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Dr. Jennifer Shu joins host Dr. Edith Bracho-Sanchez for a special “Ask the Pediatrician” episode. They answer questions submitted by listeners on topics including the immunization schedule, easing separation anxiety, the safety of swaddling, when to worry about a baby vomiting, how to store expressed breast milk, and when to schedule your baby's first dental appointment. For resources go to healthychildren.org/podcast
Jennifer Shu, MD, FAAP, joins host Dr. Edith Bracho-Sanchez for a special episode celebrating 15 years of HealthyChildren.org. They talk about this pediatrician-produced website, it's thousands of articles, interactive parenting tools and other resources for anyone caring for infants, children, teens and young adults. For resources go to healthychildren.org/podcast.
Jennifer Shu, MD, FAAP, joins host Dr. Edith Bracho-Sanchez for a special “Ask the Pediatrician” episode. They answer questions submitted by listeners on topics that include preventing RSV, traveling with an infant, styles of crawling, preventing hitting, holiday treats overload and heating plastics. For resources go to healthychildren.org/podcast.
Jennifer Shu, MD, FAAP, joins host Dr. Edith Bracho-Sanchez for a special “Ask the Pediatrician” episode. They answer questions submitted by listeners on topics ranging from eczema causes and treatments, anxiety around school, nutrition and healthy beverages for athletes, and how to turn perfectionism into a tool for helping others. For resources go to healthychildren.org/podcast.
Host: Jennifer Shu, MD, FAAP Guest: Steven H. Abman, MD Bronchopulmonary dysplasia is a chronic lung disease that can have significant impacts on a newborn's overall respiratory health, making it imperative to know how to recognize and treat it. Tune in to hear Dr. Jennifer Shu talk about the symptoms, impacts, and treatment of bronchopulmonary dysplasia with Dr. Steven Abman, a Professor in the Department of Pediatrics at the University of Colorado School of Medicine and the Director of the Pediatric Heart Lung Center at Children's Hospital Colorado.
Host: Jennifer Caudle, DO Guest: Jennifer Shu, MD, FAAP Why are we currently facing a tripledemic? Joining Dr. Jennifer Caudle to uncover what has led to this dramatic increase in COVID-19, RSV, and the flu—and share strategies to combat this tripledemic—is ReachMD Host Dr. Jennifer Shu, a pediatrician at Children's Medical Group in Atlanta, Georgia.
Host: Jennifer Shu, MD, FAAP Tune in to hear pediatrician Dr. Jennifer Shu share what we currently know about the risks and impacts of the Delta variant on our youngest patients and perhaps even more importantly, how we can help keep them safe. Published September 23, 2021
Host: Jennifer Shu, MD, FAAP School's back in session, and that means it's time we take a look at how we can help keep children safe and healthy both inside and outside the classroom with pediatrician Dr. Jennifer Shu. Published September 21, 2021
Host: Jennifer Shu, MD, FAAP Guest: Ramiz Kseri, MD What are some factors leading to disparities in care for our LGBTQ patients, and how do we keep them safe amid the pandemic? Dr. Jennifer Shu is joined by Dr. Ramiz Kseri, an Internist and Pediatrician and an Assistant Professor of Clinical Sciences at Florida State University College of Medicine, to discuss how the LGBTQ community is affected by COVID-19 and other health risks.
Host: Jennifer Shu, MD, FAAP Guest: Ramiz Kseri, MD Without an available vaccine, our pediatric patients can transmit COVID-19. With that in mind, how should pediatric practices adapt? Joining Dr. Jennifer Shu to discuss the impact of COVID-19 on pediatric care is Dr. Ramiz Kseri, a dually board-certified Internist and Pediatrician and an Assistant Professor of Clinical Sciences at Florida State University College of Medicine
Host: Jennifer Shu, MD, FAAP Challenges that have accompanied the COVID-19 pandemic have forced practices to adapt. How has patient care changed? Dr. Jennifer Shu discusses what the pandemic has been like for her and the challenges she’s faced.
Host: Jennifer Shu, MD, FAAP An important component of protecting our patients from the COVID-19 pandemic is taking care of their mental health. With that in mind, Dr. Jennifer Shu provides tips for keeping your young patients safe during the winter, and as they go back to school during the pandemic.
These times are unprecedented, people have been saying that for months now. But as the pandemic continues into those last half of 2020, one thing is for certain: masks arent going anywhere anytime soon. So how can we convince our young ones to keep them on, whether we're heading to the store or heading back to school? These times are unprecedented, people have been saying that for months now. But as the pandemic continues into those last half of 2020, one thing is for certain: masks arent going anywhere anytime soon. So how can we convince our young ones to keep them on, whether we're heading to the store or heading back to school? Dr. Jennifer Shu is a board-certified pediatrician and a spokesperson for the American Academy of PediatricsShe is back on the show to talk about the most difficult ages to get the masks on, teens who don't take mask-wearing seriously, and tips to get them on ( and staying on) your child's face.
These times are unprecedented, people have been saying that for months now. But as the pandemic continues into those last half of 2020, one thing is for certain: masks arent going anywhere anytime soon. So how can we convince our young ones to keep them on, whether we're heading to the store or heading back to school? These times are unprecedented, people have been saying that for months now. But as the pandemic continues into those last half of 2020, one thing is for certain: masks arent going anywhere anytime soon. So how can we convince our young ones to keep them on, whether we're heading to the store or heading back to school? Dr. Jennifer Shu is a board-certified pediatrician and a spokesperson for the American Academy of PediatricsShe is back on the show to talk about the most difficult ages to get the masks on, teens who don't take mask-wearing seriously, and tips to get them on ( and staying on) your child's face.
