Podcasts about hospital colorado

When a rare disease suddenly dominates headlines, questions spread quickly and so does anxiety. Over the past few weeks, hantavirus has re-entered the national conversation, leaving many families wondering how concerned they should be. For pediatricians, moments like this can be challenging as they balance public concern with clinical reality, and help families navigate information that is often incomplete, alarming or misleading. In this episode, we take a closer look at hantavirus through an evidence-based pediatric lens including what it is, how transmission occurs, who is truly at risk and what clinicians should know when these questions inevitably enter the exam room.  To create clarity, we are joined by Samuel Dominguez, MD, PhD and Justin Searns, MD. Dr. Dominguez is the Medical Director of the Clinical Microbiology Laboratory, as well as the Associate Medical Director of Infection Control and Prevention at Children's Hospital Colorado. Dr. Searns specializes in pediatric infectious diseases and hospital medicine. Both of these experts teach at the University of Colorado School of Medicine.  Some highlights from this episode include: Differentiating the types of hantaviruses based on rodent and region  Outlining the current status of the cruise ship outbreak  Tips and tricks for talking with worried families  The potential impact on patients   For more information on Children's Colorado, visit: childrenscolorado.org. 

Pediatric urinary tract infections, or UTIs, don't always follow a script. While they're one of the most common diagnoses, they're also one of the most nuanced. They can be subtle, inconsistent and easy to over — or under — diagnose. Aside from clear urinary symptoms, they can show up as a fever without a source, vague abdominal pain, new incontinence or a child who simply isn't acting like themselves. And in those moments, the decisions pediatricians make such as who to test, how to collect a sample or how to interpret results, carry real clinical weight. To dive into this topic, we are joined by Kevin Olson, PA, and Meghan Rommel, NP, who practice in the Department of Pediatric Urology at Children's Hospital Colorado. Some highlights from this episode include: The challenges of diagnosis and the importance of getting it right  How UTIs present differently across ages   When to use antibiotics versus when more discovery is needed  Approaching recurrent UTIs in children  For more information on Children's Colorado, visit: childrenscolorado.org. 

  Genetic testing is no longer a distant, specialized tool reserved for rare disease clinics or academic centers. It's showing up in pediatric practice. For example, pediatricians are increasingly considering genetic diagnoses in children with developmental delays outside the normal range. A NICU graduate may already carry a genetic diagnosis when they see their pediatrician after discharge. What does the practicing pediatric provider need to understand about ordering and interpreting genetic tests?  In this episode, we unpack how community pediatricians can make sense of the world of genomics. Joining us for this robust conversation are Austin Larson, MD, and Margarita Saenz, MD. Dr. Larson is a pediatric medical and biochemical geneticist. He is the Medical Director of Precision Medicine Clinical Informatics, as well as the Director of the Mitochondrial Care Network Clinic at Children's Hospital Colorado. Dr. Saenz specializes in clinical genetics and dysmorphology. She is the Medical Director of Precision Medicine Education and Family Engagement. They both are faculty members at the University of Colorado School of Medicine. Some highlights from this episode include: Recent advances making genetic testing more accessible to patients  How the rise of exome and genome sequencing has changed the diagnostic approach in pediatrics  Secondary findings and how they should be discussed in advanced Practical advice for a pediatrician who feels overwhelmed to order and interpret these tests  For more information on Children's Colorado, visit: childrenscolorado.org. 

**This episode is a wild ride, folks!** In this episode, we're diving into some of the most pressing issues of our time, from the complexities of the Colorado Supreme Court's decision regarding transgender care at Children's Hospital Colorado to the latest developments in the world of politics. We're also talking about the importance of securing our firearms, the latest news from around the globe, and a fascinating conversation with Martin Faith, the owner of the Scottish Group of Companies, who shares his experience of winning the Small Business Person of the Year award from the federal government. The episode starts with a thought-provoking discussion about the concept of "bathroom sink water" and whether it's really that gross. But things quickly take a turn for the serious as we discuss the Colorado Supreme Court's decision, which has sparked a heated debate about the role of the federal government in protecting the rights of transgender individuals. We also hear from George Brauchler, the District Attorney of the 23rd Judicial District, about the commutation of Brandon Kreutzer's sentence and the implications of Governor Polis's decision. We're also joined by Henry Olsen, a renowned election analyst, who shares his insights on the latest developments in the world of politics, including the primaries in Kentucky and Georgia. And, of course, no episode would be complete without some lighthearted moments, like our discussion about the importance of securing our firearms and the latest news from around the globe. So, if you're ready to stay informed and entertained, tune in to this episode and join the conversation!See omnystudio.com/listener for privacy information.

Welcome to Season 6 of the WE GOT US NOW Podcast.Hosted by Ebony Underwood.Our annual WE GOT US NOW Podcast takes a thematic twist this year with the launch of our SPECIAL EDITION: Mental Health Awareness Series: 7 Unspoken RealitiesThis season, Ebony is joined by Dr. Ron-Li Liaw, Children's Hospital Colorado's inaugural Mental Health-In-Chief, Chair of the Pediatric Mental Health Institute, and a nationally recognized child and adolescent psychiatrist whose work advances mental health integration, family engagement, clinician well-being, design innovation, and systems-level transformation in youth mental health.Together, Ebony and Dr. Liaw engage in a weekly conversation exploring important realities that shape the lives of children separated from a parent by incarceration — from the trauma of witnessing a parent's arrest to the impact of separation on the body, nervous system, and developing mind.Over the next seven weeks, Ebony guides a powerful conversation rooted in lived experience, leadership, and a deep commitment to centering children and young adults impacted by parental incarceration, with Dr. Liaw bringing clinical expertise and systems-level insight to help illuminate each reality.This series invites us to listen more deeply, understand more fully, and respond more compassionately to one of America's most invisible populations.Season 6 begins now. Episode One is live.Thank You to our Sponsors: Chicago Beyond, RWJF, Sony Music, NBA Foundation To learn more, go to: WEGOTUSNOW.org#ChildMentalHealth #TraumaInformed #DrRonLiLiaw #ParentalIncarceration #EbonyUnderwood #WeGotUsNowPodcast #MentalHealthAwarenessMonth #CYAIPI #WEGOTUSNOW

It's one of the most common calls you'll get as a pediatrician, and one of the fastest infections to spread through a classroom. A pink eye shows up and suddenly the questions follow: Is it contagious? Do they need drops? Can they go back to school? Pink eye seems like a simple fix until it's not. From bacterial to viral to allergic, knowing what you're looking at can change how it impacts a family.  Rebecca Edwards Mayhew, MD, PhD, specializes in pediatric ophthalmology and adult strabismus, at Children's Hospital Colorado. She is also an assistant professor at the University of Colorado School of Medicine. Some highlights from this episode include: Distinguishing between viral, bacterial and allergic conjunctivitis  How to consult families about contagion and school policies  Red flags that should immediately raise concerns for more serious pathology  When treating with antibiotics makes sense and when to wait and watch   For more information on Children's Colorado, visit: childrenscolorado.org. 

