Podcasts about cincinnati children

In this episode of The Birth Lounge Podcast, HeHe is joined by Tracy aka Modern Day Midwife (a hospital-based midwife in Arizona with a NICU background) for a candid, behind-the-scenes conversation about the realities of modern healthcare. Together, they unpack how the U.S. healthcare system is failing both patients and providers, from provider burnout and lack of mental health support to the pressures of hospital politics, insurance reimbursement, and productivity quotas. They explore the difference between  “Medicine 1.0” (acute care) and “Medicine 2.0” (preventative care, functional medicine, wellness), and how insurance-driven, fee-for-service models often prioritize sick care over true health. The result? Confusing medical bills, rushed care, poor patient experiences, and providers who are stretched thin despite doing deeply meaningful work. HeHe and Tracy dive into the unique challenges facing women's health, maternity care, and birth: over-medicalization, the cascade of interventions, the limits of 10-minute OB-GYN appointments, maternity care deserts, and the need for individualized care, informed consent, and continuity of care. From ACOG guidelines to ever changing evidence and research, they explore possible solutions including a midwifery-led model of care, better transfer systems for home birth and birth center patients, coverage for doulas and health coaching, and shifting consumer demand away from traditional insurance and towards alternatives like health shares.  Tracy shares her exciting vision for an integrated wellness hub that could include midwifery, obstetrics, pelvic floor PT, lactation, chiropractic care, and community-based health supports, and ends by sharing how to connect with her at Premier OB GYN in Phoenix and via Modern Day Midwife online and on Instagram.   00:00 Why Healthcare Breaks Providers 02:24 Burnout and Speaking Up 04:59 Fear and Privilege in Advocacy 07:18 Who Supports Clinicians 12:32 Medicine 1.0 vs Prevention 17:25 Billing Confusion and Fee for Service 19:06 Burn It Down or Reform It 23:55 Disrupting Insurance and Incentives 26:49 Birth Care Needs a New Model 29:36 Preeclampsia Prevention Debate 30:47 Rethinking Maternity Care Roles 32:04 Money in Wellness Care 34:55 Building a One Stop Birth Hub 37:43 Continuity Across Birth Settings 41:45 Evidence Based Medicine Reality Check 47:56 ACOG Guidelines vs Individual Choice 53:23 Demanding Individualized Care 55:11 Rebuilding Healthcare and Provider Support 56:59 Where to Find Tracy 58:15 Closing Thanks and Resources   Guest Bio: Meet Tracy Burns, Board Certified Nurse Midwife. Tracy graduated from the University of Cincinnati in 2003 with her bachelor's degree in nursing. After graduation, Tracy spent a year in labor and delivery as a bedside RN and then took a job in the Neonatal Intensive Care Unit at Cincinnati Children's Hospital. Tracy spent the first 13 years of her career taking care of premature infants and mothers before pursuing her advanced practice career in Women's Health.   Tracy graduated from the University of Cincinnati in 2017 with her Master's degree in Midwifery. With a big heart for women, Tracy is an advocate for midwifery care for women and the continuity of care model. Tracy has been an active team player in bringing midwifery services to Banner Estrella and Abrazo West. Tracy is passionate about health and wellness. She believes in using a functional/integrative approach to health promotion/disease prevention through an early introduction to nutrition, exercise, mindfulness, sleep, and community. Tracy is committed to caring for women by collaborating with other like-minded providers who are as committed to changing the way we care for women in America.   Tracy is married and has two teenage daughters. She enjoys Crossfit, hiking, and spending time with family and friends. She is a co-owner of Crossfit Fury, CrossFit Trainer, and BirthFit professional. Tracy and her husband are actively involved in changing maternal and neonatal outcomes globally through Helping Babies and Mothers Survive Campaign.   Connect with Tracy here: Www.moderndaymidwife.com SOCIAL MEDIA: Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/  Connect with Tracy on IG: https://www.instagram.com/moderndaymidwife/   BIRTH EDUCATION: Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what's really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy And if you haven't grabbed it yet… Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/ Want prep delivered straight to your phone? Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app-download-page

The topic of consent can feel tricky to navigate, but it's a conversation that should start early and continue often. On the newest episode of the Young & Healthy podcast, Ashley Cremeans, a social worker with the Mayerson Center for Safe and Healthy Children at Cincinnati Children's, sits down with host Kate Setter to explore how consent can be discussed across different ages and stages of development.  Ashley discusses how families can approach conversations about consent during adolescence, reinforcing that consent is ongoing, can be withdrawn at any time and applies in many everyday situations. She offers practical guidance on helping children identify trusted adults and confidently communicate their boundaries — from playtime to physical affection and beyond.  Ashley also dives into the complexities of teen relationships, including situations in which consent cannot be given. She explains consent laws within the tri-state area, equipping parents and caregivers with the knowledge they need if deeper conversations arise.  This episode provides tools to help kids stay safe and feel empowered. Be sure to tune in and share it with your friends and family.  Full Transcript and Show Notes Here: Consent and Communication: Building Healthy Relationships - Cincinnati Children's Blog Resources:  For more information from the Mayerson Center for Safe and Healthy Children at Cincinnati Children's, visit Research | Mayerson Center for Safe and Healthy Children  For resources on healthy dating relationships, visit Healthy relationships for young adults | love is respect  Listen to Empowered Kids: A Guide to Boundaries | Young & Healthy and dive deeper into what boundaries for younger kids look like  Check out amazon or other book distributors to find resources like Only for Me  

In part two of this series, Dr. Tesha Monteith and Dr. Andrew Hershey discuss appropriate treatment strategies to prevent migraines in children and adolescents. Show citation:  Hershey AD, Szperka CL, Barbanti P, et al. Fremanezumab in Children and Adolescents with Episodic Migraine. N Engl J Med. 2026;394(3):243-252. doi:10.1056/NEJMoa2504546  Show transcript:  Dr. Tesha Monteith: This is Tesha Monteith with the Neurology Minute. I'm back with Andrew Hershey, professor of Pediatrics and Director of the Division of Neurology at Cincinnati Children's and the Children's Headache Center. This is part two of our discussion on his paper published in the New England Journal of Medicine, fremanezumab in Children and Adolescents with Episodic Migraine. Andrew, now that we have fremanezumab approved for prevention of episodic migraine in children and adolescents, and we have a number of other devices and treatments for patients that can be used as part of FDA-approved treatment or even off-label, can you discuss an appropriate treatment paradigm to prevent migraine? Dr. Andrew Hershey: I think the first and foremost part of the paradigm is to identify the disease, so recognition that headaches are a component of the disease migraine, so you have headaches attacks due to migraine is an essential part. Many of the children, adolescents and their families are unaware that that is even what they're having, and clarifying the etiology actually goes a long way. One of my former mentors, Dr. Prensky, always said that 50% of kids get better from just seeing a child neurologist, and I think it's that clarification of the diagnosis. Second to that, you need to provide a very adequate acute treatment as well as what's probably even more essential than anything else is healthy lifestyle habits. So regular eating, drinking, sleeping, and exercise. And then finally, if the headache is causing severe disability or frequent headaches or interfering with the child's school, home or social life, the prevention medications may need to be added. And this is where the fremanezumab, or if you prefer devices, devices can be used for both the acute and preventive treatment. Dr. Tesha Monteith: Well, thank you for the summary, and congratulations again on your paper. Dr. Andrew Hershey: Thank you. Dr. Tesha Monteith: Do check out the full podcast for more details about the paper and treatment of migraine in children and adolescents. This is Tesha Monteith. Thank you for listening to the Neurology Minute.

In part one of this two-part series, Dr. Tesha Monteith and Dr. Andrew Hershey summarize findings from the SPACE trial evaluating fremanezumab in adolescents and children with migraine. Show citation: Hershey AD, Szperka CL, Barbanti P, et al. Fremanezumab in Children and Adolescents with Episodic Migraine. N Engl J Med. 2026;394(3):243-252. doi:10.1056/NEJMoa2504546  Show transcript:  Dr. Tesha Monteith: Hi, this is Tesha Monteith with the Neurology Minute. I'm here with Andrew Hershey, Professor of Pediatrics and Director of the Division of Neurology at Cincinnati Children's and the Children's Headache Center. We're here talking about his new paper published in the New England Journal of Medicine, Fremanezumab in Children and Adolescents with Episodic Migraine. Andrew, thank you for being on our Neurology Minutes. Dr. Andrew Hershey: Thank you for inviting me. Dr. Tesha Monteith: Can you summarize the findings of the space trial investigating Fremanezumab for adolescents and children with migraine? Dr. Andrew Hershey: This is one of the four monoclonal antibodies against CGRP, or it's this receptor that had been proven effective for adults. And it's the first one, the formazepam, that's been able to report its effectiveness in children and adolescents with less than 15 headache days per month. This study looked at over 200 children adolescents that were in a double-blinded randomized placebo controlled study. And reached its primary, as well as its secondary endpoint of a reduction compared to placebo. And the number of attacks of migraine per month, as well as a greater than 50% reduction in the number of headache attacks per month, with minimal to no side effects, the most notable side effect being injection site erythema. Dr. Tesha Monteith: Great. Thank you so much for providing that update. Do check out the full podcast for more details about his paper and the treatment of migraine in children and adolescents. This is Tesha Monteith. Thank you for listening to the Neurology Minute.  

