POPULARITY
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.
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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
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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.
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.
In this episode of the Society of Critical Care Medicine (SCCM) Podcast, host Maureen A. Madden, DNP, RN, CPNC-AC, CCRN, FCCM, welcomes Christopher D. Newman, MBA, PA-C, FCCM, of Children's Hospital Colorado, and Victoria Howard, PA-C, of the University of Rochester to discuss professional advancement tracks for advanced practice providers (APPs). APP professional advancement programs aim to improve retention and engagement. Mr. Newman and Ms. Howard highlight additional benefits as well. They explain how the pilot professional advancement tracks at their institutions address specific needs of APPs. Mr. Newman's program addresses the challenge of recognizing and supporting the nonclinical contributions of predominantly clinical faculty such as APPs. Ms. Howard's program recognizes APPs' careers beginning at an early stage and incorporates salary advancement into the program. The guests discuss the practical challenges of implementing a professional advancement model, including finding financial resources, obtaining institutional buy-in, and making the recognition relevant and meaningful to APPs' work. Both guests emphasize that professional advancement programs should motivate and engage APPs over the course of their careers and encourage more appreciation for their work. The conversation will motivate listeners to explore similar career development programs at their own institutions.
Show Notes: Diego kicks off the conversation with a quick review of his career path, which included working at a business school in Barcelona, consulting in biotech and healthcare, and working as product manager and product running product groups. He then went back to business school. He talks about his job at the business school in Barcelona and what prompted him to take it. He explains that the opportunity arose through a professor he knew, and the timing of the 1992 Olympics made it hard to resist. He shares his insights on Catalonia's cultural differences and the importance of knowing Catalan. Educational Toys and Founding Imagination Supply Co. Diego's current work is with educational toys and ed tech. He discusses his exposure to the case study method of teaching, which he found valuable and enjoyable and describes his transition from biotech to setting up a maker space at his daughter's school and becoming a resident tinkerer. He explains the challenges he faced with existing products for teaching electronics and coding, leading him to start Imagination Supply Co. Diego introduces the product line "Electrify" and its focus on making learning about electronics and coding engaging and accessible. The Very Useful Monster Project Design Diego elaborates on the "Very Useful Monster" project, which teaches coding through a constructivist learning approach. He discusses the importance of creating products that align with how he believes these subjects should be taught. Diego shares examples of his products, such as a vibrating motor project for exploring the engineering process. He contrasts the traditional pinewood derby project with his approach, emphasizing the importance of iterative learning. Addressing the “Fear Pyramid” The conversation turns to the impact of Diego's products on students and teachers. Diego highlights the engagement and transformation he sees in students who build and code their own projects. He notes the unexpected benefit of making teaching more accessible to teachers, who often feel intimidated by STEM subjects. Diego explains the concept of the "fear pyramid" in teaching, where teachers feel increasingly uncomfortable with more advanced subjects like coding. Diego's Background as a Tinkerer Diego has a history as a tinkerer and he talks about his interest in building things. He recounts his experience at Harvard, where he took a machine shop class and built a cannon as a project. He shares his independent study project to measure the power output of a cyclist's pedal stroke, which involved designing and building a full pedal. Maker Spaces in Education Diego explains the initial enthusiasm and funding for maker spaces, particularly through DARPA's Mentor Maker Spaces program. He discusses the various goals of maker spaces, such as teaching hands-on making, STEM, and problem-solving through design thinking. Diego highlights the challenges of articulating the purpose of maker spaces and the different approaches taken by schools like Nueva and Lick-Wilmerding. Biotech Venture and Lessons Learned Diego talks about his experience working with the biotech company, Sutro Biopharma. He explains how he got involved in the company through a class at Stanford and its focus on cell-free protein synthesis. He also discusses the challenges of working in biotech, including the hierarchical nature of the industry. Influential Harvard Professors and Courses Diego highlights the impact of John Stilgoe's "Gas Stations" class, which taught him to observe and question the built environment. He shares how this approach influenced his thinking and approach to problem-solving. Diego also reflects on his involvement in rowing and cycling at Harvard, and how these activities have continued to be important in his life. Timestamps: 03:47: Opportunity in Barcelona and Cultural Insights 06:19: Educational Toys and Imagination Supply Co. 09:24: Product Design and Teaching Methods 13:18: Impact on Students and Teachers 17:03: Diego's Background as a Tinkerer 22:21: The Rise and Fall of Maker Spaces 26:58: Life as an Empty Nester 31:29: Biotech Venture and Lessons Learned Links: Lectrify website: https://www.lectrify.it/ Featured Non-profit: This featured non-profit of this week's episode is recommended by Kerry Dean Carso who reports: “Hi, I'm Kerry Dean Carso, class of 1992. The featured nonprofit of this episode of The 92 report is Children's Hospital Colorado, as a nationally ranked pediatric hospital. Children's Hospital Colorado cares for families throughout Colorado and surrounding states. My brother works for the Children's Hospital Colorado Foundation, and I'm proud of the work he does to raise funds for the hospital and its mission of improving the health of children in the Rocky Mountain region. You can learn more about their work@www.childrenscolorado.org and now here is Will Bachmann with this week's episode. To learn more about their work, visit: www.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.