Guest: Jennifer Shu, MD, FAAP Tune in to hear Dr. Jennifer Shu describe what her life as a pediatrician is now like due to the COVID-19 pandemic and the steps she has taken to keep her patients and colleagues healthy. Published June 12, 2020
Host: Jennifer Shu, MD, FAAP Since the COVID-19 pandemic began, children have adjusted their schedules and way of living like everyone else, but what effects has this massive shift had on our young patients? That's the question Dr. Jennifer Shu is here to answer. Published June 12, 2020
When your child acts up, work to improve behavior without spanking.Parenting can test your patience, especially when your child misbehaves. The American Academy of Pediatrics advises against the use of spanking as a disciplinary tool.Fight colds and flu with Hydralyte. Rapid and complete hydration, suitable for all ages and doctor recommended. Use code “hydrakid” to save 30% - sponsor Spanking or physical discipline can have long-lasting effects, increasing aggression in children. It doesn’t teach responsibility or self control, particularly when parents lose control to administer the spankings. Discipline That Works Model good behavior. Show how to be calm and respectful of others. Let them know expectations beforehand so they know the rules of the game. Explain how you expect them to behave in the store or at a restaurant before you even go out. Time-outs work best for kids two to five years old. Give one minute per year of age for them to think about what happened and remove them from the troublesome situation. Praise your child for good behavior. Natural consequences work well. “If you throw your snack onto the floor, it goes into the trash.” Use non-optimum behavior you see as a teaching opportunity. Listen as Dr. Jennifer Shu joins Melanie Cole, MS, to discuss how to help your child curb behavioral issues without spanking.Sponsor: Fight colds and flu with Hydralyte. Rapid and complete hydration, suitable for all ages and doctor recommended. Use code “hydrakid” to save 30%
When your child acts up, work to improve behavior without spanking.Parenting can test your patience, especially when your child misbehaves. The American Academy of Pediatrics advises against the use of spanking as a disciplinary tool.Fight colds and flu with Hydralyte. Rapid and complete hydration, suitable for all ages and doctor recommended. Use code “hydrakid” to save 30% - sponsor Spanking or physical discipline can have long-lasting effects, increasing aggression in children. It doesn’t teach responsibility or self control, particularly when parents lose control to administer the spankings. Discipline That Works Model good behavior. Show how to be calm and respectful of others. Let them know expectations beforehand so they know the rules of the game. Explain how you expect them to behave in the store or at a restaurant before you even go out. Time-outs work best for kids two to five years old. Give one minute per year of age for them to think about what happened and remove them from the troublesome situation. Praise your child for good behavior. Natural consequences work well. “If you throw your snack onto the floor, it goes into the trash.” Use non-optimum behavior you see as a teaching opportunity. Listen as Dr. Jennifer Shu joins Melanie Cole, MS, to discuss how to help your child curb behavioral issues without spanking.Sponsor: Fight colds and flu with Hydralyte. Rapid and complete hydration, suitable for all ages and doctor recommended. Use code “hydrakid” to save 30%
Jennifer Shu MD is a pediatrician who works at an academic medical center, where she was director of the normal newborn nursery. She is a medical expert for CNN.com (Nancy Grace Show, Headline News), NBC Nightly News, MSNBC, the Discovery Health Channel, US News and World Report, USA Today, US Weekly, local and national television, newspapers and radio shows, and multiple parenting magazines and websites. She writes for WebMD and is quoted frequently in parenting magazines, newspapers and Internet articles. She is also a regular host on ReachMD, the Channel for Medical Professionals, on XM satellite radio. She is a co-author of the award-winning parenting books "Heading Home with Your Newborn: From Birth to Reality" and “Food Fights” and her consulting experience includes: • Technical reviewer for juvenile product manufacturer • Script reviewer for educational video production company • Pediatrician consultant for National Institutes of Health grant to teach nutrition science to elementary school students • Media spokesperson for pharmaceutical product launch • Panel expert for toilet training product manufacturer • Editorial reviewer for web and print-based parenting materials • Advisory board member for a food industry nutrition council • Leadership roles in professional medical organizations Dr. Shu does PSAs (public service announcements) for the AAP (American Academy of Pediatrics) and is the editor of their consumer parenting website. She is now also working hard on a parenting tracking app that hopefully will take over the market. In today’s episode I talk to her about her experiences in the medical system and whether she would change how her career transpired. We talk about different medical conferences that have helped her as well as the media training that has made her the expert she is. She explains what to do to get ready, how to get trained and how to get gigs. As a mom and a doctor, I talk to her about those challenges as well. This is a really nice conversation that may give you the motivation and tips to becoming the medical expert for TV and radio. You can find her at HERE at her website. Take a listen and please leave some feedback.
Dr. Jeffrey Cain, President of the American Academy of Family Physicians, joins me to discuss this week's essay, "Time For A National Conversation About Gun Violence," from the AAFP website. In addition, Dr. Jennifer Shu, Pediatrician & CNN contributor, gives us a Flu Update. Finally, Leo Laporte gives advice how to monetize in this social media and new media world. Download the entire podcast here http://bit.ly/FMR289
Guest: Basil Clyman, MD Host: Jennifer Shu, MD, FAAP Over the years, many studies have examined the ‘difficult' patient encounter. Consistently, these studies indicate that physicians deem nearly 1 in 6 outpatient appointments to be an arduous visit. These challenging episodes are often time-consuming and may also lead to adverse outcomes. Though it is unfair to look at all difficult visits in the same light, there are trends to suggest certain patients and certain physicians are more likely to be involved. What are these trends, and how might this knowledge allow us to better navigate these situations? Dr. Basil Clyman, clinical professor of medicine at the David Geffen School of Medicine at the University of California, Los Angeles, and staff physician at the VA Healthcare Center in West Los Angeles, visits with host Dr. Jennifer Shu to share his insights on turning a difficult encounter into a positive doctor-patient experience.
Guest: Barry Sarvet, MD Host: Jennifer Shu, MD Research tells us that roughly one in 20 teenagers in the United States suffers from clinical depression. The problem is most are not receiving treatment because they haven't been diagnosed. In a recent report, the US Preventive Services Task Force issued a recommendation for the routine screening of all adolescents in the primary care setting, even if they don't show signs of depression. Is this recommendation practical? And, can our healthcare system accommodate the likely increase in teens who would subsequently become candidates for mental health treatment? Dr. Barry Sarvet, chief of child and adolescent psychiatry at Baystate Medical Center in Springfield, Massachusetts, joins host Dr. Jennifer Shu for a discussion of the pros and cons of routine depression screening for teenagers.
Guest: Rahul Parikh, MD Host: Jennifer Shu, MD, FAAP Physicians often collaborate with other doctors when caring for patients with various medical problems. Yet disagreements with our colleagues may occur more frequently than we would like to admit, and there can be consequences to these disagreements among physicians. How can we best deal with these differences in medical opinion, while keeping in mind our common goal of providing the best care possible for our patients? Host Dr. Jennifer Shu covers this question and a range of related issues with Dr. Rahul Parikh, a pediatrician at Kaiser Permanente in Walnut Creek, California, and a regular contributor to the Vital Signs medical column on Salon.com. Dr. Parikh recently wrote an article for the Los Angeles Times on disagreements between doctors: Does a patient's input often play a role in generating or exacerbating a disagreement? Do we tend to gravitate away from others with whom we have a difference of philosophy or medical opinion?
Guest: Robert Pass, MD Host: Jennifer Shu, MD Congenital cytomegalovirus (CMV) infection causes auditory, cognitive and neurologic impairment in thousands of infants each year in the United States. Recognition of infection in pregnant women is difficult because CMV often produces few symptoms, and antiviral treatment during pregnancy may have toxic effects. Could a new experimental vaccine hold the key to preventing maternal CMV infection during pregnancy and decrease the incidence of congenital CMV infection and its sequelae? Host Dr. Jennifer Shu evaluates the progress toward a CMV vaccine with Dr. Robert Pass, professor of pediatrics and microbiology at the University of Alabama at Birmingham School of Medicine. Dr. Pass also explains the proposed mechanism of action for the vaccine.
Guest: Robert Pass, MD Host: Jennifer Shu, MD, FAAP Congenital cytomegalovirus (CMV) infection causes auditory, cognitive and neurologic impairment in thousands of infants each year in the United States. Recognition of infection in pregnant women is difficult because CMV often produces few symptoms, and antiviral treatment during pregnancy may have toxic effects. Could a new experimental vaccine hold the key to preventing maternal CMV infection during pregnancy and decrease the incidence of congenital CMV infection and its sequelae? Host Dr. Jennifer Shu evaluates the progress toward a CMV vaccine with Dr. Robert Pass, professor of pediatrics and microbiology at the University of Alabama at Birmingham School of Medicine. Dr. Pass also explains the proposed mechanism of action for the vaccine.
Guest: Paul Offit, MD Host: Jennifer Shu, MD, FAAP Most parents support the immunization of their kids according to the recommended vaccine schedule. But increasing numbers are choosing to forgo this routine entirely or follow an alternative vaccine schedule. How are these vaccine practices impacting the health of our young patients and more broadly, the health of the general public? Host Dr. Jennifer Shu examines the key questions surrounding the alternative vaccine schedules and how to guide young patients and their families through this process, with Dr. Paul Offit, chief of the division of infectious diseases and director of the Vaccine Education Center at the Children's Hospital of Philadelphia, and the Maurice R. Hilleman Professor of Vaccinology at the University of Pennsylvania School of Medicine.
Guest: Paul Offit, MD Host: Jennifer Shu, MD Most parents support the immunization of their kids according to the recommended vaccine schedule. But increasing numbers are choosing to forgo this routine entirely or follow an alternative vaccine schedule. How are these vaccine practices impacting the health of our young patients and more broadly, the health of the general public? Host Dr. Jennifer Shu examines the key questions surrounding the alternative vaccine schedules and how to guide young patients and their families through this process, with Dr. Paul Offit, chief of the division of infectious diseases and director of the Vaccine Education Center at the Children's Hospital of Philadelphia, and the Maurice R. Hilleman Professor of Vaccinology at the University of Pennsylvania School of Medicine.