Send a textPodcast Episode 2: Home Care and FAQsDNP Website Link: https://amrossi359.wixsite.com/mysitePost-Survey Link: https://ufl.qualtrics.com/jfe/form/SV_3XjGBKEzMxll6HcThis is part two of a three-part podcast series. In this episode, we will discuss caregiver central line home care and FAQs.  ReferencesAims Vascular Access. (2021). IV Update. In a Review of Vascular Access & IV Infusion Topics. https://aimsvascularaccess.com/wp-content/uploads/2021/09/IVUpdateMarch2021-1.pdf Burkhart, S. (2022, March). Central Line Care. Cincinnati Children's Hospital. https://www.cincinnatichildrens.org/health/c/central-line-careCenters for Disease Control and Prevention. (2024, February 28). Guidelines for the Prevention of Intravascular Catheter-Related Infections. https://www.cdc.gov/infection-control/hcp/intravascular-catheter-related-infections/summary-recommendations.html Children's Minnesota. (n.d.). Care at Home: Central Lines. https://www.childrensmn.org/references/pfs/homecare/central-line-care-at-home-booklet.pdf Children's Oncology Group. (2011). COG family handbook (2nd ed.). https://childrensoncologygroup.org/docs/default-source/pdf/COG_Family_Handbook_2nd_Ed_English_HighRes.pdf

Blood donation has a vital role in care at Cincinnati Children's and is truly a lifesaving resource. The impact of donating just once can make a meaningful difference in the lives of children who need care. In this episode, we're joined by Dr. Kristina Prus, director of transfusion medicine and Emily Kimball, physician outreach consultant, to talk about why blood donation matters and how donated blood is used in hospitals like Cincinnati Children's.   Did you know that nearly all of the blood used for Cincinnati Children's patients comes directly from our local partner, Howorth Blood Center? Dr. Prus and Emily explain what the Hoxworth Blood Center is and how our partnership directly impacts patients. They also walk through what blood donation really entails, what the term “blood products” means and how much blood Cincinnati Children's uses on an average day. In addition, they dive into the importance of different blood types and share practical tips on ways families can support blood donation efforts if they feel nervous about giving blood or aren't able to donate themselves.   This episode is filled with clear, helpful information about how blood donation works, why it matters and how each of us can take part in helping save lives.  Full Transcript and Show Notes: Blood Donation Doesn't Have to Be Scary: Tips for Families - Cincinnati Children's Blog Resources   Hoxworth.org  

A baby needed to get to Cincinnati Children's during the winter storm, so a snowplow driver cleared the path! STORY: https://www.wdjx.com/snowplow-makes-way-for-ambulance-carrying-a-baby/

Interview with Dr. Carolina Bejarano, an Assistant Professor and clinical child psychologist in the Division of Behavioral Medicine and Clinical Psychology at Cincinnati Children's Hospital and the University of Cincinnati Department of Pediatrics. Dr. Carolina M. Bejarano is a member of the 20th class of the YWCA Rising Star Equity Leader and a board member of Apoyo Latino (The Greater Cincinnati Latino Coalition), a community-based network and resource hub in Cincinnati, Ohio, dedicated to improving access to services for Hispanic/Latino individuals. Dr. Bejarano discusses her upbringing, family environment, and cultural background, and their impact on her life. She shares her passion for pediatric psychology and her career's blend of scientific challenges and personal fulfillment. Dr. Bejarano highlights her cultural contributions to her professional experience and her role as a board member of Apoyo Latino, a Cincinnati-based community organization. She shares her experiences, the lasting impact she can make on children's health and development, and the variety of treatments available for childhood illnesses. Dr. Bejarano also discusses her selection to the 20th class of the YWCA Rising Star Equity Leadership Program and her advice to individuals inspired by her, particularly within the Latino community.

In this second episode of a two-part mini-series, Tara Elie turns the tables and interviews Dr James Mannion about the thinking behind Making Change Stick – and why so many school behaviour initiatives fail, even when the policy itself is sound. Following on from the previous episode on the psychology of mattering, this conversation explores what happens after the policy launch: how change is (or isn't) implemented in real schools, and why top-down, ‘black box' approaches so often lead to inconsistency, frustration, and drift. James traces jis 12-year journey into implementation science, drawing on lessons from healthcare, engineering and systems change – including a powerful case study from Cincinnati Children's Hospital – to show how schools can dramatically improve uptake, consistency and outcomes by changing how decisions are made. Together, they explore: - Why behaviour is often led by a single senior leader – and why this rarely works in practice - The importance of slice teams: representative groups that bring together staff from across a school (and sometimes students and families) to design, test and refine change - How slice teams improve both decision-making and buy-in by redistributing power without undermining leadership - Why implementation is a process, not an event – and why policies need ongoing review, feedback and adaptation - The role of mattering in behaviour systems: how staff feeling heard, trusted and involved leads to greater consistency for pupils - Practical tools schools rarely use – but should – including root cause analysis, communications plans, pre-mortems and ‘tight but loose' implementation - How understanding the root causes of behaviour issues can lead to unexpected but powerful solutions (including links to oracy, wellbeing and relationships) - Why fear-based compliance may look like ‘good behaviour' on the surface, but often masks deeper problems This episode is for school leaders, behaviour leads, teachers and system leaders who are tired of rolling out initiatives that never quite stick – and who want a more humane, effective and sustainable way to improve behaviour, relationships and attendance. Support #repod The Rethinking Education podcast is brought to you by Crown House Publishing. It is hosted by Dr James Mannion and David Cameron, and produced by Sophie Dean. This podcast is a labour of love, with the emphasis on both the labour and the love. If you'd like to support the podcast and convey your appreciation for these conversations, you can: Become a patron: https://www.patreon.com/repod Buy us a coffee: https://www.buymeacoffee.com/repod

In this second episode of a two-part mini-series, Tara Elie turns the tables and interviews yours truly about the thinking behind Making Change Stick – and why so many school behaviour initiatives fail, even when the policy itself is sound. Following on from the previous episode on the psychology of mattering, this conversation explores what happens after the policy launch: how change is (or isn't) implemented in real schools, and why top-down, ‘black box' approaches so often lead to inconsistency, frustration, and drift. I trace my 12-year journey into implementation science, drawing on lessons from healthcare, engineering and systems change – including a powerful case study from Cincinnati Children's Hospital – to show how schools can dramatically improve uptake, consistency and outcomes by changing how decisions are made. Together, we explore: - Why behaviour is often led by a single senior leader – and why this rarely works in practice - The importance of slice teams: representative groups that bring together staff from across a school (and sometimes students and families) to design, test and refine change - How slice teams improve both decision-making and buy-in by redistributing power without undermining leadership - Why implementation is a process, not an event – and why policies need ongoing review, feedback and adaptation - The role of mattering in behaviour systems: how staff feeling heard, trusted and involved leads to greater consistency for pupils - Practical tools schools rarely use – but should – including root cause analysis, communications plans, pre-mortems and ‘tight but loose' implementation - How understanding the root causes of behaviour issues can lead to unexpected but powerful solutions (including links to oracy, wellbeing and relationships) - Why fear-based compliance may look like ‘good behaviour' on the surface, but often masks deeper problems This episode is for school leaders, behaviour leads, teachers and system leaders who are tired of rolling out initiatives that never quite stick – and who want a more humane, effective and sustainable way to improve behaviour, relationships and attendance. Support #repod The Rethinking Education podcast is brought to you by Crown House Publishing. It is hosted by Dr James Mannion and David Cameron, and produced by Sophie Dean. This podcast is a labour of love, with the emphasis on both the labour and the love. If you'd like to support the podcast and convey your appreciation for these conversations, you can: Become a patron: https://www.patreon.com/repod Buy us a coffee: https://www.buymeacoffee.com/repod

Guests: Dr. Ulrich von Andrian is the Mallinckrodt Professor of Immunopathology at Harvard Medical School and President of the American Association of Immunologists (AAI). Dr. Shekhar Pasare is Professor and Director of the Division of Immunobiology at Cincinnati Children's Hospital Medical Center. He is also the Program Committee Chair for the AAI’s annual meetings. They discuss the upcoming IMMUNOLOGY2026 meeting taking place April 15-19 in Boston. They cover highlights of the program including the Presidential Symposium, special sessions, and opportunities for trainees. (42:30) Featured Products and Resources: Submit a late-breaking abstract for IMMUNOLOGY2026! Wallchart: T Cell Nomenclature: From Subsets to Modules The Immunology Science Round Up Psoriatic Arthritis –  A two-step process involving skin-derived myeloid precursors and joint-resident fibroblasts orchestrates the spread of inflammation from the skin to the joints. (6:15) Chemotherapy and Cardiac-Resident Macrophages – DNA-damaging chemotherapy can reshape cardiac macrophage ontogeny. (13:50) Dendritic Cell Cross-Presentation – Neoantigen cross-presentation by Type 1 conventional dendritic cells can determine the immune visibility of the tumor mutational landscape. (26:00) T Cell Cross-Reactivity – Co-receptor switching generates super selective T cells that reduce the risk of lethal off-target cross-reactivity. (32:20) Images courtesy of Drs. Ulrich von Andrian and Shekhar Pasare Subscribe to our newsletter! Never miss updates about new episodes. Subscribe

In this episode of Bowel Sounds, hosts Dr. Temara Hajjat and Dr. Amber Hildreth and talk to Dr. William Balistreri, Dorothy M. M. Kersten Professor of Pediatrics at the University of Cincinnati, Director Emeritus of the Pediatric Liver Center at Cincinnati Children's Hospital, Medical Director Emeritus of Liver Transplantation, and Program Director Emeritus of Transplant Hepatology Fellowship. We talk about the history of the Hepatitis B virus and vaccine, and the new ACIP vaccination recommendations.Learning objectivesUnderstand the history of Hepatitis B infection and vaccination in the United StatesExamine the impact of the ACIP vote to overturn the recommendation for universal Hepatitis B vaccination for newbornsApply knowledge gained to clinical practice Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Mia Horowitz, PhD, Tel Aviv University; Aitor Aguirre, PhD, Michigan State University, Michigan, USA; and Ying Sun, PhD, University of Cincinnati, discuss the use of organoid models in lysosomal disorder research and drug development.This continuing education activity is provided through collaboration between the Lysosomal and Rare Disorders Research and Treatment Center (LDRTC), CheckRare CE, and AffinityCE. This activity provides continuing education credit for physicians, physician assistants, nurses, nurse practitioners, and genetic counselors. A statement of participation is available to other attendees.To obtain CME/CE credit, visit https://checkrare.com/learning/p-grids2025-session3-organoids-and-lab-grown-models-in-lysosomal-disorders/Learning ObjectivesDescribe the use of heart organoid models to better understand the pathophysiology of lysosomal disorders and its clinical relevanceDescribe the use and application of brain organoid models in neuropathic Gaucher disease research and treatmentFacultyMia Horowitz, PhD, Shmunis School of Biomedicine and Cancer Research, George S. Wise Faculty of Life Sciences, Tel Aviv University.Aitor Aguirre, PhD, Associate Professor of Biomedical Engineering, Institute for Quantitative Health Science and Engineering, Chief, Division of Developmental and Stem Cell Biology (IQ), Director, MSU Stem Cell Core, Michigan State University.Ying Sun, PhD, Professor, Cincinnati Children's Hospital Medical Center, University of Cincinnati.DisclosuresAffinityCE staff, LDRTC staff, planners, and reviewers, have no relevant financial relationships with ineligible companies to disclose. Faculty disclosures, listed below, will also be disclosed at the beginning of the Program.Mia Horowitz, PhDDr. Horowitz has no relevant financial relationships to disclose.Aitor Aguirre, PhDDr. Aguirre has no relevant financial relationships to disclose.Ying Sun, PhDDr. Sun receives research support from Enkefalos Biosciences and Yuhan Corporation.Mitigation of Relevant Financial RelationshipsAffinityCE adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CME activity, including faculty, planners, reviewers, or others, are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity. Conflicts of interest for presenting faculty with relevant financial interests were resolved through peer review of content by a non-conflicted reviewer.Accreditation and Credit DesignationPhysiciansThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of AffinityCE and the LDRTC. AffinityCE is accredited by the ACCME to provide continuing medical education for physicians.AffinityCE designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Physician AssistantsAffinityCE designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Physician Assistants should claim only the credit commensurate with the extent of their participation in the activity.NursesAffinityCE is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This activity provides a maximum of 1 hours of continuing nursing education credit.Nurse PractitionersAffinityCE designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Nurse practitioners should claim only the credit commensurate with the extent of their participation in the activity.Genetic CounselorsAffinityCE designates this enduring activity for a maximum of 1 AMA PRA Category 1 Credits™. Genetic Counselors should claim only the credit commensurate with the extent of their participation in the activity.Other ProfessionalsAll other health care professionals completing this continuing education activity will be issued a statement of participation indicating the number of hours of continuing education credit. This may be used for professional education CE credit. Please consult your accrediting organization or licensing board for their acceptance of this CE activity. Participation CostsThere is no cost to participate in this activity.CME InquiriesFor all CME policy-related inquiries, please contact us at ce@affinityced.comSend customer support requests to cds_support+ldrtc@affinityced.com