Los beneficios de la telemedicina fetal durante el embarazo son innumerables, y hoy descubrimos sus avances, limitaciones y el tipo de patologías que se pueden manejar por medio de telemedicina fetal. Entrevistamos a la Dra. Camila Londoño Obregón, quien ya estuvo con nosotros como invitada en la temporada 2, episodio 33, y hablamos sobre el rol de la ecografía fetal en el diagnóstico de cardiopatías congénitas. La Dra. Londoño Obregón forma parte del equipo de Cardiología Congénita y Fetal de la Universidad de Colorado. Ella realizó la especialidad de cardiología pediátrica en el Children's Hospital de Filadelfia, después trabajó en San Antonio, Texas por 8 años como Directora del Programa de Cardiopatías congénitas del adulto como cardióloga pediatra y fetal para posteriormente volverse parte del staff medico de Children's Hospital Colorado. La Dra. Londoño Obregón nació en Colombia y estudió medicina en la Universidad de San Francisco de Quito en Ecuador. Obtuvo una beca del gobierno holandés lo que le permitió ir a Holanda para hacer investigación en fallas del corazón y arritmias. En el 2003 regresó a Colombia donde ejerció medicina en comunidades vulnerables y fue parte de la facultad de la universidad local por 3 años. ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast? Escríbenos a pediatrasenlinea@childrenscolorado.org.
Welcome to JAT Chat, presented by the Journal of Athletic Training, the official journal of the National Athletic Trainers' Association. In this episode, co-host Dr. Shelby Baez speaks with Dr. Rachel Meyers (Sports Physical Therapist at Children's Hospital Colorado) and Dr. David Howell (Associate Professor of Orthopedics at the University of Colorado School of Medicine) about their recent publication, "Adolescent Female Athletes With Menstrual Dysfunction Report Worse Sleep and Stress Than Those Without Menstrual Dysfunction". They explain what menstrual dysfunction is, discuss related conditions, and emphasize the importance of early screening, education, and the athletic trainer's role in prevention and care. Article: https://doi.org/10.4085/1062-6050-0583.24
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.
Bienvenidos a la quinta temporada de Pediatras en Línea, un podcast creado para conectar a profesionales de la salud con experiencias, herramientas y modelos innovadores que están transformando el cuidado pediátrico en nuestras comunidades. Hoy tenemos un episodio dirigido a ustedes: pediatras, médicos de atención primaria, residentes y profesionales que trabajan con pacientes pediátricos hispanohablantes. Nos acompañan dos cirujanos pediatras de Children's Hospital Colorado que lideran una iniciativa única en su tipo: una clínica de cirugía pediátrica completamente en español. Conoceremos cómo funciona este modelo, su impacto en la atención, y cómo puede servir como inspiración para replicarlo en otros sistemas de salud. El Dr. José Luis Díaz-Mirón es originario de Nuevo Laredo, Tamaulipas, México. Estudió medicina en Baylor College of Medicine, en Houston, Texas y completó su residencia en cirugía general en Washington University School of Medicine, en San Luis, Missouri. La especialidad en cirugía pediátrica la realizó en la Universidad de Michigan, Ann Arbor. El Dr. Jonathan Hills-Dunlap estudió en la escuela de medicina de la Universidad de Stanford. Cuenta con una maestría en salud pública de la Escuela de Salud Pública de Harvard. Su residencia la cursó en Brigham and Women's Hospital y en la Escuela de Medicina de Harvard. Realizó un fellowship de Investigación en Servicios de Salud Pediátrica de Harvard en el Boston Children's Hospital y la subespecialidad de Cirugía Pediátrica en el Children's Hospital Colorado en la Universidad de Colorado. Actualmente ambos trabajan en Children's Hospital Colorado donde han desarrollado la primera clínica en el estado de Colorado para pacientes de habla hispana. Clínica de cirugía pediátrica de habla hispana . Click or tap if you trust this link." id="OWA0ed31062-1cc1-9dc2-f276-b96e9f292da1" href="Clínica de cirugía pediátrica de habla hispana ">Clínica de Cirugía Pediátrica | Children's Hospital Colorado (Children's Hospital Colorado ) ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast? Escríbenos a pediatrasenlinea@childrenscolorado.org.
