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In this episode of the special series, “Pathways to Pediatrics,” hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, interview Greg Gulbransen, DO, FAAP, about how he turned personal tragedy into life-saving advocacy. They discuss Dr. Gulbransen's photography, how he helps families deal with grief in his practice, and what he loves about being a pediatrician. For resources go to aap.org/podcast.
In this episode of The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by experts Sarah Winter, MD, and Laura Wood, PhD, who explore the connection between congenital heart disease (CHD) and neurodevelopmental challenges. The conversation highlights the outpatient resources available to help children thrive - speech, developmental, occupational, and physical therapies - as well as the role of schools and IEPs in supporting growth and learning.Listeners will also hear about the importance of early intervention programs, available in every state, and how families can be supported through the emotional and developmental challenges that often follow a traumatic birth or early months in the NICU.Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this episode, Douglas Diekema, MD, MPH, FAAP, and Douglas Opel, MD, MPH, discuss the new and evolving dimensions in the pediatrician-family-patient relationship. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Julie Wang, MD, FAAP, about the new anaphylaxis definition and clinical support tool. For resources go to aap.org/podcast.
This week on The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by experts Sarah Winter, MD, and Jory Harris, MS, to discuss the neurodevelopmental challenges frequently seen in children with congenital heart disease (CHD). Together, they outline the common phenotypes associated with CHD, why these patterns matter for long-term outcomes, and how pediatricians can recognize and address concerns early. The conversation also highlights practical approaches for supporting families and connecting children with the right interventions and resources at the right time. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
#60: Worried about introducing allergenic foods like peanut, egg, or tree nuts to your baby? You're not alone…but the latest research shows that early, consistent introduction can actually help prevent food allergies. In this episode, I'm joined by Dr. Kelly Clear, MD, FAAP, pediatrician and Medical Director of FARE (Food Allergy Research & Education), to unpack the new rules for allergen introduction. We're breaking down why so many parents still feel fear, what the Eat Early, Eat Often campaign is all about, and how to confidently feed allergenic foods—even if food allergies run in your family. Listen to this episode to learn: 1. Why early introduction of allergenic foods is recommended and how it helps prevent food allergy, 2. How to safely get your baby to taste these allergenic foods…even if they don't have teeth yet 3. What to do if you baby has an allergic reaction…and why it probably doesn't involve going to the ER Shownotes for this episode can be found here: https://www.babyledweaning.co/podcast/60 Links from this episode: • Visit the FARE: Eat Early, Eat Often campaign page here • Baby-Led Weaning with Katie Ferraro program with the 100 First Foods™ Daily Meal Plan, join here: https://babyledweaning.co/program • Baby-Led Weaning for Beginners free online workshop with 100 First Foods™ list to all attendees, register here: https://babyledweaning.co/baby-led-weaning-for-beginners Other episodes related to this topic: • Episode 368 - Using a Milk Ladder for Babies with Dairy Allergy with Carina Venter, PhD, RD • Episode 380 - Why Doctors STILL Aren't Talking About Introducing Allergenic Foods with Ruchi Gupta, MD, MPH • Episode 418 - Everything You Need to Know About FOOD ALLERGIES *Update* (Nutrition Labels, Research & Sesame) with Bob Earl, MPH, RDN
#60: Worried about introducing allergenic foods like peanut, egg, or tree nuts to your baby? You're not alone…but the latest research shows that early, consistent introduction can actually help prevent food allergies. In this episode, I'm joined by Dr. Kelly Clear, MD, FAAP, pediatrician and Medical Director of FARE (Food Allergy Research & Education), to unpack the new rules for allergen introduction. We're breaking down why so many parents still feel fear, what the Eat Early, Eat Often campaign is all about, and how to confidently feed allergenic foods—even if food allergies run in your family. Listen to this episode to learn: 1. Why early introduction of allergenic foods is recommended and how it helps prevent food allergy, 2. How to safely get your baby to taste these allergenic foods…even if they don't have teeth yet 3. What to do if you baby has an allergic reaction…and why it probably doesn't involve going to the ER Shownotes for this episode can be found here: https://www.babyledweaning.co/podcast/60 Links from this episode: • Visit the FARE: Eat Early, Eat Often campaign page here • Baby-Led Weaning with Katie Ferraro program with the 100 First Foods™ Daily Meal Plan, join here: https://babyledweaning.co/program • Baby-Led Weaning for Beginners free online workshop with 100 First Foods™ list to all attendees, register here: https://babyledweaning.co/baby-led-weaning-for-beginners Other episodes related to this topic: • Episode 368 - Using a Milk Ladder for Babies with Dairy Allergy with Carina Venter, PhD, RD • Episode 380 - Why Doctors STILL Aren't Talking About Introducing Allergenic Foods with Ruchi Gupta, MD, MPH • Episode 418 - Everything You Need to Know About FOOD ALLERGIES *Update* (Nutrition Labels, Research & Sesame) with Bob Earl, MPH, RDN
✅ Hospedagem Cloud da Hostinger (Link com desconto incluso + cupom CHIEF)
In this episode the new deputy editor of Pediatrics joins the team.Andrea Cruz, MD, MPH, FAAP, offers a rundown of the September issue of the journal. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Tim Geleske, MD, FAAP, about genetic evaluation of children with intellectual disabilities or global developmental delays. For resources go to aap.org/podcast.
In this week's episode, host Paul Wirkus, MD, FAAP, and guests Kristi Glotzbach, MD, and Laura Wood, PhD discuss recommendations for recognizing and addressing neurodevelopmental risks in infants and children with congenital heart disease (CHD). Listen in as they review strategies for risk identification, protection, screening, and evaluation, and focus on how clinicians can stratify risk for neurodevelopmental challenges in this vulnerable population. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
O WW Especial deste domingo (31) debate se "A crise com os EUA está mudando o Brasil?". Participam deste programa Eduardo Giannetti, economista, filósofo e professor, Marco Aurélio Nogueira, cientista político e professor da Unesp, e Vinícius Rodrigues Vieira, professor de RI da FAAP, FGV e do IDP.
