Podcasts about le bonheur children's hospital

Le Bonheur Children's Hospital treats more than 1,300 kids every year for epilepsy. Their patients have some of the highest seizure-free rates in the country. Today we are sitting down with Dr. James Wheless, Director of the Comprehensive Epilepsy Program and Neuroscience Institute at Le Bonheur Children's Hospital to discuss the various treatments for children with epilepsy and what new advances Le Bonheur has made in the epilepsy program.

Parents and caregivers know to bring their children to the hospital to address physical wounds associated with acts of violence. What can they do, however, to address the mental and emotional strain that follows? In the spring of 2022, Le Bonheur Children's Hospital launched Supporting & Healing Individuals from Trauma (SHIFT), a hospital-based violence intervention program (HVIP) that aims to assist Le Bonheur patients and families who have been impacted by violence. By collaborating with the patients' care team to identify specific needs, SHIFT coordinates wrap-around services to help ensure the best possible outcomes, both in and out of the hospital. Because trauma can have wide-reaching effects on every aspect of a patient's home life, SHIFT can help connect families with mental health resources, mentoring, and youth development, as well as school and court advocacy.

This week's episode is part 3 of 3 on gun-related violence. My guest is Dr. Regan Williams, a pediatric trauma surgeon at Le Bonheur Children's Hospital in Memphis, TN. Dr. Williams and her team see their fair share of gun-related violence both intentional and unintentional inflicted upon our children. Dr. Williams and I explore potential causes and solutions to this epidemic in both our city and in our country.

Today, I have the privilege of talking with Renee Dendy of Houston, Mississippi, who is currently with her baby, Maegan, at Le Bonheur Children's Hospital. Celebrating her first 100 days of life yesterday, Baby Maegan and her family have been through some serious challenges from the very beginning, including CPAM and a trisomy 18 diagnosis. On today's show, you'll hear from Renee, this brave and courageous mom of four boys and Maegan. After that, you'll hear Cora's Corner from Cora White.

Tonight, I have the privilege of talking with Renee Dendy of Houston, Mississippi, who is currently with her baby, Maegan, at Le Bonheur Children's Hospital. Celebrating her first 100 days of life on Friday, Baby Maegan and her family have been through some serious challenges from the very beginning, including CPAM and a trisomy 18 diagnosis. On tonight's show, you'll hear from Renee, this brave and courageous mom of four boys and Maegan.

In this episode of BackTable ENT, pediatric otolaryngologists Dr. Anthony Sheyn (St. Jude Children's Hospital & Le Bonheur Children's Hospital), Dr. Jeffrey Rastatter (Lurie Children's Hospital of Chicago), and Dr. Daniel Chelius (Texas Children's Hospital), discuss challenges and research in health equity in pediatric head and neck cancer care. --- SHOW NOTES First, the surgeons define the Social Determinants of Health (SDoH) and explain how studying these factors improves care. They share memories of when they first reckoned with health inequities as clinicians. For Dr. Chelius, this was during medical school, when he observed end-stage renal disease patients' access to dialysis (and thus lifespan) depended on their insurance status, income, and education. Moving into his residency, he realized that similar forces shaped how patients accessed cancer care. As a young attending, Dr. Sheyn noticed that many of his patients missed appointments for logistical or financial reasons, which piqued his interest in characterizing how SDoH influence pediatric cancer care. Next, the doctors discuss health equity research. Though they're based at different institutions, the three surgeons collaborate to study how SDoH affect pediatric head and neck cancer outcomes. Dr. Rastatter shares his work identifying how different SDoH– including socioeconomic status, household composition, housing/transportation, and minority/language status – interact to affect access to cancer care. Dr. Chelius speaks to the importance of social work, advanced practice providers, and transportation services in connecting patients to care. The podcast concludes with a discussion of how tertiary care centers can better collaborate with community clinicians to ensure pediatric patients with rare cancers get the workup and treatment they need.

Terry and Amy Prosser, from Graniteville, SC, had their youngest daughter, Carly, in 2012. When Carly was only 5 months old, she was diagnosed with cortical visual impairment and 2 months later began having infantile spasms, a catastrophic form of epilepsy. Terry researched doctors and hospitals that specialized in infantile spasms and quickly found Dr. James Wheless and Le Bonheur Children's Hospital. The Prossers traveled to Memphis every couple of months for 8 years for Carly's care that quickly evolved into seeing many specialists at Le Bonheur. She was diagnosed with Microcephaly-Capillary Malformation Syndrome in 2016 and passed away in 2021 at 9 years old. The Prossers are so grateful for the care and compassion Le Bonheur Children's Hospital, Fed-Ex Family House, and the Forrest Spence Fund gave to them during their journey, and Amy still keeps in touch with many that became family to them. Our show host is Brittany Spence and our Executive Producer is Castria.Subscribe today to stay up to date and don't forget to leave a rating and review!

In 2022, the leading cause of death for teens and young adults is suicide. Le Bonheur Children's Hospital has treated patients as young as 5 years old for self-injury, suicidal thoughts, and suicide attempt. Those who attempt or die by suicide do so because they cannot imagine a better day. For more than 71 years, the journey to a healthier childhood has led thousands of children and their families to Le Bonheur. That's why Le Bonheur was one of only 16 hospitals in the country selected to develop a pediatric-specific approach to the youth mental health crisis, through a grant made possible by Children's Hospital Association, Cardinal Health, and Zero Suicide. Le Bonheur's program is called Hope Journey. Senior Director of Emergency Services Barbie Stewart is here to talk about childhood suicide and how we can help in the fight to keep children safe.

Meet Dr. Jason Johnson, Associate Chief of Pediatric Cardiology and Director of Cardiac MRI at Le Bonheur Children's Hospital!

Our guest, Webb A. Smith, PhD, chats with us about his role as the Clinical Exercise Physiologist in the Heart Institute and Pediatric Obesity Program at Le Bonheur Children's Hospital in Memphis, TN. He discusses the multidisciplinary team of pediatricians, registered dietitians, fitness specialists and behavioral health coaches that help children and adolescents manage their weight.Our show host is Brittany Spence and our Executive Producer is Lydia Gettings.Subscribe today to stay up to date and don't forget to leave a rating and review!

Eating disorders are rampant today. The common age of struggling children is ages 13-15. There are many factors opening the door for this type of bondage, including social media, peer influence, loss of a parent, and the fear of losing control. Mothers raising fatherless children must be aware of the temptation to fill the void in a variety of ways including an unhealthy relationship with food. In today's episode, Dr. Bowden discusses the following: How to recognize the signs of a child struggling with an eating disorder Conversations you must have with your children How a mom can be proactive in helping her child Encouragement for one who is battling disordered eating Michelle Bowden is a follower of Jesus, a pastor's wife, and a mom of two who works as an Associate Professor of Pediatrics at The University of Tennessee Health Science Center and as a pediatrician in Adolescent Clinics at Le Bonheur Children's Hospital in Memphis, TN. There, she leads a multidisciplinary eating disorder clinic to evaluate and treat teenagers with eating disorders including Anorexia nervosa, Bulimia nervosa, Binge Eating Disorder, and Avoidant Restrictive Food Intake Additional Resources:  https://www.nationaleatingdisorders.org/ https://www.feast-ed.org/ Mom, you are not alone!  Join our private Facebook group for more encouragement and community: https://bit.ly/widowmom  For more information and helpful resources, check our website: PerspectiveMinistries.org & follow us on Instagram @PerspectiveMinistries.

The winter season is often a joyous time full of celebrations and fun activities. For many, it's also a time of difficulty for our skin, and it can be even more difficult to manage the skin troubles that might arise for your little ones. Here to speak with us today is Chief of Pediatric Dermatology at Le Bonheur Children's Hospital, Dr. Teresa Wright, to share some tips on how to safely protect your child's skin this winter.

Teens are becoming increasingly dependent on and addicted to vapes. The trendy electronic cigarettes have become a way for many kids to ‘fit in' or relieve stress. However, the adverse effects of vaping put adolescents at a serious health risk.Dr. Catherine Sanders, a pulmonologist at Le Bonheur Children's Hospital, is here to discuss the dangers of the popular habit of vaping among the pediatric population.

The winter season is often a joyous time full of celebrations and fun activities. For many, it's also a time of difficulty for our skin, and it can be even more difficult to manage the skin troubles that might arise for your little ones. Here to speak with us today is Chief of Pediatric Dermatology at Le Bonheur Children's Hospital, Dr. Teresa Wright, to share some tips on how to safely protect your child's skin this winter.

Having good mentors can improve outcomes for youth, but having good mentors in adulthood has its benefits, too! This week, Sarah and Tennille discuss ways that having a mentor- and being a mentor- is worth the time investment. Special guest is Nicole Newman from Le Bonheur Children's Hospital.

Meet Dr. Christen Holder, clinical director of Pediatric Neuropsychology at Le Bonheur Children's Hospital. Dr. Holder specializes in helping kids with epilepsy but has expanded her expertise to work with children with neuropsychological needs across the hospital. Her goal is to help families understand their child's condition and help their child best succeed.

Ear infections are one of the most common medical issues for babies and toddlers. It can be a frustrating cycle for parents before it is recommended that your child get ear tubes.Dr. Anthony Sheyn, Division Chief of Pediatric Otolaryngology at Le Bonheur Children's Hospital, is here to help parents understand everything they need to know about ear tubes.

Meet Dr. Dana Giel, one of the pediatric urologists at Le Bonheur Children's Hospital. From a very young age, she knew she wanted to be a doctor. Drawn to the surgical side of medicine, Dr. had colleagues that guided her to urology where she could get to know patients in clinic and work with her hands in operating room. Learn more about her career path, how she has balanced work and family and her passion for the city of Memphis in this episode of the Peds Pod.

Dr. Jeffrey Towbin is the Chief of Pediatric Cardiology at Le Bonheur Children's Hospital and he joined the show to give a professional insight on the case of Damar Hamlin, the NFL player who collapsed from cardiac arrest mid-game.See omnystudio.com/listener for privacy information.

Our guest Taylor Brown shared about her passion for Music Therapy and her love of using music to help her patients reach non-musical goals. Taylor was one of the first Music Therapist's to be hired by Le Bonheur Children's Hospital and has big dreams for all the good Music Therapy can do. Listen in to learn all about Taylor and Music Therapy! Our show host is Brittany Spence and our Executive Producer is Lydia Gettings.Subscribe today to stay up to date and don't forget to leave a rating and review!