Dr. John Liu joins Newly Erupted to share what he's learned from making the transition from private practitioner to academician, including how his residents help him learn daily. Dr. Liu and good friend and host Dr. Joel Berg discuss what factors impacted Dr. Liu's shift to teaching, including desire for a new work/life structure and a readiness to give back to the profession, and how impressed he is with the future of pediatric dentistry. Guest Bio: Born in Taipei, Taiwan, Dr. John Liu spent his childhood in Southern California. He graduated from Loma Linda University in La Sierra, California, with a BS degree in Biology. Dr. Liu went on to also receive his DDS degree from Loma Linda University's School of Dentistry and was accepted into the pediatric dental residency program at Children's Hospital in Cincinnati, Ohio. After 30 years of private practice in Issaquah, WA, Dr. Liu recently returned to Cincinnati Children's Hospital Medical Center as an assistant professor with a faculty appointment through the University of Cincinnati College of Medicine within the Division of Pediatric Dentistry and Orthodontics at CCHMC. While training future pediatric dentists, a primary focus of his work will be providing support to residents transitioning into the world of private practice and all it entails. Within AAPD, Dr. Liu has held a range of positions over the past decade, including as Board of Trustees Secretary/Treasurer, President-Elect, and 2010-2011 President. He is a Fellow of the American College of Dentists, served as president of the Washington State Academy of Pediatric Dentistry, chaired the Washington State Oral Health Coalition, and served on the boards of the Seattle Children's Museum and the Washington Dental Service Foundation. Nominated by his peers, Dr. Liu was inducted into the American College of Dentists in 1999, the Pierre Fauchard Academy in 2007, and the International College of Dentists in 2009. In 2013, Dr. Liu was honored as the AAPD Pediatric Dentist of the Year.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Episode 41 - Meghan McNeil - ​​Updates in Diet Therapy for Eosinophilic Esophagitis: From Elimination to Reintroduction In this episode of Nutrition Pearls: the Podcast, co-hosts Megan Murphy and Nikki Misner talk with Meghan McNeil about the latest updates in EOE management. Meghan is a Registered Dietitian at Cincinnati Children's Hospital Medical Center. The first ten years of her career she worked in nutrition research studies that were  funded by the National Institute of Health. She was a part of a variety of studies looking at bone density, type 1 diabetes, and non-alcoholic liver disease. She currently works as a clinician dietitian, specializing in the nutrition management of patients with Eosinophilic Esophagitis. Meghan loves working with this patient population as she focuses on creating practical approaches to allowing patients to get the nutrients they need while also balancing allowing them to enjoy foods that are safe for them to eat given their diet restrictions.Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:https://pubmed.ncbi.nlm.nih.gov/28283156/https://pubmed.ncbi.nlm.nih.gov/36863390/https://godairyfree.org/Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Pediatrician Dr. Jill Schaffeld consults Dr. Scott Pentiuk and Dr. Alex Nasr from the Division of Gastroenterology, Hepatology, and Nutrition on ingested foreign bodies. Episode recorded on July 31, 2025.  Resources discussed in this episode: Ingested Foreign Bodies - Community Practice Support Tool Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete.   Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physician:  Cincinnati Children's designates this Enduring Material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  Nursing:  This activity is approved for a maximum 0.50 continuing nursing education (CNE) contact hours. ABP MOCpt2: Completion of this CME activity, which includes learner assessment and feedback, enables the learner to earn up to 0.50 points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. Cincinnati Children's submits MOC/CC credit for board diplomates.   Credits AMA PRA Category 1 Credits™ (0.50 hours), ABP MOC Part 2 (0.50 hours), CME - Non-Physician (Attendance) (0.50 hours), Nursing CE (0.50 hours)

ChairProfessor Yoshikatsu EtoAdvanced Clinical Research Center, Southern Tohoku Research Center for Neuroscience, Tokyo, JapanSpeakersDr Nicole Muschol International Center for Lysosomal Disorders (ICLD), University Medical Center, Hamburg-Eppendorf, GermanyProfessor Patrício AguiarInborn Errors of Metabolism Reference Center, Unidade Local de Saúde de Santa Maria / Faculty of Medicine, Lisbon University, PortugalDr Robert HopkinCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USAProfessor Yoshikatsu EtoWelcome to the Chiesi symposium. The title of this symposium, Catching the Clues, Changing the Cause of Lysosomal Storage Disease: Illuminating Complex Pathway of Rare Disease with Fabry Disease, Alpha-Mannosidosis, in Focus.This is a disclaimer: Following discussion does not focus on or depict any specific products manufactured by any pharmaceutical company. Patient cases are for medical discussion only and reflect the faculty own experience. They represent a typical clinical scenario. This presentation in part and whole may not be reproduced and not copy and not recording.I'm Dr. Eto from Tokyo, Japan, and the three distinguished speakers: Dr. Nicole Muschol from Germany, Eppendorf University. Professor Aguiar, the Portuguese, The Inborn Errors of Metabolism Reference Center, and also Professor Robert Hopkin, Cincinnati Children's Hospital, United States.The purpose of this symposium: Explore the patient journey across the LSD continuum, focusing on the unmet needs and diagnosis, and treatment initiation, and long-term management, and utilize case-based discussion focused on Alpha-mannosidosis, Fabry disease to highlight disease-specific challenges. Access where challenge persist in patient journey, and where tailored intervention can improve outcomes.Introduction of LSD patient journey with a spotlight on Fabry disease, Alpha-mannosidosis. Challenge to the diagnosis and then treatment and monitoring. Common LSD challenges over the patient journey, as shown here, and at least more than 70 different lysosomal diseases known. Incidence is about 1:5,000-1:8,000 in newborn. In the literature, much higher incidence.Multi-organ manifestation in many organ involved, and clinical heterogeneity are very complicated. The new screen method has been established already. Identify patient presymptomatically. That important by the newborn screening, something like that, early treatment essential. After the diagnosis treatment start, early and the presymptomatic treatment initiation, and usually delayed diagnosis, delayed treatment. Perceived burden of treatment may delay treatment start in patient milder form. Milder form is very difficult in the many cases, and particularly for Fabry disease also.After the treatment start and then monitoring, as you know, we discussed about the monitoring rely on the combination of clinical assessment, laboratory test, biomarkers, and imaging, and several other factors. Biomarkers and ADA drug assay lack standardization. Actually, the Alpha, and Beta, or [inaudible 00:03:19] Fabry disease, different ADA-titled measurement. Also, the patient experience between clinical visit, ERT infusion is under-reported.We discuss today two topics, two disease. Alpha-mannosidosis is very rare. In Japan, only few cases, and caused by the deficiency of Alpha-mannosidase, an accumulation of mannose-rich oligosaccharides and inheritance of autosomal-recessive. Age of onset is a very early period and younger period, adult period. Incidence approximately is very rare, 1:500,000.There are diseases we don't know exactly. If you have a treatment, maybe your incidence is much increased, and severe or attenuated [inaudible 00:04:09]. Alpha-mannosidosis is still a new disorder, and must differentiate from Mucopolysaccharidosis.On the other hand, the Fabry disease I think is very common. There are many discussion already in the past 20 years. Deficiency of a-Gal A, accumulation of Gb3⁵­­ or Lyso-Gb3, many other glycoprotein, which a terminal of a-Gal A, and X-chromosome. This is very important X-chromosomal inheritance. In case of this, and usually, female does not affect, but in case of Fabry, more of female also involved.First symptom, imagine at any age. Then incidence about 1:40,000-1:60,000. But depending on the country, as you know, classical form, about 1:40,000. Recently, after the newborn screening, late onset, very high incidence. About 90% of it—actually, we carried out a newborn screening in Japan—90% are late onset. But the clinical variety, so many clinical varieties, so incidents here, 1:3,000-1:4,000, something like that. Now, using the Alpha-mannosidosis and Fabry disease as an illustrative example, we will explore these disorders.

