Podcasts about hospital medical center

In this episode of Nutrition Pearls: the Podcast, co-hosts Megan Murphy and Jen Smith speak with Megan Horsley on her involvement with an intensive tube feed weaning program.  Megan is a pediatric dietitian at Cincinnati Children's Hospital Medical Center. She has 18 years of experience in pediatrics with a focus in cardiology and currently practices as a Lead dietitian as well as a cardiac float, serving all areas of cardiology (the Critical Cardiac Intensive Care Unit, the Acute Care Cardiology Unit and Outpatient Cardiology). Her most recent work has involved establishing a tube wean program in 2020 for heart patients which focuses on optimizing oral skills and getting them safely off their feeding tube.She is a Certified Nutrition Support Clinician and in addition maintains her Certification as a Specialist in Pediatric Nutrition. She is involved in many projects, research, and quality improvement work, including the National Pediatric Cardiology Quality Improvement Collaborative (NPC-QIC), the Advanced Cardiac Therapies Improving Outcomes Network (ACTION) and the Pediatric Cardiac Intensive Care Society (PCICS). She has also served as a board member of the Congenital Heart Alliance of Cincinnati since 2017 and is a member of the Prolacta Clinical Advisory Board (PCAB) since 2019. Megan has eighteen years of professional practice in pediatric nutrition and twenty-one years of personal experience as a heart mom herself. She plans on continuing to concentrate her efforts on improving the nutritional care, experience and outcomes for all children affected by congenital heart disease.Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:Tool Kit: NPC-QIC Tube Weaning — NPC-QICKaskie, S., Horsley, M., & Marcuccio, E. (2024). Experiences in Tube Weaning Children with Congenital Heart Disease and Oral Feeding Aversion. Pediatric Cardiology. https://doi.org/10.1007/s00246-024-03515-8Wong, J., Loomba, R., Allen, K. Y., Chan, T., Coolidge, N., Del Grippo, E., Horsley, M., Slater, N., Spader-Cloud, M., Steltzer, M., & Marcuccio, E. (2024). Structured Tube Weaning Using the Hunger Provocation Method in Infants with Single Ventricle Heart Defects: A Multicenter Study. Pediatric Cardiology. https://doi.org/10.1007/s00246-024-03558-xHorsley, M., Hill, G. D., Kaskie, S., Schnautz, M., Brown, J., & Marcuccio, E. (2022). Evaluation of an Outpatient and Telehealth Initiative to Reduce Tube Dependency in Infants with Complex Congenital Heart Disease. Pediatric Cardiology, 43(7), 1429–1437. https://doi.org/10.1007/s00246-022-02864-6Weaning from a feeding tube in children with congenital heart disease: A review of the literature: www.sciencedirect.com/science/article/abs/pii/S1058981321000801?via%3DihubCardiology Feeding Tube Wean ClinicProduced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org

Pediatrician Dr. Jill Schaffeld consults Dr. Cheryl Bayart from the Cincinnati Children's Division of Dermatology on infantile hemangiomas.  Episode recorded on March 13, 2025. Resources discussed in this episode: - Infantile Hemangiomas CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships. Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physicians: Cincinnati Children's designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing: This activity is approved for a maximum 0.5 continuing nursing education (CNE) contact hours. ABP MOC pt2: Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 0.5 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit. Credits AMA PRA Category 1 Credits™ (0.50 hours), ABP MOC Part 2 (0.50 hours), CME - Non-Physician (Attendance) (0.50 hours), Nursing CE (0.50 hours)

Over 160 million Americans are served by Optum, yet many still don't fully understand what it actually does—or why it matters.Dr. Patrick Conway, newly appointed CEO of Optum and former head of CMS Innovation Center and Blue Cross NC, joins Steve for a wide-ranging discussion on the state of healthcare delivery, affordability, and the potential of value-based care at a national scale. With experience spanning the frontlines of medicine to top government and corporate leadership, Conway breaks down how Optum aims to improve care while controlling costs—and why he continues to practice as a pediatric hospitalist on weekends.We cover:

Pediatrician Dr. Jill Schaffeld consults Dr. Bob DeFoor from the Cincinnati Children's Division of Urology on prenatal hydronephrosis.  Episode recorded on April 3, 2025. Resources discussed in this episode: - Prenatal Hydronephrosis CPST CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships. Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physicians: Cincinnati Children's designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: This activity is approved for a maximum 0.5 continuing nursing education (CNE) contact hours. MOCpt2: Completion of this CME activity, which includes learner assessment and feedback, enables the learner to earn up to 0.5 points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. Cincinnati Children's submits MOC/CC credit for board diplomates. Credits AMA PRA Category 1 Credits™ (0.50 hours), ABP MOC Part 2 (0.50 hours), CME - Non-Physician (Attendance) (0.50 hours), Nursing CE (0.50 hours)  

Jennifer Roig-Francolí is The Art of Freedom® Coach for musicians and creatives, and Author of the #1 Amazon Bestseller 'Make Great Music with Ease! The Secret to Smarter Practice, Confident Performance, and Living a Happier Life'.   Jennifer Roig-Francolí is a prize-winning violinist and Alexander Technique teacher helping musicians and creatives online to break through pain, performance anxiety, and mindset obstacles to personal freedom and artistic success. She has a special interest in supporting women to thrive in their everyday and musical lives.   As the creator of The Art of Freedom® Method for conscious living and masterful artistry, Jennifer combines her extensive professional experience with a lifelong love of meditation and perennial wisdom. Her unique holistic approach to self-integration and joyful music-making is based on the five Life-Pillars of Purpose, Mind, Body, Spirit, and Artistry and the practice of touch-free Primal Alexander™ Technique.   Honored as a “Rising Star” by TIME magazine, Jennifer's career as a violinist has taken her to concert halls around the world from a young age, including solo performances at Carnegie Hall and collaborations with esteemed orchestras like the Pittsburgh Symphony Orchestra and Berlin Symphony Orchestra. She has won international competitions and held leadership positions in various ensembles, including the Grammy Award-winning ensemble Apollo's Fire. She can be heard on recordings with Apollo's Fire and as a soloist on most digital streaming platforms.   A dedicated educator, Jennifer has taught the Alexander Technique on the faculties of the University of Cincinnati College-Conservatory of Music and Xavier University. In Ohio, she established two professional associations for Alexander Technique teachers, providing a platform for growth and collaboration within the community. In 2010, her groundbreaking research study on the integration of Alexander Technique into laparoscopic surgery for surgeons at Cincinnati Children's Hospital Medical Center resulted in a prize-winning paper presented at the American Academy of Pediatrics and publication in the Journal of Urology.   Jennifer studied violin with Nathan Milstein in Switzerland, Dr. Shinichi Suzuki in Japan, David Cerone at the Cleveland Institute of Music, and both Josef Gingold and Stanley Ritchie at Indiana University. A dual citizen of the USA and Switzerland, Jennifer lives in Cincinnati, Ohio, and enjoys traveling to far-off places such as Switzerland, Spain, and India. Some of her favorite things to do include playing Big Boggle with her grownup kids, swimming in the Mediterranean Sea, curling up by the living room fire, and taking walks in nature.   Her BOOK is available on Amazon at https://amzn.to/4kxRupu  (affiliate link) Website: https://www.ArtofFreedom.me Email: Jennifer@ArtofFreedom.me YouTube channel https://www.youtube.com/@JenniferRoigFrancoli    Make sure you SUBSCRIBE to Crushing Classical, and maybe even leave a nice review!  Thanks for joining me on Crushing Classical!  Theme music by DreamVance. You can join my email list HERE, so you never miss an episode! I help people to lean into their creative careers and start or grow their income streams. You can read more or hop onto a short discovery call from my website. I'm your host, Jennet Ingle. I love you all. Stay safe out there!  

Pediatrician Dr. Paul Bunch consults Dr. Brenda Thompson and Sarah Bantel from the Cincinnati Children's Division of Speech-Language Pathology on picky eating in children.  Episode recorded on March 12, 2025. CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Resources in this episode: - Cincinnati Children's Speech Pathology   Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physicians: Cincinnati Children's designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: This activity is approved for a maximum 1.0 continuing nursing education (CNE) contact hours. MOCpt2: Completion of this CME activity, which includes learner assessment and feedback, enables the learner to earn up to1.0 points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. Cincinnati Children's submits MOC/CC credit for board diplomates. Credits AMA PRA Category 1 Credits™ (1.00 hours), ABP MOC Part 2 (1.00 hours), CME - Non-Physician (Attendance) (1.00 hours), Nursing CE (1.00 hours)   Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships.      

In this impactful episode of the ConCensis podcast, host Yasmeen Hassan sits down with Robby Miller, Sterile Processing Manager at St. Joseph's Hospital Medical Center, to explore how artificial intelligence is revolutionizing the field of sterile processing. With nearly 30 years of experience in healthcare, Miller shares his journey from EMT to SPD leader, offering a candid look at how technology like CensisAI² is elevating efficiency, quality, and patient safety in surgical environments.Miller unpacks the evolving challenges in sterile processing—from regulatory compliance to managing increasingly complex surgical instruments—and explains how AI-driven tools are helping teams deliver cleaner, safer, and more reliable results. He also discusses the vital role of leadership in building processes, setting KPIs, and fostering a culture of continuous learning across healthcare teams.Key Takeaways:CensisAI² enables real-time tracking, performance coaching, and better compliance by transforming departmental data into actionable insights, allowing SPD leaders to fine-tune staffing, productivity, and tray quality with confidence.AI is helping reduce instrument errors and boost quality assurance by identifying trends in missing instruments, monitoring staff accuracy, and enabling predictive resource planning for high-volume surgical schedules.The future of sterile processing lies in automation and standardization, where tools like CensisAI² will support leaner tray assemblies, streamlined training for new technicians, and aggregated IFU data to ensure safer reprocessing at scale.Technology is most effective when paired with human leadership and clear communication, with Miller emphasizing the importance of educating staff on both the “how” and the “why” to drive successful tech adoption and buy-in.As sterile processing continues to evolve, Miller's insights highlight how AI can serve as an extension—not a replacement—of the skilled technicians behind the scenes. Through smart deployment and a commitment to excellence, the future of surgical safety looks brighter, more efficient, and more connected than ever.

Click here to send us a topic idea or question for Weekend Wisdom.Are you considering adopting or fostering a child who was exposed prenatally to opioids or opioid-use treatment medication, such as Buprenorphine, methadone, and Suboxone? Are you a grandparent or aunt raising a child who was exposed? Join our discussion with Dr. Jennifer McAllister, the Medical Director of the NOWS Follow-Up Clinic at Cincinnati Children's Hospital Medical Center and the Medical Director of the University of Cincinnati Newborn Nursery.In this episode, we discuss:Terminology: What is the difference between opiates and opioids?What are the most common opioids being abused?What are the common treatment medications/drugs given to those with opioid use disorder? What are the brand names for these medications?How do these medications work?Are substance-use medications safe to use during pregnancy?What are the short- and long-term impacts on infants exposed to opioids?What are the short- and long-term impacts of infants exposed to opioid-use medications in pregnancy? Do the impacts differ?Does the dosage of opioid-use medications change the impact they have on the baby?What are the short- and long-term impacts of infants exposed to fentanyl in pregnancy?Is there a safer time for a fetus to be exposed to opioids or opioid-use medications in utero?Is it true that if the child is not born experiencing signs of withdrawal or with drugs in their system, the prognosis is better? Or conversely, if the child is born dependent and has to go through withdrawals, they will suffer more impact from in-utero drug exposure?How dangerous is drug dependency and withdrawal for the infant?How are Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS) treated in babies?If a mom is taking opioid-use medications during her pregnancy, is it recommended that she breastfeed the infant to help with withdrawal? How long does withdrawal in an infant born dependent last?How do you foster attachment while the baby is experiencing withdrawal?You often hear that “early intervention is key” and that a baby's brain can be rewired during the first couple of years with the right treatments or therapy. What exactly does that therapy entail? What strategies should you be using at home with your child with a diagnosis of prenatal drug exposure?When a child has drug exposure and trauma, is it possible to tell the difference in what is causing specific problems, and is the treatment different depending on the cause?Are children who are exposed prenatally to any drug, but specifically to opioids, at a greater risk for substance abuse disorder as teens and adults if they were adopted and not raised in an environment that exposed them to drug use?What are the most common blood-borne diseases that women who have IV drug use?What is the risk to a baby whose mother has HIV or Hepatitis C?Support the showPlease leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