Missouri dad accused of pepper spraying his three daughters and stepdaughter and setting his teenage stepson on fire in a "ring of flames." Authorities say a 50-year-old man burned a 13-year-old child and pepper-sprayed two other youths. He faces multiple crimes. According to the court records of Laclede County, Missouri, Timothy Easton was charged with two charges of child abuse and neglect and one case of child abuse and neglect causing serious emotional or bodily injury. According to KOZL-TV A 13-year-old kid presented to the ER on August 24 with burns covering 10% to 19% of his body, primarily his chest and thighs. According to what deputies have heard, Easton allegedly put the child in a "ring of fire" and then kicked a gasoline can at him as the teenager tried to escape. The gas allegedly "sparked" when it came into contact with the lighter, causing the boy's burns. Easton is the teen's stepfather, and the "ring of fire" happened in front of their house, as reported by KY3-TV. Since Easton allegedly did not allow the boy's mother to get help for the burns, by the time the kid got to the hospital, the injuries were already roughly two weeks old. Pepper spray was also used on Easton's 16-year-old daughter and 12-year-old stepdaughter, according to reports. It has been reported that Sheriff David Millsap made the following statement: "The investigation revealed evidence that the suspect made repeated threats of physical violence and verbal abuse towards the mother and her children. The evidence suggests that the mother was prevented from providing her child with medical attention." Apparently, Easton is being kept indefinitely without bond. A babysitter in Mississippi has been jailed after a 2-year-old toddler died from injuries. Two toddlers in the babysitter's care ended up in the hospital, and one of them ended up dying. The babysitter, a 23-year-old woman, was arrested and charged with their deaths. An unresponsive youngster was reported to the Alcorn County Sheriff's Office at 9:10 p.m. on Tuesday, September 13, according to a press release. A male victim, age 2, was found bruised and marked at the site, according to reports. The Sheriff's Department reported that they found an injured 11-month-old girl during their investigation of the residence. Le Bonheur Children's Hospital was reportedly where both victims were taken. The Sheriff's Office eventually discovered that Makallie Durham was responsible for the children when they were injured. According to reports, Durham was arrested on a minor warrant and taken to the Alcorn County Jail. The Sheriff's Office said that the 2-year-old child had passed away on September 15 due to his injuries. The infant, who is 11 months old, is said to be doing well. The Sheriff's Office has stated that Durham will be charged with capital murder and felony child abuse in light of the child's death. To this day, she is still being imprisoned in Alcorn County. The Utah man who drove drunk and killed his wife in the airport parking lot has been convicted and sentenced to jail time. A man was given prison time for his wife's death after he allegedly drove her over in an airport parking lot upon their return from vacation. As reported by KUTV Upon Shawn Sturgeon's guilty plea to second-degree vehicular homicide while under the influence of drugs or alcohol and domestic abuse in the presence of a child, the judge sentenced him to one to twenty years in prison. It has been reported by KSTU-TV. Sturgeon entered a guilty plea in July. There are reports that at the sentence, Sturgeon remarked, "The events of April 4, 2022 were all my fault as a parent and a spouse, and I accept full responsibility for them. The journey home after a much-anticipated family holiday was marred by my own selfish decision to overindulge in alcohol, which led to my passing and, more crucially, the loss of Charlotte Sturgeon, a genuine angel." Despite his inability to forgive himself, Sturgeon vowed to spend the rest of his life making amends. Reportedly, Sturgeon ran over his wife Charlotte, who was holding their infant child, at the Salt Lake City Airport parking lot after they had returned from a trip. It has been reported by the police that Charlotte, a 28-year-old woman, was taken to the hospital where attempts were made to save her life. For criminal carelessness while under the influence of alcohol or drugs causing death in an automobile, he was arrested. KUTV reports that before Sturgeon ran over his wife, the couple argued in the parking lot and that his blood alcohol content was roughly three times the legal limit. A man wearing a rainbow wig and claiming to be a prophet was caught with a weapon at a Dairy Queen in Pennsylvania. On the weekend, police detained a 61-year-old man who allegedly entered a Dairy Queen while wearing a rainbow wig and declared his intention to "return Trump to president of the United States." Delmont Police were called to the Route 66 Dairy Queen at 1:30 p.m. on Saturday, September 10, after receiving a report of a guy driving recklessly while wearing a wig and fluorescent safety vest, as reported by Trib Live. The man, identified as Jan Stawovy, allegedly parked his car and entered the fast food joint while armed with a revolver. According to Trib Live, Delmont Police Chief T.J. Klobucar, customers were present inside Dairy Queen when Stawovy walked in. It was stated that a group of people with intellectual disabilities were entering at the same time. WTAJ-TV, citing the police report, states that upon their arrival, Stawovy told them that he was "undercover with Pennsylvania State Police working on a massive drug sting." The police say he raged at them, claimed to be a prophet, and told them he often communicates with the Almighty. To "return Trump to the president of the United States" and "murder all the Democrats because Trump was still president," Stawovy allegedly kept repeating, per WTAJ's reporting. Sometime earlier that day, Stawovy allegedly visited the same Dairy Queen and put $120 on the counter, explaining that it was a gratuity for "non-Democrats." Reports indicate that a Delmont Police officer searched Stawovy's vehicle and located two firearms along with 62 bullets. The reports state that Stawovy did not have the proper documentation to carry guns. Live coverage from Trib Recently, Stawovy was barred from attending services at a local church due to reports of disruptive behavior on his part According to the court documents, Stawovy has been charged with firearm not to be carried without a license, making terroristic threats with the intent to intimidate another person, engaging in disorderly behavior, and being a person not to possess/use a handgun. Klobucar lauded Officer Greg Stull in a statement, saying that Stull "was able to prevent the danger of a mass fatality tragedy" since he got "on location within a minute of being summoned." In an email, Klobucar expressed his appreciation to Officer Stull for his quick steps following a situation that could have gone very differently. If you like TRUE CRIME TODAY - Be sure to search and subscribe wherever you download podcasts! Apple Podcasts https://podcasts.apple.com/us/podcast/true-crime-today-a-true-crime-podcast/id1504280230?uo=4 Spotify https://open.spotify.com/show/0GYshi6nJCf3O0aKEBTOPs Stitcher http://www.stitcher.com/podcast/real-ghost-stories-online-2/dark-side-of-wikipedia-true-crime-disturbing-stories iHeart https://www.iheart.com/podcast/270-Dark-Side-of-Wikipedia-Tru-60800715 Amazon https://music.amazon.com/podcasts/565dc51b-d214-4fab-b38b-ae7c723cb79a/Dark-Side-of-Wikipedia-True-Crime-Dark-History Google Podcasts https://www.google.com/podcasts?feed=aHR0cHM6Ly9hdWRpb2Jvb20uY29tL2NoYW5uZWxzLzUwMDEyNjAucnNz Or Search "True Crime Today" for the best in True Crime ANYWHERE you get podcasts! Support the show at http://www.patreon.com/truecrimetoday

Two toddlers in the babysitter's care ended up in the hospital, and one of them ended up dying. The babysitter, a 23-year-old woman, was arrested and charged with their deaths. An unresponsive youngster was reported to the Alcorn County Sheriff's Office at 9:10 p.m. on Tuesday, September 13, according to a press release. A male victim, age 2, was found bruised and marked at the site, according to reports. The Sheriff's Department reported that they found an injured 11-month-old girl during their investigation of the residence. Le Bonheur Children's Hospital was reportedly where both victims were taken. The Sheriff's Office eventually discovered that Makallie Durham was responsible for the children when they were injured. According to reports, Durham was arrested on a minor warrant and taken to the Alcorn County Jail. The Sheriff's Office said that the 2-year-old child had passed away on September 15 due to his injuries. The infant, who is 11 months old, is said to be doing well. The Sheriff's Office has stated that Durham will be charged with capital murder and felony child abuse in light of the child's death. To this day, she is still being imprisoned in Alcorn County. If you like TRUE CRIME TODAY - Be sure to search and subscribe wherever you download podcasts! Apple Podcasts https://podcasts.apple.com/us/podcast/true-crime-today-a-true-crime-podcast/id1504280230?uo=4 Spotify https://open.spotify.com/show/0GYshi6nJCf3O0aKEBTOPs Stitcher http://www.stitcher.com/podcast/real-ghost-stories-online-2/dark-side-of-wikipedia-true-crime-disturbing-stories iHeart https://www.iheart.com/podcast/270-Dark-Side-of-Wikipedia-Tru-60800715 Amazon https://music.amazon.com/podcasts/565dc51b-d214-4fab-b38b-ae7c723cb79a/Dark-Side-of-Wikipedia-True-Crime-Dark-History Google Podcasts https://www.google.com/podcasts?feed=aHR0cHM6Ly9hdWRpb2Jvb20uY29tL2NoYW5uZWxzLzUwMDEyNjAucnNz Or Search "True Crime Today" for the best in True Crime ANYWHERE you get podcasts! Support the show at http://www.patreon.com/truecrimetoday

This video honors Dr. Mark Corkins, Division Chief of Pediatric Gastroenterology at the University of Tennessee Health Science Center and Le Bonheur Children's Hospital. Dr. Corkins said he was fortunate in that nutrition was a focus in every step of his training. In medical school, his biochemistry professor said that students didn't get enough nutrition and was given an hour each week to teach it. He later found out this focus on nutrition was not the norm in medical training. Dr. Corkins works as an academic physician and loves to teach nutrition. He says there are still huge holes in nutrition knowledge, despite significant progress in recent years. There are still lots of questions that need answers. He advises junior faculty to pick one question and answer it well—do it right, and more questions will follow. He also shares how ASPEN has helped him advance and grow professionally. Physician Spotlight is a forum for outstanding Senior Leaders, Young Rising Stars, and International Colleagues in the field of nutrition to discuss important topics and ideas that impact patient care. Visit the ASPEN Physician Community at www.nutritioncare.org/physicians September 2022

Dr. Jason Yaun, a pediatric doctor at Le Bonheur Children's Hospital, shares advice on how to keep your kids safe and healthy as the go back to school.See omnystudio.com/listener for privacy information.

School bells are starting to ring! This week, Sarah and Tennille chat with Nicole Newman, Supervisor of Community Programs for Le Bonheur Children's Hospital, to discuss steps that parents can take to set their children up for a healthy school year.

Summer is officially here! Kids are excited to jump into the pool and get into their various summertime activities. However, increased activity often results in increased injury. From swimmer's ear to allergies to head trauma, summertime ear, nose and throat safety should be taken seriously to ensure our kids have a great summer. Dr. Anthony Sheyn, division chief of ENT at Le Bonheur Children's Hospital, is here to talk with us about the most common ENT issues and injuries during summer, as well as how parents can prevent these and have an eventful and safe summer with their children.

