Podcasts about general pediatrician

Guest: Patrick "Pat" Reeves MD, FAAP, DABOM, MAJ, MC, USAEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=BowelsBellyBrain-InteractionIn this insightful podcast episode, join host Michelle as she engages in a detailed conversation with Dr. Patrick Reeves, a pediatric gastroenterologist working with the military. They discuss a range of significant topics including the management and transition of feeding tubes, the challenges of cyclic vomiting syndrome, and functional constipation in children. Dr. Reeves also elaborates on his development of clinical action plans to improve coordination of care for patients with complex nutritional needs. Gain valuable insights into pediatric gastroenterology, practical tips for advocating for appropriate care, and the importance of teamwork among healthcare providers.Episode Timeline:00:00 Introduction and Guest Welcome01:15 Dr. Reeves' Professional Journey03:52 Developing Clinical Tools During the Pandemic05:54 The Role of Dr. Reeves' Wife in Tool Development07:44 Clinical Action Plans Overview09:46 Understanding Constipation in Pediatric Patients25:03 Challenges with Nissen Fundoplication31:11 Feeding Tubes: A Necessary Tool35:16 Introduction to Claire Riley's Research35:38 Complications of NG and J Tubes37:18 The Aggressive Bridle Device40:01 Case Study: Managing G-Tube Transitions53:23 Understanding Functional GI Disorders56:00 Cyclic Vomiting Syndrome Explained01:02:07 Advocating for Pediatric GI Care01:09:46 Conclusion and Final ThoughtsAbout the Guest: Patrick “Pat” Reeves, MD, FAAP, DABOM, MAJ, MC, USA, is a triple-board-certified physician in the areas of General Pediatrician, Obesity Medicine Specialist, and Pediatric Gastroenterologist Hepatologist, with advanced research skills focusing on enhancing patient education and clinical outcomes. He serves as an associate professor of pediatrics and associate professor of military medicine through the Uniformed Services University, University of Texas, and Texas A&M. His specific research focuses are first describing the negative impacts of consumer product injuries- like button batteries, high powered magnets [Buckyballs] and water beads [Orbeez]- on child health, and secondly, the development of point-of-care tools to be used at home by families managing children with medical complexity. He has nearly 40 peer-reviewed, published articles.Watch this episode on YouTube: https://youtu.be/g5iqlS5GEGk

Welcome to the Sustainable Clinical Medicine Podcast! In this episode Dr. Sarah Smith welcomes Dr. Ben Reinking, a pediatric cardiologist, to share his transformative journey through medicine. Despite facing significant challenges such as overwork and team reductions, Dr. Reinking managed to redefine his approach to clinical practice. He candidly discusses his struggles with excessive workload and lack of support, leading him to experience burnout symptoms, like disturbed sleep and increased isolation from colleagues. Through the use of gratitude exercises and professional coaching, he was able to shift his mindset, prioritize self-care, and reintegrate joy into his work. Dr. Reinking's insights offer valuable lessons for healthcare professionals looking to redesign their clinical days for long-term fulfillment and efficiency. Here are 3 key takeaways from this episode: Prioritize Personal Well-being: Dr. Reinking emphasized the importance of scheduling "me time" and ensuring it holds the same priority as professional responsibilities. This includes commitments like exercise and family time, crucial for maintaining personal health and happiness. Effective Use of Teamwork: Overcoming isolation by effectively utilizing and connecting with multidisciplinary teams can mitigate workload pressure. Dr. Reinking's experience shows that working collaboratively with colleagues and fostering a sense of community enhances the overall clinical environment. Embrace Coaching and Gratitude: A shift in mindset through coaching and daily gratitude exercises can significantly change how practitioners cope with challenging situations. Dr. Reinking found that focusing on what he was grateful for helped reshape his approach to daily clinical challenges. Dr. Ben Reinking Bio: Dr. Ben Reinking is a board-certified General Pediatrician and Pediatric Cardiologist, dedicated to guiding physicians toward fulfilling careers. As a Master Certified Physician Development Coach and member of the International Coaching Federation, Dr. Reinking specializes in coaching physicians to thrive in the healthcare system. He has clinical expertise in pediatric cardiology, echocardiography, and fetal cardiology. He has held leadership roles, including Medical Director of Pediatric Echocardiography and Clinical Pediatric Cardiology, and served as a mentor to medical professionals. Dr. Reinking founded The Developing Doctor to help physicians develop the skills, mindset, and resources necessary to create the life and career they envisioned when entering medical school. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

Kids are heading back to school and this means that germs and viruses have the perfect indoor environment to spread. The winter months are usually the peak period for illnesses; however, doctors say the sickness season is already kicking off. General Pediatrician, Dr. Christopher Wright with Le Bonheur Pediatrics is here to explain how parents can prepare.

Many of our ED patients come in because they were told to. Whether it's by an advice nurse, primary care provider, urgent care, call center, specialty coordinator, etc., it often feels to us like the default is “go to the ED”. But, of course, that's not the case. There are myriad reasons why patients may be sent to the ED. In this episode, we talk with two of our favorite outpatient physicians - a Pediatrician and an Internist - about when and why they refer patients to the ED, as well as what they do to try to keep them out of the ED!  Did you learn something new? Please share this podcast with your colleagues! Hit us up on social media @empulsepodcast or at ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests: Dr. Olivia Campa, Assistant Clinical Professor of Internal Medicine at UC Davis Dr. Lena van der List , General Pediatrician at UC Davis, Host of Kids Considered Podcast Resources: Should you go to the emergency room (ER), urgent care or doctor's office? UC Davis Health resource  I'm Sending You a Patient… by Keri Gardner, MD, MPH, FACEP. EP Monthly, April 30, 2018 When Urgent Care Center Refers Patient to ED, Reasons Might Be Unclear. ED Legal Letter, May 1, 2021. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

This podcast will discuss Psychosocial Assessment of Adolescents with Chronic Illness. The podcast was created by Tina Madani Kia, a medical student studying at the University of Alberta with the support of Dr. Hayley Turnbull a General Pediatrician and Dr. Simone Lebeuf an Adolescent Medicine Pediatrician, both practicing at the Stollery Children's Hospital in Edmonton. This podcast is the first of a series on the psychosocial impacts of chronic illness in pediatric patients and their families. This episode will be an introduction to taking the psychosocial history of an adolescent pediatric patient with a chronic illness

This podcast presents an overview of sleep training. This episode will discuss strategies to optimize sleep in young healthy paediatric patients. This podcast was developed by Farraminah Francis, a fourth-year medical student at the University of Saskatchewan, in collaboration with Dr Erin Woods, a General Pediatrician and associate professor at the University of Saskatchewan. 

This podcast will give you an approach to staphylococcal scalded skin syndrome (SSSS), a blistering skin infection that is seen mainly in infants and young children. The podcast was created by Jasmine Gill, a third year medical student at the University of Alberta, in collaboration with Dr. Melanie Lewis, a Professor and General Pediatrician from the Stollery Children's Hospital.

14th Annual Nancy J. Tarbell, MD, Faculty Development Lecture Series  “Embracing vulnerability as a leader and mentor” In commemoration of Faculty Development Month, the Center for Faculty Development invites you to the thirteenth annual Nancy J. Tarbell, MD, Faculty Development Lecture Series. The lecture was established to honor Dr. Tarbell's dedication and leadership. She was the founding Director of both the MGH Center for Faculty Development and the Office for Women's Careers, where she was instrumental in advancing and promoting the academic careers of MGH faculty. Learning Objectives: Upon completion of this activity, participants were able to: Recognize ways in which vulnerability and humility build trust Describe the role of vulnerable mentorship in mentee-centered growth Identify opportunities for vulnerable leadership and mentorship in participants' own environments  Presenter:  Shannon E. Scott-Vernaglia, MD, General Pediatrician and Associate Chief for Clinical Faculty Development, MassGeneral for Children; and Director of CFD's Office for Clinical Careers Click for webinar.

This episode features Dr. Deborah Ondrasik, General Pediatrician & Dr. Wendy Chung, Director of Clinical Genetics at Columbia University in the City of New York. Here, they discuss their experience with rare genetic diseases, trends they are watching most closely with regard to rare diseases, and more.

Between the seasonal flu, COVID-19, and the rising number of kids with RSV, it's time to talk about this triple-demic.Today we'll talk about the slight differences between these 3 big illnesses hitting us this winter, what kind of symptoms to look for, and what to expect for the rest of the year's flu season. Our guest for this conversation is Dr. Upma Suneja. Dr. Suneja is a Board-certified Pediatric Physician currently working as a part-time General Pediatrician at USF, Tampa. She graduated from Government Medical College in India after which she moved to the United States to pursue her Residency training in Pediatrics at Lincoln Hospital affiliated with Weill Cornell Medical College, New York.

Between the seasonal flu, COVID-19, and the rising number of kids with RSV, its time to talk about this triple-demic.Between the seasonal flu, COVID-19, and the rising number of kids with RSV, it's time to talk about this triple-demic.Today we'll talk about the slight differences between these 3 big illnesses hitting us this winter, what kind of symptoms to look for, and what to expect for the rest of the year's flu season. Our guest for this conversation is Dr. Upma Suneja. Dr. Suneja is a Board-certified Pediatric Physician currently working as a part-time General Pediatrician at USF, Tampa. She graduated from Government Medical College in India after which she moved to the United States to pursue her Residency training in Pediatrics at Lincoln Hospital affiliated with Weill Cornell Medical College, New York.