Guest: Paul Offit, MD Host: Jennifer Shu, MD Vaccines have been described as one of the greatest medical advances in history. Yet some segments of the population view them as a potential vehicle for causing more harm than good to young patients. What led to this change in perception about vaccines, and how can physicians best counsel patients who harbor concerns? For answers to these critical questions and much more, Dr. Jennifer Shu welcomes one of the foremost figures in the debate over vaccine safety, Dr. Paul Offit, chief of the division of infectious diseases and director of the Vaccine Education Center at the Children's Hospital of Philadelphia, and the Maurice R. Hilleman Professor of Vaccinology and a professor of pediatrics at the University of Pennsylvania School of Medicine.
Guest: Paul Offit, MD Host: Jennifer Shu, MD, FAAP Vaccines have been described as one of the greatest medical advances in history. Yet some segments of the population view them as a potential vehicle for causing more harm than good to young patients. What led to this change in perception about vaccines, and how can physicians best counsel patients who harbor concerns? For answers to these critical questions and much more, Dr. Jennifer Shu welcomes one of the foremost figures in the debate over vaccine safety, Dr. Paul Offit, chief of the division of infectious diseases and director of the Vaccine Education Center at the Children's Hospital of Philadelphia, and the Maurice R. Hilleman Professor of Vaccinology and a professor of pediatrics at the University of Pennsylvania School of Medicine.
Guest: David Fleischer, MD Host: Jennifer Shu, MD Wheat, eggs, milk, peanuts and other nuts, soybeans and seafood: all of these can be an integral part of a balanced, healthy diet for growing children. Instead, many are off-limits for an increasing number of children diagnosed with food allergies. Though the rise in food allergies is certainly worrisome, we're learning that some food allergies may actually be misdiagnosed. Host Dr. Jennifer Shu welcomes Dr. David Fleischer, assistant professor of pediatrics at the University of Colorado School of Medicine and National Jewish Health in Denver, for a conversation about how we can improve our capacity to accurately assess food allergies, and help many of our young patients tolerate, or even enjoy, a wider range of food. Starting with a clinical history, what kind of workup should be done before patients are referred to an allergist? How should allergen-specific antibody blood tests be incorporated into this process?
Guest: Jesse Joad, MD, MS Host: Jennifer Shu, MD, FAAP Long-acting, single-agent beta agonists should be used in tandem with a corticosteroid for the treatment of asthma. Despite a black box warning from the Food and Drug Administration (FDA) to this effect, evidence suggests nearly half of our patients do not take these medications together, which appears to result in more severe asthma attacks and an increased mortality risk. In theory, longer-acting beta agonists (LABAs) should help with compliance, but if these single-agent drugs aren't taken as recommended, is there a role for them in the treatment of asthma? Dr. Jesse Joad, professor of pediatrics at the University of California, Davis School of Medicine and a former member of the FDA's Pulmonary and Allergy Drug Advisory Committee, talks with host Dr. Jennifer Shu about the pharmacologic and logistical differences between LABAs taken as monotherapy and LABAs taken in combination with a steroid. Dr. Joad …
Guest: Harold S. Nelson, MD Host: Jennifer Shu, MD, FAAP The incidence of asthma has doubled in the past two decades, though the cause of this rise is difficult to pinpoint. While the hygiene hypothesis has, for years, served as one possible explanation, newer studies show a possible link between asthma and vitamin levels or exposure to certain chemicals or medications. How might this knowledge help us prevent the development of asthma, and what research still needs to be performed to determine the key factors here, and put an end to the increasing incidence of asthma? Dr. Harold Nelson, professor of medicine at the University of Colorado School of Medicine and National Jewish Health hospital in Denver, lays out the evidence for these potential risk factors, from the child's date of birth, to acetaminophen use, to vitamin D levels, to exposure to cleaning sprays and other household chemicals. Dr. Jennifer Shu hosts.
Guest: Harold S. Nelson, MD Host: Jennifer Shu, MD The incidence of asthma has doubled in the past two decades, though the cause of this rise is difficult to pinpoint. While the hygiene hypothesis has, for years, served as one possible explanation, newer studies show a possible link between asthma and vitamin levels or exposure to certain chemicals or medications. How might this knowledge help us prevent the development of asthma, and what research still needs to be performed to determine the key factors here, and put an end to the increasing incidence of asthma? Dr. Harold Nelson, professor of medicine at the University of Colorado School of Medicine and National Jewish Health hospital in Denver, lays out the evidence for these potential risk factors, from the child's date of birth, to acetaminophen use, to vitamin D levels, to exposure to cleaning sprays and other household chemicals. Dr. Jennifer Shu hosts.
Guest: David Fleischer, MD Host: Jennifer Shu, MD, FAAP Wheat, eggs, milk, peanuts and other nuts, soybeans and seafood: all of these can be an integral part of a balanced, healthy diet for growing children. Instead, many are off-limits for an increasing number of children diagnosed with food allergies. Though the rise in food allergies is certainly worrisome, we're learning that some food allergies may actually be misdiagnosed. Host Dr. Jennifer Shu welcomes Dr. David Fleischer, assistant professor of pediatrics at the University of Colorado School of Medicine and National Jewish Health in Denver, for a conversation about how we can improve our capacity to accurately assess food allergies, and help many of our young patients tolerate, or even enjoy, a wider range of food. Starting with a clinical history, what kind of workup should be done before patients are referred to an allergist? How should allergen-specific antibody blood tests be incorporated into this process?
Guest: Jesse Joad, MD, MS Host: Jennifer Shu, MD Long-acting, single-agent beta agonists should be used in tandem with a corticosteroid for the treatment of asthma. Despite a black box warning from the Food and Drug Administration (FDA) to this effect, evidence suggests nearly half of our patients do not take these medications together, which appears to result in more severe asthma attacks and an increased mortality risk. In theory, longer-acting beta agonists (LABAs) should help with compliance, but if these single-agent drugs aren't taken as recommended, is there a role for them in the treatment of asthma? Dr. Jesse Joad, professor of pediatrics at the University of California, Davis School of Medicine and a former member of the FDA's Pulmonary and Allergy Drug Advisory Committee, talks with host Dr. Jennifer Shu about the pharmacologic and logistical differences between LABAs taken as monotherapy and LABAs taken in combination with a steroid. Dr. Joad ...
Guest: Elvira Lang, MD Host: Jennifer Shu, MD We've known anecdotally that simply waiting for the results of a tumor biopsy can be as stressful as coping with an unfavorable diagnosis itself. There is even some evidence to suggest that this stressful waiting period may subsequently impact the treatment of those patients who are found to have cancer. How do we explain this hypothesis? Further, how can we ease the anxiety of those patients awaiting cancer test results, and can we shorten the time patients must wait for their diagnosis? Host Dr. Jennifer Shu explores these key issues in the diagnostic process with Dr. Elvira Lang, associate professor of radiology at Harvard Medical School, and an interventional radiologist at Beth Israel Deaconess Medical Center in Boston.
Host: Jennifer Shu, MD Guest: Per-Henrik Zahl, MD, PhD The widespread use of mammography to screen for breast cancer has resulted in a decrease in breast tumor detection, as well as decrease in mortality rates associated with the disease. But the natural course of malignant diseases such as different types of cancer can vary considerably. Is it possible-even common-for some invasive breast tumors to regress without treatment? And if this is the case, how could this impact our strategies for screening, diagnosing and treating breast cancer? For more on these intriguing ideas, host Dr. Jennifer Shu welcomes Dr. Per-Henrik Zahl, epidemiologist and senior statistician at the Norwegian Institute of Public Health in Oslo, Norway, and lead author of a study published in the Archives of Internal Medicine that "raises the possibility that the natural course of some screen-detected invasive breast tumors is to spontaneously regress."