In this episode, we are discussing 2 articles focused on cardiovascular genetics. In the first segment, Khalida talks to authors Marianne and Erin about their research exploring the opportunities for downstream revenue of cardiac genetic counseling services in a pediatric medical center. In the second segment, Naomi chats with Jodie and Erin about the recent NSGC Practice Resource about genetic testing and counseling for hypertrophic cardiomyopathy. Segment 1: Cardiac genetic counseling services: Exploring downstream revenue in a pediatric medical center Marianne Olson, MS, CGC is a genetic counselor at Baptist Health in Kentucky. She provides prenatal genetic counseling at Maternal Fetal Medicine clinics in Louisville and Lexington. Marianne graduated from the Cincinnati Genetic Counseling Graduate Program in 2024. Prior to working as a genetic counselor, Marianne taught high school chemistry and biology for 12 years. Erin Miller is an Associate Professor in the University of Cincinnati College of Medicine. Erin is a genetic counselor IN THE DIVISION OF CARDIOLOGY at Cincinnati Children's Hospital Medical Center. She leads the cardiology genetic counseling team in providing genetic counseling services to individuals of all ages with and at risk for cardiovascular disease. Erin is focused on improving access to genetics services for families with inherited cardiovascular diseases. In this segment we discuss: - What sparked the decision to explore downstream revenue (DSR) in a cardiac genetic counseling setting - Financial challenges institutions face when hiring genetic counselors, especially around reimbursement - The role of genetic counseling in reducing costs by guiding risk stratification and avoiding unnecessary testing - Limited uptake of cardiac screening among at-risk relative and strategies that could help improve adherence - How findings from this study can support the case for sustaining genetic counseling roles within pediatric cardiology - Potential to adapt the study's methodology to other specialties like neurology or prenatal genetics, and considerations for doing so   Segment 2: Genetic testing and counseling for hypertrophic cardiomyopathy: An evidence-based practice resource of the National Society of Genetic Counselors Erin Miller (she/her) is an Associate Professor in the College of Medicine at the University of Cincinnati and a cardiac genetic counselor at Cincinnati Children's Hospital Medical Center in the Division of Cardiology. She leads the cardiology genetic counseling team in providing genetic counseling services to individuals of all ages with and at risk for cardiovascular disease. Erin is focused on improving access to genetics services for families with inherited cardiovascular diseases. Associate Professor Jodie Ingles (she/her)  is Head of the Clinical Genomics Laboratory and Program Director of Genomics and Inherited Disease Program at Garvan Institute of Medical Research. She is a cardiac genetic counsellor in the Department of Cardiology, Royal Prince Alfred Hospital Sydney. Her team is focused on using genomics to improve diagnosis and care of families with inherited cardiovascular diseases. In this segment we discuss: - The motivation behind creating an official practice resource focused on genetic testing and counseling for HCM - Deep dive into the first major recommendation: offering genetic testing to all individuals with a suspected or confirmed diagnosis of HCM, paired with appropriate genetic counseling - Exploration of the second recommendation: ensuring that genetic tests are selected, ordered, and interpreted within the context of genetic counseling, and the complexities that come with this process - Discussion of the third recommendation: providing cardiac and cascade genetic testing to at-risk relatives, without age limitations, and why this is critical for effective family-based care - A look at the barriers to integrating genetic services into cardiology practices, especially in settings without dedicated genetics expertise   Would you like to nominate a JoGC article to be featured in the show? If so, please fill out this nomination submission form here. Multiple entries are encouraged including articles where you, your colleagues, or your friends are authors. Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”.  For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others.  Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com.  DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. Our current intern is Sydney Arlen.  

Pediatrician Dr. Paul Bunch consults Dr. Barbara Hallinan and Dr. Marrisa Vawter-Lee from the Cincinnati Children's Division of Neurology on infant/toddler spells and seizures.  Episode recorded on February 19, 2025. CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Resources discussed in this episode: Community Practice Support Tool PCP Support Tools   Financial Disclosure:  The following relevant financial relationships have been disclosed: None All relevant financial relationships listed have been mitigated. Remaining persons in control of content have no relevant financial relationships.. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete. Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Physicians: Cincinnati Children's designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing: This activity is approved for a maximum 0.5 continuing nursing education (CNE) contact hours. ABP MOCpt 2: Completion of this CME activity, which includes learner assessment and feedback, enables the learner to earn up to 0.5 points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. Cincinnati Children's submits MOC/CC credit for board diplomates. Credits AMA PRA Category 1 Credits™ (0.50 hours), ABP MOC Part 2 (0.50 hours), CME - Non-Physician (Attendance) (0.50 hours), Nursing CE (0.50 hours)

  We are continuing our series of podcasts called “Pediatric Sport Medicine Profiles.” There have been some individuals who have been significantly influential in this pediatric sports medicine, whether it be training many of us, people who have completed critical research, those who have been leaders of major organizations, or were just trailblazers in the profession. Some who have accomplished several of those things. Today we profile an individual who has trained many leaders in pediatric sports medicine and has been an incredible educator.    Connect with The Host! Subscribe to This Podcast Now!        The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix!       Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today!   Links from this Episode: -- Dr. Mark Halstead: On the Web -- On Twitter -- Dr. Joe Congeni: On the Web     Calls to the Audience Inside this Episode: -- Be sure to interact with the host, send detailed feedback via our customized form and connect via ALL of our social media platforms! Do that over here now! -- Interested in being a guest inside The Pediatric Sports Medicine Podcast with Dr. Mark? Tell us now! -- Ready to share your business, organization or efforts message with Dr. Mark's focused audience? Let's have a chat! -- Do you have feedback you'd like to share with Dr. Mark from this episode? Share YOUR perspective!   Be an Advertiser/Sponsor for This Program!     Tell Us What You Think! Feedback is the cornerstone and engine of all great podcast. Be sure to chime in with your thoughts, perspective sand more.  Share your insight and experiences with Dr. Mark by clicking here!   The Host of this Program: Mark Halstead:  Dr. Mark Halstead received his medical degree from the University of Wisconsin Medical School. He stayed at the University of Wisconsin for his pediatric residency, followed by a year as the chief resident. Following residency, he completed a pediatric and adult sports medicine fellowship at Vanderbilt University. He has been an elected member to the American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the Board of Directors of the American Medical Society for Sports Medicine (AMSSM). He has served as a team physician or medical consultant to numerous high schools, Vanderbilt University, Belmont University, Washington University, St. Louis Cardinals, St. Louis Blues, St. Louis Athletica, and St. Louis Rams. He serves and has served on many local, regional and national committees as an advisor for sports medicine and concussions. Dr. Halstead is a national recognized expert in sport-related concussions and pediatric sports medicine. — Dr. Mark Halstead on Facebook — Dr. Mark Halstead on LinkedIn — Dr. Mark Halstead on Twitter — Learn Why The Pediatric Sports Medicine Podcast Exists...   The Guest Featured Inside this Program: Joseph Congeni  Dr. Joseph Congeni received his undergraduate degree in 1980 from the University of Notre Dame followed by his medical degree in 1984 from the Northeast Ohio Medical University. He was a pediatric resident and chief resident at Children's Hospital Medical Center of Akron wh...

Join Dr. Andy Cutler as he talks with Dr. Jeffrey Strawn about how clinicians can determine the appropriate scenarios for benzodiazepine deprescribing, best practices for benzodiazepine tapering, and how to balance patient preferences to ensure best outcomes.  Jeffrey R. Strawn, MD is a Professor and Associate Vice Chair of Research in the Department of Psychiatry and Behavioral Neuroscience at the University of Cincinnati (UC) College of Medicine, the Assistant Director of Clinical and Translational Research in the Center for Clinical & Translational Science and Training at UC, and an Associate Professor in the Department of Pediatrics at UC and Cincinnati Children's Hospital Medical Center.   Andrew J. Cutler, MD is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York.  Save $100 on registration for 2025 NEI Spring Congress with code NEIPOD25  Register today at nei.global/spcongress25p  Never miss an episode!

Guest: Dr. Richard Noel, MDEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=The-Medical-Domain-of-Pediatric-Feeding-DisorderIn this episode, Dr. Richard Noel joins the discussion to shed light on Pediatric Feeding Disorder (PFD) and its medical domain. Dr. Noel shares his journey to becoming a pediatric GI specialist and explores the critical components of managing PFD. Key topics include the importance of growth and nutrition, management of upper GI tract issues, and the significance of airway and lung concerns. Dr. Noel also addresses common misconceptions about reflux in infants and the use of various appetite stimulants such as ciproheptadine and mirtazapine. Viewers will gain valuable insights into constipation management, the role of scheduled toileting, and the importance of multidisciplinary care in treating PFD. The conversation underscores the need for better medical understanding and care strategies for children with PFD.Timeline:00:00 Introduction and Guest Welcome01:41 Journey to Becoming a Pediatric Gastroenterologist05:32 Understanding Pediatric Feeding Disorders06:51 Medical Domain of PFD: Key Considerations08:24 Addressing Nutritional Concerns14:17 Managing Constipation in PFD21:39 Behavioral Strategies for Feeding23:36 Family Involvement in Feeding Therapy26:04 Family Routines and Feeding Therapy26:47 Medications for Appetite Stimulation27:03 Ciproheptadine: Uses and Effects31:18 Mirtazapine: An Appetite Stimulant34:49 Megastrol: A Powerful Appetite Stimulant37:07 Managing GI Issues in Children38:03 Reflux and Vomiting in Infants43:09 Cyclical GI Disorders: Abdominal Migraines and More47:20 The Role of Multidisciplinary Teams in Pediatric Care48:56 Challenges in Pediatric Feeding Disorder Education53:46 Advocacy and Access to Multidisciplinary CareAbout the Guest: Dr. Richard Noel was born in Mexico City and grew up in San Antonio, TX. He has MD/PhD degrees from the University of Texas Southwestern Medical Center in Dallas and did a residency in Pediatrics at Wake Forest University in NC. He trained in Pediatric Gastroenterology at Cincinnati Children's Hospital Medical Center, where he developed an interest in working with children with pediatric feeding disorders. He worked for 10 years at the Children's Hospital of Wisconsin with Dr. Colin Rudolph and then transitioned to Duke University, where is currently Division Chief for Pediatric Gastroenterology, Hepatology, and Nutrition.Watch this Interview on YouTube: https://youtu.be/NVGPdIzfobs

Click here to send us a topic idea or question for Weekend Wisdom.Are you considering adopting or fostering a child with Down Syndrome? Join our conversation with Dr. Sara Williams, a developmental-behavioral pediatrician at Cincinnati Children's Hospital Medical Center. She provides developmental evaluations and follow-up care for children with a variety of neurodevelopmental disabilities, including in the Thomas Center for Down Syndrome.In this episode, we discuss:What is Down syndrome?How common is it?What are the different types of Down syndrome? Is genetic testing routinely done when Down syndrome is suspected?What are some of the common physical traits of a person with Down syndrome? What are the common developmental disabilities caused by this disorder?What are the common intellectual disabilities caused by this disorder?Is there a way to know in advance how intellectually impacted a child may be? Do the symptoms differ depending on the type of Down syndrome the child has? What are the common mental health issues that people with this disorder may exhibit?What are some ways to determine the degree of impact if you adopt a child past infancy? Interventions that can help.How do these kids fit within the school system? What is the school system required to do?What are the common medical conditions that may accompany trisomy 21?What is the life expectancy of a person with Down syndrome?Is there a medical specialty that those considering adopting or fostering a child with Down syndrome should seek out?What are some common mental health issues and behavioral issues that may be more common in people with Down syndrome?How to find mental health and behavioral treatment for children and adults with Down syndrome?How does trauma interact with Down syndrome?Is attachment difficult for kids with Down syndrome who have experienced trauma?Are people with Down syndrome able to live independently in adulthood?What makes a difference in the prognosis for children with Down syndrome? Why should people consider adopting or fostering a child with Down syndrome?Resources:National Down Syndrome Society (list of specialized centers)Global Down Syndrome Reece's Rainbow National Down Syndrome Adoption Network Project Search Understanding Down Syndrome American Academy of Pediatrics Clinical Report: Health Supervision for Children With Down SyndromeSupport the showPlease leave us a rating or review. This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them.Creating a Family brings you the following trauma-informed, expert-based content: Weekly podcasts Weekly articles/blog posts Resource pages on all aspects of family building

In this episode of our special pediatric psychopharmacology series, Dr. Jeffrey Strawn and Dr. Katherine Dahlsgaard review how psychiatric prescribers can incorporate cognitive behavioral therapy (CBT) practices into medication checks with pediatric patients who have anxiety disorders. Specifically, they discuss the importance of using exposures to reduce avoidance behaviors that are characteristic of and feed anxiety disorders. Jeffrey R. Strawn, MD is a Professor and Associate Vice Chair of Research in the Department of Psychiatry and Behavioral Neuroscience at the University of Cincinnati (UC) College of Medicine, the Assistant Director of Clinical and Translational Research in the Center for Clinical & Translational Science and Training at UC, and an Associate Professor in the Department of Pediatrics at UC and Cincinnati Children's Hospital Medical Center. Katherine Dahlsgaard, PhD, ABPP is a licensed clinical psychologist in Philadelphia, Pennsylvania with expertise in CBT for children, adolescents, and adults. Dr. Dahlsgaard specializes in evidence-based assessment and treatment of anxiety and related disorders.   Save $100 on registration for 2025 NEI Spring Congress with code NEIPOD25 Register today at nei.global/spcongress25a   Never miss an episode!

