged, and we just need a break, and that need is going to dictate very different things. If my kid is laid up on the couch and throwing up, then what screen time is going to be doing for them is very different than If I'm trying to work and I want them to be reasonably engaged in content and trying to maybe learn something. And that's fine. Being able to center “this is what I need right now,” or “this is what we need right now,” puts us in a place of feeling like we're making it work for us. Instead of feeling like we're always coming up against some rule that we're not going to quite live up to.VirginiaI'd love to talk about the inequity piece a little more too. As I said, going from a two parent household to a one parent household, which is still a highly privileged environment—but even just that small shift made me realize, wait a second. I think all the screen time guidance is just for typical American nuclear families. Ideally, with a stay at home parent.So can you talk about why so much of the standard guidance doesn't apply to most of our families?AshIt's not even just a stay at home parent. It's assuming that there is always at least one caregiver who is fully able to be present. Mom, default parent, is making dinner, and Dad is relaxing after work and is monitoring what the kids are doing, right? And it's one of those times where I'm like, have you met a family?VirginiaPeople are seven different places at once. It's just not that simple.AshIt's not that simple, right? It's like, have you spent five minutes in a typical household in the last 10 years? This is not how it's going, right?So the beginning of the book helps people unlearn and relearn what we may have heard around screens, including what research really does or doesn't say around screens, and this social inequity piece. Because especially since the onset of COVID, screens are filling in systemic gaps for the vast majority of families.I'm a family with two caregivers in the home. We both work, but we're both very present caregivers. So we're definitely kind of a rarity, that we're very privileged. We're both around a lot of the time. And we are still using screens to fill some of those gaps.So whether it's we don't really have a backyard, or people are in a neighborhood where they can't send their kids outside, or they don't have a park or a playground. They don't have other kids in the neighborhood, or it's not a safe climate. Or you live in an apartment and you can't have your neighbors complain for the fifth time that your kids are stomping around and being loud. Whatever it is—a lack of daycare, affordable after school care —those are all gaps. They all have to be filled. And we used to have different ways of filling those gaps, and they've slowly become less accessible or less available. So something has to fill them. What ends up often filling them is screens. And I'm not saying that that's necessarily a good thing. I'd rather live in a world in which everyone is having their needs met accessibly and equitably. But that's a much harder conversation, and is one that we don't have very much say in. We participate in that, and we might vote for certain people, but that's about all we can really do reasonably. So, in the meantime, we have to fill that in with something and so screens are often going to fill that in.Especially if you look at caregivers who have less privilege, who are maybe single caregivers, caregivers of color, people living in poverty—all of those aspects of scarcity impacts their bandwidth. Their capacity as a caregiver is less and spread thinner, and all of that takes away from a caregiver's ability to be present. And there were some really interesting studies that were done around just the way that having less capacity affects you as a caregiver.And when I saw that data, I thought, well, of course. Of course people are turning to screens because they have nothing else to give from. And when we think of it that way, it's hard to see that as some sort of personal failure, right? When we see it instead as, oh, this is out of necessity. It reframes the question as “How do I make screens work for me,” as opposed to, “I'm bad for using screens.”VirginiaRight. How do I use screen time to meet these needs and to hopefully build up my capacity so that I can be more present with my kids? I think people think if you're using a lot of screens, you're really never present. It's that stereotype of the parent on the playground staring at their phone, instead of watching the kid play. When maybe the reason we're at the playground is so my kid can play and I can answer some work emails. That doesn't mean I'm not present at other points of the day.AshOf course. You're seeing one moment. I always find that so frustrating. It just really feels like you you cannot win. If I were sitting there staring at my child's every move in the park, someone would be like, “you're being a helicopter,” right? And if I look at my phone because I'm trying to make the grocery pickup order—because I would rather my child have time at the playground than we spend our only free hour in the grocery store and having to manage a kid in the grocery store and not having fun together, right? Instead I'm placing a pickup order and they're getting to run around on the playground. Now also somehow I'm failing because I'm looking at my phone instead of my kid. But also, we want kids to have independent time, and not need constant input. It really feels like you just can't win sometimes. And being able to take a step back and really focus on what need is this meeting? And if it's ours, and if it is helping me be more present and connected, that's a win. When I make dinner in the evening, my kid is often having screen time, and I will put in an AirPod and listen to a podcast, often Burnt Toast, and that's my decompression. Because I come home straight from work and other things. I'm not getting much time to really decompress.VirginiaYou need that airlock time, where you can decompress and then be ready to be present at dinner.I'm sure I've told you this before, but I reported a piece on screen time for Parents Magazine, probably almost 10 years ago at this point, because I think my older child was three or four. And I interviewed this Harvard researcher, this older white man, and I gave him this the dinner time example. I said, I'm cooking dinner. My kid is watching Peppa Pig so that I can cook dinner, and take a breath. And then we eat dinner together. And he said, “Why don't you involve her in cooking dinner? Why don't you give her a bag of flour to play with while you cook dinner?”AshOf all the things!VirginiaAnd I said to him: Because it's 5pm on a Wednesday and who's coming to clean the flour off the ceiling?AshA bag of flour. Of all the things to go to! VirginiaHe was like, “kids love to make a happy mess in the kitchen!” I was like, well I don't love that. And it was just exactly that. My need didn't matter to him at all. He was like, “h, well, if you just want to pacify your children…” I was like, I do, yes, in that moment.AshWell, and I think that's another part of it is that someone says it to us like that, and we're like, “well, I can't say yes,” right? But in the moment, yeah, there are times where it's like, I need you to be quiet. And as hard as this can be to think, sometimes it's like right now, I need you to be quiet and convenient because of the situation we're in. And that doesn't mean we're constantly expecting that of them, and hopefully that's not something we're doing all the time. But if the need is, oh my God, we're all melting down, and if we don't eat in the next 15 minutes, we're going to have a two hour DEFCON1 emergency on our hands, then, yeah, I'm gonna throw Peppa Pig on so that we can all become better regulated humans in the next 15 minutes and not have a hungry meltdown. And that sounds like a much better alternative to me!VirginiaThan flour all over my kitchen on a Wednesday, right? I mean, I'll never not be mad about it. It's truly the worst parenting advice I've ever received. So thank you for giving us all more space as caregivers to be able to articulate our own needs and articulate what we need to be present. It's what we can do in the face of gaps in the care system that leave us holding so much.That said: I think there are some nitty gritty aspects of this that we all struggle wit, so I want to talk about some of the nuts and bolts pieces. One of my biggest struggles is still the question of how much time is too much time? But you argue that time really isn't the measure we should be using. As you're saying, that need is going to vary day to day, and all the guidance that's been telling us, like, 30 minutes at this age, an hour at this age, all of that is not particularly germane to our lives. So can you explain both why time is less what we should fixate on? And then how do I release myself? How do I divest from the screen time diet culture?AshOh man, I wish I had a magic bullet for that one. We'll see what I can do.When I was writing this and thinking about it and making content about it, I kept thinking about you. Because the original time guidelines that everyone speaks back to—they're from the AAP. And they have not actually been used in about 10 years, but people still bring them up all the time. The “no time under two” and “up to an hour up to age five” and “one to two hours, five to 12.” And if you really dig in, I was following footnote after footnote for a while, trying to really find where did this actually come from? It's not based on some study that found that that's the ideal amount of time. It really came from a desire to find this middle ground of time spent being physically idle. These guidelines are about wanting to avoid childhood obesity.VirginiaOf course.AshIt all comes back, right?VirginiaI should have guessed it.AshAnd so in their original recommendations, the AAP note that partially this is to encourage a balance with physical movement. Which, of course, assumes that if you are not sitting watching TV or using an iPad, that you will be playing volleyball or something.VirginiaYou'll automatically be outside running around.AshExactly, of course, those are the only options.VirginiaIt also assumes that screen time is never physical. But a lot of kids are very physical when they're watching screens.AshExactly. And it, of course, immediately also imposes a morality of one of these things is better—moving your body is always better than a screen, which is not always going to be true, right? All these things have nuance in them. But I thought that was so interesting, and it shouldn't have surprised me, and yet somehow it still did. And of course it is good to find movement that is helpful for you and to give your kids an enjoyment of being outside or moving their bodies, or playing a sport. And putting all of that in opposition to something else they may enjoy, like a screen, really quickly goes to that diet culture piece of “well, how many minutes have you been doing that?” Because now we have to offset it with however many minutes you should be running laps or whatever.So those original recommendations are coming from a place of already trying to mitigate the negatives of sitting and doing something sort of passively leisurely. And in the last 10 years, they've moved away from that, and they now recommend what's called making a family media plan. Which actually I think is way better, because it is much more prioritizing what are you using this for? Can you be doing it together? What can you do? It's much more reasonable, I think. But many people still go back to those original recommendations, because like you said, it's a number. It's simple. Just tell me.VirginiaWe love to grab onto a number and grade ourselves.AshJust tell me how much time so that I can tell myself I'm I'm doing a good job, right? But you know, time is just one piece of information. It can be so specific with what am I using that time to do? If I'm sitting on my computer and doing work for an hour and a half, technically, that is screen time, but it is going to affect me a lot differently than if I'm watching Netflix or scrolling my phone for an hour and a half. I will feel very different after those things. And I think it's really important to be aware of that, and to make our kids aware of that from an early age, so that they are thinking about more than just, oh, it's been X amount of minutes. And therefore this is okay or not okay.Because all brains and all screens are different. And so one kid can watch 20 minutes of Paw Patrol, and they're going to be bouncing off the walls, because, for whatever reason, that's just a show that's really stimulating for them. And somebody else can sit and watch an hour and a half of something, and they'll be completely fine. So if you have a kid that is the first kid, and after 20 minutes, you're like, oh my god, it's not even half an hour. This is supposed to be an okay amount. This is how they're acting. We're right back to that “something's wrong. I'm wrong. They're bad,” as opposed to, “What is this telling me? What's something we could do differently? Could we try a different show? Could we try maybe having some physical movement before or after, see if that makes a difference?” It just puts us more in a place of being curious to figure out again, how do I make this work for me? What is my need? How do I make it work for us?And not to rattle on too long, but there was a big study done in the UK, involving over 120,000 kids. And they were trying to find what they called “the Goldilocks amount of time.”VirginiaYes. This is fascinating.AshSo it's the amount of time where benefit starts to wane. Where we are in that “just right”amount. Before that, might still be okay, but after that we're going to start seeing some negative impacts, particularly when it comes to behavior, for example.What they found in general was that the Goldilocks number tended to be around, I think, an hour and 40 minutes a day. Something around an hour and a half a day. But if you looked at certain types of screens, for computers or TV, it was much higher than that. It was closer to three hours a day before you started seeing some negative impacts. And even for things like smartphones, it was over an hour a day. But what I found so so interesting, is that they looked at both statistical significance, but also what they called “minimally important difference,” which was when you would actually notice these negative changes, subjectively, as a caregiver.So this meant how much would a kid have to be on a screen for their adult at home to actually notice “this is having an impact on you,” regularly. And that amount was over four and a half hours a day on screens.VirginiaBefore caregivers were like, “Okay, this is too much!” And the fact that the statistically significant findings for the minutia of what the researchers looking at is so different from what you as a caregiver are going to actually be thrown by. That was really mind blowing to me.AshRight, And that doesn't mean that statistical significance isn't important, necessarily. But we're talking about real minutiae. And that doesn't always mean that you will notice any difference in your actual life.Of course, some people are going to hear this and go, “But I don't want my kid on a screen for four and a half hours.” Sure. That's completely reasonable. And if your kid is having a hard time after an hour, still reasonable, still important. That's why we can think less about how many minutes has it been exactly, and more, what am I noticing? Because if I'm coming back to the need and you're like, okay, I have a meeting and I need an hour, right? If you know, “I cannot have them use their iPad for an hour, because they tend to become a dysregulated mess in 25 minutes,” that's much more useful information than “Well, it says they're allowed to have an hour of screen time per day so this should be fine because it's an hour.”VirginiaRight.AshIt sets you up for more success.VirginiaAnd if you know your kid can handle that hour fine and can, in fact, handle more fine, it doesn't mean, “well you had an hour of screen time while I was in a meeting so now we can't watch a show together later to relax together.” You don't have to take away and be that granular with the math of the screens. You can be like, yeah, we needed an extra hour for this meeting, and we'll still be able to watch our show later. Because that's what I notice with my kids. If I start to try to take away from some other screen time, then it's like, “Oh, god, wait, but that's the routine I'm used to!” You can't change it, and that's fair.AshYes, absolutely. And I would feel that way too, right? If someone were giving me something extra because it was a convenience to them, but then later was like, “oh, well, I have to take that from somewhere.” But they didn't tell me that. I would be like, Excuse me, that's weird. That's not how that works, right? This was a favor to you, right?VirginiaYeah, exactly. I didn't interrupt your meeting. You're welcome, Mom.Where the time anxiety does tend to kick in, though, is that so often it's hard for kids to transition off screens. So then parents think, “Well, it was too much time,” or, “The screen is bad.” This is another very powerful reframing in your work. So walk us through why just because a kid is having a hard time getting off screens doesn't mean it was too much and it doesn't mean that screens are evil? AshSo an example I use many times that you can tweak to be whatever thing would come up for your kid is bath time. I think especially when kids are in that sort of toddler, three, four age. When my kid was that age, we had a phase where transitioning to and from the bathtub was very hard. Getting into it was hard. But then getting out of it was hard.VirginiaThey don't ever want to get in. And then they never want to leave.AshThey never want to get out, right? And in those moments when my kid was really struggling to get out of the bathtub, imagine how it would sound if I was like, “Well, it it's the bathtub's fault.” Like it's the bath's fault that they are having such a hard time, it's because of the bubbles, and it smells too good, and I've made it too appealing and the water's too warm. Like, I mean, I sound unhinged, right?Virginia“We're going to stop bathing you.”AshExactly. We would not say, “Well, we can't have baths anymore.” Or when we go to the fun playground, and it's really hard to leave the fun playground, we don't blame the playground. When we're in the grocery store and they don't want to leave whichever aisle, we don't blame the grocery store. And we also don't stop taking them to the grocery store. We don't stop going to playgrounds. We don't stop having baths. Instead, we make different decisions, right? We try different things. We start a timer. We have a different transition. We talk about it beforehand. We strategize, we try things.VirginiaGive a “Hey, we're leaving in a few minutes!” so they're not caught off guard.AshExactly. We talk about it. Hey, last time it was really hard to leave here, we kind of let them know ahead of time, or we race them to the car. We find some way to make it more fun, to make the transition easier, right? We get creative, because we know that, hey, they're going to have to leave the grocery store. They're going to have to take baths in a reasonable amount of time as they grow up into their lives. We recognize the skill that's happening underneath it.And I think with screens, we don't always see those underlying skills, because we see it as this sort of superfluous thing, right? It's not needed. It's not necessary. Well, neither is going to a playground, technically.A lot of what we do is not technically required, but the skill underneath is still there. So when they are struggling with ending screen time, is it really the screen, or is it that it's hard to stop doing something fun. It's hard to stop in the middle of something. It's hard to stop if you have been playing for 20 minutes and you've lost every single race and you don't want to stop when you've just felt like you've lost over and over again, right? You want one more shot to one more shot, right?People are going to think, “Well, but screens are so much different than those other things.” Yes, a