“It's a fun time to be a food allergist”—Dr. David FleischerFood allergy treatment is no longer just about avoidance, epinephrine, and hoping for the best. With high-dose OIT, low-dose OIT, SLIT, EPIT, Xolair, and other biologics entering the conversation, allergists now face a more practical question: what are we trying to achieve, and what approach best fits this patient and family?On this episode, Dr. Mariam Hanna is joined by Dr. David Fleischer, section head of allergy and immunology and director of the Allergy and Immunology Center at Children's Hospital Colorado, and professor of pediatrics at the University of Colorado School of Medicine. He walks through how dose, route, safety, family goals, practicality, and flexibility all shape the choice of therapy.Key PointsLow-dose OIT may offer similar protection to higher-dose protocols in some patients, making the dose question more about goals, risk, and fit.Protection is the first goal; clinical remission remains the harder, longer-term hope.Lower-dose approaches may offer practical advantages, including fewer up-doses, fewer clinic visits, and potentially fewer side effects.SLIT and EPIT may be useful options for families looking for more forgiving, lower-burden approaches.Xolair can provide protection for selected patients, but Dr. Fleischer emphasizes that it is not disease-modifying.Food allergy treatment is becoming a shared decision about efficacy, safety, practicality, and what the family actually wants from therapy.With more tools in the food allergy toolbox, the future may not be one perfect protocol for everyone. It may be choosing the right therapy for the right patient, then having the flexibility to change course when life, goals, or tolerance change.Have an idea for the show or a comment, send us a text!Visit the Canadian Society of Allergy and Clinical ImmunologyFind an allergist using our helpful toolFind Dr. Hanna on X, previously Twitter, @PedsAllergyDoc or CSACI @CSACI_caThe Allergist is produced for CSACI by PodCraft Productions

Happy Friday! Jamie is off to California to see her son for Mother's Day Weekend! Remember, the final deadline to get your Mighty Millions Raffle for Children's Hospital Colorado is TONIGHT at midnight! The guy who door dinged Jamie's car yesterday is avoiding her. What do you think she should do??

"Picky eater" is one of the most common labels in pediatrics and one of the easiest to overlook. But when a child's diet is shrinking instead of expanding, when meals are a source of stress instead of routine, or when growth and nutrition start to feel like a question mark, it's worth taking a second look. In this episode, we're discussing ARFID: what it looks like in clinic, how to spot the difference from typical picky eating, and how to approach these patients with a sharper clinical lens. In this episode, we are joined by Kimberly Sheffield, PhD. She is an eating disorders psychologist at Children's Hospital Colorado, as well as the Clinical Director of Pediatric Mental Health Institute (PMHI) day programs, and the Associate Training Director for Psychology Training.  Some highlights from this episode include: Specific growth or nutrition patterns that should raise suspicion of ARFID Treatment options pediatricians can manage in clinic  Overlap between ARFID and neurodiversity   Patterns to look for in certain age groups  This episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent is Colorado's largest credit union serving more than 550,000 members at 60 service centers across the Front Range. Ent generously responded to Children's Colorado's State of Emergency for pediatric mental health in 2021 and is pleased to support this episode. Visit ent.com, insured by NCUA.  For more information on Children's Colorado, visit: childrenscolorado.org. 

A toddler takes their first bite of peanut butter and breaks out in hives. A parent sits across from you, equal parts frightened and overwhelmed, asking the question you hear every day, "What happens now?" Food allergies have long lived at the intersection of fear and uncertainty, for families and clinicians alike. But that story is changing. A landscape once defined by strict avoidance is rapidly evolving into proactive management, personalized risk assessment, and emerging therapies that are reshaping outcomes. In this episode, we step into that evolving world. From early introduction and updated diagnostic strategies to the expanding role of oral immunotherapy and biologics, we'll unpack what's here, what's coming, and what it means for how you care for patients in real time.   Two allergy experts, David Fleischer, MD, and Allison Hicks, MD, join us for this episode. Dr. Fleischer is the Section Head of Allergy and Immunology, as well as the Director of the Allergy and Immunology Center at Children's Hospital Colorado. Dr. Hicks is the Director of Food and Immunotherapies. They both teach at the University of Colorado School of Medicine. Some highlights from this episode include: How food allergy management has evolved  The biggest misconceptions about food allergies  The latest guidelines on early, consistent introduction to different foods  What the current treatment options look like and the role of the pediatrician  For more information on Children's Colorado, visit: childrenscolorado.org. 

Seven years ago when Daniel Giffin was diagnosed with brain cancer, Michael Pharis organized what became an annual event and turned support for Daniel's family into positive impact for many, including Children's Hospital Colorado. Daniel's heroic struggle against the disease ended in 2025. As the final Walk Run Roll for Daniel approaches, on May 2, 2026, Torie invites Pharis, along with ride leader/route organizer Michael Rosell, and longtime sponsor Jenny Vostatek, to share the story.HOST: Torie GiffinGUESTS:Michael Pharis, LYMeventsMichael Rosell, ride leaderJenny Vostatek, Simply Kids Dental LINKS TO ITEMS MENTIONED IN THIS EPISODE:Walk Run Roll for Daniel: https://www.bicycleresort.com/walkrunrollLYMevents: https://lymevents.com/Simply Kids Dental: https://www.simplykidsdental.com/Children's Hospital Colorado: https://www.childrenscolorado.org/ ALSO MENTIONED:Chik-fil-ACerberus Brewing CompanyRAGBRAIMake-A-Wish FoundationCenter for Cancer and Blood DisordersThe Bussey Law FirmFellowship of the RockiesHome Sweet Homes RealtyByers Family ChiropracticNFM LendingPedal the Springs is produced and presented by the Buffalo Lodge Bicycle Resort, the only bicycle-themed lodging and must-stay for cyclists coming to Colorado. Check us out at https://www.bicycleresort.com for more information.Episodes are recorded in the Studio 809 Podcasts community podcast studio at The Next Us. https://thenextus.spaces.nexudus.com/?public&Find other great podcasts produced in and for the Pikes Peak Region - at https://studio809podcasts.comDon't miss an episode of Pedal the Springs. Follow on your favorite podcast app.

Si alguna vez un padre o madre entró a tu consultorio y dijo: "Doctora… lo vi en TikTok" … este episodio es para ti.  Una conversación muy especial grabada desde los estudios de Children's Hospital Colorado. ¿Qué pasa cuando el contenido viral de salud se cruza con la pediatría real?  Y más importante aún: ¿cómo protegemos la confianza mientras navegamos la desinformación? Nuestra invitada es la Dra. Mona Amin — pediatra, educadora y la voz detrás de PedsDocTalk, una plataforma con más de 1.5 millones de seguidores que conecta a las personas con guías basadas en evidencia sobre salud infantil, desarrollo y crianza de los niños. Su trabajo ha sido expuesto en The New York Times, Times Magazine, NPR, Good Morning America, Parents: Trusted Parenting Information for Raising the Future  y ABC News. A través de su podcast PedsDocTalk, canal de YouTube, redes sociales y talleres en línea, la Dra. Mona Amin brinda a los padres de familia consejos prácticos y un sentido de mayor confianza en sí mismos. Redes sociales: @‌pedsdoctalk Podcast: PedsDocTalk Website: pedsdoctalk.com ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast?  Escríbenos a pediatrasenlinea@childrenscolorado.org.

A tired teen who struggles to get out of bed or a child whose growth is falling behind expectations, are familiar clinical problems, each with a differential diagnosis. Thyroid disorders are often on the differential for many common symptoms we see, yet thyroid disease rarely walks into the office announcing itself. Instead, thyroid disorders can hide in plain sight, disguised as other diagnoses such as anxiety, depression, ADHD, delayed puberty, constipation or "just teenage hormones." In this episode, we've diving into the physiology, the pitfalls and the practical decisions behind pediatric thyroid care. Because when we understand the thyroid, we can protect long-term health. Maggie Chan, MD, is an endocrinologist at Children's Hospital Colorado, as well as an associate professor at the University of Colorado School of Medicine. Some highlights from this episode include: Most common thyroid disorders in children  How to differentiate between mental health symptoms versus thyroid symptoms  When to screen and what labs to test for  Three practical takeaways to utilize in clinic  For more information on Children's Colorado, visit: childrenscolorado.org. 