Pediatrician Dr. Jill Schaffeld consults Dr. Ashley Walther from the Division of Pediatric Surgery on hernias. Episode recorded on August 7, 2025.  Resources discussed in this episode: Inguinal Hernia - Community Practice Support Tool   Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete.   Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physician:  Cincinnati Children's designates this Enduring Material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  Nursing:  This activity is approved for a maximum 0.25 continuing nursing education (CNE) contact hours. ABP MOCpt2: Completion of this CME activity, which includes learner assessment and feedback, enables the learner to earn up to 0.25 points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. Cincinnati Children's submits MOC/CC credit for board diplomates.   Credits AMA PRA Category 1 Credits™ (0.25 hours), ABP MOC Part 2 (0.25 hours), CME - Non-Physician (Attendance) (0.25 hours), Nursing CE (0.25 hours)    

AJT December 2025 Editors' Picks Description:  Hosts Roz and Dr. Sanchez-Fueyo are joined by Hannah Bahakel to discuss the key articles of the December issue of the American Journal of Transplantation. Hannah Bahakel is a Clinical Immunodeficiency fellow at Cincinnati Children's Hospital Medical Center [03:34] Higher vs standard mean arterial pressure target in the immediate postoperative period of liver transplantation to prevent acute kidney injury: A randomized clinical trial (LIVER-PAM) [13:51] Donor-derived cell-free DNA significantly improves rejection yield in kidney transplant biopsies [26:27] Tolerogenic lung allograft microenvironment suppresses pathogenic tissue remodeling following respiratory virus infection in mice [37:11] Therapeutic needs in solid organ transplant recipients: The American Society of Transplantation patient survey [48:19] Impact of kidney function on 200 days of antiviral prophylaxis for cytomegalovirus disease in cytomegalovirus-seronegative recipients of cytomegalovirus-seropositive donor kidneys: Post hoc analysis of a randomized, phase 3 trial of letermovir vs valganciclovir prophylaxis

In this episode, nurse practitioner Nichole Halliburton from Cincinnati Children's Hospital shares practical, real-world guidance on managing epidermolysis bullosa (EB). She breaks down EB subtypes, key stages of wound healing, and everyday challenges patients and caregivers face. Nichole offers actionable strategies for bathing, blister care, dressing changes, and the use of birch triterpenes in wound management. She also highlights the emotional and logistical burden of EB and the importance of support, education, and individualized care. This conversation is a helpful resource for clinicians, caregivers, and anyone involved in EB care. This podcast is being hosted by PeDRA and sponsored by Chiesi. PeDRA will evaluate content for suitability for its audience, but is not responsible for creating content, selecting speakers, or delivering presentations. Learn more about Nichole Halliburton, MSN, APRN-CNP

WABC Host Bill O'Reilly joins Sid for his weekly hit on the program to pledge a generous donation to today's Radiothon for Dyspraxia DCD and discusses the advances in treating this condition, particularly at Cincinnati Children's Hospital. Bill then converses about President Trump's White House meeting last week with NYC Mayor-elect Zohran Mamdani, and the broader implications of anti-Semitism in American society. O'Reilly emphasizes the importance of education about historical evils, referencing his book Confronting Evil, and mentions his analysis of right-wing figures on his YouTube channel. Learn more about your ad choices. Visit megaphone.fm/adchoices

-Lana lives in Mt. Healthy and is a Senior Administrative Assistant for Cincinnati Children's Hospital. Lana is a big fan of B-105 and an even bigger fan of Jesse Tack! She says if she had seen that pic of Jesse washing Big Dave's truck in a Speedo, she'd be divorced! LOL For her induction song, Lana wanted to hear Toby Keith's "How Do You Like Me Now?" because she also loves the Big Dog Daddy! Welcome to the B-105 Country Club, Lana!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Born into family committed to public service, Dan Driehaus has been civically involved since birth. He continues to serve his community on Wyoming City Council, in addition to non-profit boards, public boards and through his own children's activities and schools. ​Dan earned his B.A. in Public Administration from Miami University in 1994. Following graduation, Dan served as the Volunteer Coordinator of the Joel Hyatt for Senate Campaign, based in Cleveland, Ohio. Following the campaign, Dan began his insurance career at Cincinnati Insurance Company, where he served as a commercial underwriter. As an insurance agent, from 1998 to 2012, Dan built a client list consisting of public entities, school systems, civic organizations, commercial accounts, non-profit entities & personal lines accounts. Since 2012, Dan has started his own firm, Driehaus Insurance Group. The insurance agency profession lends itself to community involvement. Dan enjoys serving with community members on several boards & civic organizations.​From 2014 to 2019, Dan served on the Cincinnati Planning Commission, eventually serving as Board Chair. During his tenure, Dan presided over 142 Planning Commission meetings, approved 23 updated community plans and hundreds of development projects, including Cincinnati Children's Hospital Expansion, the Anthem Walnut Hills Mixed-Use Development, Uptown Gateway Project and much more - as envisioned by residents and planning professionals.​From 2013 to 2018, Dan served on the board of Cincinnatus. From 2013 to present, Dan has served on the board, and eventually chaired, the Cincinnati Area Senior Services. Dan is also proud to serve as the Immediate Past Board Chair for Meals on Wheels of Southwest Ohio & Northern Kentucky, a Board Member of the Southwest Ohio Regional Transit Authority (SORTA), the Chair of the Cincinnati Fire Museum, Chair of the Cincinnati Junior Rowing Club, and is a member of the Leadership Cincinnati Class 45.​As a member of Wyoming City Council, Dan serves on the Planning Commission, the Community Improvement Corporation, and is Wyoming's representative on the Ohio, Kentucky, and Indiana Regional Council of Governments.

Show Notes: Eugene Kim shares his post-graduation journey staying in Boston to finish research at the Dana-Farber Cancer Institute which was part of his thesis and also laid down the groundwork for his own cancer research which he has conducted over the years. He credits his understanding of science to his time at Harvard.  He also worked at the now-closed Love the Border Cafe. Eugene reflects on the valuable lessons learned from working at the cafe and describes the unique subculture of the cafe's staff, including the Brazilian kitchen staff and the diverse backgrounds of the waiters and waitresses. Securing a Position in Research Eugene talks about his major in biochemical sciences and his interest in molecular biology. He describes how he got involved in research at the Dana-Farber Cancer Institute, working with a researcher named Sam Speck. Eugene details the hands-on experience he gained, including growing bacteria, running gels, and learning the importance of meticulous work, and shares memorable experiences of working there, including  biking through snow to continue his research during a Thanksgiving blizzard. Enrolling in Columbia Medical School Eugene discusses his decision to attend Columbia Medical School in New York City, influenced by his desire to learn in a bustling city and study at a school that was his top choice. Eugene talks about his four years in medical school, his  general surgical training, and working in a cancer research laboratory and developing an interest in pediatric cancer. Eugene recounts his experience during 9/11, including the hospital's response and his involvement in helping first responders at Ground Zero. He reflects on the impact of 9/11 on the New York City community and the long-term health effects on residents. A Focus on Pediatric Surgery Eugene explains his transition from adult surgery to pediatric surgery, driven by his desire to help children. He describes his training at Cincinnati Children's Hospital and the competitive nature of obtaining a spot in pediatric surgery training. Eugene shares his experience in Houston, Texas, and the importance of mentorship in his career. He discusses the challenges and rewards of being a pediatric surgeon, including the need to specialize in various areas of surgery. Eugene emphasizes the importance of mentorship in his career and his efforts to mentor young surgeons and researchers. He describes the physical and mental demands of long surgeries and the importance of staying physically fit. Eugene discusses the impact of new technologies on pediatric surgery, such as robotic surgery and advanced imaging techniques. He reflects on the importance of remaining open-minded to new technologies and incorporating them into his practice.  Harvard Reflections Eugene reflects on his time at Harvard, including his interest in art history and Japanese art and history taught by John Rosenfield. He shares his appreciation for the seminar course with Mark Ptashne, which deepened his interest in molecular biology. He also mentions an Introduction to Architecture course with James Ackerman.  Eugene discusses the importance of taking courses outside of his major and the impact of these courses on his career. He reflects on the value of the requirements at Harvard and how they broadened his perspective and knowledge. A Journey into Wine Eugene shares his interest in wine, including his extensive collection and the impact of the Palisades fire on his collection. He describes his journey into wine, including learning about different regions and types of wine. Eugene recounts a memorable experience of tasting rare wines with the head red wine maker from Penfolds in Australia. He reflects on the importance of balancing professional and personal interests and the joy of sharing his passion for wine with others. Timestamps: 04:44: Early Research Experience at Harvard 08:13: Medical School and Early Career  18:46: Transition to Pediatric Surgery  40:09: Mentorship and Professional Development 44:03: Personal Interests and Hobbies  51:03: Reflections on Harvard and Beyond  Links: Hospital website: https://researchers.cedars-sinai.edu/Eugene.KimX/about Twitter / X: https://x.com/dreskim LinkedIn: https://www.linkedin.com/in/eugenekim3/    

mattflynn is one of many Child Life Specialists at Cincinnati Children's Hospital, but for this episode we consider him THE child life specialist at the hospital. Matt was kind enough to come on and not only talk about his three, but about the Extra Life program that is a part of Children's Miracle Network and the good that those funds do for children every day across the country. Matt talks about his work supporting children and their families at the hospital and talks his three games: Earthbound, Left 4 Dead 2, and Untitled Goose Game.The timing for this is no accident. Extra Life Day is Saturday November 8, 2025 and Channel 3 will be fielding a team of players running streams starting at 8 AM Eastern time and running until the same time on Sunday the 9th. You can follow along with the event here. You can find the Channel 3 Extra Life team at c3.gg/extralife2025 or extra-life.org/teams/69655Founder Joel is personally raising funds for the Cincinnati Children's Hospital and can be found either via the team link above or at extra-life.org/participants/joel You can find all of Matt's links at channel3.gg/mattflynnOur hosts' links can be found at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ channel3.gg/rey ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠and⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ channel3.gg/dan⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The show is Executive Produced by Channel 3 Founder Joel Willis who can be found at⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ channel3.gg/joel⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Our theme song is provided by Castor Garden. Find all of their tracks on Bandcamp by simply going to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠c3.gg/castorgardenmusic⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or find all of their links at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠channnel3.gg/castorgarden⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠About Channel3.gg: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠channel3.gg⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ is social networking built from the ground up for gamers. Sure you can do all the stuff like on the old social medias like post pictures, videos, comments and the like. Channel 3 is so much more than that though. It takes the social media experience and game-ifies it. Made a great post that someone likes (1-ups) or respawns? You earn XP experience points that level you up. New levels mean chances to win tickets for physical prizes, earn digital flair for your profile, and more. Additionally there are weekly events hosted by Channel 3 that let the community unwind and kick back with a little friendly competition. Sure, you want to win but it's more about hanging out and the vibes. These events are hosted on C3's Twitch Channel and also earn XP for participants. XP can also be earned for completing quests-questions related to games and being a gamer, challenges where you go forth and complete a task in a game, rating & reviewing games and systems, creating specifically themed lists of games and more. You can find Channel 3 in both the Android and Apple App Stores or at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠c3.gg/app⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Dr. Tasha Faruqui is a pediatrician. Tasha Faruqui is the mother of Soraya, a child with medical complexity who is enrolled in pediatric hospice. For many years, Tasha tried to live two separate lives, worrying about how her identities would conflict with each other. In this episode, she talks with Sarah and Dan about learning to unify herself and how that ultimately made her a better physician and parent.Learn more about Tasha, Soraya, and their family on Instagram at https://www.instagram.com/thefaruqui5/.Order Dr. Faruqui's new book, Keep Your Head Up, on her website, https://www.tashafaruqui.com/book or at a bookshop near you.100% of book proceeds will be donated to Cincinnati Children's Hospital and the Make-A-Wish Foundation.

