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3 episodes with american academy of pediatrics
3 episodes with american academy of pediatrics
3 episodes with american academy of pediatrics
2 episodes with american academy of pediatrics
2 episodes with american academy of pediatrics
2 episodes with american academy of pediatrics
2 episodes with american academy of pediatrics
2 episodes with american academy of pediatrics
2 episodes with american academy of pediatrics
What would you say if I told you the reason we circumcise our boys is not about preventing UTIs - - - but to prevent masturbation? I know. WHAT?! It's historically accurate that the circumcision movement in the U.S. was aggressively promoted in the late 1800s by Dr. John Harvey Kellogg—yes, the cereal guy —to curb masturbation. Kellogg believed that removing the foreskin - which contains over 20,000 specialized nerve endings - to permanently expose the glans, which then becomes scarred, calloused, and desensitized, would reduce sexual pleasure and therefore discourage what he saw as immoral behavior. They're literally cutting off what many consider the male equivalent of "the G-Spot." Yes - it's uncomfortable to talk about the sexual implications of a procedure performed on infants, but every adult male was once an infant - and it gets deeply personal for adult men when they learn what they lost without consent because their parents, grandparents, and great-grandparents were lied to. This episode is personal for me. In 2008, I blindly handed over my newborn son for this "routine" procedure. Saying that now saddens my soul. I grew up in the Midwest. Circumcision is "normal." It's heart-wrenching to know THAT'S IT - cosmetic normalcy and smoke-and-mirror, for-profit, pseudo"science." That's why we do it - a cultural blind spot. The AMERICAN ACADEMY OF PEDIATRICS even SAYS there's NO SUBSTANTIAL HEALTH BENEFIT. I heard my brand new baby boy's torturous screams as they performed - without anesthesia - this truly barbaric procedure billed to insurance as “circumcision.” It changed me. This became a truth I had to tell. My guest is Eric Clopper, an attorney and former employee of Harvard University. Eric gained international attention with his viral lecture, "Sex & Circumcision: An American Love Story," performed at Harvard in 2018. It cost him his job, but created a platform to expose the cultural, religious, and medical forces keeping parents in the dark. Through his legal practice, The Clopper Law Firm, P.C., and as the founding president of Intact Global, Eric challenges the constitutionality of laws permitting male genital cutting while prohibiting female genital mutilation, arguing that such laws violate the Equal Protection Clause. Featured Presentation Sex & Circumcision: An American Love Story by Eric Clopper Watch it on VIMEO WARNING: CONTAINS ADULT LANGUAGE, DISTURBING CONCEPTS, AND GRAPHIC IMAGES Note: Galatians 5:6 says, "For when we place our faith in Christ Jesus, there is no benefit in being circumcised or being uncircumcised. What is important is faith expressing itself in love." College Humor Short Video: "The Real Reason You're Circumcised" *MUST WATCH! Intact Global The Clopper Law Firm, P.C. Email: eric@clopper.law Circumcision: The Hidden Trauma by Ronald Goldman, PhD Marked in Your Flesh: Circumcision from Ancient Judea to Modern America by Leonard B. Glick The Ridged Band of the Foreskin by Dr. John R. Taylor Nutritional Therapy Practitioner Virtual Open House Thank you for reading, listening, and sharing. This conversation isn't easy - and it isn't about blame or shame. It's about waking up to truth. Good news: Change is happening. Circumcision rates in the U.S. have dropped to below 55% today—and even lower in some regions. Your son or grandson won't be alone. Being intact is becoming the new normal. The fear of being “different” or bullied in a locker room is fading fast as many parents are choosing to protect wholeness over conformity. It takes some serious testicular fortitude to be the dad willing to say, “My son doesn't have to look like me.” - That's how healing begins. That's how cycles end. I'm so thankful you're here. May this conversation stay with you—not as judgment, but as clarity. Not as fear, but as freedom. With so much love, empathy, and hope, —Jamie
This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com Children's health is at the forefront of healthcare transformation, driven by efforts to personalize experiences, ensure consistent coverage, and combat misinformation. In this episode of the Beat Executive Speaker Series, Leana Wen interviews Mark Del Monte, CEO of the American Academy of Pediatrics (AAP), about the organization's priorities and policies. Del Monte explains that AAP, with 67,000 members, prioritizes policies based on evidence and feedback from both its board and members, focusing on diverse issues like mental health, equity, and environmental health. He emphasizes the importance of Medicaid and CHIP (Children's Health Insurance Program) as vital coverage for children, noting concerns over 5.5 million children losing coverage post-pandemic due to procedural issues. Del Monte advocates for merging Medicaid and CHIP into a national program to eliminate variability between states, providing consistent healthcare for children. Tune in to discover how the AAP is championing child healthcare and fighting misinformation for a healthier future! Resources: Connect with and follow Mark Del Monte on LinkedIn. Follow AAP on LinkedIn and visit their website. Visit healthychildren.org to get valuable info for your family. Fast Track Your Business Growth: Outcomes Rocket is a full-service marketing agency focused on helping healthcare organizations like yours maximize your impact and accelerate growth. Learn more at outcomesrocket.com
Send us a textDr. Susan J. Kressly, MD, FAAP, is the President of the American Academy of Pediatrics ( https://www.aap.org/en/about-the-aap/aap-leadership/susan-kressly-md-faap/ ), an organization of 67,000 pediatricians committed to the optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults.Dr. Kressly is board certified in Pediatrics and Clinical Informatics, and is a Fellow of the American Academy of Pediatrics. Dr. Kressly has also been at the forefront of innovation, advocating for pediatric functionality in Health IT. Her expertise includes Quality Improvement, Healthcare Financing and Payment, Practice Management and Optimization of Clinical Workflows.Dr. Kressly received a Bachelor of Science (BS), in Biology, from Moravian University, her medical degree from Temple University School of Medicine and served her residency at St. Christopher's Hospital for Children. Dr. Kressly began practicing in the Doylestown area in 1990 and has been an involved member of the medical community since then. Her independent pediatric practice has been a recognized medical home since 2011, a model that Dr. Kressly strongly believes all children deserve access to, and that all pediatricians, including medical and surgical specialists, deserve sufficient resources, payment, and support to meet the needs of the patients and families they serve.#SusanKressly #Pediatrics #Pediatrician #ClinicalInformatics #AmericanAcademyOfPediatrics #MedicalHome #Advocacy #Telehealth #Vaccination #Vaccines #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #Podcasting #ViralPodcast #STEM #Innovation #Science #Technology #ResearchSupport the show
Citing the recent Cass Report out of the United Kingdom, they warned of the serious implications from these drugs. Constitutional expert, lawyer, author, pastor, and founder of Liberty Counsel Mat Staver discusses the important topics of the day with co-hosts and guests that impact life, liberty, and family. To stay informed and get involved, visit LC.org.
The Dean's List with Host Dean Bowen – The American Academy of Pediatrics recently removed a group of detransitioners from their conference, sparking controversy. These individuals were advocating for mental health treatments over gender-affirming care, but were quickly silenced. Meanwhile, attorneys general warn the AAP that promoting puberty blockers as "safe and reversible" may violate state consumer protection laws. America is watching closely.
Join Laura Arroyo, host of Our Forever Smiles, in a heartfelt conversation with Micha Clark, a neonatal intensive care feeding therapist, as they explore the complexities of NICU experiences. From discussing the various reasons children end up in the NICU to sharing invaluable tips on caring for both your baby and yourself during this challenging time, they offer practical advice and empathetic support. Micha sheds light on how parents can effectively advocate for their feeding goals when faced with medical professionals who may not fully understand or support their needs. Whether you're a parent going through this journey or simply curious about NICU care, this episode provides invaluable insights and encouragement. Connect with Micha Clark on Instagram @Micha_Clark Want to share your story? Email us at ourforeversmiles@gmail.com. Want to be a show sponsor? Email us at ourforeversmiles@gmail.com Follow us @ourforeversmiles on social platforms We know you will have questions! Join our FB Community to discuss the weekly episode and speak directly to our guests. https://www.facebook.com/groups/1081522212884073/ *Correction: The American Academy of Pediatrics was referred to as the Academy of American Pediatrics. _______________________________________________________________________________ This podcast is completely free for you, but if you'd ever consider supporting the show, we truly appreciate it. One way you can do that is by using our affiliate links. These are links to products we've mentioned on the show, and if you make a purchase through one of them, we might earn a small commission at no extra cost to you. It's a great way to show your love for the podcast and help us keep creating content that educates, empowers, and strengthens the cleft lip and palate community! First Bottle to Purchase After Palate Repair - Post Palate Repair Straw Trainer Juselle's Cleft Palate Bottle - Pigeon Bottle Specialty Feeder Sippy Cup for Pre Palate Repair Prep - Munchkin 360 Weigh your Baby at Home - Weighted Feeds Scale Squeezable Straw Training Bottle - Honey Bear Straw Cup Free Flow Cup for Pre palate Repair Prep - Reflo Smart Cup Pacifiers that have Worked for Cleft Lip and Palate Babies - Itzy Ritzy Pacifiers that have Worked for Cleft Lip and Palate Babies - MAM Pacifiers that have Worked for Cleft Lip and Palate Babies - Itzy Ritzy Scar Cream Recommended by Alexis Garcia, Cleft Lip Mom - bioCorneum - Pricey**
AP correspondent Julie Walker reports the American Academy of Pediatrics says tongue tie in infants may be overdiagnosed.
AP correspondent Julie Walker reports the condition in infants known as tongue-tie may be overdiagnosed in the U.S.
Today, President Biden is set to announce major Supreme Court reform efforts including term limits; JD Vance has yet to accept debates with Vice President Kamala Harris; the DNC says its virtual roll call to nominate Biden will happen in early August; Elon Musk is moving Tesla out of California; Rudy Giuliani says he has no regrets over the damage he did to the lives of Ruby Freeman and Shaye Moss; Jack Smith files official notice with the 11th Circuit that he intends to appeal Judge Cannon's decision to dismiss the charges against Donald Trump; plus Allison delivers your Good News.Our Guest:David Pepperhttps://twitter.com/DavidPepperhttps://davidpepper.substack.comLaboratories of Autocracy: A Wake-Up Call from Behind the Lines by David Pepper (Amazon.com) Tickets and LIVE show dates https://allisongill.comSubscribe for free to MuellerSheWrote on Substackhttps://muellershewrote.substack.com Herlights EP 275: The World Cup You Never Heard Of with Comedian Dana Goldberg StoriesSchumer privately urged Biden to step aside in 2024 election: Sources (ABC News)Biden set to announce support for major Supreme Court changes (The Washington Post)Harris accepts 3 possible dates for VP debate against JD Vance; Trump campaign declines to commit (New York 1)Elon Musk says SpaceX and X headquarters moving to Texas, blames California trans student privacy law (CNBC)Giuliani has ‘no regrets' about defaming 2020 election workers (CNN)Check out other MSW Media podcastshttps://mswmedia.com/shows/Subscribe to Lawyers, Guns, And MoneyAd-free premium feed: https://lawyersgunsandmoney.supercast.comSubscribe for free everywhere else:https://lawyersgunsandmoney.simplecast.com/episodes/1-miami-1985Follow AG and Dana on Social MediaDr. Allison Gill Follow Mueller, She Wrote on Posthttps://post.news/@/MuellerSheWrote?utm_source=TwitterAG&utm_medium=creator_organic&utm_campaign=muellershewrote&utm_content=FollowMehttps://muellershewrote.substack.comhttps://twitter.com/MuellerSheWrotehttps://www.threads.net/@muellershewrotehttps://www.tiktok.com/@muellershewrotehttps://instagram.com/muellershewroteDana Goldberghttps://twitter.com/DGComedyhttps://www.instagram.com/dgcomedyhttps://www.facebook.com/dgcomedyhttps://danagoldberg.comHave some good news; a confession; or a correction to share?Good News & Confessions - The Daily Beanshttps://www.dailybeanspod.com/confessional/From The Good NewsPublic Service Loan Forgiveness (PSLF | studenaid.gov)John Lewis: In Search of the Beloved Community by Raymond Arsenault (Amazon.com)In Selma, A 'Final Crossing' For John Lewis Across The Edmund Pettus Bridge (NPR)Art by Juliann (Etsy) Live Show Ticket Links:https://allisongill.com (for all tickets and show dates)Friday August 16th Washington, DC - with Andy McCabe, Pete Strzok, Glenn Kirschner https://tinyurl.com/Beans-in-DCSaturday August 24 San Francisco, CA https://tinyurl.com/Beans-SF Listener Survey:http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=shortFollow the Podcast on Apple:The Daily Beans on Apple PodcastsWant to support the show and get it ad-free and early?Supercasthttps://dailybeans.supercast.com/OrPatreon https://patreon.com/thedailybeansOr subscribe on Apple Podcasts with our affiliate linkThe Daily Beans on Apple Podcasts
Campus protests are continuing to intensify across the country, prompting university officials to now warn students about potential bans and suspensions from school. Also, pediatrician and Co-Director of the “American Academy of Pediatrics,” Dr. Jenny Radeski, offers new guidance on screen time and social media for kids of all ages. Plus, Craig Melvin shares the inspiring story of a man with Parkinson's disease and his rock-climbing instructor who are giving many people with the condition hope. And, TODAY contributor Ally Love shares some D.I.Y. tips and tricks on how to rejuvenate your mind, body, and soul.
Bio Dr. Katrina Nguyen is an award-winning, board-certified pediatric gastroenterologist, founder of a nonprofit to fight childhood obesity, and author of Live to Give. She was just 14 months old when her family escaped by boat from communist Vietnam in April 1975 after the Fall of Saigon. She nearly died twice during her journey to freedom and the American Dream. She is a Clinical Associate Professor at the University of Illinois College of Medicine in Rockford. She has shared her expertise via EWTN Global Catholic Network, YMCA podcast, and the American Academy of Pediatrics. Her Christian faith drives her to serve others. She established a charity fund with Raymond James and her non-profit's sponsors include Chick-Fil-A and Panera Bread. Dr. Nguyen lives in Illinois with her husband Marconi. She enjoys being a dog mom, gardening, and traveling. https://mdkatrina.com/
Ben Hoffman is the first Oregon doctor to serve as president of the American Academy of Pediatrics in 84 years. A professor of pediatrics at Oregon Health & Science University, Hoffman has worked to promote injury prevention policies and advocacy training for pediatric residents. He joins us in studio to talk about his new role and what he sees as the biggest issues in children’s health care nationwide.