This week, please join author Sanjiv Shah, Editorialist Evangelos Michelakis, and Associate Editor Justin Ezekowitz as they discuss the article "Latent Pulmonary Vascular Disease May Alter the Response to Therapeutic Atrial Shunt Device in Heart Failure" and Editorial "Atrial Shunt Devices in Patients with Heart Failure and Preserved or Mildly Reduced Ejection Fraction and the Pulmonary Circulation: Promises and Concerns." Dr. Carolyn Lam: Welcome to Circulation On The Run, your weekly podcast summary and backstage pass to the Journal and its editors. We're your co-hosts. I'm Dr. Carolyn Lam, Associate Editor from The National Heart Center and Duke National University of Singapore. Dr. Greg Hundley: And I'm Dr. Greg Hundley, Associate Editor, Director of the Pauley Heart Center at VCU Health, in Richmond, Virginia. Dr. Carolyn Lam: Greg, I love today's featured article. It's all about heart failure with mildly reduced and preserved ejection fraction, talking about device therapy and the response to therapeutic atrial shunt device. Now, this is a very interesting discussion of how specifically selecting patients based on latent pulmonary vascular disease may hold some answers, but we're going to keep everyone hanging here. You've got to, got to listen to the discussion. But first, we'd like to tell you about some of the papers in today's issue. And I think Greg, you've got one to start us with, right? Dr. Greg Hundley: Absolutely. Carolyn, thank you so much. Well, this first paper comes from Dr. Eliot Peyster from the University of Pennsylvania. And Carolyn, the aim of this study was to leverage computational methods for analyzing digital pathology images from routine endomyocardial biopsies, to develop a precision medicine tool for predicting cardiac allograft vasculopathy, years before overt clinical presentation. Dr. Carolyn Lam: Ooh, interesting. Again, precision tools. So what did they find? Dr. Greg Hundley: Right, Carolyn. So there was a clinical predictive model that achieved modest performance on the independent test set, with area under the receiver operating curve of 0.7. But interestingly, a histopath- predictive model for predicting cardiac allograft rejection achieved good performance, with an area under the receiver operating curve of 0.8. Most importantly, however, a model, incorporating both clinical and histopathologic features, achieved excellent predictive performance, with an area under the receiver operating curve of 0.93. Dr. Greg Hundley: So in summary, Carolyn, these authors found that prediction of future cardiac allograft vasculopathy development is greatly improved by incorporation of computationally extracted histologic features. Their results suggest morphologic details, contained within regularly obtained biopsy tissue, have the potential to enhance precision and personalization of treatment plans for post heart transplant patients. Dr. Carolyn Lam: Aw, that's cool. Makes so much sense, but yet so novel. Thanks. Dr. Carolyn Lam: Well, for the paper I want to talk about, we are going to talk about dapagliflozin. Now we know the SGLT-2 inhibitor, dapagliflozin, improved heart failure and kidney outcomes in patients with Type two diabetes with or at high risk for cardiovascular disease, in the DECLARE–TIMI 58 trial. In the current paper, authors, led by Dr. Wiviott from the TIMI study group, aimed to analyze the efficacy and safety of dapagliflozin stratified, according to baseline systolic blood pressure. Dr. Greg Hundley: Ah, so an interesting question, since SGLT-2 inhibitors are known to reduce blood pressure. And given the concerns regarding the safety of SGLT-2 inhibitors, in patients with low to normal systolic blood pressure. So Carolyn, what did they find? Dr. Carolyn Lam: Nicely put Greg. So in patients with type two diabetes with, or at high risk of, atherosclerotic cardiovascular disease, dapagliflozin reduced the risk for heart failure hospitalizations and renal outcomes, regardless of baseline systolic blood pressure, with no difference in benefit for reduction in heart failure or renal outcomes, among patients with blood pressure from the normal range, all the way to severe hypertension. Moreover, there appeared to be no difference in adverse events of volume depletion, acute kidney injury, or amputations, across the levels of baseline blood pressure. So these results indicate that dapagliflozin provides important cardiorenal benefits in patients with Type two diabetes at high risk, the independent of baseline blood pressure. Dr. Greg Hundley: Oh, very nice, Carolyn. Well, my next paper comes to us from the world of preclinical science, and it's from professor Jeffrey Towbin and colleagues, at Le Bonheur Children's Hospital. So Carolyn, as we know, arrhythmogenic cardiomyopathy is an inherited genetic disorder of desmosomal dysfunction, and plakophilin-2 has been reported to be the most common disease causing gene when mutation is positive. Now in the early concealed phase, the arrhythmogenic cardiomyopathy heart is at high risk of sudden cardiac death before cardiac remodeling occurs, due to mis-targeted ion channels and altered calcium handling. However, the results of pathogenic plakophilin-2 variants on myocyte contraction in arrhythmogenic cardiomyopathy pathogenesis, really remains unknown. So Carolyn, these authors studied the outcomes of a human truncating variant of plakophilin-2 on myocyte contraction, using a novel knock-in mouse model, as well as evaluation of human subjects. Dr. Carolyn Lam: Oh, interesting. So what were the results from this plakophilin-2 knock-in mouse model? Dr. Greg Hundley: Right, Carolyn. So serial echocardiography, a plakophilin-2 heterozygous mice revealed progressive failure of the right ventricle, but not the left ventricle, in animals older than three months of age. Now next, adrenergic stimulation enhanced the susceptibility of plakophilin-2 heterozygous hearts to tachyarrhythmia and sudden cardiac death. Contractility assessment of isolated myocytes demonstrated progressively reduced plakophilin-2 heterozygous RV cardiomyocyte function, consistent with right ventricular failure, measured by echocardiography. Dr. Greg Hundley: And the next, Western blotting of plakophilin-2 right ventricular homogenates revealed a 40% decrease in actin. In contrast, plakophilin-2 heterozygous left ventricular myocytes had normal contraction and actin expression. Dr. Greg Hundley: And finally, Carolyn, Western blotting of cardiac biopsies revealed actin expression was 40% decreased in the right ventricles of end stage arrhythmogenic cardiomyopathy patients. So in conclusion, Carolyn, during the early concealed phase of arrhythmogenic cardiomyopathy, reduced actin expression drives loss of RV myocyte contraction, and that contributes to progressive RV dysfunction. Dr. Carolyn Lam: Wow. Thanks, Greg. Well, also in today's issue, there's an exchange of letters among Drs. Whitman, Ibrahim, and Løfgren, regarding physics at the heart of the matter, referring to the article, “Anterior–Lateral Versus Anterior–Posterior Electrode Position for Cardioverting Atrial Fibrillation.” Dr. Greg Hundley: Right Carolyn. And also in the mail bag, there's an On My Mind piece, from Professor Taegtmeyer, entitled, “The 2022 Beijing Winter Olympics, The Spotlight On Cardiac Metabolism.” Dr. Greg Hundley: Well, how about we get onto that feature article, and learn a little bit more about atrial shunts, and how they may be helpful in heart failure with preserved ejection fraction? Dr. Carolyn Lam: Ooh, can't wait. Dr. Greg Hundley: Well, listeners, we have a very interesting feature discussion today related to hemodynamics pertaining to interatrial shunt devices, in those with and without pulmonary hypertension. And we have, gosh, a repertoire of speakers today. We have Dr. Sanjiv Shah, from Northwestern University in Chicago, Dr. Evangelos Michelakis, from Edmonton Alberta, and our own associate editor, Dr. Justin Ezekowitz, also from Edmonton Alberta. Dr. Greg Hundley: Well, Sanjiv, we're going to start with you. Describe for us, some of the background pertaining to your study, and what was the hypothesis that you wanted to address? Dr. Sanjiv Shah: Great. Thanks, Greg. Thanks for having me today. Well, the background of our study is that, it was a subgroup analysis, or a secondary analysis, of the REDUCE LAP-HF II trial. Now this trial has been in the making for over 12 years, almost 13 years. It started out as an idea that was David Celermajer. David is a pediatric cardiologist in Australia, who had this idea that, in mitral stenosis patients, it's well known that, if there's a concomitant secundum ASD, a congenital secundum ASD, in these patients with mitral stenosis do better. They have a way to unload the left atrium, and distribute that blood to the systemic veins and the right atrium, the right side of the heart. And so could this be helpful in quote, diastolic, heart failure or HFpEF? Dr. Sanjiv Shah: And so, I started working with him about 12 years ago. This started out as a concept. It was studied in animal models, and then in humans, in open label studies, and then, in a first randomized controlled trial. Where we showed, that an intraatrial shunt device, an iatrogenic ASD, so to speak, put in humans with heart failure with risk preserved EF, results in a lowering of exercise pulmonary capillary wedge pressure. And so based on that data, we designed a pivotal trial, a Phase III trial, the largest trial of its kind, of heart failure with preserved and mildly reduced ejection fraction, to see if interatrial shunt device would improve outcomes. And we published that trial earlier this year in the Lancet. Unfortunately, it was a totally neutral trial. And when you have a neutral trial in any condition, but as we see often in HFpEF, the question is, was it neutral overall? Or was there a subgroup that benefited? And what we found in that trial was that, there were three predefined subgroups that came out that seemed like there was a difference. Dr. Sanjiv Shah: First, there was a sex difference. Women did better. Men did worse with the device. Then, there was right atrial volume. Those with bigger right atrial volumes did worse. If you had a smaller right atrial volume, you did better. But the most significant interaction and subgroup was exercise pulmonary artery systolic pressure. Dr. Sanjiv Shah: If the pulmonary artery systolic pressure was greater than 70 at 20 Watts of exercise, so just with a little bit of exercise, those patients did worse. And if PA pressure stayed low, the patients did better. And so we sought to further explore this to say, "Okay, what's exactly going on?" In a post hoc analysis, what's going on with the pulmonary vasculature during exercise, and how does that differentiate how patients potentially respond to the device? And that's what we hope to figure out. Dr. Sanjiv Shah: We hypothesize, that if exercise pulmonary vasculature resistance is lower, then the shunt can actually work, and blood can flow from the left to the right, into the lungs, and the right heart doesn't get too overloaded. And we know, that the normal response of the pulmonary vasculature is to vasodilate with exercise. And so, if patients had retained that response, the ability to do that, that they may benefit. And so, we sought to figure that out with this subgroup analysis. Dr. Greg Hundley: Sanjiv, it sounds like a really elegant, well thought out hypothesis. So what was your study design? And describe your study population. Dr. Sanjiv Shah: Yeah. This was a randomized controlled trial. And so this was 626 patients enrolled at 89 centers across the world. And it was really, heart failure with mildly reduced, so an EF of greater than 40, or preserved EF, and 93% of them had HFpEF. And what was unique about this trial is that we, this is the first trial really, that confirmed that these patients actually had heart failure, with mildly reduced or preserved ejection fraction. Most trials say, well, you have to have an elevated BNP, and you have to have some sign of structural heart disease, and maybe, a history of heart failure hospitalization. In this trial, every single patient had to undergo rigorous noninvasive echocardiography. And then, on top of that, they had to undergo exercise invasive hemodynamic testing. And people thought that it wasn't possible for 626 patients, but we did it. And every single patient had had an exercise pulmonary capillary wedge pressure greater than, or equal to, 25. And so this really was HFpEF. So it's a randomized trial. Dr. Sanjiv Shah: And then, beyond that, we did a subgroup analysis. So we looked on various subgroups, focusing on exercise PVR, and we really looked to see the effect on three outcomes. Number one, a hierarchical endpoint, a combination of cardiovascular death, ischemic nonfatal stroke, recurrent heart failure hospitalizations, and the KCCQ. And then the other two outcomes were just the individual recurrent heart failure hospitalizations, and the KCCQ. We looked at all of these, and tried to figure out if there are certain subgroups that benefit. Dr. Greg Hundley: Great detail. So Sanjiv, what did you find? Dr. Sanjiv Shah: Well, we found that, there's this group of patients, that during exercise, the pulmonary vascular resistance at peak exercise stays above 1.74 Wood units. Now that seems like an arbitrary number, but in fact, in older individuals that are healthy, when you exercise them, the PVR upper limit, the exercise PVR upper limit, is