Dr. Scott Schwartz joins Newly Erupted to speak directly to the prospective pediatric dentists going through the residency application process. Dr. Schwartz shares his experience and perspective as a program director, along with best practices for putting your best foot forward as a candidate. He emphasizes the importance of preparedness and an understanding that the interview is mutual – consider if this is the best program or location for you. This episode is a must-listen for anyone going through – or even considering – a pediatric dentistry residency program. Guest Bio: Scott B. Schwartz, DDS, MPH, is an Associate Professor at Cincinnati Children's Hospital Medical Center in the Division of Pediatric Dentistry and Orthodontics, where he also serves as Director of the Advanced Education in Pediatric Dentistry training program. After graduating from the University of Illinois – Chicago College of Dentistry, he completed a General Practice Residency at The Ohio State University. Continuing his journey to the Southeast, he obtained a certificate in pediatric dentistry and a Master of Public Health in Health Policy and Management at the University of North Carolina at Chapel Hill. Professionally, he has a strong focus on diversity, equity, and inclusion (DEI) and has served on related committees with the American Dental Education Association, the Cincinnati Children's Graduate Medical Education DEI subcommittee, and written extensively about the topic in both editorial and research publications.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Season 2, Episode 14Guest: Amy Wilson — Nurse & Higher-Ed Simulation Specialist; youth fencing parent; advocate for neurodivergent athletesWhat we coverWhy “calm down” isn't a strategy: replacing emotions (anger → engagement, under-arousal → activation)Fencing's unique demands: fast decisions, constant stimuli, and doing it alone on the stripThe concept: regulate first, then choose to go explosive (“pull the pin on purpose”)Early warning signs of dysregulation: posture shifts, breath changes, jittering, gear fidgetingPrevention beats cleanup: proactive routines that keep athletes near the “middle” zoneWhy fencing can be great for neurodivergent athletes (stimulus, boundaries, cross-body movement)Parent–coach partnership: advocacy without power struggles; translating coach feedbackTools that work: visual charts, nonverbal cues, brief written notes, peer feedback, snacks/hydrationEmergency resets (when the fuse pops): safe sensory “pattern interrupts” and fast re-engagementEnvironment tactics: control what you can control without over-calming a kid who needs to competePractical toolkitObserve first: posture, breath, timing, self-touching (e.g., body cord)Visual feedback card (12 simple icons): on-target, watched lights, stayed centered, didn't fall, breath, etc. Use silent hash marks during bouts and review between.Between bouts script: “Does your body need anything?” (water, snack, bathroom, hug) → “Do you want feedback?”Proactive role-play at home: rehearse day-of scenarios and the visual card so it's familiarBreak-glass reset options: cold/ice in hand, pleasant sensory (safe “treat”), quick drawing/notes—replace the feeling, don't debate itParent self-care & coverage: tag-team when possible so your presence stays steady and usefulTimestamps0:00 — Why “regulate, then explode” beats “calm down”1:18 — Bringing nursing/simulation methods to the strip2:52 — What makes fencing uniquely tough for kids' regulation3:12 — Emotional regulation vs. “be calm”4:30 — Early signs of drifting out of the optimal zone5:53 — “Pull the pin on purpose” explained7:05 — Why intervene; what's at risk if we don't11:05 — Why fencing can be great for neurodivergent athletes14:46 — How to start: observe, map home strategies → strip strategies18:31 — Partnering with coaches; translating instruction23:51 — Visual tools (the 12-icon card) and peer evaluations29:50 — When the fuse pops: safe sensory interrupts and quick resets32:08 — Controlling what you can control without over-calming38:14 — Quick hits for parents: what to pack, what to say (and avoid), how to check inQuotable“Don't calm it away—regulate it and then pull the pin on purpose.” — Amy Wilson“The loudest thing at a tournament isn't the beeping—it's a kid's negative thought loop.” — Amy WilsonCall to actionTry one tool at your next practice or tournament: a simple 6–12 icon feedback card, the two-question check-in (“Does your body need anything?” / “Do you want feedback?”), or a pre-planned sensory reset. Share what worked with your coach.Resources from AmyBout Feedback Image SheetEmotional Regulation Pattern IdentifierWe also benefitted greatly from the Cincinnati Children's Hospital Medical Center's ADHD Parenting Seminars. CCHMC's Center for ADHD is "one of the largest in the country devoted entirely to improving the care of children and adolescents with ADHD." Center for ADHD | Cincinnati Children'sCreditsHost: Bryan Wendell • Guest: Amy Wilson --First to 15: The Official Podcast of USA FencingHost: Bryan WendellCover art: Manna CreationsTheme music: Brian Sanyshyn

Did you know that congenital heart defects (CHDs) affect nearly 40,000 babies born in the United States every year? On this episode, Pediatric Cardiologist Dr. Melissa Lefebvre and medical student Marina Hashim discuss the evaluation and management of common acyanotic congenital heart conditions. Specifically, they will: Review the classification of CHDs as cyanotic versus acyanotic. Discuss the pathophysiology of the three most common acyanotic CHDs – ASD, PDA, and VSD. Describe early clinical findings and use of diagnostic tools. Cover management options, ranging from spontaneous closure to surgical intervention. Explore prognosis and long-term outcomes on physical activity, neurodevelopment, and overall health. Special thanks to Dr. Rebecca Yang and Dr. Abeer Hamdy for peer reviewing this episode. CME available free with sign up: Link Coming Soon! References: Dimopoulos, K., Constantine, A., Clift, P., & Condliffe, R. (2023). Cardiovascular complications of down syndrome: Scoping review and expert consensus. Circulation, 147(5). https://doi.org/10.1161/CIRCULATIONAHA.122.059706   Dugdale, D. C. (Ed.). (n.d.). Pediatric heart surgery - discharge. Mount Sinai. Retrieved April 26, 2024, from https://www.mountsinai.org/health-library/discharge-instructions/pediatric-heart-surgery-discharge   Eckerström, F., Nyboe, C., Maagaard, M., Redington, A., & Hjortdal, V. (2023). Survival of patients with congenital ventricular septal defect. European Heart Journal,  44 (1,1), 54-61. https://doi.org/10.1093/eurheartj/ehac618   Heart MRI. (2022, July 24). Cleveland Clinic. Retrieved April 19, 2024, from https://my.clevelandclinic.org/health/diagnostics/21961-heart-mri Leihao, S., Yajiao, L., Yunwu, Z., Yusha, T., Yucheng, C., & Lei, C. (2023). Heart-brain axis: Association of congenital heart abnormality and brain diseases. Frontiers in Cardiovascular Medicine, 10. https://doi.org/10.3389/fcvm.2023.1071820 Meyer, K. (Ed.). (2022, May 1). What is a ventricular septal defect (VSD)? Cincinnati Children's. Retrieved March 12, 2024, from https://www.cincinnatichildrens.org/health/v/vsd Minette, M. S., & Sahn, D. S. (2006). Ventricular septal defects. Circulation, 114(20). https://doi.org/10.1161/CIRCULATIONAHA.106.618124 Mussatto, K. A., Hoffmann, R. G., Hoffman, G. M., Tweddell, J. S., Bear, L., Cao, Y., & Brosig, C. (2014). Risk and prevalence of developmental delay in young children with congenital heart disease. Pediatrics, 133(3), e570–e577. https://doi.org/10.1542/peds.2013-2309 Pruthi, S. (Ed.). (2022, October 21). Ventricular septal defect (VSD). Mayo Clinic. Retrieved April 9, 2024, from https://www.mayoclinic.org/diseases-conditions/ventricular-septal-defect/symptoms-causes/syc-20353495     Right heart catheterization. (2022, July 24). Cleveland Clinic. Retrieved April 19, 2024, from https://my.clevelandclinic.org/health/diagnostics/21045-right-heart-catheterization Shah, S., Mohanty, S., Karande, T., Maheshwari, S., Kulkarni, S., & Saxena, A. (2022). Guidelines for physical activity in children with heart disease. Annals of pediatric cardiology, 15(5-6), 467–488. https://doi.org/10.4103/apc.apc_73_22 Sigmon, E., Kellman, M., Susi, A., Nylund, C., & Oster, M. (2019). Congenital heart disease and Autism: A case-control study. Pediatrics, 144(5). https://doi.org/10.1542/peds.2018-4114 Thacker, D. (Ed.). (2022, January 1). Ventricular septal defect (VSD). Nemours Kids Health. Retrieved April 10, 2024, from https://kidshealth.org/en/parents/vsd.html   Tierney, S., & Seda, E. (2020). The benefit of exercise in children with congenital heart disease. Current Opinion in Pediatrics, 32(5), 626-632. https://doi.org/10.1097/MOP.0000000000000942  Ventricular septal defects (VSD). (2021, November 9). Cleveland Clinic. Retrieved April 2, 2024,from https://my.clevelandclinic.org/health/diseases/17615-ventricular-septal-defects-vsd    Ventricular septal defect surgery for children. (n.d.). Johns Hopkins Medicine. Retrieved April 11,2024, from https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/ventricular-septal-defect-surgery-for-children#:~:text=During%20this%20surgery%2C%20a%20surgeon,the%20hole%20between%20the%20ventricles Wernovsky, G., & Licht, D. J. (2016). Neurodevelopmental Outcomes in children with congenital heart disease - what can we impact?. Pediatric Critical Care Medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 17(8 Suppl 1), S232–S242. https://doi.org/10.1097/PCC.0000000000000800

In this episode of the Pediatric and Developmental Pathology, our hosts Dr. Mike Arnold (@MArnold_PedPath) and Dr. Jason Wang speak with Dr. Ashlie Rubrecht, and Dr. Archana Shenoy. Dr. Rubrecht is a pediatric pathologist at Nationwide Children's Hospital where she is the Associate Pediatric Pathology Fellowship Director and Director of Pathology Resident Education. She is also an Assistant Professor of Pathology at The Ohio State University. Dr. Shenoy is an Associate Professor of Pathology at Cincinnati Children's Hospital and the University of Cincinnati. She is also one of the Medical Directors in Anatomic Pathology at Cincinnati Children's Hospital. Hear about how they developed the data for their article and how that led to networking opportunities through the Society for Pediatric Pathology. We also hear what they learned from their article in Pediatric and Developmental Pathology: Sloughing Esophagitis in the Pediatric Age Group: Clinicopathologic Characteristics of 12 Cases   Featured public domain music: Summer Pride by Loyalty Freak

What are pediatric reference intervals and why are they critical for children's health? Laborastories host Dr. Paul J. Jannetto and Dr. Erin Schuler, director of chemistry, special chemistry, and point-of-care testing at Cincinnati Children's, discuss the current state of pediatric reference intervals, why national investment is needed to improve them, and how ADLM is addressing this advocacy priority. With special guest: Dr. Erin Schuler Hosted by: Dr. Paul J. Jannetto

Pediatrician Dr. Paul Bunch consults Dr. Kahleb Graham from the Division of Gastroenterology, Hepatology, and Nutrition and Dr. Megan Miller from the Division of Behavioral Medicine and Clinical Psychology on disorders of gut-brain interaction. Episode recorded on September 17, 2025.    Resources discussed in this episode: Anxiety Assessment - Community Practice Support Tool Anxiety Management - Community Practice Support Tool Chronic Nausea and Vomiting - Community Practice Support Tool  Functional Abdominal Pain - Community Practice Support Tool     Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete.   Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physician:  Cincinnati Children's designates this Enduring Material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  Nursing:  This activity is approved for a maximum 0.75 continuing nursing education (CNE) contact hours. ABP MOCpt2: Completion of this CME activity, which includes learner assessment and feedback, enables the learner to earn up to 0.75 points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. Cincinnati Children's submits MOC/CC credit for board diplomates.   Credits AMA PRA Category 1 Credits™ (0.75 hours), ABP MOC Part 2 (0.75 hours), CME - Non-Physician (Attendance) (0.75 hours), Nursing CE (0.75 hours)  

Is the "best" hospital just about technology and surgical success? Ben Harder, the journalist who oversees the methodology and data for the U.S. News Best Children's Hospitals Rankings (2025), joins Katie to break down what truly defines quality in pediatric care. Ben shares his deeply personal family story—a tragedy 50 years in the past that drives his commitment to making data-driven information accessible today. This episode is a crucial guide for parents, explaining the three core pillars of the rankings: structure/resources, processes of care, and patient outcomes. We dive into why essential human-focused services like Child Life Specialists, chaplains, and family advisory boards are included in the scorecard and how they influence the rankings. Ben illuminates the challenge faced by these vital "cost centers" in a revenue-driven healthcare system, and offers a powerful message: parents are the strongest possible advocates for their children, and they should use every resource available—including the U.S. News data—to make informed, collaborative choices for their child's care team. Guest Links U.S. News Best Children's Hospitals Rankings: All data is freely available for families to research hospitals by region and specialty. Website: US News Press Release Episode Highlights & Key Takeaways The Personal Motivation: Ben shares the heartbreaking story of his cousin, whose permanent brain injury after a heart surgery complication 50 years ago lacked the complete care team needed to ensure a good outcome—a void the U.S. News data is designed to fill today. The Three Pillars of Ranking: US News analyzes over 1,000 data points grouped into: 1) Resources/Structure (nurses, expertise, technology, child life services), 2) Processes of Care (following best practices, infection control), and 3) Outcomes (survival, length of stay, quality of life). The Honor Roll: The 2025 Honor Roll features the top 10 hospitals recognized for high performance across multiple specialties, including: Boston Children's Hospital, The Children's Hospital of Philadelphia (CHOP), Cincinnati Children's, Texas Children's Hospital, and others. A Piece of the Puzzle: The rankings are one resource to use alongside insurance coverage, geographic location, and most importantly, consulting your child's doctors and trusting your parental intuition. The Value of Human Support: Services like Child Life Specialists, support groups, and family advisory boards are included in the structural data points, serving as a motivator for hospitals to invest in comprehensive, family-centered care. Advocacy is Essential: Ben gives parents permission to advocate relentlessly, reminding them they know their child best. Collaborating with—not simply questioning—the care team can be life-saving. Chapters: Timestamp Topic 0:00 Ben Harder's Personal Connection to Hospital Rankings 1:03 The Official Launch of the U.S. News Best Children's Hospitals 2025 3:20 US News Honor Roll: The Top 10 Children's Hospitals 4:26 FREE COURSE Ad: Shots, Blood Draws & Comfort Positioning 5:35 Meet Ben Harder: Journalist, Father, and Best Hospitals Lead 7:59 The 3 Pillars of US News Ranking Methodology (1000+ Data Points) 11:37 The Role of Expert Work Groups in Defining Data 13:58 The Future of Family Expertise in Shaping Rankings 16:59 How Families Should Use the U.S. News Rankings 21:09 Why Child Life Services and Support Resources Matter in Rankings 25:12 Why Support Services are Overlooked: Revenue vs. Cost Centers 27:54 Ben Harder's Personal Story: The Tragic Need for Comprehensive Care 31:00 The Efficacy and Impact of Child Life Specialists 34:36 What Families Should Expect and Ask For: Advocacy Permission 38:23 Where to Find the U.S. News Best Children's Hospitals Rankings 38:58 Disclaimer   Resources for You 1. Unlock Two FREE Courses (Value $250+) We want to equip you to better support your child during medical experiences! Get our popular courses "How to Prepare, Support, and Respond to Your Child During Shots, Blood Draws, and Vaccines" AND "How to Use Comfort Positioning in Pediatrics" completely free. How to Get It: Leave a written review for the Child Life On Call podcast on Apple Podcasts or Spotify. Take a quick screenshot of your submitted review. Email the screenshot to: podcast@childlifeoncall.com 2. Connect with Child Life On Call Website: ChildLifeOnCall.com Instagram: @ChildLifeOnCall Disclaimer: The content of this podcast is for informational purposes only. The host and guests are not licensed therapists or medical doctors. Always consult with your child's qualified medical professional for advice specific to your family's situation.  

Game on! Host Bo McMillian sits down with Child Life Specialist Matt Flynn on the latest episode of the Young & Healthy Podcast to talk about video games, screen time and healthy gaming habits. They talk about the game worlds kids love and balancing them with the real world.  Matt explains the difference between passive scrolling on TikTok and active video gaming. He also shares his thoughts on how electronics and games can both support and challenge childhood development. Spoiler, there are skills kids can learn from gaming that can be applied to real-life situations. Listeners will learn how to keep their kids safe in online gaming and make sure that their children are connecting instead of isolating themselves. Whether you're a parent, educator, or gamer, this episode offers practical insights on screen time, healthy gaming habits, and childhood growth. Power up, grab a seat and dive in for an insightful conversation.  Resources:  To learn more about Child Life at Cincinnati Children's, visit Child Life | Child and Adolescent Psychiatry  To learn more about game ratings, visit the Entertainment Software Rating Board (ESRB) website ESRB Ratings | Entertainment Software Rating Board  For other media and entertainment information to keep your family up to date on all things media, visit the following websites:  Common Sense Media: Age-Based Media Reviews for Families | Common Sense Media  TechCrunch | Startup and Technology News  WIRED - The Latest in Technology, Science, Culture and Business | WIRED  Chapter Markers:  00:00:53 – What is a Child Life Specialist?  00:02:31 – Is There a Difference Between Scrolling and Playing Games?  00:05:21 – In What Ways Do Electronics and Games Support Childhood Development?  00:07:25 – How Can Skills Learned from Games Apply to Life?  00:11:37 – Do Video Games Negatively Impact Childhood Development?  00:13:22 – Are There Signs Screen Time Is Affecting Your Child?  00:17:15 – How Can Parents Decide if a Game Is Appropriate for Their Child?  00:22:10 – How Can Parents Keep Kids Safe in Online Games?  00:26:48 – How Can Families Make Games Feel Connecting, Not Isolating?  00:28:15 – Final Thoughts and Wrap Up. 

Pediatrician Dr. Paul Bunch consults Dr. Nelson Rosen from the Division of Pediatric Surgery on pilonidal cysts. Episode recorded on July 30, 2025.  Resources discussed in this episode: Community Practice Support Tool  We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete.   Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physician:  Cincinnati Children's designates this Enduring Material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  Nursing:  This activity is approved for a maximum 0.75 continuing nursing education (CNE) contact hours. ABP MOCpt2: Completion of this CME activity, which includes learner assessment and feedback, enables the learner to earn up to 0.75 points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. Cincinnati Children's submits MOC/CC credit for board diplomates. Credits AMA PRA Category 1 Credits™ (0.75 hours), ABP MOC Part 2 (0.75 hours), CME - Non-Physician (Attendance) (0.75 hours), Nursing CE (0.75 hours)