screen is designed differently than a playground or a bath. But we are going to have kids who are navigating a technological and digital world that we are struggle to even imagine, right? We're seeing glimpses of it, but it's going to be different than what we're experiencing now, and we want our kids to be able to navigate that with success. And that comes back to seeing the skills underneath. So when they're struggling with something like that, taking the screen out of it, and asking yourself, how would I handle this if it were anything else. How would I handle this if it were they're struggling to leave a friend's house? I probably wouldn't blame the friend, and I wouldn't blame their house, and I wouldn't blame their boys.VirginiaWe're never seeing that child again! Ash I would validate and I would tell them, it's hard. And I would still tell them “we're ending,” and we would talk about strategies to make it easier next time. And we would get curious and try something, and we would be showing our kids that, “hey, it's it's okay to have a hard time doing that thing. It's okay to have feelings about it. And we're still gonna do it. We're still going to end that thing.”Most of the time, the things that we are struggling with when it comes to screens actually boil down to one of three things, I call them the ABCs. It's either Access, which could be time, or when they're having it, or how much. Behavior, which you're kind of bringing up here. And Content, what's on the screen, what they're playing, what they what they have access to.And so sometimes we might think that the problem we're seeing in front of us is a behavior problem, right? I told them to put the screen away. They're not putting the screen away. That's a behavior problem. But sometimes it actually could be because it's an access issue, right? It's more time than they can really handle at that given moment. Or it could be content, because it's content that makes it harder to start and stop. So a big part of the book is really figuring out, how do I know what problem I'm even really dealing with here? And then what are some potential things that I can do about it? To try to problem solve, try to make changes and see if this helps, and if it helps, great, keep it. And if not, I can get curious and try something else. And so a lot of it is strategies to try and ways to kind of, you know, backwards engineer what might be going on, to figure out how to make it work for you, how to make it better.VirginiaIt's so helpful to feel like, okay, there's always one more thing I can tweak and adjust. Versus “it's all a failure. We have to throw it out.” That kind of all or nothing thinking that really is never productive. The reason I think it's so helpful that you draw that parallel with the bath or the play date is it reminds us that there are some kids for whom transitions are just always very difficult—like across the board. So you're not just seeing a screen time problem. You're being reminded “My kid is really building skills around transitions. We don't have them yet.” We hope we will have them at some point. But this is actually an opportunity to work on that, as opposed to a problem. We can actually practice some of these transition skills.AshAnd I really like coming back to the skill, because if we're thinking of it as a skill, then we're probably more likely to tell our kids that it's a skill, too. Because if we're just thinking of it as like, well, it's a screen. It's the screen's fault, it's the screen's fault. Then we might not say those literal words to our kids, but we might say, like, it's always so hard to turn off the TV. Why is that, right? We're talking about it as if it's this sort of amorphous, like it's only about the television, or it's only about the iPad, and we're missing the part of making it clear to our kids that, hey, this is a skill that you're working on, and we work on this skill in different ways.VirginiaI did some good repair with my kids after reading your book. Because I was definitely falling into the trap of talking about screen addiction. I thought I was saying to them, “It's not your fault. The screens are programmed to be bad for us in this way” So I thought, I was like at least not blaming them, but being like, we need less screens because they're so dangerous.But then I read your book, and I was like, oh, that's not helpful either. And I did have one of my kids saying, “Am I bad because I want to watch screens all the time?” And I was like, oh, that's too concrete and scary.And again, to draw the parallel with diet culture: It's just like telling kids sugar is bad, and then they think they're bad because they like sugar. So I did do some repair. I was like, “I read this book and now I've learned that that was not right.” They were like, oh, okay. We're healing in my house from that, so thank you.AshOh, you're very welcome, and I'm glad to hear that!I think about those parallels with food all the time, because sometimes it just helps me think, like, wait, would I be wanting to send this message about food or exercise or whatever? And if the answer is no, then how can I tweak it so that I'm sending a message I'd be okay with applying to other things. And I like being able to make those parallels with my kid. In my household right now, we're practicing flexibility. Flexibility is a skill that we're working on in so many parts of our lives. And when I say we, I do mean we. Me, everybody is working on this.VirginiaParents can use more flexibility, for sure.AshAbsolutely. And so like, when those moments are coming up, you know, I'm trying to say, like, hey, like, what skill is this right now? Who's having to be flexible right now? Flexible can be a good thing, right? We might be flexible by saying yes to eating dinner on the couch and watching a TV show. That's flexibility. Flexibility isn't just adjust your plans to be more convenient to me, child, so that I can go do something as an adult. And coming back to those skills so they can see, oh, okay, this isn't actually just about screens. This applies to every part of these of my life, or these different parts of my life, and if I'm working on it here, oh, wow, it feels easier over there. And so they can see that this applies throughout their life, and kind of feel more of that buy in of like, oh, I'm getting better at that. Or that was easier. That was harder. We want them to see that across the board.VirginiaOh, my God, absolutely.Let's talk about screens and neurodivergence a little bit. So one of my kiddos is neurodivergent, and I can both see how screens are wonderful for them at the end of a school day, when they come home and they're really depleted. Screen time is the thing they need to rest and regulate. And they love the world building games, which gives them this whole world to control and explore. And there's so much there that's wonderful.And, they definitely struggle more than their sibling with this transition piece, with getting off it. One kid will naturally put down the iPad at some point and go outside for a bit, and this kid will not. And it creates more anxiety for parents. Because neurodivergent kids may both need screens—in ways that maybe we're not totally comfortable with, but need to get comfortable with—and then struggle with the transition piece. So how do you think about this question differently with neurodivergence? Or or is it really the same thing you're just having to drill in differently?AshI think it is ultimately the same thing, but it certainly is going to feel quite more heightened. And I think especially for certain aspects of neurodivergence, especially, I think it feels really heightened because of some of the ways that they might be discussed, particularly online, when it comes to how they relate to technology. I think about ADHD, we'll see that a lot. Where I'll see many things online about, like, “kids with ADHD should never be on a screen. They should never be on a device, because they are so dopamine-seeking.” And I have to just say that I find that to be such an ableist framing. Because with ADHD, we're talking about a dopamine deficient brain. And I don't think that we would be having that same conversation about someone needing insulin, right? Like, we wouldn't be saying, like, oh yeah, nope, they can't take that insulin. VirginiaThey're just craving that insulin they need to stay alive.AshA kid seeking a thing that they're that they are somehow deficient in—that's not some sort of defiant behavior. VirginiaNo, it's a pretty adaptive strategy.AshAbsolutely, it is. And we want kids to know that nobody's brain is good or bad, right? There's not a good brain or a bad brain. There are all brains are going to have things that are easier or harder. And it's about learning the brain that you're in, and what works or doesn't work for the brain that you're in.And all brains are different, right? Neurotypical brains and neurodivergent brains within those categories are obviously going to be vastly different. What works for one won't work for another, and being able to figure out what works for them, instead of just, “because you have this kind of brain, you shouldn't ever do this thing,” that's going to set them up for more success. And I think it's great that you mentioned both how a screen can be so regulating, particularly for neurodivergent brains, and then the double-edged sword of that is that then you have to stop. VirginiaTransition off back into the world.AshSo if the pain point is a transition, what is it really coming from? Is it coming from the executive function piece of “I don't know how to find a place to stop?” A lot of people, particularly kids ADHD, they often like games that are more open-ended. So they might like something like a Minecraft or an Animal Crossing or the Sims where you can hyperfocus and deep dive into something. But what's difficult about that is that, you know, if I play Mario Kart, the level ends, it's a very obvious ending.VirginiaRight? And you can say, “One more level, and we're done.”AshExactly. We've reached the end of the championship. I'm on the podium. I quit now, right?But there's a never ending series of of tasks with a more open-ended game. And especially if I'm in my hyper focus zone, right? I can just be thinking, like, well, then I can do this and this and this and this and this, right?And I'm adding on to my list, and the last thing I want to do in that moment is get pulled out of it when I'm really feeling like I'm in the zone. So if that's the kind of transition that's difficult. And it's much less about games and more about “how do I stop in the middle of a project?” Because that's essentially what that is.And that would apply if I'm at school and I'm in the middle of an essay and we're finishing it up tomorrow. Or I'm trying to decorate a cake, and we're trying to walk out the door and I have to stop what I'm doing and come back later. So one of the tricks that I have found really helpful is to ask the question of, “How will you know when you're done?” Or how will you know you're at a stopping point? What would a stopping point be today? And getting them to sort of even visualize it, or say it out loud, so that they can think about, “Oh, here's how I basically break down a giant task into smaller pieces,” because that's essentially what that is.VirginiaThat's a great tip. Ash“Okay, you have five minutes. What is the last thing you're going to do today?” Because then it's concrete in terms of, like, I'm not asking the last thing, and it will take you half an hour, right? I'm at, we have five minutes. What's the last thing you're wrapping up? What are you going to do?Then, if it's someone who's very focused in this world, and they're very into that world, then that last thing can also be our transition out of it. As they're turning it off, the very first thing we're saying to them is, “So what was that last thing you were doing?”VirginiaOh, that's nice.AshThen they're telling it to us, and then we can get curious. We can ask questions. We can get a little into their world to help them transition out of that world. That doesn't mean that we have to understand what they're telling us, frankly. It doesn't mean we have to know all the nuance. But we can show that interest. I think this is also really, really important, because then we are showing them it's not us versus the screen. We're not opposing the screen, like it's the enemy or something. And we're showing them, “Hey, I can tell you're interested in this, so I'm interested in it because you are.” Like, I care about you, so I want to know more.VirginiaAnd then they can invite you into their world, which what a lot of neurodivergent kids need. We're asking them to be part of the larger world all the time. And how nice we can meet them where they are a little more.AshAbsolutely. The other thing I would say is that something I think people don't always realize, especially if they don't play games as much, or if they are not neurodivergent and playing games, is they might miss that video games actually are extremely well-accommodated worlds, in terms of accommodating neurodivergence.So thinking about something like ADHD, to go back to that example, it's like, okay, some really common classroom accommodations for ADHD, from the educator perspective, the accommodations I see a lot are frequent check ins, having a checklist, breaking down a large task into smaller chunks, objectives, having a visual organizer.Well, I think about a video game, and it's like, okay, if I want to know what I have available to me, I can press the pause menu and see my inventory at any time. If I want to know what I should be doing, because I have forgotten, I can look at a menu and see, like, what's my objective right now? Or I can bring up the map and it will show me where I supposed to be going. If I start to deviate from what I'm supposed to be doing, the game will often be like, “Hey, don't forget, you're supposed to be going over there!” It'll get me back on task. If I'm trying to make a potion that has eight ingredients, the game will list them all out for me, and it will check them off as I go, so I can visually see how I'm how I'm achieving this task. It does a lot of that accommodation for me. And those accommodations are not as common in the real world, or at least not as easily achieved.And so a lot of neurodivergent kids will succeed easily in these game worlds. And we might think “oh because it's addicting, or the algorithm, or it's just because they love it” But there are often these structural design differences that actually make it more accessible to them.And if we notice, oh, wow, they have no problem knowing what to do when they're playing Zelda, because they just keep checking their objective list all the time or whatever—that's great information.VirginiaAnd helps us think, how can we do that in real life? AshExactly. We can go to them and say, hey, I noticed you, you seem to check your inventory a lot when you're playing that game. How do we make it so that when you look in your closet, you can just as easily see what shirts you own. Whatever the thing may be, so that we're showing them, “hey, bring that into the rest of your world that works for you here.” Let's make it work for you elsewhere, instead of thinking of it as a reason they're obsessed with screens, and now we resent the screens for that. Bring that in so that it can benefit the rest of their lives.VirginiaI'm now like, okay, that just reframes something else very important for me. You have such a helpful way of helping us divest from the guilt and the shame and actually look at this in a positive and empowering way for us and our kids. And I'm just so grateful for it. It really is a game changer for me.AshOh, thank you so much. I'm so glad to hear that it was helpful and empowering for you, and I just hope that it can be that for others as well.ButterAshSo my family and I have been lucky enough to spend quite a lot of time in Japan. And one of the wonderful things about Japan is they have a very huge bike culture. I think people think of the Netherlands as Bike cCentral, but Japan kind of rivals them.And they have a particular kind of bike that you cannot get in the United States. It's called a Mamachari, which is like a portmanteau of mom and chariot. And it's sort of like a cargo bike, but they are constructed a little differently and have some features that I love. And so when I've been in Japan, we are on those bikes. I'm always like, I love this kind of bike. I want this kind of bike for me forever. And my recent Butter has been trying to find something like that that I can have in my day to day life. And I found something recently, and got a lovely step through bike on Facebook Marketplace. VirginiaSo cool! That's exciting to find on marketplace, too.AshOh yes, having a bike that like I actually enjoy riding, I had my old bike from being a teenager, and it just was not functional. I was like, “This is not fun.” And now having one that I enjoy, I'm like, oh yes. I feel like a kid again. It's lovely.VirginiaThat's a great Butter. My Butter is something both my kids and my pets and I are all really enjoying. I'm gonna drop a link in the chat for you. It is called a floof, and it is basically a human-sized dog bed that I found on Etsy. It's like, lined with fake fur.AshMy God. I'm looking at it right now.VirginiaIsn't it hilarious?AshWow. I'm so glad you sent a picture, because that is not what I was picturing?Virginia I can't describe it accurately. It's like a cross between a human-sized dog bed and a shopping bag? Sort of? AshYes, yes, wow. It's like a hot tub.VirginiaIt's like a hot tub, but no water. You just sit in it. I think they call it a cuddle cave. I don't understand how to explain it, but it's the floof. And it's in our family room. And it's not inexpensive, but it does basically replace a chair. So if you think of it as a furniture purchase, it's not so bad. There's always at least a cat or a dog sleeping in it. Frequently a child is in it. My boyfriend likes to be in it. Everyone gravitates towards it. And you can put pillows in it or a blanket.Neurodivergent people, in particular, really love it, because I think it provides a lot of sensory feedback? And it's very enclosed and cozy. It's great for the day we're having today, which is a very laid back, low demand, watch as much screen as you want, kind of day. So I've got one kid bundled into the floof right now with a bunch of blankets in her iPad, and she's so happy. AshOh my gosh. Also, it kind of looks like the person is sitting in a giant pita, which I also love.VirginiaThat's what it is! It's like a giant pita, but soft and cozy. It's like being in a pita pocket. And I'm sure there are less expensive versions, this was like, 300 something dollars, so it is an investment. But they're handmade by some delightful person in the Netherlands.Whenever we have play dates, there are always two or three kids, snuggled up in it together. There's something extremely addictive about it. I don't know. I don't really know how to explain why it's great, but it's great.AshOh, that is lovely.VirginiaAll right, well tell obviously, everyone needs to go to their bookstore and get Power On: Managing Screen Time to Benefit the Whole Family. Where else can we find you, Ash? How can we support your work?AshYou can find me on Instagram at the gamer educator, and I also cross post my Instagram posts to Substack, and I'm on Substack as Screen Time Strategies. It's all the same content, just that way you're getting it in your inbox without, without having to go to Instagram. So if that's something that you are trying to maybe move away from, get it via Substack. And my book Power On: Managing Screen Time to Benefit the Whole Family is available starting August 26 is when it fully releases.VirginiaAmazing. Thank you so much. This was really great.AshThank you so much for having me back.The Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith (follow me on Instagram) and Corinne Fay, who runs @SellTradePlus, and Big Undies.The Burnt Toast logo is by Deanna Lowe.Our theme music is by Farideh.Tommy Harron is our audio engineer.Thanks for listening and for supporting anti-diet, body liberation journalism! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe

Join Elevated GP: www.theelevatedgp.com Net32.com  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram   Dr. Mandelaris attended the University of Michigan from undergraduate through dental school.  He completed a post-graduate residency program at the University of Louisville, School of Dentistry, where he obtained a certificate in the speciality of Periodontology as well as a Master of Science (M.S.) degree in Oral Biology.  Dr. Mandelaris is a Diplomate of the American Board of Periodontology and Dental Implant Surgery and has served as an examiner for Part II (oral examination) of the American Board of Periodontology's certification process. He is a Clinical Assistant Professor in the Department of Graduate Periodontics at the University of Illinois, College of Dentistry (Chicago, IL) and an Adjunct Clinical Assistant Professor at the University of Michigan, Department of Periodontics and Oral Medicine (Ann Arbor, MI).  Dr. Mandelaris is a Fellow in both the American and International College of Dentists. Dr. Mandelaris serves as an ad-hoc reviewer for the Journal of Periodontology and the International Journal of Oral and Maxillofacial Implants. In 2021, he was appointed as an Editorial Consultant to the International Journal of Periodontics and Restorative Dentistry. He has published over 40 scientific papers in peer-reviewed journals and has authored eight chapters in seven different textbooks used worldwide on subjects related to computer guided implantology, CT/CBCT diagnostics and surgically facilitated orthodontic therapy (SFOT). Dr Mandelaris is one of the recipients of the 2017 and the 2021 American Academy of Periodontology's (AAP) Clinical Research Award, an award given to the most outstanding scientific article with direct clinical relevance in Periodontics. A nationally recognized expert, he was appointed by AAP to co-chair the Best Evidence Consensus Workshop on the use of CBCT Imaging in Periodontics as well as co-author the academy's guidelines. In 2018, he was recognized with American Academy of Periodontology's Special Citation Award.  Dr. Mandelaris is the 2018 recipient of The Saul Schluger Memorial Award for Clinical Excellence in Diagnosis and Treatment Planning. Dr. Mandelaris currently serves on the American Academy of Periodontology Board of Trustees and has served as a Past President of the Illinois Society of Periodontists. He has served on several committees for the American Academy of Periodontology and is one of the AAPs recommended speakers on topics related to periodontics-orthodontics and imaging/implant surgery. He is a key-opinion leader for several industry leaders and holds memberships in many professional organizations, including the American Academy of Periodontology, Academy of Osseointegration, American Academy of Restorative Dentistry and the American Society of Bone and Mineral Research. Dr. Mandelaris is in private practice at Periodontal Medicine & Surgical Specialists, LLC. He limits his practice to Periodontology, Dental Implant Surgery, Bone Reconstruction and Tissue Engineering Surgery. He can be reached at 630.627.3930 or gmandelaris@periodontalmedicine.org.