about 1.8. So we're right about the upper limit of where the PVR should be. And if it was above that, the patients actually did worse with the shunt device. They had a lot more heart failure hospitalizations. Their KCCQ got worse, didn't benefit. And if they were below that threshold, meaning they were, sort of compliant pulmonary vasculature, and it stayed compliant, or they vasodilated effectively with exercise, then they benefited from the device. And what we call this concept of exercise-induced pulmonary vasoconstriction, or inability to vasodilate, is latent pulmonary vascular disease. Dr. Sanjiv Shah: And so, if you have that latent pulmonary vascular disease, your win ratio is 0.6. That means you do worse. And if you don't have this pulmonary, this latent pulmonary vascular disease, your win ratio is 1.31. And that means, you do better with the device. And we saw very similar findings with the KCCQ. We saw similar findings with the recurrent heart failure hospitalizations. Dr. Sanjiv Shah: And the final thing is, we found that, we looked at various other subgroups, and it turned out that if there was no latent pulmonary vascular disease and no history of pacemaker, which we found was kind of associated with sex and right atrial volume, those patients, for about 50% of the group, actually did the best. And that was what we called, the responder subgroup. Dr. Greg Hundley: Thank you, Sanjiv. Well, listeners, we're going to turn now to our associate editor, Justin Ezekowitz. And Justin, you have many papers come across your desk. What attracted you to this particular manuscript? Dr. Justin Ezekowitz: So Greg, this paper kind of stood out for a number of different reasons, as I sent you. You're to be congratulated for a variety of reasons. But the number one is, pursuing the data from a neutral trial overall, to understand who might benefit and who might be harmed from a pretty novel device and way to treat patients in such a scale, that's not being done like this before. So it stands out by just the magnitude of number of right heart catheterizations, number of patients enrolled, number of procedures done. And all of those things really lead to us to be able to understand the area much better than I think we can in a human population. Dr. Justin Ezekowitz: Where this sits with other devices that are very similar, is hard to really know, if all devices are going to be the same or different, but your population is quite unique is if they're not all end stage, but they're sick enough to get into your trials. So there's this population we treat actively. And I wondered if you could touch on that continuous nature. And so for readers, there's this beautiful figure, which shows a continuous nature of exercise PVR. And I wonder if you could touch on that. Is this mid group, the group that we should target for our future therapies like this, or this needs further study? Dr. Sanjiv Shah: Well, I think it needs further study. I think the listeners should be aware that this is a post hoc analysis. We did pre-specify exercise PA pressure. This is one trial. But it makes a lot of sense, pathophysiologically. What we're doing here is we're shunting this excessive LA, overloaded LA, shunting the blood from the LA to the RA and into the pulmonary vasculature. Well, if that pulmonary vasculature can't accept that increased flow, the patient's not going to do well. And how can we simulate that? Well, we can simulate it with exercise. As the patient's pedaling on the bike, on the cath lab table, there's increasing blood flow to the pulmonary vasculature, and we're seeing what happens with the pulmonary vasculature. Does it vasodilate, does it not? And so, I think that's why we were excited about this finding. Dr. Sanjiv Shah: I do think that, there are at least seven other companies making shunt devices, interatrial shunt devices or therapies. And I do think, they need to pay attention to this and really look at this. Not all trials are doing exercise and basic hemodynamics, that needs to be done, I think. So it'll be really interesting to see. Dr. Sanjiv Shah: Now, one thing I will say is that, and I've written about this, this is a really interesting trial. Because the BNPs were lower, and so you would think, okay, these are patients that are less sick. And yet, their heart failure hospitalization rate was at least one and a half times higher than pharma Phase III trials. KCCQ was way lower, like 30 points lower. So there are these patients out there that are really sick, and they're the ones that I think, are where their life, their sort of quality of life, their outcomes, are being driven by the HFpEF. And that's what we found in this trial. Dr. Greg Hundley: Very nice. Well, listeners, let's turn now to our editorialist, Dr. Evangelos Michelakis. And Evangelos, two questions. How do we put the results of this substudy, really in the context of the main trial? And then secondly, do you have any, with your expertise in endothelial function, and understanding the mechanisms of pulmonary hypertension, can you describe what you think might be operative as a mechanism here, and why Sanjiv observed these positive results in some patients? Dr. Evangelos Michelakis: Thank you. So the first point is that, I have to also repeat, that it was a remarkable achievement to do all this right heart catheterization on a treadmill in the cath lab. It's a very complex procedure. And it is, they have to be congratulated, the authors, for actually doing this. There is no question that, like Sanjiv said, ongoing trials for future trials will need to include the hemodynamics in the trials, before and after the procedure. Dr. Evangelos Michelakis: So another important thing is that, the authors brought up this, they called it latent pulmonary hypertension, we could call it latent pulmonary hypertension, or probably, early pulmonary hypertension, as an entity. Now that entity, it's newer in the heart failure field. It's not that old in the PIH, the pulmonary interior hypertension field, since it used to be in the guidelines for this disease, that exercise pulmonary hypertension was a diagnostic criterion for that. Because the idea is that, exercise pulmonary hypertension reflects early pulmonary hypertension. So you needed to intervene with therapies early. Dr. Evangelos Michelakis: Now, I'm not sure that this is a fact. But it is very likely that these patients, in Sanjiv's trial, that had the early, that had the sort of enhanced response with exercise, did have at least, endothelial dysfunction in the pulmonary arteries. Not only because this population has a number of endothelial risk factors, diabetes, smoking, you name it. But also, there are newer problems like SNPs polymorphism mutations, that will recognize more into the pulmonary arterial hypertension field, to be more unique to the pulmonary circulation. Dr. Evangelos Michelakis: But the reason I say that is that, the reason that you dilate with exercise, is mostly because of your pulmonary arterial endothelial cells, secreting vasodilatory factors. And also, allowing previously closed capillaries to open up with increased flow. However, the problem is that, if you have pulmonary arterial endothelial cells in vitro, and you expose them to high flow, like in this case, you can actually change their identity. Turn them into cells that are not endothelial cells anymore, are proliferative pro-inflammatory, and they can actually cause structural pulmonary circulation damage. Dr. Evangelos Michelakis: Also, there are animal models and people working in PAH and ASD, where they've shown that, if you have, if you're given endothelial toxin in animals, and then, you do an aortocaval shunt, then you get really severe pulmonary hypertension with structural disease, that is not even reversible if you remove the shunt. Dr. Evangelos Michelakis: So from this trial, the conclusion that patients with pulmonary hypertension should not get the device, is very clear. And probably, the ones with exercise pulmonary hypertension. My theoretical concern is, for those that don't have exercise pulmonary hypertension, or those that do have it, could they get worse after a number of years, and have structural pulmonary vascular disease? And unfortunately, we didn't have a follow up right heart catheterization to prove that, whether this is right or wrong. Which is a thing, is the most important thing to do in the future. So mimic the protocol for this trial from now on, but also add a follow up right heart catheterization, perhaps not just in a year, but longer. In other words, enough time to allow the structural pulmonary remodeling get established, but also, affect the right ventricle, these things don't. So maybe in a few years. It's a very demanding thing for these protocols, but I think, that's what needs to be done before we say this device can actually be beneficial for those patients, or for some patients, or not hurt others. Dr. Greg Hundley: Very nice. And so, a great segue, Evangelos, into what we think the next studies may need to be performed in this particular sphere of research. Dr. Greg Hundley: So Sanjiv, in just 30 seconds, could you share your thoughts first, and then we'll circulate back to Justin, and then finish up with Evangelos. Sanjiv? Dr. Sanjiv Shah: Yeah. I think the key thing is, to do a confirmatory trial. And that's what we're aiming for, is to do a confirmatory randomized sham-controlled trial, but focus in on these patients with an exercise peak PVR of less than 1.75, around there. And I think, that'll help answer the question. The Qp/Qs we get with this device is 1.2 to 1.3. So I don't think it's a high flow. And we actually have open label studies, where we've gone out to three years, with repeat invasive hemodynamic testing, echocardiograms, and we've had patients who've been implanted for seven years. We're not seeing, at least at that point, any sort of worsening of pulmonary vascular disease, or RV function, or anything like that. And so, it remains to be seen. Dr. Sanjiv Shah: The last thing I'll say, which I think is provocative, in the field of HFpEF, all pulmonary vasodilator drugs have failed. And though, we only measure pulmonary vascular resistance at rest. And what we saw in this trial, is that some patients have a high PVR and it comes down. Some people have a PVR that stays low, and is low and stays low. Some people have a low PVR and it goes up. You know? So I think what we need to think about in the field of PH‐HFpEF, is more exercise genotyping, to determine what's the dynamic exercise PVR? And maybe, those with exercise elevation of pulmonary vascular resistance are the ones that respond to pulmonary vasodilators. So that's another thing that I think we can think about taking away from this trial. Dr. Greg Hundley: Thank you, Sanjiv. Justin. Dr. Justin Ezekowitz: Yeah. So my thoughts are mimicking Sanjiv's. But one of the things that we desperately need is, ways in which we can noninvasively assess the exercise PVR, so that we can think about the large scale interventions that might come down the road, if interventions such as this work well. Because the noninvasive scans will really help us look at broader populations. Those are, that don't make it into trials, and those that aren't traditionally in our studies of HFpEF. So I think, that's another area where we can really grow the field, and then, grow our knowledge. Dr. Greg Hundley: Very nice. And Evangelos. Dr. Evangelos Michelakis: So, yes. Of course, like everybody said, we need trials that will have a follow up right heart catheterization, at least address, if not both, like the investigators did. But because the big question is, are these patients having an earlier stage pulmonary hypertension or not? These patients that the authors called, latent pulmonary hypertension, we need to phenotype more their endothelial cells, or their disease. And in the absence of biopsies, the only way we could do that, is perhaps, with molecular imaging, or at least, in some small populations. Or with analyzing pulmonary arterial endothelial cells in the blood, and their molecular phenotype, to see if they are a distinct group, which I suspect they may be. So further genotyping of this exercise induced pulmonary hypertension in this population, will be important as well. Dr. Greg Hundley: Thank you. Well, listeners, we've had a great discussion today, from Dr. Sanjiv Shah, from Northwestern University in Chicago, our editorialist, Dr. Evangelos Michelakis, from Edmonton, Alberta, and our own associate editor, Dr. Justin Ezekowitz from Edmonton, who brought us this study, demonstrating that in patients with heart failure and preserved ejection fraction, or heart failure and mildly reduced ejection fraction, the presence of pulmonary vascular disease, uncovered by invasive hemodynamic exercise testing, identifies patients who may worsen with atrial shunt therapy. Whereas, those without pulmonary vascular disease may, at least in the short term, benefit. And of course, as Evangelos has pointed out, the long term findings really warrant further study. Dr. Greg Hundley: Well listeners, on behalf of Carolyn and myself, we want to wish you a great week, and we will catch you next week on the Run. Dr. Greg Hundley: This program is copyright of the American Heart Association, 2022. The opinions expressed by speakers in this podcast are their own, and not necessarily those of the editors, or of the American Heart Association. For more, please visit ahajournals.org.