Today's episode is all about creating more peace, calm, and connection for the holiday season.  It's a fun conversation with Dr. Santi Tanikella who exudes kindness and grace.  We'll cover ways to create more depth during the holidays, and how to overcome the threats to peace.  Near the end of the episode, Santi will guide you to reconnect with yourself through a meditation she created.     Peace, calm, and connection don't magically happen. . .especially for the high achiever.  They require doing less intentionally, stepping back from wanting/needing to control, and enjoying the moments exactly as they are.     Santi Tanikella, MD, is a General Pediatrician, Integrative Medicine practitioner, and Life Coach. Her deepest aspiration is to help others find peace and strength – no matter what their challenges are.  She has always been interested in the intersection between mind, body, spirit, and motivation. She uses the wisdom of mind-body medicine and coaching to help her clients become aware of negative thought patterns, understand them, and move beyond them so that they can live an empowered life.   Website: iamwellmd.com Email: iamwellmd@gmail.com Facebook: www.facebook.com/iamwellmd

Dr. Nathan T. Chomilo is the Medical Director for the State of Minnesota's Medicaid & MinnesotaCare programs and practices as a General Pediatrician and an Internal Medicine Hospitalist. Dr. Chomilo encourages protection against the “triple-demic”, the flu, RSV, and Covid-19. Find Freddie Bell’s new book, Words to the Wise is available at https://www.amazon.com/Words-Wise-Guide-Daily-Living/dp/B09LGRV334

Dr. Chomilo, gives updates on onset of RSV in children, COVID and the Flu virus.

When it comes to a child's healthy development, the role of a family pediatrician can't be underestimated. In recent years, the Centers for Disease Control and Prevention and other health officials have identified racism as a serious public health threat. So how can pediatricians help parents and caregivers address issues of race and racism? Dr. Nathan Chomilo is a practicing general pediatrician as well as a leading voice around health equity, both in Minnesota and on the national level. He describes the conversations he has with his patients about race and how parents can work with their pediatrician as an ally when a child encounters racial bias. Guest: Dr. Nathan Chomilo is a General Pediatrician at Park Nicollet Health Services/HealthPartners and Executive Committee Member, American Academy of Pediatrics Section on Minority Health Equity & Inclusion. Episode resources: Dr. Chomilo shared a variety of resources he recommends to families, including “Something Happened in Our Town: A Child's Story of Racial Injustice” by Marianne Celano, PhD, ABPP, Marietta Collins, PhD, and Ann Hazard, PhD, ABPP:  A picture book for children ages 4-8 that tells the story of a police shooting of a Black man and how two families—one white and one Black—talk with their children about what happened. Raising Race Conscious Children: A blog and resource for parents and educators engaged in actively challenging racism. EmbraceRace: A parent-led website, online community and podcast for parents who want “to raise kids who are thoughtful, informed, and brave about race.” We also recommend watching Dr. Chomilo's 2020 grand rounds presentation to his medical colleagues at the University of Minnesota, “Racism's Roots in Medicine &  Impact on Early Childhood.”

Dr. Nathan T. Chomilo is Medical Director for the State of Minnesota's Medicaid and MinnesotaCare programs and practices as a General Pediatrician and an Internal Medicine Hospitalist with Park Nicollet Health Services/HealthPartners. He received a Zoology degree from Miami University (Oxford, OH) and graduated from the University of Minnesota Medical School. He completed his combined residency in Internal Medicine and Pediatrics at the University of Minnesota and was the Pediatric Chief Resident at the University of Minnesota Children's Hospital. His advocacy work has included the impact early childhood intervention and healthcare access have on the long-term prospects of our children and how physicians and health systems can address racial & health equity. In this episode, we discuss his personal background and the important work he is leading in Minnesota to reduce health disparities. Dr. Chomilo tells the story about his parents who both grew up in West Africa and both entered the medical field when they arrived in the United States and how that played a big role in his journey to becoming a doctor and an advocate for helping people navigate the healthcare system.Dr. Chomilo discusses the impacts that the killings of Philando Castile in 2016 and George Floyd in 2020 had on his career, directing his focus toward addressing structural racism in the healthcare system. He helped to start Minnesota Doctors for Health Equity, which focused on protecting the social safety net, educating physicians on their role in addressing health and racial equity as citizens and advocating in front of legislature.KP asks Dr. Chomilo about his journey to taking on the role of Director of Vaccine Equity during COVID-19 pandemic. He was also a part of the advisory committee for vaccine allocation priorities and framework, which included making recommendations for how the COVID-19 vaccine should be allocated. Following the Trump Administration's decision to prioritize adults 65 and older, Dr. Chomilo and his team quickly began to see great disparities in vaccination rates among minority groups. He discusses the initiatives and steps taken by his team to work to bridge those gaps in the state of Minnesota.KP and Dr. Chomilo discuss his new role as the Senior Equity Advisor to the Minnesota Commissioner of Health and his response to broader systemic disparities around the state. They discuss a recent report released in February 2022 titled “Building Racial Equity Into the Walls of Minnesota Medicaid” and the findings, lessons and outcomes related to racial disparities and structural racism within the Minnesota Medicaid system.The conversation shifts to leadership within the world of public health. They discuss Dr. Chomilo's recent commencement speech at the University of Minnesota School of Public Health graduation ceremony where he shared the importance of living intentionally in the season where you are, the importance of leaning into discomfort, and the unique challenges sure to be faced by a new group of public health professionals.Connect with Dr. Nathan Chomilo:https://twitter.com/ChomiloMDhttps://www.healthpartners.com/care/find/doctor/90257/https://www.facebook.com/DrNateMNConnect with KP:linkedin.com/in/kaakpema-kp-yelpaala-379b269/https://twitter.com/inonhealthinonhealth.com/podcastinonhealth.com/

This is the fourth and final episode of our Women in EM series. We've heard personal stories of lived experiences and microaggressions, learned about the “leaky pipeline” that leads to a dearth of women in leadership, and took a deep dive into the gender pay gap in medicine. In this episode, we explore the importance of male allyship - how to understand your female colleagues' experiences, and support, mentor and sponsor women physicians throughout their careers. This episode is for everyone, but if you're a male physician, it's especially important! Do you have more tips for being a male ally? Or suggestions on how to engage men in leadership? Please share! Tag us on social media, @empulsepodcast, or reach out via email empulsepodcast@gmail.com, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest: Dr. Nick Gorton, Emergency Physician at Sutter Hospital in Davis; Primary Care Physician at Lyon Martin Health Services in San Francisco  Dr. Alden Landry, Assistant Professor of Emergency Medicine at Beth Israel Deaconess Medical Center; Assistant Dean for Diversity, Inclusion and Community Partnership at Harvard Medical School Dr. Jeremy Toffle, General Pediatrician in Omaha, NE; Creator and Host of The Imperfect Dad Podcast Resources: The Imperfect Dad Podcast  The Power of Allyship in Facilitating Female Leadership in Healthcare by Dr. Shikha Jain. Workspan Daily, March 23, 2022. Hill EK, Stuckey A, Fiascone S, Raker C, Clark MA, Brown A, Gordinier M, Robison K. Gender and the Balance of Parenting and Professional Life among Gynecology Subspecialists. J Minim Invasive Gynecol. 2019 Sep-Oct;26(6):1088-1094. doi: 10.1016/j.jmig.2018.10.020. Epub 2018 Oct 30. PMID: 30389582. *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.

In this episode, we are joined by Dr. Kao-Ping Chua, General Pediatrician and Lead Researcher at the University of Michigan discussing the financial burden patients may face if insurers allow waivers to expire. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: What patients might pay now Read More

Dr. Allison Empey, General Pediatrician and citizen of the Confederated Tribes Of Grand Ronde, shares with us her first hand knowledge of the disparities of health within Native American communities and how this has led to distrust in healthcare as a whole. Innovations and representation are playing an important role in the efforts to bridge these gaps and create a pathway for better outcomes. Mentioned In This Episode: Northwest Native American Center Of Excellence https://www.nnacoe.org Tribal Health Scholars https://www.nnacoe.org/tribal-health-scholars Health Pathway Coaching https://www.nnacoe.org/health-pathway-coaching

A secondary effect of the COVID-19 pandemic has been the significant increase in eating disorder diagnoses and relapses in the pediatric population. Eating disorders are among the most fatal psychiatric illnesses, so concerns raised by parents, friends, teachers, or others should be taken seriously and evaluated by a physician as soon as possible. However, eating disorders take many forms and can be tricky to identify. Dr. Michelle Bowden, a General Pediatrician at Le Bonheur Children's Hospital who specializes in adolescent medicine and is an Assistant Professor at the University of Tennessee Health Science Center, is here to talk with us about Le Bonheur's Eating Disorders Clinic, as well as how parents can receive support while navigating their child's eating disorder.

Learn about single ventricle physiology and more with Dr. Mike Fahey, chief of pediatric cardiology at the University of Massachusetts and director of their pediatric residency program. We discuss how congestive heart failure presents in children, various forms of congenital heart disease, and how to approach these patients when they present to the hospital for non-cardiac complaints. 

Dr. Liz Johnson is a 33-year-old General Outpatient Pediatrician in Detroit, Michigan. Dr. Liz has always had a passion for working with children which made the decision to become a pediatrician a no-brainer. The medical school journey is not for the faint of heart and I got to learn about what the process is like in my conversation with Dr. Liz.

Nachum Segal presents great Jewish music, the latest news from Israel, Morning Chizuk with Rabbi Dovid Goldwasser, and interviews with Dr. Alisa Minkin, General Pediatrician and Co-Chair of the Preventative Health Committee for the Jewish Orthodox Women's Medical Association (JOWMA), Professor Jonathan Halevy, Co-CEO of Shaare Zedek Medical Center in Jerusalem about the Covid-in-Israel situation and Marvin Rosenzweig to discuss the "It Takes Two" pre-Pesach Chesed Campaign.

Struggling with an abnormal value on a screening complete blood count (CBC)? Frustrated that a toddler refuses to take oral iron? Wondering what to do when the 12 month screening hemoglobin comes back a little low? This podcast is for you! We will discuss common hematologic dilemmas in pediatric primary care and how to address them. From the dreaded hemoglobin Barts, to evaluation and management of iron deficiency anemia, and quick review of all those complete blood count indices, this podcast aims to make the CBC fun again!