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This episode is the second half of a discussion - please listen to part one if you haven't yet to get the most of the conversation. In this ep, we will hear the rest of Baby V's story and share our recommendations on how the AAP's guidelines could be improved - as well as how parents and caretakers of children can speak about food and weight to proactively avoid stigmitization. In addition, we discuss the Academy for Eating Disorders' response to the guidelines and proposed revisions due to concerns for how the current guidelines' could exacerbate or even create eating disorders. Please read the resources below to learn more:AAP's New GUIDELINEShttps://publications.aap.org/pediatrics/article/151/2/e2022060640/190443/Clinical-Practice-Guideline-for-the-Evaluation-and?autologincheck=redirectedhttps://publications.aap.org/pediatrics/article/151/2/e2022060641/190440/Executive-Summary-Clinical-Practice-Guideline-forThe AED's recommendation for revision:https://www.newswise.com/articles/the-academy-for-eating-disorders-releases-a-statement-on-the-recent-american-academy-of-pediatrics-clinical-practice-guideline-for-weight-related-care-first-do-no-harmResource for parents/caretakers: How to talk to kids about food and weight:https://www.whattosaynow.org/simpleguide/
In this episode, Dr. Ed and Liz listen to the story of a parent who was told their infant was ‘severely obese' and needed to be put on a restrictive diet - purely based on the child's BMI and no other evaluation. This leads them to dive deep into the new AAP guidelines for the treatment of children with obesity - guidelines which are aggressive, applied to as young as 2 years old, and based almost solely on BMI screening. Dr. Ed and Liz use the lens of eating disorder prevention and treatment to assess the weaknesses, dangers, and omissions in these guidelines. We encourage listeners to stay tuned for part 2, and to read the resources listed below.AAP's New GUIDELINEShttps://publications.aap.org/pediatrics/article/151/2/e2022060640/190443/Clinical-Practice-Guideline-for-the-Evaluation-and?autologincheck=redirectedhttps://publications.aap.org/pediatrics/article/151/2/e2022060641/190440/Executive-Summary-Clinical-Practice-Guideline-forThe AED's recommendation for revision:https://www.newswise.com/articles/the-academy-for-eating-disorders-releases-a-statement-on-the-recent-american-academy-of-pediatrics-clinical-practice-guideline-for-weight-related-care-first-do-no-harmResource for parents/caretakers: How to talk to kids about food and weight:https://www.whattosaynow.org/simpleguide/
Last month, 20-year-old Isabelle Ayala filed a first-of-its-kind lawsuit, accusing the American Academy of Pediatrics (AAP) of civil conspiracy, fraud, and medical malpractice. Ayala claims to have been pressured by AAP-affiliated doctors into so-called “gender-affirming care” as a minor. Like the many young girls who were subjected to experimental gender “transition” therapies, Ayala's story begins with significant emotional and mental distress during her adolescence. Sexually assaulted at age seven, she experienced early-onset puberty at age eight. Deeply uncomfortable in her own body, she began, at age 11, to cut herself. Around the same time, she was introduced to the concept of transgenderism through online social media platforms like Instagram, Tumblr, and Kik. At age 13, Ayala's parents separated, and she was moved from Florida to Rhode Island. By age 14, she became convinced that she had been born in the wrong body and that “transitioning” to living as a man was the only way to solve her problems. Ayala's story is tragic and, tragically, not unique. The number of young women claiming transgender identities has increased dramatically in recent years and now outnumbers the young men with gender confusion (an increase of 5,000% at the Tavistock Clinic in the U.K.). The factors driving the spike in confusion among young women include childhood trauma, social contagion, and social media, or some combination of the three. However, rather than treating the underlying factors and distress contributing to her dysphoria, Ayala's pediatricians treated their effects as normal. They ignored her family's history of anxiety disorder, bipolar disorder, PTSD, and depression, as well as Ayala's formal diagnoses of ADHD, depression, and anxiety. Her pediatricians encouraged and facilitated her confusion with ideological blinders that treated what was, in reality, a pseudo-medical fad as if it would help a vulnerable young woman. Desperate to help their daughter, Ayala's parents trusted these medical professionals who, while feigning objectivity, were, in fact, captured by gender ideology. Though her parents initially sought out interventions that were “totally reversible,” her pediatricians claimed “cross-sex hormonal treatment” was the best option and accepted treatment for her distress and gender dysphoria. In an all-too-common bit of parental manipulation, these doctors asked Ayala's parents whether they would “prefer a dead daughter or a living son.” Doctors who say this are wrong. So-called “transition” treatments do not address core mental health problems, leave patients with additional, irreversible medical conditions, and fail to address the social factors driving the dramatic increase in body dysphoria among young women. Research suggests that after an initial “honeymoon” period in which patients embrace their new “identities” and harmed bodies, they remain at a disproportionate risk for serious mental illness and suicide. Chemical “transition” treatments are also not “fully reversible” as is often promised. Women who take testosterone experience irreversible masculinizing effects, such as deeper voices and facial hair, and commonly infertility. Still, after just a few appointments, Ayala was placed on a rapidly increasing dosage of testosterone. However, contrary to what these doctors predicted, Ayala experienced no significant decrease in depression despite an accompanying prescription of antidepressants. Within six months, Ayala was hospitalized for a panic attack. Within eight months, she was hospitalized again following a suicide attempt. With no signs that her depression was abating, her doctors prescribed higher doses of antidepressants, while continuing to inject her with cross-sex hormones. The following year, Ayala moved back to Florida. Initially, she continued to take testosterone. But, a year after moving, “she distanced from the control and influence” of the doctors who ushered her down this road of gender “transition.” Eventually, she quit taking cross-sex hormones and “gradually grew out of her gender dysphoria,” realizing that her distress over her identity as a female was the result of traumatic childhood experiences. Her reversal reflects the majority of adolescents who experience gender dysphoria. Research suggests that between 88% to 98% of young adults reconcile to their biological sex if allowed to go through puberty. Thankfully, Ayala's story isn't finished. If successful, this lawsuit could protect many, many minors from these horrific, experimental chemical and surgical interventions. The many medical professionals who perpetrated this harm would be held accountable and, in the future, forced to do their job helping rather than harming. Young women like Ayala need to know that their hearts, minds, and bodies can find healing from their trauma and can learn to accept who they are as a gift of God. This Breakpoint was co-authored by Jared Eckert. For more resources to live like a Christian in this cultural moment, go to breakpoint.org.
Neste episódio, a pediatra Dolores Henriques comenta os principais temas abordados no AAP 2023 – American Academy of Pediatrics, que aconteceu entre os dias 20 e 24 de outubro de 2023, em Washington, nos Estados Unidos. O evento destacou o tratamento da obesidade pediátrica, a covid-19 na pediatria, o TDAH, quadros de escroto agudo e mais. Ouça agora! Confira esse e outros posts no Portal PEBMED e siga nossas redes sociais! Facebook Instagram Linkedin Twitter
It's a solo episode this week and our host, Katie Taylor, CCLS, dives in to what she experienced at the American Academy of Pediatrics Conference. Katie talks about her travels to Chicago to train a group of clinicians in Chicago, and then her trip to DC where she had hundreds of conversations with pediatricians from across the globe. What was the overwhelming takeaway? PEDIATRICIANS LOVE CHILD LIFE, y'all! Listen to hear more about what Katie learned as a child life specialist exhibiting at the conference for the first time. ____ Are you a parent of a child who HATES shots? Me, too! But, rest assured - we're giving you ALL the tips and tricks to make these experiences way easier for kids... and YOU! These are the LAST few days to get course access to our Parent Course "How to Help Your Child With Shots!" ____ Here are some of our favorite affiliates that help promote positive coping for kids: 10% off Coping Kits and other select merchandise at Present Over Perfect Meet the host: Katie Taylor is the co-founder and CEO of Child Life On Call, a digital platform designed to provide parents, kids, and the care team with access to child life services tools and resources. She is a certified child life specialist with over 13 years of experience working in various pediatric healthcare settings. Katie is the author of the children's book, and has presented on the topics of child life and entrepreneurship, psychosocial care in the hospital, and supporting caregivers in the NICU setting both nationally and internationally. She is also the host of the Child Life On Call Podcast which features interviews with parents discussing their experiences throughout their child's medical journey. The podcast emphasizes the crucial role of child life services in enabling caregivers both at and beyond the bedside. Instagram.com/childlifeoncall Facebook.com/childlifeoncall linkedin.com/in/kfdonovan
Kelly and Juliet Starrett, authors of Built To Move, highlight the significance of physical activity, especially among teens. Being healthy is not only about exercising once per day for 45 minutes—Kelly and Juliet advocate for building movement into your day. If you've enjoyed Talking to Teens, we'd love if you could leave us a five-star rating, and if you have time, a review! Follow us on Social Media! We're @talkingtoteens on Instagram and TikTok
In 2023, the American Academy of Pediatrics released new guidelines related to childhood obesity. Pediatrician Susan Mihm, MD, discusses what's new, why these guidelines are significant, and what prevention strategies families can use to avoid childhood obesity and long-term health concerns.You can also watch the video recording on our YouTube channel here.For more health tips & news you can use from experts you trust, sign up for Sarasota Memorial's monthly digital newsletter, Healthe-Matters.YouTubeCheck out our other interviews with SMH experts at smh.com/podcast.
Today I am reading this article. Families and adoption: the pediatrician's role in supporting communication. ABSTRACT: Each year, more children join families through adoption. Pediatricians have an important role in assisting adoptive families in the various challenges they may face with respect to adoption. The acceptance of the differences between families formed through birth and those formed through adoption is essential in promoting positive emotional growth within the family. It is important for pediatricians to be informed about adoption and to share this knowledge with adoptive families. Parents need ongoing advice with respect to adoption issues and need to be supported in their communication with their adopted children. References Borchers, D. (2003). Families and adoption: the pediatrician's role in supporting communication. Pediatrics, 112(6 Pt 1), 1437–1441. https://doi.org/10.1542/peds.112.6.1437 Permalink (You may not be able to access it unless you are a student, or have access to the database via subscription. ) https://search.ebscohost.com/login.aspx?direct=true&AuthType=sso&db=mdc&AN=14654626&site=eds-live&scope=site&custid=wliberst --- Send in a voice message: https://podcasters.spotify.com/pod/show/convosaboutadoption/message Support this podcast: https://podcasters.spotify.com/pod/show/convosaboutadoption/support
Host: Kevin Smith Dives into the weekly news most impactful to the HeartlandINTROTroubled Republican goonsWashington Post - https://www.washingtonpost.com/nation/2023/05/09/e-jean-carroll-trump-trial-verdict/Associated Press - https://apnews.com/article/george-santos-federal-charges-updates-33667a0900271e5002459ab748d8fdc8HEADLINE 1Missouri legislature passes restrictions on transgender health care and sports participation NYT - https://www.nytimes.com/2023/05/10/us/missouri-transgender-minors-ban.htmlHEADLINE 2Texas plan to put chaplains in public schools is latest move to inject Christianity Dallas News - https://www.dallasnews.com/news/education/2023/05/10/texas-plan-to-put-chaplains-in-public-schools-is-latest-move-to-inject-christianity/St. Charles County Democrats First Capitol Dinner - https://www.stcdemocrats.com/event-details/first-capitol-dinner-2023-2LIGHTNING ROUNDOhio,Ohio lawmakers face legal challenges over special election Ohio Statehouse News Bureau - https://www.statenews.org/government-politics/2023-05-10/ohio-vote-60-constitutional-amendment-augustNorfolk Southern has recommitted to creating a fund for residents near the site of an Ohio train wreck that would cover any decline in home values since before the derailment earlier this year. ABC - https://abc6onyourside.com/news/local/norfolk-southern-to-pay-homeowners-near-ohio-derailment-train-east-palestine-hazardous-chemicals-explosion-cleanup-senate-committeeNebraska,The latest fight over gender-affirming care in Nebraska has shifted.Nebraska Examiner - https://nebraskaexaminer.com/2023/05/10/final-say-on-nebraska-gender-care-legislation-would-be-delegated-to-executive-appointee-and-dhhs/Wisconsin,Wisconsin's young voter turnout led the nation in last November's electionsWisconsin Public Radio - https://www.wpr.org/wisconsin-led-nation-youth-turnout-november-midtermsA Native American Tribe in Wisconsin this week asked a federal court to order an emergency shutdown to the Line 5 oil and gas pipeline that crosses its reservation.Michigan Live - https://www.mlive.com/public-interest/2023/05/wisconsin-tribe-asks-court-to-shut-down-line-5-pipeline-citing-riverbank-erosion.htmlAnd Lastly, Bodycam footage from Oklahoma police searching for someone yelling for "help" ends up not being exactly what they expected. CBS - https://www.cbsnews.com/news/oklahoma-police-bodycam-goat-yelling-for-help/https://www.facebook.com/watch/?v=161864839903396
Host: Kevin Smith Dives into the weekly news most impactful to the HeartlandINTROTroubled Republican goonsWashington Post - https://www.washingtonpost.com/nation/2023/05/09/e-jean-carroll-trump-trial-verdict/Associated Press - https://apnews.com/article/george-santos-federal-charges-updates-33667a0900271e5002459ab748d8fdc8HEADLINE 1Missouri legislature passes restrictions on transgender health care and sports participation NYT - https://www.nytimes.com/2023/05/10/us/missouri-transgender-minors-ban.htmlHEADLINE 2Texas plan to put chaplains in public schools is latest move to inject Christianity Dallas News - https://www.dallasnews.com/news/education/2023/05/10/texas-plan-to-put-chaplains-in-public-schools-is-latest-move-to-inject-christianity/St. Charles County Democrats First Capitol Dinner - https://www.stcdemocrats.com/event-details/first-capitol-dinner-2023-2LIGHTNING ROUNDOhio,Ohio lawmakers face legal challenges over special election Ohio Statehouse News Bureau - https://www.statenews.org/government-politics/2023-05-10/ohio-vote-60-constitutional-amendment-augustNorfolk Southern has recommitted to creating a fund for residents near the site of an Ohio train wreck that would cover any decline in home values since before the derailment earlier this year. ABC - https://abc6onyourside.com/news/local/norfolk-southern-to-pay-homeowners-near-ohio-derailment-train-east-palestine-hazardous-chemicals-explosion-cleanup-senate-committeeNebraska,The latest fight over gender-affirming care in Nebraska has shifted.Nebraska Examiner - https://nebraskaexaminer.com/2023/05/10/final-say-on-nebraska-gender-care-legislation-would-be-delegated-to-executive-appointee-and-dhhs/Wisconsin,Wisconsin's young voter turnout led the nation in last November's electionsWisconsin Public Radio - https://www.wpr.org/wisconsin-led-nation-youth-turnout-november-midtermsA Native American Tribe in Wisconsin this week asked a federal court to order an emergency shutdown to the Line 5 oil and gas pipeline that crosses its reservation.Michigan Live - https://www.mlive.com/public-interest/2023/05/wisconsin-tribe-asks-court-to-shut-down-line-5-pipeline-citing-riverbank-erosion.htmlAnd Lastly, Bodycam footage from Oklahoma police searching for someone yelling for "help" ends up not being exactly what they expected. CBS - https://www.cbsnews.com/news/oklahoma-police-bodycam-goat-yelling-for-help/https://www.facebook.com/watch/?v=161864839903396
AMA's Vice President of Science, Medicine and Public Health, Andrea Garcia, JD, MPH, covers the latest on coronavirus variant XBB.1.16 and FDA's authorization changes for Moderna and Pfizer's bivalent vaccines. Also discussing the rise of strep cases, increases in sexually transmitted diseases and infections. Plus what physicians and patients need to know about abortion pill rulings including the Biden Administrations emergency appeal along with Justice Samuel Alito issuing an administrative stay regarding mifepristone. American Medical Association CXO Todd Unger hosts. Physicians can consult the American Academy of Pediatrics (AAP) guidance for alternative therapies during the shortage, here: https://www.aap.org/en/pages/amoxicillin-shortage-antibiotic-options-for-common-pediatric-conditions/
Soon after Meenal Lele's first child was diagnosed with multiple food allergies, new research upended decades of allergy advice. The LEAP study found that consistently adding allergenic foods beginning at four months of age could drastically reduce the rate of developing food allergies. The American Academy of Pediatrics subsequently began recommending that parents give allergenic foods to their babies early and often. As Meenal struggled to prepare allergens three times a week for her second child, she realized how hard it was to mix nuts into baby food without exposing his older brother or contaminating the blender. There had to be a better way! She took my background in chemical engineering and worked with food scientists to develop a solution. Lil Mixins is specially prepared to blend smoothly into breastmilk, formula, or baby foods, so it's simple to give to infants. They use the best quality ingredients and no additives or sweeteners – the same way you would make it yourself, but without the mess. And they've made it so one jar of each product will last from early infancy until your baby can start to eat whole foods. Their goal is to make early introduction easier for busy moms. Meet My Guest: WEBSITE: LilMixins.com INSTAGRAM: @LilMixins TWITTER: @LilMixins YOUTUBE: Lil Mixins FACEBOOK: @LilMixins MOM SENSE PROMO: Use the code momsense15 (all lowercase) for 15% off Lil Mixins Peanut Powder Mom Haul: AMAZON: Stokke Flexi Bath, Heat Sensitive Plug AMAZON: Acko Folding Step Stool
In the first hour of "Connections with Evan Dawson" on Tuesday, April 4, 2023, our guests discuss the American Academy of Pediatrics' new obesity guidelines.