Allison Smith acts as the Community Engagement Specialist in the Volunteer & Family Support Department at Le Bonheur Children's Hospital. In this role she is able to get individuals, groups, and even organizations like ours involved at Le Bonheur. Volunteers are able to support the staff, patients, and families at Le Bonheur in numerous ways and Allison's department coordinates it all! She discussed with us the many ways that she and her team have pivoted since Covid and discussed projects that anyone could take part in like sending a recorded message to patients, making snack bags, and so much more. Allison and her team are a vital part of the Le Bonheur staff and we were so honored to have her on the show this week! To learn more about volunteering click here: https://www.lebonheur.org/ways-to-help/volunteer/volunteer-programs/index.dot Our show host is Brittany Spence and our Executive Producer is Lydia Gettings.Subscribe today to stay up to date and don't forget to leave a rating and review!

Local research has shown that during the pandemic, children got well behind on their well child pediatrician visits and regular childhood immunizations. Memphis Shelby County Schools, Shelby County Health Department, Le Bonheur Children's Hospital and The University of Tennessee Health Science Center have partnered to host pop-up vaccination events during the Spring and Summer to help children prepare for back-to-school requirements.During a planning session for the events, the team identified “fear of needles” or “needlephobia” as a real barrier to immunization that needs to be addressed. Here to talk with us today about strategies to help ease anxiety among both parents and children when it comes to getting a shot is Le Bonheur Director of Family Support Services Jessica Liles.

Self-Care for Healthcare Professionals Jasmyne Nelson LMSW This week's episode is very enlightening! While not just for healthcare professionals, practicing self-care is essential for all of us in order to prevent burnout. Ms. Jasmyne Nelson defines self-care – as what it is and what it is not. Self-care is essential to our well-being and practicing self-care means we need to be self-aware. Ms. Nelson discusses all of this and more. Learn about resources to evaluate yourself and why setting boundaries is a necessary component of self-care. More about Ms. Nelson:Jasmyne Nelson is a licensed master social worker (LMSW) with over seven years of clinical experience working with diverse client and patient populations. Most recently, Jasmyne has served as the social worker on the child abuse team at Le Bonheur Children's Hospital in Memphis, which is primarily known as the CARES team. She is now working with Team Firefly at Vanderbilt University Medical Center as a social worker. Jasmyne received her Master of Social Work degree from the University of Alabama in Tuscaloosa and is currently pursuing a graduate certification in nonprofit leadership and philanthropy as well as a master's degree in public administration from the University of Memphis with anticipated completion in Summer 2022. Jasmyne has experience in child and family therapy, group facilitation, crisis management, medical social work, and advocacy. She has a passion for working with children and families utilizing a trauma-informed perspective, especially those facing complex emotional, generational, and societal traumas. Jasmyne is a huge advocate for self-care and believes in equipping all individuals to create space to love on themselves. Websites:https://www.therapistaid.com/ https://www.therapistaid.com/worksheets/self-care-tips.pdf https://www.therapistaid.com/worksheets/self-care-assessment.pdf https://www.everydayhealth.com/self-care/ https://rightasrain.uwmedicine.org/mind/mental-health/self-care-meaning https://www.habitsforwellbeing.com/what-is-self-care/ https://www.mymindoasis.com/blog/2019/5/14/what-is-self-care https://uthsc.edu/nursing/ https://thatshealthful.com/ Twitter:@nowhealthful, @Lisa_APRN, @UTHSCnursingInstagram: @thatshealthful, @lbeasley0412, @uthscnursingHashtags:#nursing, #nurses, #nursepractitioner, #np, #FNP, #UTHSC, #selflove, #selfcareideas, #selfcare, #selfcarequotes, #love, #boundaries, #relationships, #healthyboundaries, #mentalhealthThe “That's Healthful” podcast is hosted by Dr. Lisa Beasley, a Family Nurse Practitioner, and faculty in the College of Nursing at the University of Tennessee Health Science Center. Visit thatshealthful.com for more information or to hear prior episodes. Please follow @nowhealthful on Twitter and thatshealthful on Instagram. Like or comment on an episode wherever you listen or stream your favorite podcasts.Music for this episode is provided by local Memphis singer, musician, and songwriter – Devan Yanik. For more of Devan's music visit devanmusic.weebly.com.

National Child Abuse Awareness Month With Dr. Lauren Burge, Child Abuse Pediatrician & Dr. Andrea Sebastian, Child Abuse Nurse Practitioner: Part 3 – Corporal Punishment April is National Child Abuse Prevention Month. Join me for a very informative conversation with Dr. Lauren Burge, Child Abuse Pediatrician at Le Bonheur Children's Hospital in Memphis, TN, and Dr. Andrea Sebastian, Child Abuse Nurse Practitioner at Le Bonheur Children's Hospital. Both are assistant professors at the University of Tennessee Health Science Center. In this episode, we discuss corporal punishment (CP), a controversial and sensitive topic. What are the recommendations from the American Academy of Pediatrics (AAP)? The discussion also focuses on the trauma that CP causes in children. When does CP cross the line? Which states still have laws on the books allowing CP in schools? What role does culture play in CP? What are alternative strategies to hitting your kids? Parenting is a very personal thing and individualized. Understanding approaches other than CP is essential to minimizing the long-term damage that CP can create. More about Dr. Burge:Lauren Burge, MD, is a Child Abuse Pediatrician and an Assistant Professor in the Department of Pediatrics at the University of Tennessee Health Science Center in Memphis, Tennessee. She is a member of the CARES team at Le Bonheur Children's Hospital and completes medical evaluations of children with concerns of abuse or neglect. She graduated from medical school at the University of Texas Health Science Center at San Antonio and completed her pediatric residency at the University of Oklahoma. She also completed a 3-year fellowship in Child Abuse Pediatrics at Baylor College of Medicine in Houston, TX. Between residency and fellowship, Dr. Burge served 2 years as a general pediatrician working mainly with foster children and their families. Her interests in the field include community outreach with an emphasis on education and the prevention of child abuse. Dr. Burge has participated in numerous presentations both within the health professions and in the surrounding communities on topics such as the recognition and reporting of child maltreatment and adverse childhood experiences.More about Dr. Sebastian:Dr. Andrea Sebastian obtained her Doctor of Nursing Practice (DNP) degree from the University of Kentucky in 2014 with a focus on primary care pediatrics. Upon graduation, she began working with the child abuse team at Le Bonheur Children's Hospital in Memphis, where her primary duties included medical evaluations of children with concerns for physical abuse, sexual abuse, and neglect. She practiced as an adjunct faculty member with the UTHSC College of Nursing from 2014 to 2016 and joined the college's clinical faculty as an Assistant Professor in 2017. Dr. Sebastian is a certified sexual assault nurse examiner (SANE) for pediatric patients, and she is the principal investigator for the $1.5 million HRSA Advanced Nursing Education Sexual Assault Nurse Examiners Program grant awarded to the UTHSC College of Nursing.Websites:https://uthsc.edu/nursing/ https://thatshealthful.com/ https://sparethekids.com/ https://www.schoolcounselor.org/Standards-Positions/Position-Statements/ASCA-Position-Statements/The-School-Counselor-and-Corporal-Punishment https://sparethekids.com/ask-mother-wit/ Twitter:@nowhealthful, @Lisa_APRN, @UTHSCnursingInstagram: @thatshealthful, @lbeasley0412, @uthscnursingHashtags:#stopchildabuse, #endchildabuse, #childabuseawareness, #childabuse, #nursing, #nurses, #nursepractitioner, #np, #FNP, #UTHSC