Wyncel Chan, is currently a 3rd year Pediatric Resident in Flint, Michigan. She is originally from Vancouver, Canada and went to Saba University in the Caribbean to complete medical school. For the past 5 years her passion has been to empower those in medicine to be well in mind, body and soul. She delights in this especially as we are more focused on helping others before ourselves. She has always loved the world of  Pediatrics and is excited to embark on her newest chapter as a General Pediatrician in Indiana.  She is on instagram @wjoy.fit.md --- Support this podcast: https://anchor.fm/ninalum/support

Dr. Alisa Minkin, General Pediatrician and Co-Chair of the JOWMA Preventative Health Committee discusses important weight loss topics with Registered Dietician, Aliza Beer, who specializes in creating personalized weight-loss plans for people of all ages. Aliza can be reached at alizabeer@gmail.com, by phone at 516-984-3333 or on her website www.alizabeer.com. A full transcript of this interview can be found at www.jowma.com/health. This podcast is powered by JewishPodcasts.org. Start your own podcast today and share your content with the world. Click jewishpodcasts.fm/signup to get started.

Dr. Alisa Minkin, General Pediatrician, interviews Dr. Debbie Herst, Australian GP and advocate for healthier diets focusing on less sugar and processed foods. The transcript for this podcast is available on our website at www.JOWMA.org/health. This podcast is powered by JewishPodcasts.org. Start your own podcast today and share your content with the world. Click jewishpodcasts.fm/signup to get started.

Dr. Alisa Minkin, General Pediatrician, interviews Dr. Debbie Herst, Australian GP and advocate for healthier diets focusing on less sugar and processed foods. The transcript for this podcast is available on our website at www.JOWMA.org/health.

Dr. Alisa Minkin, General Pediatrician and Co-Chair of the JOWMA Preventative Health Committee discusses important weight loss topics with Registered Dietician, Aliza Beer, who specializes in creating personalized weight-loss plans for people of all ages. Aliza can be reached at alizabeer@gmail.com, by phone at 516-984-3333 or on her website www.alizabeer.com. A full transcript of this interview can be found at www.jowma.com/health.

Dr. Alisa Minkin, General Pediatrician, and Dr. Maureen Nemetski, Emergency Medicine Pediatrician, join me to talk about why there is an increase in distrust of healthcare providers and pharmaceutical companies, flu season, and of course - the flu vaccine.

Guess What I'm Thinking! In this week's episode of Brief Debriefings, Jenny Rudolph joins Shaun Grant, a pediatrician from New Zealand, and Kelly Roszcszynialski, a physician in emergency medicine and simulation fellow at the University of Alabama at Birmingham, to discuss the challenge and peril of “Guess What I'm Thinking” questions. Shaun and Kelly re-enact a spicy debriefing event to show how playing guessing games with your learners in debriefing can lead to frustration and confusion for both learners and debriefers, and perform their own mini-debrief of the debrief to try to understand what went wrong in the debriefing, and how to get better results for your learners. About Our Guests Kelly Roszcszynialski, MD Simulation Fellow University of Alabama Office of Interprofessional Simulation for Innovative Clinical Practice Shaun Grant, MBChB, FRACP, General Pediatrician and Head of Department Gisborne Hospital, New Zealand Kelly and Shaun participated in the Comprehensive Instructor Course at the Center for Medical Simulation (CMS). The five-day immersion in healthcare simulation is led by experienced simulation educators and covers all high-level elements and concepts involved in running a simulation program. To learn more about the Comprehensive Instructor Course, please go to https://harvardmedsim.org/course/comprehensive-instructor-workshop/

Our guest today is Dr. Nathan Chomilo. Dr. Chomilo is both a pediatrician and doctor of internal medicine. He works in Minnesota and serves as the Medical Director of Reach Out and Read Minnesota. His advocacy work includes the impact early childhood intervention and healthcare access have on the long-term prospects of our children and how physicians and health systems can address racial & health equity.During this episode, he shares his work with to address racial & health equity, importance of early childhood literacy, work with Reach Out and Read, resources to help parents address race, and book recommendations.Bio:Dr. Nathan Chomilo received a Zoology degree from Miami University (Oxford, OH) and graduated from the University of Minnesota Medical School. He completed his combined residency in Internal Medicine and Pediatrics at the University of Minnesota and was the Pediatric Chief Resident at the University of Minnesota Children's Hospital. He practices as a General Pediatrician at Brookdale Clinic and an Internal Medicine Hospitalist at Methodist Hospital with Park Nicollet Health Services/HealthPartners. His advocacy work includes the impact early childhood intervention and healthcare access have on the long-term prospects of our children and how physicians and health systems can address racial & health equity. He is a member of the American Academy of Pediatrics Council on Early Childhood and Section on Minority Health, Equity & Inclusion, is one of the Early Childhood Champions for the MN chapter of the AAP, currently serves as the Medical Director of Reach Out and Read Minnesota, is an Adjunct Assistant Professor of Pediatrics at the University of Minnesota Medical School where he is a clinic preceptor and a member of the Medical Schools Admissions Committee, has been appointed to the Governors Early Learning Council and helped start the organization Minnesota Doctors for Health Equity (MDHEQ) where he serves as the Vice-President. His advocacy work with Reach Out and Read MN & MDHEQ has been recognized by Mpls.St Paul Magazine in their 2018 Top Doctors: Rising Stars edition, by Reach Out and Read National which awarded him the 2018 Medical Champion Achievement Award and the City of Minneapolis Department of Civil Rights which recognized him as a 2019 History Maker at Home recipient. He lives in Minneapolis with his wife & son.Twitter: @ChomiloMDFacebook: https://www.facebook.com/DrNateMN/Links to organizations discussed: Minnesota Doctors for Health Equitywww.mdhealthequity.com Reach Out and Read Minnesotawww.reachoutandreadmn.org Think Smallhttps://www.thinksmall.org Embrace Racehttps://www.embracerace.org Raising Race Conscious Childrenhttps://www.raceconscious.org Books for kids: *Please, Baby,Please *by Spike Lee & Tonya Lewis Lee (Authors), Kadir Nelson (Illustrator) Little Blue Truck Series by Alice Schertle (Author), Jill McElmurry (Illustrator) Africa's Not a Country by Margy Burns Knight (Author), Anne Sibley O'Brien (Illustrator)

Our guest today is Dr. Nathan Chomilo. Dr. Chomilo is both a pediatrician and doctor of internal medicine. He works in Minnesota and serves as the Medical Director of Reach Out and Read Minnesota. His advocacy work includes the impact early childhood intervention and healthcare access have on the long-term prospects of our children and how physicians and health systems can address racial & health equity. During this episode, he shares his work with to address racial & health equity, importance of early childhood literacy, work with Reach Out and Read, resources to help parents address race, and book recommendations. Bio: Dr. Nathan Chomilo received a Zoology degree from Miami University (Oxford, OH) and graduated from the University of Minnesota Medical School. He completed his combined residency in Internal Medicine and Pediatrics at the University of Minnesota and was the Pediatric Chief Resident at the University of Minnesota Children's Hospital. He practices as a General Pediatrician at Brookdale Clinic and an Internal Medicine Hospitalist at Methodist Hospital with Park Nicollet Health Services/HealthPartners. His advocacy work includes the impact early childhood intervention and healthcare access have on the long-term prospects of our children and how physicians and health systems can address racial & health equity. He is a member of the American Academy of Pediatrics Council on Early Childhood and Section on Minority Health, Equity & Inclusion, is one of the Early Childhood Champions for the MN chapter of the AAP, currently serves as the Medical Director of Reach Out and Read Minnesota, is an Adjunct Assistant Professor of Pediatrics at the University of Minnesota Medical School where he is a clinic preceptor and a member of the Medical School’s Admissions Committee, has been appointed to the Governor’s Early Learning Council and helped start the organization Minnesota Doctors for Health Equity (MDHEQ) where he serves as the Vice-President. His advocacy work with Reach Out and Read MN & MDHEQ has been recognized by Mpls.St Paul Magazine in their 2018 Top Doctors: Rising Stars edition, by Reach Out and Read National which awarded him the 2018 Medical Champion Achievement Award and the City of Minneapolis Department of Civil Rights which recognized him as a 2019 History Maker at Home recipient. He lives in Minneapolis with his wife & son. Twitter: @ChomiloMD Facebook: https://www.facebook.com/DrNateMN/ Links to organizations discussed: Minnesota Doctors for Health Equity www.mdhealthequity.com Reach Out and Read Minnesota www.reachoutandreadmn.org Think Small https://www.thinksmall.org Embrace Race https://www.embracerace.org Raising Race Conscious Children https://www.raceconscious.org Books for kids: *Please, Baby,Please *by Spike Lee & Tonya Lewis Lee (Authors), Kadir Nelson (Illustrator) Little Blue Truck Series by Alice Schertle (Author), Jill McElmurry (Illustrator) Africa's Not a Country by Margy Burns Knight (Author), Anne Sibley O'Brien (Illustrator)