Guest: Ira Chasnoff, MD Host: Jennifer Shu, MD, FAAP Over the past few decades, there has been grave concern that prenatal exposure to cocaine would result in a population of children with physical, mental and emotional problems. Many of these infants have been carefully studied as they progress toward adolescence and beyond, and data suggests the impact on their development may not be as dramatic as we once thought. Dr. Ira Chasnoff, professor of clinical pediatrics at the University of Illinois College of Medicine and president of the Children's Research Triangle in Chicago, joins host Dr. Jennifer Shu to explore the shift in our thinking about the long-term effects of prenatal exposure to cocaine.
Guest: Douglas Nordli, MD Host: Jennifer Shu, MD, FAAP The ketogenic diet has been used as a therapy for refractory epilepsy in children since the 1920's. It was only recently, however, that a randomized, controlled study confirmed it to be effective in reducing seizures. Is there a role for the ketogenic diet as first-line therapy for epilepsy? Which patients stand to benefit the most from this diet, and what are some of its potential adverse effects? Dr. Douglas Nordli, associate professor of neurology and pediatrics at Northwestern University's Feinberg School of Medicine, and the Lorna S. and James P. Langdon Chair of Pediatric Epilepsy, offers details on this trial and explores mechanisms through which we may generate more timely results in our research for patients with epilepsy. Dr. Jennifer Shu hosts.
Host: Jennifer Shu, MD, FAAP Guest: David Abramson, MD Survival rates for retinoblastoma now approach 100 percent, but in years past, enucleation was the only sure way to cure this rare pediatric malignancy. We're now seeing advances in chemotherapy that not only spare the child's eye, but can preserve vision as well. What makes this chemotherapy regimen so effective, and how can we build on its effectiveness to enhance the vision and the livelihood of children affected by retinoblastoma? Dr. David Abramson, chief of the ophthalmic oncology service at Memorial Sloan-Kettering Cancer Center in New York, joins host Dr. Jennifer Shu to talk about the breadth of retinoblastoma research that has helped us take important strides toward remediation of this disease.
Guest: Ira Chasnoff, MD Host: Jennifer Shu, MD Over the past few decades, there has been grave concern that prenatal exposure to cocaine would result in a population of children with physical, mental and emotional problems. Many of these infants have been carefully studied as they progress toward adolescence and beyond, and data suggests the impact on their development may not be as dramatic as we once thought. Dr. Ira Chasnoff, professor of clinical pediatrics at the University of Illinois College of Medicine and president of the Children's Research Triangle in Chicago, joins host Dr. Jennifer Shu to explore the shift in our thinking about the long-term effects of prenatal exposure to cocaine.
Guest: Douglas Nordli, MD Host: Jennifer Shu, MD The ketogenic diet has been used as a therapy for refractory epilepsy in children since the 1920's. It was only recently, however, that a randomized, controlled study confirmed it to be effective in reducing seizures. Is there a role for the ketogenic diet as first-line therapy for epilepsy? Which patients stand to benefit the most from this diet, and what are some of its potential adverse effects? Dr. Douglas Nordli, associate professor of neurology and pediatrics at Northwestern University's Feinberg School of Medicine, and the Lorna S. and James P. Langdon Chair of Pediatric Epilepsy, offers details on this trial and explores mechanisms through which we may generate more timely results in our research for patients with epilepsy. Dr. Jennifer Shu hosts.
Host: Jennifer Shu, MD Guest: David Abramson, MD Survival rates for retinoblastoma now approach 100 percent, but in years past, enucleation was the only sure way to cure this rare pediatric malignancy. We're now seeing advances in chemotherapy that not only spare the child's eye, but can preserve vision as well. What makes this chemotherapy regimen so effective, and how can we build on its effectiveness to enhance the vision and the livelihood of children affected by retinoblastoma? Dr. David Abramson, chief of the ophthalmic oncology service at Memorial Sloan-Kettering Cancer Center in New York, joins host Dr. Jennifer Shu to talk about the breadth of retinoblastoma research that has helped us take important strides toward remediation of this disease.
Guest: Matthew B. Stern, MD Host: Jennifer Shu, MD, FAAP Medication and physical therapy have been mainstay treatments for controlling neurologic symptoms associated with Parkinson's disease. One strategy for mitigating the characteristic tremors, rigidity and slow movement has focused on deep brain stimulation (DBS). What are the risks and benefits of this surgical intervention, when is it indicated, and how does it compare with medical treatment for Parkinson's? Host Dr. Jennifer Shu welcomes Dr. Matthew Stern, the Parker Family Professor of Neurology and director of the Parkinson's Disease and Movement Disorders Center at the University of Pennsylvania School of Medicine, to explore DBS and its indication for your patients with Parkinson's disease. Dr. Stern also offers his view on the question of whether DBS could eventually be considered for treatment much earlier in the disease's progression, or potentially as a first-line therapy for patients with Parkinson's.
Guest: Caroline Hall, MD Host: Jennifer Shu, MD, FAAP Respiratory syncytial virus (RSV) is a well-known cause of hospitalization in infants, but new research suggests the burden of illness may be more substantial than previously recognized in healthy, older children as well. Investigators estimate over two million children under the age of five require medical treatment for RSV each year. Because it can be difficult to prevent and treat RSV infections, is there a role for a vaccine against the illness? Host Dr. Jennifer Shu welcomes Dr. Caroline Hall, professor of pediatrics and medicine at the University of Rochester School of Medicine and Dentistry, to explore these questions. Dr. Hall also explains how the characteristics of the virus and its mechanisms of transmission contribute to its proliferation.
Guest: Matthew B. Stern, MD Host: Jennifer Shu, MD Medication and physical therapy have been mainstay treatments for controlling neurologic symptoms associated with Parkinson's disease. One strategy for mitigating the characteristic tremors, rigidity and slow movement has focused on deep brain stimulation (DBS). What are the risks and benefits of this surgical intervention, when is it indicated, and how does it compare with medical treatment for Parkinson's? Host Dr. Jennifer Shu welcomes Dr. Matthew Stern, the Parker Family Professor of Neurology and director of the Parkinson's Disease and Movement Disorders Center at the University of Pennsylvania School of Medicine, to explore DBS and its indication for your patients with Parkinson's disease. Dr. Stern also offers his view on the question of whether DBS could eventually be considered for treatment much earlier in the disease's progression, or potentially as a first-line therapy for patients with Parkinson's.
Host: Jennifer Shu, MD, FAAP Guest: Norman Rosenthal, MD The condition we now know as seasonal affective disorder (SAD) was first recognized in the early 1980s, when some patients were noted to have symptoms of depression only during the winter months. How does seasonal depression differ from other conditions such as major depression or bipolar disorder? Dr. Norman Rosenthal, a former senior researcher in psychiatry and psychobiology at the National Institute of Mental Health and one of the world's foremost experts on SAD, details the clinical profile of this disorder and describes light therapy and other potential treatments with host Dr. Jennifer Shu. Because there are some similarities between SAD and full depression, is it possible that light therapies or other SAD treatments would be effective for patients with year-round symptoms or bipolar disorder?
Guest: Patrick Frias, MD Host: Jennifer Shu, MD, FAAP Although sudden death in the pediatric population is rare, there has been a great deal of discussion recently over the possibility of an increase in risk of sudden cardiac death among individuals taking stimulant medication for attention-deficit hyperactivity disorder (ADHD). Dr. Patrick Frias, a pediatric cardiologist and electrophysiologist at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics at Emory University School of Medicine, explores this discussion with host Dr. Jennifer Shu. How can we best evaluate our patients' risk for sudden death before initiating medical treatment for ADHD, and how often should we monitor their cardiovascular status?