In this special follow-up episode, Dr. Mona shares the full live conversation recorded at Children's Hospital Colorado in front of more than 100 clinicians. The discussion centers on a reality many pediatricians and parents are facing every day: families are no longer walking into the exam room with just their child, they are also bringing TikTok, Instagram, YouTube, viral clips, and online comment sections with them. In this episode, we discuss: How social media is reshaping the pediatric exam room Why misinformation spreads so effectively among parents Common mistakes clinicians make when responding to hesitant families How validation can lower defensiveness without validating false claims Vaccine conversations, trust-building, and shared decision-making Why pediatricians need to understand the digital world parents live in How AI, telehealth, and online education may shape the future of care Check out the video of this episode on Charting Pediatrics YouTube page. Want more episodes of Charting Pediatrics? Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠⁠Join the newsletter⁠⁠⁠⁠! And don't forget to follow ⁠⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this special follow-up episode, Dr. Mona shares the full live conversation recorded at Children's Hospital Colorado in front of more than 100 clinicians. The discussion centers on a reality many pediatricians and parents are facing every day: families are no longer walking into the exam room with just their child, they are also bringing TikTok, Instagram, YouTube, viral clips, and online comment sections with them. In this episode, we discuss: How social media is reshaping the pediatric exam room Why misinformation spreads so effectively among parents Common mistakes clinicians make when responding to hesitant families How validation can lower defensiveness without validating false claims Vaccine conversations, trust-building, and shared decision-making Why pediatricians need to understand the digital world parents live in How AI, telehealth, and online education may shape the future of care Check out the video of this episode on Charting Pediatrics YouTube page. Want more episodes of Charting Pediatrics? Our podcasts are also now on YouTube. If you prefer a video podcast with closed captioning, check us out there and ⁠subscribe to PedsDocTalk⁠. Get trusted pediatric advice, relatable parenting insights, and evidence-based tips delivered straight to your inbox—join thousands of parents who rely on the PDT newsletter to stay informed, supported, and confident. ⁠⁠⁠⁠Join the newsletter⁠⁠⁠⁠! And don't forget to follow ⁠⁠⁠⁠@pedsdoctalkpodcast⁠⁠⁠⁠ on Instagram—our new space just for parents looking for real talk and real support. We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on the ⁠PedsDocTalk Podcast Sponsorships⁠ page of the website.  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Adolescence is full of firsts. Big questions about bodies, safety and choices rise to the surface. Contraception can feel intimidating for teens and complex for pediatricians. However, it's also a powerful touchpoint to shape safety, confidence and long-term health. In this episode, we're unpacking the role pediatricians play in guiding teens through reproductive care, where pediatricians can transform a potentially awkward moment into an opportunity for empowerment.    For this discussion, we're joined by Tricia Huguelet, MD. She is the section chief of the Division of Pediatric and Adolescent Gynecology at Children's Hospital Colorado. In addition to being a professor at the University of Colorado School of Medicine, she is the program director for the Pediatric and Adolescent Gynecology Fellowship, and co-director of the Young Women Bleeding Disorders Program.  Some highlights from this episode include: When pediatricians should feel confident to prescribe contraception  How to handle consent and confidentiality  What methods would be best for each patient  Most common barriers to access  For more information on Children's Colorado, visit: childrenscolorado.org. 

Thank you to everyone who helped make a card for the kids at Children's Hospital Colorado! We had a great time picking up TONS of cards today from the awesome students at Buffalo Trail Elementary School!

Before the Friday night lights and before the season even begins, there's one appointment that can determine athletic eligibility: the pre-participation sports physical. For pediatricians, it's often treated like a checkbox but in reality, it's a powerful clinical moment. Sometimes it is the one chance to catch something that can change a life. In this episode, we explore how to turn the pre-participation physical from paperwork into prevention. We'll break down what really matters in the sports physical, what red flags to watch for and how to use this visit to protect young athletes and support families. Kristina Wilson, MD, and Nate Howel, MD, join us for this episode. Dr. Wilson is the Medical Director of the Sports Medicine Center at Children's Hospital Colorado and an Associate Professor at the University of Colorado School of Medicine. Dr. Howell specializes in primary care sports medicine and is also an Assistant Professor.  Some highlights from this episode include: Current guidelines and recommendations for the sports pre-participation physical  Why history matters during this exam  How to handle the same day "I need this form signed now" visit  How to best conduct this during a routine checkup    For more information on Children's Colorado, visit: childrenscolorado.org. 

Now is the time to take your Cards for Kids - benefiting the kiddos at Children's Hospital Colorado - to any of the 37 local Big O Tires locations! We need you to drop off your cards by COB on Tuesday 2/10!

Take your cheer cards for the kids at Children's Hospital Colorado to any of the 37 local Big O Tires locations!

Circumcision is one of the most common procedures performed in newborns. For such a frequent procedure, it can stir up big conversations in the primary care office. How do you help families make informed decisions? What technique details really matter? What's the role of the pediatrician when something doesn't look quite right in the days that follow? In this episode, we're unpacking the real-world essentials of circumcision in primary care from evidence-based counseling to timing, pain control, and navigating those questionable moments. Kelly Harris, MD, and Brian Caldwell, MD, both specialize in urology at Children's Hospital Colorado. Dr. Harris is an assistant professor, and Dr. Caldwell is an associate professor at the University of Colorado School of Medicine Some highlights from this episode include: How common circumcision is in modern day  Why the decision to have one or not is very individualized to each family  How the pediatrician can support families in this decision-making process  Most common side effects  For more information on Children's Colorado, visit: childrenscolorado.org. 

Not only do you get to help make cheer cards for the kids at Children's Hospital Colorado, but you also get free food, a free game card...and chances to win TONS OF PRIZES. RSVP RIGHT NOW - at https://www.audacy.com/alice1059/events/the-slacker-shows-card-making-party-2026

Help us make cheer cards for the kids at Children's Hospital Colorado...and Big O Tires just sweetened the deal!

Full show - Thursday | GMD - Cutting out our son | News or Nope - Peppers in pants, Karamo Brown, and Vanna White | Big O Tires is giving you ANOTHER reason to make cheer cards for the kids at Children's Hospital Colorado | Wouldn't believe me if I told you | An update about The Diary | T. Hack has questions about the Loch Ness Monster | Burping your house | Erica is bumbling through making friends | Stupid stories www.instagram.com/theslackershow www.instagram.com/ericasheaaa www.instagram.com/thackiswack www.instagram.com/radioerin

Dr. Michael Puente is a pediatric ophthalmologist at Children's Hospital Colorado.  He works with young children, teens, and adults with Down syndrome in his practice.  He joined the podcast to discuss common vision issues in people with Down syndrome. If you would like to suggest a topic for us to cover on the podcast, please send an e-mail to DownSyndromeCenter@chp.edu. If you would like to partner with the Down Syndrome Center, including this podcast, please visit https://givetochildrens.org/downsyndromecenter. We are thankful for the generous donation from Caring for Kids – The Carrie Martin Fund that provides the funding for the podcast recording equipment and hosting costs for this podcast.