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Dr. Margaret Collins, a professor of pathology at the University of Cincinnati and a staff pathologist at Cincinnati Children's Hospital Medical Center. Dr. Collins was a member of the task force that produced the Guidelines on Childhood EGIDs Beyond EoE. In this interview, Dr. Collins discusses the guidelines and how they were created and shares some of the results, including an algorithm for diagnosing non-EoE EGIDs. She shares why she specialized in EGIDs and what her hopes are for the future development of the guidelines. Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron, and co-host, Holly Knotowicz.   [1:13] Holly introduces today's topic, guidelines for childhood eosinophilic gastrointestinal disorders (EGIDs) beyond eosinophilic esophagitis (EoE).   [1:27] Holly introduces today's guest, Dr. Margaret Collins, a professor of pathology at the University of Cincinnati and a staff pathologist at Cincinnati Children's Hospital Medical Center.   [1:38] Dr. Collins specializes in the pathology of pediatric gastrointestinal disease, especially EGIDs, and is a central pathology reviewer for the Consortium of Eosinophilic Gastrointestinal Researchers (CEGIR), as well as a member of APFED's Health Sciences Advisory Council.   [2:11] As a pathologist, Dr. Collins examines biopsies microscopically. For EGIDs, she determines the peak count of eosinophils per high-power field, or reports the numbers of eosinophils in multiple high-power fields, and analyzes the tissue for additional abnormalities.   [2:33] Dr. Collins then issues a report that becomes part of the patient's medical record and is provided to the patient's doctor.   [2:41] The biopsies Dr. Collins examines may be the first biopsies for a diagnosis, or follow-up biopsies to determine response to therapy, or as part of ongoing monitoring to determine if inflammation has returned even if the patient has no symptoms.   [3:07] Dr. Collins was inspired to specialize in EGIDs after speaking with patients with EGIDs. She used to give tours of the pathology lab at Cincinnati Children's Hospital. She met affected children and their caregivers. Their courage and gratitude moved her.   [3:43] Ryan mentions the wonderful patients and their families in the APFED community. Holly says that as a patient, it's fascinating to meet a pathologist. Pathologists are generally behind the scenes.   [4:42] Dr. Collins specializes in GI pathology, including eosinophilic-related conditions in the GI tract. EoE, eosinophilic gastritis, eosinophilic enteritis, and eosinophilic colitis.   [5:16] In January 2024, “Guidelines on Childhood EGIDs Beyond EoE” were published in the Journal of Pediatric Gastroenterology and Nutrition. Dr. Collins served on the task force that prepared the guidelines.   [5:35] Non-EoE EGIDs affect all sites of the GI tract except the esophagus. All sites of the GI tract except the esophagus normally have eosinophils in the mucosa, which complicates the diagnosis.   [6:03] Like EoE, the diagnosis of non-EoE EGIDs is made after known causes of tissue eosinophilia are excluded.   [6:28] Consensus guidelines help bring attention to best practices and encourage uniformity of practices.    [6:50] This is especially important for rare diseases and for centers that see fewer patients with rare diseases than the more specialized centers. Guidelines based on the best information available help these centers.   [8:03] The best distribution of guidelines is to publish them in the medical literature and sometimes in multiple journals to target audiences of allergists, gastroenterologists, and pathologists. Guidelines may be presented at national meetings to increase awareness.   [8:36] Several specialties are involved in the care of patients who have EGIDs. If patients or caregivers learn of published guidelines, they can also inform their providers.   [9:23] Insurance is a big issue for so many patients. Getting coverage for both diagnostic and treatment options can be complex.    [9:50] The guidelines may be helpful to insurance companies to accept that a certain drug is needed by a patient with a certain condition. However, if the sequence suggested in the guidelines is not followed, there may be difficulty getting coverage in the U.S.   [11:11] Patients can advocate for themselves with insurance companies by explaining that the order of testing is not important but getting the recommended tests done is important.    [11:55] The greatest challenge the task force faced was the lack of large clinical studies and quality research reports. We're making progress in this field but we're at the beginning. Dr. Collins is hopeful that progress will be made in the next two to three years.   [12:24] When there were knowledge gaps, the task force filled them in with their published research and their own experiences. It's always reassuring to have a well-conducted clinical study that verifies that your thinking is correct.   [13:29] How long did it take the task force to create these guidelines? Longer than they wanted it to take! The years they put into composing these guidelines were greater due to the interruption caused by the [COVID] pandemic. They all felt good when they finished.   [14:18] The guidelines were written by 26 authors from five continents. These are international guidelines.   [14:44] Dr. Collins highlights the pathology. The guidelines state that non-EoE EGIDs should be considered clinicopathologic diagnoses, as EoE is, meaning that biopsies from the affected site in the bowel must show excess eosinophils.   [15:10] The guidelines, for the first time, recommend threshold eosinophil values for a diagnosis in the parts of the GI tract other than the esophagus. For a diagnosis of EoE, a threshold value of greater than or equal to 15 eosinophils per high-power field.    [15:36] The guidelines now recommend that for a diagnosis of eosinophilic gastritis, a threshold value of greater than or equal to 30 eosinophils per high-power field is present.   [15:48] For a diagnosis of eosinophilic duodenitis, a threshold value of greater than or equal to 50 eosinophils per high-power field. For a diagnosis of eosinophilic ileitis, a threshold value of greater than or equal to 60 eosinophils per high-power field.   [16:03] For a diagnosis of eosinophilic colitis in the right colon, a threshold value of greater than or equal to 100 eosinophils per high-power field. For a diagnosis of eosinophilic colitis in the transverse and descending colon, a threshold value of greater than or equal to 80 eosinophils per high-power field. [16:12] For a diagnosis in the rectosigmoid, a threshold of greater than or equal to 60 eosinophils per high-power field.   [16:18] These numbers may change over time. One or more thresholds will likely change as we gain more experience with these diseases. The pattern won't change.   [16:29] Several studies have shown that the normal pattern of eosinophil presence in the mucosa in the GI tract is that the number increases from the stomach to the right colon and then decreases throughout the colon to the rectosigmoid.   [17:40] When giving tours of the hospital, Dr. Collins found that people understood better when they knew the numbers and could see the slides of their biopsies.   [18:48] Dr. Collins found literature reviews that suggested that the GI mucosa was often normal in non-EoE EGIDs. She believes that in the next few years, as we publish more and gain more experience, we will realize that is not the case.   [19:14] There is already a method for scoring the mucosa in the stomach in eosinophilic gastritis (EoG) and there are abnormalities found in a majority of patients. We have to work on the rest of the GI tract.   [19:35] Dr. Collins was surprised that there's not very good information about the use of proton pump inhibitors (PPIs) in eosinophilic gastritis and eosinophilic duodenitis. There haven't been studies about that. We need to work on that, too.   [20:47] Dr. Collins isn't sure we can recognize misconceptions about non-EoE EGIDs at this point. It might be premature to label any belief as a misconception. We thought that eosinophils were responsible for all symptoms in EoE, but we know now that is not true.   [21:10] Dr. Collins thinks we need to wait a bit before we decide that we know for sure all about non-EoE EGIDs. Ryan is excited to learn what the research will show us next.   [21:44] Holly loved learning about the algorithm in the guidelines.   [22:01] Dr. Collins says this is the first effort to create uniformity in the way in which non-EoE EGIDs are diagnosed. This algorithm can change over time. It provides signposts for the diagnosis, based on the information we have currently.   [22:20] The diagnosis of non-EoE EGIDs should rest on symptoms and the detection of dense eosinophilic inflammation in the mucosa by biopsy and the absence of evidence of other diseases, such as parasitic and other diseases, that might cause dense eosinophilic inflammation in the GI tract.   [22:46] The algorithm suggests that the particular anatomic site or sites in the GI tract responsible for the symptoms should be determined, for example, eosinophilic gastritis or eosinophilic colitis.   [23:03] The algorithm also suggests that the involved part of the wall in the involved anatomic site should be identified.   [23:13] For example, if the symptoms are suggestive of mucosal disease, without deeper mural or wall involvement, the clinical investigation can proceed directly to endoscopy.   [23:26] However, if symptoms suggest partial or complete bowel obstruction, which is typical of deep muscular involvement, then imaging studies should be considered before proceeding to endoscopy, to confirm or refute that there is a bowel obstruction.   [23:47] If the obstruction is identified, a full-thickness biopsy of the bowel wall may be indicated, possibly requiring a non-endoscopic surgical procedure. If obstruction is not identified, then the investigation can proceed to endoscopy.   [24:05] If there is abdominal distension, suggestive of fluid accumulation, consideration should be given to sampling the fluid, using a needle to pull some fluid out to determine if there are numerous eosinophils in the fluid that would indicate eosinophilic ascites, with the eosinophilic inflammation involving the outer lining of the bowel wall.   [24:41] The signposts are a little involved. They are a reasonable way to approach working up a diagnosis of non-EoE EGIDs.   [25:34] How is EoE ruled out before using this algorithm? It's sometimes difficult to distinguish symptoms that are relevant only to the esophagus and symptoms that are relevant only to the stomach.   [26:26] Someone with upper tract symptoms only will have an upper tract endoscopy, especially if that person has mucosal symptoms that seem to be relevant to the mucosa only. The best thing is to take biopsies of the esophagus, stomach, and duodenum to be sure where the eosinophil infiltrate is.   [27:06] If the person has lower tract involvement only, such as diarrhea and lower abdominal pain, and no upper tract symptoms, a transnasal endoscopy could be used to determine if there is EoE in addition to the non-EoE EGIDs. Each case is different.   [29:12] As a pathologist, Dr. Collins has seen the guidelines for treating eosinophilic conditions evolve. They've become more specific as our knowledge of the data concerning the disease has increased. PPIs are now considered a treatment for EoE.   [30:12] Dr. Collins says we need clinical trials testing therapies in children and adults with non-EoE EGIDs. We need to determine which patients have single-site disease and will only have single-site disease, and which patients may develop multi-site EGIDs.   [30:42] Those aspects will be addressed in the next version of CEGIR, if it's funded.   [30:49] Ryan tells Dr. Collins it's been fantastic having her on the show. This has been a good overview of non-EoE EGIDs and the new methods clinicians are looking into to help people get a better diagnosis and treatment.   [31:11] Dr. Collins says we don't have validated instruments yet to measure symptoms, evaluate the mucosa, and evaluate the biopsies under the microscopes. We need to create those validated tools to help us determine the significance of our findings.   [31:31] Some data strongly suggest that eosinophilic colitis is different from the rest of the EGIDs; certainly from the upper tract EGIDs. We need to move more deeply into what eosinophilic colitis actually is.   [32:05] For our listeners, feel free to check out the article we've been mentioning in the show notes. We'll include a link to it.   [32:11] For those of you who would like to learn more about eosinophilic disorders, please visit APFED.org and check out the links in the show notes.   [32:18] If you're looking to find a specialist who treats eosinophilic disorders, we encourage you to use APFED's Specialist Finder at APFED.org/specialist.   [32:27] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at APFED.org/connections.   [32:36] Ryan thanks Dr. Collins for joining us today for this great conversation. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron for supporting this episode.   Mentioned in This Episode: Margaret H. Collins, M.D., A.G.A.F., Director, Gastrointestinal Pathology Division of Pathology ML 1035 Cincinnati Children's Hospital Medical Center “Guidelines on Childhood EGIDs Beyond EoE,” Journal of Pediatric Gastroenterology and Nutrition.   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, and Regeneron.   Tweetables:   “The best distribution of guidelines is accomplished by publishing them in the medical literature; sometimes in multiple journals to target audiences of allergists, gastroenterologists, and pathologists.” — Dr. Margaret H. Collins    “Guidelines may be helpful to insurance companies to accept that a certain drug is needed by a patient with a certain condition.” — Dr. Margaret H. Collins    “It's always reassuring to have a well-conducted clinical study that verifies that your thinking is correct.” — Dr. Margaret H. Collins    “This is the first effort to create uniformity in the way in which non-EoE EGIDs are diagnosed. This algorithm can change over time. It provides signposts for the diagnosis, based on the information we have currently.” — Dr. Margaret H. Collins   “We don't have validated instruments yet to measure symptoms [for non-EoE EGIDs], evaluate the mucosa, and evaluate the biopsies under the microscopes. We need to create those validated tools to help us determine the significance of our findings.” — Dr. Margaret H. Collins  

In this episode, Alina Moran, MPA, FACHE, FABC, President at Dignity Health, California Hospital Medical Center shares her journey in healthcare leadership, insights into fostering health equity, and the transformative initiatives at her organization. From launching a new patient care tower to advancing employee engagement and embracing value-based care, Alina discusses the strategies shaping the future of healthcare in downtown Los Angeles and beyond.