National Child Abuse Awareness Month With Dr. Lauren Burge, Child Abuse Pediatrician & Dr. Andrea Sebastian, Child Abuse Nurse Practitioner: Part 2 – Sentinel Injuries April is National Child Abuse Prevention Month. Join me for a very informative conversation with Dr. Lauren Burge, Child Abuse Pediatrician at Le Bonheur Children's Hospital in Memphis, TN, and Dr. Andrea Sebastian, Child Abuse Nurse Practitioner at Le Bonheur Children's Hospital. Both are assistant professors at the University of Tennessee Health Science Center. In this episode, we discuss sentinel injuries in children. Learn what age groups are at the greatest risk and why. Drs. Burge and Sebastian also talk about how sentinel injuries may be overlooked but require deeper investigation by providers.More about Dr. Burge:Lauren Burge, MD, is a Child Abuse Pediatrician and an Assistant Professor in the Department of Pediatrics at the University of Tennessee Health Science Center in Memphis, Tennessee. She is a member of the CARES team at Le Bonheur Children's Hospital and completes medical evaluations of children with concerns of abuse or neglect. She graduated from medical school at the University of Texas Health Science Center at San Antonio and completed her pediatric residency at the University of Oklahoma. She also completed a 3-year fellowship in Child Abuse Pediatrics at Baylor College of Medicine in Houston, TX. Between residency and fellowship, Dr. Burge served 2 years as a general pediatrician working mainly with foster children and their families. Her interests in the field include community outreach with an emphasis on education and the prevention of child abuse. Dr. Burge has participated in numerous presentations both within the health professions and in the surrounding communities on topics such as the recognition and reporting of child maltreatment and adverse childhood experiences.More about Dr. Sebastian:Dr. Andrea Sebastian obtained her Doctor of Nursing Practice (DNP) degree from the University of Kentucky in 2014 with a focus on primary care pediatrics. Upon graduation, she began working with the child abuse team at Le Bonheur Children's Hospital in Memphis, where her primary duties included medical evaluations of children with concerns for physical abuse, sexual abuse, and neglect. She practiced as an adjunct faculty member with the UTHSC College of Nursing from 2014 to 2016 and joined the college's clinical faculty as an Assistant Professor in 2017. Dr. Sebastian is a certified sexual assault nurse examiner (SANE) for pediatric patients, and she is the principal investigator for the $1.5 million HRSA Advanced Nursing Education Sexual Assault Nurse Examiners Program grant awarded to the UTHSC College of Nursing.Websites:https://uthsc.edu/nursing/ https://thatshealthful.com/ http://purplecrying.info/ Twitter:@nowhealthful, @Lisa_APRN, @UTHSCnursingInstagram: @thatshealthful, @lbeasley0412, @uthscnursingHashtags:#stopchildabuse, #endchildabuse, #childabuseawareness, #childabuse, #nursing, #nurses, #nursepractitioner, #np, #FNP, #UTHSC

National Child Abuse Awareness Month With Dr. Lauren Burge, Child Abuse Pediatrician & Dr. Andrea Sebastian, Child Abuse Nurse Practitioner: Part 1 – Abusive Head TraumaApril is National Child Abuse Prevention Month. Join me for a very informative conversation with Dr. Lauren Burge, Child Abuse Pediatrician at Le Bonheur Children's Hospital in Memphis, TN, and Dr. Andrea Sebastian, Child Abuse Nurse Practitioner at Le Bonheur Children's Hospital. Both are assistant professors at the University of Tennessee Health Science Center. In this episode, we discuss Abusive Head Trauma (AHT). Learn what age groups are at the greatest risk and why. Drs. Burge and Sebastian discuss the things that trigger this behavior, how the diagnosis can be missed by providers, and the controversy playing out in the court system with this traumatic injury. We also discuss tips for coping with a crying baby and the stress that brings to parents. Providers can help parents deal with this frustration by educating them on options for coping. More about Dr. Burge:Lauren Burge, MD, is a Child Abuse Pediatrician and an Assistant Professor in the Department of Pediatrics at the University of Tennessee Health Science Center in Memphis, Tennessee. She is a member of the CARES team at Le Bonheur Children's Hospital and completes medical evaluations of children with concerns of abuse or neglect. She graduated from medical school at the University of Texas Health Science Center at San Antonio and completed her pediatric residency at the University of Oklahoma. She also completed a 3-year fellowship in Child Abuse Pediatrics at Baylor College of Medicine in Houston, TX. Between residency and fellowship, Dr. Burge served 2 years as a general pediatrician working mainly with foster children and their families. Her interests in the field include community outreach with an emphasis on education and the prevention of child abuse. Dr. Burge has participated in numerous presentations both within the health professions and in the surrounding communities on topics such as the recognition and reporting of child maltreatment and adverse childhood experiences.More about Dr. Sebastian:Dr. Andrea Sebastian obtained her Doctor of Nursing Practice (DNP) degree from the University of Kentucky in 2014 with a focus on primary care pediatrics. Upon graduation, she began working with the child abuse team at Le Bonheur Children's Hospital in Memphis, where her primary duties included medical evaluations of children with concerns for physical abuse, sexual abuse, and neglect. She practiced as an adjunct faculty member with the UTHSC College of Nursing from 2014 to 2016 and joined the college's clinical faculty as an Assistant Professor in 2017. Dr. Sebastian is a certified sexual assault nurse examiner (SANE) for pediatric patients, and she is the principal investigator for the $1.5 million HRSA Advanced Nursing Education Sexual Assault Nurse Examiners Program grant awarded to the UTHSC College of Nursing.Websites:https://www.cdc.gov/violenceprevention/childabuseandneglect/Abusive-Head-Trauma.html https://publications.aap.org/pediatrics/article/145/4/e20200203/36936/Abusive-Head-Trauma-in-Infants-and-Children https://uthsc.edu/nursing/ https://thatshealthful.com/ http://purplecrying.info/ Twitter:@nowhealthful, @Lisa_APRN, @UTHSCnursingInstagram: @thatshealthful, @lbeasley0412, @uthscnursingHashtags:#stopchildabuse, #endchildabuse, #childabuseawareness, #childabuse, #nursing, #nurses, #nursepractitioner, #np, #FNP, #UTHSCThe “That's Healthful” podcast is hosted by Dr. Lisa Beasley, a Family Nurse Practitioner, and faculty in the College of Nursing at the University of Tennessee Health Science Center. Visit thatshealthful.com for more information or to hear prior episodes. Please follow @nowhealthful on Twitter and thatshealthful on Instagram. Like or comment on an episode wherever you listen or stream your favorite podcasts.Music for this episode is provided by local Memphis singer, musician, and songwriter – Devan Yanik. For more of Devan's music visit devanmusic.weebly.com.

David and Jay speak with Liz Salton, Donor Services Technology Specialist of Le Bonheur Children's Hospital. At the height of the pandemic, Liz pivoted a 600 person in-room event to a virtual event within just a week. In addition to launching countless of highly lucrative fundraising campaigns in addition to years of experience working with board members and events. Listen to hear how she has been able to achieve such success. This podcast is powered by Pinecast.

As social workers in the NICU at Le Bonheur Children's Hospital, Jackie and Barbara are important advocates for children who are critically or chronically ill. They shared with us the many ways they can help in times of need and we are so grateful for them! Our show host is Brittany Spence and our Executive Producer is Lydia Gettings.Subscribe today to stay up to date and don't forget to leave a rating and review!

Whether this is your first time hearing about the Child Life discipline or maybe you are considering going into this field yourself, this episode is both informative and enlightening. Jessica Liles, Director of Child Life at Le Bonheur Children's Hospital was a joy to speak with and provided insight into the many facets of the Child Life discipline and how it serves families with a sick or injured child. Our show host is Brittany Spence and our Executive Producer is Lydia Gettings.Subscribe today to stay up to date and don't forget to leave a rating and review!

With professional roots in Early Head Start and Head Start programs, Trina Gillam has paved a path of care and dedication to the child care sector. Today, Trina leads Early Childhood Services at Le Bonheur Children's Hospital in Memphis, Tennessee. In this episode, Dr. Lynette Fraga talks with Trina about the professional challenges she has faced, how mentors and coaches have positively shaped her, and the leadership approach she takes with her team amid the COVID-19 pandemic. Together, they discuss the importance of a whole-child, whole-family approach to child care."A Seat at the Table” is an award-winning podcast produced by Child Care Aware® of America, the nation's leading voice on child care. Listen and subscribe at www.childcareaware.org/TheTable.  

Dr. Cynthia Cross is a vital part of Le Bonheur Children's Hospital and she came to talk with us about her role there and about RSV and how to handle it. As RSV season is upon us, we think this episode will be especially relevant to you. Our show host is Brittany Spence and our Executive Producer is Lydia Gettings.Subscribe today to stay up to date and don't forget to leave a review!

Two girls are dead after a shooting in Whitehaven that also injured another teen and a 9-month-old baby Friday night. The shooting happened around 9:30 at a gas station on Elvis Presley Boulevard, just down the street from Graceland. Memphis Police said the victims, three teenage girls and a baby, were at a gas pump inside a red Infiniti when a dark-colored Nissan pulled up beside them and fired several shots. The driver of the Nissan fled the scene. A 15-year-old and a 16-year-old were taken to Le Bonheur Children's Hospital, but police reported Saturday morning that they had died from their injuries. Another 16-year-old and the baby are listed in non-critical condition. The Nissan was later recovered, but no arrests have been made, police said. The motive behind the shooting is unknown, he said. If you know anything about this incident, you are urged to call CrimeStoppers at (901)-528-CASH or submit a tip online. Click here to watch the video. --- Support this podcast: https://anchor.fm/leah-gordone/support

Determining Family Resilience with Dr. Jason Yaun, Medical Director of the Family Resilience Initiative at Le Bonheur Children's Outpatient Clinic Join me for an informative conversation with Dr. Jason Yaun. Dr. Yaun is the Medical Director of the Family Resilience Initiative (FRI) at Le Bonheur Children's Outpatient Clinic in Memphis, Tennessee. The FRI is an initiative that aims to intervene with children and their families in the Social Determinants of Health (SDoH) and Adverse Childhood Experiences, or ACEs. The FRI serves families with children 9 months to 5 years of age. These families are connected with Outreach Coordinators as part of routine care and various interventions are implemented based on answers from the ACEs questionnaire. As part of the care, families may be connected with a psychologist or other services offered by Le Bonheur Children's Hospital and other services available in Memphis and surrounding communities. Dr. Yaun talks about the goals of the FRI and supporting families and “meeting them where they are” in their life and circumstance stage. The FRI is making connections for families and hopes to provide a model for other clinics to be able to follow. More About Dr. Yaun:Dr. Jason Yaun is an Associate Professor of Pediatrics at the University of Tennessee Health Science Center in Memphis, Tennessee. He is the Outpatient General Pediatrics Division Chief and the Medical Director of the UT Le Bonheur Pediatric Specialists General Pediatrics Clinic at Le Bonheur Children's Hospital, which serves as the academic teaching practice for UTHSC. Dr. Yaun was born and raised in Memphis, completing medical school and residency training at the University of Tennessee before joining the faculty there. He is currently the Vice President and President-Elect of the Tennessee Chapter of the American Academy of Pediatrics. In addition to his clinical duties, Dr. Yaun is involved with education, clinical research, and advocacy. He has authored papers on improving vaccination rates, early literacy promotion in primary care, and currently has grant funding for ongoing work to research adverse childhood experiences. In the community, he serves on the boards of Books from Birth Shelby County and Literacy Mid-South.Links to Dr. Yaun's Bios: https://www.lebonheur.org/doctors/jason-yaun/ https://www.uthsc.edu/faculty/profile/?netid=jyaunFollow Dr. Yaun on social media! Twitter: @JasonYaunMD and LinkedIn: JasonYaunMD.Information on ACEs:https://www.cdc.gov/violenceprevention/aces/index.html https://acestoohigh.com/got-your-ace-score/ Still Face experiment video link: https://youtu.be/apzXGEbZht0 Tennessee's Building Strong Brains Initiative: https://www.tn.gov/dcs/program-areas/child-health/aces.html#:~:text=Building%20Strong%20Brains%3A%20Tennessee%20ACEs,the%20most%20promising%20approach%20to About That's Healthful:The “That's Healthful” podcast is hosted and produced by Dr. Lisa Beasley, a Family Nurse Practitioner, and an Assistant Professor with the University of Tennessee Health Science Center College of Nursing. Visit https://thatshealthful.com/ for more information or to hear prior episodes. Follow @nowhealthful on Twitter and thatshealthful on Instagram. Like or comment on an episode wherever you listen or stream your favorite podcasts.Music for this episode is provided by local Memphis singer, musician, and songwriter – Devan Yanik. For more of Devan's music visit https://devanmusic.weebly.com/