Welcome to Part 1 of Kim and Amy's discussion on the newest recommendations for "Childhood Obesity." In this episode we talk about the recommendations and our concerns. Stay tuned for our next episode which will air in a month, due to spring break, where Kim and I will dig deeper into how integrating the recommendations and discussing them incorrectly will be DIRECTLY correlated to Eating Disorders. --- Support this podcast: https://podcasters.spotify.com/pod/show/dontbefoodish/support
This is a rough episode. I discuss aspects of the new guidelines put out by the AAP, and the reasons they are harmful to children and scientifically unsound. Here are links to additional resources discussed in the episode: Response to AAP Guidelines from IFEDD (International Federation of Eating Disorder Dietitians) Ragen Chastain's detailed article that I read from in the episode and highly recommend you read. Podcasts about BMI: Shame Free Eating: The Origins of BMI with Emma Maintenance Phase: The Body Mass Index
There is a CONTENT WARNING for stigmatizing language, medical weight stigma and medical trauma. Asher concluded this three part series on the recently published American Academy of Pedicatrics (AAP) guidelines on the management of childhood & adolescent oB*siTy, this time considering if the guidelines need to exist in the first place and what it's really all about.More about the show:How would you react if someone told you that most of what we are taught to believe about healthy bodies is a lie? How would you feel if that person was a medical doctor with over 20 years experience treating patients and seeing the harm caused by all this misinformation?In series 2 of their podcast, Dr Asher Larmie, an experienced General Practitioner and self-styled Fat Doctor, talks all things related to weight stigma, fatphobia and fat liberation. They will be joined by several regular guests as well as guests from throughout the fat activism sphere.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends. In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.Whether you're a person affected by weight stigma, a healthcare professional, a concerned parent or an ally who shares our view that people in larger bodies deserve better, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into their inner circleIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.
Anna Lutz sat down with Katja Rowell, M.D., a family doctor, author, and responsive childhood feeding specialist to talk about the new AAP guidelines. They discuss: What pediatric clinical practice guidelines are and why the AAP releases them periodically. The details of the recently released clinical practice guidelines for pediatricians and family doctors. The deep flaws in the data and information used to formulate these guidelines. How using weight or body size as a barometer for health means that healthcare providers often miss what else may be going on for a patient. Advice for pediatricians or family doctors to practice through a weight-neutral lens. The ways in which dietary restriction for children in order to get a particular weight outcome is harmful, almost always backfires, and has a negative lifelong impact. Advice for parents to navigate kids' pediatric well visits. Katja Rowell M.D. is a family doctor, author, and responsive childhood feeding specialist. Described as “academic, but warm and down to earth,” she is a popular speaker and blogger and has appeared in numerous publications. Katja has developed an expertise in anxious and avoidant eating (including ARFID), food preoccupation, and supporting foster and adopted children. Katja is on the SPOON medical advisory board and founder of The Feeding Doctor. Her books include: Helping Your Child with Extremely Picky Eating: A Step-by-Step Guide to Overcoming Selective Eating, Food Aversion, and Feeding Disorders, and Love Me, Feed Me. Learn more about Katja at theFeedingDoctor.com Links: Katja Rowell: The Feeding Doctor Regan Chastain's Weight and Healthcare Substack Aubrey Gordon's “You Just Need to Lose Weight and 19 Other Myths About Fat People” Sunny Side Up + Katja Rowell's Letter to Pediatrician Resources from Ginny Jones Responsive Feeding Pro More resources from Sunny Side Up Nutrition website! Sunny Side Up Nutrition Podcast Lutz, Alexander & Associates Nutrition Therapy Pinney Davenport Nutrition https://thirdwheeled.com/ https://m8.design/ https://www.sonics.io/
*Content Warning: This week's episode contains use of the O-word, as well as discussion of weight loss surgery.*Earlier this month, the American Academy of Pediatrics released a new guideline document containing weight loss recommendations for children as young as two years old. So this week, we are talking to Anna Lutz, MPH, RD, LDN, CEDRD-S about everything that's wrong with these recommendations.Anna Lutz is a Registered Dietitian in Raleigh, NC. Anna and Elizabeth Davenport, another anti-diet RD, are the co-creators of Sunny Side Up Nutrition, a blog and podcast that focus on nutrition, cooking and family feeding, free of diet culture. Anna is also the co-owner of a private practice in Raleigh, NC, Lutz, Alexander & Associates Nutrition Therapy. Anna specializes in eating disorders and pediatric/family nutrition and enjoys mentoring and providing clinical supervision to other dietitians. We had an amazing conversation about...How these recommendations are a full reversal of the AAP guidelines from 2015, and the conflicts of interest that likely influenced this shiftThe life-long physical, medical, and relational harm of weight loss recommendations for childrenThe increased risk for eating disorders & weight cycling that will likely result from these recommendationsWhy weight loss recommendations are never a solution to weight stigmaHow parents can navigate pediatrician appointments in light of these recommendationsAnd what health markers actually are important for kids!You can find out more about Anna & about diet-free parenting at Sunny Side Up Nutrition or Lutz Alexander Nutrition Therapy | Raleigh Durham Chapel Hill (lutzandalexander.com).Or you can connect with Anna via social media on Instagram or Facebook!Referenced in this episode:Serious Issues with the American Academy of Pediatrics Guidelines for Higher-Weight Children and Adolescents by Ragen ChastainSpecial Edition: Dangerous New American Academy of Pediatrics Guidelines for Higher-Weight Children by Ragen ChastainA Letter to Your Child's DoctorDon't Talk About My Child's Weight CardsWant to connect with us to deepen the conversation? Join us in our online community, The Satisfaction Space!Want to show the world that you love the pod? Get t-shirts, sweatshirts, mugs, stickers, totebags & more at Teepublic!You can stay up to date on all things Satisfaction Factor by following us on IG @satisfactionfactorpod!Here's where to find us:Sadie Simpson: www.sadiesimpson.com or IG @sadiemsimpsonNaomi Katz: www.happyshapes.co or IG @happyshapesnaomi
There is a CONTENT WARNING for stigmatizing language, medical weight stigma and medical trauma. Asher is joined by regular guest Rachel Wardle (she/her), Pediatric Physiotherapist and large fat. Together they continue the discussion about the recently published American Academy of Pedicatrics (AAP) guidelines on the management of childhood & adolescent oB*siTy, focusing on several Key Action Statements and the lack of evidence supporting them. This includes:Calculating the BMI of ALL children aged 2-18 on an annual basisGiving weight loss advice to children as young as twoOffering weight loss drugs or surgery to children as young as 12/13 More about the show:How would you react if someone told you that most of what we are taught to believe about healthy bodies is a lie? How would you feel if that person was a medical doctor with over 20 years experience treating patients and seeing the harm caused by all this misinformation?In series 2 of their podcast, Dr Asher Larmie, an experienced General Practitioner and self-styled Fat Doctor, talks all things related to weight stigma, fatphobia and fat liberation. They will be joined by several regular guests as well as guests from throughout the fat activism sphere.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends. In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.Whether you're a person affected by weight stigma, a healthcare professional, a concerned parent or an ally who shares our view that people in larger bodies deserve better, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circleIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.
The American Academy of Pediatrics issued new guidance in evaluating and treating kids who are overweight or obese. It's the first update in 15 years and comes under scrutiny because they are now calling some to provide weight loss drugs and surgery to help teenagers manage their weight. Dr. Kathy is concerned about the new guidance and offers important insights for parents and those who care deeply for children.
There is a CONTENT WARNING for stigmatizing language, medical weight stigma/ trauma and s**icide. Asher is joined by regular guest Jeanette Thompson-Wessen (she/her), Anti-diet Nutritionist, Intuitive Eating and Body Acceptance Coach. Together they discuss the recently published American Academy of Pedicatrics (AAP) guidelines on the management of childhood & adolescent oB*siTy, in particular the evidence (or lack of evidence) that supports their advice that:Children as young as 12 should be offered weight loss drugsChildren as young as 13 should be offered weight loss surgeryThank you for listeningYou can find out more about Jeanette on her website and by following her on social media. Click here to book one of her courses. More about the show:How would you react if someone told you that most of what we are taught to believe about healthy bodies is a lie? How would you feel if that person was a medical doctor with over 20 years experience treating patients and seeing the harm caused by all this misinformation?In series 2 of their podcast, Dr Asher Larmie, an experienced General Practitioner and self-styled Fat Doctor, talks all things related to weight stigma, fatphobia and fat liberation. They will be joined by several regular guests as well as guests from throughout the fat activism sphere.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends. In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.Whether you're a person affected by weight stigma, a healthcare professional, a concerned parent or an ally who shares our view that people in larger bodies deserve better, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circleIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.
This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!The American Academy of Pediatrics has put out a new Clinical Guideline for the care of higher-weight children. This document is 100 pages long including references and there are so many things that are concerning and dangerous in it that I had trouble deciding how to divide it up to write about it. I began on Thursday with a piece about the undisclosed conflicts of interest. Ultimately for today, I decided to focus on what I think will do the most harm in the guidelines, which is the recommendations for body size manipulation of toddlers, children, and adolescents through intensive behavioral interventions, drugs, and surgeries.A few things before we dive in. First, this piece is long. Really long. I thought about breaking it up to make it easier to parse, but I also know that people are (rightly) very concerned about these guidelines and I didn't want to trickle information/commentary out over days and weeks in case it might be helpful to someone now. Also, know that this may be emotionally difficult to read, in particular for those who have been harmed by weight loss interventions foisted on them as children. That will likely be exacerbated by the gaslighting these guidelines do to erase the lived experience of harm and trauma from the “interventions” they are recommending, and from their co-option of anti-weight-stigma language to promote weight loss. So please take care of yourself, you can always take a break and come back. Per my usual policy I will not link to studies that are based in weight bias and the weight loss paradigm, but will provide enough information for you to Google if you want to read them. I'll also use an asterisk in “ob*sity” for the reasons I explain in the post footer. Ok, big breath and let's get into this.In later newsletters, I'll address other issues in depth, but for now here are some quick thoughts and links about overarching issues before I dig into the actual recommendation:The claim that “ob*sity is a chronic disease—similar to asthma and diabetes”No, it's really not. And it's this faulty premise (that having a body of a certain size is the same thing as having a health condition with actual identifiable symptomology) that underlies everything in these guidelines. The diagnosis of asthma requires documentation of signs or symptoms of airflow obstruction, reversibility of obstruction (improvement in these signs or symptoms with asthma therapy) and no clinical suspicion of an alternative diagnosis. The diagnosis of diabetes requires a glycated hemoglobin (A1C) level of 6.5% or higher. But to diagnose “ob*sity” you just need a scale and a measuring tape. A group of people with this “diagnosis” don't have to share any symptoms at all, they simply have to exist in their bodies. That is not the same as asthma or diabetes, though the weight loss industry (in particular pharmaceutical companies and weight loss surgery interests) have absolutely poured money into campaigns to try to convince us that it is. (Note that the argument that ob*sity is correlated with other health conditions and thus is a disease actually proves the fallacy since some kids/people who are “diagnosed” with “ob*sity” don't have any of those health conditions and some kids/people who are thin do have them. It's especially disingenuous as it ignores the confounding variables of weight stigma and, in particular, weight cycling both of which these guidelines, if adopted, are very likely to increase.)The myth of “non-stigmatizing ob*sity care” Like so much of these guidelines, this idea and much of the verbiage around it mirrors that of the weight loss industry. In this case, it's attempt to co-opt the language of anti-weight-stigma in order to promote (and profit from) weight loss (there's a guide to telling the difference between true anti-stigma work and diet industry propaganda here!) In truth, there is no such thing as non-stigmatizing care for ob*sity, because the concept of ob*sity is rooted in size and the treatment is changing size (the word was made up to pathologize larger bodies, based on a latin root that literally means to eat until fat so…less science than stereotype there.) There is no shame in having a disease, it's just that existing while fat isn't one. The concept of “ob*sity” as a “disease” pathologizes someone's body size. The concept of ob*sity says that your body itself is wrong, and requires intensive therapy and/or risky drugs and surgeries so that it can be/look right. There is no way to say that without engaging in weight stigma.If someone claims that the treatment is actually about health and not size, then it's not “ob*sity” treatment since both the criteria for the “disease” and the measure of successful “treatment” of ob*sity are based on body size. If the treatment is about health and not size, then the treatment and measures of success should be about actual metabolic health, not body size (which would be ethical, evidence-based, weight-neutral care.)The idea that “It is important to recognize that treatment of ob*sity is integral to the treatment of its comorbidities and overw*ight or ob*sity and comorbidities should be treated concurrently”Again, I think this is demonstrably untrue. Any health issues that are considered “comorbidities” of being higher-weight are also health issues that thin people get, which means that they have independent treatments. We could skip body size manipulation attempts entirely and still treat any health issues that a higher-weight child/adolescent has.The dubious claim that “ob*sity treatment” is compatible with eating disorders preventionI wrote a specific piece about this here. Weight loss as a “solution” to weight stigmaThis is unconscionable. Regardless of what someone believes about weight and health, the message that children (as young as 2!) should solve stigma by undertaking intensive and dangerous interventions that risk quality of life moves beyond inappropriate to disgusting, especially when one is perpetuating weight stigma, as these guidelines (and the weight loss industry talking points that are repeated herein) do.There is so much more to unpack here, but I want to move into a discussion of the recommendations themselves.For this, I will start where I left off on the conflict of interest piece. Which is to say, almost all of the authors of these guidelines are firmly entrenched in the body-size-as-disease paradigm. They have pinned their careers to it. None of the authors are coming from a weight-neutral paradigm. In fact, in the research evaluation methodology section, they explain that they excluded studies that looked at impacting health, rather than weight. In their own words:The primary aim of the intervention studies had to be examination of an ob*sity prevention (intended for children of any weight status) or treatment (intended for children with overw*ight or ob*sity) intervention. The primary intended outcome had to be ob*sity, broadly defined, and not an ob*sity comorbidity.Note that by “ob*sity comorbidity” they mean a health condition that happens to children of all sizes.I don't know if it was intentional, or just a myopic focus on body size manipulation as a supposed healthcare intervention, but the option to focus on health rather than size was specifically excluded by a group of authors whose careers on based on focusing on size.There are three main areas of their recommendation that I'll talk about today - Intensive Health Behavior and Lifestyle Treatment, Weight Loss Drugs, and Weight Loss Surgeries.RECOMMENDATION: Intensive Health Behavior and Lifestyle Treatment (IHBLT)This is recommended starting as young as age two. That's right, they are recommending intensive interventions to kids in diapers (and they think that they should look into how to “diagnose” kids who are even younger, yikes!) What these guidelines subtly admit is that these interventions don't actually work. They include this (long-time weight loss industry) talking point “a life course approach to identification and treatment should begin as early as possible and continue longitudinally through childhood, adolescence, and young adulthood, with transition into adult care.”The translation to this is that they have absolutely no idea how to make higher-weight people of any age thin long-term. They are aware (and if not they are negligent) that a century of data shows that the vast majority of people will lose weight short-term and gain it back long-term. What they seem to be trying to do here is rebrand yo-yo dieting (aka weight-cycling) as a successful intervention. If there is a prize for moving the goalpost and declaring victory, they are in the running.Don't just take my word for it, they created a graphic as part of Figure 1 to show it:Pro tip: When they say “relapsing remitting” they mean “yo-yo dieting". I know why the weight loss industry loves this idea - it's how they've built