Dr Elise Berlan and Jo Taylor visit the studio as we explore contraception care and counseling… for teenagers. Discover evidence-based updates from the AAP and CDC, effective counseling strategies, and tackling misinformation online. We hope you can join us!

This week, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to answer listener questions, including how the language pediatric providers use can shape families' understanding and follow-through with additional testing, as well as how advances in technology are transforming implants and hearing aids. 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.

Dr. Mike Pistiner is not just an allergist and immunologist, he's also an allergy dad and fierce patient advocate. In this episode, Dr. Mike breaks down what allergies are, typical signs and symptoms and how they're treated. Have you been curious about when is the right time to use epinephrine? Then this episode is for YOU! Tune in today!Michael Pistiner, MD, MMSc is Director of Food Allergy Advocacy, Education and Prevention for the MassGeneral Hospital for Children, Food Allergy Center. He has a special interest in food allergy and anaphylaxis education and advocacy, infant food allergy management,  healthcare provider education, facilitating collaborations between the medical home and school health, and maintaining quality of life in children (and their families) with food allergies.  Dr. Mike is author of "Everyday Cool With Food Allergies", co-author of the "Living Confidently With Food Allergy" handbook, and co-founder and content creator of AllergyHome.org.Dr. Pistiner is a fellow in the American Academy of Pediatrics (AAP), where he is a member of the Section on Allergy and Immunology Executive Committee, Council on School Health and the Massachusetts Chapter of the AAP. He is also a member of the American Academy of Allergy Asthma & Immunology and the American College of Allergy, Asthma and Immunology.Additionally, he serves on the medical advisory board of Asthma & Allergy Foundation of America, New England Chapter and is a voluntary consultant for the Massachusetts Department of Public Health School Health Service Unit.To learn more about the Food Allergy Management Bootcamp at MassGeneral visit: https://www.massgeneral.org/children/food-allergies/food-allergy-management-boot-campTo learn more about the FAMP-It resource visit: https://famp-it.org/

The American Academy of Pediatrics released new vaccine recommendations that directly oppose guidance from the HHS – insisting on COVID-19 vaccinations in babies as young as 6 months. Pathologist Dr. Ryan Cole & Dr. Kelly Victory reveal how the AAP has been captured by Big Pharma interests. The organization's top donors, listed on their own website, are Merck, Moderna, Pfizer, and Sanofi: the 4 pharma companies that “make virtually every vaccine on the CDC recommended childhood vaccine schedule.” HHS Secretary Robert F. Kennedy Jr. issued a stern warning in response: “AAP should also be candid with doctors and hospitals that recommendations that diverge from the CDC's official list are not shielded from liability under the 1986 Vaccine Injury Act.” Dr. Ryan Cole is a board-certified pathologist trained at Mayo Clinic with subspecialty in dermatopathology from Columbia University. He holds a PhD in virology and immunology and directed a medical laboratory in Idaho for 20 years. He testifies globally on Covid policy and medical freedom. Follow at https://x.com/drcole12 Dr. Kelly Victory is Chief of Emergency & Disaster Medicine at The Wellness Company. A trauma and emergency specialist with over 30 years of experience, she served as Chief Medical Officer for Fortune 500 companies and is an alumna of Harvard's National Preparedness Leadership Initiative. More at https://x.com/DrKellyVictory 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/sponsors⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/fatty15⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/paleovalley⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • VSHREDMD – Formulated by Dr. Drew: The Science of Cellular Health + World-Class Training Programs, Premium Content, and 1-1 Training with Certified V Shred Coaches! More at https://drdrew.com/vshredmd • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twc.health/drew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠) and Susan Pinsky (⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/firstladyoflov⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠e⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jordan Sather and Nate Prince return with another hard-hitting episode of MAHA News, diving into the week's biggest health and freedom stories. They kick things off with the Pete and Bobby Challenge, where Pete Hegseth and RFK Jr. put their strength to the test in a push-up and pull-up competition that has everyone talking. From there, the hosts shift into the serious implications of glyphosate spraying in Canada and the broader dangers of genetically engineered crops, highlighting how hidden RNA tinkering in food could impact human genetics and health. The discussion then takes aim at the American Academy of Pediatrics, which is under fire for its push to remove vaccine exemptions and its continued cozy ties with big pharma giants like Pfizer, Merck, and Moderna. RFK Jr.'s sharp rebuke of the AAP sparks debate about liability, childhood vaccine schedules, and health freedom. With side conversations on raw milk legalization, natural detox strategies, and the cultural psyop of green lawns, this episode weaves humor, practicality, and blunt truth into an engaging exploration of health sovereignty.