Guest: Patrick Frias, MD Host: Jennifer Shu, MD Although sudden death in the pediatric population is rare, there has been a great deal of discussion recently over the possibility of an increase in risk of sudden cardiac death among individuals taking stimulant medication for attention-deficit hyperactivity disorder (ADHD). Dr. Patrick Frias, a pediatric cardiologist and electrophysiologist at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics at Emory University School of Medicine, explores this discussion with host Dr. Jennifer Shu. How can we best evaluate our patients' risk for sudden death before initiating medical treatment for ADHD, and how often should we monitor their cardiovascular status?
Host: Jennifer Shu, MD Guest: Norman Rosenthal, MD The condition we now know as seasonal affective disorder (SAD) was first recognized in the early 1980s, when some patients were noted to have symptoms of depression only during the winter months. How does seasonal depression differ from other conditions such as major depression or bipolar disorder? Dr. Norman Rosenthal, a former senior researcher in psychiatry and psychobiology at the National Institute of Mental Health and one of the world's foremost experts on SAD, details the clinical profile of this disorder and describes light therapy and other potential treatments with host Dr. Jennifer Shu. Because there are some similarities between SAD and full depression, is it possible that light therapies or other SAD treatments would be effective for patients with year-round symptoms or bipolar disorder?
Guest: Sten Vermund, MD, PhD Host: Jennifer Shu, MD, FAAP Past research tells us that many young lesbian, gay, bisexual and transgender patients are at higher risk for health problems, such as depression, substance abuse, and sexually transmitted diseases. We're also learning that the response of the young person's family can trigger or worsen these conditions. Dr. Sten Vermund, professor of pediatrics, medicine, obstetrics and gynecology, and preventive medicine at Vanderbilt University School of Medicine, joins host Dr. Jennifer Shu to explore how physicians can work with families and patients to create a healthy dynamic as patients begin to express their sexual orientation and gender identity.
Host: Jennifer Shu, MD, FAAP Guest: Michael McConnell, MD Once mostly a condition of childhood, our patients with congenital heart disease are now living well into adulthood: nearly two million American children and adults are living with a congenital heart defect. What are the special medical needs of our cardiac patients as they transition from adolescence to adulthood? Dr. Michael McConnell, co-director of the adult congenital heart disease clinic at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics and medicine at Emory University School of Medicine, reflects upon how our medical system can improve our capacity to care for the growing numbers of adult patients with a congenital heart defect. Dr. Jennifer Shu hosts.
Host: Jennifer Shu, MD Guest: Michael McConnell, MD Once mostly a condition of childhood, our patients with congenital heart disease are now living well into adulthood: nearly two million American children and adults are living with a congenital heart defect. What are the special medical needs of our cardiac patients as they transition from adolescence to adulthood? Dr. Michael McConnell, co-director of the adult congenital heart disease clinic at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics and medicine at Emory University School of Medicine, reflects upon how our medical system can improve our capacity to care for the growing numbers of adult patients with a congenital heart defect. Dr. Jennifer Shu hosts.
Guest: Mary Catherine Beach, MD, MPH Host: Jennifer Shu, MD, FAAP Many of us may share personal or professional experiences with patients, often times in an effort to strengthen our relationship with them. Unfortunately, these actions may not always produce the intended positive effects on the relationship. Further, you may be surprised to know that the effects may differ based on our specialty fields. Dr. Mary Catherine Beach, associate professor of medicine at the Johns Hopkins University School of Medicine and Bloomberg School of Public Health, has extensively studied these physician self-disclosures. She talks with host Dr. Jennifer Shu about situations in which the self-disclosures may become ‘too much information.' In a patient visit where you believe you've shared too much, how can you get back on track? What about involuntary self-disclosures, where patients may learn of information about you on the Internet or in the everyday chatter of a small town or community?
Guest: Darshak Sanghavi, MD Host: Jennifer Shu, MD, FAAP In preterm neonates with a patent ductus arteriosus (PDA), the standard of care has been to attempt to close the defect. Yet some experts have asked whether we need to treat PDA in most preemies. If we are to resolve the condition, there are various methods and protocols for treatment and even prevention; how do outcomes for PDA closure vary by treatment strategy? Dr. Darshak Sanghavi, chief of pediatric cardiology and assistant professor of pediatrics at the University of Massachusetts Medical School, lays out the important points of discussion on PDA closure with host Dr. Jennifer Shu.
Guest: Darshak Sanghavi, MD Host: Jennifer Shu, MD In preterm neonates with a patent ductus arteriosus (PDA), the standard of care has been to attempt to close the defect. Yet some experts have asked whether we need to treat PDA in most preemies. If we are to resolve the condition, there are various methods and protocols for treatment and even prevention; how do outcomes for PDA closure vary by treatment strategy? Dr. Darshak Sanghavi, chief of pediatric cardiology and assistant professor of pediatrics at the University of Massachusetts Medical School, lays out the important points of discussion on PDA closure with host Dr. Jennifer Shu.
Guest: Cliff O'Callahan, MD, PhD Host: Jennifer Shu, MD, FAAP As physicians, we are often asked to give our time and money to charitable medical organizations. With so many groups working on health issues across the world, how can we best decide where to focus our energy and our donations? Is it more important to focus on how much we give, what we give, or how we give? Dr. Cliff O’Callahan, pediatrician and chair of the American Academy of Pediatrics’ Section on International Child Health, details a series of items we should consider when we make our contributions to charity with host Dr. Jennifer Shu.
Guest: James C. Turner, MD Host: Jennifer Shu, MD, FAAP Most of us have fond memories of our college years. As we now see in our families and in our practices, and perhaps retrospectively in ourselves, the behavior of college students is often influenced by what is perceived to be normal among their peers. Looking more specifically at social norms research, college students tend to overestimate negative behavior, while underestimating positive behavior, relating to a range of health issues, from smoking and binge drinking to risky sexual practices and wearing seat belts. Dr. James Turner, president-elect of the American College Health Association, and executive director of the National Social Norms Institute, explains how social norms campaigns can highlight differences between the perceptions and realities that influence young people, to improve their actions and ultimately their health. Dr. Jennifer Shu hosts.
Guest: Bruce Slaughenhoupt, MD Host: Jennifer Shu, MD, FAAP Once considered to be a problem of adulthood, kidney stones are being more regularly documented in children as young as age five. What factors are responsible for the increasing prevalence of this condition, and what can we do to reverse this emerging pattern of childhood kidney stones? Dr. Bruce Slaughenhoupt, assistant professor of urology and co-director of the pediatric kidney stone clinic at the University of Wisconsin School of Medicine, evaluates the clinical implications of this trend with host Dr. Jennifer Shu.
Guest: Parminder Suchdev, MD, MPH Host: Jennifer Shu, MD We are seeing more physicians participate in short-term international medical work, owing in part to a greater awareness for global inequities in healthcare. What types of volunteer opportunities are available to physicians interested in making a difference overseas? What are some of the most common challenges and benefits of working abroad? Dr. Parminder Suchdev, assistant professor of pediatrics and global health at Emory University and a medical epidemiologist in the nutrition branch of the Centers for Disease Control and Prevention, talks with host Dr. Jennifer Shu about the personal commitment and professional preparations needed to make your journey a success.
Guest: Bruce Slaughenhoupt, MD Host: Jennifer Shu, MD Once considered to be a problem of adulthood, kidney stones are being more regularly documented in children as young as age five. What factors are responsible for the increasing prevalence of this condition, and what can we do to reverse this emerging pattern of childhood kidney stones? Dr. Bruce Slaughenhoupt, assistant professor of urology and co-director of the pediatric kidney stone clinic at the University of Wisconsin School of Medicine, evaluates the clinical implications of this trend with host Dr. Jennifer Shu.