Pediatric neuropalliative medicine is an emerging area of subspecialty practice that emphasizes the human experience elements of serious neurologic illness. Child neurologists care daily for patients who can benefit from the communication strategies and management practices central to pediatric neuropalliative medicine, whether at the primary or subspecialty level. In this episode, Gordon Smith, MD, FAAN, speaks with Lauren Treat, MD, author of the article "Neuropalliative Medicine in Pediatric Neurology" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Treat is an associate professor in the divisions of child neurology and palliative medicine at the University of Colorado School of Medicine in Aurora, Colorado. Additional Resources Read the article: Neuropalliative Medicine in Pediatric Neurology Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: This is Gordon Smith. Today I've got the great pleasure of interviewing my good friend Dr Lauren Treat about her article on neuropalliative medicine in pediatric neurology practice. This article appears in the December 2025 Continuum issue on neuropalliative care. Lauren, welcome to the Continuum podcast, and maybe you can introduce yourself to our listeners. Dr Treat: Such a delight to be here, Gordon. Thank you. I am a pediatric neurologist and palliative medicine doctor at the University of Colorado, Children's Hospital Colorado, and I am practicing in both areas. I do general child neurology, and I also run a pediatric neuropalliative medicine clinic. So, I'm happy to be here to talk about it. Dr Smith: And, truth in advertising, I tried very hard to get Dr Treat to move to VC to work with me. And I haven't given up yet. I'm looking forward to the conversation. And Lauren, I wonder- one, I'm really excited about this issue, by the way. This is the second podcast I've done. And I'd like to ask the same question I asked of David Oliver, who's amazing. What a great article and conversation we had. And that question is, can you define palliative care? I think a lot of people think of it as, like, end-of-life care or things like that. And is the definition a little different in the pediatric space than it is in the adult space? Dr Treat: Such a great place to start, Gordon. I absolutely think that there are nuances that are very important in pediatrics. And we especially acknowledge in pediatrics that there is a very longitudinal component of this. And even moreso, I think, then in adult neuropalliative medicine, in pediatrics, we are seeing people=even prenatally or early in their first hours and days of life, and walking with them on a journey that might last days or weeks, but might last years or decades. And so, there is this sense that we are going to come alongside them and be part of the ups and the downs. So yes, neuropalliative medicine is a kind of medicine that is a very natural partner to where neurology is in its current field. We're doing a lot of exciting things with modifying diseases, diagnosing things early, and we have a very high reliance on the things that we can measure in medicine. And not all things can be measured that are worthwhile about one's quality of life. A family very poignantly told me very recently, making sure someone stays alive is different from making sure they have a life. And that's what neuropalliative medicine is about. Dr Smith: Well, great summary, and I definitely want to follow up on several aspects of that, but there's one point I was really curious about as I've been thinking about this, you know, these are really exciting times and neurology in general and in child neurology in particular. And we've got all of these exciting new therapies. And as you know, I'm a neuromuscular person, so it's hard not to think back on SMA and not be super excited. And so, I wonder about the impact of these positive developments on the practice of neuropalliative care in kids. You know, I'm just thinking, you know, you mentioned it's a journey with ups and downs. And I wonder, the complexity of that must be really interesting. And I bet your job looks different now than it did seven or eight years ago. Dr Treat: That's absolutely true. I will self-reference here one of the figures in the paper. Figure 2 in my section is about those trajectories, about how these journeys can have lots of ups and downs and whether this person had a normal health status to begin with or whether they started out life with a lot of challenges. Those ups and downs inherently involve a lot of uncertainty. And that's where palliative medicine shines. Not because we have the answer---everyone would love for us to have the answer---but because we consider ourselves uncertainty specialists in the way that we have to figure out what do we know, what can we ground ourselves in, and how can we continue to move forward even if we don't have all the answers? That is a particular aspect of neurology that is incredibly challenging for families and clinicians, and it can't stand as a barrier to moving forward and trying to figure out what's best for this child, what's best for this family. What do we know to be true about them as people, and how can we integrate that with all of the quantitative measures that we know and love in neurology? Dr Smith: So, I love the comment about prognostication, and this really ties into positive uncertainty or negative undercertainty in terms of therapeutic development. I wonder if you can talk a little bit about your approach to prognostication, particularly in a highly fluid situation. And are there pearls and pitfalls that our listeners should consider when they're discussing prognosis for children, particularly maybe young children who have severe neurological problems? Dr Treat: It's such a pivotal issue, a central issue, to child neurology practice. Again, because we are often meeting people very, very early on in their journey---earlier than we ever have before, sometimes, because of this opportunity to have a diagnosis, you know, prenatally or genetically or whatever else it is---sometimes we are seeing the very early signs of something as compared to previously where we wouldn't have a diagnosis until something was in its more kind of full-blown state. This idea of having a spectrum and giving people the range of possible outcomes is absolutely still what we need to do. However, we need to add on another skill on top of that in helping people anchor into what feels like the most likely situation and what the milestones are going to be in the near future, about how we're going to walk this journey and what we'll be on the lookout for that will help us branch into those different areas of the map down the road. Dr Smith: So, I wonder if we can go back to the framework you mentioned, two answers ago, I think? You and the article, you know, provide four different types of situations kind of based on temporal progression. I wonder if maybe the best way of approaching is to give an example and how that impacts your thoughts of how you manage a particular situation. Dr Treat: Absolutely. So, this figure in particular is helpful in multiple ways. One is to just give a visual of what these disease trajectories are doing, because we're doing that when and we take a history from a patient. But actually, to put it into an external visual for yourself, for your team, but also perhaps for the family can be really powerful. It helps you contextualize the episode of care in which you're meeting the family right now. And it also helps, sometimes, provide some sense of alignment or point out some discrepancies about how you're viewing that child's health and quality of life as compared to how the family might be viewing it. And so, if you say, you know, it sounds like during those five years before we met, you were up here, and now we find ourselves down here, and we're kind of in the middle of the range of where I've seen this person's health status be. Do I have that right? Families feel really seen when you do that and when you can get it accurately. And it also invites a dialogue between the two parties to be able to say, well, maybe I would adjust this. I think we had good health or good quality of life in this season. But you're right, it's getting harder. It's kind of that "show, don't tell" approach of bringing together all the facts to put together the relative position of where we are now in the context of everything they've been through. Dr Smith: You know, I wonder if you could talk a little bit more about the differences between palliative care and adult patients and in children? Dr Treat: Absolutely. One of the key features in pediatrics is this kind of overriding sense of an out-of-order event in the family's life. Children are not supposed to have illness. Children are not supposed to have disability. Children are not supposed to die before their parents. And that layer of tragedy is incredibly heavy and pervasive. It's not every encounter that you have in child neurology, but it does kind of permeate some of the conversations that neurologists have with their patients, especially patients who have serious neurological disease. So that could be things like epileptic encephalopathies, birth injuries, other traumatic brain injuries down the line. In the paper, I'd go through many different categories of the types of conditions that are eligible for pediatric neuropalliative medicine, that kind of support. When we think about that layer of tragedy in the relation to where we're meeting these families, they deserve extra support, not just to think about the medicines and the treatments, but also, what can we hope for? How can we give this child the best possible life in whatever circumstance that they're in? How can we show up in whatever medical decision-making circumstances present themselves to us and feel like we've done right by this child? It's a complex task, and pediatric neural palliative medicine is evolving to be able to be in those spaces with families in a very meaningful way. Dr Smith: So, of course, one of the differences is the, you know, very important role of parents in the situation, right? Obviously, parents are involved in adult palliative care issues and family is very important. But I wonder if you can talk about specific considerations given the parent-child relationship? Dr Treat: So, pediatric neuropalliative medicine really helps facilitate discussions not just about, again, those things that we have data on, but also about what is meaningful and foundational for those families. What's possible at home, what's possible in the