a business that creates exponential growth with a product that doesn't work. What I don't understand is how this group of authors can possibly justify this ethically. The health risks of weight cycling are documented (and very consistent with the health risks that get blamed on higher-weight bodies) so setting people up for weight cycling starting as toddlers does not, to me, have the ring of sound science or ethical, evidence-based medicine.Let's dig into the evidence they are using to support this:The guidelines claim that “IHBLT is the foundational approach to achieve body mass reduction or the attenuation of excessive weight gain in children. It involves visits of sufficient frequency and intensity to facilitate sustained healthier eating and physical activity habits.” The study they cite to back this up (Grossman et al; 2017, Screening for ob*sity in children and adolescents: US Preventive Services Task Force recommendation statement) says “Comprehensive, intensive behavioral interventions (≥26 contact hours) in children and adolescents 6 years and older who have ob*sity can result in improvements in weight status for up to 12 months.”They also include a chart of seven randomized controlled trials (RCTs) from 2005-2017. The combined study population of all seven studies was just 1,153 kids. The largest study (with 549 participants) and the only study to include children from ages 2 to 5 had a duration of 12 months and showed a BMI change of 0.42 that year, and was only “effective” (if you consider a .42 change in a year “effective”) in kids ages 4-8 years old. There was only one study that followed up for more than 12 months, and from 12 months to 24 months, the BMI change decreased (from 3.3 to 2.8,) consistent with the weight regain pattern that we would expect.This will be a running theme in these guidelines - short-term studies will be used to justify life-long recommendations, and weight regain is ignored. In general, sometimes this is based on the idea that if a weight loss intervention works short-term, then it will continue to work forever, other times it's based on the idea that weight cycling is an ethical, evidence-based healthcare intervention. Again, the data on both the long-term failure of weight loss and the danger of weight cycling does not support this.They make a point to mention that IHBLT “involves interaction with pediatricians and other PHCPs who are trained in lifestyle-related fields and requires significantly more time and resources than are typically allocated to routine well-child care.” At this point I'll note that many of the authors of the guidelines run clinics or have practices that provide exactly this type of care.Their criteria for the studies was, I'll just call it lax: “Over a 3-12 month period: The criteria for the evidence review required a weight-specific outcome at least 3 months after the intervention started.” Obviously, this is a very short-term requirement and, again, excludes studies that looked at actual health instead of just body size.Here again they tell on themselvesTreatments with duration longer than 12 months are likely to have additional and sustained treatment benefit. There is limited evidence, however, to evaluate the durability of effectiveness and the ability of long-term treatments to retain family engagement.Note that the idea that longer duration treatment is “likely” to have additional and sustained treatment benefit is not remotely an evidence-based statement, and I would argue that it is biased and should not be included here. Also, they seem to be setting the stage for blaming families for the entirely predictable and almost always inevitable weight regain.Under “referral strategies” they get real about how little weight loss we're actually talking about:Pediatricians and other Primary Healthcare Providers (PHCP's) are encouraged to help to set reasonable expectations for these [BMI-based] outcomes among families, as there is a significant heterogeneity to treatment response and there is currently no evidence to predict how individual children will respond. Many children will not experience BMI improvement, particularly if their participation falls below the treatment threshold.”As described in the Health Behavior and Lifestyle Treatment section, those who do experience BMI improvement will likely note a modest improvement of 1% to 3% BMI percentile decline.So they are recommending an “intensive,” time-consuming, expensive intervention to kids starting as young as age 2 with no prognostics as to which kids might be “successful,” the stated result of which is that “many” (their word) of them won't experience any change in the primary outcome, those who do will see a very small change.They do mention the supposed actual health benefits of these interventions, but fail to mention that the health benefits may have nothing to do with the very small change in size. That's because often when health changes and weight changes (at least temporarily) follow behavior change, those who are invested in the weight loss paradigm (financially, clinically, or both) are quick to credit the weight change, rather than the behavior change, for the health change. Here again, the evidence does not support this. It's very possible that these same health improvements could be achieved with absolutely no focus or attention paid to weight, which would provide more benefits and less risks (including the risks associated with both weight stigma and weight cycling.) It could also allow the children (some, remember, still in diapers) to create healthy relationships with food and movement, rather than seeing choices around food and movement as punishment for their size or a way to manipulate it.As they move into specific recommendations, they start with:Despite the lack of evidence for specific strategies on weight outcomes many of these strategies have clear health benefits and were components in RCTs of intensive behavioral intervention. Many strategies are endorsed by major professional or public health organizations. Therefore, pediatricians and other PHCPs can appropriately encourage families to adopt these strategies. To me this sounds a lot like throwing the concept of “evidence-based” right out the window. None of this means “these strategies are likely to lead to long-term weight loss,” but I'll bet that won't be what is conveyed to the patients and families upon whom these “strategies” are foisted. Before we move on to their recommendations around diet drugs, here is some research to contextualize these recommendations:Neumark-Sztainer et. al, 2012, Dieting and unhealthy weight control behaviors during adolescence: Associations with 10-year changes in body mass indexNone of the behaviors being used by adolescents for weight-control purposes predicted weight lossOf greater concern were the negative outcomes associated with dieting and the use of unhealthful weight-control behaviors…including eating disorders and weight gain [Note: This is not to say that there is anything wrong with higher-weight, but that there is something wrong with a supposed healthcare intervention that has significant risks, almost never works, and has the opposite of the intended effect up to 66% of the time.] Raffoul and Williams, 2021, Integrating Health at Every Size principles into adolescent careCurrent weight-focused interventions have not demonstrated any lasting impact on overall adolescent healthBEAT UK, 2020 Eating Disorders Association, Changes Needed to Government Anti-ob*sity StrategiesGovernment-sanctioned anti-ob*sity campaigns* increase the vulnerability of those at risk of developing an eating disorder* exacerbate eating disorder symptoms in those already diagnosed with an eating disorder* show little success at reducing ob*sityStrategies including changes to menus and food labels, information around ‘healthy/unhealthy' foods, and school-based weight management programs all pose a risk.Pinhas et. al. 2013, Trading health for a healthy weight: the uncharted side of healthy weights initiativesOb*sity-prevention programs that push “healthy eating” are triggering disordered eating in some children, creating sudden neuroses around food in children who never before worried about their weightThey were all affected by the idea of trying to adopt a more healthy lifestyle, in the absence of significant pre-existing notions, beliefs or concerns regarding their own weight, shape or eating habits prior to the interventionFiona Willer, Phd, AdvAPD, FHEA, MAICD, Non-Executive Board Director at Dietitians AustraliaQuoted from: health.usnews.com/health-news/blogs/eat-run/articles/for-healthy-kids-skip-the-kurbo-app“Dieting to a weight goal was found to be related to poorer dietary quality, poorer mental health and poorer quality of life when compared with people who were health conscious but not weight conscious”Ok. Moving on.RECOMMENDATION: Use of Pharmacotherapy (aka Weight Loss Drugs)Their consensus recommendation is that pediatricians and other PCHPs “may offer children ages 8 through 11 years of age with ob*sity weight loss pharmacotherapy, according to medication indications, risks, and benefits as an adjunct to health behavior and lifestyle treatment.”They admit that “For children younger than 12 years, there is insufficient evidence to provide a Key Action Statement (KAS) for use of pharmacotherapy for the sole indication of ob*sity,” but then go on to suggest that if kids 8-11 also have other health conditions, somehow weight loss drugs (which are not indicated for the treatment of the actual health conditions they have) “may be indicated.”Their KAS is that “pediatricians and other PHCPs should offer adolescents 12 y and older with ob*sity weight loss pharmacotherapy, according to medication indications, risks and benefits as and adjunct to health behavior and lifestyle treatment.”The studies that were actually included in the evidence review predominantly studied metformin (alone and in combination with other drugs,) which is not approved for weight loss, orlistat, exenatide, and one study that looked at phentermine, mixed carotenoids, topiramate, ephedrine, and recombinant human growth hormone.Even though the studies for other drugs did not exist at the time of the evidence review, they made the choice to include them anyway. (This includes Wegovy, the drug that Novo Nordisk, a donor to the AAP, has promised their shareholders will be a blockbuster and that announced its approval in children as young as 12 just days prior to the publication of the guidelines.) Let's look at the efficacy of the drugs they are recommending:MetforminAdverse effects include bloating, nausea, flatulence, and diarrhea and lactic acidosis which they characterize as “serious but very rare.” The guidelines describe the evidence of metformin for weight loss in pediatric populations as “conflicting” They evaluated 16 studies, about two-thirds of which showed a “modest BMI reduction” and one-third showed “no benefit.” Also, this drug is not approved for weight loss. They recommend that due to the “modest and inconsistent effectiveness, metformin may be considered as an adjunct to intensive health behavior and lifestyle treatment (IHBLT) and when other indications for use of metformin are present.”Orlistat:This drug is currently approved for ages 12 and up. Orlistat is sold under the name alli by GlaxoSmithKline and as Xenical by Genentech (both GlaxoSmithKline and Genentech are donors to the AAP.) The guidelines point out that the side effects (including fecal urgency, flatulence and oily stool) “greatly limit tolerability” but do say that “Orlistat is FDA approved for long-term treatment of ob*sity in children 12 years and older.” They cite two studies from 2005. One (Behzat et al., Addition of orlistat to conventional treatment in adolescents with severe ob*sity) started with 22 adolescents, 7 of whom dropped out within the first month due to drug side effects. The remaining 15 subjects were followed for 5-15 months with an average of 11.7 months of follow up. Those 15 patients lost 6.27 +/- 5.4 kg within the study time.The other (Chanoine JP et al, 2005, Effect of orlistat on weight and body composition in ob*se adolescents) was a one-year study with 357 adolescents (age 12-15) in the Orlistat group. They lost weight initially but the weight loss stopped at week 12 and by the end of the study the weight of those in the Orlistat group had increased by .53kg.Glucagon-like peptide-1 receptor agonistsThese are drugs that are type 2 diabetes medications that were found to have a side effect of weight loss. In some cases they have been rebranded specifically for weight loss and, in others, are prescribed off-label.ExenatideThis drug is currently approved in kids ages 10 to 17 years of age. The guidelines point out that a small weight loss was shown in two small studies but with “significant adverse effects.”LiraglutideThe study they cite for liraglutide (Kelly et al, Trial Investigators. A randomized, controlled trial of liraglutide for adolescents with ob*sity.) was a 56 week study with a 26-week follow-up period. Participants lost weight initially, but after 42 weeks began to regain weight (though they were still on the drug) at 56 weeks weight gain became more rapid and at the end of the 26-week follow up they were nearing baseline. The guidelines characterize this as “A recent randomized controlled trial found liraglutide (daily injection) more effective than placebo in weight loss at 1 year among patients 12 years and older with ob*sity who did not respond to lifestyle treatment.” They do not make it clear that participants experienced near total weight regain (see graphic below.) In addition to the near total lack of weight loss (and remember that it's pretty likely that subjects continued to regain weight after the tracking stopped at 82 weeks,) side effects included nausea and vomiting, and among patients with a family history of multiple endocrine neoplasia, a slightly increased risk of medullary thyroid cancer. Liraglutide is sold as Victoza and Saxenda by Novo Nordisk. This study was a clinical trial funded by Novo Nordisk, multiple study authors work for, are employees of, take payments from and/or own stock in Novo Nordisk (see disclosures below) and Novo Nordisk provides funding directly to the American Academy of Pediatrics, and has paid thousands of dollars to authors of these guidelines.Just for funsies I checked the disclosures: Dr. Kelly reports receiving donated drugs from AstraZeneca and travel support from Novo Nordisk and serving as an unpaid consultant for Novo Nordisk, Orexigen Therapeutics, VIVUS, and WW (formerly Weight Watchers); Dr. Auerbach, being employed by and owning stock in Novo Nordisk; Dr. Barrientos-Perez, receiving advisory-board fees from Novo Nordisk; Dr. Gies, receiving advisory-board fees from Novo Nordisk; Dr. Hale, being employed by and owning stock in Novo Nordisk; Dr. Marcus, receiving consulting fees from Itrim and owning stock in Health Support Sweden; Dr. Mastrandrea, receiving grant support from AstraZeneca and Sanofi US and grant support and fees for serving on a writing group from Novo Nordisk; Ms. Prabhu, being employed by and owning stock in Novo Nordisk; and Dr. Arslanian, receiving fees for serving on a data monitoring committee from AstraZeneca, fees for serving on a data and safety monitoring board from Boehringer Ingelheim, grant support, paid to University of Pittsburgh, and advisory-board fees from Eli Lilly and Novo Nordisk, and consulting fees from Rhythm Pharmaceuticals. Melanocortin 4 receptor (MC4R) agonistsThese are specialty drugs that are only FDA approved for patients 6 years and older with proopiomelanocortin deficiency, proprotein subtilisin or kexin type 1 deficiency and leptin receptor deficiency confirmed by genetic testing. They site a small, uncontrolled study in which patients experience weight loss of 12-25% over 1 year. PhenterminePhentermine is a controlled substance chemically similar to amphetamine which carries a risk of dependence as well as side effects including elevated blood pressure, dizziness, and tremor. These are FDA approved for a 3-month course of therapy for adolescents 16 or older. I'm not clear what good could come out of giving a teenager a drug with these kinds of risk for 3 months?TopiramateThis is a drug that is used to treat seizures and migraines that happens to have a side effect of making people not want to eat through what the guidelines admit are “largely unknown mechanisms.” These drugs cause cognitive slowing and can cause embryo malformation. It's approved for children 2 years and older with epilepsy and 6 and older for headaches and I cannot for the life of me imagine how it could possibly be ethical to cause cognitive slowing in a child (who is going to school!) in order to disrupt their bodies hunger signals.Phentermine/TopiramateYou read that right, those last two drugs with the dangerous, quality-of-life impacting side effects? The guidelines discuss the option of prescribing them together. To children. This is based on a 56-week study (Kelly et al, 2022, Phentermine/topiramate for the treatment of adolescent ob*sity.) In the study, 54 subjects were given a mild dose, 15 of them dropped out. 113 were given the “top dose” 44 of them dropped out. As we've seen in other studies, weight loss had leveled off and begun to rise slightly by week 56 and there is no reason to believe it wouldn't go back up, but we'll never know because they didn't do any more follow-up. By the way, like most of the other studies, these subjects were also undergoing a “lifestyle modification program.” Also, like the other drugs, I think it's important to note that this was FDA-approved for “chronic treatment” based on the results of a study that only lasted 56 weeks. That is a common situation with weight loss drugs.Finally, the guidelines don't mention that side effects of this drug include increased heart rate, suicidal behavior and ideation, slowing of linear growth, acute myopia, secondary angle closure glaucoma, visual problems; mood and sleep disorders; cognitive impairment; metabolic acidosis; and decrease in renal function. As I was looking this up, I noticed that the lead author of this study is the same lead author of the liraglutide study. Phentermine/Topiramate is sold under the brand name Qysmia by Vivus. I had to do some digging to get to the disclosures on this one and what do you know, Dr. Kelly has received grant consideration and consults for Vivus. In fact, with the exception of Megan Oberle, every author of this study either receives funding from/consults for Vivus, or is an employee of Vivus. Megan Oberle lists no conflicts of interest in this 2022 study but, interestingly, in a 2019 study (It is Time to Consider Glucagon-Like Peptide-1 Receptor Agonists for the Treatment of Type 2 Diabetes in Youth) the disclosure states “MO serves as site PI [principal investigator] for study through Vivus Pharmaceuticals” so we know they're not strangers. LisdexamfetamineThis is a stimulant that is approved for kids 6 and older who have ADHD, in those 18 and up for Binge Eating Disorder, and while it is sometimes prescribed off-label for higher-weight kids, the guidelines note that “no evidence available at the time of this review to demonstrate safety or efficacy for the indication of ob*sity in children.”Summing up, there are significant risks of side effects (some life threatending) and not a drug among them has shown anything approaching long-term efficacy. Let's look at the last of the recommendations.RECOMMENDATION: Weight Loss SurgeryThis is the last bit I'll write about today. This section beginsIt is widely accepted that the most severe forms of pediatric ob*sity (ie, class 2 ob*sity; BMI ≥ 35 kg/m2, or 120% of the 95th percentile for age and sex, whichever is lower) represent an “epidemic within an epidemic.”Remember, for a moment, that this phrasing is from authors who swear up and down that they are working to end weight stigma. One wonders what they would have written if they were trying to stigmatize higher-weight children. (Just fyi, if anyone is confused, you can't usefear-mongering language, describing a group of people simply existing in the world at a higher-weight as an “epidemic” without stigmatizing them.)The KAS here (for me the most horrifying of those offered,) isPediatricians and other PHCPs should offer referral for adolescents 13y and older with severe ob*sity (BMI ≥ 120% of the 95th percentile for age and sex) for evaluation for metabolic and bariatric surgery to local or regional comprehensive multidisciplinary pediatric metabolic and bariatric surgery centers. [I'll note here that at least one of the authors of these guidelines runs just such a facility.]Before we get too far into this, let's be clear about what these surgeries do. They take a child's perfectly functioning digestive system, and put it into a (typically irreversible) disease state forcing, restriction and/or malabsorption (for an explanation of the various surgeries, check out this post.) If this state happens to a child because of disease or accident, it is considered a tragedy. If the child is higher-weight, it is considered, at least by the authors of these guidelines, healthcare.They make the claim “Large contemporary and well-designed prospective observational studies have compared adolescent cohorts undergoing bariatric surgical treatment versus intensive ob*sity treatment or nonsurgical controls. These studies suggest that weight loss surgery is safe and effective for pediatric patients in comprehensive metabolic and bariatric surgery settings that have experience working with youth and their families”To support this, they cite a single study. The study (Laparoscopic Roux-en-Y gastric bypass in adolescents with severe ob*sity (AMOS): a prospective, 5-year, Swedish nationwide study) included 81 subjects who underwent Roux-en-Y gastric bypass.The average weight loss was 36·8 kg over five years, but 11% of those who had the surgery lost less than 10% of their body weight.A full 25% had to have additional abdominal surgery for complications from the original surgery or rapid weight loss and 72% showed some type of nutritional deficiency. And that's just in five years. Remember that the damage done to the digestive system is permanent. They are recommending this as young as 13, so a five year follow-up only gets these kids to 18. Then what?By the look of their own graph, what comes next may well be more weight gain, since the surgery survivors' weight loss leveled off after year one and started to steadily climb after year two. There's also the impact of those nutrient deficiencies. They also claim that these surgeries lead to a “durable reduction of BMI.” Let's take a look at the studies they cite to prove that.Inge et al., 2018 Comparison of Surgical and Medical Therapy for Type 2 Diabetes in Severely Ob*se AdolescentsThis study lasted two years. It looked at data from 30 adolescents who had weight loss surgery. They averaged 29% weight loss over 2 years and 23% of the subjects had to have a second surgery during those two years.Göthberg et al., 2014, Laparoscopic Roux-en-Y gastric bypass in adolescents with morbid ob*sity--surgical aspects and clinical outcomeThis study just rehashes information from the Olbers study above.O'Brien et al. Laparoscopic adjustable gastric banding in severely ob*se adolescents: a randomized trialThis study is about gastric banding and I'm not sure why they included it because in the paragraph above it they point out that these surgeries are “approved by the FDA only for patients 18 years and older, have declined in use in both adults and youth because of worse long-term effects as well as higher-than expected complication rates” (they cite 18 studies to back up this particular claim.)Olbers et al., 2012 Two-year outcome of laparoscopic Roux-en-Y gastric bypass in adolescents with severe ob*sity: results from a Swedish Nationwide Study (AMOS)These are just the two-year outcomes from the five-year Olbers study aboveOlbers et al. Laparoscopic Roux-en-Y gastric bypass in adolescents with severe ob*sity (AMOS): a prospective, 5-year, Swedish nationwide study.This is the exact same 5-year Olbers study from above, just given a different citation number.Ryder et al., 2018 Factors associated with long-term weight-loss maintenance following bariatric surgery in adolescents with severe ob*sityThis study included 50 subjects who had Roux-en-Y gastric bypass and had a follow-up at year one and another follow-up sometime between years 5 and 12. They were then divided into “regainers” and “maintainers” though by their criteria, “maintainer” subjects could regain, they just couldn't regain more than 20% of the weight they lost prior to their follow-up. Though the study is called “Factors associated with long-term weight-loss maintenance” they were not able to identify any factors that were predictors of “regaining” or “maintaining.” You'll note in the graph below that weight was still trending upward when they stopped following up.So let's recap: They cite 7 studies to back up their recommendation of referrals for these surgeries for kids ages 13 and up. Four of the seven are the same study. One is a study for a surgery that they themselves have said is declining in use, so I'm excluding it. Combined, the rest of the studies followed a grand total of 161 people. The longest follow-up is “5+ years” and the studies consistently showed weight regain that was trending up when follow-up ended, as well as high rates of additional surgery and nutrient deficiencies. This, to me, doesn't come close to justifying a blanket recommendation that every kid 13 and older whose BMI ≥ 120% of the 95th percentile for age and sex be referred for evaluation for weight loss surgery.And when it comes to their criteria for these surgeries, they predicate risk on size. Those with “class 2 ob*sity” are required to have “clinically significant disease” which doesn't make the surgery ethical but, in comparison; children with “class 3 ob*sity” simply have to exist in the world to meet the criteria to have their digestive system put into a permanent disease state. One thing they do point out is that recent data showing multiple micronutrient deficiencies following metabolic and bariatric surgery serve to highlight the need for routine and long-term monitoring. Here we see a serious issue with giving this surgery to adolescents. First of all, they are rarely in control of their access to food. If their parents don't buy them what they need, if a parent loses their job and can no longer afford the supplements they require, if they experience hunger and/or homelessness… there are so many things that could impact a 13-year-old's ability to eat in the very specific ways they need to after the surgery for the rest of their life. Also, these surgeries are going to change the ways that these kids eat - at every school lunch, birthday party, family holiday. Anytime food is served, it is going to become clear that they are different, and if they aren't in charge of preparing the food, there is no guarantee that they will be able to get what they need. And that's if they want to do that. Let's not forget, these are humans who are/will be exploring their independence, including through rebellion, they are humans whose prefrontal cortex is not fully developed, meaning that they can literally lack the ability to fully recognize the consequences of their choices. (Of course, given that we only have five years of follow-up data, I would argue that their doctors and surgical teams also lack the ability to fully recognize the consequences of their choices.)The authors end the section with a fairly shameless plug for insurance coverage of these surgeries. This is another long-time goal of the weight loss industry that has made its way into these guidelines.I think this is a good time for a reminder that thin kids get the same health issues for which higher-weight kids are referred to these surgeries and thin kids are NOT asked to take the risks of these surgeries or to have their digestive systems permanently altered. They just get the ethical, evidence-based treatment for the health issue they actually have. Also, remember that the authors' research methodology specifically excluded research about weight-neutral intervention to see if any health benefits that the surgeries might create could be achieved without the significant (and, from a long-term perspective, largely unknown) risks of these surgeries, and perhaps be more lasting?But there is more to this in terms of informed consent. There are many of the same issues that we see with adults (which I wrote about here). With kids, there is another layer. In the state of California, for example, it is illegal to give a tattoo to someone under the age of 18, even with parental permission. But an eighth grader can make the decision to have their digestive system permanently altered, impacting their life and quality of life in myriad ways, many of which are unknown, and with no prognostics? Given all of this, is informed consent even possible for these kids? I would argue that it is not.Even worse, how many kids' parents, in some combination of weight stigma, concern for their child, and acquiescence to a doctor who may be pressuring them, will make this decision for their child?While I'm sure that there are adolescents who had the surgery and are happy with their outcome, I'm equally sure that there are adolescents who had terrible outcomes and would give anything to not have had the surgery (I know because I hear from them). And I know that the research can't tell us why anyone has the outcome they have. When you combine that with the total lack of long-term follow-up (I'm completely unwilling to consider 5 years “long term” for a lifelong intervention,) I think what we have here are, at best, experimental procedures, not procedures that should receive the kind of blanket recommendations that these guidelines provide for kids as young as 13.Ok, there's a lot more to discuss in these guidelines but I will save that for another newsletter. I hope that the outcry against these guidelines is loud, sustained, and successful in getting them rescinded. Kids deserve far better than this.Finally, I just want to give a quick shout-out to my paid subscribers (I know not everyone can/wants to have a paid subscription and that's totally fine - absolutely no shame at all if you are reading this for free as a subscriber or randomly!) those who are able to pay are allowed me to spend HOURS this week going through these guidelines and creating Thursday's post and this post, I'm just super grateful for the support.I'll be posting additional deep-dives into the research they cite and I'll keep a list here:“New insights about how to make an intervention in children and adolescents with metabolic syndrome” Pérez et al.Did you find this post helpful? You can subscribe for free to get future posts delivered direct to your inbox, or choose a paid subscription to support the newsletter and get special benefits! Click the Subscribe button below for details:Liked this piece? Share this piece:More research and resources:https://haeshealthsheets.com/resources/*Note on language: I use “fat” as a neutral descriptor as used by the fat activist community, I use “ob*se” and “overw*ight” to acknowledge that these are terms that were created to medicalize and pathologize fat bodies, with roots in racism and specifically anti-Blackness. Please read Sabrina Strings Fearing the Black Body – the Racial Origins of Fat Phobia and Da'Shaun Harrison Belly of the Beast: The Politics of Anti-Fatness as Anti-Blackness for more on this. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
Both me and my healthy living guest totally disagree!
This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!At their base, the guidelines recommend intentional weight loss for higher-weight children via “Intensive Health Behavior and Lifestyle Training” starting as early as age two (2) with drugs as young as twelve (12) and surgeries starting as early as age thirteen (13).There is a lot to unpack here, and this will be a multi-part series but I have had a flood of requests to write about them since they came out, and I had to get very familiar with them because I presented Grand Rounds at Children's Minnesota this morning, so I thought I would get started with this first ever special edition of the newsletter so that I could get this info to you sooner and keep Saturday's newsletter from becoming a novel! I'm going to start with conflicts of interest because I believe these form the rickety scaffolding upon which the rest of these recommendations rest.When I think about conflicts of interest, I generally feel that having a conflict of interest is not proof of bias, but is certainly a red flag indicating the need for taking a deeper look. Failing to freely and openly disclose a conflict of interest, on the other hand, seems more to me like a red flag doused in gasoline and set on fire. There's a lot of the latter type of red flags in these guidelines.To address conflicts of interest, the guidelines themselves state:FINANCIAL/CONFLICT OF INTEREST DISCLOSURES: An Independent review for bias was completed by the American Academy of Pediatrics. Dr Barlow has disclosed a financial relationship with the Eunice Kennedy Shriver National Institute of Child Health and Human Development as a co-investigator.That's it. That is the only conflict of interest information provided. The same language is provided at the top of the guidelines and under the section “competing interests.” I cannot find any link to the actual review that they performed (if I missed it/you have it, please feel free to leave it in the comments!) I have to tell you that Dr. Barlow's disclosed relationship is pretty much the least of my concerns here.For example, based on their disclosure language you might not guess that, of the 14 authors who are medical doctors, at least 7 have taken money from companies that are developing or sell weight loss products that either directly benefit, or may benefit from these recommendations either through the development of a new drug, or approval of an existing drug for adolescents. The amount ranged from less than $20 for food and beverage (typically indicating that the doctor had attended one or more “educational” seminars by these companies,) to one author who took more than $50,000 primarily for consulting and speaking engagements on behalf of these companies.One of the companies that many took money from was Novo Nordisk, the pharmaceutical company which is aggressively marketing the drugs that are discussed in the guidelines (with an acknowledgment that they were included in the guidelines even though the research for them was published after the evidence review had already been completed.) Also, these numbers are only for 2015-2021 and where data is available. We know that Novo Nordisk has been pouring money into their effort to promote Wegovy and make good on their promise to shareholders that they would use the drug to double their “ob*sity* sales” by 2025, so it's possible that quite a bit more money has changed hands than is represented here. Regardless, as you can see, none of these payments are mentioned in the conflict of interest statement.Based on the American Academy of Pediatrics' conflict of interest statement, you also might not guess that, in fact, Novo Nordisk is a “Patron” of the American Academy of Pediatrics itself- donating somewhere between $25,000 and $49,999 to the organization.Other “patrons” of the AAP include:GlaxoSmithKline, maker of the weight loss drug alliGenentech, which sells the weight loss drug XenicalProlacta, which manufactures human milk-based nutritional products that they claim lowers the risk of ob*sityOf course, none of this is proof that they manipulated the guidelines to benefit these companies, but absolutely none of this is disclosed in the conflict of interest statement which, again…big red flag for me. Considering all of this, I am unconvinced that the American Academy of Pediatrics was in a position to conduct an “Independent review for bias” of guidelines that are incredibly favorable for their “patrons” and the companies from which the authors received money.You may also be surprised to learn that disclosure rules don't even require that they acknowledge that almost every author has a career that is based in the “higher-weight as lifelong chronic illness” model that these guidelines embrace and perpetuate. There are authors who run pediatric weight loss clinics, authors who run pediatric weight loss surgery programs, authors who are employed as pediatric weight management specialists. Below you'll find a list of the authors with information that I pulled from their various online bios about their past and current work in pediatric “ob*sity” as well as the payments I found to them on openpayments.cms.govFor almost all of the authors, these recommendations will increase the market for their services. That doesn't necessarily mean that's why they are making the recommendations, but it's still the literal definition of a conflict of interest. And yet, no disclosure of this is even required and, as you might imagine, none is made.There is also one oddity that I want to point out. Sarah C. Armstrong (who, of the authors who are MDs, took the most money from pharmaceutical companies that do or may benefit from these guidelines at $51,050.45) claims “I subscribe to a "health at every size" approach to supporting children, teens, and young adults living with ob*sity” on the same webpage on which her title is “Medical Weight Management Specialist.” That is, quite literally, impossible as those two things are mutually exclusive. Health at Every Size™ stands completely opposed to the concept of weight management and the pathologizing of body size, including the use of the term “ob*sity.” There is no ambiguity or grey area here, Health at Every Size™ is the trademarked brand of the Association for Size Diversity and Health, there are literally rules for this. So, from my perspective either Dr. Armstrong (a medical doctor who is co-authoring guidelines for other doctors) doesn't understand the basic principles upon which she claims her practice is built, or she is co-opting the language of weight-neutral health in order to promote weight loss. Either way, to me this is concerning enough to point out.I want to be clear, I don't think that these authors are necessarily trying to create profit for themselves, or to harm children. There are a LOT of degrees and certifications held by these authors, and many hold positions at prestigious universities and healthcare facilities. I think they are probably well-intentioned and truly believe that they are doing what's best for children. (As someone who is both queer and fat, I can imagine that if, a few decades ago, you had gotten together a group of doctors who had centered their careers on treating “homosexuality,” you would have gotten guidelines very much like this.) I also think that they are deeply misguided, and that's not surprising given the billions that the