On this episode of the RAISE Podcast, Brent hosts Richard P. Virgin, Vice President for University Advancement at the University of San Diego.Richard dives into the intricacies of leading advancement at a Catholic institution, sharing insights on how mission and identity shape fundraising strategies and donor engagement. Drawing on his tenure at Cincinnati Children's Hospital Medical Center and other leadership roles, Richard reflects on building high-performing teams and the unique challenges of advancement work in today's world.He also offers his perspective on the evolving expectations of donors, the importance of fostering a culture of collaboration within advancement, and the joys of working in San Diego—a city he proudly calls home.Tune in to hear Richard's thoughts on what it takes to be an authentic and forward-thinking leader in the advancement space!

In this episode of our special pediatric psychopharmacology series, Dr. Jeffrey Strawn and Dr. Robyn Thom discuss the situations in which psychotropic medications are appropriate for children with autism spectrum disorder. They also explore strategies for managing side effects of these medications, including cases involving polypharmacy in this population.   Jeffrey R. Strawn, MD is a Professor and Associate Vice Chair of Research in the Department of Psychiatry and Behavioral Neuroscience at the University of Cincinnati (UC) College of Medicine, the Assistant Director of Clinical and Translational Research in the Center for Clinical & Translational Science and Training at UC, and an Associate Professor in the Department of Pediatrics at UC and Cincinnati Children's Hospital Medical Center.  Robyn Thom, MD is an Assistant Professor at Harvard Medical School and a staff psychiatrist at the Massachusetts General Hospital Lurie Center for Autism. Dr. Thom specializes in treating children and adults with autism spectrum disorder and other neurodevelopmental disorders, anxiety disorders, and mood disorders.  Save $100 on registration for 2025 NEI Spring Congress with code NEIPOD25 Register today at https://nei.global/spcongress25p Never miss an episode!

Join us for the 5th Annual JOWMA Conference: Transforming Healthcare Through Innovation & Research on January 5, 2025, from 8am to 5pm in NYC! Spend the day immersed in expert-led scientific sessions, hands-on surgical simulations, specialty roundtables, and a networking lunch tailored for healthcare professionals and students. PLUS, we're offering a full premed program with panels, roundtables, and networking dedicated to aspiring medical students.

On this episode of the RAISE Podcast, Brent hosts Richard P. Virgin, Vice President for University Advancement at the University of San Diego.Richard dives into the intricacies of leading advancement at a Catholic institution, sharing insights on how mission and identity shape fundraising strategies and donor engagement. Drawing on his tenure at Cincinnati Children's Hospital Medical Center and other leadership roles, Richard reflects on building high-performing teams and the unique challenges of advancement work in today's world.He also offers his perspective on the evolving expectations of donors, the importance of fostering a culture of collaboration within advancement, and the joys of working in San Diego—a city he proudly calls home.Tune in to hear Richard's thoughts on what it takes to be an authentic and forward-thinking leader in the advancement space!

Join us for the 5th Annual JOWMA Conference: Transforming Healthcare Through Innovation & Research on January 5, 2025, from 8am to 5pm in NYC! Spend the day immersed in expert-led scientific sessions, hands-on surgical simulations, specialty roundtables, and a networking lunch tailored for healthcare professionals and students. PLUS, we're offering a full premed program with panels, roundtables, and networking dedicated to aspiring medical students.

In this episode of our special pediatric psychopharmacology series, Dr. Jeffrey Strawn and Dr. Adelaide Robb explore the nuanced use of lithium in treating bipolar disorder among children and adolescents. Their discussion delves into critical aspects of lithium treatment, including carefully calibrated dosing regimens, comprehensive side effect management, and the essential role of parental involvement in treatment decisions.  Jeffrey R. Strawn, MD is a Professor and Associate Vice Chair of Research in the Department of Psychiatry and Behavioral Neuroscience at the University of Cincinnati (UC) College of Medicine, the Assistant Director of Clinical and Translational Research in the Center for Clinical & Translational Science and Training at UC, and an Associate Professor in the Department of Pediatrics at UC and Cincinnati Children's Hospital Medical Center.  Adelaide S. Robb, MD is a psychopharmacologist who specializes in mood disorders, anxiety, and attention deficit disorder. She is Chief of the Division of Psychiatry and Behavioral Sciences at Children's National Hospital in Washington, DC.  Never miss an episode!

Chas Withers, chairman and CEO of Dix & Eaton, the storied Cleveland integrated communications firm, known for its specialization in marketing communications, Crisis management, and investor relations, which has partnered with its clients to drive impact and results in their public relations since 1952.While Chas has led the firm as CEO since 2015, he's overseen many aspects of the business prior serving as COO and leader of the marketing communications, technology, emerging growth and interactive services practices for about seven years.Chas first worked at Dix & Eaton though as a senior account executive between 1995 and 1997 before joining Answerthink, a Miami-based international consulting firm, as managing director where he played a pivotal role in the Company's IPO and oversaw over 1,500 employees.Chas has also served as a director of media relations at Case Western Reserve University and held similar roles with Malone Public Relations and Children's Hospital Medical Center of Akron.This conversation is a masterclass on communications and the story of Dix and Eaton — Chas offers his perspective on running towards the fire and addressing thorny situations head-on, stewardship in high-stakes situations that span the multiples constituents of shareholders, employees, customers, legislators, communities, and the media, employee ownership, technology's implications for communications and marketing, the significance of Cleveland in Dix & Eaton's story, and a whole lot more.-----LINKS:Connect with Chas Withers on Linkedin: https://www.linkedin.com/in/chaswithers/Dix & Eaton Website: https://www.dix-eaton.com/-----SPONSORS: John Carroll University Boler College of Business || Impact Architects & NinetyJohn Carroll University Boler College of Business: https://business.jcu.edu/ As we've heard time and time again from entrepreneurs on Lay of The Land — many of whom are proud alumni of John Carroll University —  success in this ever-changing world of business requires a dynamic and innovative mindset, deep understanding of emerging technology and systems, strong ethics, leadership prowess, acute business acumen… all qualities nurtured through the Boler College of Business!With 4 different MBA programs of study — spanning Professional, Online, Hybrid, and 1-Year-Flexible — The Boler College of Business provides flexible timelines and various class structures for each MBA Track — including online, in-person, hybrid and asynchronous — to offer the most effective options for you, in addition to the ability to participate in an elective International Study Tour, providing unparalleled opportunities to expand your global business knowledge by networking with local companies overseas and experiencing a new culture.The career impact of a Boler MBA is formative and will help prepare you for this future of business and get more out of your career. To learn more about John Carroll University's Boler MBA programs, please go to business.jcu.eduThe Boler College of Business is fully accredited by AACSB International, the highest accreditation a College of Business can have.Impact Architects & NinetyLay of The Land is brought to you by Ninety. As a Lay of The Land listener, you can leverage a free trial with Ninety, the platform that helps teams build great companies and the only officially licensed software for EOS® — used by over 7,000 companies and 100,000 users!This episode is brought to you by Impact Architects. As we share the stories of entrepreneurs building incredible organizations throughout NEO, Impact Architects helps those leaders — many of whom we've heard from as guests on Lay of The Land — realize their visions and build great organizations. I believe in Impact Architects and the people behind it so much, that I have actually joined them personally in their mission to help leaders gain focus, align together, and thrive by doing what they love! As a listener, you can sit down for a free consultation with Impact Architects by visiting ia.layoftheland.fm!-----Stay up to date by signing up for Lay of The Land's weekly newsletter — sign up here.Past guests include Justin Bibb (Mayor of Cleveland), Pat Conway (Great Lakes Brewing), Steve Potash (OverDrive), Umberto P. Fedeli (The Fedeli Group), Lila Mills (Signal Cleveland), Stewart Kohl (The Riverside Company), Mitch Kroll (Findaway — Acquired by Spotify), and many more.Connect with Jeffrey Stern on LinkedIn — https://www.linkedin.com/in/jeffreypstern/Follow Jeffrey Stern on X @sternJefe — https://twitter.com/sternjefeFollow Lay of The Land on X @podlayofthelandhttps://www.jeffreys.page/

In the first episode of a special pediatric psychopharmacology series hosted by Dr. Jeffrey Strawn, Dr. John Walkup joins the podcast to discuss deprescribing in pediatric patients. The conversation delves into the situations that warrant deprescribing from antidepressants, selecting the right time to do so, and dealing with relapse, as well as much more!  Jeffrey R. Strawn, MD is a Professor and Associate Vice Chair of Research in the Department of Psychiatry and Behavioral Neuroscience at the University of Cincinnati (UC) College of Medicine, the Assistant Director of Clinical and Translational Research in the Center for Clinical & Translational Science and Training at UC, and an Associate Professor in the Department of Pediatrics at UC and Cincinnati Children's Hospital Medical Center.  John T. Walkup, MD is Head of the Pritzker Department of Psychiatry and Behavioral Health at Ann & Robert H. Lurie Children's Hospital of Chicago and a Margaret C. Osterman Professor of Psychiatry and Behavioral Science. He also serves as Director of the Division of Child and Adolescent Psychiatry in the Department of Psychiatry and Behavioral Sciences at Northwestern University Feinberg School of Medicine.  Never miss an episode!

Dr. Theresa Alenghat is a Professor in the Immunobiology Division and the Margaret K. Hostetter Chair at Cincinnati Children's Hospital Medical Center, University of Cincinnati. Her lab investigates mechanisms underlying the host-microbiota relationship, and how this regulation affects intestinal immunity and inflammatory bowel disease.  She discusses how butyrate affects tuft cells in the intestine.

Pediatrician Dr. Jill Schaffeld consults Dr. Marielle Samaha-Kabbouche on Migraine Prevention and Treatment Planning.  Episode recorded on August 8, 2024. CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Resources discussed in this episode: Community Practice Support Tool Headache Action Plan PCP Support Tools   Financial Disclosure:  The following planning committee member/faculty has indicated commercial support relationship(s): Marielle Kabbouche Samaha, MD: Consulting Fee - Impel (Relationship has ended); MERZ Pharmaceutical; Theranica. All planning committee members'/faculty identified conflicts of interest pertaining to this activity were resolved prior to the activity. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete. Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Cincinnati Children's designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for a maximum 0.75 continuing nursing education (CNE) contact hours. Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 0.75 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit. Credits AMA PRA Category 1 Credits™ (0.75 hours), ABP MOC Part 2 (0.75 hours), CME - Non-Physician (Attendance) (0.75 hours), Nursing CE (0.75 hours)

Pediatrician Dr. Jill Schaffeld consults Drs. Landon Krantz and Rachel Herbst on Depression.  Episode recorded on August 8, 2024. CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Resources discussed in this episode: Mood Action Plan Depression Assessment Practice Tool Depression Management Practice Tool ASK toolkit Study: Melatonin use and the risk of self-harm and unintentional injuries in youths with and without psychiatric disorders Study: Sleep disturbance predicts depression symptoms in early adolescence Financial Disclosure:  The following planning committee member/faculty has indicated commercial support relationship(s): None All planning committee members'/faculty identified conflicts of interest pertaining to this activity were resolved prior to the activity. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete. Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Cincinnati Children's designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for a maximum 0.75 continuing nursing education (CNE) contact hours. Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 0.75 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit. Credits AMA PRA Category 1 Credits™ (0.75 hours), ABP MOC Part 2 (0.75 hours), CME - Non-Physician (Attendance) (0.75 hours), Nursing CE (0.75 hours)    

Pediatrician Dr. Paul Bunch consults Dr. Nicole Sheanon on Type 1 Diabetes and Teplizumab Therapy.  Episode recorded on July 16, 2024. CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Resources discussed in this episode: Community Practice Support Tool PCP Support Tools App Trialnet.org Cincinnatichildrens.org American Diabetes Association Breakthrough T1D diaTribe.org Pediatric Consult on Prediabetes and Type 2 Diabetes   Financial Disclosure:  The following planning committee member/faculty has indicated commercial support relationship(s): Nicole Sheanon, MD: Grant/Research Support - Mannkind, Inhaled Insulin; Lilly All planning committee members'/faculty identified conflicts of interest pertaining to this activity were resolved prior to the activity. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete.   Accreditation In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Cincinnati Children's designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for a maximum 0.5 continuing nursing education (CNE) contact hours. Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 0.5 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit.   Credits AMA PRA Category 1 Credits™ (0.50 hours), ABP MOC Part 2 (0.50 hours), CME - Non-Physician (Attendance) (0.50 hours), Nursing CE (0.50 hours)