community. In pediatrics, parents are making decisions on behalf of their child, often as a dyad, and I don't think this gets enough attention. We know from adult literature that making decisions on behalf of someone else is different from making decisions on behalf of oneself. We call this proxy decision-making. And proxies are more likely to be conservative on behalf of someone else than they are on behalf of themselves, and they're also more likely to overestimate the tolerability of a medical intervention. So, they might say, I wouldn't want this, or, I wouldn't accept this risk on behalf of myself, or, I don't think I'd want to have to persevere through something, but on behalf of this other person, I think they can do it or I will help them through it or something else like this, or, I can't accept the risk on behalf of them. So that's not good or bad. That's just different about making a decision on behalf of oneself as compared to making a decision on behalf of someone else. When there's two people trying to be proxies on behalf of a third person, on behalf of a child, that's a really, really complex task, and it deserves support. And so, pediatric neural palliative medicine can function, then, as this neutral space, as this kind of almost coaching opportunity alongside the other medical doctors to give parents an opportunity when their minds are calm---not in the heat of the moment---to talk about how they see their child, how they've shown up themselves, what they've seen go well, what they've struggled with. And how,, then we can feel prepared for future decision making times, future high-stress encounters, about what will be important to ground them in those moments, even though we can't predict fully what those circumstances might be. Dr Smith: It sounds, you know, from talking to you and having read the article, that these sorts of issues evolve over time, right? And you have commented on this already from your very first answer. And you do describe a framework for how parents think---their mental model, I guess---of, you know, a child with a serious illness. And this sounds like appreciation of that's really important in providing care. Maybe you can talk us through that topic? Dr Treat: I refer to this concept of prognostic awareness in all of the conversations that we have with families. So, what I mean by prognostic awareness is the degree of insight that an individual has about what's currently happening with their child and what may happen in the future regarding the disease and/or the complications. And when we meet people early on in their journey, often their prognostic awareness, that sense of insight about what's going on, can be limited because it requires lived experience to build. Oftentimes time is a factor in that, we gain more lived experience over time, but it's not just time that goes into building that. It's often having a child who has a complication. Sometimes it's experiencing a hospitalization. That transfer from a cognitive understanding of what's going on, from a lived experience about what's going on, really amplifies that prognostic awareness, and it changes season by season in terms of what that family is going through and what they're willing to tolerate. Dr Smith: You introduced a new term for me, which is hyper-capableism. Can you talk about that? I found that really interesting and, you know, it reminds me a lot of the epiphanies that we've had about coma and coma prognosis. So, what's hyper-capableism? Dr Treat: Yes. In neurology, we have to be very aware of our views on ableism, on understanding how we prognosticate in relation to what we value about our abilities. And hyper-capableism refers to someone who feels very competent both cognitively and from a motor standpoint and fosters that sense of value around those two aspects to a high degree. I'm referencing that in the article with regard to medicine, because medicine, the rigors of training, the rigors of practice, require that someone has mental and motor fortitude. That neurology practice and medical practice in general can breed this attitude around the value of skills in both of those areas. And we have to be careful in order to give our patients and families the best care, to not overly project our values and our sense of what's good and bad in the world regarding ableism. Impairments can look different in different social contexts. And when the social context doesn't support an impairment, that's where people struggle. That's where people have stigma. And I think there's a lot of work that we can do in society at large to help improve accommodations for impairment so that we have less ableism in society. Dr Smith: Another term that I found really interesting kind of going back to parents is the "good parent identity." Maybe you can talk about that? Dr Treat: Good parent identity, good parent narrative, is something that is inherent to the journey when you're trying to take care of and make decisions on behalf of a child. And whether you're in a medical context or outside of a medical context, all parents have this either explicit or implicit sense of themselves about what it means to do right by their child. This comes up very poignantly in complex medical conditions because there are so many narratives about what parents ought to do on behalf of their child, and some of those roles can be in tension with one another. It's a whole lot of verbs that often fall under that identity. It's about being able to love and support and take good care of and make good decisions on behalf of someone. But it's also about protecting them from harm and treating their pain and being able to respond to them and know their cues and know these details about them. And you can't, sometimes, do multiple of those things at once. You can't give them as much safety and health as possible and also protect them from pain and suffering when they have a serious illness, when they need care in the hospital that might require a treatment that might be invasive or burdensome to them. And so, trying to be a good parent in the face of not being able to fulfill all those different verbs or ideas about what a good parent might do is a big task. And it can help to make it an explicit part of the conversation about what that family feels like their good parent roles might be in a particular situation. Dr Smith: I want to shift a little bit, Lauren, that's a really great answer. And just, you know, listening to you, your language and your tongue is incredibly positive, which is exciting. But, you know, you have talked about up and downs, and I wanted you to comment on a quote. I actually wrote it down, I'm going to read it to you, because you mentioned this early on in your article: "the heavy emotional and psychological impacts of bearing witness to suffering as a child neurologist." I think all of us, no matter how excited we are about all the therapeutic development, see patients who are suffering. And it's hard when it's a child and you're seeing a family. I wonder if you could talk a little bit about that comment and how you balance that. You're clearly- you're energized in your career, but you do have to bear witness to suffering. Dr Treat: You're right. Child neurologists do incredible work, it's an incredible, exciting field, and there are a lot of challenges that we see people face. And we see it impacts their lives in really intense ways over the course of time. We bear witness to marriages that fall apart. We bear witness to families that lose jobs or have to transition big pieces of their identity in order to care for their children. And that impacts us. And we hold the collective weight of the things that we are trying to improve but sometimes feel less efficacious than we hoped that we could around some of these aspects of people's lives. And so, pediatric neuropalliative medicine is also about supporting colleagues and being able to talk to colleagues about how the care of the patients and the really real effort that we exert on their behalf and the caring that we have in our hearts for them, how that matters. Even if the outcome doesn't change, it's something that matters for our work and for our connections with these families. It's really important. Dr Smith: I wonder, maybe we can end by learning a little bit about your journey? And maybe this is your opportunity to- I know we have students and residents who listen to us, and junior faculty. I think neuropalliative care is obviously an important issue. There's a whole Continuum issue on it---no pun intended---but what was your journey, and maybe what's your pitch? Dr Treat: I'm just going to give a little bit of a snippet from a poem by Andrea Gibson, who's a poet, that I think speaks really clearly to this. They say a difficult life is not less worth living than a gentle one. Joy is simply easier to carry than sorrow. I think that sums these things up really well, that we find a lot of meaning in the work that we do. And it's not that it's easier or harder, it's just that these things all matter. I'm going to speak now, Gordon, to your question about how I got to my journey. When I went into pediatrics and then neuro in my training, I have always loved the brain. It's always been so crucial to what I wanted to do and how I wanted to be in the world. And when I was in my training, I saw that a lot of the really impactful conversations that we were having felt like we left something out. It felt like we couldn't talk about some of the anticipated struggles that we would anticipate on a human level. We could talk about the rate and the volume of the G tube, but we couldn't talk about how this was going to impact a mother's sense of being able to nourish and bond and care for their child because we didn't have answers for those things. And as I went on in my journey, I realized that even if we don't have answers, it's still important for us to acknowledge those things and talk about them and be there for our patients in those conversations. Dr Smith: Well, Lauren, what a great way to end, and what a wonderful conversation, and what a great article. Congratulations and thank you. Dr Treat: Thank you, Gordon. It was a pleasure to be here. Dr Smith: Again today, I've been interviewing Dr Lauren Treat about her really great article on neuropalliative medicine in pediatric neurology practice. This article appears in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this issue and other issues. And thanks again to you, our listeners, for joining us today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