In this episode, we talk with two authors who have papers featured in the special issue of the Journal of Genetic Counseling on Research Methods in Genetic Counseling. In the first segment we explore implementation science and its utilization in bridging the gap between research and clinical practice. In our second segment, we talk to an author about retrospective chart reviews and the benefits and drawbacks of this methodology.   Segment 1: A guide to utilizing implementation science for genetic counseling   Alanna Kulchak Rahm is a certified genetic counselor and implementation scientist with a PhD in Health and Behavioral Science. She has spent her career specializing in the implementation of genomics and precision health in healthcare systems. For over 25 years, she has conducted research on the utilization of genetic information by individuals and healthcare systems, new paradigms for identifying individuals with genomic risk, and new service delivery models for genomic testing. She has been a driver for the integration of implementation science and patient engagement to understand and study the integration of genomics into the learning health system, and is a tireless advocate of implementation science in genetic counseling. She has participated in and led many workshops and trainings on implementation science in genetics, serving as a faculty mentor for the NIH Training in Dissemination and Implementation Research in Cancer (TIDIRC) and recently as a co-lead of the Training in Dissemination and Implementation Research in Genomics and Precision Public Health (TIDIR-GPPH). She is currently a Program Director in the Division of Genomic Medicine at the National Human Genome Institute (NHGRI) where she directs the Network of Genomics-Enabled Learning Health Systems and other programs and continues to advance the integration of implementation science and genomics.   In this segment we discuss: Implementation science (IS) as a bridge between research and clinical practice in genetic counseling Misconceptions about IS, key frameworks like RE-AIM, and practical applications in daily work Using IS to identify and reduce inequities in genomic medicine Future integration of IS into training, research, and professional practice Link to the 2025 annual conference on dissemination and implementation    Segment 2: Leveraging hindsight: A retrospective chart review how-to for genetic counselors   Dr. Ramsey is the Section Chief of Individualized Therapeutics in the Division of Clinical Pharmacology, Toxicology and Therapeutic Innovation at Children's Mercy. She is leading the implementation of a pharmacogenomics program that is fully integrated with the electronic health record, developing model-informed decision support for several medications, and Co-director of their Pediatric Clinical Pharmacology Fellowship Program. Before joining Children's Mercy, Dr. Ramsey was an Associate Professor and co-director of the Genetic Pharmacology Service at Cincinnati Children's Hospital. She completed her postdoctoral fellowship in Pharmacogenetics at St. Jude Children's Research Hospital and received her PhD in Molecular, Cellular, Developmental Biology and Genetics from the University of Minnesota – Twin Cities. Dr. Ramsey is interested in all aspects of pharmacogenetics, from basic research to implementation in patient care.   In this segment we discuss: The role of retrospective chart reviews in genetic counseling research Common pitfalls such as unclear aims, time demands, and data extraction challenges Strategies for success, including SOPs, REDCap, and multidisciplinary collaboration Lessons learned on refining criteria, ensuring data quality, and team engagement   Would you like to nominate a JoGC article to be featured in the show? If so, please fill out this nomination submission form here. Multiple entries are encouraged including articles where you, your colleagues, or your friends are authors.   Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”.    For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others.    Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com.    DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. Our current intern is Stephanie Schofield. 

Is that penicillin or amoxicillin allergy real? Probably not. In this episode, we explore how to assess risk, talk to parents, and refer for delabeling. You'll also learn what happens in the allergy clinic, why the label matters, and how to be a better antimicrobial steward. Learning Objectives Describe the mechanisms and clinical manifestations of immediate and delayed hypersensitivity reactions to penicillin, including diagnostic criteria and risk stratification tools such as the PEN-FAST score. Differentiate between low-, moderate-, and high-risk penicillin allergy histories in pediatric patients and identify appropriate candidates for direct oral challenge or allergy referral based on current evidence and guidelines. Formulate an evidence-based approach for evaluating and counseling families in the Emergency Department about reported penicillin allergies, including when to recommend outpatient referral for formal delabeling. Connect with Brad Sobolewski PEMBlog: PEMBlog.com Blue Sky: @bradsobo X (Twitter): @PEMTweets Instagram: Brad Sobolewski References Khan DA, Banerji A, Blumenthal KG, et al. Drug Allergy: A 2022 Practice Parameter Update. J Allergy Clin Immunol. 2022;150(6):1333-1393. doi:10.1016/j.jaci.2022.08.028 Moral L, Toral T, Muñoz C, et al. Direct Oral Challenge for Immediate and Non-Immediate Beta-Lactam Allergy in Children. Pediatr Allergy Immunol. 2024;35(3):e14096. doi:10.1111/pai.14096 Castells M, Khan DA, Phillips EJ. Penicillin Allergy. N Engl J Med. 2019;381(24):2338-2351. doi:10.1056/NEJMra1807761 Shenoy ES, Macy E, Rowe T, Blumenthal KG. Evaluation and Management of Penicillin Allergy: A Review.JAMA. 2019;321(2):188–199. doi:10.1001/jama.2018.19283 Transcript Note: This transcript was partially completed with the use of the Descript AI and the Chat GPT 5 AI  Welcome to PEM Currents, the Pediatric Emergency Medicine podcast. As always, I'm your host, Brad Sobolewski, and today we are taking on a label that's misleading, persistent. Far too common penicillin allergy, it's often based on incomplete or inaccurate information, and it may end up limiting safe and effective treatment, especially for the kids that we see in the emergency department. I think you've all seen a patient where you're like. I don't think this kid's really allergic to amoxicillin, but what do you do about it? In this episode, we're gonna break down the evidence, walk through what actually happens during de labeling and dedicated allergy clinics. Highlight some validated tools like the pen FAST score, which I'd never heard of before. Preparing for this episode and discuss the current and future role of ED based penicillin allergy testing. Okay, so about 10% of patients carry a penicillin allergy label, but more than 90% are not truly allergic. And this label can be really problematic in kids. It limits first line treatment choices like amoxicillin, otitis media, or penicillin for strep throat, and instead. Kids get prescribed second line agents that are less effective, broader spectrum, maybe more toxic or poorly tolerated and associated with a higher risk of antimicrobial resistance. So it's not just an EMR checkbox, it's a label with some real clinical consequences. And it's one, we have a role in removing. And so let's understand what allergy really means. And most patients with a reported penicillin allergy, especially kids, aren't true allergies in the immunologic sense. Common misinterpretations include a delayed rash, a maculopapular, or viral exum, or benign, delayed hypersensitivity, side effects, nausea, vomiting, and diarrhea. And unverified childhood reactions that are undocumented and nonspecific. Most of these are not true allergies. Only a very small subset of patients actually have IgE mediated hypersensitivity, such as urticaria, angioedema, wheezing, and anaphylaxis. These are super rare, and even then they may resolve over time without treatment. If a parent or sibling has a history of a penicillin allergy, remember that patient might actually not be allergic, and that is certainly not a reason to label a child as allergic just because one of their first degree relatives has an allergy. So right now, in 2025, as I'm recording this episode, there are clinics like the Pats Clinic or the Penicillin Allergy Testing Services at Cincinnati Children's and in a lot of our peer institutions that are at the forefront of modern de labeling. Their approach reflects the standard of care as outlined by the. Quad ai or the American Academy of Allergy, asthma and Immunology and supported by large trials like Palace. And you know, you have a great trial if you have a great acronym. So here's what happens step by step. So first you stratify the risk. How likely is this to be a true allergy? And that's where a tool like the pen fast comes. And so pen fast scores, a decision rule developed to help assess the likelihood of a true penicillin allergy based on the patient's history. The pen in pen fast is whether or not the patient has a self-reported history of penicillin allergy. They get two points if the reaction occurred in the past five years. Two points if the reaction is anaphylaxis or angioedema. One point if the reaction required treatment, and one point if the reaction was not due to testing. And so you can get a total score of. Up to six points. If you have a score of less than three. This is a low risk patient and they can be eligible for direct oral challenge. A score greater than three means they're higher risk and they may require skin testing. First validation studies show that the PEN FFA score of less than three had a negative predictive value of 96.3%. Meaning a very, very low chance of a true allergy. And this tool has been studied more extensively in adults, but pediatric specific adaptations are emerging, and they do inform current allergy clinic protocols. But I would not use this score in the emergency department just to give a kid a dose of amoxicillin. So. For low risk patients, a pen fast score of less than three or equivalent clinical judgment clinics proceed with direct oral challenge with no skin testing required. The protocol is they administer one dose of oral amoxicillin and they observe for 62 120 minutes monitoring for signs of reaction Urticaria. Respiratory symptoms or GI upset. This approach is safe and effective. There was a trial called Palace back in 2022, which validated this in over 300 children. In adolescents. There were no serious events that occurred. De labeling was successful in greater than 95% of patients. And skin tested added no benefit in low risk patients. So if the child tolerates this dose, then you can remove that allergy immediately from the chart. Parents and primary care doctors will receive a summary letter noting that the challenge was successful and that there's new guidance. Children and families are told they can safely receive all penicillins going forward. And providers are encouraged to document this clearly in the allergy section of the EMR. So you're wondering, can we actually do this in the emergency department? Technically, yes, you can do what you want, but practically we're not quite there yet. So we'd need clearer risk stratification tools like the Pen fast, a safe place for monitoring, post challenge, clinical pathways and documentation support. You know, a clear way to update EMR allergy labels across the board and involvement or allergy or infectious disease oversight. But it's pretty enticing, right? See a kid you diagnose otitis media. You think that their penicillin allergy is wrong, you just give 'em a dose of amox and watch 'em for an hour. That seems like a pretty cool thing that we might be able to do. So some centers, especially in Canada and Australia, do have some protocols for ED or inpatient based de labeling, but they rely on that structured implementation. So until then, our role in the pediatric emergency department is to identify low risk patients, avoid over document. Unconfirmed reactions and refer to allergy ideally to a clinic like the pets. So who should be referred and good candidates Include a child with a rash only, especially one that's remote over a year ago. Isolated GI symptoms. Parents unsure of the details at all. No history of anaphylaxis wheezing her hives, and no recent serious cutaneous reactions. I would avoid referring and presume that this allergy is true. If they've had recent anaphylaxis, they've had something like Stevens Johnson syndrome dress, or toxic epidermolysis necrosis. Fortunately, those are very, very rare with penicillins and there's a need for penicillin during the ED visit without allergy backup. So even though we don't have an ED based protocol yet. De labeling amoxicillin or penicillin allergy can start with good questions in the emergency department. So here's one way to talk to patients and families. You can say, thanks for letting me know about the amoxicillin allergy. Can I ask you a few questions to better understand what happened? This is gonna help us decide the safest and most effective treatment for your child today, and then possibly go through a process to remove a label for this allergy that might not be accurate. You wanna ask good, open-ended questions. What exactly happened when your child took penicillin or amoxicillin? You know, look for rash, hives, swelling, trouble breathing, or anaphylaxis. Many families just say, allergic, when the reaction was just GI upset, diarrhea or vomiting, which is not an allergy. How old was your child when this happened? Reactions that occurred before age of three are more likely to be falsely attributed. How soon after taking the medicine did the reaction start? Less than one hour is an immediate reaction, but one hour to days later is delayed. Usually mild and probably not a true allergy. Did they have a fever, cold or virus at that time? Viral rashes are often misattributed to antibiotics, and we shouldn't be treating viruses with antibiotics anyway, so get good at looking at ears and know what you're seeing. And have they taken similar antibiotics since then? Like. Different penicillins, Augmentin, or cephalexin. So if they said that they were allergic to amoxicillin, but then somehow tolerated Augmentin. They're not allergic. If a patient had rash only, but no hive swelling or difficulty breathing, no reaction within the first hour. It occurred more than five years ago or before the kid was three. And especially if they tolerated beta-lactam antibiotics. Since then, they're a great candidate for de labeling and I would refer that kid to the allergy clinic. Generally, they can get them in pretty darn quick. Alright, we're gonna wrap up this episode. Most kids labeled penicillin allergic or amoxicillin allergic, or not actually allergic to the medication. There are some scores like pen fasts that are validated tools to assess risk and support de labeling. Direct oral challenge for most patients is safe, efficient, and increasingly the standard of care. There are allergy clinics like the Pats at Cincinnati Children's that can dela children in a single visit with oral challenges alone, needing no skin testing, and emergency departments can play a key role in identifying and referring these patients and possibly de labeling ourselves in the future. Well, that's all for this episode on Penicillin Allergy. I hope you learn something new, especially how to assess whether an allergy label is real, how to ask the right questions and when to refer to an allergy testing clinic. If you have feedback, send it my way. Email, comment on the blog, a message on social media. I always appreciate hearing from you all, and if you like this episode, please leave a review on your favorite podcast app. Really helps more people find the show and that's great 'cause I like to teach people stuff. Thanks for listening for PEM Currents, the Pediatric Emergency Medicine podcast. This has been Brad Sobolewski. See you next time.

Dr. Linda Chu speaks with Dr. Andrew Trout, Professor of Radiology and Director of Clinical Research at Cincinnati Children's, and Dr. Erin Angel, Vice President of Research and Scientific Affairs at GE HealthCare. They discuss the unique challenges of pediatric imaging and how collaboration and technology are advancing care for young patients while improving imaging for all. Sponsored by GE HealthCare.

Pediatrician Dr. Paul Bunch consults Dr. Kristen Reilly from the Division of Adolescent Medicine on adolescent substance use. Episode recorded on June 12, 2025.  Resources discussed in this episode: Community Practice Support Tool  S2BI  Crafft We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete.   Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physician:  Cincinnati Children's designates this Enduring Material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  Nursing:  This activity is approved for a maximum 0.50 continuing nursing education (CNE) contact hours. ABP MOCpt2: Completion of this CME activity, which includes learner assessment and feedback, enables the learner to earn up to 0.50 points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. Cincinnati Children's submits MOC/CC credit for board diplomates. Credits AMA PRA Category 1 Credits™ (0.50 hours), ABP MOC Part 2 (0.50 hours), CME - Non-Physician (Attendance) (0.50 hours), Nursing CE (0.50 hours)      

Emergencies like natural disasters, fires, or even power outages can happen any time, and staying prepared can make all the difference. In this episode, we're joined by Dr. Nathan Timm, medical director of emergency management at Cincinnati Children's, to explore easy ways families can prepare for unexpected situations without feeling stressed.   Dr. Timm shares advice on how to talk with kids about emergencies in a way that helps them feel safe and calm. He also gives tips on first aid kits, including items every household should have, how often to check it, and where to keep supplies in your family home for easy access. We also talk about fire safety, including checking  fire extinguishers, smoke alarms, and carbon monoxide detectors to make sure they are up to date. You'll also learn how to create a simple starter checklist to prepare for natural disasters.   This episode is packed with hospital recommended safety tips and small steps your family can take to make your home safer. Tune in to learn how a little preparation can go a long way in keeping your loved ones safe.  Resources mentioned in episode:  https://www.ready.gov/   Other Resources:  Emergency and Disaster Planning | Ongoing Support Resources  Disaster Preparedness Resources for Families   https://www.fema.gov/  For emergency kits and learn more about the Red Cross: https://www.redcross.org/store/training-supplies 

In this episode, Dr. Steve Davis, President and CEO of Cincinnati Children's, shares how the organization is improving patient access, advancing pediatric subspecialty care, and expanding its global reach. He discusses the role of AI in addressing workforce shortages, building resilient leadership, and shaping the future of children's healthcare.

In this episode, Nicholas Archer, Vice President of Innovation Ventures at Cincinnati Children's, shares how his dual background in health systems and startups informs his work building a commercialization engine that speeds pediatric research to real-world impact. He discusses promising areas like regenerative medicine, the importance of partnerships, and his vision for advancing child health on a national and global scale.

Let's continue the conversation- send me a text!Joining a professional organization is more than paying dues—it's a powerful step toward building connections, influencing change, and amplifying your voice.In this episode, host Dr. Carrie Spangler sits down with Dr. Gina Hounam (Audiology Program Manager at Nationwide Children's in Ohio) and Dr. Maggie Kettler (Senior Clinical Director at Cincinnati Children's)  to explore the role professional organizations play in shaping the future of audiology and hearing healthcare. They share their personal journeys, the impact of getting involved, and practical ways you can start advocating—whether you're a student, new professional, or seasoned expert.For more information about today's guests, please reach out via emailGina.Hounam@nationwidechildrens.orgMargaret.Kettler@cchmc.orgFor more information about Dr. Carrie Spangler- check out her Linktree at https://linktr.ee/carrie.spangler. For transcripts of this episode- visit the podcast website at: https://empowearaudiology.buzzsprout.com

A new sense of urgency surrounds a Vermont State Police investigation into the 2024 death of a man who owned a cache of firearms later stolen and sold by his son. A former Cincinnati Children’s Hospital doctor is facing federal charges after investigators say they found more than 153,000 images and 470 videos of child sexual abuse material on his devices. Drew Nelson reports.See omnystudio.com/listener for privacy information.

In this new episode, Dr. Lauren focuses on the diagnostic odyssey of getting a genetic diagnosis with Drs. Ame Shillington and Sheldon Garrison. Dr. Shillington is a clinical geneticist and assistant professor from Cincinnati Children's Hospital Medical Center. Dr. Garrison is Research Scientist at Rogers Behavioral Health who is on our Scientific Advisory Committee. Did You Know!? The average delay from initial concern to genetic diagnosis of rare disorders like Phelan-McDermid syndrome is over 9 years!Of individuals who receive a genetic diagnosis due to neurodevelopmental concerns, approximately 90% see improvement in their treatment management and care after receiving the diagnosis! Tune in to hear more about the research behind the delayed diagnosis of rare genetic disorders like Phelan-McDermid syndrome, and what each is doing to help reduce this delay and increase access to genetic testing! Check out the papers mentioned in the podcast below to learn more: Dr. Sheldon Garrison: https://pubmed.ncbi.nlm.nih.gov/40750893/ https://pubmed.ncbi.nlm.nih.gov/40252994/Dr. Ame Shillington: https://pubmed.ncbi.nlm.nih.gov/37642312/ https://pubmed.ncbi.nlm.nih.gov/35769998/

Reference: Bourke EM, et al. PEAChY-O: Pharmacological Emergency Management of Agitation in Children and Young People: A Randomized Controlled Trial of Oral Medication. Annals of Emergency Medicine. Feb 2025 Date: April 29, 2025 Guest Skeptic: Dr. Brad Sobolewski, is a pediatric emergency medicine physician at Cincinnati Children's Hospital and Professor of Pediatrics at the University […] The post SGEM#480: In the End It Doesn't Even Matter: Oral Olanzapine or Diazepam for Pediatric Agitation first appeared on The Skeptics Guide to Emergency Medicine.

President Vlodomyr Zelenskky appears to have backtracked on an anti-corruption law he approved earlier this week after protesters accused him of stripping anti-corruption agencies of their independence. The Washington Post's Siobhan O'Grady tells us more. Then, Columbia University has reached a deal with the Trump administration. In return for a $200 million payment and other changes Columbia agreed to make, the government will restore $400 million in research funding it canceled in March. The Chronicle of Higher Education's Francie Diep joins us to explain what the deal means for colleges and universities across the country. And, music therapy can benefit patients with stress, anxiety and Alzheimer's disease. Nicole Altimier, a music therapist with Cincinnati Children's Hospital, joins us to discuss how music therapy works.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

“I was pumping in the NICU, feeling completely disconnected—and my husband looked at me and said, ‘Can you invite her in?' That moment changed everything. A nurse handed me a swab, I gave my baby colostrum for the first time, and I thought, ‘I'm a mommy.'” – Tanisha NICU mom and advocate Tanisha shares her deeply moving journey through an unexpected fetal diagnosis, a 157-day NICU stay, and the powerful moments that helped her reconnect with motherhood. Diagnosed at 20 weeks with Lower Urinary Tract Obstruction (LUTO)—a rare, life-threatening condition—Tanisha's son Jaleel faced impossible odds. From transferring care to Cincinnati Children's Hospital, navigating in-utero surgery, to forming a life-saving care team that included her husband and child life specialists, Tanisha's voice is a beacon of strength, love, and resilience.

Every kid is unique with their own distinct personality and behavior. But at what point should a child's behavior become a cause for concern? From anxiety and tantrums to challenges at school and issues with sleep, pediatricians frequently encounter a wide range of behavioral concerns. This episode was recorded at the 2025 Pediatric Academic Societies Conference in Honolulu, Hawaii. In this episode of Charting Pediatrics, we are joined by Stephanie Weber, PsyD, a licensed clinical psychologist at Cincinnati Children's Hospital who specializes in working with children with behavioral concerns. Dr. Weber is the Associate Director of the Cincinnatti Leadership Education in Neurodevelopmental and Related Disabilities (LEND) Program and an Associate Professor at the University of Cincinnatti. Some highlights from this episode include:  Utilizing the right language to get a full picture of a patient's behavioral concerns  Deciphering between “regular” and “irregular”  Opportunities for modeling  How pediatricians can work with families whose strategies they don't agree with   For more information on Children's Colorado, visit: childrenscolorado.org. 

What do the KGB and the former CEO of Cincinnati Children's Hospital have in common? At different times, they’ve each looked to a guy named Eugene Litvak for help. He only said yes to Cincinnati — but he saved that hospital more than a hundred million dollars a year. For the last few decades, Litvak – a Soviet émigré with a PhD in math – has been on a mission: save U.S. hospitals from financial ruin, and improve the lives of doctors, nurses, and patients. He says he has just the formula to do it, lots of prominent experts agree, and he’s documented impressive results so far: Financial savings, fewer hospital-related deaths, lower staff turnover, and shorter wait times. But Litvak and his allies are still struggling to convince more hospital CEOs to try his method. We talk with Litvak about his wild life story and how he found the fix that he says could revolutionize American hospitals. And we speak with experts to determine why more hospitals don’t try it. Here’s a transcript of this episode. Send your stories and questions. Or call 724 ARM-N-LEG. Of course we’d love for you to support this show.See omnystudio.com/listener for privacy information.