Lets Talk about Childhood Obesity... On this week's episode of the Lunch and Learn with Dr. Berry we have a special treat in store with Dr. Candice Jones, who is a board certified pediatrician and host of the wildly popular podcast KIDing Around with Dr. Candice. Being an Internist gives me the opportunity to speak on a wide range of topics affecting adult medicine but one of the questions I always got from the Lunch and Learn community was about children and before this week I didn't have any answers. Fortunately this week Dr. Jones lends her expertise to bring to light a much-needed discussion on childhood obesity. I talk a lot about adulthood obesity and its many ramifications but obesity doesn't just start to affect us when we turn 18. Thankfully I got an expert to teach the Lunch and Learn Community about the topic at hand including some of the common risk factors associated with childhood obesity, complications and treatment options. We also get to talk about how much obesity has changed her practice over time because if you think only the adults are affected you have another thing coming. Remember to subscribe to the podcast and share the episode with a friend or family member. Listen on Apple Podcast, Google Play, Stitcher, Soundcloud, iHeartRadio, Spotify Sponsors: Lunch and Learn Community Online Store (code Empower10) Pierre Medical Consulting (If you are looking to expand your social reach and make your process automated then Pierre Medical Consulting is for you) Dr. Pierre's Resources - These are some of the tools I use to become successful using social media Links/Resources: Official website - www.drcandicemd.com Twitter - www.twitter.com/drcandicemd Facebook - www.facebook.com/drcandicemd Apple podcast - KIDing Around with Dr. Candice Youtube - Candice W Jones Book Recommendations Social Links: Join the lunch and learn community – https://www.drpierresblog.com/joinlunchlearnpod Follow the podcast on Facebook – http://www.facebook.com/lunchlearnpod Follow the podcast on twitter – http://www.twitter.com/lunchlearnpod – use the hashtag #LunchLearnPod if you have any questions, comments or requests for the podcast For More Episodes of the Lunch and Learn with Dr. Berry Podcasts https://www.drpierresblog.com/lunchlearnpodcast/ If you are looking to help the show out Leave a Five Star Review on Apple Podcast because your ratings and reviews are what is going to make this show so much better Share a screenshot of the podcast episode on all of your favorite social media outlets & tag me or add the hashtag.#lunchlearnpod Download Episode 110 Transcript Episode 110 Transcript... Dr. Berry: Alright, Lunch and Learn community. Like the intro says, we have an amazing guest. You guys know like, I love patient care. I love to talk about my adults, but I got purposely stressed talking about my adults because you know kids aren't really my thing. But this person here and you've heard a little bit about her in the intro, but of course I want her to introduce herself to Lunch and Learn community. We have Dr. Candice Jones here. First of all thank you for coming to the show. Dr. Candice Jones Thank you for having me and I'm excited about it. Dr. Berry: Well so, Dr. Candice, please tell the Lunch and Learn community a little bit about you. You know, who you are? You know, how you got to where you're at? And before we really get this deep dive into obesity, especially in children. Dr. Candice Jones Yes, so I'm Dr. Candace Jones. I called by Dr. Candice. Some people call me Dr. Jones. But anyway, I'm a General Pediatrician. Board certified pediatrician and I love, love, love kids. I love the fact that I can take this new born baby and help the parents with other wonderful baby questions, especially moms and literally follow them throughout their life. That's the best case scenario for pediatrician to grow and be a part and nurturing part of a family's life and see a child grow from a child to an adult is just absolutely amazing. I think you get that anywhere in medicine. So I love that, and I even love the crazy teenage years, although struggles as well. It's a welcome challenge on my part. So I see patients, I see kids from birth up to 21 and I also, the past few years got interested in spreading evidence-based correct medical information because as we all know everybody googling, right? And also social media. There's so much information out there. But unfortunately, a lot of people just read what they see and they don't know what's true and what's not true. What's fake news and I hate used this word but yeah. Anyway, and so I saw as you do Dr. Berry, they call to, you know counteract some of that misinformation. Well these guys gonna giving bad information and we have to, not only let step up outside of our exam room. Lot consultant there, the one patient and family and reach the masses and give them correct information so I'm a part of that just like Dr. Berry so that people can get reputable, credible kid health information and probably, families to make sure kids are happy and healthy. So I have a podcast kidding with Dr. Candice. I have social media platform on all social media. If you have say platforms, website, and you gonna mention that you have that information so I'm just gonna do my part. Dr. Berry: Definitely, I think, I love how you stress affect that is, you know, evidence face like factual information. It's interesting, you know, We sit back and you know you see all of the stuff kinda, stream across TV, because our social media and kinda shaking our head because we know is not t Definitely, I think rue, but we also know that's a lot of people who don't and take that leap of faith that you know what, I’m okay right because we would be okay if we just talk to our patients in the clinic. But calling that, we have that we have this as you know I like I gotta make sure that like I can reach that person in California, in Boston, in New York or wherever your listen to how where you listen to the show. I want to be able to reach out to you and say like no, no, no. This is like the actual truthful information that you should be following along. Dr. Candice Jones: That's right, was just not enough anymore like you said I was pleasantly surprised when I look at some of my analytics recently like, oh my God! People watching from London, people watching from, you know? So it just gives you the world stage when you go media and so not there were looking for that. Though our goal is to reach people everywhere with truthful health information. Dr. Berry: I love it. So today, again we will talking about obesity, which is has been a hot topic. Actually, is also a hot topic especially in healthcare. But most importantly, especially in the beginning of the year when people are trying to lose weight. You know, the new year resolution are hopefully still going strong and you know, they trying thick, they trying to get thin. Whatever their health goal is and from an adult and guys you know, Lunch and Learn community. You know, I don't have, I get tell you, you already know some the facts right? 40% of people are obese. Almost 94 million here in the US. All these related conditions, diabetes, hypertension, stroke, some cancer. There is, actually an article that said that if you're obese have a high risk for cancer, which is crazy. You know how much obesity cost this country and in fact the rate of obesity is triple since 1975 right? So this problem that we really need to get a hold of and as an internist, I take care of the old those who are, who are trying to lose weight right but precious article able tell us right like they didn't just get obese right when they hit 18 right? It's been something that kinda starting the beginning. I thought it was only right to get on the chemist on the shoulder. Really does, again, guys I said it before and I'm terrify that kids, like I love minds right? But when they get sick, I get scared too. I know my limits so I want to get someone who like this is their field, this is the expert. So why not give it to the kid experts, talk to us about her experience on child obesity and what she kinda sees on a day-to-day basis. Dr. Candice Jones: Right, so we know that epidemic that you talked about, those dark stats are similar in children. So one in five children are obese in the United States. That's about 13.7 million children. So that epidemic stat is and what so concerning is that the incident or the health disparity there of being higher in African-American and Spanish communities. And so we definitely, we know all the fallout and I'm sure we gonna talk about that from obesity is not just about looks or body image. It's about real health problems, mental and physical and so that's why we have to do something about it. Dr. Berry: It's so strange especially, we just talk about obesity because I think a lot of times people really do look at it as an adult related illness, but it tells, it’s like something that you guys have to think about as early as newborns in stand point. Dr. Candice Jones: Yes, we definitely have obese babies and I talked about that a lot. And what we know now. See, parents are relaxed and they don't think about how obesity in their newborn or their toddler because there's the old adage of, as she gets taller or as they start running around and outgrow it and we do see plateau like that and development. But what we're seeing now because this epidemic is really bad. We are saying obese babies turning to obese children, turning to obese adolescents and turning to obese adults, it never goes away. You are not outgrowing it, you are not running it. You know, want it all and we know the reason there. All the screen time and sedentary lifestyle and terrible eating habit. Kids are not outgrowing, their thickness, their baby fat. Like what you said, that happened 30 years ago, that tripling obesity rate we seen over the past 30 years. So that's why we have to do something about this. Obesity, childhood obesity, obesity and all of it, is preventable and manageable. And so that's what I try to stress appearance that let's start thinking about this now because I don't want you coming to me with 10 or 15 and they were complaining we had all the fallout and you are upset about his weight when we can talk about and present this from an early age. Dr. Berry: I guess, a question I have, what do you tell the parents? Like, what the parents said, my baby is overweight, they big, like what did I do wrong? Every time I figure out, is this something that they could have done to prevent? Dr. Candice Jones: Right, you know most of the time, in my clinical experience, parent have not cope a child overweight or obese and told her that pre-teen and teenage years where is causing problems with bullying or the child that liken their size or people starting to tease them or the parents right in their face, oh this is the problem. There is the point where we get like, you weight too much. We gonna do something about it. But they missed it for years. So I'm telling, you know, for those parents we know, most parents gonna bring their children to the pediatrician, whether they sick, or they well, to get shot for their physical. So years before, I have been telling you that your child is here on the growth chart. Your child's body mass index is here. This is overweight range. So I telling parents and young people that your child's fall in the overweight category or they getting close. They sterling defense. Often times I tell my teenage girl because they really care. You know, your own defense of overweight. Couple more potato chips. And they started laughing. I'm like, literally that's what it translates into a big girl on some potato chips. You're over defense. Right. And so, we took, that's why you need to be seeing, taking your child into their pediatrician to have regular well visit at least yearly and having that discussion. How having that growth? How's their weight? How's their blood pressure? How would you know that doctor should be doing that and telling you what these numbers are showing you the growth chart. It shouldn't be a surprise. Now, the second issue is, parents not accepting that. A lot of parents do and they receive the information. Can you hear me? Talking? Dr. Berry: Oh yes. I talk to Lunch and Learn community because I know some of you parents who listen, no, she isn’t talking to me. No, she is, she is. Dr. Candice Jones: Right. Let me tell you. I have parents who coming to the clinic and they have a paper which I love