We're making cheer cards for the kids at Children's Hospital Colorado! Join us for a card making party at Dave & Busters - 2000 S Colorado Blvd - on Saturday, January 31 from 10am-noon! RSVP now at https://www.audacy.com/alice1059/events/the-slacker-shows-card-making-party-2026

Join us Saturday, January 31 from 10am-noon at Dave & Buster's - 2000 S Colorado Blvd - for a card-making party! All the cheer cards made go to benefitting the children at Children's Hospital Colorado.

We're collecting cheer cards for the kids at Children's Hospital Colorado again this year, and WE NEED YOUR HELP! For the Teacher Kit, guidelines, drop off locations, and more info, check out https://www.audacy.com/alice1059/events/cards-for-kids-2026-tss

Anxiety in children can serve as a safeguard or become profoundly disruptive. For pediatricians, distinguishing between developmentally appropriate worry, generalized anxiety disorder and clinically significant anxiety is rarely straightforward. In this episode, we explore how anxiety presents across childhood, why it is more than "just nerves" and how pediatricians can play a key role in early identification and support.  Benjamin Mullin, PhD, is the lead psychologist of the Colorado OCD and Anxiety Program (COAP) at Children's Hospital Colorado, as well as an associate professor at the University of Colorado School of Medicine. He is also the Leslie and William Vollbracht Family Chair in Stress and Anxiety Disorders.  Some highlights from this episode include:  The realities of anxiety in kids  When treatment is appropriate and when to refer   Helping families understand anxiety without stigmatizing or minimizing their children's experience  Strategies that work for long-term management   For more information on Children's Colorado, visit: childrenscolorado.org. 

In this episode, Kerri Webster, Vice President and Chief Analytics Officer at Children's Hospital Colorado, discusses how her team is leveraging data, predictive analytics, and AI to enhance patient care. She shares key milestones, future growth opportunities, and the importance of data literacy in shaping the future of pediatric healthcare.

Smartphones and tablets have become part of daily life for children and families, but their influence on sleep, attention, mood and overall development is increasingly under the microscope. From overstimulation and disrupted sleep patterns to rising concerns about anxiety and attention regulation, the research around screen time is rapidly evolving. In this episode, we take a closer look at the evidence behind how screens are shaping childhood and explore what pediatricians can do to help families find balance in an always-connected world. Rachel Workman, MD, is a Pediatric Integrative Medicine Specialist at Children's Hospital Colorado and an Assistant Professor of Pediatrics at the University of Colorado. Some highlights from this episode include:  The negative impacts of screen time at a young age  How parents can strategically intervene  Why screen time is impacting development  What the research tells us For more information on Children's Colorado, visit: childrenscolorado.org. 

Wound care is an important part of recovery for patients with neurogenic bladder undergoing complex lower urinary tract surgery. In this episode, Madison Hughes talks with Dr. Kyle Rove and Dr. Kelly Harris, pediatric urologists at Children's Hospital Colorado, about the latest advancements in wound care and what patients can expect along the way. 

Recently, leucovorin and acetaminophen have been at the center of new discussions in pediatric medicine. Could leucovorin really help some children with autism? Does the latest evidence suggest acetaminophen has any impact on neurodevelopment? In today's episode, we'll break down what the science actually tells us, what remains uncertain and how pediatricians can confidently guide families through these complex topics. Joining us for this important discussion is Abigail Angulo, MD. She is a developmental-behavioral pediatrician at Children's Hospital Colorado. She is also an associate professor at the University of Colorado School of Medicine. Some highlights from this episode include:  The science behind autism  The role of Tylenol in pregnancy and newborn development  What leucovorin is used for and when it should be prescribed  How to navigate difficult conversations with families who expect certain outcomes For more information on Children's Colorado, visit: childrenscolorado.org. 

Este episodio fue grabado en la Conferencia y Exhibición Anual de la Academia Americana de Pediatría que se llevó a cabo en Denver, Colorado en esta edición 2025. Es un gusto poder grabar estos episodios con nuestros invitados de manera presencial en nuestro stand de exhibición del Children's Hospital Colorado y poder conocer o volver a saludar a muchos de los pediatras que han estado con nosotros en Pediatras en Línea. En este episodio, nos acompaña un invitado que conoce de primera mano, el activismo médico en pediatría, el Dr. José Cucalón Calderón. Conoceremos en qué consiste, por qué es importante y cómo integrarlo en la práctica diaria. El Dr. José Cucalón Calderón es originario de Guayaquil, Ecuador donde estudió medicina. Actualmente es profesor asociado de pediatría en la Universidad de Nevada en Reno. Además, trabaja de forma muy cercana en el capítulo de la Academia Americana de Pediatría (AAP) como Campeón anti-cigarro electrónico del estado de Nevada, es co-presidente e instaurador del capítulo de Nevada de la Asociación Médica Hispana y está activamente involucrado en múltiples campañas de salud para la comunidad latina y otras poblaciones del estado de Nevada. ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast?  Escríbenos a pediatrasenlinea@childrenscolorado.org.

Behind every medical breakthrough for kids is usually a long history of research advances. Research is incremental, and new therapies exist, thanks to questions that are asked in science laboratories. Those investigators not only asked the hard questions but also found the funding to answer them. What happens when that funding starts to disappear? Research drives progress in pediatric medicine from vaccines to breakthrough treatments for rare diseases. That progress is currently at risk. Cuts and cancellations in key federal research programs, including CDC and NIH funding, threaten to stall discoveries and disproportionately impact pediatric investigators. In this episode, we dig into what's happening with child health research funding, why it matters for every pediatrician, and where the greatest opportunities for advocacy lie. For this episode, we are joined by two experts at the forefront of this conversation. Joe St. Geme, MD, is the Physician in Chief at the Children's Hospital of Philadelphia, as well as the President of the CHOP Practice Association. He is also a professor at the University of Pennsylvania Perelman School of Medicine. Zach Zaslow is the Vice President of Advocacy and Community Health at Children's Hospital Colorado. Some highlights from this episode include:  The status of pediatric research funding  How pediatric research directly impacts community pediatricians  What current threats exist  How providers can advocate for their patients and families   For more information on Children's Colorado, visit: childrenscolorado.org. 

Send us a textThis discussion features Dr. Clyde Wright, Professor of Pediatrics at Children's Hospital Colorado and the University of Colorado School of Medicine, who studies perinatal innate immunity and neonatal lung injury. He highlights the rapid rise of acetaminophen as the most commonly used medication for ductal closure in preterm infants despite limited long-term safety data. Dr. Wright explains how acetaminophen metabolism via CYP2E1 produces a reactive metabolite that may affect mitochondrial function in developing lung cells, prompting consideration beyond hepatic toxicity markers. He encourages clinicians to remain judicious, especially outside optimal treatment windows, and calls for research incorporating respiratory outcomes and nuanced, individualized risk–benefit discussions at the bedside.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Este episodio fue grabado en la Conferencia y Exhibición Anual de la Academia Americana de Pediatría que se llevó a cabo en Denver, Colorado en esta edición 2025. Es un gusto poder grabar estos episodios con nuestros invitados de manera presencial en nuestro stand de exhibición del Children's Hospital Colorado y poder conocer o saludar a muchos de los pediatras que han estado con nosotros en Pediatras en Línea. Los colorantes artificiales en la comida son aditivos utilizados para mejorar el aspecto visual de los alimentos, haciéndolos más atractivos, especialmente para los niños. Sin embargo, hay preocupación creciente sobre su impacto en la salud infantil. En este episodio, nos acompaña una vez más, el Dr. Ilan Shapiro para conversar sobre los colorantes artificiales en la comida y el impacto que tiene en la salud de los niños. El Dr. Ilan Shapiro es corresponsal de salud y Director de Asuntos Médicos de AltaMed. Es un incansable defensor de la equidad en el cuidado de salud, con una profunda afinidad de innovación y políticas de salud pública, especialmente con la población hispana. Ha sido galardonado por su trabajo en salud pública en el ámbito internacional. Después de graduarse como Valedictorian honorario en medicina, trabajó en la secretaría de salud como representante entre México y la Organización Mundial de Salud. Instagram/Twitter/You Tube @‌Dr_Shaps ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast?  Escríbenos a pediatrasenlinea@childrenscolorado.org.