Guest: Parminder Suchdev, MD, MPH Host: Jennifer Shu, MD The health of people around the world is frequently said to be a global responsibility, one that is shared and often spearheaded by medical professionals in the United States. How can we help to build sustainable international medical projects? And what practical, financial and ethical issues must be considered before undertaking these endeavors? Dr. Parminder Suchdev, assistant professor of pediatrics and global health at Emory University and a medical epidemiologist in the nutrition branch of the Centers for Disease Control and Prevention, guides us through the experience of medical volunteerism overseas. How do you ensure that your efforts fulfill both your expectations and those of the community in which you serve? Further, what can you do to make certain that your work will be continued once you have returned home? Dr. Jennifer Shu hosts.
Guest: Bruce Aylward, MD, MPH Host: Jennifer Shu, MD Nearly 90 percent of poliomyelitis cases are found in Nigeria and India, two countries where the virus remains endemic. Poor vaccine coverage, especially in Nigeria, has contributed to the transmission of disease, but could a newly licensed monovalent vaccine help eliminate the virus in the region? Is this strategy applicable in India as well, and how does this all fit into the worldwide effort to eradicate poliovirus? Dr. Bruce Aylward, director of the Global Polio Eradication Initiative at the World Health Organization (WHO), probes these questions and more with host Dr. Jennifer Shu, as he lays out WHO plans to move us closer to conquering polio over the next several years.
Guest: Michael Cappello, MD Host: Jennifer Shu, MD Improving public health in the developing world depends on a number of factors, such as adequate financing, strong governmental and private support, and stable local infrastructures that include hospitals, laboratories, and health professionals. While funds allocated to tackle global diseases have risen in recent years, in many cases, local infrastructures have been neglected. What are the global implications of an imbalanced distribution of first-rate medicine? How can the local talent pool of health workers be encouraged to stay in their home countries and work to improve the health of people in their native lands? Dr. Michael Cappello, professor of pediatrics, microbial pathogenesis, epidemiology and public health at the Yale School of Medicine, directs a Yale program, based in Ghana, that aims to build research capacity, strengthen academic infrastructure and create viable career opportunities for local scientists. He joins host Dr. Jennifer Shu to talk about efforts to keep home-grown research talent at home.
Guest: Michael Cappello, MD Host: Jennifer Shu, MD Parasitic infections have a major impact on the developing world. Their modes of transmission, treatments, and preventions vary widely: Whereas one parasitic infection is nearing eradication without the use of any drug therapy or vaccine, innovative approaches involving immunology, molecular biology and genetics may be required for the elimination of another. Dr. Michael Cappello, professor of pediatrics, microbial pathogenesis, and epidemiology and public health at the Yale School of Medicine, talks with host Dr. Jennifer Shu about what we have learned from these cases, and how these principles can be applied to help reduce other infectious diseases.
Guest: Jill Grimes, MD Host: Jennifer Shu, MD There are 340 million cases of curable sexually transmitted diseases (STDs) each year around the world. In developing countries, STDs and their complications are among the top five disease categories for which adults seek healthcare. Dr. Jill Grimes, practicing board-certified family physician in Austin, Texas, and associate editor of the 5-Minute Clinical Consult textbook, joins host Dr. Jennifer Shu to discuss notable facts and figures in the common struggle with curable sexually transmitted diseases. What medical advances in the United States might help patients with STDs across the globe, and vice versa: what lessons in effective care overseas can we apply to our work in the United States?
Guest: Roland Sutter, MD, MPHTM Host: Jennifer Shu, MD The World Health Organization (WHO) is working diligently to eliminate Type 1 poliovirus transmission in endemic countries around the world. Although progress has been made using the trivalent oral poliovirus vaccine, eradication remains elusive. Recent studies have examined the efficacy of a monovalent oral poliovirus vaccine given to newborns: could this monovalent vaccine bring us closer to eradicating poliomyelitis? Dr. Jennifer Shu welcomes Dr. Roland Sutter, coordinator of the research and product development team for the WHO's Global Polio Eradication Initiative, to detail his team's contributions to the evolving body of polio research.
Guest: H. Gilbert Welch, MD, MPH Host: Jennifer Shu, MD, FAAP Preventive medicine in primary care has traditionally focused on health promotion and disease prevention. Due to advances in technology, a typical well visit may now include a series of tests to detect early disease. How is this shift toward preventive medicine affecting patient care, survival outcomes and health care costs? And how can physicians decide when is the optimal time to screen for cancer and other conditions? Dr. H. Gilbert Welch, professor of medicine and community and family medicine at Dartmouth Medical School, and author of Should I Be Tested for Cancer? Maybe Not, and Here’s Why, joins host Dr. Jennifer Shu to examine the realities behind our growing expectations of preventive care.
Guest: H. Gilbert Welch, MD, MPH Host: Jennifer Shu, MD, FAAP Physicians need to be knowledgeable about both the potential benefits and possible harms of early screening and detection. What should we do when a healthy patient comes to our office requesting a full-body CT scan, genetic testing for cancer markers, or other screening measures that may not be suitable for their condition? How can we put health risks into perspective and give our patients basic information about the overdiagnosis and unnecessary treatment that may follow screening? For an interesting discussion about these questions and much more, host Dr. Jennifer Shu welcomes Dr. H. Gilbert Welch, professor of medicine and community and family medicine at Dartmouth Medical School, and author of Should I Be Tested for Cancer? Maybe Not, and Here's Why.
Host: Jennifer Shu, MD, FAAP Guest: Jill Grimes, MD Primary care physicians have an active role in the care of diabetes, from optimizing medical treatment and coordinating care with specialists, to providing basic guidance on nutrition. Why should nutrition be a high priority for this chronic disease, and how can we counsel our patients with diabetes on the importance of nutrition? Dr. Jill Grimes, a practicing board-certified family physician in Austin, Texas, and an associate editor for the 5-Minute Clinical Consult textbook, shares tips on the best ways to get an accurate nutrition history from our patients and on the optimal time to refer them to a registered dietitian. Dr. Jennifer Shu hosts.
Host: Jennifer Shu, MD, FAAP Guest: Andrew Muir, MD Type 1 diabetes has long been considered a disease of childhood and adolescence. However, current research suggests that infant nutrition, in addition to genetics and other factors early in life, can significantly impact a child's risk for developing the condition later in life. How can we identify children at risk for Type 1 diabetes, and what can we do to prevent or intervene with the disease process? Dr. Andrew Muir, professor of pediatrics and chief of pediatric endocrinology at Emory University School of Medicine, speaks with host Dr. Jennifer Shu about early predictors of Type 1 diabetes.
Guest: Jill Grimes, MD Host: Jennifer Shu, MD, FAAP In the state of Texas, patients can buy home exercise equipment without sales tax if they present a medical script written by their healthcare provider, at the time of purchase. Is this benefit available in your state? Host Dr. Jennifer Shu welcomes Dr. Jill Grimes, a practicing board-certified family physician in Austin, Texas, and an associate editor of the 5-Minute Clinical Consult textbook, to explore key strategies to get your patients with diabetes to do their best to keep fit. Exercise as a daily commitment is a tough proposition for many of our patients, with work, family, and other activities all competing for their time. Many patients also battle a kind of personal inertia about exercise, just as others perceive constraints imposed by chronic diseases like diabetes. How can you tailor your discussions about exercise to resonate with your patients?