In this episode, Dr. Jared Hogan, a dedicated pediatric pulmonologist at Le Bonheur Children's Hospital, shares insights about his journey into pediatric medicine and the unique challenges and joys of working with young patients. Tune in to discover how his passion for helping children with respiratory issues shapes his practice. Learn more about Jared Hogan, MD, FAAP
In this episode, comedian, podcaster and ophthalmologist Will Flanary, MD, (better known as “Dr. Glaucomflecken”) discusses his role as the keynote speaker at the 2025 AAP National Conference and Exhibition. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, ask about his life as a medical influencer and what he really thinks of pediatricians. For resources go to aap.org/podcast.)
This week, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to answer listener questions, including how the language pediatric providers use can shape families' understanding and follow-through with additional testing, as well as how advances in technology are transforming implants and hearing aids. Have a question? Email questions@vcurb.com. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Este é o 7º audioguia do nosso Museu Virtual do Rádio e daTV. Nesta série, você acompanha entrevistas de estudantes de comunicação do Programa BCM da FAAP com familiares que têm mais de 60 anos. E entre uma conversa e outra, tem nossas peças raras. São áudios que ilustram a história. Nesta edição você vai ouvir:02:38 Sobre o programa É Noite, Tudo se Sabe, que era apresentado por Ana Maria Penteado na antiga Jovem Pan AM; 07:04 Vicente Leporace, o Trabuco, falando sobre a força do rádio;08:47 Sobre o Disparada no Esporte, da saudosa Gazeta AM;09:52 Trecho do programa Gil Gomes, que marcou época pela Rádio Record de outros tempos;12:31 Uma edição do Show de Rádio, pela Jovem Pan, em 1974, com Estevam Sangirardi e personagens dos times de São Paulo; além de um trecho da Rádio Camanducaia de Odayr Baptista. Esse áudio raro foi gravado por Sidney Corrêa, do Memorial Hélio Ribeiro. 27:06 Depoimentos de radialistas sobre o poder do rádio (Salomão Ésper, José Paulo de Andrade, Joseval Peixoto, Nicolau Tuma, Eli Corrêa, Hélio Ribeiro)Bom passeio pelas Peças Raras em exposição no Museu Virtual do Rádio e da TV.
Please join this multi-disciplinary discussion exploring the nuances of building bedside nursing autonomy and trust. Guest: Jennifer Gauntt, MD, FAAP, FCCM. (Nationwide Children's Hospital/Ohio State U). Hosts: Laura Valido, BSN RN and Cardiothoracic IUC Clinical Leader-Educator (Nationwide Children's Hospital/Ohio State U) and Natalie Pleiman MSN, RNIII, CCRN, CPN (Cincinnati Children's Hospital Medical Center/U Cincinnati). Editor/Producer: Saidie Rodriguez, MD (Children's Healthcare of Atlanta, Emory).
O Banco de tecidos é um sistema de circulação e reuso têxtil. Uma empresa que foi criada desde o início com foco em sustentabilidade. Uma iniciativa original dedicada a circulação de tecido de reuso, o BANCO DE TECIDO soluciona a sobra de produção de tecelagens, confecções e ateliês, recolocando este material no mercado através de um sistema misto de troca e venda. Um banco que promove benefícios sociais, ambientais e econômicos. Um banco onde a moeda é o tecido.Lu Bueno é uma premiada diretora de arte, cenógrafa, figurinista e pesquisadora. Bacharel em Desenho Gráfico pela FAAP, mestre em artes/cenografia pela ECA-USP, é doutora em Design pela FAU-USP. Ao longo de sua carreira ministrou inúmeras palestras e cursos e hoje leciona como professora convidada na Universidade Belas Artes e no Senac para os cursos de Pós-Graduação. Trabalha há mais de 30 anos como diretora de arte em cinema, teatro, televisão e eventos. No seu currículo tem parcerias com renomados grupos de teatro paulista e nomes como Antônio Fagundes, Gerald Thomas, Ney Latorraca, Gabriela Duarte, Ulysses Cruz e Astrid Fontenelle. Fez a cenografia e a direção de arte para clips e shows de Claudia Leite, Chitão e Xororó, Grupo Sambô dentre outros. Seus cenários estiveram nas telas do Canal BIS com a série musical Minha Trilha Sonora e Lounge e na TV SONY com o reality show Breakout BR. Na internet assinou séries de brended content como Marias (Intimus) e AP da Berê (Quem disse Berenice) além de inúmeros filmes comerciais. Seus trabalhos já foram indicados vencendo vários prêmios inclusive o Prêmio Shell e Pananco de melhor Cenografia e Figurino. Hoje, além de lecionar e atuar como profissional do mercado tem o orgulho de manter uma iniciativa sustentável e colaborativa chamada BANCO DE TECIDO.
In this episode, Terri McFadden, MD, MPH, FAAP, and Marsha Spitzer, MD, FAAP, discuss why they're running for AAP President-elect. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, ask the candidates about the pressing challenges facing pediatricians today and their vision for the future of the AAP. For resources go to aap.org/podcast.
In this episode, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to explore why failed newborn hearing screens should never be overlooked. The discussion covers how to interpret screening results, the most common risk factors for hearing loss in infants, and when to act quickly for follow-up testing and intervention. Learn practical tips for counseling families, coordinating timely referrals, and ensuring no child slips through the cracks during this critical developmental window. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this episode, Amy Houtrow, MD, PhD, MPH, FAAP, discusses how assistive technology can help children with complex communication needs. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Andrew Garner, MD, PhD, FAAP, and Robert Saul, MD, FAAP, about the different environmental and biological factors that impact development. For resources go to aap.org/podcast.