Celiac disease in kids is more common than you think, and often harder to spot than you'd expect. Celiac disease affects about 1 in 100 people globally, yet studies suggest as many as 80% of cases remain undiagnosed. For many community providers around the globe, it's a diagnosis that certainly feels like it's become much more prevalent in both diagnosis rates and public awareness in recent years. There is no ‘growing out' of celiac disease, so that diagnosis for our kiddos is the beginning of a life full of gluten avoidance. Should we be screening for celiac disease in all of our kids and taking their gluten-filled donuts away? In this episode, we explore all of that and more. To understand the current status of celiac and to explore the future of screening, we are joined by two experts. Marisa Stahl, MD, and Mary Shull, MD, both specialize in pediatric gastroenterology at Children's Hospital Colorado. Additionally, they are both assistant professors of pediatrics at the University of Colorado School of Medicine. Some highlights from this episode include: How common it is amongst our youth and how that prevalence was determined Why it seems the number of incidents is rising How does geography play a role The argument for screening and the role of the pediatrician For more information on Children's Colorado, visit: childrenscolorado.org.
When it comes to babies, there is one true common denominator for new parents — poop. While it's one of the first things parents can fixate over, pediatricians know what's in the diaper can say a lot about what's going on inside that tiny body. From understanding different stool colors and consistency, to the difference in diaper contents between breast-fed and formula-fed babies, there's a lot to learn about baby poop. This episode was recorded on the exhibit floor at the 2025 Pediatric Academic Societies Conference in Honolulu, Hawaii. Joining us for this episode is Adrienne Hoyt-Austin, DO, a pediatrician and lactation consultant with UC Davis Health. She specializes in general pediatrics and breastfeeding medicine and is also an Assistant Professor of Clinical Pediatrics. Some highlights from this episode include: What baby poop can reveal about their health How to distinguish between normal variations in stool and potential concerns Common colors and consistencies Biggest red flags to look for in baby poop Charting Pediatrics is in the running for a People's Choice Podcast Award, and we need your help to get nominated! Starting July 1, you can head to www.podcastawards.com and nominate us for the “science and medicine” category, as well as the “people's choice” category. Listeners like you are the reason we have become one of the top pediatric podcasts for providers around the world. Your nomination could make all the difference in us receiving this recognition! Nominate us by July 31 and help Children's Hospital Colorado lead the way in pediatric podcasting. Thank you for your support! For more information on Children's Colorado, visit: childrenscolorado.org.
The menstrual cycle is as regular as clockwork, or at least it should be. But for many adolescent patients, what should be a manageable monthly event turns into a full-blown disruptor of school, sports, sleep and sanity. As we explore the world of adolescent gynecology, we take a closer look at the intricate details: how cramps can hide endometriosis and ‘normal' isn't always what it seems. These symptoms are not just part of puberty. These are signals that deserve attention, validation, and thorough evaluation. This episode was recorded live on the exhibit floor at the 2025 Pediatric Academic Societies Conference in Honolulu, Hawaii. Joining us for this episode is Elizabeth Alderman, MD, Chief of the Division of Adolescent Medicine at The Children's Hospital at Montefiore. She is also a professor at the Albert Einstein College of Medicine. Some highlights from this episode include: First-line treatments for painful periods in adolescents Red flags in menstrual history that could lead to further concerns Primary care diagnostic steps before referring to gynecology How to create a comfortable environment for discussing these uncomfortable topics for adolescents Charting Pediatrics is in the running for a People's Choice Podcast Award, and we need your help to get nominated! Starting July 1, you can head to www.podcastawards.com and nominate us for the “science and medicine” category, as well as the “people's choice” category. Listeners like you are the reason we have become one of the top pediatric podcasts for providers around the world. Your nomination could make all the difference in us receiving this recognition! Nominate us by July 31st and help Children's Hospital Colorado lead the way in pediatric podcasting. Thank you for your support! For more information on Children's Colorado, visit: childrenscolorado.org.