Pediatrician Dr. Paul Bunch consults Dr. Adam Powell and Katie Bloomfield, RN on pediatric chest pain - specifically cardiac vs. non-cardiac causes and sudden cardiac arrest.  Episode recorded on July 16. CME & MOC Part 2 We are proud to offer CME and MOC Part 2 from Cincinnati Children's.  Credit is free and registration is required.  Please click here to claim CME credit via the post-test under "Launch Activity." Resources discussed in this episode: Community Practice Support Tool PCP Support Tools App Project ADAM American Heart Association TAKE10 Cincinnati   Financial Disclosure:  The following planning committee member/faculty has indicated commercial support relationship(s): None All planning committee members'/faculty identified conflicts of interest pertaining to this activity were resolved prior to the activity. To Claim Credit: Click "Launch Activity." Click "Launch Website" to access and listen to the podcast. After listening to the entire podcast, click "Post Test" and complete. Accreditation: In support of improving patient care, Cincinnati Children's Hospital Medical Center is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Specific accreditation information will be provided for each activity. Cincinnati Children's designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is approved for a maximum 0.5 continuing nursing education (CNE) contact hours. Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 0.5 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABP MOC credit. Credits AMA PRA Category 1 Credits™ (0.50 hours), ABP MOC Part 2 (0.50 hours), CME - Non-Physician (Attendance) (0.50 hours), Nursing CE (0.50 hours)  

Episode Resources:Visit the Chapter page on the WOCN website for more information on the restructure, including FAQs and additional resources.Connect with your local WOCN peers through the online Chapter Communities.View this infographic about the WOCN Society's history. About the Speakers:Derik Alexander, MSN, RN, FNP-BC, CWOCN, CFCN, has been a dedicated member of the WOCN Society for 23 years. He is the Wound, Ostomy, and Continence Nurse Practitioner at Dignity Health Medical Group and St. Joseph's Hospital & Medical Center in Phoenix, Arizona. He holds a Master of Science in Nursing, Family Nurse Practitioner from the University of Phoenix (2009) and completed his Wound, Ostomy, and Continence Nurse Education at Emory University.Mandy Spitzer, MBA, RN, CWOCN, CFCN, is a Certified Wound, Ostomy, and Continence Nurse, as well as a Certified Foot Care Nurse. An active WOCN Society member, Mandy has served on the South Central Chapter's Board of Directors in various roles, including President (January 2023 – present), President-elect (2021 – 2022), and Communications Officer (2017 – 2020). She is currently the Medical Education Manager for Negative Pressure Wound Therapy at Smith and Nephew.Nicole Kindel, BSN, RN, CWOCN, is an Acute Care Wound, Ostomy, and Continence Nurse with 18 years of certification as a WOC nurse. Over the past 15 years, she has held every position on the North West Chapter Board of Directors.

Nessa live conversei com a Dra. Mary Newport (@marynewportmd). Mary Newport, MD, formou-se na Xavier University e na University of Cincinnati College of Medicine. Ela se formou em pediatria no Children's Hospital Medical Center em Cincinnati, Ohio, e em neonatologia no Medical University Hospital em Charleston, Carolina do Sul. Ela praticou neonatologia, o cuidado de recém-nascidos doentes e prematuros, por trinta anos e foi diretora médica fundadora de duas unidades de terapia intensiva neonatal na área de Tampa Bay, na Flórida. Mais recentemente, ela atuou no extremo oposto do espectro, prestando cuidados paliativos domiciliares e avaliações de riscos à saúde.  Em 2008, uma intervenção nutricional cetogênica com coco e óleo de triglicerídeos de cadeia média ajudou dramaticamente seu marido Steve Newport, que tinha início precoce da doença de Alzheimer, resultando em quase quatro anos de melhor qualidade. Seu marido perdeu a batalha em 2016. A Dra. Newport continua seu legado como autora de quatro livros e palestrante internacional sobre cetonas como combustível alternativo para o cérebro. Seu quarto livro, Clearly Keto for Healthy Brain Aging and Alzheimer's Prevention, concentra-se em uma dieta cetogênica de estilo mediterrâneo com alimentos integrais e outras modificações no estilo de vida para ajudar a manter a saúde do cérebro e prevenir a doença de Alzheimer e outras demências. Ela tem um website: http://www.coconutketones.com Ajude a rebelião saudável! Seja um apoiador do nosso movimento e garanta que as informações transmitidas continuarão gratuitas para todos! Além de ajudar, você terá acesso a um post mensal exclusivo para apoiadores! Acesse https://apoia.se/rebeliaosaudavel e contribua com a quantia que puder! Ajude a manter esse conteúdo vivo! #facapartedarebeliao Você também pode nos acompanhar no instagram, http://www.instagram.com/henriqueautran.   E em nosso canal do YouTube: https://youtube.com/c/henriqueautran.  Estamos também no telegram com um grupo exclusivo que você pode participar. Lá no telegram eu consigo compartilhar materiais exclusivos que não dá para compartilhar no Instagram. Além disso, toda segunda feira às 7:00 da manhã temos a Reunião da Rebelião Saudável com a participação de Profissionais de Saúde. Na reunião discutimos assuntos relevantes a respeito de saúde e qualidade de vida. Você pode acessar o grupo no telegram em https://t.me/RebeliaoSaudavel. Se você gosta de nosso trabalho, deixe um review 5 estrelas e faça um comentário no seu app de podcast. Essa atitude é muito importante para a Rebelião saudável e vai ajudar nosso movimento a chegar a cada vez mais pessoas.

This episode's Community Champion Sponsor is Ossur. To learn more about their ‘Responsible for Tomorrow' Sustainability Campaign, and how you can get involved: CLICK HERE---Episode Overview: Championing compassion and restoring the human connection in healthcare- that's the driving force behind our next guest, Dr. Kathy Reeves, President and CEO of The Arnold P. Gold Foundation. With over two decades of experience in medical education, urban health, and health equity initiatives, Dr. Reeves brings a unique perspective on fostering humanism in healthcare.As the leader of the esteemed Gold Foundation, she is determined to ensure that healthcare professionals provide care that is as compassionate as it is technologically sophisticated.While together, Dr. Reeves shares her vision for creating human-centered spaces, empowering clinicians to prioritize the patient experience, and reshaping the culture of healthcare to prioritize kindness, safety, and trust. Join us for this important and inspiring conversation as Dr. Reeves shares how we can continue to work together to create systems and cultures that support humanistic care for all. Let's go! Episode Highlights:The importance of keeping healthcare human and fostering the human connection, even as technology rapidly advances in the healthcare field.Dr. Reeves' personal experiences as a pediatrician in underserved communities like North Philadelphia, which taught her the value of understanding patients' life contexts to provide truly compassionate care.The Gold Foundation's mission to champion humanism in healthcare through initiatives like the white coat ceremony, Gold Humanism Honor Society, and the new "human-centered spaces" program.Dr. Reeves' vision for changing healthcare metrics to focus on how clinicians connect with patients, rather than just patient volume.The need to integrate the voice of local communities into medical education to bridge the gap between academic medical centers and the populations they serve.About our Guest: Dr. Kathleen Reeves is the President and CEO of The Arnold P. Gold Foundation, the leading national nonprofit organization that champions humanism in healthcare. She is also an adjunct faculty member in the Department of Urban Health and Population Science, the Center for Urban Bioethics, and the Department of Pediatrics at the Lewis Katz School of Medicine at Temple University. Her specialties include the human connection in healthcare, ethics, trauma-informed care, substance misuse, urban health, healthcare professions education, and health equity.She spent 20 years at the Katz School of Medicine before taking the helm of the Gold Foundation. Her leadership positions there included Founding Director, Center for Urban Bioethics; Chair, Department of Urban Health and Population Science; Senior Associate Dean of Student Affairs; and inaugural Senior Associate Dean for the Office of Health Equity, Diversity, and Inclusion. She is a Gold Humanism Honor Society member and was previously recognized as an Honorable Mention for the Gold Foundation's Pearl Hurwitz Humanism in Healthcare Award.Dr. Reeves earned her Bachelor of Science degree from Juniata College, graduated from the Sidney Kimmel College of Medicine at Thomas Jefferson University, and completed her Pediatric Residency at the Cincinnati Children's Hospital Medical Center. She is board certified in both general pediatrics and pediatric hospital medicine and continues to practice as a pediatric hospitalist. She has served in the leadership team as part of the Northeast Group on Student Affairs within the American Association of Medical Colleges.Dr....

James E. Squires MD, MS, is a pediatric hepatologist and is certified in pediatric gastroenterology and advanced/transplant hepatology by the American Board of Pediatrics. He is an Associate Professor in Pediatrics and is the Associate Director of Hepatology and the Program Director for the Advanced/Transplant Hepatology Fellowship at the University of Pittsburgh School of Medicine. He received his medical degree from University of Texas in Galveston and completed his residency followed by his fellowships in Pediatric Gastroenterology and Advanced/Transplant Hepatology at Cincinnati Children's Hospital Medical Center.Dr. Maria Pliakas is a critical care fellow at the University of Michigan, she is interested in the way we can best sedate patients with acute liver failure as we bridge them to transplant. We are SO grateful that she reached out to us, and that she was able to recruit Dr. Squires for this episode. References:Hobby recommendation: https://www.platformtennis.org/Squires JE, Alonso EM, Ibrahim SH, Kasper V, Kehar M, Martinez M, Squires RH. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure. J Pediatr Gastroenterol Nutr. 2022 Jan 1;74(1):138-158. doi: 10.1097/MPG.0000000000003268. PMID: 34347674.Squires JE, Rudnick DA, Hardison RM, Horslen S, Ng VL, Alonso EM, Belle SH, Squires RH. Liver Transplant Listing in Pediatric Acute Liver Failure: Practices and Participant Characteristics. Hepatology. 2018 Dec;68(6):2338-2347. doi: 10.1002/hep.30116. Epub 2018 Nov 1. PMID: 30070372; PMCID: PMC6275095.https://www.pedsalf.com/ Support the Show.How to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Optum Rx serves more than 62 million people, processes 1.6 billion prescriptions and generates more than $110 billion of revenue annually. Dr. Patrick Conway, CEO of Optum Rx, is the third and final guest in a series of Healthcare is Hard episodes exploring the transformation of the pharmacy business – following conversations with Mark Cuban and Dr. Troyen Brennan.Dr. Conway brings an expansive view of the healthcare system to this discussion and his role leading one of the most influential organizations in the pharmacy space. He became CEO of Optum Rx in August 2023 and before that, served as CEO of Care Solutions at Optum for more than three years. He was president and CEO of Blue Cross and Blue Shield of North Carolina for two years and spent more than six years at the Centers for Medicare and Medicaid Services where he held several positions including Chief Medical Officer, Director of CMMI, and Deputy Administrator for Innovation and Quality. Before joining CMS, he oversaw clinical operations and quality improvement at Cincinnati Children's Hospital Medical Center, and he is still a practicing pediatrician in Boston where he occasionally works at an area medical center on weekends.Some of the topics Dr. Conway discussed with Keith Figlioli in this episode of Healthcare is Hard include:VBC – A way or THE way. As someone who has spent a significant portion of his career focused on improving cost and quality in the U.S. healthcare system, Keith starts the interview asking Dr. Conway for his perspective on value-based care. Dr. Conway says we can either figure out VBC, or raise taxes and reduce benefits, noting that the American public would not be happy about the latter. He firmly believes that VBC is THE way through. He discussed the positive impacts he's witnessed from VBC, and how he believes it's been a major contributor to slowing the growth of healthcare costs over a significant period of time. However, he's concerned about how the transition to VBC has slowed.Affordable innovation. When discussing the extremely high cost of new specialty drugs, Dr. Conway points out that innovation is useless if it's unaffordable and inaccessible to people. He shared personal stories contrasting very difficult conversations he's had with parents in the past about the failing health of their children, and a more recent experience where Optum Rx delivered a new gene therapy to a child with a rare disease who will now live a full life. With therapies like that one costing $3 million, Dr. Conway discussed his views on some of the public and private financing options that could help improve access to life-changing therapies while still rewarding the innovators.Choice and transparency. Dr. Conway explains some of the solutions Optum Rx has brought to market to serve its customers, and areas where the company is exploring new solutions to keep customer satisfaction high. While customers are happy with Optum Rx, he makes it clear that continuously developing new solutions to stay ahead of a fast-evolving market is essential. During this discussion, customer choice – for both patients and the employers who fund their benefits – is a recurring theme and a major focus.To hear Dr. Conway and Keith discuss these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

James E. Squires MD, MS, is a pediatric hepatologist and is certified in pediatric gastroenterology and advanced/transplant hepatology by the American Board of Pediatrics. He is an Associate Professor in Pediatrics and is the Associate Director of Hepatology and the Program Director for the Advanced/Transplant Hepatology Fellowship at the University of Pittsburgh School of Medicine. He received his medical degree from University of Texas in Galveston and completed his residency followed by his fellowships in Pediatric Gastroenterology and Advanced/Transplant Hepatology at Cincinnati Children's Hospital Medical Center.Dr. Maria Pliakas is a critical care fellow at the University of Michigan, she is interested in the way we can best sedate patients with acute liver failure as we bridge them to transplant. We are SO grateful that she reached out to us, and that she was able to recruit Dr. Squires for this episode. References:Hobby recommendation: https://www.platformtennis.org/Squires JE, Alonso EM, Ibrahim SH, Kasper V, Kehar M, Martinez M, Squires RH. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position Paper on the Diagnosis and Management of Pediatric Acute Liver Failure. J Pediatr Gastroenterol Nutr. 2022 Jan 1;74(1):138-158. doi: 10.1097/MPG.0000000000003268. PMID: 34347674.Squires JE, Rudnick DA, Hardison RM, Horslen S, Ng VL, Alonso EM, Belle SH, Squires RH. Liver Transplant Listing in Pediatric Acute Liver Failure: Practices and Participant Characteristics. Hepatology. 2018 Dec;68(6):2338-2347. doi: 10.1002/hep.30116. Epub 2018 Nov 1. PMID: 30070372; PMCID: PMC6275095.https://www.pedsalf.com/ Support the Show.How to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