this program, I love initiative from the school and it says, they're telling the parent they have to bring their child to me because they met criteria for overweight and obesity. So the children, the schools are screening. (Interesting). Right. Yes, love it, and I go ohm. Dr. Berry: When did it started? Dr. Candice Jones: Oh! my God, I can see it now for about three years. (Wow! Ok.) I'm not like, sure. I should know that, I don't know is there any date. But I go, uhm. According to my note, I've been telling you that four or five. You know, but I go, but whatever it takes to make you hear it. But they upset, they are offended. There, that's embarrassing to my baby. How dare you to say my baby is fat. I don't appreciate this. They have to come in because you said my baby is fat. They mad on the school. Not all the time, but sometimes. And so, but I welcome and I tell them, I really commend school for doing this because this is how serious this is. They feel that they are lane. Like, school shouldn’t be getting involved with this. Yes, they should. You know, this is what public health is all about. And so I explained that and I say, I'm glad you're here. I've glad they've done this. But this is what we've been showing you. This is what this means. Let's talk about it again. And so a lot of times, then I hear, all of us are big, right? This gonna be big. Like everybody's uncle. Everybody. And I heard, these excuses come. So is just have big bone. She outgrow anyway. Don't worry about it. I think she looks fine. I think she looks good. She's strong, she's healthy, she's keeping with other kids. They literally look at their child and think they look great. And then I also have parents with multiple kids, they bring the normal weight, we're in the right range on your growth chart and say this baby is too skinny, do something about it if she sick. And they have other kids who are off the chart, and that child looks healthy. They don't get it. So we're eyeballing it. Dr. Berry: Too many cultural differences associated with? Dr. Candice Jones: Absolutely. You know, different cultures eyeballing differently. You know, we like PHHT set, right? We like little, you know, kids to be little don't like fat and hefty looking right? It is definitely culturally. I heard the stories of and read about the phenomenon of cultures. From India to Africa, all over. Where, if you're wealthy, you're fit, right? You have money. You have food. You have everything. That's the sign of richness and having it all and great. But when you're skinny, that maybe the people who are perceived as being examined, not half, right? And so definitely, I definitely see it with my Asian families. You know, here in Orlando we're very diverse. Hispanic, Caribbean families, African, it just huge diverse in my patient population. I hear Spanish, I hear Korean, I hear French, I hear English, I hear everything. And so I definitely see it with my Hispanic families, my Haitian families. They concerned about their child is underweight, when the child is perfectly normal. Dr. Berry: It is so funny. You start losing some weight around some Haitian families and they start looking at you (Oh yeah, that's the problem). You are sick? What's happening? Dr. Candice Jones: And to the extent of, I have sat down of my best friend and office manager in our clinic station. And so we can go in the room together, we text him, we talked and some of the dishes the things they do to sat kids up is absolutely amazing. The recipe is… Dr. Berry: As a proud Haitian, I can tell you my diet growing up, they are joking, like it was really rice, some type of sauce and some type of meat. I was like, five to six days a week. Dr. Candice Jones: Right, rich season, all of that. Yes. Dr. Berry: Taste amazing. But you are like, oh my God. Oh yeah. Dr. Candice Jones: Yeah, absolutely and you know, it is dish is so rich more than pedia sure. Be pedia sure, any of that. Yeah. Dr. Berry: It is very interesting, especially when you have these parents who are who are such kind of deflecting, right? They don't want to say that. I'm the one putting the food in my child mouth. Because I feel especially when we talk about child who are, obesity. I don't wanna say victim. I feel like, what can the child actually do? My parents are the one giving me the food. I just eat. Dr. Candice Jones: It's a learn behavior. It's behaviors. It’s practices. Let's go back a little bit. Obesity even in adults or in children is most factorial. People want to know why. And so there is a component of what you eat. If you said interior activity level and that's behavioral and lead by what and how your environment is and all that stuffs. There still though, components to genetic. Those previous position and also even medical history. So some children. I ask some, fully control. I'm not gonna running around like everybody else I have thyroid condition. I had an increased risk of gaining weight. And so, there is some of that. We don't totally blame the parents. But a lot of it is behavioral and learned behaviors that promote, put us at risk for gaining weight and keeping weight on. Absolutely. Yeah. Dr. Berry: Of course you gonna hear, I already hear my listeners of Lunch and Learn, what about the video games? Dr. Candice Jones: Yes. Let's talk about it. That a huge, you know, that is, this the trend now, this generation. And I think, it has added to that tripling over the last 30 years. Because we know, this screen time thing is causing comes in every area. It's causing constant sleep which can affect the obesity. Is causing problems with learning. Is causing problems with behavior and is causing problems with obesity because of promoting a sedentary lifestyle. So when your child becomes addicted or spends too much time on screens, whether it's their smart phone, social media, playing video games or just watching TV. They are not moving and you know what else goes with that? Snacking. Having something and drinking, eating, and playing and that's it. And then also psychological. They isolate. And so there's those effects as well. So it's affecting everything about our children and so we definitely need to be cutting back on screen time and you know, there's a whole. I will just differ people to maybe the American Academy Pediatric, healthychildren.org website. They have a family media use clan and it so important to develop a customized plan for your family. What's fit your family for all ages of your children. Because you know, babies on that stuff now and then make that plan with your family. Put it up and that gives you all the guys to make sure your limiting, so your children can go out and play. You guys can play together. They can do their homework. They get enough sleep. Especially our teenagers, we cut all that stuffs. But it all plays in together and that's promote obesity. Dr. Berry: When we talk, when we have these kids who kick the school, sending letters and you're saying like, hey a child is overweight, a child is obese and in your having to explain to parents, like if we don't get a whole that is not right, they become adult with all these related issues right? Is there any issue that you tend to see happen even when they're young at that age? Because they are overweight. Because they are obese. I know we talk about not sleeping, the school… Dr. Candice Jones: I sure do. I sure do. So we are saying children developing conditions, obesity related conditions in childhood. So children developing type II diabetes. Children do have. I have patients with elevation in their cholesterol. That may be familial. But a lot of his weight and we can get down once they lose weight. We do have children who are depressed, suicidal, being bullied. So all the psychological ramification of obesity. Dr. Berry: Hearing all of this issues that in complications that foreseen now being seen in children. Like what are some of the treatment options and treatment recommendations that you give the parents? Dr. Candice Jones: Right. So what I first tell parents to explain what's going on and probably scared them to death right? I definitely tell them the good news is our hope is not lost right? Kids are resilient and we can dealt this back and that's the goal of my recommendation. So again it's preventable and it's manageable. This is what I recommend. We gonna work on this together right? And so first, I will have regular follow-up in check. So like I said before, you should know where your child. Is your child over weight? Is your child obese? And says those fact. Regular checkup right? And then once they're obese. We gonna have follow-up. We gonna have this plan. We gonna have follow-up to try to see how you're doing with your weight. Second, I talk to parents about those recommendations. I like to tell them about things that they can remember the 5210 rule. 5210 rule and so that's my 5. You want to make it simple for them. 5 to 6 servings of foods and vegetables every day. We talking about having the healthy diet, right? Less than 2 hours of screen time. That not only cuts down on all the issues of screen time but also will push them to be more active, which ties into the one which is one hour of physical activity every day. So I'm encourage them to get their children involve in activity. Work out together, walk right, bike, hit more, get outside more or put them in a sport that every day in small increments for an hour. They need to be doing some moderate activity where, they can't just talk through it. They sweat a little bit, right? And then zero is really trying to strive for zero sugary drinks and snacks. (You gonna) (laughing) You gonna tell parents there. I told parents the 80-20 rule. 80% of the time, if you do this things, especially the sugary drinks because I'll be realistic. 80% of the time, if you can do that. At least don't have it in your house. You know what I mean? If you guys go out in the weekend or you have something coming up. Then don't stress about and do what they want to do. But you gonna start cutting that. And that's the goal. To get the sugar out of the snack and the sugar out of the drink because you know kids... I just read this stat that I shared in social media. They drinking the equivalent of bathtub full of sugar. Just in their drinks alone. So if we can cut that. In a year time. If we can cut sugar on drinks and some of the snacking. Well put it that. So they’re eating fruits and vegetables, limit their screen time, exercising and cutting back on sugar drinks and snacks. That's it. I think. I believe it. Dr. Berry: Do you find especially the parents that you take care of that seems to be a huge, like maybe not eating a lot of food, but their drinking a lot of calories from a general total calories sample? Do you feel like drinking more than eating or got some who eat just as much as they drink? Dr. Candice Jones: I have a little bit of both. I have some kids that parents say I cannot stop this child to eat and we know kids go through growth spurt. And he or she just wants to eat all the time. We couldn't just eat the meal and she says she is hungry again. So we know there's a whole group of kids are like that. They're just overeating, they're hunger, center. Is just always on, right? And so we have to work around that. And there are programs for that maybe. And we do have some kids that just constantly drink sweet drinks. They don't want water, they can't stand water. So there are sugar, juice, sweet tea, everything. And parents see that innocent. They’re not counting that in. Even if you talking people about their eating, they just equate obesity to eating. They not even counting the drinks. So we really have to talk to them about that. My other thing I talk to parents about is eating clean, green, lean and as a teen. Dr. Berry: I just want to stress that. Nobody think about, your kid gotta eat. Dr. Candice Jones: You have to model it. You can't isolate that child who’s overweight or obese and cut everything out of their life and focus on them losing weight. And you are in the same predicament or you know is just not fair. It's a family affair. You need to support them. Everybody needs to change. We need to take inventory the house, what is in the house. And change the stuffs and what we’re buying, bringing into the home. That's how we support that child, for sure. So quickly, clean eating is, as we know, reading labels and trying to eat real, whole foods and not all of these packaged process high -salt, high-fat, high calorie, sugary