Kelly Faulk, MD, a pediatric oncologist at Children's Hospital Colorado Center for Cancer and Blood Disorders, joins us on OsteoBites to review the open phase 1/1b clinical trial evaluating the combination of losartan and sunitinib in the treatment of pediatric and adult patients with relapsed or refractory osteosarcoma (NCT03900793), including preclinical rationale from canine clinical trials and the trial's design, eligibility, and status.Dr. Kelly Faulk is a pediatric oncologist at Children's Hospital Colorado Center for Cancer and Blood Disorders, where her clinical and research focus is the development of early-phase clinical trials to investigate promising new agents for high-risk pediatric cancers. She is on the Experimental Therapeutics Program (ETP) team and serves as the leader of the High-Risk Leukemia/Lymphoma Program. She has developed and leads several early-phase clinical trials and serves as site principal investigator for numerous others. She completed her medical training at the University of Colorado School of Medicine, did her pediatric residency and pediatric hematology/oncology/bone marrow transplant fellowship at Children's Hospital Colorado, and also completed an additional fellowship in Experimental Therapeutics at Children's Hospital Colorado. She met her wonderful husband Wade in medical school, and they have 3 great kids who keep them busy.
Screening for hip dysplasia in infants can make a big difference in their outcomes. Still, we know there are kids that fall through the cracks and later present with pain. Early detection of this condition is critical from a developmental standpoint, and proper therapy can guide those patients towards a pain free and active life. To help us uncover all we need to know about hip dysplasia, we are joined by Erika Valentine, MD. She is a pediatric orthopedist at Children's Colorado and is an Assistant Professor at the University of Colorado School of Medicine. Some highlights from this episode include: Signs to look out for in the first few years of life Why and how long-term issues can occur Understanding treatment options How primary care providers can support and manage their patients with hip dysplasia Charting Pediatrics is in the running for a People's Choice Podcast Award, and we need your help to get nominated! Starting July 1, you can head to www.podcastawards.com and nominate us for the “science and medicine” category, as well as the “people's choice” category. Listeners like you are the reason we have become one of the top pediatric podcasts for providers around the world. Your nomination could make all the difference in us receiving this recognition! Nominate us by July 31st and help Children's Hospital Colorado lead the way in pediatric podcasting. Thank you for your support! For more information on Children's Colorado, visit: childrenscolorado.org.
Parents often turn to their child's primary care physician for guidance on illnesses, developmental delays, or other health concerns. ADHD is no exception. In this episode, we're diving into the crucial role pediatricians play in recognizing and managing ADHD. We're giving you real-world tools to support real-world kids. This episode was recorded on the exhibit floor at the 2025 Pediatric Academic Societies Conference in Honolulu, Hawaii. Joining us for this episode is Jennifer Walton, MD, the Section Chief of Developmental Behavioral Pediatrics, and an Associate Professor of Clinical Pediatrics at the University of Miami Miler School of Medicine. Some highlights from this episode include: The most common signs of ADHD that get overlooked Differentiating between ADHD and other behavioral or mental health concerns How to use a standardized rating scale to assess ADHD symptoms Talking to families about starting medication Charting Pediatrics is in the running for a People's Choice Podcast Award, and we need your help to get nominated! Starting July 1, you can head to www.podcastawards.com and nominate us for the "science and medicine” category as well as the "people's choice" category. Listeners like you are the reason we have become one of the top pediatric podcasts for providers around the world. Your nomination could make all the difference in us receiving this recognition! Nominate us by July 31st and help Children's Hospital Colorado lead the way in pediatric podcasting. Thank you for your support! For more information on Children's Colorado, visit: childrenscolorado.org.