  Dr. Ann Anderson Berry is a Professor and Vice-Chair of Research of the Department of Pediatrics and the Executive Director of the Child Health Research Institute at UNMC and Vice-President of Research at Children's Hospital & Medical Center. Additionally, she serves as Division chief of Neonatology and is the founding Medical Director of the Nebraska Perinatal Quality Improvement Collaborative (NPQIC). Her research activities include funded federal and state research grants evaluating Perinatal nutrition and the impact on maternal and fetal outcomes, and grants to better understand Neonatal Opioid Withdrawal Syndrome (NOWS), the impact of intrauterine opioid exposure on brain development, and the compounded impact of poor nutrition and social stressors on infants with intrauterine opioid exposure. She is a constant advocate for Nebraska families and understands the importance of recognizing rural and urban needs when allocating perinatal resources. As a mentor to multiple students at the undergraduate, medical student and resident level as well as the PhD students she trains she works to prepare trainees to do impactful and outstanding work in their chosen fields. Dr. Anderson Berry serves on national committees for the American Society of Nutrition, the Pediatric Academic Society and the Association of Neonatologists. She completed her training at the University of Wyoming for undergraduate studies, Creighton University for her medical degree, her Pediatric Residency and PhD at the University of Nebraska Medical Center, and her Fellowship in Neonatology at the University of Utah. She loves spend time with her two daughters and husband in the mountains of Wyoming.

Mary Newport, M.D. graduated from Xavier University and University of Cincinnati College of Medicine.  She trained in pediatrics at Children's Hospital Medical Center in Cincinnati, Ohio.  She practiced neonatology, the care of sick and premature newborns, for thirty years and was founding medical director for two newborn intensive care units in the Tampa Bay area of Florida.  More recently, she practiced at the opposite end of the spectrum, providing home hospice care and health risk assessments.  In 2008, a ketogenic nutritional intervention with coconut and medium-chain triglyceride oil dramatically helped her husband Steve Newport, who had early-onset Alzheimer's disease, resulting in nearly four better quality years. Her husband lost his battle in 2016 and Dr. Newport carries on his legacy as an author of four books and international speaker on ketones as an alternative fuel for the brain.  Her fourth book Clearly Keto for Healthy Brain Aging and Alzheimer's Prevention focuses on a whole food ketogenic Mediterranean-style diet and other lifestyle modifications to help maintain brain health and prevent Alzheimer's and other dementias. https://coconutketones.com

This episode features Samuel Scriven, Director of Mission Integration at California Hospital Medical Center. Here, he discusses journey into healthcare, his pride in working for a faith-based system, his experience as a Chaplain, and more.

Join Amy Baxter, a clinical associate professor of emergency medicine and CEO of Pain Care Labs, to unravel the complexities of this critical topic. We'll explore the interconnectedness of pain and reward areas in the brain, genetic factors influencing addiction susceptibility, and the distinct feeling of euphoria in the context of opioids. Discover how the brain responds to prolonged opioid exposure and how liver metabolism genes play a role. Join us to gain valuable insights into the science behind addiction and treatment approaches for opioid use disorder. Amy Baxter is a clinical associate professor of emergency medicine at Augusta University, federally funded for neuromodulation research to reduce needle pain, multimodal low back pain, and opioid reduction. After attending Yale University and Emory Medical School, she completed her residency and a child maltreatment fellowship at Cincinnati Children's Hospital Medical Center, an emergency pediatrics fellowship in Norfolk, Virginia, and a K30-NIH Clinical Research Certificate at UT Southwestern Medical Center. She is also CEO, Pain Care Labs, and can be reached on Twitter @AmyBaxterMD. She discusses the KevinMD article, "Misunderstandings about opioid use disorder." Careers by KevinMD is your gateway to health care success. We connect you with real-time, exclusive resources like job boards, news updates, and salary insights, all tailored for health care professionals. With expertise in uniting top talent and leading employers across the nation's largest health care hiring network, we're your partner in shaping health care's future. Fulfill your health care journey at KevinMD.com/careers. VISIT SPONSOR → https://kevinmd.com/careers Discovering disability insurance? Pattern understands your concerns. Over 20,000 doctors trust us for straightforward, affordable coverage. We handle everything from quotes to paperwork. Say goodbye to insurance stress – visit Pattern today at KevinMD.com/pattern. VISIT SPONSOR → https://kevinmd.com/pattern SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/hq3ELr Powered by CMEfy.

Now that school is in full swing, we're discussing healthy snacks for each age and stage, from Preschool to College and the workplace when you have food allergies. We're sitting down with a Pediatric Registered Dietitian, Board Certified Specialist in Pediatric Nutrition at Cincinnati Children's Hospital Medical Center, Alison Cassin, MS, RD, CSP, LD, also a FAACT Medical Advisor, who shares her best tips for satisfying and nutritious snacks for all ages!Resources to keep you in the know:FAACT's Allergen-Friendly Recipes on PinterestFAACT's Shopping, Cooking, and Eating with Food AllergiesCincinnati's Children's Hospital Nutrition TherapyYou can find the FAACT Roundtable Podcast on Pandora, Apple Podcast, Spotify, Google Podcast, Stitcher, iHeart Radio, Podcast Chaser, Deezer, and Listen Notes.Follow us on Facebook, Twitter, Instagram, Threads, LinkedIn, Pinterest, TikTok, and YouTube.Sponsored by: Blueprint MedicinesThanks for listening! FAACT invites you to discover more exciting food allergy resources at FoodAllergyAwareness.org!

Presenting, the very first guest to the Ambition Liberated podcast - a powerhouse pediatrician, politician, nonprofit CEO - and, yes, a powerhouse mom - Dr. Annie Andrews.  In this conversation, Dr. Andrews shares stories from her first-time run to represent South Carolina's 1st Congressional District in 2022, the path that put a never-talk-politics pediatrician on the campaign trail, and the greater sense of personal power, purpose, and responsibility that followed. Annie is a true advocate for families, and has THE vision we've all been waiting for to get Washington to start protecting and prioritizing our kids.  This is a must-listen. Thank you, Annie! Please follow Dr. Annie Andrews and Their Future. Our Vote. at @annieandrewsmd and @theirfutureourvote on instagram. Visit https://www.theirfutureourvote.org/ to learn more about the KIDS FIRST D.C. Agenda and Political Action Committee that is already making headlines and progress toward being a true catalyst for change.  -- More about Annie: Dr. Annie Andrews is a pediatrician and mom, who has dedicated her career to fighting for a brighter future for all children. After working as a pediatrician at children's hospitals for 15 years, she decided to run for Congress to give children a voice in Washington, D.C.. She was the Democratic nominee in South Carolina's first congressional district in 2022.  She is a gun violence prevention researcher and community advocate working to reduce the frequency of pediatric firearm injuries with a focus on secure storage counseling. Annie is a frequent invited speaker at children's hospitals and medical schools across the country on topics related to child health advocacy and gun violence prevention.  She is a member of the American Academy of Pediatrics. She is a 2022 graduate of Furman University Riley Institute's Diversity Leaders Initiative.  Annie received her MD from the University of Cincinnati College of Medicine and went on to complete her residency training in Pediatrics at Cincinnati Children's Hospital Medical Center. She is currently a Clinical Professor of Pediatrics at George Washington University in Washington, D.C., where she cares for children and adolescents at Children's National Hospital. She is the CEO & Founder of Their Future. Our Vote. and Their Future PAC, organizations that aim to give children a voice in Washington, D.C.. She is also a Senior Advisor to Everytown for Gun Safety and Moms Demand Action. 

Interviewee: Dr. Kara Ayers Interviewer: Peter Poullos, MD Description: In this episode, Dr. Peter Poullos interview Dr. Kara Ayers disability researcher and associate director of the University of Cincinnati University Center for Excellence in Developmental Disabilities. Together they  discuss advocacy work, interprofessional collaboration,  the language we use when describing marginalized communities and how ableism impacts the health outcomes and safety of our patients.  Resources: (1) Evolution of Disability Language (2) How to talk to kids about people with disabilities (3) @ThinkEquitable Transcript Bio: Dr. Kara Ayers is an Associate Professor of Pediatrics at Cincinnati Children's Hospital Medical Center, where she is also Associate Director of the University of Cincinnati Center for Excellence in Developmental Disabilities. She's co-founder of the Disabled Parenting Project. She's recently launched the National Center for Disability, Equity, and Intersectionality. Her research interests include health equity, disability ethics, and anti-ableism. Produced by: Gabe Abrams, Jake Feeman and Lisa Meeks Digital Media: Katie Sullivan Keywords: disability, anti-ableism, disability ethics, disability mentorship, disability policy, health equity, intersectionality, docswithdisabilities, medical education.  

Dr. Boggero is the Director of Psychological Services and Director of Research at the University of Kentucky Orofacial Pain Clinic. He completed his undergraduate education at UCLA and obtained his Ph. D. in clinical psychology from the University of Kentucky, with a graduate certificate in biostatistics. After his Ph.D. he completed a two-year postdoctoral fellowship at Cincinnati Children's Hospital Medical Center. His research interests are in developing brief psychological interventions for improving pain and fatigue in patients with chronic pain. His work has been funded by the NIH and the American Psychological Association among other organizations and has been published in top pain journals.

Join Amy Baxter, a clinical associate professor of emergency medicine, as we explore the intricate balance between physicians' roles in perpetuating the crisis, addressing systemic factors, and the influence of pharmaceutical industry-sponsored education. Discover the brain's response to pain and opioids, contextual risk factors for opioid use disorder post-surgery, and the potential of non-opioid alternatives. Amy Baxter is a clinical associate professor of emergency medicine at Augusta University, federally funded for neuromodulation research to reduce needle pain, multimodal low back pain, and opioid reduction. After attending Yale University and Emory Medical School, she completed her residency and a child maltreatment fellowship at Cincinnati Children's Hospital Medical Center, an emergency pediatrics fellowship in Norfolk, Virginia, and a K30-NIH Clinical Research Certificate at UT Southwestern Medical Center. She is also CEO, Pain Care Labs, and can be reached on Twitter @AmyBaxterMD. She discusses the KevinMD article, "Ending the opioid crisis starts with physicians." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/8g2s5S Powered by CMEfy.

Hear Dr. Scott Papineau talk about trends in different areas of the country that impact the need for oral conscious sedation, as well as different commonly used sedation combinations- some states have dictated no polypharmacy for pediatric dentists-basically limits to midazolam (short duration).  Learn of Dr. Papineau's favorite drug combinations, and why some practices do not feel comfortable with oral sedation—mainly, lack of comfortability with medications, not properly educated on handling emergencies that can accompany use of oral sedation, or staff not properly trained. Bio: Dr. Papineau moved to Indianapolis to attend Butler University where he earned his doctorate ofpharmacy degree (PharmD). He worked as a licensed pharmacist for two years before starting dental school at Indiana University School of Dentistry. After graduation from dental school, Dr. Papineau completed his pediatric dental residency at Cincinnati Children's Hospital Medical Center in Cincinnati, Ohio. He currently lives in Indianapolis where he has owned and run a successful private practice for the last decade. Because of his unique dual pharmacy and dentistry degrees, Dr. Papineau enjoys giving the pharmacology lecture series to different pediatric dental residency programs. In addition, he was honored to be chosen as one of the faculty for the AAPD sedation course. Dr. Papineau enjoys helping dentists feel more comfortable with the topic of pharmacy as it relates to dentistry.