Este episodio fue grabado en la Conferencia y Exhibición anual la Academia Americana de Pediatría que se llevó a cabo en Denver, Colorado en esta edición 2025. Es un placer hacer estos episodios presenciales desde nuestro stand de exhibición del Children's Hospital Colorado, donde hemos tenido la oportunidad de saludar a muchos colegas pediatras que escuchan este podcast desde diferentes partes de Estados Unidos y América Latina En este episodio nos acompaña el Dr. Emmanuel Torres Arnaut, quien nos visita desde la Paz, Baja California Sur, México. Hoy hablamos de las enfermedades emergentes que son aquellas cuya incidencia ha aumentado en las últimas décadas o que amenazan con aumentar en el futuro cercano.  Aunque el sarampión y la tos ferina no son nuevas, están siendo consideradas enfermedades reemergentes, ya que habían sido controladas en gran medida gracias a la vacunación, pero están resurgiendo en muchas partes del mundo. El Dr. Emmanuel Torres Arnaut es egresado de la Universidad Autónoma de Guadalajara. Posteriormente se especializó en pediatría y actualmente es el jefe de servicio de pediatría del Hospital ISSSTE en La Paz, Baja California Sur, México. Instagram: pediatraarnaut ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast?  Escríbenos a pediatrasenlinea@childrenscolorado.org.

PCICS NewsTalk - The 2025 PCICS Annual Meeting Recap - Join a live unfiltered recording of the NewsTalk team and special guests as they discuss and recap the 2025 PCICS Annual Meeting in Austin, TX. Guests: Jill Zender (Children's Health), Carly Scahill (Children's Hospital Colorado), Amy Hemingway (Dell Children's), Saidie Rodriguez (Children's Healthcare of Atlanta), Kim DiMaria (Rocky Mountain Children's Hospital). Host/Editor/Producer: David Werho (Rady Children's Health)

Our mental health is impacted way before middle school. Jake speaks with Dr. Ayelet Talmi about the relevant influences within the first phase of life, how they impact the trajectory of a child's wellbeing, and what we should consequently pursue within public policy to improve outcomes for kids. Dr. Talmi is the Robert J. Harmon Distinguished Professor of Psychiatry and a Licensed Clinical Psychologist in the Departments of Psychiatry and Pediatrics at the University of Colorado School of Medicine and Children's Hospital Colorado, and she engages in integrated behavioral health and early childhood systems and workforce capacity building and implementation, direct service, scholarship, advocacy, and policy efforts in Colorado and nationally.

Este episodio fue grabado en la Conferencia y Exhibición Anual de la Academia Americana de Pediatría que se llevó a cabo en Denver, Colorado, en la edición 2025. Es un gusto conectar con nuestros invitados de manera presencial en nuestro stand de exhibición del Children's Hospital Colorado y poder conocer o saludar a muchos de los pediatras que han estado con nosotros en Pediatras en Línea. El tema de este episodio es esencial, pero a menudo se pasa por alto en consulta: las etiquetas nutricionales. Como pediatras, sabemos que una buena alimentación es la base de la salud infantil. Sin embargo, ¿cómo guiamos a las familias para que comprendan qué es lo que están comprando en el super mercado? ¿Qué ingredientes evitar? ¿Cómo leer una tabla nutricional de forma clara y útil? Nuestra invitada para contestar estas y muchas preguntas más, es la Dra. Roberta Gómez Díaz Barreiro, quien realizó su residencia en Pediatría en el Instituto Nacional de Pediatría, Ciudad de México. Cuenta con un Postdoctorate Research Fellowship – Investigación Postdoctoral de la Universidad de Colorado. Además, cursó una maestría Internacional de Obesidad Infantil en la Escuela Clínica y de Ciencias de la Salud en España.  Actualmente trabaja como pediatra en la Ciudad de México, y es parte del Grupo Médico Pediátrico en el Hospital ABC y Hospital Ángeles. Instagram: @‌dra.robertagdbpediatra ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast?  Escríbenos a pediatrasenlinea@childrenscolorado.org.

Este episodio fue grabado en la Conferencia y Exhibición Anual de la Academia Americana de Pediatría que se llevó a cabo en Denver, Colorado en su edición 2025. Es un gusto conectar con nuestros invitados de manera presencial en nuestro stand de exhibición del Children's Hospital Colorado y poder reencontrarnos con muchos de los pediatras que han estado con nosotros en Pediatras en Línea. El tema que abordamos hoy es urgente, complejo y cada vez más presente en nuestras consultas: la adicción a la nicotina en adolescentes, especialmente en el contexto del uso creciente de cigarros electrónicos o vapeadores. Nuestro invitado en el Dr. José Cucalón Calderón, quien regresa a Pediatras en Línea con su experiencia y claridad para abordar esta problemática desde la evidencia y empatía. El Dr. José Cucalón Calderón es originario de Guayaquil, Ecuador donde estudió en la escuela de medicina. Actualmente es profesor asociado de pediatría en la Universidad de Nevada en Reno. Además, trabaja de forma muy cercana en el capítulo de la Academia Americana de Pediatría (AAP) como campeón anti-cigarro electrónico del estado de Nevada, es co-presidente e instaurador del capítulo de Nevada de la Asociación Médica Hispana y está activamente involucrado en múltiples campañas de salud para la comunidad latina y otras poblaciones del estado de Nevada. Recursos: https://www.aap.org/en/patient-care/tobacco-control-and-prevention/tobacco-cessation-progressive-web-application/. Click or tap if you trust this link." id="OWAfdf7772e-d6fa-2a95-e080-b0569d48f464" href="https://www.aap.org/en/patient-care/tobacco-control-and-prevention/tobacco-cessation-progressive-web-application/">Youth Tobacco Cessation Progressive Web Application https://www.aap.org/en/patient-care/tobacco-control-and-prevention/youth-tobacco-cessation-toolkits/. Click or tap if you trust this link." id="OWA15df10fd-79b8-134f-ab59-0372f5916834" href="https://www.aap.org/en/patient-care/tobacco-control-and-prevention/youth-tobacco-cessation-toolkits/">Youth Tobacco Cessation Toolkits https://www.lung.org/getmedia/fe1c1373-6b28-41a8-ab50-85374765efa3/youth-cessation-ask-counsel-treat-(act)_quick-reference-guide.pdf?ext=.pdf. Click or tap if you trust this link." id="OWA95b129df-8617-7c6f-6f5a-720b5486e771" href="https://www.lung.org/getmedia/fe1c1373-6b28-41a8-ab50-85374765efa3/youth-cessation-ask-counsel-treat-(act)_quick-reference-guide.pdf?ext=.pdf">Youth Cessation Quick Reference Guide Resources to Help Youth Reject or Quit Vaping | Smoking and Tobacco Use | CDC ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast? Escríbenos a pediatrasenlinea@childrenscolorado.org.

While asthma may be the most common chronic disease in pediatrics, it never feels routine for medical professionals. In the primary care setting, pediatricians carry the challenge and opportunity of turning this common condition into a well-managed part of daily life. In this episode, we'll dig into tools, strategies and insights that help us move from reactive treatment to proactive partnerships. The goal is for kids to focus less on their breathing and more on being kids. For this episode, we are joined by two asthma experts, Monica Federico, MD, and Heather De Keyser, MD. Dr. Federico is the Medical Director of the Asthma Program, as well as Population Health, at Children's Hospital Colorado. She is a Professor of Pediatrics at the University of Colorado School of Medicine. Dr. De Keyser is the Co-Director of the Multidisciplinary Asthma Clinic and an Assistant Professor of Pediatrics. Some highlights from this episode include:  Understanding the best options for treatment  Deciphering between asthma and other respiratory diagnoses  The latest updates in asthma guidelines  The importance of collaborating with schools on a child's action plan  Some resources mentioned in today's episode include guidelines for the management and diagnosis of asthma, as well as information from the Global Initiative for Asthma (GINA). For more information on Children's Colorado, visit: childrenscolorado.org. 

Imagine your body as a complex orchestra. Every hormone playing its part in harmony. When one section falls out of sync, the entire performance shifts. That's what happens with polycystic ovary syndrome (PCOS), especially in adolescents. During puberty, hormones are already in flux, and PCOS can add another layer of challenges.  Irregular periods, acne, excess hair growth, and weight gain are more than frustrating symptoms, they're signs of an underlying hormonal imbalance that deserves attention. For pediatricians, recognizing PCOS early can make all the difference in helping teens navigate both their physical health and emotional well-being.  In this episode, we sit down with Melanie Cree, MD, PhD, a pediatric endocrinologist at Children's Hospital Colorado, Director of the Multi-Disciplinary PCOS Clinic at the University of Colorado School of Medicine, and a professor.  Some highlights from this episode include:  Understanding why its name can be deceiving The role of the primary care provider in diagnosing and managing PCOS  Differences between abnormal and normal puberty changes  The impact of this lifelong disease  For more information on Children's Colorado, visit: childrenscolorado.org. 

Whether it's a bump, a blow, or a moment of confusion, concussions in kids don't always look dramatic, but the impact can be significant. When parents start to worry and question what injury lies beneath the surface, pediatricians are typically the first phone call or visit. With evolving guidelines and pressure to clear kids for school and sports, what is the right call? In this episode, we will break down what every clinician should know about concussions including how to spot them, how to manage them and how to guide families through recovery with confidence. To understand the current status of concussions, we are joined by Kristina Wilson, MD. Dr. Wilson is the Medical Director of the Sports Medicine Center at Children's Hospital Colorado and is an Associate professor at the University of Colorado School of Medicine. Some highlights from this episode include:  Helpful tools PCPs can utilize to recognize a concussion  The importance of team involvement regardless of the injury  Properly managing family support  Interventions and when they should be utilized  For more information on Children's Colorado, visit: childrenscolorado.org. 

This week, we’ll hear from Bethany Joy Lenz, an actor, singer, director, and now author, who shares a deeply personal story of her time in a spiritually abusive community and the journey of healing and rediscovering faith that followed. Later in the episode, we’ll hear from speaker and non-profit founder JT Mestdagh. Born with a rare and complex condition that led to over a dozen major surgeries before the age of sixteen, JT’s life has been anything but ordinary. From long hospital stays to reaching the summit of Mount Kilimanjaro, he’s faced life’s toughest challenges with an optimism and heart for helping others. Links, Products, and Resources Mentioned: Jesus Calling Podcast Jesus Calling Jesus Always Jesus Listens Past interview: Amy Downs Upcoming interview: Chrissy Metz Jesus Calling: Stories of Faith on UPTV Bethany Joy Lenz Dinner for Vampires Richard Barrett Brooklyn College of Opera Guiding Light One Tree Hill Hebrews 11:1-2 NIV www.bethanyjoylenz.org JT Mestdagh Mount Kilimanjaro JT Mestdagh Foundation VACTERL syndrome Dyslexia Children’s Hospital Colorado ww.JTMestdagh.com No Bad Days Interview Quotes: “I fundamentally believed—not in my head, but in my body and my heart—that if I did all the right things, if I checked off everything on the Christian girl list, then God would be pleased with me, and I would have a good life.’ - Bethany Joy Lenz “You need your brain in order to have faith. God is so big. He’s not afraid of us thinking. The more you think, the more you understand, the more Christianity makes sense out of everything else in the world.” - Bethany Joy Lenz “When you understand what you believe—when you think about it and you research it and you journal about it, the further you dissect it, the more intricate and fascinating it becomes.” - Bethany Joy Lenz “God is big enough to not be intimidated or afraid of your questions, your mess, that spaghetti bowl of confusion. God is big enough to untangle it and to guide you.” – Bethany Joy Lenz “I always talk about finding your tribe—the people around you that are going to support you and help you throughout challenges.” - JT Mestdagh “I look back at moments where the Good Lord has worked in my life—where the doors were closed and new doors were opened along the way—and it is totally Him working with me and through me.” - JT Mestdagh “When I look back at my conversations with the Lord, my time with Him and speaking to Him has been some of the most encouraging moments that have gotten me back on track.” - JT Mestdagh “There are no bad days. There’s only hard days, and we get through them with the Good Lord.” - JT Mestdagh ________________________ Enjoy watching these additional videos from Jesus Calling YouTube channel! Audio Episodes: https://bit.ly/3zvjbK7 Bonus Podcasts: https://bit.ly/3vfLlGw Jesus Listens: Stories of Prayer: https://bit.ly/3Sd0a6C Peace for Everyday Life: https://bit.ly/3zzwFoj Peace in Uncertain Times: https://bit.ly/3cHfB6u What’s Good? https://bit.ly/3vc2cKj Enneagram: https://bit.ly/3hzRCCY ________________________ Connect with Jesus Calling Instagram Facebook Twitter Pinterest YouTube Website TikTok Discover more Christian podcasts at lifeaudio.com and inquire about advertising opportunities at lifeaudio.com/contact-us.

Every parent dreams of the perfect bedtime routine: a quick story, a goodnight kiss, and lights out until morning. But real life? Toddlers fight sleep with boundless energy, grade-schoolers push for one more story and teens stay up late scrolling TikTok. Sleep problems in children and teens are common, but pediatricians can play a key role in guiding families toward better rest.  In this episode, we explore how to help kids sleep better at every age. From gentle sleep training strategies for young children to managing insomnia and circadian rhythm shifts in teens, we'll break down practical, evidence-based approaches to pediatric sleep. Join us as we share the science and real-world tools that can help families build healthy sleep habits, for brighter mornings and better overall health.  We are joined by Stacey Simon, PhD. She is the Co-Director of Sleep Medicine at Children's Hospital Colorado and an Associate Professor at the University of Colorado School of Medicine. Some highlights from this episode include:  Best sleep practices for different age groups  Addressing the most common sleep issues in children Evidence around sleep training and if it's successful  Can medications be a helpful tool for sleep?    For more information on Children's Colorado, visit: childrenscolorado.org. 

For kids with eczema the discomfort of dry patches, constant itching and sleepless nights, can be relentless. For their parents, the search for answers is as well. In this episode, we're scratching beneath the surface of one of the most common skin conditions in pediatrics. We'll explore how to spot triggers, calm flare-ups, choose the right treatments and know when it's time to call in a dermatologist. Whether it's helping a toddler stop scratching or giving a teen the confidence to ditch the long sleeves, we're here to equip pediatricians with the tools to help their patients find relief and reclaim their skin. For this episode, we are joined by Emily Gurnee, MD. She is a Dermatologist at Children's Hospital Colorado as well as an Assistant Professor at the University of Colorado School of Medicine.  Some highlights from this episode include:  The most up-to-date information with eczema  Medication versus other remedies   How to provide care that fits into a family's routine Best ways PCPs can support kids with eczema   For more information on Children's Colorado, visit: childrenscolorado.org. 

For many teenagers, acne is always top of mind. At the doctor's office, it's not uncommon for teens to ask about their skin during a visit. With teenage patients, we're not just treating acne. We're also treating their self-esteem. In the wild world of acne, clogged pores meet hormonal havoc. Patients often want magic, and providers need a plan. In this episode, we extract the evidence and apply the right topical clinical wisdom to help manage acne in the office. Joining us for this episode is the host of our sister podcast, fully in Spanish, Pediatrias en Linea, Carla Torres-Zegarra, MD. Dr. Torres-Zegarra specializes in dermatology at Children's Hospital Colorado and is the Director of the Pediatric Dermatology Fellowship at the University of Colorado School of Medicine. Some highlights from this episode include:  The severity of acne in teenagers  Options for management and treatment in the primary care setting  The importance of diagnosis from the beginning  How to identify when acne is abnormal  For more information on Children's Colorado, visit: childrenscolorado.org.