Picture this: A new parent is changing the diaper of their one-month-old infant when they notice streaks of blood. That's when panic sets in, followed by frantic calls to the pediatrician's office. But is this always a cause for alarm? In this episode, our gastroenterologists are on the case. We're talking about allergic proctitis in infants. They will help you recognize and manage this common newborn issue so you can support families. Joining us for this episode is Mason Nistel, MD. He specializes in gastroenterology at Children's Hospital Colorado and is an Assistant Professor of pediatric GI, hepatology and nutrition at the University of Colorado School of Medicine. Some highlights from this episode include: How a typical case of allergic proctitis presents Key differences between problematic blood and ‘normal' blood in the stool The importance of tapping into empathy as this can be a scary experience for parents Additional considerations for primary care providers when evaluating blood in stool For more information on Children's Colorado, visit: childrenscolorado.org.
Jeff Harrington, CFO of Children's Hospital Colorado, joins the podcast to share his perspective on the evolving role of CFOs in healthcare. He discusses pressing concerns around potential Medicaid cuts and the growing challenges in recruiting pediatric specialists. Jeff also reflects on how the financial leadership landscape is shifting in response to these complex industry dynamics.
As medical and surgical treatment of congenital heart lesions improve, the vast majority of babies born with heart problems are living long and productive lives. While it is remarkable, it also brings new challenges for their care, especially during the critical transition to adulthood. A new medical specialty has developed to address this specific need, driven by the growing demand for expertise in the lifelong care of patients with congenital heart lesions. To unpack this topic, we are joined by Roni Jacobsen, MD. She is the Medical Director of our Adult Congenital Heart Disease Program at Children's Hospital Colorado. We have one of the largest programs in the country with exceptional outcomes, treating patients with congenital heart problems that continue into adulthood. Dr. Jacobsen specializes in internal medicine as well as pediatrics and is trained in pediatric cardiology and adult congenital heart disease. She is an Associate Professor of Pediatrics at the University of Colorado School of Medicine. Some highlights from this episode include: Defining adult congenital heart disease and understanding its differences from other heart diseases Why so many patients don't understand their disease Understanding the advancements in treatments The role that pediatricians play in steering families towards continued care and proper transition once that child hits adulthood For more information on Children's Colorado, visit: childrenscolorado.org.
The heart is an involved organ in many syndromes impacting kids. Our understanding of the genetic underpinnings of pediatric heart conditions has improved greatly with better access to genetic testing. From inherited arrythmias to structural congenital heart defects, genetic testing is becoming an essential part of the diagnosis, treatment and family counseling in kids with heart problems. To help us understand this evolving field, we are joined by Kathryn Chatfield, MD. She is the director of the Cardiac Genetics and Aortopathy Program at Children's Hospital Colorado and specializes in clinical genetics and genomics, as well as cardiology. She is also an Associate Professor of Pediatric Cardiology at the University of Colorado School of Medicine. Some highlights from this episode include: How to determine which kids should undergo a cardiac genetics workup and which ones may not need it Understanding if these diseases are inherited, spontaneous or mutations Why some kids with heart conditions are not seen until they are older How primary care providers can interact with specialized genetics clinics For more information on Children's Colorado, visit: childrenscolorado.org.
What is the single most important thing to recognize when communicating with families about vaccines? Author Sean T. O'Leary, MD, MPH, of the University of Colorado Anschutz Medical Campus and Children's Hospital Colorado joins JAMA Senior Editor Anne Cappola, MD, ScM, to discuss evidence-based approaches for discussions with parents about vaccines. Related Content: Strategies for Communicating With Parents About Vaccines
A common yet often misunderstood infection is popping up in different corners of our community. Mycoplasma pneumonia, otherwise referred to as walking pneumonia, can present in a way that's subtle and sneaky, with a plethora of symptoms. This ‘silent' infection can fly under the radar leaving both patients and providers puzzled, but we want to make sure our listeners feel prepared to tackle this diagnosis. How do we ensure it doesn't slip through the cracks? How do we identify it in our patients? We'll discuss all that and more in this episode. Joining us for this exciting discussion are Lilliam Ambroggio, PhD, and Michael Bozzella, DO. Dr. Ambroggio is the Director of Research in the sections of Emergency Medicine and Hospital Medicine at Children's Hospital Colorado. She is also an Associate Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Bozzella is the Associate Medical Director of Antimicrobial Stewardship and specializes in infectious disease. He is also an Assistant Professor of Pediatrics. Some highlights from this episode include: Understanding where it colonizes and how it spreads How to identify this disease properly, as the presentation can look like many different illnesses How the epidemiology informs what primary care providers should know about this diagnosis Knowing when to test For more information on Children's Colorado, visit: childrenscolorado.org.