In this episode, host Paul Wirkus, MD, FAAP is joined by Albert Park, MD, and Adrienne Johnson, AuD, to explore why failed newborn hearing screens should never be overlooked. The discussion covers how to interpret screening results, the most common risk factors for hearing loss in infants, and when to act quickly for follow-up testing and intervention. Learn practical tips for counseling families, coordinating timely referrals, and ensuring no child slips through the cracks during this critical developmental window. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The diagnosis of Type 1 diabetes has a huge impact on families. We'll discuss the condition with the family of a 10-year-old who will tell us how they're managing. We'll also learn about community resources offering support and advocacy.Our guests: Cai Eloi-Evans, child with Type 1 diabetes Sasha Eloi-Evans, Ed.D., parent of child with Type 1 diabetes LaShara Evans, parent of child with Type 1 diabetes Marianna Seefeldt, community engagement manager with Breakthrough T1D's Upstate New York Chapter Karina Vattana, MD, FAAP, medical director of pediatrics at Trillium Health
Today, we explore the intersections of cutting-edge science, compassionate care, and the future of pediatric and maternal health with Dr. Melinda Elliott, MD, FAAP, a leading neonatologist and the Chief Medical Officer at Prolacta Bioscience. Dr. Elliott has dedicated her career to advancing the care of our most vulnerable patients, premature and medically fragile infants, through both clinical excellence and research-driven innovation. Dr. Elliott earned her medical degree from West Virginia University School of Medicine. She went on to complete her residency in pediatrics and her fellowship in neonatal-perinatal medicine at the University of Florida, where she also served as chief resident and a faculty member, helping to train the next generation of pediatricians and neonatologists. Throughout her clinical and leadership career, Dr. Elliott has been deeply involved in advancing evidence-based care in the NICU, improving nutritional strategies for preterm infants, and advocating for human milk as a therapeutic intervention in neonatal health. Her work with Prolacta Bioscience supports NICUs around the globe in providing 100% human milk–based nutrition to reduce complications such as necrotizing enterocolitis (NEC), a devastating condition that disproportionately affects preterm infants. Please join me in welcoming Dr. Melinda Elliott, a champion for babies and a voice for innovation in neonatal medicine. Dr. M
Approximately 31 million people in the U.S., or 10% of the population, live with some form of eczema. But what are the different types of eczema, and why do certain types affect some people more than others? We spoke with Candrice R. Heath, MD, FAAP, FAAD, adult and pediatric dermatologist, about the eczema umbrella, treatment options, the surprising role of lifestyle factors like stress and sleep, the importance of tracking your triggers, and how to effectively partner with your doctor when it comes to managing your skin.See omnystudio.com/listener for privacy information.
In this episode, Alex Kemper, MD, MPH, MS, FAAP, editor of the journal Pediatrics, offers a rundown of the August issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Jesse Hackell, MD, FAAP, about medical versus non-medical immunization exemptions for child care and school attendance. For resources go to aap.org/podcast.
In this episode, host Paul Wirkus, MD, FAAP, is joined by Albert Park, MD, and Adrienne Johnson, AuD, for an important discussion on hearing evaluations for infants and children. They explore how hearing can be assessed at any age, the basics of diagnostic testing, and why early identification is crucial for a child's development. Whether you're a pediatrician, audiologist, or simply want to understand the process better, this episode offers valuable insights into supporting children with potential hearing concerns. Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this conversation, Dr. Ran Anbar discusses the complexities of risky behaviors in teenagers, emphasizing the developmental aspects of adolescent decision-making, the influence of peer pressure, and the critical role of family dynamics and parenting styles. He highlights the importance of communication between parents and teens, advocating for active listening and understanding rather than authoritarian approaches. The discussion also touches on gender differences in how boys and girls engage in risky behaviors and the societal implications of parenting styles.To connect with Dr. Anbar:https://centerpointhypnosis.com/books/the-life-guide-for-teensTo connect with G'Ade:https://linktr.ee/theunfilteredbygade
In this episode, Mary Ott, MD, MA, FAAP, talks about counseling teens on contraception and how pediatricians can better support their patients with their reproductive health. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Davene Wright, PhD, about shifts in obesity treatment for children and adolescents in the United States. For resources go to aap.org/podcast.
Rivky sits down with Dr. Aimee Baron, the founder and director of I Was Supposed To Have A Baby. Aimee shares her own infertility story, why she doesn't care how many babies are born to the people they help, the breadth and depth of circumstantial infertility and phrases to avoid when greeting others. Aimee Baron MD, FAAP, is the founder and executive director of I Was Supposed to Have a Baby (IWSTHAB), a nonprofit organization that utilizes social media to support Jewish individuals and families as they are struggling to have a child. It provides a warm and nurturing space for those going through infertility, pregnancy loss, infant loss, surrogacy or adoption, in addition to connecting those families to resources in the Jewish community at large. IWSTHAB offers a modern solution (Instagram and Tiktok) to an age-old problem, and is currently serving over 15,000 people and growing. Click here for Aimee's first appearance on Be Impactful Click here to donate to IWSTHAB's campaign and enter to win prizes @iwassupposedtohaveababy iwassupposedtohaveababy.org Click here to join the Impact Fashion Whatsapp Status Click here to see my collection of dresses. Click here to get the Secrets Your Tailor Won't Tell You Click here to see my maternity friendly pieces. To hear more episodes, subscribe and head over to Impactfashionnyc.com/blog/podcast. Be Impactful is presented by Impact Fashion, your destination for all things size inclusive modest fashion Click here to take a short survey about this podcast and get a 10% off coupon code as my thanks
Childhood-onset hydrocephalus encompasses a wide range of disorders with varying clinical implications. There are numerous causes of symptomatic hydrocephalus in neonates, infants, and children, and each predicts the typical clinical course across the lifespan. Etiology and age of onset impact the lifelong management of individuals living with childhood-onset hydrocephalus. In this episode, Casey Albin, MD, speaks with Shenandoah Robinson, MD, FAANS, FAAP, FACS, author of the article “Childhood-onset Hydrocephalus” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Albin is a Continuum® Audio interviewer, associate editor of media engagement, and an assistant professor of neurology and neurosurgery at Emory University School of Medicine in Atlanta, Georgia. Dr. Robinson is a professor of neurosurgery, neurology, and pediatrics at Johns Hopkins University School of Medicine in Baltimore, Maryland. Additional Resources Read the article: Childhood-onset Hydrocephalus Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @caseyalbin Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Albin: Hi, this is Dr Casey Albin. Today I'm interviewing Dr Shenandoah Robinson about her article on childhood onset hydrocephalus, which appears in the June 2025 Continuum issue on disorders of CSF dynamics. Dr Robinson, thank you so much for being here. Welcome to the podcast. I'd love to start by just having you briefly introduce yourself to our audience. Dr Robinson: I'm a pediatric neurosurgeon at Johns Hopkins, and I'm very fortunate to care for kids and children