Episode Notes My guests include Dr. Nick Hysmith, Infectious disease physician, Medical Director of Infection Prevention, Le Bonheur Children's Hospital. As was predicted, the Delta variant has become far worse that initially thought and our children are being affected at a dangerous rate never seen before. He will breakdown the numbers and where things can go. Back in June, Dr. (Jack) Shannon Jr, CBU President, said that anyone coming on campus must be vaccinated. He joins me to discuss what went into this decision and if or how it might affect the financial bottom line. Finally, the pain of the loss of a family member to COVID can not be measured. Angela Hamblen Kelly is the Exec Dir of Baptist Centers for Good Grief, which addresses the growing demand for children and adult counseling services for people who don't feel safe to mourn but trying to survive. This will be a powerful show you won't want to miss. Its RTM, Monday, 6-7 pm on WYXR 91.7 FM, Tunein, WYXR.org or wherever you get your podcasts. Also now on Facebook Live!

Episode NotesMy guests include Dr. Nick Hysmith, Infectious disease physician, Medical Director of Infection Prevention, Le Bonheur Children's Hospital. As was predicted, the Delta variant has become far worse that initially thought and our children are being affected at a dangerous rate never seen before. He will breakdown the numbers and where things can go. Back in June, Dr. (Jack) Shannon Jr, CBU President, said that anyone coming on campus must be vaccinated. He joins me to discuss what went into this decision and if or how it might affect the financial bottom line. Finally, the pain of the loss of a family member to COVID can not be measured. Angela Hamblen Kelly is the Exec Dir of Baptist Centers for Good Grief, which addresses the growing demand for children and adult counseling services for people who don't feel safe to mourn but trying to survive. This will be a powerful show you won't want to miss. Its RTM, Monday, 6-7 pm on WYXR 91.7 FM, Tunein, WYXR.org or wherever you get your podcasts. Also now on Facebook Live!

Our guest this week is Shane Madden who works at Pfizer and is father to Marshall (6), who has Cerebral Palsy. We'll hear how Shane and his wife, Emily, have raised young Marshall, about their aspirations and hopes for the future. That's all on this Special Fathers Network Dad to Dad Podcast.Le Bonheur Children's Hospital - https://www.lebonheur.org The Therapy Hut - https://www.therapyhut.com Live It Up (formerly United CP of mid south) - https://www.livitupinc.org Katie Beckett Waiver – https://en.wikipedia.org/wiki/Katie_Beckett_Medicaid_waiver Shane's email – dmadden79@aol.com About the Special Fathers Network - SFN is a dad to dad mentoring program for fathers raising children with special needs. Many of the 500+ SFN Mentor Fathers, who are raising kids with special needs, have said: "I wish there was something like this when we first received our child's diagnosis. I felt so isolated. There was no one within my family, at work, at church or within my friend group who understood or could relate to what I was going through."SFN Mentor Fathers share their experiences with younger dads closer to the beginning of their journey raising a child with the same or similar special needs. The SFN Mentor Fathers do NOT offer legal or medical advice, that is what lawyers and doctors do. They simply share their experiences and how they have made the most of challenging situations. Special Fathers Network: https://21stcenturydads.org/about-the-special-fathers-network/Please support the SFN. Click here to donate: https://21stcenturydads.org/donate/

Vaccines to protect against COVID-19 are now available for adolescents and teens 12 and up. This is an encouraging development and a big step forward in the fight to end this pandemic. The pediatric experts at Le Bonheur Children's Hospital know that parents want to make informed decisions about their children's health care and may have questions about whether the vaccine is right for their child. Here to address some of those questions and concerns is Division Chief of Pediatric Infectious Diseases at Le Bonheur Children's Hospital and the University of Tennessee Health Science Center, Dr .Sandy Arnold.

At least 3.4+ Million Live with Epilepsy in the U.S.2National Neurology Expert Offers Immediate Steps to Mitigate Deadly Risks, ReduceRelated Healthcare Costs and BurdenGUEST:  Dr. James Wheless, Professor and Chief of Pediatric Neurology, Le Bonheur Chair in Pediatric Neurology, University of Tennessee Health Science CenterBackground:Epilepsy is a disorder of the brain that is characterized by seizures.3 Seizures can be debilitating and even life threatening.4 Just one convulsive seizure is a potentially shattering event that increases the risk of significant health consequences, including physical injury and cognitive decline.5,6,7 Although epilepsy is widely recognized, few understand it – even those who know someone with the disorder.1 And this misunderstanding causes a stigma that makes it harder to treat,1 while the number of adults and children challenged by epilepsy in the U.S. is increasing.2Freedom from seizures is the ultimate goal in epilepsy treatment.8 Yet missed doses are a common occurrence that can get in the way of achieving it. For most people with this condition, it's a question of when, not if they will miss a dose of their medication. In fact, 71% of epilepsy patients surveyed have missed at least 1 dose.9 And, almost 50% report that a missed dose of medication was followed by a subsequent seizure.9 Poor seizure control means a higher likelihood of emergency room visits and greater healthcare costs.10 Yet many with epilepsy may be reluctant to discuss their struggles even with their doctor.11Dr. James Wheless, Professor and Chief of Pediatric Neurology, Le Bonheur Chair in Pediatric Neurology, University of Tennessee Health Science Center will help educate your viewers about epilepsy, including the crucial role of individual lifestyle in treatment, and advances in epilepsy management that will help people living with epilepsy achieve seizure freedom.More information can be found at www.epilapsey.comMore About Dr. James WhelessDr. Wheless is Professor and Chief of Pediatric Neurology and the Le Bonheur Chair in Pediatric Neurology at the University of Tennessee Health Science Center in Memphis. He also serves as Director of the Neuroscience Institute and the Le Bonheur Comprehensive Epilepsy Program for the Le Bonheur Children's Hospital.Dr. Wheless is a paid consultant on behalf of Eisai Inc.REFERENCEHerrmann LK, et al. Epilepsy misconceptions and stigma reduction: Current status in Western Countries. Epilepsy Behav. 2016;60:165-173.Zack MM, Kobau R. National and State Estimates of the Numbers of Adults and Children with Active Epilepsy — the United States, 2015. MMWR Morb Mortal Wkly Rep. 2017;66:821–825.Institute of Medicine Committee on the Public Health Dimensions of the Epilepsies. Summary.  Epilepsy Across the Spectrum: Promoting Health and Understanding. England MJ, Liverman CT, Schultz AM, Strawbridge LM, editors. Washington, DC: National Academies Press; 2012.Harden C, et al. Practice Guideline Summary: Sudden Unexpected Death in Epilepsy Incidence Rates and Risk Factors:  Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Epilepsy Currents. 2015;17(3):180-187.Friedman DE, et al. Recurrent seizure-related injuries in people with epilepsy at a tertiary epilepsy center: A 2-year longitudinal study. Epilepsy Behav. 2010;19(3):400-404.Thompson PJ, Duncan JS. Cognitive decline in severe epilepsy. Epilepsia. 2005;45(11):1780-1787.Berg AT, et al. Mortality risks in new-onset childhood epilepsy. Pediatrics. 2013;132(1):124-131St. Louis, EK. Minimizing AED Adverse Effects: Improving Quality of Life in the Interictal State in Epilepsy Care. Current Neuropharmacol. 2009;7:106-114.Cramer JA, Glassman M, Rienzi V. The relationship between poor medication compliance and seizures. Epilepsy Behav. 2002;3:338-342.Divino V, Petrilla AA, Bollu V, et al. Clinical and economic burden of breakthrough seizures. Epilepsy Behav. 2015;51:40-47.Buelow J, Miller W, Fishman J. Development of an Epilepsy Nursing Communication Tool: Improving the Quality of Interactions Between Nurses and Patients with Seizures. Jour of Neurosci Nurs. 2018;50(2):74-80.

At least 3.4+ Million Live with Epilepsy in the U.S.2National Neurology Expert Offers Immediate Steps to Mitigate Deadly Risks, ReduceRelated Healthcare Costs and BurdenGUEST:  Dr. James Wheless, Professor and Chief of Pediatric Neurology, Le Bonheur Chair in Pediatric Neurology, University of Tennessee Health Science CenterBackground:Epilepsy is a disorder of the brain that is characterized by seizures.3 Seizures can be debilitating and even life threatening.4 Just one convulsive seizure is a potentially shattering event that increases the risk of significant health consequences, including physical injury and cognitive decline.5,6,7 Although epilepsy is widely recognized, few understand it – even those who know someone with the disorder.1 And this misunderstanding causes a stigma that makes it harder to treat,1 while the number of adults and children challenged by epilepsy in the U.S. is increasing.2Freedom from seizures is the ultimate goal in epilepsy treatment.8 Yet missed doses are a common occurrence that can get in the way of achieving it. For most people with this condition, it's a question of when, not if they will miss a dose of their medication. In fact, 71% of epilepsy patients surveyed have missed at least 1 dose.9 And, almost 50% report that a missed dose of medication was followed by a subsequent seizure.9 Poor seizure control means a higher likelihood of emergency room visits and greater healthcare costs.10 Yet many with epilepsy may be reluctant to discuss their struggles even with their doctor.11Dr. James Wheless, Professor and Chief of Pediatric Neurology, Le Bonheur Chair in Pediatric Neurology, University of Tennessee Health Science Center will help educate your viewers about epilepsy, including the crucial role of individual lifestyle in treatment, and advances in epilepsy management that will help people living with epilepsy achieve seizure freedom.More information can be found at www.epilapsey.comMore About Dr. James WhelessDr. Wheless is Professor and Chief of Pediatric Neurology and the Le Bonheur Chair in Pediatric Neurology at the University of Tennessee Health Science Center in Memphis. He also serves as Director of the Neuroscience Institute and the Le Bonheur Comprehensive Epilepsy Program for the Le Bonheur Children's Hospital.Dr. Wheless is a paid consultant on behalf of Eisai Inc.REFERENCEHerrmann LK, et al. Epilepsy misconceptions and stigma reduction: Current status in Western Countries. Epilepsy Behav. 2016;60:165-173.Zack MM, Kobau R. National and State Estimates of the Numbers of Adults and Children with Active Epilepsy — the United States, 2015. MMWR Morb Mortal Wkly Rep. 2017;66:821–825.Institute of Medicine Committee on the Public Health Dimensions of the Epilepsies. Summary.  Epilepsy Across the Spectrum: Promoting Health and Understanding. England MJ, Liverman CT, Schultz AM, Strawbridge LM, editors. Washington, DC: National Academies Press; 2012.Harden C, et al. Practice Guideline Summary: Sudden Unexpected Death in Epilepsy Incidence Rates and Risk Factors:  Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Epilepsy Currents. 2015;17(3):180-187.Friedman DE, et al. Recurrent seizure-related injuries in people with epilepsy at a tertiary epilepsy center: A 2-year longitudinal study. Epilepsy Behav. 2010;19(3):400-404.Thompson PJ, Duncan JS. Cognitive decline in severe epilepsy. Epilepsia. 2005;45(11):1780-1787.Berg AT, et al. Mortality risks in new-onset childhood epilepsy. Pediatrics. 2013;132(1):124-131St. Louis, EK. Minimizing AED Adverse Effects: Improving Quality of Life in the Interictal State in Epilepsy Care. Current Neuropharmacol. 2009;7:106-114.Cramer JA, Glassman M, Rienzi V. The relationship between poor medication compliance and seizures. Epilepsy Behav. 2002;3:338-342.Divino V, Petrilla AA, Bollu V, et al. Clinical and economic burden of breakthrough seizures. Epilepsy Behav. 2015;51:40-47.Buelow J, Miller W, Fishman J. Development of an Epilepsy Nursing Communication Tool: Improving the Quality of Interactions Between Nurses and Patients with Seizures. Jour of Neurosci Nurs. 2018;50(2):74-80.