Cannabis use in children and adolescents is a growing concern as more young people are regularly using the substance and as more states legalize it. What happens when parents, caregivers, healthcare providers or even the teens themselves decide it's time to stop? In this episode, we will explore important tactics primary care providers can utilize to help families navigate the medical, psychological and social aspects of cannabis use. For this episode, we are joined by two experts. Sam Wang, MD, specializes in toxicology and emergency medicine at Children's Hospital Colorado. He is also an Associate Professor of Pediatrics at the University of Colorado School of Medicine. Paula Riggs, MD, is a Professor of Psychiatry and is nationally known for her research in adolescents with co-occurring psychiatric and substance use disorders. Some highlights from this episode include: Marijuana use and its potency How to get a child into treatment How primary care providers can build trust with patients who may not realize they have an addiction For more information on Children's Colorado, visit: childrenscolorado.org.
In this episode, I'm joined by Dr. Melanie Cree—physician-scientist, pediatric endocrinologist, and one of the leading researchers redefining how we understand and treat Polycystic Ovary Syndrome (PCOS). PCOS affects millions of women, yet it's still underdiagnosed, misunderstood, and often mistreated. Dr. Cree cuts through the confusion, offering a deeply scientific yet compassionate look at what's really driving this complex condition—from insulin resistance and mitochondrial dysfunction to skeletal muscle quality and fertility trajectories across a woman's lifespan.We cover:Why PCOS isn't a single disease—and what two phenotypes may explain the full pictureHow muscle, liver, and fat interact in PCOSThe misunderstood role of testosterone, insulin, and SHBG in diagnosisWhat muscle biopsies reveal about teenage girls with PCOSIntramuscular fat, mitochondrial impairment, and the true cost of sedentary muscleHow early lifestyle and exercise interventions could change the future of PCOS careWhat GLP-1 agonists and amino acid supplements might offer for treatmentWhether you're a clinician, patient, or advocate for women's health, this episode will give you a whole new lens on PCOS—and why skeletal muscle may be the most overlooked (and powerful) organ in the conversation.Who is Dr. Melanie Cree?Dr. Melanie Cree is a board-certified pediatric endocrinologist and Associate Professor at the University of Colorado and Children's Hospital Colorado, where she directs a leading multidisciplinary PCOS clinic. Her research bridges metabolic medicine and muscle physiology, with clinical trials exploring semaglutide, amino acid therapy, liver metabolism, and insulin resistance in adolescents.Forever Strong Summit 2025: The Forever Strong Summit is a live event on April 27, 2025 in Houston, TX, designed to help you build strength, resilience, and longevity from the inside out. Featuring top minds in medicine, military, and mindset, you'll walk away with practical tools to upgrade your health, sharpen your focus, and take ownership of your life. Whether you're a clinician, athlete, or simply ready to step into your next level—this is where science meets action. Get your ticket now! https://drgabriellelyon.com/forever-strong-summit-2025/ This episode is brought to you by:LMNT – Get your free LMNT Sample Pack with any purchase → DrinkLMNT.com/DRLYONCozy Earth – Get up to 40% off with code DRLYON → cozyearth.com/DRLYONOneSkin – Get 15% off with the code DRLYON at → OneSkin.coTimeline Nutrition – Get 10% off → timeline.com/LYONFind Dr. Melanie Cree at: University of Colorado - https://som.cuanschutz.edu/Profiles/Faculty/Profile/22449Find me at:Instagram: @drgabriellelyonTikTok: @drgabriellelyonFacebook: facebook.com/doctorgabriellelyonYouTube: