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In this eye-opening episode of Research Renaissance, Dr. Rod Scott takes us on a journey through the emerging science of brain networks, complex adaptive systems, and why rethinking how we treat neurological conditions like epilepsy and autism might be the key to improving outcomes—especially in children.Dr. Scott explains why he views the brain not as a collection of isolated parts, but as a dynamic, self-organizing system. From his clinical experience to his cutting-edge lab work on neural firing patterns and cognitive behavior, he shares why focusing on repairing brain networks—rather than treating individual genes or symptoms—could reshape our entire approach to neurological care.Key highlights include:
A prenatal diagnosis of osteogenesis imperfecta, a rare genetic disorder also known as brittle bone disease, can be devastating for expecting parents. The most severe cases are often labeled ‘lethal,' leading some families to believe there are no options for treatment.However, new research from Nemours Children's Health challenges that belief.Delaware Public Media's Kyle McKinnon caught up this week with Dr. Ricki Carroll – a Physician on the Skeletal Dysplasia and Palliative Care teams at Nemours – to learn more about the study's findings and how doctors are rethinking this rare condition.
This episode of EMRA Cast features Dr. Jody Kieffer, a pediatric EM attending physician at Nemours Children's Hospital. Dr. Blythe Fiscella, EMRA*Cast host, gets expert advice on examination strategies for pediatric patients. Learn about newborn-specific exams, strategies, and holding techniques to conduct ear and throat exams in toddlers; the use of metered dose inhalers; the appropriate use of ibuprofen and acetaminophen; and guidelines for discharge counseling for bronchiolitic patients.
In view of Match Day, Corinne L. Bria, MD, director of the Residency Training Program at Nemours Children's Hospital, offers insight into how the resident selection process has changed in recent years. Let us know what you thought of this week's episode on Twitter: @physicianswkly Want to share your medical expertise, research, or unique experience in medicine on the PW podcast? Email us at editorial@physweekly.com! Thanks for listening!
Samuel Mikhail, MD, pediatric resident at Nemours Children's Hospital, reflects on his Match Day experience, shares how the process can be improved, and offers advice for current and future applicants. Let us know what you thought of this week's episode on Twitter: @physicianswkly Want to share your medical expertise, research, or unique experience in medicine on the PW podcast? Email us at editorial@physweekly.com! Thanks for listening!
Dr. R. Lawrence Moss, President and CEO at Nemours Children's Health, discusses the vital role of children's healthcare providers as stewards of long-term health, not just caretakers when children are sick. He emphasizes Nemours' mission-driven approach, prioritizing the highest quality care for the community and ensuring a lasting impact on children's well-being.
Want to share your feedback? Send us a message!Researchers from the Delaware Stuttering Project at the University of Delaware—Dr. Ho Ming Chow, Associate Professor and principal investigator, Sayan Nanda, Ph.D. student, and Dr. Nicole Guarino, research scientist—join host Sara MacIntyre, M.A., CCC-SLP, to discuss their recent article, "Atypical gut microbiota composition in a mouse model of developmental stuttering," published in Scientific Reports (Nature Portfolio). Building upon previous genetic and mouse model research by Dr. Dennis Drayna and colleagues at the NIH [previous podcast episode with Dr. Drayna linked below for background], their study explores the potential link between developmental stuttering and the gut-brain connection by examining gut microbiota differences in GNPTAB mouse models.In this episode, Dr. Chow, Sayan Nanda, and Dr. Guarino provide essential background context before walking through the study's development, methodology, and key findings. They discuss the potential role of the microbiome in other neurodevelopmental conditions, the challenges of translating mouse model research to human studies, and the exciting directions for future research this study has prompted.Article discussed:Nanda, S., Lamot, B., Guarino, N. et al. Atypical gut microbiota composition in a mouse model of developmental stuttering. Sci Rep 14, 23457 (2024). https://doi.org/10.1038/s41598-024-74766-xPrevious Stuttering Foundation Podcast episode referenced, 'Genetics and Stuttering with Dr. Dennis Drayna.'Delaware Stuttering Project WebpageDr. Ho Ming Chow, Associate Professor at the University of Delaware and a principal investigator for the Delaware Stuttering Project, received his Bachelor's and Master's Degrees in Engineering at the University of Hong Kong. After working as an engineer for a few years, he became interested in studying human cognition and went to Germany for his doctoral study. He obtained his Ph.D. in Cognitive Sciences with an emphasis on Cognitive Psychology at the University of Osnabrück. He completed his postdoctoral training at the National Institutes of Health. Before joining the University of Delaware in 2019, he was a research faculty at the University of Michigan and Nemours Children's Hospital, Delaware.Sayan Nanda received his Master of Science in Data Informatics from the University of Southern California and his Bachelor of Technology in Computer Science and Engineering from the Manipal Institute of Technology. Sayan is currently a Ph.D. student in the Communication Sciences and Disorders department at the University of Delaware. Sayan is primarily interested in stuttering research and the application of statistics and machine learning techniques in the same. His focus is on neuroimaging.Dr. Nicole Guarino is an adjunct faculty at the Department of Communication Sciences and Disorders, the University of Delaware. She received her PhD in Neuroscience from Thomas Jefferson University and her B.A. in Neuroscience from Franklin and Marshall College. She has been working in Dr. Chow's lab since 2022 and is interested in the neurobiological bases of stuttering.
Send us a textDr. Okan Elidemir is the Chief of Pulmonology at Nemours Children's Health. In this episode, he shares cases of vaping injury, how addictive it is compared to regular smoking, and how to talk to your kids about consequences, peer pressure and managing stress.Guest: Dr. Okan Elidemir Nemours Pensacola https://tinyurl.com/yckx7cyw | https://www.medicalnewstoday.com/articles/vaping-vs-smoking | Info on Evali https://tinyurl.com/6jxhmjy5 Learn more about Escambia County School District: https://www.escambiaschools.org/Find additional links: https://www.voicesunitedineducation.com/podcast-episodesHost: Meredith Hackwith Edwards
In this episode, Lillian Erdahl, MD, FACS, is joined by Peter C Minneci, MD, FACS, MHSc, from the Department of Surgery, Nemours Children's Health, Delaware Valley. They discuss Dr Minneci's recent article, “Cost-Effectiveness of Nonoperative Management vs Upfront Laparoscopic Appendectomy for Pediatric Uncomplicated Appendicitis Over 1 Year,” in which the authors found that cost-effectiveness of management of pediatric appendicitis is sensitive to changes in utilities achieved by nonoperative management. Further studies should investigate reasons for treatment failure and the importance of shared decision-making in choosing treatment. Disclosure Information: Drs Erdahl and Minneci have nothing to disclose. This research was funded by the Patient-Centered Outcomes Research Institute (PCORI ID CER-1507-31325) and the National Center for Advancing Translational Sciences (grant UL1TR001070). CME for this episode will be available on January 31, 2025. To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. #JACSOperativeWord
Your Health System CXO podcast host Jasmaine McClain has special guest Rachel Thornton join her to discuss health equity. Rachel, pediatrician and healthcare executive at Nemours Children's Health, discusses her journey in healthcare leadership and the importance of health equity. Key Takeaways1.Health equity is a core focus at Nemours Children's Health.2.Investing in children's health yields long-term societal benefits.3.Collaboration across teams is essential for health equity initiatives.4.Listening to frontline staff enhances understanding of patient needs.Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell. Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.About The Health Management Academy:Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...