weight loss industry has poured into conflating health with weight and weight loss, including in the research, and the (mis) education of healthcare practitioners. Still, I believe that, if adopted, these guidelines will do massive harm. In Saturday's regular edition of Weight and Healthcare there is a deeper dive into the guidelines themselves. And a piece specifically about their eating disorders claims is here. Here is the author list with payments and info I found about their work within the body size as pathology paradigm (note that this is not an exhaustive list and includes past and present work)Sarah E Hampl * Novo Nordisk, $15.15* Pediatrics, Weight Management Sandra G Hassink* Director of the AAP Institute for Healthy Childhood Weight* Began the weight management clinic at Nemours/AI DuPont Children's Hospital in 1988* Has collaborated in basic research efforts to identify pathophysiologic mechanisms of ob*sity* Has lectured widely in the field of pediatric ob*sity* Authored A Parent's Guide to Childhood Ob*sity, Pediatric Ob*sity: Prevention, Intervention, and Treatment Strategies for Primary Care, and Clinical Guide to Pediatric Weight Management* Dedicates a significant portion of her time to advocacy and policy development on ob*sity prevention and treatment. * Served on the IOM committee on Accelerating Progress on Ob*sity Prevention and was an author on the Expert Recommendations for Ob*sityAsheley C Skinner* Areas of expertise: Implementation Science, Health Services Research, Child Ob*sitySarah C. Armstrong * Genetech $41,250.45, Pfizer $5,000, Novo Nordisk $4,800 * Medical Weight Management SpecialistSarah E. Barlow * Echosens $94.89, Alexion 84.31, Abbvie $52.83, Ethicon 51.10, Novo Nordisk 32.27, Avanos $14.13* Oversees an integrated program in ob*sity care that spans community programs, primary healthcare and tertiary care.Christopher F. Bolling * Allergan 145.29, Tris Pharma $50.82, GlaxoSmithKline $45.82, Sanofi $44.71, Takeda $30.39, Astra Zeneca 23.87* Ob*sity Task Force Chair, KY Chapter, American Academy of PediatricsKimberly C. Avila Edwards* Co-founded the Texas Center for the Prevention and Treatment of Childhood Ob*sity at Dell Children's Medical Center in 2010 * On the steering committee for the Institute for a Healthy Childhood Weight from 2012-2016* Chaired the Ob*sity Committee of TPS (Texas Pediatric Society) from 2007 to 2011Ihuoma Eneli* Director of the Center for Healthy Weight and Nutrition at Nationwide Children's Hospital* Oversees a comprehensive pediatric ob*sity center with activities that include advocacy, prevention, medical weight management and adolescent bariatric surgery* Directs the Primary Care Ob*sity Network (PCON) which provides ob*sity-related training, resources and community integration for 21 primary care practices in Central Ohio* Has particular interest in intervention research for pediatric ob*sity* Member of the National Academy of Sciences Roundtable on Ob*sity SolutionsRobin Hamre* Ob*sity prevention program team leader for the Centers for Disease Control and Prevention Madeline M. Joseph* Chief, Division of Pediatric Bariatrics University of Florida HealthDoug Lunsford* Lead Patient Principal Investigator, PCORnet Ob*sity Studymember of the Parent and Patient Leadership Team for the Healthy Weight Network* Co-founder of the Healthy Weight Community* Twitter Bio: Working to end childhood ob*sityEneida Mendonca* Biomedical Informatics expert, no link to ob*sity medicineMarc P. Michalsky * Novo Nordisk $13,576.47* Surgical Director for the Center for Healthy Weight and Nutrition at Nationwide Children's Hospital* Serves as a clinical investigator on several National Institutes of Health (NIH)-sponsored research initiatives examining outcomes following surgical weight reduction in the severely ob*se adolescent population.* Dr. Michalsky's team currently performs gastric sleeve surgery, gastric bypass surgery, and adjustable gastric banding on severely ob*se adolescentsNazrat Mirza (Rhythm Pharmaceuticals $526.50, Novo Nordisk $64.54)* Medical Director, IDEAL Pediatric Weight Management ClinicEduardo R. Ochoa * Merck $3,868.16* Principle investigator for the Children's Health Watch Little Rock site at Arkansas Children's HospitalMona Sharifi* Studies the effectiveness, cost-effectiveness, and implementation of novel primary care-based interventions for childhood ob*sity* Yale School of Medicine Ob*sity Research Working GroupAmanda E. Staiano* Pennington Biomedical Research Center. Assistant Professor, Pediatric Ob*sity and Health Behavior Lab* Studies the best ways to target children and adolescents who are most at-risk for ob*sity and chronic disease, tailoring physical activity interventions to help these children and adolescents achieve a healthy weightAshley E. Weedn * Novo Nordisk $64.52* During residency, she trained at the University of California at San Francisco in pediatric weight management* Her clinical and research interests are in childhood ob*sity. * She leads several pediatric ob*sity projects* Serves as the Medical Director of the OU pediatric multidisciplinary weight management clinic* Co-chairs the Ob*sity Special Interest Group of the Academic Pediatric Association* Serves as a Childhood Ob*sity Advisor for the American Academy of Pediatrics* Founded and co-chairs the Ob*sity Committee through the Oklahoma Chapter of the American Academy of Pediatrics* Works with pediatricians across the state to address childhood ob*sity, including development of toolkits and webinars for primary care providers on childhood ob*sity assessment and management. Susan K. Flinn* Writer/editor for hireJeanne Lindros* Manager, Ob*sity Initiatives, American Academy of Pediatrics* Co-presenter: Virtual reality-based training for motivational interviewing around childhood ob*sity – are pediatricians “game”?Kymika Okechukwu* Senior Manager, Evidence-Based Medicine Initiatives - American Academy of PediatricsStay tuned for Saturday's deep dive into the guidelines!Did you find this post helpful? You can subscribe for free to get future posts delivered direct to your inbox, or choose a paid subscription to support the newsletter and get special benefits! Click the Subscribe button below for details:Liked this piece? Share this piece:More research and resources:https://haeshealthsheets.com/resources/*Note on language: I use “fat” as a neutral descriptor as used by the fat activist community, I use “ob*se” and “overw*ight” to acknowledge that these are terms that were created to medicalize and pathologize fat bodies, with roots in racism and specifically anti-Blackness. Please read Sabrina Strings Fearing the Black Body – the Racial Origins of Fat Phobia and Da'Shaun Harrison Belly of the Beast: The Politics of Anti-Fatness as Anti-Blackness for more on this. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
The Rich Zeoli Show- Hour1: The New Orleans-based 5th U.S. Circuit Court of Appeals struck down a Trump Administration order that banned “bump stocks.” According to guidance from the American Academy of Pediatrics, obese children as young as 12-years-old should consider medications to combat obesity—with surgery sometimes recommended for kids who are 13-years or older. Why isn't the American Academy of Pediatrics just placing a great emphasis on children exercising instead of encouraging risky medications and even surgery? Are kids being over-medicated? In a new Wall Street Journal opinion editorial, Jenin Younes and Aaron Kheriaty document “[n]ewly released emails" showing "how officials coerce social-media companies to toe the government line.” They write, “[t]he emails emerged Jan. 6 in the discovery phase of Missouri v. Biden, a free-speech case brought by the attorneys general of Missouri and Louisiana and four private plaintiffs represented by the New Civil Liberties Alliance.” Younes, litigation counsel at the New Civil Liberties Alliance, will be joining the show later this afternoon.
Greg takes a concerning look at these new guidelines put forth by the American Academy of Pediatrics.
Greg takes a concerning look at these new guidelines put forth by the American Academy of Pediatrics.
The Rich Zeoli Show- Hour 2: Michael Torres—Deputy Editor of RealClearPennsylvania—joins The Rich Zeoli Show to discuss his latest article, “PA GOP Leaders Point to Trump for Midterm Losses.” Torres spoke with multiple Republican officials throughout Pennsylvania following last week's midterm elections—many suggested that former President Donald Trump's fixation on the 2020 election led him to endorsing flawed Republican primary candidates that were unable to win general elections. The Rich Zeoli Show has an abbreviated Friday broadcast due to sports. Rich has developed a reputation for not working on Fridays—but, by the end of November, Matt will have avoided working a full Friday for the entirety of the month! Rich shames him. According to The Post Millennial, guidance from the American Academy of Pediatrics (AAP) suggests that irreversible “gender affirming” procedures on children under 18 are acceptable—though, tattooing a child is an offense that is punishable by law.
LISTEN Show Notes: In his From the Heart segment, Dr. Paul talks about love and compassion and what can we do when someone is hurting. In a world filled with suffering of all kinds, we have an opportunity to simply be present for those who are in need. While our presence can take many forms, what matters most is that we are showing up. This week, Dr. Paul interviews specialist in pediatrics, past president of the American Academy of Pediatrics (AAP) and the American Colleg [...]
In this episode of the FAIR News Weekly Podcast, we cover the news from the week ending Friday, 8/5/22. Read all the stories mentioned in the episode in FAIR News and FAIR Weekly Roundup, our two newsletters each emailed once a week. Sign up for our emailed newsletters at FairForAll.org/JoinUs. FAIR News 8/4: https://bit.ly/3OXaQ6x FAIR Weekly Roundup 7/31: https://bit.ly/3QoMALG The Foundation Against Intolerance and Racism (FAIR) is a nonpartisan organization dedicated to advancing civil rights and liberties for all Americans, and promoting a common culture based on fairness, understanding and humanity. Follow us on social media! Twitter: https://twitter.com/fairforall_org Facebook: https://www.facebook.com/Foundation-Against-Intolerance-Racism-10417260496818 Instagram: https://www.instagram.com/fairforall_org/ LinkedIn: https://www.linkedin.com/company/foundation-against-intolerance-and-racism Podcast Narrated by Gabriel Ashton Brown. Music by Rebecca Nisco. Produced by Joseph (Jake) Klein.
Join us as we break down the American Academy of Pediatric new breastfeeding guidelines: Exclusive breastfeeding of infants for the first 6 months of life up to 2 years.The AAP mentions some policy changes that would help better support breastfeeding mothers, but did they read the room on the timing of this release? References:American Academy of Pediatrics Calls for More Support for Breastfeeding Mothers Within Updated Policy RecommendationsThese New Breastfeeding Guidelines Ignore the Reality of Many American MomsNew AAP Guidelines on Breastfeeding and Safe SleepTMAC Fitness. 20 Minute Home Workouts Beginner and Advanced Workouts. No equipment. Each Workout Ends with a Meditation. Brand The Personal Finance PodcastSubscribe now and Master Your Money in Less than 30 Minutes Per Week! Listen on: Apple Podcasts Spotify
Dr. Colleen Kraft is a leading pediatrician and former President of the American Academy of Pediatrics who has been instrumental in making mental health for kids a central topic of conversation in the public health community. She's also the mother of three children, and recently lost her adult son -- Tim -- to suicide. Her personal loss has driven her public health advocacy, really calling for greater mental health support and gun safety measures. In her conversation with Liz, Dr. Kraft explains why she thinks gun safety is a public health issue, not a political one. She also shares the story of her son Tim's death and offers actionable steps for mothers who are concerned about mental health and gun safety.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
American Academy Of Pediatrics New Radical Gender Ideology Puberty Guide
For the first time in almost 20 years, the CDC has updated their child development milestone guidelines. In cooperation with the American Academy of Pediatrics, a group of eight subject matter experts recommended changes to these guidelines. So why is the American Speech Language Hearing Association and most of their 211,000 association professionals concerned?Well curious minds, listen to find out!Resources used for this episode:https://www.cdc.gov/ncbddd/actearly/milestones/index.htmlhttps://www.theinformedslp.com/review/no-sl-ps-were-in-the-room-where-it-happenedhttps://www.cdc.gov/ncbddd/childdevelopment/screening.htmlhttps://www.asha.org/students/planning-your-education-in-csd/https://leader.pubs.asha.org/do/10.1044/2022-0225-cdc-developmental-milestone-concerns/full/https://www.asha.org/practice/Frequently-Asked-Questions-CDC-and-AAP-Developmental-Milestones/#Q2Support the show:https://www.patreon.com/neuroversity Podcast website:https://www.neuroversitypod.com/
Learn about why high school starts too early; why daydreaming might be a good sign; and finding life on Hycean planets. High school starts too early in all but 3 US states — but things are changing by Steffie Drucker Roy, S. (2014, August 26). AAP Recommends Delaying School Start Times to Combat Teen Sleep... Sleep Review. https://www.sleepreviewmag.com/sleep-health/demographics/age/aap-recommends-delaying-school-start-times-combat-teen-sleep-deprivation/ CDC. (2020, May 29). Schools Start Too Early. Centers for Disease Control and Prevention. https://www.cdc.gov/sleep/features/schools-start-too-early.html National Teacher and Principal Survey (NTPS). (2017). Ed.gov; National Center for Education Statistics. https://nces.ed.gov/surveys/ntps/tables/ntps1718_table_05_s1s.asp Jacobs, F. (2021, August 27). Here's how early school begins – and why it is bad for students. Big Think; Big Think. https://bigthink.com/strange-maps/heres-how-early-school-begins-and-why-it-is-bad-for-students Sleep for Teenagers | Sleep Foundation. (2009, April 17). Sleep Foundation. https://www.sleepfoundation.org/teens-and-sleep Daydreaming Might Be a Sign of an Efficient Brain by Reuben Westmaas Daydreaming is Good. It Means You're Smart | News Center. (2017). Gatech.edu. https://www.news.gatech.edu/news/2017/10/24/daydreaming-good-it-means-youre-smart Godwin, C. A., Hunter, M. A., Bezdek, M. A., Lieberman, G., Elkin-Frankston, S., Romero, V. L., Witkiewitz, K., Clark, V. P., & Schumacher, E. H. (2017). Functional connectivity within and between intrinsic brain networks correlates with trait mind wandering. Neuropsychologia, 103, 140–153. https://doi.org/10.1016/j.neuropsychologia.2017.07.006 A wandering mind reveals mental processes and priorities. (2012). Wisc.edu. https://news.wisc.edu/a-wandering-mind-reveals-mental-processes-and-priorities/ Levinson, D. B., Smallwood, J., & Davidson, R. J. (2012). The Persistence of Thought. Psychological Science, 23(4), 375–380. https://doi.org/10.1177/0956797611431465 Forget Earth-like planets — it's time to look for alien life on Hycean planets by Briana Brownell New class of habitable exoplanets are “a big step forward” in the search for life. (2021, August 26). University of Cambridge. https://www.cam.ac.uk/research/news/new-class-of-habitable-exoplanets-are-a-big-step-forward-in-the-search-for-life Madhusudhan, N., Piette, A. A. A., & Constantinou, S. (2021). Habitability and Biosignatures of Hycean Worlds. The Astrophysical Journal, 918(1), 1. https://doi.org/10.3847/1538-4357/abfd9c Follow Curiosity Daily on your favorite podcast app to learn something new every day withCody Gough andAshley Hamer. Still curious? Get exclusive science shows, nature documentaries, and more real-life entertainment on discovery+! Go to https://discoveryplus.com/curiosity to start your 7-day free trial. discovery+ is currently only available for US subscribers. See omnystudio.com/listener for privacy information.
As the U.S. continues inoculating adults and adolescents, questions remain about vaccinating the 48 million kids under the age of 12. With the delta variant raging, almost five times as many children are being hospitalized for COVID-19. The American Academy of Pediatrics has called on the FDA to pick up the pace. William Brangham discusses with Dr. Lee Beers, president of the academy. PBS NewsHour is supported by - https://www.pbs.org/newshour/about/funders
As the U.S. continues inoculating adults and adolescents, questions remain about vaccinating the 48 million kids under the age of 12. With the delta variant raging, almost five times as many children are being hospitalized for COVID-19. The American Academy of Pediatrics has called on the FDA to pick up the pace. William Brangham discusses with Dr. Lee Beers, president of the academy. PBS NewsHour is supported by - https://www.pbs.org/newshour/about/funders
Should infants at high risk for severe RSV receive prophylaxis now? Find out about this and more in today's PV Roundup podcast.
In this three-part series with discuss the essentials of natural airway sedation for pediatric intensivists. During our conversation we discuss:1. Why this topic is so important for PICU physicians2. Procedural sedation vs. general anesthesia3. Conscious sedation???4. Safety considerations, risk factors and adverse events5. Patient selection6. Drug selection7. Appropriate monitoring8. Rescue medications. We finish with a discussion of common clinical scenarios. About our guest:Dr. Pradip Kamat is an Associate Professor of Pediatrics at Emory School of Medicine and practicing pediatric intensivist at Children's Healthcare of Atlanta. His clinical and research interests are in procedural sedation and education. We are very excited to have him on our podcast.Dr. Kamat is also active in PICU open access education. Please check out the PICU Doc On Call podcast co-hosted by Rahul Damania and him at https://picudoconcall.org How to support PedsCrit?Please share, like, rate and review on Apple Podcasts or Spotify!Donations appreciated @PedsCrit on Venmo --100% of all funds will go to supporting the show to keep this project going.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updatesThanks again for listening! References and further reading:Coté CJ, Wilson S; AMERICAN ACADEMY OF PEDIATRICS; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016. Pediatrics. 2016 Jul;138(1):e20161212. doi: 10.1542/peds.2016-1212. PMID: 27354454.Emrath ET, Stockwell JA, McCracken CE, Simon HK, Kamat PP. Provision of deep procedural sedation by a pediatric sedation team at a freestanding imaging center. Pediatr Radiol. 2014 Aug;44(8):1020-5. doi: 10.1007/s00247-014-2942-z. Epub 2014 May 24. PMID: 24859263.Grunwell JR, McCracken C, Fortenberry J, Stockwell J, Kamat P. Risk factors leading to failed procedural sedation in children outside the operating room. Pediatr Emerg Care. 2014 Jun;30(6):381-7. doi: 10.1097/PEC.0000000000000143. PMID: 24849275.Hooper MC, Kamat PP, Couloures KG. Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship. Pediatr Crit Care Med. 2019 Mar;20(3):259-261. doi: 10.1097/PCC.0000000000001809. PMID: 30431555.Kamat PP, McCracken CE, Simon HK, Stormorken A, Mallory M, Chumpitazi CE, Cravero JP. Trends in Outpatient Procedural Sedation: 2007-2018. Pediatrics. 2020 May;145(5):e20193559. doi: 10.1542/peds.2019-3559. PMID: 32332053.
What is the latest on the approval status of the COVID-19 vaccines? Find out about this and more in this special COVID-19 edition of the PV Roundup podcast.
In this three-part series with discuss the essentials of natural airway sedation for pediatric intensivists. During our conversation we discuss:1. Why this topic is so important for PICU physicians2. Procedural sedation vs. general anesthesia3. Conscious sedation???4. Safety considerations, risk factors and adverse events5. Patient selection6. Drug selection7. Appropriate monitoring8. Rescue medications. We finish with a discussion of common clinical scenarios. About our guest:Dr. Pradip Kamat is an Associate Professor of Pediatrics at Emory School of Medicine and practicing pediatric intensivist at Children's Healthcare of Atlanta. His clinical and research interests are in procedural sedation and education. We are very excited to have him on our podcast.Dr. Kamat is also active in PICU open access education. Please check out the PICU Doc On Call podcast co-hosted by Rahul Damania and him at https://picudoconcall.org How to support PedsCrit?Please share, like, rate and review on Apple Podcasts or Spotify!Donations appreciated @PedsCrit on Venmo --100% of all funds will go to supporting the show to keep this project going.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updatesThanks again for listening! References and further reading:Coté CJ, Wilson S; AMERICAN ACADEMY OF PEDIATRICS; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016. Pediatrics. 2016 Jul;138(1):e20161212. doi: 10.1542/peds.2016-1212. PMID: 27354454.Emrath ET, Stockwell JA, McCracken CE, Simon HK, Kamat PP. Provision of deep procedural sedation by a pediatric sedation team at a freestanding imaging center. Pediatr Radiol. 2014 Aug;44(8):1020-5. doi: 10.1007/s00247-014-2942-z. Epub 2014 May 24. PMID: 24859263.Grunwell JR, McCracken C, Fortenberry J, Stockwell J, Kamat P. Risk factors leading to failed procedural sedation in children outside the operating room. Pediatr Emerg Care. 2014 Jun;30(6):381-7. doi: 10.1097/PEC.0000000000000143. PMID: 24849275.Hooper MC, Kamat PP, Couloures KG. Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship. Pediatr Crit Care Med. 2019 Mar;20(3):259-261. doi: 10.1097/PCC.0000000000001809. PMID: 30431555.Kamat PP, McCracken CE, Simon HK, Stormorken A, Mallory M, Chumpitazi CE, Cravero JP. Trends in Outpatient Procedural Sedation: 2007-2018. Pediatrics. 2020 May;145(5):e20193559. doi: 10.1542/peds.2019-3559. PMID: 32332053.
Quentin Van Meter, MD, FCP, president and longtime member of the American College of Pediatricians, graduated from the College of William and Mary in 1969 and received his M.D. in 1973 from the Medical College of Virginia. While in medical school, he entered the Navy through the Health Professions Scholarship and went on to a pediatric internship and residency at the Naval Hospital in Oakland. He subsequently completed a fellowship in Pediatric Endocrinology in 1980 at Johns Hopkins. He completed 20 years of service in the Navy Medical Corps, retiring as a Captain in 1991. His final tour of duty was back at the Naval Hospital in Oakland where he was Pediatric Department Chairman and director of the Pediatric residency program. After the Navy, he moved to the Atlanta area to join a multi-specialty private practice, providing general pediatric and pediatric endocrine services, as he had in the Navy. He has maintained academic affiliations throughout his career, at LSU, UC San Diego, UC San Francisco, Emory, and Morehouse Schools of Medicine. Since 2003, he has been practicing full-time pediatric endocrinology in private practice and is actively involved in clinical research with growth hormone, novel insulins, and GnRH agonists. This is an audio podcast of The Dr J Show. Full video episode is available here.
In this three part series with discuss the essentials of natural airway sedation for pediatric intensivists. During our conversation we discuss:1. Why this topic is so important for PICU physicians2. Procedural sedation vs. general anesthesia3. Conscious sedation???4. Safety considerations, risk factors and adverse events5. Patient selection6. Drug selection7. Appropriate monitoring8. Rescue medications. We finish with a discussion of common clinical scenarios. About our guest:Dr. Pradip Kamat is an Associate Professor of Pediatrics at Emory School of Medicine and practicing pediatric intensivist at Children's Healthcare of Atlanta. His clinical and research interests are in procedural sedation and education. We are very excited to have him on our podcast.Dr. Kamat is also active in PICU open access education. Please check out the PICU Doc On Call podcast co-hosted by Rahul Damania and him at https://picudoconcall.org How to support PedsCrit?Please share, like, rate and review on Apple Podcasts or Spotify!Donations appreciated @PedsCrit on Venmo --100% of all funds will go to supporting the show to keep this project going.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updatesThanks again for listening! References and further reading:Coté CJ, Wilson S; AMERICAN ACADEMY OF PEDIATRICS; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures: Update 2016. Pediatrics. 2016 Jul;138(1):e20161212. doi: 10.1542/peds.2016-1212. PMID: 27354454.Emrath ET, Stockwell JA, McCracken CE, Simon HK, Kamat PP. Provision of deep procedural sedation by a pediatric sedation team at a freestanding imaging center. Pediatr Radiol. 2014 Aug;44(8):1020-5. doi: 10.1007/s00247-014-2942-z. Epub 2014 May 24. PMID: 24859263.Grunwell JR, McCracken C, Fortenberry J, Stockwell J, Kamat P. Risk factors leading to failed procedural sedation in children outside the operating room. Pediatr Emerg Care. 2014 Jun;30(6):381-7. doi: 10.1097/PEC.0000000000000143. PMID: 24849275.Hooper MC, Kamat PP, Couloures KG. Evaluating the Need for Pediatric Procedural Sedation Training in Pediatric Critical Care Medicine Fellowship. Pediatr Crit Care Med. 2019 Mar;20(3):259-261. doi: 10.1097/PCC.0000000000001809. PMID: 30431555.Kamat PP, McCracken CE, Simon HK, Stormorken A, Mallory M, Chumpitazi CE, Cravero JP. Trends in Outpatient Procedural Sedation: 2007-2018. Pediatrics. 2020 May;145(5):e20193559. doi: 10.1542/peds.2019-3559. PMID: 32332053.
Listen to Smart Talk every weekday at 9am and 7pm on WITF 89.5 & 93.3. You can also stream WITF radio live on our website or ask your smart speaker to “Play WITF Radio.” It has been a whirlwind month with pandemic news. The Biden administration set July 4 as a target for 70 percent of … Continue reading "Districts and families consider mask mandates as school year plans take shape, while the American Academy of Pediatrics urge “back to class, wear a mask”"
The American Academy of Pediatrics calls for universal masking in schools this Fall. That is at odds with the CDC, California, and the Journal of the American Medical Association Pediatrics, but in line with the County of Los Angeles... confused? Lou talks with Dr. Jeff Barke and will straighten it all out. And the Recall of Newsom is in full swing, but where's Larry Elder?
Should kids be required to wear masks while in school this fall? Adam Carter discusses this topic with Dr. Sheldon Berkowitz See omnystudio.com/listener for privacy information.
Dr. Alison Tothy of the American Academy of Pediatrics explains why her team recommends that schools continue to require masks, even if students are vaccinated.
Dr. Alison Tothy of the American Academy of Pediatrics explains why her team recommends that schools continue to require masks, even if students are vaccinated.
Does LITERACY always mean BOOKS? From The Great Gatsby to alarmist predictions about the internet ending civilized society, history shows a poor track record of embracing culturally relevant literature in the American education system. Part 1 of this miniseries makes the case for why digital media should be included in every literature curriculum. Part 2 gives practical strategies for how to do so at all ages and grade levels.Kickin' It New School is a podcast about challenging some of the long-standing assumptions in education and exploring how we can reach this current generation. Whether you're a homeschool parent, teacher, or someone interested in ed policy, this show is for you. Tell me your success story or ask a question at https://jimmyleonard.com/podcast/.Twitter: @authorjleonardSupport the show (https://jimmyleonard.com/asp-products/support-the-podcast/)
Does LITERACY always mean BOOKS? From The Great Gatsby to alarmist predictions about the internet ending civilized society, history shows a poor track record of embracing culturally relevant literature in the American education system. Part 1 of this miniseries makes the case for why digital media should be included in every literature curriculum. Part 2 gives practical strategies for how to do so at all ages and grade levels.Kickin' It New School is a podcast about challenging some of the long-standing assumptions in education and exploring how we can reach this current generation. Whether you're a homeschool parent, teacher, or someone interested in ed policy, this show is for you. Tell me your success story or ask a question at https://jimmyleonard.com/podcast/.Twitter: @authorjleonardSupport the show (https://jimmyleonard.com/asp-products/support-the-podcast/)
All Locals for 4p. 07/19/21 See omnystudio.com/listener for privacy information.
In this edition of Zeit67-530Trend, Jack and Miles discuss Ben & Jerry's decision to stop sales in West Bank settlements, Stephen A. Smith being wrong for a living, the AAP recommending masks for everyone 2 and up, Geraldo Rivera making sense?!?!?, the English FA cracking down on racial abuse, Keldon Johnson's breakout performance for Team USA, and 'Anti-Sex' beds in the Olympic Village? Learn more about your ad-choices at https://www.iheartpodcastnetwork.com
Join Sleep Expert Christine Stevens as we discuss the number one sleep problem and its solution, what to do if your baby is overtired or overstimulated, and what sleep hygiene should look like with your baby. BONUS CONTENT: how to get out of the cycle of using props to get your baby to fall asleep, the importance of swaddling, and recommended sleep times.
You asked, and we delivered! As we collected questions from YOU, our WeSTAT community about what you wanted to ask Dr. Rachel about regarding The Corona and your kids-the most popular query centered around the social and emotional health of our kiddos and back to school. In this episode, the Ohio chapter Pediatrician of the Year (2019) for the American Academy of Pediatrics, Dr. Andrew Garner, answers our plethora of questions on how all this COVID stress is impacting our kids. Whether it is in person-school, virtual learning, socialization, or the lack thereof, and the stress that hangs over us all like the heavy cloud of 2020, Dr. Garner, who co-authored the AAP's technical report and policy statement on childhood toxic stress, gives us many tangible takeaways and ideas on how to best manage this historic time, even if they can't be black and white.Show Notes:Meet Dr. Andrew! Andrew Garner, MD, PhD, FAAP, is a pediatrician, author and child advocate. He is a graduate of Swarthmore College, the medical scientist (MD, PhD) training program at Case Western Reserve University (CWRU), and the pediatric residency training program at the Children’s Hospital of Philadelphia. Dr. Garner has practiced primary care pediatrics with University Hospitals of Cleveland for twenty years. A Clinical Professor of Pediatrics at the CWRU School of Medicine, Dr. Garner co-authored the American Academy of Pediatrics’ policy statement and technical report on childhood toxic stress and a book entitled “Thinking Developmentally: Nurturing Wellness in Childhood to Promote Lifelong Health.” When not practicing pediatrics, writing about toxic stress, or advocating for children and their families, Dr. Garner enjoys hiking, fishing, watching baseball, and spending some quality time with his wife, two adult children, and the family dog, Bear.Thinking Developmentally: Nurturing Wellness in Children to Develop Life Long Health https://www.amazon.com/Thinking-Developmentally-Nurturing-Wellness-Childhood-ebook/dp/B07F6W4PJGSupport the show (http://www.paypal.com)
Coronavirus cases are hitting a new record in the United States, yet some summer activities are moving forward as planned. Are the measures like temperature checks enough to avoid spreading? What are some tips to help our children understand wearing the mask? Plus, today's recipe from Chef Candil: Tortilla de Patatas, Spanish Omelette INGREDIENTS: 5 medium potatoes (Yukon Gold, Yellow Finn, or white) or approx 1-1/2 Ibs 1 medium onion, diced Extra Virgin Olive Oil 1 tsp coarse salt 4 large eggs, lightly beaten Powder onion ENJOY! Video recipe: https://youtu.be/wlafRESh2LQ
This week Dr. Greg talks with Dr. Scottie Day, chair of the department of pediatrics for Kentucky Children's Hospital about newly released American Academy of Pediatrics' safety guidance for the reopening of schools this fall. He says while something looks good and prudent on paper, putting it into practice will likely be a challenge. He also talks about how the ongoing COVID-19 pandemic has put renewed emphasis on the expansion of telehealth options.
The season for influenza runs from October until April. That means we're in the thick of it. How can you keep your family healthy, and what can you do to shorten any illnesses your kids do bring home? Dr. Anita Chandra, spokesperson for the American Academy of Pediatrics, joins uh-PARENT-ly, cohosts Tracy Weiner and Anne Johnsos to talk about everything from preventing the flu from spreading through your whole house to finding mental health resources for your teen to testing babies for vision loss. Oh. And tummy time.
Dr James Cantor, clinical psychologist and sexologist, talks to Jonathan Kay about his recent peer-reviewed critique of the AAP's unscientific guidelines on treating trans children.
Dr James Cantor, clinical psychologist and sexologist, talks to Jonathan Kay about his recent peer-reviewed critique of the AAP's unscientific guidelines on treating trans children.
This week I sit down with Melissa Wervey Arnold, the CEO of the American Academy of Pediatrics Ohio Chapter, to discuss the current state of vaccines, particularly in the state of Ohio. We dive into some current legislation and discuss some of the hurdles we face in healthcare with making sure we maintain a sufficient vaccination rate to help keep the public protected. You can find the Ohio chapter of AAP here: http://ohioaap.org/ You can also find Melissa here: https://www.linkedin.com/in/melissa-wervey-arnold-6139761/ My personal profile is here: https://www.linkedin.com/in/eric-geyer-77914445/
Your Parenting Mojo - Respectful, research-based parenting ideas to help kids thrive
A couple of months ago, when I was interviewing listener Rose Hoberman for her Sharing Your Parenting Mojo episode (https://yourparentingmojo.com/rosehoberman/) , she casually mentioned after we got off air that her father in law – Dr. Benard Dreyer – is the immediate past president of the American Academy of Pediatrics, and would I like her to make a connection? I almost coughed up my water as I said yes, please, I very much would like her to make a connection if he would be interested in answering listener questions about the AAP’s policies and work. Dr. Dreyer gamely agreed to chat, and in this wide-ranging conversation we cover the AAP’s stance on sleep practices, screen time, discipline, respect among physicians, and what happens when the organization reverses itself… (#) Jen: 00:01:37 Hello and welcome to the Your Parenting Mojo podcast. Regular listeners might recall that I launched a new segment of the show a couple months back called Sharing Your Parenting Mojo where I interviewed listeners about what they've learned from the show and what parenting issues they’re still struggling with. My second interview for this segment was with listener Rose Hoberman and at the end of our conversation she just kinda casually threw out, “so, you know, my father in law is actually a past president of the American Academy of Pediatrics. So let me know if you'd like to interview him.” And I was kind of shell shocked for a minute and I just said, yes, if you could set that up for me as soon as you can, I'd really appreciate it. So here with us today is Dr. Benard Dreyer who's Director of the Division of Developmental and Behavioral Pediatrics and also a Professor in the Department of Pediatrics at the Hassenfeld Children's Hospital, which is part of New York University Langone. Jen: 00:02:26 Dr. Dreyer works closely with children who have autism spectrum disorder, ADHD, language delays, genetic problems and behavioral difficulties in school. Dr. Dreyer received his M.D. from New York University and he held a variety of leadership positions within the AAP before serving as its president in 2016 and he continues to serve as its Medical Director for Policies. Dr. Dreyer has also hosted the SiriusXM Satellite Radio Show On Call For Kids, a two-hour show that has run two to three times a month since 2008, which is incredible coming from a podcast perspective. Welcome Dr. Dreyer. Dr. Dreyer: 00:03:02 Pleasure to be here. Jen: 00:03:03 So I solicited most of the questions from this interview from people who are subscribed to the show via my website and who get emails from me and they were able to email me back and send me their questions as well as those who are in the Your Parenting Mojo Facebook group. One thing that really stuck out to me as the questions started rolling in was the extent to which parents, at least in the US to some extent abroad, really like to know what the American Academy of Pediatrics says about a particular topic. And they might not always agree with the AAP’s position and they might even make a decision to ignore the AAP’s advice, but they always like to know what the AAP says before they do that. So the position that AAP takes really does carry a lot of weight. I wonder if you can walk us through what it's like to make one of these recommendations that are probably based on hundreds of studies with conflicting results and boil it down into something like no screen time for children under 18 months and no more than one hour a day for children ages two to five. How does that work? I guess starting at the beginning, how do you decide what studies to include? Dr. Dreyer: 00:04:06 Well, I think even before we decide what studies to include, there is the question of what topics should we have like policies or recommendations on. I think we choose topics based on what we think are the important issues for both pediatricians and practice where they're dealing with...
“But I would say a lot of intuitive knowing; a lot of deep knowing has sort of been lost. And so it's helpful to remember and to plug back into how we came into being and what is really embedded in our sequence. Because from there are the tools for healing.” Karen Strange is a Certified Professional Midwife and an instructor at the American Academy of Pediatrics (AAP). Basically, her job is to educate midwifes about the latest techniques in birthing children. She also founded a workshop on neonatal resuscitation. But, why would there be an instructor for neonatal resuscitation in a podcast for families with addiction? Well, let our guest tell you the secret around your birth. To know how to proceed, one must know where he came from. Karen’s words above give a glimpse of why this topic is essential. An individual’s personality is shaped as soon as we breathe life. Learn how one’s conception and birth has a bearing on one’s predisposition to addiction. And even if many unplanned events happened around this time where we didn’t have control, find out how ‘repair’ can still be done in order to attain this elusive healing. Today’s episode will bring you back to your memory that only your infant self can remember. Get the show notes, transcription and resources mentioned at http://thefamilyrecoverysolution.com/ Highlights: 04:59 An instructor for Neonatal Resuscitation in a Family with Addiction Podcast 10:53 How the Mother’s Emotional World Shapes Personality 17:33 Two Layers of Support- Essential for Healthy Neonatal Development 22:59 Our Implicit Memory 27:30 Repair of the Unplannned 30:33 The Birth Sequence 37:29 The Pacing Where Healing Occurs 46:20 Aware of How We Are In the Inside
This week, hosts Mark Masselli and Margaret Flinter speak with Dr. Colleen Kraft, President of the American Academy of Pediatrics, which has vocally opposed the separation of immigrant families at the border. She talks about the long term impact of toxic stress in childhood, recommended breastfeeding and vaccination protocols, harm from gun violence, and too much screen time for kids. The post Dr. Colleen Kraft, President of the American Academy of Pediatrics, on Separating Immigrant Families at the Border and the Impact of Toxic Stress appeared first on Healthy Communities Online.
In this Medical News Podcast, Jennifer Abbasi interviews Robert Sege, MD, PhD, coauthor of the recent American Academy of Pediatrics policy statement on corporal punishment for children.
I did a happy dance a few weeks ago when I read that American Academy of Pediatrics has revised its guidelines on spanking and corporal punishment. This 67,000-doctor organization is coming out strongly against spanking, humiliating, and frightening children as discipline. Today I'm rebroadcasting my conversation with former AAP president, Dr. Benard Dreyer. Dr. Dreyer gave such wonderful advice for parents as we raise our kids, and to my surprise it's been more than 2 years since this interview first aired! Time flies. In the preshow, before our conversation, I read from the newspaper article that had me doing my happy dance, "Spanking is harmful, ineffective, group says." Hope you enjoy this episode, and that it helps you remember to keep your discipline positive! Go to weturnedoutokay.com/252 for: The link to the article about the AAP's stance on spanking What's up in the We Turned Out Okay universe, including tons of free resources : ) The video of the week: Off this week, returning after Thanksgiving And thank you so much for listening!
Welcome back Charting Pediatrics listeners! Today we are excited to announce that with Season 2 of Charting Pediatrics, we are taking our show on the road. We are going to be live podcasting from Orlando next month at the American Academy of Pediatrics National Conference and Exhibition, which of course is the big general pediatrics conference of the year! Dr. David Brumbaugh and Dr. Alison Brent are thrilled to have the opportunity to sit down and record with some wonderful pediatric experts from around the US and discuss the timely topics they are covering in their specific conference presentations. Our guests will include Dr. Elissa Miller from Nemours/Alfred I. duPont Hospital for Children, and Dr. Sam Wang from our own Children’s Hospital Colorado. In addition, we have Dr. Leslie Walker-Harding from Penn State Children’s Hospital, as well as Dr. Rachel Moon from the University of Virginia School of Medicine. We’d love the opportunity to meet you, our listeners. So please stop by the exhibit hall where we will be live podcasting from Booth 1113. Stop in, say hello, and catch some of the live recordings that will be taking place on Saturday, November 3rd with this fantastic panel of guests. Until next time, keep on keeping kids safe out there!
Did you know that more than 10,000 chemicals are allowed to be added to our food, but not all are tested for safety? Join Food Sleuth Radio host and Registered Dietitian, Melinda Hemmelgarn, for her interview with Sheela Sathyanarayana, M.D., MPH, associate professor of pediatrics at the University of Washington, and co-author of the American Academy of Pediatrics’ new policy statement on “Food Additives and Child Health.” Dr. Sathyanarayana discusses the regulatory system that provides loopholes for manufacturers, as well as the impact of direct (colors, flavors) and indirect (through manufacturing and packaging) food additives on children’s health and behavior. She also provides tips for protecting children from harmful additives. Related website: http://pediatrics.aappublications.org/content/pediatrics/early/2018/07/19/peds.2018-1408.full.pdf
It’s astounding that the American Academy of Pediatrics is supporting the acceptance of transgenderism in kids, ignoring the stats on the number of kids who commit suicide even AFTER reassignment surgery. Some kids may be confused about which sex they are, but there are many avenues to try before administering sometimes irreversible or life altering […] The post Heidi Harris Show Podcast #124: American Academy of Pediatrics supports trans kids? appeared first on Heidi Harris Show.
Welcome back Charting Pediatrics listeners! Today we are excited to announce that with Season 2 of Charting Pediatrics, we are taking our show on the road. We are going to be live podcasting from Orlando next month at the American Academy of Pediatrics National Conference and Exhibition, which of course is the big general pediatrics conference of the year! Dr. David Brumbaugh and Dr. Alison Brent are thrilled to have the opportunity to sit down and record with some wonderful pediatric experts from around the US and discuss the timely topics they are covering in their specific conference presentations. Our guests will include Dr. Elissa Miller from Nemours/Alfred I. duPont Hospital for Children, and Dr. Sam Wang from our own Children’s Hospital Colorado. In addition, we have Dr. Leslie Walker-Harding from Penn State Children’s Hospital, as well as Dr. Rachel Moon from the University of Virginia School of Medicine. We’d love the opportunity to meet you, our listeners. So please stop by the exhibit hall where we will be live podcasting from Booth 1113. Stop in, say hello, and catch some of the live recordings that will be taking place on Saturday, November 3rd with this fantastic panel of guests. Until next time, keep on keeping kids safe out there!
The recently released policy statement from the American Academy of Pediatrics (AAP) in support of chemical and surgical interventions for children and teens who experience gender dysphoria, or who falsely believe they are the sex they are not, or who wish they were the sex they are not and never can be is being trumpeted far and wide by “progressives” and “progressive” organizations. That document, dripping with leftist, politically-constructed language, is titled, “Ensuring Comprehensive Care and Support for Transgender and Gender-Diverse [TGD] Children and Adolescents.” First some facts: READ MORE…
If you'd like to support the podcast, click on the link to our Patreon page https://www.patreon.com/simplyhealthmeFood Additives and Child Health The recent policy statement from the American Academy of Pediatricshttp://pediatrics.aappublications.org/content/early/2018/07/19/peds.2018-1408 PURPOSE To highlight emerging child health concerns related to the use of colorings, flavorings, and chemicals deliberately added to food during processing (direct food additives) as well as substances in food contact materials, including adhesives, dyes, coatings, paper, paperboard, plastic, and other polymers, which may contaminate food as part of packaging or manufacturing equipment (indirect food additives); To propose urgently needed reforms to the current regulatory process at the US Food and Drug Administration (FDA) for food additives. The system is broken. Many substances which are illegal in Europe are regularly added to products and food here. E.g It's not just BPA (Bisphenol A). substances that replaced BPA can be worse.... such as phthalates BPA is estrogenic and linked to endocrine cancers More than 10 000 chemicals are allowed to be added to food and food contact materials in the United States, either directly or indirectly, Over 1000 of these were grandfathered in for use if used before 1958, (1958 Food Additives Amendment to the 1938 Federal Food, Drug, and Cosmetic Act (FFDCA) These things are causing endocrine disruption and other adverse health effects IT'S ALL ABOUT HORMONES!!!!! infants and children are more vulnerable to chemical exposures EPIGENETICS The statement from the American Academy of Pediatrics does not address other contaminants that inadvertently enter the food and water supply, such as aflatoxins,metals including mercury, pesticide residues such as DDT, but these are also concerning. The paper is focused on food The things discussed in this paper Bisphenols (BPA) which are used in the lining of metal cans to prevent corrosion Estrogenic, endocrine disruption Obesogenic Neurodevelopmental issues Phthalates, which are often used in adhesives, lubricants, and plasticizers during the manufacturing process Obesogenic, insulin resistance Affects fetal development with regards to reproductive system Epigenetic changes with relation to carbohydrate and fat metabolism Perfluoroalkyl Chemicals (PFCs), which are used in greaseproof paper and packaging Decreases response and efficacy of vaccines Reduced immunity Linked to thyroid issues Endocrine disruption obesity issues Decreased birth weight Food Dyes- Linked to ADHD Perchlorate- an antistatic agent used for plastic packaging in contact with dry foods with surfaces that do not contain free fat or oil and also present as a degradation product of bleach used to clean food manufacturing equipment Linked to thyroid issues Contributes to neonatal hypothyroidism What can you Do right now? Talk to you PediatricianWash hands before eating and wash fruits and veggies which cant be peeled Prioritize fruits and veggies in no packaging Do not microwave any food / formula / breast milk in plastic Avoid putting plastics in dish washer Use glass or stainless steel Look bottom of plastics. Avoid plastics numbers: 3 (phthalates), 6 (styrene), and 7 (bisphenol/BPA). If the packaging says “Bio-based” or “Green ware", it is made of corn and is OK. Avoid processed meats, especially if pregnant Additional compounds of concern discussed in the accompanying technical report include artificial food colors, nitrates, and nitrites. Nitrates and nitrites affect thyroid function Cause cancer http://pedsinreview.aappublications.org/content/26/6/191 https://www.popsci.com/bpa-free-plastic-bad-for-human-health
Gabby White, founder of Lady Hustle, interviews Karen Remley, CEO of American Academy of Pediatrics. The AAP is a nonprofit organization that represents 66,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists. The mission of the American Academy of Pediatrics is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents and young adults. Previously Karen served as chief medical director of Anthem Blue Cross and Blue Shield of Virginia, commissioner of health for the Commonwealth of Virginia, and other senior leadership positions for several healthcare organizations.Lady Hustle is the vision of 8-year-old entrepreneur Gabby from Cincinnati. Our mission is to inspire young women to work their butt off. Do you know how to hustle?Visit our online store: https://www.ladyhustle.comFollow us on:Instagram: http://instagram.com/teamladyhustleFacebook: http://facebook.com/teamladyhustleTwitter: http://twitter.com/teamladyhustle
Gabby White, founder of Lady Hustle, interviews Karen Remley, CEO of American Academy of Pediatrics. The AAP is a nonprofit organization that represents 66,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists. The mission of the American Academy of Pediatrics is to attain optimal physical, mental, and social health and well-being for all infants, children, adolescents and young adults. Previously Karen served as chief medical director of Anthem Blue Cross and Blue Shield of Virginia, commissioner of health for the Commonwealth of Virginia, and other senior leadership positions for several healthcare organizations.Lady Hustle is the vision of 8-year-old entrepreneur Gabby from Cincinnati. Our mission is to inspire young women to work their butt off. Do you know how to hustle?Visit our online store: https://www.ladyhustle.comFollow us on:Instagram: http://instagram.com/teamladyhustleFacebook: http://facebook.com/teamladyhustleTwitter: http://twitter.com/teamladyhustle
Rebecca and Andrea welcomed Amy back from a trip to Disney World!
Join us for a conversation with Dr. Linda Arnold of Yale University and the American Academy of Pediatrics as she speaks to the opportunity to end preventable maternal and child deaths.Webinar recording can be found here.Slides can be found here.Webinar transcript can be found here.
Welcome! To listen to today's episode, school on down to the bottom of this post and hit the triangular "play" button. About today's episode: With the school year starting, a contentious election giving the feeling of continual hate and negativity in the air, and reports of yet another thing for parents to be worried about – toxic stress in their young children – I knew we needed some voices of reason in our lives. This conversation marks the beginning of a series of interviews I'm offering this fall called Voices of Reason, where we hear from well-known and influential people with something to say that will make you feel better about the world you're raising your young children in. I hope this series helps you get through the next few months with less worry and more hope in your life! Today's guest is the head of an organization with many voices of reason… In all likelihood your child's pediatrician is among them, because the organization is the American Academy of Pediatrics, and today I have the privilege of bringing you my conversation with the AAP's president, Dr. Benard Dreyer. Over the summer I started to hear about this scary thing happening in younger and younger kids, called toxic stress. What I read chilled me to the bone: exposure to violence, deprivation, and neglect can affect kids' development in a lifelong way, both physically and mentally. In his capacity as President of the American Academy of Pediatrics, Dr. Dreyer is working to raise awareness of this condition, and to help parents combat it. But our conversation brings up much more than that. We discuss the holy grail of parenting styles – the authoritative, sometimes called wise, style – and the kind of traits authoritative parents exhibit; Dr. Dreyer answers your questions about toxic stress, how to get kids to eat healthy foods, and the problems of antibiotics resistance; and Dr. Dreyer gives his three most important things parents can do each and every day to raise happy, curious, and resilient children. Go to weturnedoutokay.com/107 to listen, for detailed notes about our conversation, learn about the AAP's campaign against virtual violence,and to find out how to contact Dr. Dreyer!
Dr. Steven DeKosky is interim executive director of the McKnight Brain Institute and a professor of neurology at the University of Florida College of Medicine. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. K.E. Bachynski. Tolerable Risks? Physicians and Youth Tackle Football. N Engl J Med 2016;374:405-7.
(October 15, 2013) Dr J is Todd Wilkin's guest on Issues, Etc., where they discussed the recent recommendation from the American Academy of Pediatrics on providing condoms to teenagers to prevent disease and pregnancy. You can check out all of Todd's guests and topics in the on-demand archives at IssuesEtc.org.
Host: Matt Birnholz, MD Hear highlights from the American Academy of Pediatrics National Conference and Exhibition, held October 2-5, 2010, in San Francisco. This year’s conference focused on advances in the health, safety, and well-being of infants, children, adolescents and young adults, attracting over 8 thousand participants from around the world.
Host: Mark Chyna, MD Tune in for highlights from the conference floor, at the most recent American Academy of Pediatrics National Conference and Exhibition. This year's meeting took place October 17th through the 20th, 2009, in Washington, DC.
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