5 episodes already!  This week, Belinda and Kurtis do a recap of the first 5 episodes and talk through ideas/resources/takeaways Pilot Episode An introduction to your hosts (Belinda and Kurtis) and outlining the why for moving forward on this new venture with the Bring Your Own Best Show.  Each week, we'll explore the alchemy of self betterment with each of our guests.  The pilot episode overviews the format for the audience to anticipate for subsequent episodes.  We'll be highlighting a non-profit each week.  Please send us an email at impact@byob.show if you have a non-profit you'd like us to share on an upcoming episode.  Episode 1 This week, Belinda is in the hot seat! Kurtis reflects on what he has done this week to bring his best and interviews Belinda.  Get to know and love your hostess with the mostest!  Belinda dives into the who she is, where she's from, what she's about, and why she's doing the show.  Learn what Belinda does in her spare time, what her interests are, goals for the Bring Your Own Best Show, and about her journey towards self-betterment.  Episode 2 This week, Kurtis is in the hot seat.  Belinda answers to what she has done this week to bring her best and interviews Kurtis.  Get to know and love your host with the most!  Kurtis dives into the who he is, where he's from, what he's about, and why he's doing the show.  Learn what Kurtis does in his spare time, what his interests are, goals for the Bring Your Own Best Show, and about his journey towards self-betterment.  Dogfish Inn  Rich Dad, Poor Dad The Miracle Morning 25 Permaculture Projects Email: projects@byob.show  This week's non-profit:  Le Bonheur Children's Hospital non-profit email:  impact@byob.show  Episode 3 This week, Ryan Pettitt was gracious to be our first outside guest.  Kurtis talks to what he has done this week to bring his best.  Belinda shares an Oskar Blues Ten Fidy and talks through some of the initiatives the company has.    Ryan is a successful entrepreneur and seasoned real estate investors with over 12 years of experience. His real estate portfolio spans across 25 markets in agriculture, hospitality, residential, and land throughout the US and internationally. Ryan is a certified Project Manager Professional with PMI and is well versed at leading multimillion dollar initiatives.   His core values are to be passionate, authentically accountable, impactful, resourceful and to always seize the day with a mission of “Impacting people's financial position through mutually beneficial solutions.” Ryan is married to BYOB's Kurtis, where the two live in Walla Walla, WA.  Ryan enjoys traveling the US and abroad to experience local markets and traditions.   Quotes referenced in today's show:  “You are the average of the five people you spend the most time with” ~ Jim Rohn “If you are the smartest person in the room, then you are in the wrong rom” ~Confucius   Success Habits of Super Achievers Email: success@byob.show  The Compound Effect: Jumpstart Your Income, Your Life, Your Success   Kyle Wilson Inner Circle   GoBundance   Ryan's Contact Info:  Facebook, Instagram, Email:  Ryan@prosperityaid.com    This week's non-profit:  St Jude Children's Research Hospital non-profit email:  impact@byob.show  Episode 4 This week, we are excited to talk with Linus Bicker as our featured guest.  Belinda speaks to what she has done this week to bring her best.  Kurtis shares a Founders Brewing Co. - KBS Bourbon Barrel Aged Stout and talks through some of the amazing initiatives the company has implemented.  Linus grew up in South Jersey.  He joined the army way and met his wife Becky who he's been married to for 27 years.  They have a daughter Rachel who is 24 and she in PA school. Now living in Western Maryland with their cattle dog Penny.  Linus' most avid interests currently are motorcycles and he enjoys iOS development. Here are the links to the apps Linus has created as of this podcast release date:   Vegetation Machine Master Homesteader Helper   This week's non-profit: Marie Wright Children Foundation non-profit email:  impact@byob.show  Thanks for joining us for Episode 5!  Please subscribe, rate, and review the show!   

Episode NotesMy guests include Dr. Jon McCullers, Chair of Pediatrics at UTHSC, and pediatrician-in-chief at Le Bonheur Children's Hospital. He joins me to talk about being a member of the Shelby County Board of Health, Covid 19 restrictions and if we have turned the corner. Next, Marvin Coleman sells cars, but he also gives back to the community. His is a story of revival and redemption and how he hopes by example to make a difference. Last but never least, a radio broadcast legend who rarely does interviews, newest TN broadcasting Hall of Fame awardee Bobby O'Jay who talks career and longevity. That and more Monday, 6-7 pm central, WYXR 91.7 FM, Tunein, WYXR.org or wherever you get your podcasts!

Episode Notes My guests include Dr. Jon McCullers, Chair of Pediatrics at UTHSC, and pediatrician-in-chief at Le Bonheur Children's Hospital. He joins me to talk about being a member of the Shelby County Board of Health, Covid 19 restrictions and if we have turned the corner. Next, Marvin Coleman sells cars, but he also gives back to the community. His is a story of revival and redemption and how he hopes by example to make a difference. Last but never least, a radio broadcast legend who rarely does interviews, newest TN broadcasting Hall of Fame awardee Bobby O'Jay who talks career and longevity. That and more Monday, 6-7 pm central, WYXR 91.7 FM, Tunein, WYXR.org or wherever you get your podcasts!

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

This week, Kurtis is in the hot seat.  Belinda answers to what she has done this week to bring her best and interviews Kurtis.  Get to know and love your host with the most!  Kurtis dives into the who he is, where he's from, what he's about, and why he's doing the show.  Learn what Kurtis does in his spare time, what his interests are, goals for the Bring Your Own Best Show, and about his journey towards self-betterment.    Thanks for joining us for Episode 2!  Please subscribe, rate, and review the show!  Dogfish Inn  Rich Dad, Poor Dad The Miracle Morning 25 Permaculture Projects Email: projects@byob.show  This week's non-profit:  Le Bonheur Children's Hospital non-profit email:  impact@byob.show 

Caroline is a Certified Child Life Specialist II at Le Bonheur Children's Hospital in Memphis, Tennessee. She earned a bachelor's degree in Human Development and Family Studies from the University of Alabama with a double concentration in Child Life and Early Childhood Education. She earned a master's degree in Human Development and Family Studies with a concentration in Parent-Family Life Education, also from the University of Alabama. In this episode, she discusses how she found the field of HDFS and her professional experiences to date. As is true for all interviewees on this podcast, Caroline's views are her own as a private citizen and do not reflect the views of her current, former, or future employers. Link Mentioned:  Association of Child Life Professionals

Susan Helms, formerly a pediatric critical care nurse and presently the director of Injury Prevention and Safe Kids at Le Bonheur Children's Hospital to talk about Children and Sports during the coronavirus.

Susan Helms, formerly a pediatric critical care nurse and presently the director of Injury Prevention and Safe Kids at Le Bonheur Children's Hospital to talk about Children, Cars, and Heatstroke.

Medical Director of Trauma Services at Le Bonheur Children's Hospital, Dr. Regan Williams discusses the Stop the Bleed campaign.

Children are more susceptible to frostbite than adults. Dr. Timothy O'Connor, Pediatric Emergency Specialist at Le Bonheur Children's Hospital, discusses facts about cold weather and how to protect your child.

Could that twitch be a harmless reflex or is it a symptom of seizure? Dr. Sarah Weatherspoon, Pediatric Neurologist at Le Bonheur Children's Hospital and Assistant Professor of Pediatric Neurology at The University of Tennessee Health Science Center, discusses infantile epilepsy.

The White Knuckle Podcast Powered by Ozonics WKP # 061 Ronnie "Cuz" Strickland Talkin Turkey Anyone that has spent any amount of time watching outdoor television Ronnie "Cuz" Strickland will be no stranger to you. Cuz is a wealth of knowledge with respect to hunting in general. More importantly Cuz has a heart as big as anyone and it is in the right place! Cuz has been on the show before and we are excited to have him back. Listen in as Todd and Jason quiz him about turkey tactics. Cuz has authored 3 books, The Truth, The Whole Truth, and Nothing but the Truth about Spring Turkey Hunting. Named the National Wild Turkey Federations Communicator of the year in 2010 and formally recognized by many organizations for outstanding contributions including the Armed Forces Foundation, Paralyzed Veterans of America, Le Bonheur Children's Hospital, Tree Stand Manufacturers Association, Southeastern Outdoor Press Association, and Professional Outdoor Media Association. Cuz is a lifetime member of the NRA and numerous other conservation organizations. Most recently Cuz has been involved in S.O.L.E. Sportsmen Organized for Law Enforcement According to Cuz his greatest achievement to date by far is his family. "My family is an amazing group that spends a lot of quality time together, has a mutual love of the outdoors and understands the values and lessons that come with a life outside". Link to SOLE- https://soleamerica.org/ Cuz's Facebook page- https://www.facebook.com/cuz411/