things. So I have a whole lot of kids that their main staple of eating is cereal and noodles. That's a problem. (Well,ok) Yeah, that's a lot of unclean eating. Right? Green eating, as we say, 5 to 6 servings of fruits and vegetable every day, that make sense Lean. I have families who only wanted to drink cold milk. Child's 200 pounds, you still to drink cow milk. That's the problem. You know what I mean? We can make tweaks. You know. Cooking with olive oil. Not frying everything. You know. Learning how to steam and bake can all these, other ways to cook. To make sure that those unhealthy fat are out of our food. That's so important. And we talk about teen. It's so important to do it together. (I love it.) And you know, for those children who are overweight or obese. Or even children were not and they had abnormalities with their exam. So the child has a chance to diagnosis cans around the back of the neck. You see that in an adult. As a sign of insulin resistance, which is a sign of pre, possibly will be called pre-diabetes, right? That the pancreas on or insulin and this fat is causing problem in the body, right? If I see that or you're at 95% top of bodies index over and I'm doing some lab work and you have elevation in your cholesterol. Your A1C is elevated or your insulin level is elevated. Your blood pressure. Maybe a little elevated. So by getting any of that data, then those of the children that we need to be a little bit more focused on losing weight. Because most of the management of that, is to get them to lose weight. In so we can work with nutritionist, dietitian. There are comprehensive weight loss programs for children and most academic centers. We can put those children in those programs. Even on my podcast, I have spoken with bariatric surgeons were now seeing bariatric surgery in adolescent way to treat some of those you know, reverse cholesterol issues, diabetes in those types of things. Dr. Berry: So now, actually a very interesting episode, because now, like magic. Because again, I'm naive, right? If you not 18, I don't even see you. I don't even see you and I don't care. So, I was like, wow! Pediatric surgery? There is a type of this now? I don't even know that was lane for them. Dr. Candice Jones: Yes, some of these kids are 3, 400 pounds, they're severely obese and have all of the problems of obesity and certainly that is an option for them to start reversing those, those medical problems. Dr. Berry: Wow! Yeah. I know. This episode definitely kinda do me because I was like, oh ok, alright. Dr. Candice Jones: It's serious. (laughing) Dr. Berry: It's a problem. Again, I think a lot of my patients, I work in the hospitals so I get. When we talk about complications, I get the ones, who get stroke. I get the ones to get a heart attack. I get the ones with uncontrolled diabetic. And now we talk about kinda foot off. Like I get the end-stage, end-stage. And you here Dr. Candice telling you if we can get you early. Dr. Candice Jones: Yes. Early detection. Dr. Berry: If we could stop that early, you wouldn’t have to see me. You wouldn’t have to see me with a heart attack. You wouldn’t have to see me with a stroke. You wouldn’t have to see me because your blood sugar is out of controlled. But the problem is you and you see me because you're not taking care of it. Again, I don't want to blame the kids. That's why I'm talking to Lunch and Learn community, I'm talking to you parents that you know that your child is a little bit on heavier side, right? You know. You've been told. Now, that the schools are telling you all now. So, (laughing) a lot of times, sometimes toward, going to the doctor, right? But now the schools are saying, oh oh you got hammered with, wow, it's interesting. Dr. Candice Jones: So there is no, you know, there's one thing about awareness. I didn't know. But, in most cases you are aware. So let's stop rushing this on the rug, to being in denial and let's do the work, need to do for our kids.Because you are so right. We, I don't want any child as an adult to have to go to the things that you're dealing with as an adult medicine position. We can prevent this though. In most cases, we can prevent these stff. And I always say, in our community, we love calling Jesus and with all prayer warriors togeher. Like you said, when the heart and slip getting cut-off, I'm always thinking, that's fine now but that's reactionary. We need to be more proactive and prevent it in the first place. That God is in that too. Yes. Yeah. Dr. Berry: I love it. I have questions. From obesity standpoint, I know as an adult physician, a lot of the stuffs that I will learned, I've had to learn outside of my traditional training. Do you feel like, this is this is something that's kind of being intertwined in the training as a pediatrician or this is something awful that you kinda have to, you kinda go outside to get really a good handle on what was happening? Dr. Candice Jones: Absolutely, you know, as physicians, with most things, as physicians we definitely have to be lifelong learners and you have to know how you learn and for me I think that God put this interest in me. Because He knew that's how I would best learn. So not only this is for my patients, in the masses and parents etc. It's for me. I'm learning. It constantly keeps me reaching out to the experts, reading the latest studies, staying current with management so I can come back and share with my parents and with my patients. So we definitely have, if we just, are operating as doctors on what we learned in medical school, we're already behind. We're not up to date. So we definitely have to stay on it. And then, you know, medical school and residency can’t teach us everything so we are responsible for filling in the gap. You know a perfect example of that, and something that can tie in obesity and how it so difficult for some people to lose weight even children and families is aces. I just learn about ever childhood experience or childhood trauma and toxic stress about three or four years ago in the process of my, doing my podcast never was taught in medical school never was taught in residency and here now I know it is a silent epidemic that takes every part of our life and in our health. (Wow).You know what I mean? We should be screaming and wasn't doing screening or anything. Yeah. You know, it's amazing that I learned on my own, just in the last few years so we always have to be learning. Dr. Berry: Always learning. Aright physicians, you heard that. You gonna learn. You keep learning. Really it's a life or death situation. Again, it may seem like a cookie here in a juice box there but again it's it's medications over here and medication over there in the hospital visit over its add and builds. So, for my parents were listening, we definitely want to stress, like we gotta be on it for our kids and not to our kids. Chemist said, it's a team thing right. So when you have sweet and yum, making stages very good. You most likely, again not all the time. But most likely you got to make some of the changes in your own health and your own diet as well. Dr. Candice Jones: That's right. I always tell parents, its start to have to, for the very first time we started, we start putting food in their mouth, even the cereals. Packing in cereals in the bottles. Before we have to alter the nipples. I mean, we just to start over feeding and giving. Can't wait to give you french fries and chicken. You know (laughing). Why? Slow down. Start with the high chair and we have to figure out our problem's area. This child's problem area may not be over eating, but this child maybe he just eat for some vegetables. Whatever your problem area is and work on that and make those small adjustments and keep working with your doctor and you can do it. Dr. Berry: Perfect. Before we let you go, I always like to ask, how can, what you do empower other parents to really take better control of their children's health overall? Dr. Candice Jones: Well, I would say taking all this information. Dr. Berry, what he's putting out for adults and all of these information that doctors and professionals, experts in their fields are trying to put out there. This information is to raise your awareness which empowers you because it gives you the power to be the change agent, change agent for your life and for your family. So what I'm doing is, is the work. Take it. Share it. Listen to it. Internalize it. Make the adjustment. Because sometimes, you know we say knowledge is power. You know, know better, you do better. But we know, but we still have to do the work to make the change. Breaking those cycles and habits and changing behavior is another whole beast. But I hope that just giving you knowledge gives you the power to make the change. (I love it). Absolutely. Dr. Berry: So before you go, where, first of all, we need to have, to find your podcast, just everything associated with Dr. Candice and of course if you listening to this, you’re in the shower, you're at work, where at you, all of this information will be in the show notes and will make sure you know, you find a way to Dr. Candice. Because her podcast is amazing, especially for parents. I got three kids. I'm actually way for vaccine one. I got lot of love of discussion on that but I keep it. I got a lot of thoughts associated with the vaccine. I will wait for her to talk kinda critique. Especially because I have to deal with it as an adult. Dr. Candice Jones: I'm on it. I'm on it. I'm all about filling request. I'm on it. I'll do that for you. It is actually on my list. So I'll move it to top list for you. (laughing) But you can find me at drcandicemd.com D R C A N D I C E M D .com that’s my website. It has, open the right-hand border there. It links to all of my social media platforms. You know, Facebook, Instagram at drcandicemd. I'm on YouTube Candice W Jones. Linkedin, whatelse is there, the podcast, kiding around with Dr. Candice. So it's K I D I N G. So kid is the focus. Kiding around with Dr. Candice. Anywhere you can listen to podcast. The mainly, SoundCloud, Google play and Apple podcast. You can hear it I heard radio tuning anywhere you can listen to podcast. And I would love for you to subscribe, rate and review, especially on Apple podcast, that matters. Dr. Berry: We need her to get five stars review. Dr. Candice Jones: Yes. Thank you and you know, definitely follow me on all those platforms. I love to hear from you. Give me feedback. Tell me if you want a certain type of topic just like Dr. Berry just did. I mean, I have people all the time asking me questions and I'll try. I'm not a replacement for medical advice, from the advice of your doctor. But I can give you general direction and I love to do that. So I think that's it. Dr. Berry: We stress all the time. Remember you, even though you hear us talk. I want you to take that grain of salt and go right to the doctor that you supposed to. Because we obviously can't legally give you any help or advice. We can just give you what our opinion is but we gonna sure about our opinion. Dr. Candice Jones: That's right, that's right and there's one resource to further help you, to ask to help you. Do food diaries to see where you fall. Because a lot of people think, you don't eat a lot. If you plug it in for two or three days. You'll find out especially it's point to all sugary drinks. Dr. Berry: Oh yes. Don't forget the drinks. Dr. Candice Jones: That's right, add that in. But here's a wonderful doctor, African-American woman. Dr. Cody Stanford out of Harvard. She’s obesity medicine doctor with children and adults. And she's put out a wonderful book. I just got, I gonna bring her on the podcast sometime in the next couple months. Facing overweight and obesity. A complete guide for children and adults. And I think she has wonderful approaches. She does a lot of research and it looks great. I'm reading it now. So that might be a resource if you like books. Dr. Berry: Yes we like books. Yes we like books. Her book will be on the show as well too. Make sure we support. (Awesome.) And Dr. Candice thank you for coming to Lunch and Learn. Much appreciated. I already know, my parents are going crazy because they been asking for, like, talk about some kids. I'm like, I don't know kids but I know someone do that. Dr. Candice Jones: We can do it anytime. Let me know. Dr. Berry: Yes. Thank you very much. Dr. Candice Jones: Thank you for having me. I enjoyed this. Download the MP3 Audio file, listen to the episode however you like.