Discover the power of retargeting ads to boost your virtual summit's all-access pass sales and maximize revenue from your event.While one of the main benefits of a virtual summit is growing your email list with free registrations, there is also an opportunity to make additional revenue by converting those free attendees into all-access pass purchasers. Using retargeting ads can be a powerful tool to convert more summit attendees into AAP holders before your summit even starts.__________________Find me on Instagram → https://www.instagram.com/heyitsjenzaia/Email Me → support@jenzaiadimartile.com

Pediatrician and certified life and weight coach Karla Lester discusses her article, "An effective treatment using an effective care delivery model: Using telehealth to treat adolescents with obesity with GLP-1 medications." She shares her frustration with traditional in-person obesity programs that see high attrition and offer few effective treatments beyond surgery. Karla explains how she founded her own practice, Metabolic Telehealth, to implement the latest AAP guidelines by combining a new care delivery model with new medical treatments. The conversation explores her initial data, which shows how telehealth can reduce barriers like weight stigma and travel time, leading to better patient retention. It also highlights the effectiveness of GLP-1 medications, with 95 percent of her long-term patients seeing a BMI reduction. However, she also reveals a critical obstacle: over half of all insurance prior authorizations for these vital medications are denied, forcing many families to pay out of pocket. The core message is that while this telehealth model is effective, systemic change is needed to ensure all adolescents have access to this life-changing care. Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers. VISIT SPONSOR → https://kevinmd.com/careers Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern. VISIT SPONSOR → https://kevinmd.com/pattern SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

TODAY ON THE ROBERT SCOTT BELL SHOW: Jonathan Emord, HHS Unvetted Sponsors, RFK vs AAP, CT Docs Push Back, MAHA Targets Pharma Ads, MAHA Report Favors Research, Pesticide Alliance Tested, Chronic Disease Reform, Walk for Autism Health, Trust the CDC?, Illinois Mental Health Screening, Question of the Day, Lilium Tigrinum and MORE! https://robertscottbell.com/rfk-vs-aap-clash-ct-docs-push-back-maha-targets-pharma-ads-pesticide-alliance-tested-chronic-disease-reform-tracy-slepcevic-question-of-the-day-lilium-tigrinum-and-more/https://boxcast.tv/view/jonathan-emord-rfk-vs-aap-ct-docs-push-back-maha-targets-pharma-ads-tracy-slepcevic-warrior-mom---the-rsb-show-8-21-25-r3ff9ctrhh9aimfv7qe2 Please read this disclaimer carefully before you (“you”, “your”) use our [Your Website URL] website (“website”, “service”) operated by the [Your Business Name] (“operator”, “us”, “we”, “our”). Purpose and Character The use of copyrighted material on the website is for non-commercial, educational purposes, and is intended to provide benefit to the public through information, critique, teaching, scholarship, or research. Nature of Copyrighted Material Weensure that the copyrighted material used is for supplementary and illustrative purposes and that it contributes significantly to the user's understanding of the content in a non-detrimental way to the commercial value of the original content. Amount and Substantiality Our website uses only the necessary amount of copyrighted material to achieve the intended purpose and does not substitute for the original market of the copyrighted works. Effect on Market Value The use of copyrighted material on our website does not in any way diminish or affect the market value of the original work. We believe that our use constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the U.S. Copyright Law. If you believe that any content on the website violates your copyright, please contact us providing the necessary information, and we will take appropriate action to address your concern.

The American Academy of Pediatrics release their own immunization schedule; The American Heart Association update 2017 guidelines for the prevention of high blood pressure; weight loss drug gains indication to treat noncirrhotic MASH; FDA approve a new fibromyalgia treatment; investigational SCD Tx to meet trial endpoint.

After the Supreme Court struck down federal abortion rights in 2022, voters in Ohio and Missouri approved state abortion protections. Now, conservatives in the states are working to roll those rights back. Reporters Karen Kasler and Jason Rosenbaum break down those efforts.And, U.S. Health Secretary Robert F. Kennedy Jr. has promised "a massive testing and research effort" to determine what he calls environmental causes of autism. But now, the government is ending funding for some of those studies. ProPublica's Sharon Lerner shares more.Then, the American Academy of Pediatrics released a set of vaccine recommendations that strays from the guidelines set by the Centers for Disease Control and Prevention. AAP president Dr. Susan Kressly explains why. Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Dr. Nicole Saphier, Board Certified Medical Doctor, Senior Fox News Medical Contributor and bestselling author of Panic Attack: Playing Politics with Science in the Fight Against COVID-19, joined The Guy Benson Show today to react to the AAP's anti-science COVID-19 vaccine recommendations that run contrary to the CDC's guidance, a pattern she noted has followed their broader anti-Trump pursuits. She explained why this is further evidence that the anti-Trump medical establishment will oppose him by any means necessary, even if it means abandoning science, just like they did when COVID was at it's peak. Listen to the full interview below! Learn more about your ad choices. Visit podcastchoices.com/adchoices

Title: Pediatric Perspectives: Back to School: Vaccinating for Wealth with Larry Palevsky, M.D. Subtitle: Unmasking Medical Overreach and Restoring Parental Authority in School Health Decisions Introduction: In this pivotal episode of With the Wind, Dr. Paul Thomas sits down with Dr. Larry Palevsky to examine the alarming push for back-to-school vaccination mandates. As families gear up for a new academic year, the conversation exposes the financial motives and policy shifts that prioritize pharmaceutical profits over children's health and parental rights. Dr. Palevsky empowers parents to think critically and offers practical strategies to support their children's well-being naturally. Key Points with Time Codes: • [00:01:00] Dr. Paul introduces Dr. Larry Palevsky and sets the tone for a candid discussion on vaccine mandates and parental rights. • [00:03:00] Dr. Palevsky dissects the American Academy of Pediatrics' (AAP) controversial policy updates, exposing conflicts of interest. • [00:06:00] Insight into the deep financial entanglement between public health authorities and pharmaceutical companies. • [00:10:00] Dr. Paul addresses how schools use coercive tactics to enforce vaccination compliance, highlighting state-level exemption rights. • [00:17:00] Dr. Palevsky breaks down the dangers of aluminum nanoparticles in vaccines and their neurotoxic effects. • [00:23:00] The suppression of data linking vaccine ingredients to chronic illness and neurodevelopmental disorders is explored. • [00:24:00] Practical back-to-school health advice focusing on natural immunity through sunlight, nutrition, and lifestyle. • [00:28:00] Dr. Palevsky's call to action for parents to reclaim authority over their children's health choices. • [00:31:00] Dr. Palevsky shares his platforms and resources for continued education and empowerment. Summary: Dr. Paul and Dr. Larry Palevsky engage in a thought-provoking discussion on the hidden agendas driving school vaccination mandates. They expose how organizations like the AAP are increasingly influenced by pharmaceutical interests, eroding parental rights under the guise of public health. Dr. Palevsky dives into the science behind vaccine ingredients, particularly the impact of aluminum nanoparticles on children's health, while providing parents with actionable steps to enhance their kids' natural immunity. The episode serves as a critical reminder that parents are the ultimate decision-makers in safeguarding their children's health

In this episode, Terri McFadden, MD, MPH, FAAP, and Marsha Spitzer, MD, 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.

Dr. Erin Michaud, SLP and BCBA-D with over 20 years of experience in communication development and ABA, joins the podcast to share the groundbreaking work of The Early Markers of Autism Project—a program changing the landscape of early autism identification and intervention.This hands-on, in-person research and treatment study works with infants from both high-risk populations (siblings of children with autism, with a 20% recurrence rate) and low-risk populations. By tracking social interaction, shifting attention, joint attention, and social behaviors from infancy through age five, the project identifies and responds to early markers far earlier than the current AAP screening recommendation of 18 months.The impact? Earlier diagnoses, earlier interventions, and fewer families waiting for services. Dr. Michaud shares how this project is creating validated assessment tools, expanding parent training, and building strong research to push for insurance coverage—bringing meaningful change for high-risk infants and their families.#autism #speechtherapyWhat's Inside:What are the early markers of autism?What is the Autism Sibling Project?Supporting parents and our littlest learners.Mentioned In This Episode:Talking First Words — Coming Soon ​​Early Markers of Autism Project | The New England Center for Children7 Investigates: Autism Intervention - Boston News, Weather, Sports | WHDH 7NewsNECC Infant Sibling Research Project 2023 Speech Membership - ABA Speech  ABA Speech: HomeThe BriefAll your family's pressing concerns and questions, answered in one place. Mike...Listen on: Apple Podcasts Spotify

In this episode, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to explore why failed newborn hearing screens should never be overlooked. The discussion covers how to interpret screening results, the most common risk factors for hearing loss in infants, and when to act quickly for follow-up testing and intervention. Learn practical tips for counseling families, coordinating timely referrals, and ensuring no child slips through the cracks during this critical developmental window. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This week on Hafta, Newslaundry's Abhinandan Sekhri, Manisha Pande, and Jayashree Arunachalam are joined by Priya Sahgal, editorial director at NewsX, Jasmine Damkewala, advocate on record in the Supreme Court, and senior journalist Hridayesh Joshi.The episode opens with a discussion on the opposition's protest against the special intensive revision (SIR) exercise in Bihar. Priya states that when the opposition sets aside its differences, it can make an impact. “The fact that everybody came together, even the AAP, even though they're not part of the India Block itself, also showed there is unity. When the opposition comes in full strength, they can make an impact and a difference,” she says. Referring to Rahul Gandhi's press conference on alleged voter fraud, Manisha notes how it is unusual for a political party to assume the role traditionally played by the media. “However journalistically sound it may be or not be, it's still striking that political parties today also have to do the media's job of starting a narrative through such investigations, because very few organisations have actually invested time in looking into this issue and the related complaints.”The conversation then shifts to the Supreme Court's order to remove stray dogs from Delhi's streets. Jasmine Damkewala notes that the dog population surged during the pandemic, when government-led sterilisation drives came to a halt. “Especially during COVID, no sterilisations were happening, or very little… The thing is, the state government is not really doing sterilisations. They do very little, and for that, too, they send the dogs to NGOs and pay them for it.” Manisha adds that the court's solution seems unworkable as there aren't enough shelters to house the dogs. “This is Delhi – we haven't even figured out shelters for humans during extreme heat waves or extreme cold waves,” she says.Abhinandan agrees and says, “For the Supreme Court to pass an order that is unimplementable is ridiculous. We have to acknowledge there's a problem, but this is certainly not the solution.”For the discussion on the Uttarakhand disaster, Hridayesh joins from ground zero. He recounts his journey to the site of the tragedy, despite being denied permission by the local authorities. He also discussed the current situation at Dharali, the village most affected by the flood. Check out the Newslaundry store and flaunt your love for independent media. Download the Newslaundry app. Timecodes00:00:00 – Introductions and announcements00:05:46 – Headlines 00:16:47 - Opposition's protest & INDIA bloc unity00:44:31- Priya's recommendations00:47:53 - SC's decision on stray dogs 01:11:04 - Updates on Uttarkashi disaster01:24:27- Letters01:33:40- RecommendationsCheck out previous Hafta recommendations, references, songs and letters.Produced and recorded by Amit Pandey and Naresh. Hosted on Acast. See acast.com/privacy for more information.