We are happy to welcome Dr. Eugene Kim to The Hamilton Review Podcast!  Dr. Kim is Professor of Surgery and Pediatrics at Cedars-Sinai Medical Center, where he is the Director of the Division of Pediatric Surgery and Vice Chair of the Department of Surgery.  In this conversation, Dr. Kim shares his background and how he entered into the field of medicine. Dr. Kim also discuss the surgical work that he performs to help children.  Enjoy this episode! Dr. Eugene Kim obtained his undergraduate degree in Biochemical Sciences from Harvard University and his medical degree from Columbia University College of Physicians & Surgeons.  He completed his residency in general surgery at Columbia-Presbyterian Medical Center and completed a two-year research fellowship in Tumor Biology under the mentorship of Dr. Jessica Kandel and Dr. Darrell Yamashiro. He also completed an ECMO fellowship under the training of Dr. Charles Stolar. Dr. Kim subsequently completed a fellowship in pediatric surgery at Cincinnati Children's Hospital Medical Center.   Dr. Kim spent the first 9 years of his practice at Texas Children's Hospital in Houston, followed by 8 years of practice at Children's Hospital Los Angeles.  Currently, Dr. Kim is Professor of Surgery and Pediatrics at Cedars-Sinai Medical Center, where he is the Director of the Division of Pediatric Surgery and Vice Chair of the Department of Surgery.  Dr. Kim is recognized for his expertise in pediatric surgical oncology, and he maintains a basic science research laboratory which is focused on mechanisms of metastasis and recurrence in high-risk neuroblastoma.  Dr. Kim has a clinical interest and expertise in anorectal malformations and pectus deformities.     How to contact Dr. Kim: Dr. Kim on Twitter How to contact Dr. Bob: Dr. Bob on YouTube: https://www.youtube.com/channel/UChztMVtPCLJkiXvv7H5tpDQ Dr. Bob on Instagram: https://www.instagram.com/drroberthamilton/ Dr. Bob on Facebook: https://www.facebook.com/bob.hamilton

This is Garrison Hardie with your CrossPolitic Daily News Brief for Thursday, July 6th, 2023. Story Real Estate: Home. It’s where you build your legacy. Where traditions are started, seeds are planted, meals are shared, and stories are told. Home is where you prepare to go out into the world. Finding the home that’s perfect for your family is a big job. Story Real Estate is Moscow’s top real estate team. They give people real estate advice all over the country. Family homes, investments, land, new construction, or commercial— they know real estate. If you’ve thought about a move to Moscow or anywhere in the country, reach out to get connected with a Story Real Estate agent. Wherever you’re going, they can help guide you Home. Visit storyrealestate.com. https://thepostmillennial.com/potential-prisoner-swap-deal-in-the-works-for-wall-street-journal-writer-detained-in-russia-report?utm_campaign=64487 Potential prisoner swap deal in the works for Wall Street Journal writer detained in Russia Russian and American officials are reportedly discussing a prisoner swap that could include detained Wall Street Journal reporter Evan Gershkovich, however, no further details have been released by either side. Gershkovich has been held in Moscow’s Lefortovo pre-trial detention centre for months after being arrested and charged with "espionage." Previous attempts to free him via the Russian legal system have come up fruitless. According to the Washington Post, Kremlin spokesperson Dmitry Peskov explained on Tuesday that officials "don't want [the details] discussed in public," adding that prisoner swap negotiations "must be carried out and continue in complete silence." The Russian government has appeared willing to swap US-held prisoners for Gershkovich, however, Deputy Foreign Minister said earlier this year that talks would only begin after the journalist's trial had ended. Gershkovich and the US have tried to hasten proceedings, but it has been to no avail. Last week, a Russian court determined that he had to remain in pre-trial detention at Lefortovo until August 30. On Monday, US Ambassador to Russia, Lynne Tracy, met with Gershkovich and noted that he "is in good health and remains resilient despite the circumstances." She expressed hope that the Russian government would "provide regular consular access." As the Wall Street Journal reports, White House officials stated on Tuesday, "While we unfortunately do not have a breakthrough to share, we continue to pursue every avenue to secure the release of Evan Gershkovich." The US government, including Ambassador Tracy, has maintained Gershkovich's innocence and slammed the Russian government over his treatment. "The accusations against Gershkovich are unfounded," she said, "and we call on the Russian authorities to release the journalist immediately." The Wall Street Journal also stood with Gershkovich, stating,"Evan is a member of the free press who right up until he was arrested was engaged in news-gathering. Any suggestions otherwise are false." The first US journalist to be detained in Russia on charges of spying since the Cold War, Gershkovich could face up to 20 years in prison if found guilty. Now this! Another whoopsie from the government! https://justthenews.com/accountability/waste-fraud-and-abuse/usda-says-it-overpaid-10-food-stamp-benefits-2022-program USDA says it overpaid 10% of food stamp benefits in 2022 as program doubled from 2019 Largely due to unintentional mistakes" by the government or households, the U.S. Department of Agriculture said it overpaid Supplemental Nutrition Assistance Program benefits in 10% of cases, The Washington Times reports. The government either wrongly determined households were eligible for the program better known as food stamps or overestimated how much they were due, while 2% were deemed underpayments. The total rate of under- and overpayments was lower before the COVID-19 pandemic: 7.4% in 2019 and 6.8% in 2018. States varied widely in how accurate their payments were, with Alaska the worst at overpayment with 57% and South Dakota the best at under 3%. The program has also doubled since 2019, reaching $113.9 billion from $55.6 billion. It now covers 41 million Americans with an average payment of $230 per month. The Government Accountability Office also released figures Friday of overpayment across the federal government in fiscal 2022, $247 billion, while cautioning the figure is an estimate because the government cannot "determine the full extent to which improper payments occur." Now to Los Angeles we go… https://thepostmillennial.com/los-angeles-homeless-population-spikes-to-more-than-46000?utm_campaign=64487 Los Angeles County homeless population spikes to over 75,000 Homelessness has increased by ten percent in the city of Los Angeles, and it has increased in Los Angeles County by nine percent. According to the 2023 Greater Los Angeles homeless count results conducted by the Los Angeles Homeless Services Authority (LAHSA), Los Angeles County’s homeless population increased to approximately 75,518, an increase from 69,144 in 2022. In the City of Angels, the number of homeless people increased to approximately 46,260 people, an increase from 41,980 people in 2022. Earlier this year, it was revealed that California holds half of all “unsheltered people” in the US. Dr. Va Lecia Adams Kellum, chief executive officer of the Los Angeles Homeless Services Authority, said, “The homeless count results tell us what we already know, that we have a crisis on our streets, and it’s getting worse.” Los Angeles County Board of Supervisors Chair Janice Hahn called the results “disappointing,” writing in a statement, “It is frustrating to have more people fall into homelessness even as we are investing hundreds of millions of taxpayer dollars and resources into efforts to bring people inside. I appreciate the cities that have stepped up and supported solutions, but these numbers prove that solutions-oriented cities are too few and far between.” Los Angeles officials challenged the accuracy of the 2022 LAHSA count that reported finding zero homeless people in Venice Beach, an area known for its massive homeless problem. As a result, the county used a new counting app and hired a demographer and two data scientists. Though Democratic Mayor Karen Bass has claimed at least 14,000 homeless people have been moved into interim or permanent housing under her administration, it was revealed earlier this year that the city was spending over $800,000 per housing unit. The Los Angeles Homeless Services Authority made a point of emphasizing that Los Angeles is not the only major US city to see an increase in its homeless population, noting that Chicago saw a 57 percent increase and Portland saw a 20 percent hike. According to the agency, in California, Kern County saw a 22 percent increase, San Bernardino County a 26 percent increase, San Diego County a 22 percent increase, and Riverside County a 12 percent increase. Earlier this month, San Diego and Portland approved homeless camping bans. Moving on… Do you guys remember that Children’s hospital in Boston that was exposed for performing gender mutilation & sterilazation on kids? https://townhall.com/tipsheet/miacathell/2023/07/04/boston-childrens-hospital-dethroned-n2624870 Children's Hospital Caught Trans-ing Kids No Longer No. 1 for Pediatric Care For the first time in a decade, Boston's Children's Hospital—which was exposed last year for its experimental genital mutilation, sterilization, and chemical castration of minors identifying as "transgender"—is no longer the no. 1 pediatric medical center in America. Since 2014, Boston Children’s Hospital has claimed the top spot on U.S. News and World Report's honor roll rating the best pediatric-care facilities in the nation. But, the consumer-ranking giant's 2023 - 2024 list published on June 21 has dethroned the Beantown-based institution, the leading recipient of pediatric-research funding from the National Institutes of Health (NIH). In the latest rankings, Cincinnati Children's Hospital Medical Center took the crown, with Boston Children's Hospital bumped to second place. U.S. News and World Report collected data from almost 200 medical centers through an annual survey that examines a myriad of criteria, such as patient safety, clinical outcomes, and surgical success. Each hospital's score was derived from a nationwide polling of 15,000-plus pediatric specialists, who were asked "where they would send the sickest children in their specialty." Among its LGBTQ-centered departments, Boston Children's Hospital is home to the Gender Multispecialty Service (GeMS) clinic, the "first pediatric and adolescent transgender health program" in the U.S. Serving more than 1,000 families to date, GeMS has expanded to "treat" patients as young as three-years-old. The hospital's Center for Gender Surgery offers surgical mutilation to gender-dysphoric teenagers, including vaginoplasties for 17-year-old boys (Boston Children's Hospital has since quietly changed the age minimum); metoidioplasties and phalloplasties; and chest reconstruction and breast augmentation for 15-year-old kids. Now, the age range has been raised to 18-years-old in the hospital's official guidance. Removal of the testicles is often performed at the same time as a vaginoplasty, which requires a lifetime of dilation,, and can leave the patient sterile. Boston Children's Hospital, whose tagline is: "Until every child is well," was caught promoting "gender-affirming hysterectomies" for "trans youth" in a now-scrubbed video, which was part of a 90-part series that positively frames the medical butchery without addressing the irreversible damage that it does to the human body. Other topics highlighted in the series include "Why is hair removal necessary before phalloplasty?" and "Fertility preservation: What transgender patients should know." Salvaged by Libs of TikTok, an archived version of the 33-second hysterectomy footage shows a smiling Dr. Frances Grimstad of Boston Children's Hospital Division of Gynecology happily describing, as upbeat background music played, the medically unnecessary operation that can render (otherwise) physically healthy patients infertile by removing female reproductive organs. Another since-deleted video posted to the hospital's YouTube channel showed a psychologist claiming that "a good portion" of children she sees at Boston Children's Hospital GeMS clinic know they're transgender "from the womb.” https://twitter.com/i/status/1649007304774123521 - Play Video In a Journal of the American Medical Association article that Boston Children's Hospital GeMS co-director Dr. Oren Ganor authored on "Streamlining Interstate Access to Gender-Affirming Surgeries," the plastic and reconstructive surgeon called for a drastic increase in "clinician capacity" for children to be subjected to "sex-change" surgeries. Ganor also urged a ramping up of "training efforts" at medical school residency programs to instruct future physicians on performing "transgender" procedures. The local NPR news station WBUR reported in 2018 that Ganor wrote in an email that Boston Children's Hospital is "slightly flexible" when it comes to the age acceptance of biological males seeking genital surgery "because of the difficulty young women can experience accessing gendered spaces—like dorms and bathrooms—if they still have male genitalia." The hospital's policy had not yet been finalized, Ganor said, "because of the issue around consent for sterilization (which is part of the procedure)." Now, in entertainment news… https://boundingintocomics.com/2023/07/03/after-the-walt-disney-company-canned-chief-diversity-officer-latondra-newton-warner-bros-discovery-and-netflix-lose-their-diversity-heads/ After The Walt Disney Company Canned Chief Diversity Officer Latondra Newton, Warner Bros. Discovery And Netflix Lose Their Diversity Heads At the end of June it was revealed that The Walt Disney Company’s Chief Diversity Officer Latondra Newton was no longer with the company. Now Warner Bros. Discovery and Netflix’s have also seen their diversity heads leave their respective companies. Variety announced Newton had left The Walt Disney Company after they obtained an internal company memo on June 20th from the company’s HR chief Sonia Coleman. Coleman wrote in the memo, “I’m writing to share the news that Latondra Newton has decided to leave The Walt Disney Company to pursue other endeavors.” Coleman went on to reveal that Julie Merges would take on Newton’s role on an interim basis as the company looked for a new DEI leader, “Latondra’s direct reports will report to Julie Merges on an interim basis until a new DEI leader is identified. I want to thank Julie for leading this team along with her Talent Acquisition organization.” “Additionally, Shelby Curry and the DEI Internal Communications team will continue reporting to Carrie Brown in her role leading internal communications & engagement for the company,” Coleman wrote. Following Newton’s exit, TheWrap reported that Netflix’s head of inclusion strategy Vernā Myers was stepping down from her position at the company in September. While she is exiting the company as head of inclusion strategy she will still advise the company albeit the report notes she will be focusing primarily on her consulting company, The Vernā Myers Company. Unlike The Walt Disney Company, Netflix appears to have a replacement for Myers already lined up in Wade Davis. Davis is currently the Vice President of Inclusion Strategy and worked under Myers for four years. In a statement Myers said, “It’s hard to step away from the company and this role because of how much I love Netflix and the people here. I’m so excited for the talented Wade Davis who will be taking the lead of the I-and-D work along with our incredible inclusion strategy team and I can’t wait to see the continued progress we all will make together.” At the end of June, Los Angeles Times reported that Warner Bros. Discovery axed its diversity leader Karen Horne, who was the company’s Vice President for Diversity, Equity, and Inclusion in North America. According to the outlet’s sources her departure from the company was announced on June 28th and the company’s spokeswoman Megan Klein informed the outlet she was not let go due to Warner Bros. Discovery’s “cost-cutting but rather a rethinking and reorganization of the company’s diversity organization.”