Guest: Andrew Muir, MD Host: Jennifer Shu, MD, FAAP Cerebral edema is the most common cause of death among children with diabetes, occurring as a complication of diabetic ketoacidosis (DKA) in about one percent of children with Type 1 diabetes. Among our young patients, who carries the greatest risk for cerebral edema? How can we prevent, recognize and treat this complication of DKA? Dr. Andrew Muir, professor of pediatrics and chief of pediatric endocrinology at Emory University School of Medicine, talks about the timing of cerebral edema onset relative to diabetes, and potential theories that could explain the pathophysiology of the condition. What signs and symptoms should lead physicians to suspect cerebral edema, and should imaging play any role in diagnosis? Dr. Jennifer Shu hosts.
Guest: Jill Grimes, MD Host: Jennifer Shu, MD In the state of Texas, patients can buy home exercise equipment without sales tax if they present a medical script written by their healthcare provider, at the time of purchase. Is this benefit available in your state? Host Dr. Jennifer Shu welcomes Dr. Jill Grimes, a practicing board-certified family physician in Austin, Texas, and an associate editor of the 5-Minute Clinical Consult textbook, to explore key strategies to get your patients with diabetes to do their best to keep fit. Exercise as a daily commitment is a tough proposition for many of our patients, with work, family, and other activities all competing for their time. Many patients also battle a kind of personal inertia about exercise, just as others perceive constraints imposed by chronic diseases like diabetes. How can you tailor your discussions about exercise to resonate with your patients?
Guest: Andrew Muir, MD Host: Jennifer Shu, MD Cerebral edema is the most common cause of death among children with diabetes, occurring as a complication of diabetic ketoacidosis (DKA) in about one percent of children with Type 1 diabetes. Among our young patients, who carries the greatest risk for cerebral edema? How can we prevent, recognize and treat this complication of DKA? Dr. Andrew Muir, professor of pediatrics and chief of pediatric endocrinology at Emory University School of Medicine, talks about the timing of cerebral edema onset relative to diabetes, and potential theories that could explain the pathophysiology of the condition. What signs and symptoms should lead physicians to suspect cerebral edema, and should imaging play any role in diagnosis? Dr. Jennifer Shu hosts.
Host: Jennifer Shu, MD Guest: Jill Grimes, MD Primary care physicians have an active role in the care of diabetes, from optimizing medical treatment and coordinating care with specialists, to providing basic guidance on nutrition. Why should nutrition be a high priority for this chronic disease, and how can we counsel our patients with diabetes on the importance of nutrition? Dr. Jill Grimes, a practicing board-certified family physician in Austin, Texas, and an associate editor for the 5-Minute Clinical Consult textbook, shares tips on the best ways to get an accurate nutrition history from our patients and on the optimal time to refer them to a registered dietitian. Dr. Jennifer Shu hosts.
Guest: Jay Berkelhamer, MD Host: Jennifer Shu, MD, FAAP The medical community provides a vital public health service when we vaccinate our patients. However, this practice is often a money-losing proposition for us, as evidenced by the many primary care physicians who are discontinuing immunizations in their practice. What can physicians, vaccine manufacturers and insurers do to improve the current vaccine financing and delivery system? Dr. Jay Berkelhamer, senior vice president and chief academic officer at Children's Healthcare of Atlanta, and past president of the American Academy of Pediatrics, joins host Dr. Jennifer Shu to explores a series of ways through which organizations and workers throughout the healthcare community can do their part to improve our system for financing vaccines.
Guest: Young-Shin Kim, MD, PhD, MPH, MS Host: Jennifer Shu, MD, FAAP Roughly one-third of children in the United States are involved in bullying, either as the bully, as the victim, or on both sides of the confrontation. What interventions can be taken that recognize patterns which lead to this all-too-common part of childhood, and that also work to prevent and combat its occurrence? Further, what can physicians do to help families and their children who are affected by bullying? Dr. Young-Shin Kim, assistant professor of child and adolescent psychiatry at the Yale University School of Medicine, talks with host Dr. Jennifer Shu about gender differences in bullying, risk factors for being targeted by bullies, and more generally, how we can approach an open and honest discussion of this topic with our young patients and their families.
Guest: E. Steve Roach, MD Host: Jennifer Shu, MD, FAAP Stroke has been increasingly recognized among children in recent years. Stroke in neonates, in particular, occurs at a much higher rate than in older children. What are the leading risk factors for neonatal stroke? How does it present and how is it diagnosed? Host Dr. Jennifer Shu learns more about the evidence for managing stroke in newborns, as well as the likely short-term and long-term outcomes, from Dr. E. Steve Roach, professor of pediatrics and neurology at the Ohio State University College of Medicine, and chief of the division of child neurology at Nationwide Children's Hospital in Columbus, Ohio.
Guest: E. Steve Roach, MD Host: Jennifer Shu, MD Pediatric and adolescent stroke differ from adult stroke in frequency, presentation, management and prognosis. What causes childhood stroke, and how can we diagnose and treat the condition? Dr. E. Steve Roach, professor of pediatrics and neurology at the Ohio State University College of Medicine, and chief of the division of child neurology at Nationwide Children's Hospital in Columbus, Ohio, explains who, among our young patients, is at greater risk for stroke and how the clinical presentation is often very similar to that of an elderly stroke victim. Looking at the long-term ramifications, how do our young stroke patients fare as they get older? Dr. Jennifer Shu hosts.
Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Although breast milk is widely considered to be the best nutrition for infants, research tells us that breastfed babies may be at elevated risk for vitamin D deficiency, anemia, and tooth decay. What other health considerations may be associated with breastfeeding? Can we definitively say that breast milk is still the best option for infants? Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, N.J., and an Executive Committee member of the American Academy of Pediatrics section on breastfeeding, shares her expertise with host Dr. Jennifer Shu.
Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Mothers in the United States have the lowest rates of breastfeeding in the developed world. What are the immediate and lasting benefits of breastfeeding for infants and their nursing mothers? How does breast milk compare to formula, in terms of the baby's nutrition and long-term growth development? Host Dr. Jennifer Shu welcomes Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, New Jersey, and an executive committee member of the American Academy of Pediatrics section on breastfeeding.
Guest: Lori Feldman-Winter, MD, MPH Host: Jennifer Shu, MD, FAAP Despite ambitious recommendations that new mothers breastfeed their infants for at least one year after birth, very few mothers meet this objective. Knowing there are barriers to breastfeeding--social, economic, and beyond--how can we help mothers get past these difficulties, where possible? Further, how can we allay the guilt many mothers feel when they're unable to breastfeed? For answers, host Dr. Jennifer Shu talks with Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, N.J., and an Executive Committee member of the American Academy of Pediatrics section on breastfeeding.
Guest: Richard Besser, MD Host: Jennifer Shu, MD The Centers for Disease Control and Prevention (CDC) plays a significant role in preparing for and responding to public health emergencies. How has the CDC's emergency response process changed for the better in recent years, particularly as we apply lessons from our response to Hurricane Katrina, and what improvements can still be made? How can we maintain continuity of care among multiple providers during these discombobulating times? Dr. Richard Besser, pediatrician and director of the CDC's Coordinating Office for Terrorism Preparedness and Emergency Response, explores the critical role of doctors on the local level to prepare for emergencies and take action once they occur. Dr. Besser also encourages us to think about personal response and communication plans, as well as stockpiling supply strategies. Dr. Jennifer Shu hosts.
Guest: Richard Besser, MD Host: Jennifer Shu, MD One major goal of the Centers for Disease Control and Prevention (CDC) is to help prepare the public for emerging health threats. What is the status of public health emergency preparedness at the federal, state and local levels? What progress has been made in preparing our country for natural, biological, chemical and other hazards? And in the context of progress, where is there room for improvement? Dr. Richard Besser, pediatrician and director of the CDC's Coordinating Office for Terrorism Preparedness and Emergency Response, addresses these questions and more with host Dr. Jennifer Shu.