Feeling overwhelmed as a new parent? Sleep-deprived and drowning in advice? Don't worry, you're not alone. Parenting can have many different approaches and let's face it, has changed a lot since you were an infant. Dr. David Hill, pediatrician, author, and AAP spokesperson, breaks down the new baby basics on sleep, feeding, car seats—and answers rapid-fire questions about what's different now.  Our show is produced by Eryn Mathewson, Jennifer Lai, Grace Walker, Lori Galaretta, Jesse Remedios, Sofia Sanchez, Kyra Dahring, and Madeleine Thompson.   Medical Writer: Andrea Kane Showrunner: Amanda Sealy Senior Producer: Dan Bloom Technical Director: Dan Dzula  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Delhi minister Ashish Sood hits out at the previous AAP govt over delays in implementing the National Education Policy and accuses it of politicising education and dismantling systems. Speaking to ThePrint's senior associate editor, Neelam Pandey, Sood also speaks at length on the SC order over removal of stray dogs.

In this episode, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to explore why failed newborn hearing screens should never be overlooked. The discussion covers how to interpret screening results, the most common risk factors for hearing loss in infants, and when to act quickly for follow-up testing and intervention. Learn practical tips for counseling families, coordinating timely referrals, and ensuring no child slips through the cracks during this critical developmental window. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Welcome to the Choosing Wisely Campaign series! This is the fourth episode of a 5-part series exploring the ABIM Foundation's Choosing Wisely Lists. This campaign aims to promote conversations between clinicians and patients to avoid unnecessary medical tests, treatments, and procedures. Our third case-based episode presents a child with fever and cough. After a clear discussion of the case and thoughtful consideration of the etiology and treatment strategies, we use the AAP's Choosing Wisely Hospital Medicine and Infectious Diseases lists to create a resource-conscious care plan that is safe and patient-centered. In the coming episodes, we'll explore the pediatric lists and apply our knowledge to cases of common presentations seen in primary and acute care pediatrics.    Series Learning Objectives: Introduction to the Choosing Wisely Campaign: Understand the origins, historical precedent, and primary goals of the campaign. Case-Based Applications: Explore five common presentations in primary and acute care pediatrics, applying concepts from various Choosing Wisely lists to guide management and resource stewardship. Effective Communication: Learn strategies for engaging in tough conversations with parents and colleagues to create allies and ensure evidence-based practices are followed. Modified rMETRIQ Score: 14/15   Competencies: AACN Essentials: 1: 1.1 g; 1.2 f; 1.3 d, e 2: 2.1 d, e; 2.2 g; 2.4 f, g; 2.5 h, i, j, k 7: 7.2 g, h, k 9: 9.1i, j; 9.2 i, j; 9.3 i, k   NONPF NP Core Competencies: 1: NP 1.1h; NP 1.2 k, m; NP 1.3 f, j, h 2: NP 2.1 j, g; NP 2.2 k, n; NP 2.4 h, i; NP 2.5 k, l, m, n, o 7: NP 7.2 m 9: NP 9.1 m, n; NP 9.2 n; NP 9.3 p   References ABIM Foundation. (2019). Communicating about overuse with vulnerable populations. Retrieved from https://www.choosingwisely.org/files/Communicating-About-Overuse-to-Vulnerable-Population_Final2.pdf American Academy of Pediatrics [AAP] Committee on Infectious Diseases & Pediatric Infectious Diseases Society. (2018). Five things physicians and patients should question. Retrieved from https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWInfectiousDisease.pdf de Benedictis, F. M., Kerem, E., Chang, A. B., Colin, A. A., Zar, H. J., & Bush, A. (2020). Complicated pneumonia in children. Lancet (London, England), 396(10253), 786–798. https://doi.org/10.1016/S0140-6736(20)31550-6 Kato, H. (2024) Antibiotic therapy for bacterial pneumonia. J Pharm Health Care Sci 10, 45. https://doi.org/10.1186/s40780-024-00367-5 Schlapbach, L. J., Watson, R. S., Sorce, L. R., Argent, A. C., Menon, K., Hall, M. W., Akech, S., Albers, D. J., Alpern, E. R., Balamuth, F., Bembea, M., Biban, P., Carrol, E. D., Chiotos, K., Chisti, M. J., DeWitt, P. E., Evans, I., Flauzino de Oliveira, C., Horvat, C. M., Inwald, D., … Society of Critical Care Medicine Pediatric Sepsis Definition Task Force (2024). International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA, 331(8), 665–674. https://doi.org/10.1001/jama.2024.0179 Smith, D. K., Kuckel, D. P., & Recidoro, A. M. (2021). Community-Acquired Pneumonia in Children: Rapid Evidence Review. American family physician, 104(6), 618–625. Society of Hospital Medicine, AAP, & Academic Pediatric Association. (2021). Five things physicians and patients should question. Retrieved from https://downloads.aap.org/AAP/PDF/Choosing%20Wisely/CWHospitalmedicine.pdf Yun K. W. (2024). Community-acquired pneumonia in children: updated perspectives on its etiology, diagnosis, and treatment. Clinical and experimental pediatrics, 67(2), 80–89. https://doi.org/10.3345/cep.2022.01452

Send us a textThis week, the American Association of Pediatrics put out a statement that blatantly attacked both religious freedom and medical exemptions for vaccines. Hannah invited her Dad, family physician Dr. Robert Jackson, on to discuss the statement by the AAP. Does the AAP have any legal authority? Why does the AAP care about religious or medical exemptions? What should you say to someone who tries to follow the AAP's recent recommendation? Join Hannah and her Dad as they discuss these concerns and more on this week's Hannah Miller Show. Support the showhttps://www.thehannahmillershow.com/podcasts/https://bobslone.com/contact/bob@bobslone.com

The American Academy of Pediatrics (AAP) has announced their official policy position in opposition to all religious and personal exemptions to vaccination in the United States. Again. Guest Jill Hines, Director of Advocacy for Stand for Health Freedom and co-Director of Health Freedom Louisiana, discusses the AAP's latest attempt to remove non-medical exemptions to vaccination and constrict medical exemptions.Reference Linkshttps://informedchoicewa.substack.com/https://standforhealthfreedom.com/dipi_popup_maker/jill-hines/https://www.healthfreedomla.org/https://publications.aap.org/aapnews/news/32619?autologincheck=redirectedhttps://publications.aap.org/pediatrics/article/156/2/e2025072714/202656/Medical-vs-Nonmedical-Immunization-Exemptions-forSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Send us a textA monumental clash between religious liberty and medical authority erupted last week when the American Academy of Pediatrics (AAP) recommended eliminating all religious exemptions for vaccines required for school attendance. Dr. Robert Jackson and his daughter Hannah Miller dive deep into why this recommendation represents a dangerous overreach that threatens fundamental constitutional rights.The conversation opens with a crucial revelation: the AAP holds absolutely no legal authority. Despite its official-sounding name, it's merely a private membership organization that receives substantial funding from pharmaceutical companies manufacturing vaccines. This glaring conflict of interest explains why the organization would push to eliminate exemptions that represent financial losses to pediatric practices nationwide.Religious freedom stands as the foundation of all American liberties, protected explicitly by the First Amendment and reinforced by the Civil Rights Act of 1964. When schools or employers attempt to override religious exemptions for vaccines, they engage in illegal discrimination. Dr. Jackson emphasizes that religious beliefs are deeply personal and require no validation from religious leaders or institutions—your "sincerely held religious conviction" is legally sufficient and beyond question.The episode offers practical, empowering guidance for parents facing institutional pressure. With remarkable clarity, Dr. Jackson outlines a respectful yet firm approach to assert your rights: request to see anti-discrimination policies, ask about exemption committee members' training in non-discrimination law, and even request religious statements from those judging your exemption. These simple steps typically resolve issues without legal intervention.Perhaps most chilling is the historical context provided through Benjamin Rush's prophetic warning that without constitutional protection for medical freedom, medicine would organize into "an undercover dictatorship." As medical bureaucracies increasingly limit individual choice, we're witnessing the very scenario the founding father feared.Stand firm in defense of your constitutional rights while navigating vaccine requirements. Whether you're a parent facing school registration challenges or an employee dealing with workplace mandates, this episode equips you with the knowledge to protect your religious liberty and medical autonomy.Support the showhttps://www.jacksonfamilyministry.comhttps://bobslone.com/home/podcast-production/

Confira os temas do Check-up Semanal de hoje: Vacinação e gravidez: quais vacinas são necessárias na gestação?; Principais atualizações no tratamento do câncer retal; AAP publica sua primeira diretriz de prática clínica para a prescrição de opioides; Etomidato: Ainda uma opção segura para IOT em pacientes críticos?; A discoplastia percutânea com cimento na doença degenerativa lombar. Ouça agora!Confira esse e outros posts no ⁠Portal Afya⁠ e siga nossas redes sociais!⁠Facebook⁠⁠Instagram⁠⁠Linkedin⁠⁠Twitter

Confira os temas do Check-up Semanal de hoje: Laringoespasmo na anestesia. Como proceder?; O que os especialistas em UTI precisam saber sobre transfusões de plaquetas; Diretriz de profilaxia de TEV no perioperatório de cirurgia cardiovascular; AAP 2024: Manejo da ansiedade em crianças com TEA; 10 dicas de gestão financeira para o início da carreira médica. Aperte o play e ouça agora!Confira esse e outros posts no ⁠Portal Afya⁠ e siga nossas redes sociais!⁠Facebook⁠⁠Instagram⁠⁠Linkedin⁠⁠Twitter

Del sits down with ICAN's lead attorney Aaron Siri to break down a pivotal legal win in West Virginia, where an ICAN supported lawsuit has secured a preliminary injunction allowing students to attend school with religious vaccine exemptions. They expose how the AAP, ACLU, and state education board are fighting parental rights—and why this fight is far from over. Aaron delivers a sobering reminder: rights are never won, only defended. Become a supporter of this podcast: https://www.spreaker.com/podcast/the-highwire-with-del-bigtree--3620606/support.