from the neonatal intensive care unit all the way up through young adulthood. And I have a strong interest in developing better treatments for hydrocephalus. Dr Albin: Absolutely. And this was a great article because I really do think that understanding how children with hydrocephalus are treated really does inform how we can care for them throughout the continuum of their lifespan. You know, I was shocked in reading your article about the scope of the problem for childhood onset hydrocephalus. Can you walk our listeners through what are the most common reasons why CSF diversion is needed in the pediatric population? Dr Robinson: For the United States, and Canada too, the most common reasons are spina bifida---so, a baby that's born with a myelomeningocele and then develops associated hydrocephalus---and then about equally as common is posthemorrhagic hydrocephalus of prematurity, congenital causes such as from aquaductal stenosis, and other genetic causes are less common. And then we also have kids that develop hydrocephalus after trauma or meningitis or tumors or other sort of acquired problems during childhood. Dr Albin: So, it's a really diverse and sort of heterogeneous causes that across sort of the, you know, the neonatal period all the way to, you know, young adulthood. And I'm sure that those etiologies really shift based on sort of the subgroup population that you're talking about. Dr Robinson: Yes, they definitely shift over time. Fortunately for our kids that are born with problems that raise concerns, such as myelomeningocele or if they're born preterm, they sort of declare themselves by the time they're a year old. So, if you're an adult provider, they should have defined themselves and it's unlikely that they will suddenly develop hydrocephalus as a teenager or older adult. Dr Albin: Totally makes sense. I think many of the listeners to this podcast are adult neurologists who are probably very familiar with external ventriculostomies for temporary CSF diversion, and with the more permanent ventricular peritoneal shines or ventricular atrial or plural shines that are needed when there's the need for permanent diversion. But you described in your article two procedures that provide temporary CSF diversion that I think many of our listeners are probably not as familiar with, which is the ventricular access devices and ventriculosubgaleal shunts. Can you briefly describe what those procedures provide? Who are the candidates for them? And then what complications neurologists may need to think about if they're consulted for comanagement in one of these complex patients? Dr Robinson: Well, the good thing is that if as an adult neurologist you encounter someone with, you know, residual tubing from one of these procedures, you are unlikely to need to do anything about it. So, we put in ventricular access device or ventriculosubgaleal shunts, usually in newborns or infants. And sometimes when they no longer need the device, we just leave it in because that saves them an extra surgery. So, if you encounter one later on, it's most likely you won't need to do anything. Often if the baby goes on to show that they need a permanent shunt, we go ahead and put in that permanent shunt. We may or may not go back and take out the reservoir or the subgaleal shunt. The reservoir and subgaleal shunts are often put in the frontal location. Sometimes we'll put the permanent shunt in the occipital location and just leave the residual tubing there. So, you're very unlikely to need to intervene with a reservoir or subgaleal shunt if you encounter an older child or adult with that left in. We use these in the small babies because the external ventricular drains that we're very familiar with have a very high complication rate in this population. In the adult ICU, you often see these, and maybe there's, you know, a few percent risk of infection. It actually heads into 20 to 25% in our preterm infants and other newborns that require one of these devices for drainage. So, we try not to use external ventricular drains like we use in older patients. We use the internalized device: either the ventricular reservoir with a little area for us to tap every day, every other day; or the ventriculosubgaleal shunt, which diverts the spinal fluid to a pocket in the scalp. So, we use these in preterm infants that are too tiny for a permanent shunt. And for some of our babies that are born, for example, with an omphalocele, that we can't use their peritoneal cavity and so we need some temporizing device to manage their CSF. Dr Albin: Totally makes sense. And so just to clarify, I mean, this is a tube that's placed into the ventricles of the brain and then it's tunneled into the subgaleal space and the collection, the CSF, just builds up there, like? Dr Robinson: Yeah. Dr Albin: And over time either, you know, the baby will learn how to account for that extra CSF, and then I guess it's just reabsorbed? Dr Robinson: Yeah. When it's present, though, it looks like maybe, I don't know if you're familiar with like a tissue expander. There is this bubble of fluid under the scalp, but it's prominent, it can be several centimeters in diameter. Dr Albin: Wow, that's just absolutely fascinating. And I don't think I've ever had the opportunity to see this in clinical practice. I've really learned quite a bit about this. I assume that these children are going to go on to get some sort of permanent diversion. And then, you know, over time, those permanent shunts do create a lot of problems. And so, I was hoping you could kind of walk us through, you know, what are some of the things that you're seeing that you're concerned about? And then if you've just inherited a patient who had a shunt placed at, say, a different institution, how do you go about figuring out what kind of shunt it is and if they're still dependent on it? Dr Robinson: There's a few things that, fortunately, technology is helping with. So, it is much easier now for patients to get their images uploaded to image-sharing software, and then we can download their images into our institutional software, which is very helpful. Another option is that we are strongly encouraging our families to use a app such as HydroAssist that's available from the Hydrocephalus Association. So that's an app that goes on your phone, and you can upload the images from an MRI or a CT scan or x-rays from a shunt series. And then that you can take if you're traveling and you have to go to emergency department or you're establishing care with a new provider, you can have your information right there and not be under stress to remember it. It also has areas so you can record the type of valve. And all of our valves have pluses and minuses, they all tend to malfunction a little bit. And they can be particularly helpful with different types of hydrocephalus. I really doubt that we're going to narrow down from the fifteen or so valves we have access to now. And so, recording your valve type, the manufacturer as well as the setting, is very helpful when you're transferring care or if you're traveling and then have to, unfortunately, stop in the emergency department. Dr Albin: Yeah, I thought that was a really great pearl that, like, families now are empowered to sort of take control of understanding sort of the devices that they have, the settings that they're using. And what an incredible thing for providers who are going to care for these patients who, you know, unfortunately do end up in centers that are not their primary center. The other challenge that I find… I practice as a neurointensivist, and sometimes patients come in and they have a history of being shunt dependent and they present with a neurologic change. And I think that we as neurologists can be a little quick to blame the shunt and want the shunt to be tapped. And I was really struck in reading this article about the complexity of shunt taps. And I was hoping, you know, can you kind of walk us through what's involved and maybe why we should have a little bit of a higher threshold before just saying, ah, just have the neurosurgeons tap the shunt. Like, it's not that straightforward. Dr Robinson: And it may depend on the population you're caring for. So, when I was at a different institution, we actually published that there's about a 5% complication rate from shunt taps. And that may be- that was in pediatric patients. And again, that may be population dependent, but you can introduce infection to a perfectly clean shunt by doing a shunt tap. You can also cause an acute shunt malfunction. So that's why we tend to prefer that only neurosurgeons are doing shunt taps for evaluation of a shunt malfunction. There are times that, for example, our patients who are getting intrathecal chemotherapy or something have a CSF access device like an Ommaya reservoir, and other providers may tap that reservoir to instill medicine. But that's different than an evaluation, like, you're talking about somebody with a neurological change. And so, it is possible that if somebody has small ventricles or something, if you tap that shunt, you can take a marginally functioning shunt and turn it into an acute proximal malfunction, which is an emergency. Dr Albin: Absolutely. I think that's a fantastic pearl for us to take away from this. It's just that heightened level. And kind of on the flip side of that, you know, and I really- I do feel for us when we're trying to kind of, you know, make a case that it's, it's not the shunt. Many of our shunted patients also have a lot of neurologic complexity, which I think you really talked upon in this article. I mean, these are patients who have developmental cognitive delays and that they have epilepsy and that they're at risk for, you know, complications from prematurity, since that's a very common reason that patients are getting shunts. But from your experience as a neurosurgeon, what are some of the features that make you particularly concerned about shnut malfunction? And how do you sort of evaluate these patients when they come in with that altered mental status? Dr Robinson: It is challenging, especially for our patients that have, you know, some intellectual delay or other difficulties that make it hard for them to give an accurate history. Problem is, if they're sick and lethargic, they may not remember the symptoms that they had when they were sick. But sometimes there's hopefully there's a family member present that does remember and can say, oh, no, this is what they look like when they have a viral illness. And this is different from when they have the shot malfunction, which was projectile emesis, not associated with a fever. It's rare to have a fever with a shunt malfunction, although shunt infection often presents with malfunction. So, it's not completely exclusionary. We often look at the imaging, but it's taking the whole picture together. Some of the common other diagnoses we see are severe constipation that can decrease the drainage from the shunt and even cause papilledema in some people. So, we look at that as well on the shunt series. It's very important to have the shunt series if you're concerned about shunt malfunction or- the shunt tubing is good. It tends to last maybe 20to 25 years before it starts to degrade. And so, you may have had a functioning shunt for decades and it worked well and you're very dependent on it, and then it breaks and you become ill. But on the flip side, we have patients that have had a broken shunt for years, they just didn't know about it. And we don't want to jump in and operate on them and then cause complexities. And so, it is a challenge to sort out. The simplest thing is obviously if they come in and their ventricles are significantly larger, and that goes along with a several-hour or a couple-day deterioration, that's a little more clear-cut. Dr Albin: Absolutely. And you talked about this shunt series. What other imaging- and, sort of maybe walk us through, what's involved in a shunt series, what are you looking at? And then what other imaging is sort of your preferred method for evaluating these patients? Dr Robinson: In adult patients, the shunt series is the x-ray from the entire shunt. And so, if they have an atrial shunt, that would be skull x-ray plus a chest x-ray; or the shunt ends in the perineal cavity, it goes to the perineum. And we're looking for continuity. We're looking for the- sometimes as people grow and age, the ventricular catheter can pull out of the ventricle. So, we're looking to make sure that the ventricular catheter is in an optimal position relative to the skull. We can also look at the valve setting to see the type of valve. So, that can also be helpful as well. And then in terms of additional imaging, a CT scan or an MRI is helpful. If you don't know what type of valve they have, they should not, ideally, go in the MRI scanner. We like to know what their setting is before they go in the MRI because we're going to have to reset the valve after they come out of the MRI if it's a programmable valve. Dr Albin: This is fantastic. I've heard several pearls. So, one is that with the shunt series, which, am I correct in understanding those are just plain X-rays? Dr Robinson: Yes. Dr Albin: Right. Then we can look for constipation, and that might be actually something really serious in a pediatric patient that could clue us in that they could actually be developing hydrocephalus or increased ICP just because of the abdominal pressure. And then that we need to be mindful of what are the stunt settings before we expose anyone to the MRI machine. Is that two good takeaways from all of this? Dr Robinson: Yes. And it's very rare that there'll be an MRI tech that will allow a patient with a valve in the MRI without knowing what it is. So, they have their job security that way. But yeah, if you're not sure, just go ahead and get the CT. Obviously, in our younger kids, we're trying to avoid CT scans. But if you're weighing off trying to decide if somebody has a shunt malfunction versus, you know, waiting 12 or 24 hours for an MRI, go ahead and get the CT. Dr Albin: Absolutely. I love it. Those are things I'm going to take with me for this. I have one more question about these shunts. So, every now and then, and I think you started to touch on this, we will get a shunt series and we'll see that the catheter is fractured. Do the patients develop little- like, a tract that continues to allow diversion even though the catheter is fractured? Dr Robinson: Yes. So, they can develop scar tissue around, and some people have more scar tissue than others. You'll even see that sometimes, say, the catheter has fractured and we'll take out that old fractured tubing and put in new tubing on the other side. But if you go and palpate their neck or chest, you'll still feel that tract is there because it calcifies along the tract. Some patients drain through that calcified tract for weeks or months without symptoms, and then it can occlude off. So, we don't consider it a reliable pathway. It's also not a reliable pathway if you're positioned prone in the OR. So some of our orthopedic colleagues, for example, if they go to do a spine fusion, we like to confirm that the shunt is working before you undergo that long anesthesia, but also that you're going to be positioned prone and you could potentially- you know, the pressure could occlude that track that normally is open. Dr Albin: This is fantastic. I feel like I've gotten everything I've ever wanted to know about shunts and all of their complications in this, which is, you know, this is really difficult. And I think that because we are not trained to put these in, sometimes we see them and we just say, oh, it's fractured that must be a malfunction. But it's good to know that sometimes those patients can drain through, you know, a sort of scarred-down tract, but that it may not be nearly as reliable as when they have the tubing in place. Another really good thing that I'm going to put in my back pocket for the next time I see a patient with a potential shunt malfunction. Dr Robinson: And we do have some patients that the tubing is fractured years ago and they don't need it repaired, and that totally can be challenging when they then transfer to your practice for follow-up care. We tend to follow those patients very closely, both our clinic visits as well as having them seen by ophthalmology. So, there are teenagers and young adults out there that have… their own system has recovered and they are no longer shunt-dependent; and they may have a broken shunt and not actually be using that track, but they usually have had fairly intensive follow up to prove that they're not shunt-dependent. And we still have a healthy respect there that, you know, if they start to get a headache, we're going to take that quite seriously as opposed to, you know, some of our shunt patients, about 10 to 20%, have chronic headaches that are not shunt-related. So, not everybody who has a headache and has a shunt has a shunt malfunction. It's tough. Dr Albin: This is really tough. That actually brings me to sort of the last clinical scenario that I was hoping we could get your perspective on. And I think this would be of great interest to neurologists, especially in the context that these children may develop headaches that have nothing to do with the shunt. I'd like to sort of give you this hypothetical case that I'm a neurologist seeing a patient in clinic and it's a teenager, maybe a young adult, and they had a shunt placed early in childhood. They've done really well. And they've come to me for management of a new headache. And, you know, as part of this workup, their primary care provider had ordered an MRI. And, you know, I look at the MRI, and I don't think that the ventricles look really enlarged. They don't look overdrained. Is having an MRI that looks pretty okay, is that enough to exonerate the shunt in this situation? Dr Robinson: In most cases it is. The one time that we don't see a substantial change in the ventricles is if we have a pseudocyst in the abdomen. The ventricles cannot enlarge initially, and then later on they might enlarge. So, we see that sometimes that somebody will come in and their ventricles will be stable in size, but we're still a little bit suspicious. They've got this persistent headache. They may have, you know, some emesis or loss of appetite, loss of activity, and a slower presentation than you would get with an acute proximal malfunction. We can check an abdominal ultrasound for them. And sometimes, even though the ventricles haven't changed in size, they still have a malfunction because they have that distal pseudocyst. One of the questions that we ask our patients when we're establishing care, in addition to what valve type they have and what sort of their shunt history or other interventions such as endoscopic third ventriculostomy, is to ask if their ventricles enlarge when they have a shunt malfunction. There is a small fraction where they do not. They kind of have a stiff brain, if you will. And so, it's good to know that. That's one of the key factors is asking somebody, do the ventricles enlarge when they have a malfunction? If they have enlarged in the past, they're likely to enlarge again if they have a malfunction. But again, it's not 100%. So, in peds, 20% of the time the ventricles don't enlarge. So, in adults, I'm not that- you know, I don't know what percentage it is, but it's something to consider that you can have a stable ventricular size and still have a shunt malfunction. So, if your clinical judgment, you're just kind of, like, still uneasy, you know, respect that and maybe do a little more workup. That's why we so much want patients to establish care with somebody, whether it's a neurologist or a neurosurgeon or other provider in some areas that have fewer neurospecialists, but to establish care so that you all know what a change is for that patient. That's really important. Dr Albin: That's fantastic. So, to summarize that, it's really important to understand the patient's baseline and how they presented with prior shunt complications, if they've had some. That if they're coming in with a new headache that we don't have a baseline, so, we should just have a heightened level of awareness that, like, the shunt has a start and it has an end. And even if the start of the shunt in the brain looks okay, there still could be the potential for complications in the abdomen. And maybe the third thing I heard from that is that we should look for GI symptoms and sort of be aware of when there could be a complication in the abdomen as well. Does that all sound about right? Dr Robinson: And especially for our kids with spina bifida and for posthemorrhagic hydrocephalus are now adults, because the preterm infants are prone to necrotizing enterocolitis. And they may not have had surgery for it, but they still may have adhesions and other things that predispose them to develop pseudocysts over time. And then our individuals with spina bifida often have various abdominal surgeries and other procedures to help them manage their bowel and bladder function. And so that can also create adhesions that then predisposes to pseudocysts. So, we do have a healthy respect for that. In addition, it used to be---because we have gotten a little better with shunts over time---it used to be, like, when I was in training that you heard, you know, if you haven't had a shunt malfunction for 10 or 15 years, you must- you may no longer be dependent. And that's not really true. There are some people who outgrow their need for shunt dependence, but not everyone does outgrow it. And so, you can be 15, 20 years without a shunt revision and still be shunt-dependent. Dr Albin: Those are fantastic pearls. I think most of them, walking away with this, like, a very healthy respect for the fact that these are complex patients, which the shunt is one component of sort of the things that can go wrong and that we have to have a really healthy respect and really detailed investigation and sort of take the big picture. I really like that. Dr Robinson: Yeah, I know. I think it's- there's a very strong push amongst pediatric neurosurgery and a lot of the related, our colleagues in other areas, to develop multidisciplinary transition clinics and lifespan programs for these patients to help keep everything else optimized so that they're not coming in, for example, with seizures. But then you have to figure out if this is a seizure or a shunt; you know, if we can keep them on track, if we can keep them healthy in all their other dimensions, it makes it safer for them in terms of their shunt malfunction. Dr Albin: Absolutely. I love that, and just the multidisciplinary preventative aspect of trying to keep these patients well. So important. Dr Robinson, I really would like to thank you for your time. We're getting towards the end of our time together. Are there any other points about the article that you just are anxious that leave the readers with, or should I just direct them back to the fantastic review that you've put together on this topic? Dr Robinson: No, I think that we covered a lot of the high points. I think one of the really exciting things for hydrocephalus is that there's a lot of investigations into other options besides shunts for certain populations. We are seeing less hydrocephalus now with the fetal repair of the myelomeningocele, which is great. And we're trying to make inroads into posthemorrhagic hydrocephalus as well. So, there are a lot of great things on the horizon and, you know, hopefully someday we won't have the need to have these discussions so much for shunts. Dr Albin: I love it. I think that's really important. And all of those points were touched on the article. And so, I really invite our listeners to go and check out the article, where you can see sort of, like, how this is evolving in real time. Thank you, Dr Robinson. Please go and check out the childhood-onset hydrocephalus article, which appears in the most recent issue of Continuum on the disorders of CSF dynamics. And be sure to check out Continuum Audio episodes from this and other issues. Thank you again to our listeners for joining us today. And thank you, Dr Robinson. Dr Robinson: Thanks for having me. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
In this episode Shelley Fiscus, MD, FAAP, unpacks the recent upheaval at the Advisory Committee on Immunization Practices (ACIP) and what it means for pediatricians and the vaccine delivery system. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Louisiana Sanchez, PhD, MScIH, about how adolescents are using nicotine analogues. For resources go to aap.org/podcast.
This week on The Virtual Curbside, host Paul Wirkus, MD, FAAP, is joined by Megan Jensen, CEDS, MPH, RDN, CD, and Nicole Holland, RD Intern, for a thoughtful conversation on how to talk with children and families about eating disorders. Together, they discuss how pediatricians can recognize early warning signs, approach sensitive conversations with empathy, and connect families with the right resources. From disordered eating patterns to body image concerns, this episode provides valuable tools to support both prevention and treatment—while keeping relationships and trust at the center of care. Have a question? Email questions@vcurb.com. Your questions will be answered next week.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
@pedianesthesia & @openanesthesia present "Informed Consent in the Pediatric Setting" with Adam C. Adler, MS, MD, FAAP, FASE
Remembering why you first entered the wonderful and challenging world of academic medicine might be just the boost of joy you need to uncover to stave off burnout. Our guest this week on the Faculty Factory Podcast is Geeta Singhal, MD, MEd, FAAP, whom we warmly welcome for her first-ever (and very memorable) appearance on our program. She does a brilliant job painting a picture for us of ways to uncover joy amidst the challenges of patient care, teaching, research, and many other rich, rewarding, and difficult tasks of the academic medicine journey. Dr. Singhal currently serves as Executive Vice Chair of the Department of Pediatrics, Professor of Pediatrics, Director of Academics in the Division of Pediatric Hospital Medicine, Attending Physician, and Co-Director of Pediatric Hospital Medicine at Baylor College of Medicine (BCM). She is also a Faculty Leadership Development Program Partner at BCM and a Professionalism Partner at Texas Children's Hospital. Learn more: http://facultyfactory.org/Geeta-Singhal
O convidado do programa Pânico dessa quinta-feira (17) é Luiz Felipe Pondé.Luiz Felipe Pondé é doutor em Filosofia pela Universidade de Paris e pela FFLCH da USP, pós-doutor pela Universidade de Tel Aviv, escritor e diretor do Laboratório de Política, Comportamento e Mídia da PUC-SP. É professor da FAAP, comentarista do Jornal da Cultura, apresentador do programa Linhas Cruzadas e colunista da Folha de S.Paulo. É autor do livro “O Agente Provocador”. Redes Sociais:Instagram: https://www.instagram.com/lf_ponde/Site: https://www.lfponde.com.br
In this episode, I sit down with C. Vivek Lal, MD, FAAP, a physician-scientist and the founder & CEO of Resbiotic, to explore the incredible connection between our gut microbiome and respiratory health. Dr. Lal shares how his clinical work with premature infants inspired a deeper dive into gut-lung science, ultimately leading to the development of Resbiotic—a science-first wellness brand that's bridging the gap between clinical research and everyday health. What really struck me in this conversation was Vivek's blend of curiosity, care, and credibility. He's not just creating a product—he's on a mission to help people breathe easier, live better, and understand how their gut health plays a role in it all. If you're interested in functional wellness, biotech innovation, or just want to understand your body a bit better, this one is for you. Here are a few highlights from our conversation: * The gut-lung axis: what it is and why it matters * How a NICU doctor became a CPG founder * Why Resbiotic leads with clinical credibility, not marketing fluff * The challenge of translating deep science into consumer products * How education and transparency are building trust in a skeptical market Join me, Ramon Vela, as I listen to the episode and discover how science, storytelling, and heart are driving the next wave of health and wellness innovation. For more on Resbiotic, visit: https://resbiotic.com/ If you enjoyed this episode, please leave The Story of a Brand Show a rating and review. Plus, don't forget to follow us on Apple and Spotify. Your support helps us bring you more content like this! * Today's Sponsors: Color More Lines: https://www.colormorelines.com/get-started Color More Lines is a team of ex-Amazonians and e-commerce operators who help brands grow faster on Amazon and Walmart. With a performance-based pricing model and flexible contracts, they've generated triple-digit year-over-year growth for established sellers doing over $5 million per year. Use code "STORY OF A BRAND” and receive a complimentary market opportunity assessment of your e-commerce brand and marketplace positioning. 1 Commerce: https://1-commerce.com/story-of-a-brand Scaling a DTC brand becomes harder the bigger you grow, especially when you're limited to selling on just one channel. While you're focused on day-to-day ops, your competitors are unlocking marketplaces like Amazon, Walmart, and even retail shelf space—and capturing customers you're missing. That's where 1-Commerce comes in. They help high-growth brands expand beyond their sites, handle end-to-end fulfillment, and scale through a revenue-share model that means they only win when you do. As a Story of a Brand listener, you'll get one month of free storage and a strategy session with their CEO, Eric Kasper.
This week, host Paul Wirkus, MD, FAAP, sits down with experts Megan Jensen, CEDS, MPH, RDN, CD and Nicole Holland, Intern (RD) to explore how pediatricians can support healthy eating patterns in children and families. From addressing common nutritional pitfalls to offering practical guidance on balanced diets, the conversation covers what works—and how to talk about food in a way that empowers rather than shames. Whether it's food insecurity or building lifelong habits, this episode offers real-world insights for every pediatric practice.Have a question? Email questions@vcurb.com. Your questions will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this episode Rachel Moon, MD, FAAP, associate editor of digital media for Pediatrics, offers a rundown of the July issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Dana Kaplan, MD, FAAP, about human trafficking and exploitation of children and adolescents. For resources go to aap.org/podcast.
Bonus Episode: Book Club with Dr. Paul Wirkus and Dr. Angelo Giardino In months with five weeks, The Virtual Curbside takes a break from clinical topics for something a little different—a pediatrician book club. This month, host Paul Wirkus, MD, FAAP, is joined by Angelo Giardino, MD, FAAP, to discuss The Nature Fix by Florence Williams, an exploration of how nature impacts our brains, bodies, and overall well-being. No credit available for this episode. See vcurb.com for additional episodes.
Exam Room Nutrition: Nutrition Education for Health Professionals
When formula shelves went empty in 2022, clinicians scrambled. Desperate parents, unfamiliar brands, and European imports raised more questions than answers. Since January 2024, one name kept coming up: Kabrita.Is goat milk-based formula just a trend—or is it a clinically sound option you can recommend with confidence?In this episode, sponsored by Kabrita, I'm joined by Dr. Ari Brown, board-certified pediatrician, bestselling author of the Baby 411 series, and Kabrita's Chief Medical Advisor. We break down what makes goat milk-based infant formula different from cow's milk-based infant formula—and why it might be a better fit for some babies.What You'll Learn:How goat milk-based infant formula supports digestion and tolerance compared to cow milk-based formulaThe fussy-but-not-allergic infant: when goat milk-based infant formula may be worth tryingWhat to say to parents asking about European imports or formula intoleranceWhy goat milk-based infant formula deserves consideration as a first-line optionWhether you're seeing fussy infants, overwhelmed parents, or simply want to expand your nutrition knowledge, this episode will help you feel more confident navigating today's infant formula landscape.Resources:Download the comprehensive formula feeding eBook adapted from the bestselling book, Baby 411 by Ari Brown, MD, FAAP! Unlock evidence-based insights, best practices, key differences between cow, goat, and soy-based infant formulas, and more. https://eu1.hubs.ly/H0klJHr0 Any Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week. Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.
In this episode David Kaufman, MD, FAAP, discusses postnatal cord blood sampling and testing. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Prabi Rajbhandari, MD, FAAP, about disparities in preventive care for children from English and non-English-speaking households. For resources go to aap.org/podcast.
This Week on The Virtual Curbside: Measles Q&A In this final episode of the measles series, host Paul Wirkus, MD, FAAP, is joined by experts Andy Pavia, MD, and TW Jones, MD, to answer listener questions. The conversation covers practical clinical concerns around measles, including diagnosis, outbreak response, and prevention strategies. The group also dives into broader vaccine topics—discussing the MMR vaccine, mRNA vaccines, and lessons learned from COVID-19. Have a question? Email questions@vcurb.com.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this episode Jennifer Schoch, MD, FAAD, FAAP, discusses updated guidelines for the diagnosis and treatment of atopic dermatitis or eczema. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Esli Osmanlliu, MD, and medical student Nik Jaiswal about the accuracy of large language models in pediatric and adult medicine. For resources go to aap.org/podcast.
In this episode Jesse Hackell, MD, FAAP, discusses the use of chaperones for pediatric and adolescent encounters. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Megan Attridge, MD, MS, FAAP, about the development of an advocacy curriculum for pediatric emergency medicine fellows. For resources go to aap.org/podcast.
In this episode Lewis First, MD, MS, FAAP, editor-in-chief of Pediatrics, is back for a special edition of “First Up.” He offers an overview of the June issue of the journal. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also welcome a couple of surprise guests who share their favorite Lewis memories. For resources go to aap.org/podcast.
In this episode, Jacqueline sits down with Dr. Joanna Parga-Belinkie, a neonatologist and AAP spokesperson, to explore what truly builds a strong foundation between parents and their newborns. From NICU realities to bonding after surrogacy, this episode is a science-meets-heart deep dive into connection, communication, and ditching the pressure to “do it all.”What you'll learn:Why bonding isn't about perfection—it's about presenceHow early relational health impacts brain developmentThe science behind skin-to-skin contact and kangaroo careWhat to know about birth plans, baby gear, and bonding expectationsHow babies communicate through crying and cooingThe truth about sleep training, co-sleeping, and newborn needsWhy it's okay if love doesn't happen “at first sight”How your baby benefits from your support systemMisconceptions about newborn needs and bonding “rules”Why “you are enough” matters more than anything elseQuestions answered in this episode:What happens in the brain when a baby bonds with a caregiver?Is it possible to bond deeply if you didn't carry your baby?Does skin-to-skin actually do anything physiologically?What should you do if bonding doesn't happen right away?Are birth plans helpful—or harmful?Is it okay if I'm not a “baby-wearing mom”?Can babies really communicate through different cries?What's the science behind co-sleeping or sleep training?How can parents build trust and resilience in their baby?What do newborns really need most from us?Connect with Dr. Joanna Parga-Belinkie:Instagram: @jopargalinkiemdBook: The Baby Bonding Book: Connecting with Your NewbornAAP Parent Resource: HealthyChildren.orgConnect with the podcast:Facebook: Motherhood Intended CommunityInstagram: @motherhood_intendedLeave a review for the podcastApply to be a guest on the show!Send us a Text Message with questions, suggestions, or to just say hello!Support the showIf you're interested in helping give the absolute greatest gift to deserving intended parents, learn more about becoming a surrogate (and earn up to $650 just for taking the first few simple steps!): share.conceiveabilities.com/hello12
In this episode Sue Kressly, MD, FAAP, discusses what new federal cuts to health care mean for children. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also talk to Kao-Ping Chua, MD, PhD, FAAP, about changes in chronic medication dispensing to children and young adults during Medicaid unwinding. For resources go to aap.org/podcast.
This week wraps up our Office Emergencies series on The Virtual Curbside! Tune in as host Paul Wirkus, MD, FAAP, and guest expert Stephanie Spanos, MD, answer listener questions and bring this insightful series to a close. Don't miss this final episode filled with practical takeaways, real-world scenarios, and thoughtful discussion to help your practice stay prepared. Have a question? Email questions@vcurb.com.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
In this episode Sylvia Owusu-Ansah, MD, FAAP, discusses her experience as a medical consultant on the hit television series The Pitt. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also talk to Bhooma Aravamuthan, MD, DPhil, about standardizing the diagnosis of cerebral palsy. For resources go to aap.org/podcast.