This is Garrison Hardie with your CrossPolitic Daily News Brief for Thursday, July 6th, 2023. Story Real Estate: Home. It’s where you build your legacy. Where traditions are started, seeds are planted, meals are shared, and stories are told. Home is where you prepare to go out into the world. Finding the home that’s perfect for your family is a big job. Story Real Estate is Moscow’s top real estate team. They give people real estate advice all over the country. Family homes, investments, land, new construction, or commercial— they know real estate. If you’ve thought about a move to Moscow or anywhere in the country, reach out to get connected with a Story Real Estate agent. Wherever you’re going, they can help guide you Home. Visit storyrealestate.com. https://thepostmillennial.com/potential-prisoner-swap-deal-in-the-works-for-wall-street-journal-writer-detained-in-russia-report?utm_campaign=64487 Potential prisoner swap deal in the works for Wall Street Journal writer detained in Russia Russian and American officials are reportedly discussing a prisoner swap that could include detained Wall Street Journal reporter Evan Gershkovich, however, no further details have been released by either side. Gershkovich has been held in Moscow’s Lefortovo pre-trial detention centre for months after being arrested and charged with "espionage." Previous attempts to free him via the Russian legal system have come up fruitless. According to the Washington Post, Kremlin spokesperson Dmitry Peskov explained on Tuesday that officials "don't want [the details] discussed in public," adding that prisoner swap negotiations "must be carried out and continue in complete silence." The Russian government has appeared willing to swap US-held prisoners for Gershkovich, however, Deputy Foreign Minister said earlier this year that talks would only begin after the journalist's trial had ended. Gershkovich and the US have tried to hasten proceedings, but it has been to no avail. Last week, a Russian court determined that he had to remain in pre-trial detention at Lefortovo until August 30. On Monday, US Ambassador to Russia, Lynne Tracy, met with Gershkovich and noted that he "is in good health and remains resilient despite the circumstances." She expressed hope that the Russian government would "provide regular consular access." As the Wall Street Journal reports, White House officials stated on Tuesday, "While we unfortunately do not have a breakthrough to share, we continue to pursue every avenue to secure the release of Evan Gershkovich." The US government, including Ambassador Tracy, has maintained Gershkovich's innocence and slammed the Russian government over his treatment. "The accusations against Gershkovich are unfounded," she said, "and we call on the Russian authorities to release the journalist immediately." The Wall Street Journal also stood with Gershkovich, stating,"Evan is a member of the free press who right up until he was arrested was engaged in news-gathering. Any suggestions otherwise are false." The first US journalist to be detained in Russia on charges of spying since the Cold War, Gershkovich could face up to 20 years in prison if found guilty. Now this! Another whoopsie from the government! https://justthenews.com/accountability/waste-fraud-and-abuse/usda-says-it-overpaid-10-food-stamp-benefits-2022-program USDA says it overpaid 10% of food stamp benefits in 2022 as program doubled from 2019 Largely due to unintentional mistakes" by the government or households, the U.S. Department of Agriculture said it overpaid Supplemental Nutrition Assistance Program benefits in 10% of cases, The Washington Times reports. The government either wrongly determined households were eligible for the program better known as food stamps or overestimated how much they were due, while 2% were deemed underpayments. The total rate of under- and overpayments was lower before the COVID-19 pandemic: 7.4% in 2019 and 6.8% in 2018. States varied widely in how accurate their payments were, with Alaska the worst at overpayment with 57% and South Dakota the best at under 3%. The program has also doubled since 2019, reaching $113.9 billion from $55.6 billion. It now covers 41 million Americans with an average payment of $230 per month. The Government Accountability Office also released figures Friday of overpayment across the federal government in fiscal 2022, $247 billion, while cautioning the figure is an estimate because the government cannot "determine the full extent to which improper payments occur." Now to Los Angeles we go… https://thepostmillennial.com/los-angeles-homeless-population-spikes-to-more-than-46000?utm_campaign=64487 Los Angeles County homeless population spikes to over 75,000 Homelessness has increased by ten percent in the city of Los Angeles, and it has increased in Los Angeles County by nine percent. According to the 2023 Greater Los Angeles homeless count results conducted by the Los Angeles Homeless Services Authority (LAHSA), Los Angeles County’s homeless population increased to approximately 75,518, an increase from 69,144 in 2022. In the City of Angels, the number of homeless people increased to approximately 46,260 people, an increase from 41,980 people in 2022. Earlier this year, it was revealed that California holds half of all “unsheltered people” in the US. Dr. Va Lecia Adams Kellum, chief executive officer of the Los Angeles Homeless Services Authority, said, “The homeless count results tell us what we already know, that we have a crisis on our streets, and it’s getting worse.” Los Angeles County Board of Supervisors Chair Janice Hahn called the results “disappointing,” writing in a statement, “It is frustrating to have more people fall into homelessness even as we are investing hundreds of millions of taxpayer dollars and resources into efforts to bring people inside. I appreciate the cities that have stepped up and supported solutions, but these numbers prove that solutions-oriented cities are too few and far between.” Los Angeles officials challenged the accuracy of the 2022 LAHSA count that reported finding zero homeless people in Venice Beach, an area known for its massive homeless problem. As a result, the county used a new counting app and hired a demographer and two data scientists. Though Democratic Mayor Karen Bass has claimed at least 14,000 homeless people have been moved into interim or permanent housing under her administration, it was revealed earlier this year that the city was spending over $800,000 per housing unit. The Los Angeles Homeless Services Authority made a point of emphasizing that Los Angeles is not the only major US city to see an increase in its homeless population, noting that Chicago saw a 57 percent increase and Portland saw a 20 percent hike. According to the agency, in California, Kern County saw a 22 percent increase, San Bernardino County a 26 percent increase, San Diego County a 22 percent increase, and Riverside County a 12 percent increase. Earlier this month, San Diego and Portland approved homeless camping bans. Moving on… Do you guys remember that Children’s hospital in Boston that was exposed for performing gender mutilation & sterilazation on kids? https://townhall.com/tipsheet/miacathell/2023/07/04/boston-childrens-hospital-dethroned-n2624870 Children's Hospital Caught Trans-ing Kids No Longer No. 1 for Pediatric Care For the first time in a decade, Boston's Children's Hospital—which was exposed last year for its experimental genital mutilation, sterilization, and chemical castration of minors identifying as "transgender"—is no longer the no. 1 pediatric medical center in America. Since 2014, Boston Children’s Hospital has claimed the top spot on U.S. News and World Report's honor roll rating the best pediatric-care facilities in the nation. But, the consumer-ranking giant's 2023 - 2024 list published on June 21 has dethroned the Beantown-based institution, the leading recipient of pediatric-research funding from the National Institutes of Health (NIH). In the latest rankings, Cincinnati Children's Hospital Medical Center took the crown, with Boston Children's Hospital bumped to second place. U.S. News and World Report collected data from almost 200 medical centers through an annual survey that examines a myriad of criteria, such as patient safety, clinical outcomes, and surgical success. Each hospital's score was derived from a nationwide polling of 15,000-plus pediatric specialists, who were asked "where they would send the sickest children in their specialty." Among its LGBTQ-centered departments, Boston Children's Hospital is home to the Gender Multispecialty Service (GeMS) clinic, the "first pediatric and adolescent transgender health program" in the U.S. Serving more than 1,000 families to date, GeMS has expanded to "treat" patients as young as three-years-old. The hospital's Center for Gender Surgery offers surgical mutilation to gender-dysphoric teenagers, including vaginoplasties for 17-year-old boys (Boston Children's Hospital has since quietly changed the age minimum); metoidioplasties and phalloplasties; and chest reconstruction and breast augmentation for 15-year-old kids. Now, the age range has been raised to 18-years-old in the hospital's official guidance. Removal of the testicles is often performed at the same time as a vaginoplasty, which requires a lifetime of dilation,, and can leave the patient sterile. Boston Children's Hospital, whose tagline is: "Until every child is well," was caught promoting "gender-affirming hysterectomies" for "trans youth" in a now-scrubbed video, which was part of a 90-part series that positively frames the medical butchery without addressing the irreversible damage that it does to the human body. Other topics highlighted in the series include "Why is hair removal necessary before phalloplasty?" and "Fertility preservation: What transgender patients should know." Salvaged by Libs of TikTok, an archived version of the 33-second hysterectomy footage shows a smiling Dr. Frances Grimstad of Boston Children's Hospital Division of Gynecology happily describing, as upbeat background music played, the medically unnecessary operation that can render (otherwise) physically healthy patients infertile by removing female reproductive organs. Another since-deleted video posted to the hospital's YouTube channel showed a psychologist claiming that "a good portion" of children she sees at Boston Children's Hospital GeMS clinic know they're transgender "from the womb.” https://twitter.com/i/status/1649007304774123521 - Play Video In a Journal of the American Medical Association article that Boston Children's Hospital GeMS co-director Dr. Oren Ganor authored on "Streamlining Interstate Access to Gender-Affirming Surgeries," the plastic and reconstructive surgeon called for a drastic increase in "clinician capacity" for children to be subjected to "sex-change" surgeries. Ganor also urged a ramping up of "training efforts" at medical school residency programs to instruct future physicians on performing "transgender" procedures. The local NPR news station WBUR reported in 2018 that Ganor wrote in an email that Boston Children's Hospital is "slightly flexible" when it comes to the age acceptance of biological males seeking genital surgery "because of the difficulty young women can experience accessing gendered spaces—like dorms and bathrooms—if they still have male genitalia." The hospital's policy had not yet been finalized, Ganor said, "because of the issue around consent for sterilization (which is part of the procedure)." Now, in entertainment news… https://boundingintocomics.com/2023/07/03/after-the-walt-disney-company-canned-chief-diversity-officer-latondra-newton-warner-bros-discovery-and-netflix-lose-their-diversity-heads/ After The Walt Disney Company Canned Chief Diversity Officer Latondra Newton, Warner Bros. Discovery And Netflix Lose Their Diversity Heads At the end of June it was revealed that The Walt Disney Company’s Chief Diversity Officer Latondra Newton was no longer with the company. Now Warner Bros. Discovery and Netflix’s have also seen their diversity heads leave their respective companies. Variety announced Newton had left The Walt Disney Company after they obtained an internal company memo on June 20th from the company’s HR chief Sonia Coleman. Coleman wrote in the memo, “I’m writing to share the news that Latondra Newton has decided to leave The Walt Disney Company to pursue other endeavors.” Coleman went on to reveal that Julie Merges would take on Newton’s role on an interim basis as the company looked for a new DEI leader, “Latondra’s direct reports will report to Julie Merges on an interim basis until a new DEI leader is identified. I want to thank Julie for leading this team along with her Talent Acquisition organization.” “Additionally, Shelby Curry and the DEI Internal Communications team will continue reporting to Carrie Brown in her role leading internal communications & engagement for the company,” Coleman wrote. Following Newton’s exit, TheWrap reported that Netflix’s head of inclusion strategy Vernā Myers was stepping down from her position at the company in September. While she is exiting the company as head of inclusion strategy she will still advise the company albeit the report notes she will be focusing primarily on her consulting company, The Vernā Myers Company. Unlike The Walt Disney Company, Netflix appears to have a replacement for Myers already lined up in Wade Davis. Davis is currently the Vice President of Inclusion Strategy and worked under Myers for four years. In a statement Myers said, “It’s hard to step away from the company and this role because of how much I love Netflix and the people here. I’m so excited for the talented Wade Davis who will be taking the lead of the I-and-D work along with our incredible inclusion strategy team and I can’t wait to see the continued progress we all will make together.” At the end of June, Los Angeles Times reported that Warner Bros. Discovery axed its diversity leader Karen Horne, who was the company’s Vice President for Diversity, Equity, and Inclusion in North America. According to the outlet’s sources her departure from the company was announced on June 28th and the company’s spokeswoman Megan Klein informed the outlet she was not let go due to Warner Bros. Discovery’s “cost-cutting but rather a rethinking and reorganization of the company’s diversity organization.”

In this episode, Xavier Bonilla has a dialogue with Frank Putnam about our various states of being. They discuss states of being, the continuous self, and states of being in development. They also talk about different states of being in rapid cycling with those that have Bipolar Disorders, importance of memory, and how critical is personality and the Big-5. They discuss mental disorders within a state model, the fragmented self and therapy, trauma and PTSD, Dissociative Identity Disorder (DID), psychedelics, and many more topics. Frank Putnam is a Physician and Professor of Clinical Psychiatry at the University of North Carolina School of Medicine. He was formerly a Professor of Pediatrics and Child Psychiatry at Children's Hospital Medical Center, University of Cincinnati College of Medicine. He is an esteemed research on topics of violence, abuse, DID, and trauma. He is the author numerous books including, The Way We Are: How States of Mind Influence Our Identities, Personality, and Potential for Change. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit convergingdialogues.substack.com