In this episode, host Paul Wirkus, MD, FAAP, is joined by Albert Park, MD, and Adrienne Johnson, AuD, for an important discussion on hearing evaluations for infants and children. They explore how hearing can be assessed at any age, the basics of diagnostic testing, and why early identification is crucial for a child's development. Whether you're a pediatrician, audiologist, or simply want to understand the process better, this episode offers valuable insights into supporting children with potential hearing concerns. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Inside Pediatric Practices with Dr. Chris Peltier: Leadership, Research, and AdvocacyThis episode of The Pediatric Lounge delves into the professional journey of Dr. Chris Peltier, a pediatrician, professor, and healthcare leader. They discuss his various roles, including his involvement with an independent pediatric practice in Cincinnati, managing a practice with multiple partners, and his strategies for hiring long-term physicians. Dr. Peltier also talks about his involvement in clinical research, advocating for better pediatric care, and his leadership roles in the Ohio AAP and national AAP. Key topics include the importance of medical education, the changing landscape of pediatrics, and the future of private practice in pediatric care.00:00 Introduction to The Pediatric Lounge00:41 Meet Dr. Chris Peltier01:52 Journey to Pediatrics03:06 Independent Practice Insights04:32 Management and Decision-Making11:09 Clinical Research in Pediatrics13:09 Challenges and Rewards of Research21:43 Tri-State Child Health Services32:07 Introduction to AAP Ohio Chapter Presidency32:26 Journey into Advocacy and Leadership34:19 Major Achievements and Challenges36:52 Collaboration with Hospitals and Community Impact39:24 National Level Involvement and Contributions43:04 Future of Pediatrics and Workforce Issues57:51 Innovations and Optimism in Pediatric Care01:03:39 Conclusion and Final ThoughtsSupport the show

हंगामे के स्थगित हुई लोकसभा की कार्यवाही, दिल्ली से रांची लाया गया झारखंड के पूर्व मुख्यमंत्री और राज्यसभा सांसद शिबू सोरेन का पार्थिव शरीर, सुप्रीम कोर्ट ने राहुल गांधी को राहत देते हुए निचली अदालत में मानहानि मामले की कार्यवाही पर रोक लगाई, कल्याण बनर्जी ने दिया लोकसभा में पार्टी के चीफ व्हिप पद से इस्तीफा दे दिया, दिल्ली की राउज एवेन्यू कोर्ट ने आज आम आदमी पार्टी (AAP) के नेता सत्येंद्र जैन के खिलाफ भ्रष्टाचार का केस बंद किया और भारत ने द ओवल टेस्ट में इंग्लैंड को छह रन से हराकर पांच मैचों की सिरीज़ 2-2 से बराबर की. सुनिए रात 9 बजे तक की बड़ी ख़बरें सिर्फ़ 5 मिनट में

Del Bigtree returns to call out the AAP after it declares war on religious exemptions. ICAN is doubling down in its fight, and we need you. Jefferey Jaxen investigates the rising push for Universal Basic Income and Central Bank Digital Currencies — and what it means for your freedom. And, major health institutions are doubling down: the AAP is now targeting religious exemptions in a dramatic new push. Finally, Dr. Fabrizio Mancini joins the show to share the most powerful step in our health revolution: awakening the body's innate ability to heal.Guests: Aaron Siri, Esq., Dr. Fabrizio ManciniBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-highwire-with-del-bigtree--3620606/support.

Edwards syndrome (trisomy 18) affects approximately 1 in 5,000 to 6,000 live births. Patau syndrome (also known as Trisomy 13) is even less common, occurring in about 1 in 8,000 to 12,000 live births. About 20% of cases of Patau syndrome are caused by translocation. On the other hand, approximately 10% of Edwards syndrome cases are caused by a genetic translocation. Both conditions result in a wide range of birth anomalies including the heart, kidneys, and brain as well as cognitive limitations. Both of these conditions are part of maternal cell free fetal DNA testing (NIPTs). Prenatal counseling for expectant parents whose fetus was found to have T13 or T18 once focused exclusively on options for pregnancy termination or postnatal comfort care, on the presumptive basis that all affected infants died. However, examination of contemporary outcomes for these infants suggests that death in the neonatal period is not universal, particularly for infants who receive intensive medical and surgical care after birth. Although severe cognitive and motor impairment and shortened lifespan are anticipated for all survivors, some infants with these disorders live for 1 year or more, and some attain social and interactive milestones, with positive quality of life noted by their caregivers. This has led to newly updated guidance released by the AAP on July 21, 2025. This is a marked shift in counseling for parents of an affected child. Here, we will review what this new guidance is, and what it isn't. Listen in for details.1.https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2025-072719/202649/Guidance-for-Caring-for-Infants-and-Children-With Guidance for Caring for Infants and Children With Trisomy 13 and Trisomy 18: Clinical Report | Pediatrics | American Academy of Pediatrics

This week, we're answering your questions about eating disorders in adolescents. From recognizing early warning signs to understanding when to seek help, host Dr. Paul Wirkus, talks with Megan Jensen, CEDS, MPH, RDN, CD, and Nicole Holland, RD Intern, to address common concerns submitted by our listeners. Tune in for practical insights to help you better support teens who may be struggling with disordered eating. 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.

ऑपरेशन सिंदूर पर इस दिन होगी लोकसभा-राज्यसभा में चर्चा, उपराष्ट्रपति चुनाव की तैयारियां शुरू हुई, जस्टिस वर्मा मामले से CJI गवई ने किया खुद को अलग, तेजस्वी यादव ने विधानसभा में साधा नीतीश कुमार पर निशाना, पीएम मोदी ब्रिटेन के दो दिवसीय दौरे पर रवाना, गाज़ियाबाद में पता लगा एक फ़र्ज़ी 'दूतावास' का, AAP की विशाल किसान-पशुपालक महापंचायत, चीनी नागरिकों के लिए भारत में पर्यटन शुरू और भारत-इंग्लैंड के बीच चौथा टेस्ट मैच शुरू, सिर्फ़ 5 मिनट में सुनिए शाम 4 बजे तक की बड़ी ख़बरें

This week on The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by Megan Jensen, CEDS, MPH, RDN, CD, and Nicole Holland, RD Intern, for a thoughtful conversation on how to talk with children and families about eating disorders. Together, they discuss how pediatricians can recognize early warning signs, approach sensitive conversations with empathy, and connect families with the right resources. From disordered eating patterns to body image concerns, this episode provides valuable tools to support both prevention and treatment—while keeping relationships and trust at the center of care. Have a question? Email questions@vcurb.com. Your 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.

On Inzane Rugby League this week, Zane Bojack and Sam Williams are joined by AAP reporter Joel Gould to talk about the NRL's discussions in the US with Disney, DAZN and Netflix ahead of the next broadcast deal. 

#cuttheclutter Sacrilege has remained a central political issue in Punjab since the theft of a Guru Granth Sahib in Faridkot in 2015. The Akali Dal-BJP govt and Congress both proposed bills to strengthen Section 295A of IPC. Now, AAP has introduced a bill imposing 10 years to life imprisonment for sacrilege. In Episode 1698 of Cut The Clutter, ThePrint Editor-in-Chief Shekhar Gupta and Associate Editor Chitleen Sethi discuss the issue at the heart of Punjab politics: sacrilege. --------------------------------------------------------------------------------------------- To Watch Cut The Clutter: https://www.youtube.com/watch?v=J2WYCN7_-xI --------------------------------------------------------------------------------------------- To visit ThePrint Store: https://store.theprint.in/ --------------------------------------------------------------------------------------------- Produced By: Mahira Khan

This week, host Paul Wirkus, MD, FAAP, sits down with experts Megan Jensen, CEDS, MPH, RDN, CD and Nicole Holland, Intern (RD) to explore how pediatricians can support healthy eating patterns in children and families. From addressing common nutritional pitfalls to offering practical guidance on balanced diets, the conversation covers what works—and how to talk about food in a way that empowers rather than shames. Whether it's food insecurity or building lifelong habits, this episode offers real-world insights for every pediatric practice.Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

How we think and talk about kids and digital media use has evolved as we've learned more and refined better approaches that are more practical for parents.  Dr. Jenny Radesky, Co-Medical Director of the AAP's Center of Excellence on Social Media and Youth Mental Health, joins us to talk about "The 5 C's" - a straightforward and highly effective way for parents to manage this challenging topic.