This podcast summarizes the 2011 Canadian Pediatric Society (CPS) statement on the management of complicated pneumonia in children and youth and was created by Colleen O’Connor, a third-year medical student at Dalhousie University in Halifax, Nova Scotia, in collaboration with PedsCases and the CPS. This podcast was developed with support from Dr. Tania Wong, a General Pediatrician at the IWK Health Centre in Halifax as well as Dr. Thea Chibuk, a General Pediatrician at the Stollery Children’s Hospital in Edmonton and the lead author of this position statement.

This podcast was produced by PedsCases and the Canadian Paediatric Society (CPS), discussing the new CPS position statement on cross-cultural communication. Listeners will learn about the LEARN model for cross-cultural communication in pediatrics. This podcast was developed by Dr. Sarah Johnson, a second-year Pediatrics resident, and Dr. Tehseen Ladha, Assistant Professor and General Pediatrician, both at the Stollery Children’s Hospital at the University of Alberta in Edmonton.

Pediatric Grand Rounds for Wednesday, February 07, 2018 Dr. Stephen Chapman is a General Pediatrician at the Children’s Hospital at Dartmouth-Hitchcock and the Director of the Boyle Community Pediatrics Program

Session 61 Dr. Catherine Mcilhany is a community-based General Pediatrician. She joined us to talk about her position and her path and what you need to know. We're constantly looking for guests that we can feature here in the podcast. It has been a challenge for us. Please shoot me an email at ryan@medicalschoolhq.net if you know any specialists that you would like to have on the show. Back to today's episode, Catherine has been in practice now for 15 years. Several weeks ago, I talked with a rural General Pediatrician. So you get to hear some differences between rural medicine and a community-based, urban center general pediatrics. [02:15] Interest in Pediatrics It was during her third pediatric rotation that she realized she wanted to do pediatrics. She just had so much fun with the kids and that's what she liked about it. She admires the resilience of kids despite what they're going through. "If you can have some fun almost everyday in some part of your job, it's totally worth it." She did consider doing OB/GYN but then she got into rotations and realized she didn't want to be a surgeon of any type. She also thought about doing Med-Peds but she found the scope of family medicine was so broad that she was worried there would be so much to have to know all the time. She was looking for something narrower. And after doing her adult medicine rotations, she realized she wanted to stick with the kids. That said, Catherine likes working with the parents. A big part of what they do is educating parents and sometimes, crisis management. She describes it as a little intimidating thinking that you're taking care of the most important person in most people's lives. Hence, you have to interact with adults as well. [05:35] What Is Med-Peds? Med-Peds is a combined specialty of internal medicine and pediatrics training so you would be fully qualified to do the full scope of adult internal medicine plus pediatrics care. So it's like Family Medicine except that you're not doing GYN procedures like Family Medicine might do. So you don't have the OB and some of the more specific GYN type. [06:20] Types of Patients In a day, he will see everything from a 3-day-old to a 19-year-old. She had seen a 19-year-old having some schizophrenic break to a diagnosed cancer. She does see a lot of healthy children. She works in a population of a fair number of kids who are really struggling in school. She sees a lot of behavior issues in her office. She also sees a fair amount of contraception counseling, sexually transmitted disease testing in teenagers. So it's an interesting scope of diseases that they see in pediatrics, which is quite opposite to what most people probably think that they're only seeing cold cases. "The hard thing about pediatrics is that you'll see a lot of kids with the same chief complaint, but you have to be able to find the one that has something that's unusual." Although children may have a chief complaint, the hard thing about it is that you have to be able to find the one that's unusual. Hence, you need to be well-trained in seeing a high volume of kids and always thinking who's going to be the "zebra out of all these horses." [08:12] Community versus Academic Setting Catherine admits having worked in an academic setting. But she knew she didn't want to do academic general pediatrics, which involves doing research since it wasn't really her interest. Then when she went into general pediatrics to be a regular primary care pediatrician, she thought getting her feet wet and figure out doing it before she'd teach the residents. Although now, she's in the position where she has been doing it for four years now so she feels more comfortable. [09:50] Typical Day and Procedures Catherine doesn't do any inpatient or nursery-rounding. Her typical day starts at 07:55 am with her first patient. At her clinic, their schedules are about 24 patients a day. So she's doing any number of well visits or sick visits. But most weeks, she sends a couple of kids to the ER, or at least once a month. In terms of doing procedures, Catherine explains the biggest opportunity is when you're working in a little bit of a smaller area where those doctors do a lot. In her office though, they don't do so much suturing just because of how their schedules are set up. So they don't have as much time to do those. "If you're working in a little bit of a smaller area, those docs do tons." But doctors in smaller areas do a lot. They do their own admissions. And if a kid needs a spinal tap, they'd do it. They'd do the inpatient side of things and go to deliveries. They stabilize infants how are newborns. So there's that big chance of doing procedures if you're willing to live in slightly small area. Whereas in large metro areas, it's a little harder mostly just because of the way practice is set up. Nowadays, there a lot more hospitalists around, which is a big change compared to back when she was still training. [12:45] Taking Calls and Work-Life Balance Catherine only take calls a couple weeks the whole year, which means she has a very nice setup. But this may vary from place to place. As in her case, she works for a larger group. It also depends on what size of community you're in. Catherine says she has enough time for her family. She doesn't work five days a week, specifically that she has a couple of kids and one of them has a lot of medical needs. So she tries to balance those things. But for most pediatricians, they're pretty aware that they have lives outside of medicine and they're pretty balanced. Primary care, just in general, sometimes is tough because you will have to figure things out. And if the specialist you send someone to hasn't been able to figure it out, the patients go back to see you. That said, she likes primary care also because it's challenging. But the people that go into pediatrics are pretty much looking out for each other. "Everyone knows that people have lives outside of medicine and they generally want to preserve those for themselves and for their colleagues." [15:05] Choosing Where to Do Your Training Catherine wanted to train at a setting with a charity-type hospital or public safety net hospital where she got to take calls and have a lot of responsibility since she badly wanted the experience. And that's where she ended up going. Also, because where she went to medical school had a large county hospital system, for which she went through a lot of those for her rotations. "If you really don't know what you want to do and you're not sure if you'd want to go into some kind of subspecialty or not, go somewhere that has a strong program." Additionally, go to a school that has a really good primary care focus and that the clinic structure is good. Sometimes, things can change so you want to make sure that you go somewhere that's a well-rounded, strong program. Catherine adds that you should go to where it's going to make you happy. Think about where you're going to be happy and where you're going to fit in well because it's a long three years. It's a lot of calls and a lot of hours. Also, try not to go too far from your support network. [17:05] Bias Against DOs and Common Pediatric Subspecialties Catherine says she hasn't seen any bias against DOs. And coming originally from Oklahoma which has a very large osteopathic presence and she's from Tulsa, which has a very well-regarded osteopathic medical school, she's not seeing it. If this was a question 25 years ago, she would have said there was a difference. But where she trained, she really doesn't see it as an issue. The other more common subspecialties for pediatrics are hematology, oncology, cardiology, and gastroenterology. Catherine stresses how there's a much larger academic emphasis in pediatric specialties that in the adult world. There's a lot fewer jobs in pediatric subspecialties that are non-academic. "There's a much larger academic emphasis in pediatric specialties that in the adult world." If you want to do hematology-oncology in pediatrics, you're virtually 100% looking at the academic curve. So there's just not enough population that support that kind of complicated work that needs a huge amount of technological subspecialty support like hematology-oncology which needs ICU and al these other subspecialists with it. So if you don't want to do academics and you desperately want to do hematology-oncology, pediatrics may not be the right choice. [19:55] Her Message to the Future Specialists to Help Them Take Care of Patients Better First, Catherine says that if it sounds like a really stupid referral, it may be that the parent would literally not take no for an answer. Conversely, if they're puzzled by something or there's a hole in the story that they can't figure out, understand that sometimes that they know a little more. And sometimes, as primary care doctors, they can fill in some of those gaps.. Or they can sort out why this family is so anxious about x, y, or z and they can't figure out why. So she wishes specialists to know that they can just call them. Especially that everything is on electronic medical records now. "Sometimes we have some context that they may not have." [21:20] Working with Other Specialties The people she works with the most are ICUs, cardiology, infectious disease, dermatology, and GI. She doesn't use hematology too often which is good but she uses pulmonology a ton due to asthma cases. That said, they use a whole variety of specialties. But the one they need more of is developmental behavior pediatrics and mental health support. This is one part of pediatrics that Catherine thinks that they as general pediatricians end up trying to manage a lot more than they feel comfortable managing. Luckily, she gets great support from where she works but there's a lot of people out there that don't. "We are seeing a lot of mental health issues too now on kids and teenagers and it has gone up a lot in the last 15-20 years." Outside of clinical work, you can do MD/PhD Peds Hema/Onc, which was what her friend did and now does drug development. [22:33] What She Wished She Knew Catherine wished she had known how much better she would be once she became a parent. Again, she says it's an incredible responsibility and privilege to take care of someone's kid. "It is an incredible privilege for someone to trust me with their child's health." It's a tough job, but at the end of the day, pediatrics is great. At times, you may have to tell some bad news and it can be difficult. And she sort of knew this but she didn't really know this until she had her own kid. What she likes most about being a pediatrician would be her patients and her colleagues. She considers them as being each other's tribe. Everyone she works with is very committed to population health of the children in the U.S. On the flip side, what she likes the least is wrestling a one-year-old to see their ears. ON a serious note, she says the hardest thing is people who don't want to vaccinate their kids. She knows they care for their child and they think they're making the right decision. [27:05] Major Changes in Pediatrics and Final Words of Wisdom Catherine points out that telemedicine is a big issue right now. And she thinks some pediatricians get the "primadonna" type reputation but it's not true. The irony is they're the least interventionist with their own patients. So she really doesn't see how telemedicine for pediatrics is going to work. If she had to do it all over again, Catherine would still have chosen to become a pediatrician. Ultimately, for premeds or med students interested in getting into pediatrics, Catherine's advice is to realize that it's the parents and not just the kid. Also, remember that it's always about what you're going to be happy doing. Compare yourself to other people going into it and when you do rotations. Think about could you work with these people. You want to make sure you could sign your patients out or trust your colleagues. Or if you feel like you could enjoy working with them. "You really want to be in a field that not only do you really love the patients but your colleagues and you have similar and tuned personalities." So don't just look at the work hours, the prestige, the money, etc. But long term happiness. You need to feel like you fit. Don't try to put a square peg in your round hole all the time even if you thought you're only going to do one thing. Be flexible and think about where do you really fit since you're going to work with them for a long time. Links: ryan@medicalschoolhq.net

Pediatric Grand Rounds with Stephanie White, MD. Dr. White is an Assistant Professor of Pediatrics and a General Pediatrician at the Children’s Hospital at Dartmouth-Hitchcock

This episode is part 2 of a two part series on social history taking in the pediatric population. Objectives for this podcast are to recognize the importance of taking a detailed social history, to learn the ITHELLPS framework as a guide to social history taking and to identify strategies to intervene for families identified as having social challenges. This podcast was developed by Laura Kerr, a medical student at Dalhousie University, with the support of Dr. Sarah Gander, a General Pediatrician at the Saint John Regional Hospital.   Related Content: Podcast: Social History Taking Part 1 Podcast: Pediatric History Taking Podcast: Adolescent Medicine

Today’s podcast is part one in a two part series detailing how to take a social history for children. Objectives for this podcast are to recognize the importance of taking a detailed social history, to learn the ITHELLPS framework as a guide to social history taking and to identify strategies to intervene for families identified as having social challenges. This podcast was developed by Laura Kerr, a medical student at Dalhousie University, with the support of Dr. Sarah Gander, a General Pediatrician at the Saint John Regional Hospital.    Related Content: Podcast: Social History Taking Part 2 Podcast: Pediatric History Taking Podcast: Adolescent Medicine

  This is the third and final podcast in a 3 part series on neonatal jaundice. This episode discusses the clinical approach to neonatal jaundice and its treatment. It was written by Dr. Brittnee Kegler with the help of Dr. Melanie Lewis. Dr. Kegler is a Family Medicine Resident at Queen’s University, and Dr. Lewis is a General Pediatrician and Professor at the University of Alberta and the Stollery Children’s Hospital in Edmonton.   Related Content: Podcast: Neonatal Jaundice Part 1 and Part 2 Case: Jaundice in a 3 day old male Podcast: Neonatal Extracranial Head Injuries

This is the second podcast in a 3 part series on neonatal jaundice. This episode reviews the differential diagnosis of neonatal jaundice. It was written by Dr. Brittnee Kegler with the help of Dr. Melanie Lewis. Dr. Kegler is a Family Medicine Resident at Queen’s University, and Dr. Lewis is a General Pediatrician and Professor at the University of Alberta and the Stollery Children’s Hospital in Edmonton. Stay tuned for Part 3 which will discuss the clinical approach, and treatment of neonatal jaundice!    Related Content: Podcast: Neonatal Jaundice Part 1 and Part 3 Case: Jaundice in a 3 day old male Podcast: Neonatal Extracranial Head Injuries

This is the first podcast in a 3 part series on neonatal jaundice. This episode reviews the definition of neonatal jaundice as well as its consequences and risk factors. It was written by Dr. Brittnee Kegler with the help of Dr. Melanie Lewis. Dr. Kegler is a Family Medicine Resident at Queen’s University, and Dr. Lewis is a General Pediatrician and Professor at the University of Alberta and the Stollery Children’s Hospital in Edmonton. Stay tuned for Parts 2 and 3 coming soon.    Related Content: Podcast: Neonatal Jaundice Part 2 and Part 3 Case: Jaundice in a 3 day old male Podcast: Neonatal Extracranial Head Injuries

This episode presents an approach to sore throat in children.Listeners will learn the differential diagnosis of sore throat, aswell as an approach to diagnosis and management. This podcast wascreated by Charissa Ho in collaboration with Dr. Jessica Foulds.Charissa is a third year medical student at the University ofAlberta and Dr. Foulds is a General Pediatrician and AssistantClinical Professor in Pediatrics at the University of Alberta. These podcasts are designed to give medical students an overviewof key topics in pediatrics.  The audio versions areaccessible on iTunes.  You can find more great pediatricscontent at www.pedscases.com.   Related Content: Case: Fever, cough, and stridor in a 4 year old girl Case: Fever and sore throat in a 3 year old male Case: Runny nose, cough, and sore throat in a 2 year old girl

Dr. Candice chats with General Pediatrician, Dr. Ted Kaplan about cough, the common cold, and flu season.

This podcast presents and approach to the investigation and management of enuresis in children. This podcast was written by Tasha Stoltz with the help of Dr. Melanie Lewis. Tasha is a medical student at McMaster University, and Dr. Lewis is a General Pediatrician and Associate Professor of Pediatrics at the Stollery Children's Hospital and University of Alberta.    Related Content Podcast: Developmental Assessment

This episode presents an approach to writing admission orders in a hospital setting.  While the podcast is focused on Pediatrics, the same approach can be applied to admitting patients in almost any specialty.  This podcast was written by Chris Novak, Dr. Peter Gill, and Dr. Melanie Lewis. Chris is a senior medical student at the University of Alberta. Dr. Gill is a pediatric resident at the University of Toronto. Dr. Lewis is a General Pediatrician and Associate Professor of Pediatrics at the Stollery Children’s Hospital and University of Alberta. Related Content: Podcast: Pediatric History Taking Podcast: Pediatric Clerkship Survival Guide Video: Interpretation of Abdominal X-Rays Video: Interpretation of Chest X-Rays

This episode is an introduction to pediatric surgery for medical students. In this podcast, we will review the process of a surgical referral, the consultation, the operation as well as post-op and follow up considerations from the perspective of a pediatric surgeon and a general pediatrician. This podcast was developed by Amarjot Padda, Chris Novak, Dr. Melanie Lewis, and Dr. Bryan Dicken. Amarjot and Chris are medical students at the University of Alberta. Dr. Melanie Lewis is a General Pediatrician and an Associate professor in the Department of Pediatrics at the University of Alberta. Dr. Bryan Dicken is a Pediatric General Surgeon and an Associate professor of Surgery at the University of Alberta.  Related Content: Case: Acute abdominal pain in a 14 year old female Case: Rectal bleeding in an 8 year old male Case: Abdominal pain in a 4 month old female Case: Vomiting in a 6 week old male Case: Projectile vomiting in a 4 week old baby

This week Medical Student Amarjot Padda interviews General Pediatrician and Associate Professor in the Department of Pediatrics at the University of Alberta, Dr. Mel Lewis and Pediatric General Surgeon and Associate Professor of Surgery at the University of Alberta, Dr. Bryan Dicken about important concepts in Pediatric Surgery and how it related to their specialties. In this podcast they will: Introduce students to pediatric surgery Review important points to consider when referring to a pediatric surgeon Explore how to talk to children and their families about surgery

This episode presents an approach to pediatric vital signs. Be sure to go to pedscases.com to download the pediatric vital signs chart and script for this podcast. This podcast was written by Christopher Novak, Dr. Peter Gill, and Dr. Melanie Lewis. Christopher is a senior medical student at the University of Alberta. Dr. Gill is a pediatric resident at the University of Toronto. Dr. Lewis is a General Pediatrician and Associate Professor of Pediatrics at the Stollery Children’s Hospital and University of Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content at www.pedscases.com. Related Content: Case: Pediatric Vital Signs Self-Assessment Podcast: Approach to Pediatric Hypertension

This podcast is the second in a two part series on pediatric vomiting. This podcast develops an approach to vomiting by discussing a clinical approach to pediatric vomiting via history taking and investigations.  This episode was written by Dr. Erin Boschee and Dr. Melanie Lewis. Dr. Erin Boschee is a first year resident at the University of Alberta. Dr. Lewis is a General Pediatrician and Associate Professor of Pediatrics at the Stollery Children’s Hospital and University of Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content at www.pedscases.com Related Content: Case: Tender abdomen in an 18 month old Case: Vomiting in a 4 month old boy Case: Projectile vomiting in a 4 week old baby Case: Vomiting in a 6 week old male

This podcast is the first in a two part series on pediatric vomiting. This podcast develops an approach to vomiting by discussing the differential diagnosis to pediatric vomiting and highlighting the key causes of vomiting in both the newborn and pediatric patient. This episode was written by Dr. Erin Boschee and Dr. Melanie Lewis. Dr. Erin Boschee is a first year resident at the University of Alberta. Dr. Lewis is a General Pediatrician and Associate Professor of Pediatrics at the Stollery Children’s Hospital and University of Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content at www.pedscases.com Related Content: Case: Tender abdomen in an 18 month old Case: Vomiting in a 4 month old boy Case: Projectile vomiting in a 4 week old baby Case: Vomiting in a 6 week old male

This podcast gives medical students an approach to identifying and correcting dehydration, plus calculating fluid requirements, in pediatric patients. It was written by Michelle Bischoff and Dr. Melanie Lewis. Michelle is a medical student at the University of Alberta and Dr. Lewis is a General Pediatrician and Associate Professor of Pediatrics at the Stollery Children’s Hospital and University of Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content at www.pedscases.com .  Related Content: Case: Dehydration in an 18 month old male Case: Maintenance fluid requirements in a 3 year old female Case: Low grade fever and vomiting in a 6 year old girl Case: Hypokalemia in a 13 year old female  

This podcast gives medical students an overview of seizure types seen in pediatrics (focusing on the clerkship objectives) and management of epilepsy. It was written by Michelle Bischoff, Dr. Francois Bolduc and Dr. Melanie Lewis. Michelle is a medical student at the University of Alberta. Dr. Bolduc is a Pediatric Neurologist and Assistant Professor and Dr. Lewis is a General Pediatrician and Associate Professor of Pediatrics, both at the Stollery Children’s Hospital and University of Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content at www.pedscases.com. Related Content: Case: Seizure in a 4 year old male Podcast: Febrile Seizures Podcast: Status Epilepticus in Children  

This podcast gives medical students an approach to managing status epilepticus in pediatric patients. It was written by Michelle Bischoff and Dr. Melanie Lewis. Michelle is a medical student at the University of Alberta and Dr. Lewis is a General Pediatrician and Associate Professor of Pediatrics at the Stollery Children’s Hospital and University of Alberta. These podcasts are designed to give medical students an overview of key topics in pediatrics. The audio versions are accessible on iTunes. You can find more great pediatrics content at www.pedscases.com. Related Content: Case: Seizure in a 4 year old boy Podcast: Seizure Types and Epilepsy