Guest: Robert Lamberts, MD Host: Jennifer Shu, MD, FAAP We all know that both patients and physicians play an integral role in the doctor-patient relationship. Yet this partnership isn't always as balanced as we might hope. Why might our patients become frustrated with us or feel uncomfortable in our office? Are there simple rules that we, as physicians, can follow to make a positive impact on this relationship, and to feel good about the connections we have built with our patients? Dr. Rob Lamberts, board-certified internist and pediatrician, and author of the popular blog Musings of a Distractible Mind, shares his insights on helping doctors and patients build a stronger rapport. Dr. Jennifer Shu hosts.
Guest: Martin Myers, MD Host: Jennifer Shu, MD Patients are increasingly seeking accurate information about vaccine safety. Many reach out to friends and family and others scan media reports or search the Internet. But most patients still consider their primary care physician the main source for reliable information. Host Dr. Jennifer Shu welcomes Dr. Martin Myers, an internationally recognized vaccine expert and former director for the Department of Health and Human Service's National Vaccine Program Office. He is co-author of the book Do Vaccines Cause That?! A Guide for Evaluating Vaccine Safety Concerns. What are the most pertinent questions for our patients, and are you prepared with the answers?
Guest: Harry Keyserling, MD Host: Jennifer Shu, MD, FAAP A single vaccine is now available for immunization against diphtheria, tetanus, pertussis, polio, and Haemophilus influenzae type b. As we consider offering this to our pediatric patients, what are the vaccine's unique challenges and benefits? How does this combination vaccine compare with other options for immunization? Host Dr. Jennifer Shu examines these questions and more with Dr. Harry Keyserling, professor of pediatrics in the division of infectious diseases at Emory University School of Medicine.
Guest: Harry Keyserling, MD Host: Jennifer Shu, MD, FAAP Physicians administering rotavirus vaccines to infants now have the choice of two distinct immunizations. How do the two vaccines differ? How effective are these immunizations in preventing rotavirus gastroenteritis infections? How can we decide what to offer our patients? Dr. Harry Keyserling, professor of pediatrics in the division of infectious diseases at Emory University School of Medicine, lays out the details of the new vaccines with host Dr. Jennifer Shu.
Guest: Jatinder Bhatia, MD Host: Jennifer Shu, MD, FAAP Although breast milk is the ideal source of nutrition for children under 12 months, most babies receive infant formula at some point during the first year. With dozens of formulas on the market, making a choice can be confusing for parents and for physicians as well. Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical College of Georgia, and a member of the American Academy of Pediatrics Committee on Nutrition, lends his expert insight on choosing an infant formula. What are the latest recommendations regarding infant formulas? How should physicians decide what formula is best for a patient? Dr. Jennifer Shu hosts.
Guest: Jatinder Bhatia, MD Host: Jennifer Shu, MD, FAAP Guest: Darshak Sanghavi, MD It's the leading cause of death and morbidity in American adults, but the cardiovascular disease process may begin in childhood. A new clinical report from the American Academy of Pediatrics (AAP) recommends some children as young as age 8 should receive pharmacologic treatment for dyslipidemia. The recommendations have stirred considerable debate among pediatricians and others in the medical community. Given the absence of long-term data to support the safety of prescribing statins, how was the decision made to go forward with these recommendations? What potential adverse effects from the medications should we be most concerned about? What are the most prudent alternatives to medicating children at risk for cardiovascular disease? Host Dr. Jennifer Shu welcomes Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical College of Georgia, and a member of the AAP Committee on Nutrition, and Dr. Darshak Sanghavi, a pediatric cardiologist and an assistant professor of pediatrics at the University of Massachusetts Medical School, for a candid discussion about the merits of the AAP recommendations.
Guest: Ian Williams, PhD Host: Jennifer Shu, MD, FAAP Salmonella infections transmitted by food have doubled in the past two decades. What is causing this increase? What foods are primarily to blame? How can physicians identify and treat the condition? Host Dr. Jennifer Shu speaks with Dr. Ian Williams, chief of the Centers for Disease Control and Prevention's OutbreakNet, a network of epidemiologists and other public health officials who investigate foodborne outbreaks and other enteric illnesses.
Guest: Ian Williams, PhD Host: Jennifer Shu, MD, FAAP The latest Salmonella concerns mark the United States' worst foodborne outbreak in over a decade. Exactly how are outbreaks of foodborne illness identified? How are specific food products linked to specific illnesses? How can we stop the spread of these outbreaks? Host Dr. Jennifer Shu examines these questions and more with Dr. Ian Williams, chief of the Centers for Disease Control and Prevention's OutbreakNet, a network of epidemiologists and other public health officials who investigate foodborne outbreaks and other enteric illnesses.
Guest: Phyllis Kozarsky, MD Host: Jennifer Shu, MD, FAAP An estimated 600,000 foreign visitors and athletes are expected to join up to two and a half million domestic volunteers and visitors at the 2008 Beijing Olympics. Patients will be seeking your advice on how to prepare for a safe and healthy visit to China. Dr. Phyllis Kozarsky, an expert consultant in the division of global migration and quarantine at the Centers for Disease Control and Prevention, and a professor of medicine and infectious diseases at Emory University School of Medicine, shares her perspective with host Dr. Jennifer Shu on talking to patients who are bound for Beijing. As a clinician, are you ready to give the right advice?
Guest: Jill Grimes, MD Host: Jennifer Shu, MD, FAAP The Centers for Disease Control (CDC) has indicated that 19 million Americans — including one in four teenage girls — are infected with at least one sexually transmitted disease (STD). As physicians, we know that these diseases are far more common than most people think. But are we doing our best to educate our patients and provide appropriate screening measures? How can physicians work to debunk common public misconceptions about STDs? Dr. Jill Grimes, a practicing family physician in Austin, Texas, and author of Seductive Delusions: How Everyday People Catch STDs, addresses a series of erroneous beliefs about STDs and offers counsel on the most effective ways for physicians to help tackle this critical public health problem. Dr. Jennifer Shu hosts.
Guest: Jill Grimes, MD Host: Jennifer Shu, MD, FAAP More than five million Americans struggle with Alzheimer's disease. How can you determine if your patients' moments of forgetfulness are an early sign of this illness? How can you help families make tough decisions about independent living? Dr. Jill Grimes, a practicing family physician in Austin, Texas, and author of the chapter on Alzheimer's in the 5-Minute Clinical Consult textbook, joins host Dr. Jennifer Shu to share her insight on diagnosing, caring for and counseling our Alzheimer's patients. What adjustments can we make to our practice to best assist patients and their families coping with the burdens of Alzheimer's?
Guest: Jill Grimes, MD Host: Jennifer Shu, MD More than five million Americans struggle with Alzheimer’s disease. How can you determine if your patients' moments of forgetfulness are an early sign of this illness? How can you help families make tough decisions about independent living? Dr. Jill Grimes, a practicing family physician in Austin, Texas, and author of the chapter on Alzheimer’s in the 5-Minute Clinical Consult textbook, joins host Dr. Jennifer Shu to share her insight on diagnosing, caring for and counseling our Alzheimer’s patients. What adjustments can we make to our practice to best assist patients and their families coping with the burdens of Alzheimer’s?
Guest: Jill Grimes, MD Host: Jennifer Shu, MD The Centers for Disease Control (CDC) has indicated that 19 million Americans — including one in four teenage girls — are infected with at least one sexually transmitted disease (STD). As physicians, we know that these diseases are far more common than most people think. But are we doing our best to educate our patients and provide appropriate screening measures? How can physicians work to debunk common public misconceptions about STDs? Dr. Jill Grimes, a practicing family physician in Austin, Texas, and author of Seductive Delusions: How Everyday People Catch STDs, addresses a series of erroneous beliefs about STDs and offers counsel on the most effective ways for physicians to help tackle this critical public health problem. Dr. Jennifer Shu hosts.