Firstly, we talk about Punjab, where The Indian Express' Kanchan Vasdev explains how the AAP government is preparing a controversial bill proposing the death penalty for sacrilege.Next, The Indian Express' Varinder Bhatia explains the Tibetan struggle as the 14th Dalai Lama turns 90 and how his succession has become a geopolitical flashpoint between the Tibetan exile government and China. (08:41)And lastly, we talk about the story of a ₹200 scam in Karnataka's Uttara Kannada district that took the police 35 years to solve. (20:45)Hosted by Ichha SharmaProduced and written by Shashank Bhargava and Ichha SharmaEdited and mixed by Suresh Pawar

This month, host Dr. Paul Wirkus is joined by experts Megan Jensen, CEDS, MPH, RDN, CD and Nicole Holland, Intern (RD) to discuss how pediatric providers can better recognize the early signs and symptoms of eating disorders. They'll cover red flags to watch for in clinical settings, subtle behavioral cues, and how early identification can lead to timely, life-saving intervention.Tune in for a practical, evidence-based conversation to help you spot disordered eating early and support adolescent patients with compassion and confidence.Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The first days, weeks, and months after a baby is born are filled with so many emotions—joy, exhaustion, love, and sometimes, even uncertainty. I've been right there, too, and felt all of them. But in those early moments, something incredibly powerful is happening beneath the surface: your baby is learning how to trust the world through you. It's pretty incredible when you think about it. So we had to learn more about this and the significance of developing a strong bond with our babies. In this episode of Chick Chat, I had the privilege of speaking with Dr. Joanna Parga-Belinkie, a neonatologist, pediatrician, and AAP spokesperson, all about the science and soul of bonding with your baby and why it's critical for our babies' development. Who is Dr. Joanna Parga-Belinkie? Dr. Joanna Parga-Belinkie is an associate professor of pediatrics and a practicing clinical neonatologist at the Children's Hospital of Philadelphia and the Hospital of the University of Pennsylvania. She's a trusted voice for parents as a spokesperson for the American Academy of Pediatrics and co-host of their flagship podcast, "Pediatrics On Call." With three kids of her own and years of expertise in newborn medicine, Dr. Joanna bridges the worlds of evidence-based research and real-life parenting in a way that's truly empowering. What Did We Discuss? In this episode, Dr. Joanna and I cover: Dr. Joanna's background and how she became passionate about the emotional bond between parent and baby What bonding really means and why it matters so much What happens when bonding is delayed or doesn't come easily How birth choices (like C-sections, skin-to-skin, or delayed cord clamping) affect bonding Practical ways to build an emotional connection even if it doesn't feel instant Small steps parents can take every day to strengthen attachment Common mistakes that unknowingly interfere with bonding How routines like feeding, sleeping, and responding to cries shape emotional security What the latest science tells us about attachment and long-term child development Sleep training, co-sleeping, and how to decide what works for your family Dr. Joanna's biggest takeaway for new and expecting parents Final Thoughts Whether bonding feels natural or takes more time, the good news that we heard from Dr. Joanna is that attachment isn't a one-time moment. It's a relationship that grows with daily care, presence, and love. Dr. Joanna reminds us that small acts of responsiveness and warmth go a long way in shaping your baby's sense of safety and confidence. It's also reassuring hearing from an experienced baby doctor that you don't have to be perfect as a parent; you just have to keep showing up. We're so grateful to Dr. Joanna for joining us and sharing her expertise and heart with our listeners. You can follow her work through the American Academy of Pediatrics, tune in to her podcast, Pediatrics On Call, and get her book The Baby Bonding Book to learn more. Until next time, remember—your presence and love matter more than anything. You are exactly what your baby needs. Dr. Joanna's Resources Website: JPBelinkieMD.com Instagram: @jopargalinkiemd LinkedIn: @joannaparga Podcast: Pediatrics On Call Book: The Baby Bonding Book: Connecting With Your Newborn Learn more about your ad choices. Visit megaphone.fm/adchoices

First, The Indian Express' Ritu Sarin joins us to discuss her investigation into the money trail and mule account used in a digital scam.Next, we shift our focus to Punjab, The Indian Express' Kanchan Vasdev explains that the AAP government is implementing one of its largest-ever land acquisition drives under a new land pooling policy. (18:35)And in the end, we discuss a pivotal court ruling in Bangladesh, where the tribunal has sentenced former Prime Minister Sheikh Hasina to six months in jail in a contempt case. (24:35)Hosted by Ichha SharmaProduced and written by Shashank Bhargava and Ichha SharmaEdited and Mixed by Suresh Pawar

We're continuing our summer throwback series with a powerful episode that's simply too important to leave behind. While we're taking a short break this summer, we'll be resurfacing some of our most impactful conversations — the ones that made us think, challenged the status quo, and sparked meaningful dialogue. Today's rerun is one of those episodes. Originally aired as Episode 72, this conversation with Jessica Setnick dives headfirst into the controversial 2023 guidelines issued by the American Academy of Pediatrics (AAP). These guidelines made headlines — and not in a good way. Recommending behavioral interventions and even weight loss medications and surgery for children as young as 2, 12, and 13, respectively, the AAP ignited a firestorm of concern within the eating disorder treatment community. Jessica, a fierce advocate and long-time voice in the eating disorder field, joins me to unpack what these guidelines really say, why they're so troubling, and how they reflect a deeper cultural problem rooted in weight stigma. We question authority, untangle complex motivations (hello, pharma profits), and explore what weight-inclusive, ethical pediatric care should actually look like. In this episode, we're talking about: Why the AAP's new guidelines on pediatric weight management are sparking outrage in the eating disorder community. The alarming recommendations to introduce weight loss medications by age 12 and surgery by 13. The pervasive weight stigma built into these guidelines, including the problematic use of BMI as a screening tool. How profit motives, particularly from big pharma, may be influencing the creation of these “medical” guidelines. The real consequences of these interventions: malnutrition, stunted growth, cognitive impacts, and the risk of lifelong eating disorders. The false logic that shrinking a child's body will reduce weight stigma and why that belief is not just wrong, but dangerous. The importance of separating weight from health, and why any medical concerns should be treated based on symptoms, not size. How weight changes can be relevant when viewed contextually, but should never be the sole focus of medical intervention. Why trusting your gut and challenging medical advice is not only okay, but it might be necessary for protecting your child's wellbeing. Where to find weight-inclusive providers and what to ask when choosing a new pediatrician. Tweetable Quotes “Anyone who works in the eating disorder field at all – and probably many humans – knows multiple people, if not themselves, who have had failed weight loss interventions when they were children that then resulted in bigger problems.” – Jessica Setnick “The key is not to just single out the big kids. Any kid with an eating disorder should be evaluated. Any kid with a medical condition should be evaluated.” – Jessica Setnick “Shrinking children does not change their medical conditions.” – Jessica Setnick “‘Does my child have a medical condition, or are you saying my child is too big? Because if it's a medical condition, we'd like to get treatment independent of his size. But if you're saying his size is a problem, that's not a conversation I'm willing to have.'” – Jessica Setnick Resources AAP Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity News release for the AAP new guidelines Understanding Disordered Eating, Ep. 30: Eating Disorders are the Solution Not the Problem with Jessica Setnick, MS, RD, CEDRD-S Jessica on Facebook  Jessica on Instagram  Jessica Setnick: Understanding Nutrition Jessica's Website Grab my Journal Prompts Here! Looking for a speaker for an upcoming event? Let's chat! Accepting new clients in July - Find out if we're a good fit!   LEAVE A REVIEW + help someone who may need this podcast by sharing this episode. Be sure to sign up for my weekly newsletter here You can connect with me on Instagram @rachelleheinemann, through my website www.rachelleheinemann.com, or email me directly at rachelle@rachelleheinemann.com

This Week on The Virtual Curbside: Measles Q&A  In this final episode of the measles series, host Paul Wirkus, MD, FAAP, is joined by experts Andy Pavia, MD, and TW Jones, MD, to answer listener questions. The conversation covers practical clinical concerns around measles, including diagnosis, outbreak response, and prevention strategies. The group also dives into broader vaccine topics—discussing the MMR vaccine, mRNA vaccines, and lessons learned from COVID-19. 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.

In this episode of Enrich Your Future, Andrew and Larry Swedroe discuss Larry's new book, Enrich Your Future: The Keys to Successful Investing. In this series, they discuss Chapter 35: Mad Money.LEARNING: Investors are naive, and Cramer is an entertainer, not a financial advisor who adds value. “Do not confuse information with value-added information. If you know something because it was in the newspaper, everyone else knows it as well. So it has no value.”Larry Swedroe In this episode of Enrich Your Future, Andrew and Larry Swedroe discuss Larry's new book, Enrich Your Future: The Keys to Successful Investing. The book is a collection of stories that Larry has developed over 30 years as the head of financial and economic research at Buckingham Wealth Partners to help investors. You can learn more about Larry's Worst Investment Ever story on Ep645: Beware of Idiosyncratic Risks.Larry deeply understands the world of academic research and investing, especially risk. Today, Andrew and Larry discuss Chapter 35: Mad Money.Chapter 35: Mad MoneyIn this chapter, Larry explains why investment advice from so-called market experts is often worthless.The infamous Jim CramerJim Cramer, a former hedge fund manager, has become one of the most recognizable faces in the investment world. He dispenses rapid-fire investment advice on the show “Mad Money.” Since it premiered in March 2005, it has been one of CNBC's most-watched shows. But has his advice been as successful for the investors who follow it? Larry shares a couple of research studies that answer this question.It pays more to invest in an S&P than in Cramer's fundCramer manages a portfolio that invests in many of the stock recommendations he makes on TV. Established in August 2001 with approximately $3 million, the Action Alerts PLUS (AAP) portfolio has been the centerpiece of Cramer's media company, TheStreet, which sells his financial advice, giving subscribers in the millions access to each trade the portfolio makes ahead of time. Jonathan Hartley and Matthew Olson, authors of the 2018 study “Jim Cramer's Mad Money Charitable Trust Performance and Factor Attribution,” examined the AAP portfolio's historical performance. Their study covered the period from August 1, 2001, the AAP portfolio's inception, through December 31, 2017. The study found that the fund returned a total of 97%. During that same period, an investment in the S&P would have returned 204%.No real stock-picking skill, just entertainmentIn another study, “How Mad Is Mad Money?”, Paul Bolster, Emery Trahan, and Anand Venkateswaran examined Cramer's buy and sell recommendations for the period from July 28, 2005, through December 31, 2008. They also constructed a portfolio of his recommendations and compared it to a market index. The researchers came to three key conclusions:Investors were paying attention, as the stocks he recommended had abnormal returns of almost 2% on the day following his recommendations.The returns...

Mary Katharine Ham, FOX News Contributor, Outkick columnist, and co-author of End of Discussion, joined The Guy Benson Show today to respond to shocking comments from Whoopi Goldberg and The View saying that the U.S. is just as "bad" for "black people" as it is to be gay in Iran. Ham blasted the left and argued that the left often prioritizes ideological loyalty over honest conversation. She also reacted to President Obama's latest speech attacking Trump, despite Obama's own 9-0 losses in the courts, and weighed in on the AAP's failed Supreme Court challenge against Tennessee's law blocking transgender surgeries for minors. Listen to the full interview below! Learn more about your ad choices. Visit podcastchoices.com/adchoices