Melanie Fryou is the pediatric medical social worker at Nemours Children's Health and Erica Mack is a registered clinical social work intern at Greenhouse Counseling. In this episode, they share findings from a study on “why kids worry” and provide practical tips, techniques and local resources for parents to help their kids worry less.Guests: Melanie Fryou & Erica Mack https://www.ghcpensacola.com/ |Why Kids Worry Study https://tinyurl.com/2f6buarc | Nemours Pensacola https://tinyurl.com/mr3845b8 | https://kidshealth.org/ | https://childmind.org/ Want to interact with the resources and guests featured here in real life?! Join us at the 2nd annual FREE Podcastapalooza! There will be a live animal presentation by animal tales and food trucks like BAM snowballs, Kip's Hotdogs & MELT Pensacola.One lucky guest will win a $250 Amazon gift card! Mark your calendar for Saturday, February 1, 2025 10 a.m. to 1 p.m. at Booker T Washington High School. Learn more about Escambia County School District: https://www.escambiaschools.org/Find additional links: https://www.voicesunitedineducation.com/podcast-episodesHost: Meredith Hackwith Edwards
In this episode of RAPM Focus, Editor-in-Chief Brian Sites, MD, is thrilled to welcome Kesavan Sadacharam, MD, and Allison Fernandez, MD, following the April 2024 publication of their original research paper, “Multisite prospective study of perioperative pain management practices for anterior cruciate ligament reconstruction in adolescents: Society for Pediatric Anesthesia Improvement Network (SPAIN) Project Report.” Unwarranted variation in health care refers to differences in health care delivery that cannot be attributed to patient illness, medical evidence, or patient preferences. Instead, these variations arise from differing local medical practices, resource availability, and physician decision-making processes. Unwarranted variations can lead to sub-optimal patient outcomes, with some patients receiving unnecessary or harmful treatments while others may not receive beneficial interventions. Two individuals are behind a multi-center collaborative initiative that looks at the utilization of regional anesthesia and pain medicine techniques for ACL reconstruction. Dr. Allison Fernandez is an associate professor at Johns Hopkins All Children's Hospital, practicing pediatric anesthesia, and pediatric acute and chronic pain management. Dr. Fernandez started a video series, Women of Impact in Anesthesia, empowering women in medicine. Dr. Kesavan Sadacharam is a pediatric anesthesiologist and associate professor at Nemours Children's Health, located in Wilmington, DE. He is currently the director of regional anesthesia and practices both acute and chronic pain management. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.
In this podcast episode we want to introduce you to our BCEN Friends, Sean Elwell and Adam Oliver. Sean Elwell is the Senior Director of Emergency Services, Critical Care Transport, and the Pediatric Trauma Center at Nemours Children's Hospital in Wilmington, Delaware, where he has dedicated over 21 years of service. Starting his career as an EMT, Sean transitioned to become a registered nurse and earned his Doctor of Nursing Practice from Wilmington University. He holds a master's degree in nursing leadership and health systems management from Drexel University, graduating Summa Cum Laude. A recognized leader in his field, Sean has published numerous articles and presented at regional and national conferences. He is a Past-President of the Society of Trauma Nurses and currently serves as Secretary/Treasurer on the Board of Certification for Emergency Nursing. In addition to his professional roles, Sean actively contributes to his community as the Mayor of Elsinboro Township, where he has served for 18 years, including 14 years as Mayor. He has held various leadership positions within local government and is currently on the Executive Board for the New Jersey League of Municipalities, set to become First Vice-President this November. Sean also dedicates time to volunteer with the Elsinboro Fire Company, where he serves as Chief. His extensive experience and commitment to both healthcare and public service make him a respected leader in his community. Adam Oliver is a dedicated healthcare professional with over two decades of experience in the emergency medical field. He resides in Gilliam, Louisiana, located in northern Caddo Parish, approximately 30 miles north of Shreveport. Currently Adam serves as the Director of Integrated Health for LifeNet, Inc. and manages three rotor-wing assets and one fixed-wing asset within the Air Division, while also overseeing the development of community paramedic and telehealth programs. As a passionate advocate for community service, Adam is the Mayor of Gilliam and has previously served as a town council member. His commitment to public safety is further exemplified by his ten-year service as a Board Commissioner for Caddo Fire District Seven, which operates in a large rural area. Recently appointed to the Hospital Service District board, he plays a vital role in supporting the North Caddo Medical Center, a critical access hospital that includes five rural health clinics, two pharmacies, and a dental clinic. Since a young age, Adam has been committed to serving others in their most vulnerable moments. His diverse experiences as a paramedic, emergency nurse, ICU nurse, and flight nurse have shaped his approach to healthcare and community engagement, reinforcing his belief in the importance of compassion and support in times of need. Come along as Michael Dexter and Hollye Briggs talk with these dual guests and discuss how their experiences in healthcare have shaped their political roles and community service. This episode is called, Mayor may not be outside the Scope of Nursing. Sean Elwell can be reached via email at sean@seanelwell.com and Adam Oliver can be reached on Instagram @flyin_fishin. BCEN & Friends Podcast is presented by the Board of Certification for Emergency Nursing. We invite you to visit us online at https://bcen.org for additional information about emergency nursing certification, education, and much more.
Dr. Stec joins JMN at the Constellation Furyk & Friends golf tournament, raising awareness for food insecurity and the "Blessings In A Backpack" program for elementary school children, and other community outreach programs serving Nemours mission.
Peggy Parish, Director of Community Engagement at Nemours Children's Health, joins JMN to discuss the relationship between the Jim and Tabitha Furyk Foundation, Constellation Furyk & Friends and Nemours Children's Health. One of many outreach projects they collaborate on is the Blessings In A Backpack program providing food support for elementary-age children.
*This month in partnership with PPMD* Our Carrier Connections program features a different X-linked condition each month with the goal to increase awareness of X-linked conditions and how they impact the lives of women and girls. This month, we are featuring Duchenne muscular dystrophy (DMD). Duchenne is an X-linked disorder characterized by progressive muscle weakening and is one of the most common life-limiting genetic conditions diagnosed in childhood. It is caused by a mutation in the DMD gene, which typically functions to produce a protein critical for muscle structure and function known as dystrophin. In individuals with Duchenne, this protein is absent, leading to the degeneration of muscle fibers over time and progressive muscle weakening. Duchenne is a multi-systemic condition, which means it affects many parts of the body including the heart and respiratory muscles, contributing to cardiology and breathing-related complications. Females carriers are usually not affected with Duchenne or Becker because they make enough of the dystrophin protein. However, they can have some symptoms of Duchenne, such as changes to heart function, mild muscle weakness, fatigue, or cramping in their muscles. Rarely, a carrier has symptoms that are as severe as those of a male with muscular dystrophy. The term “manifesting carrier” is often used to describe a woman who has some of the symptoms of a male with Duchenne. Carrier females have an increased chance of changes to heart function. Because a small percentage of carriers may have serious heart concerns, it is important for all women who are carriers and women who are at risk to be carriers to have regular heart evaluations, beginning in their late teens/early adult years and, if normal, repeated every 3-5 years. Today, we are featuring Dr. Mena Scavina. Dr. Mena Scavina is Professor of Pediatrics and Neurology at Thomas Jefferson University and neurologist in the Division of Neurology at Nemours Children's Health, Delaware (retired). She completed her residency in Neurology at Thomas Jefferson University Hospital followed by an MDA Research Fellowship at the Children's Hospital of Philadelphia, and a clinical fellowship in neuromuscular diseases at Nemours. She was Director of the Neuromuscular Program at Nemours, Co-Director of the MDA Certified Center since 1997 and Director of the Parent Project Muscular Dystrophy Certified Duchenne Care Center since 2017 when the clinic was certified. Dr. Scavina is a consultant for Parent Project Muscular Dystrophy and has been involved with the Certified Duchenne Care Center (CDCC) program, certifying centers throughout the country. One of her interests is in the care of carriers of Duchenne and Becker muscular dystrophy and has been involved with the development of the Duchenne and Becker Carrier Clinic in conjunction with PPMD and cardiologists at the Penn Center for Inherited Cardiovascular Disease in Philadelphia. She is certified by the American Board of Psychiatry and Neurology and a member of the American Academy of Neurology. RESOURCES: PPMD Website and section on Carriers Decode Duchenne Information PPMD Registry information Penn Medicine Duchenne and Becker Carrier Clinic PPMD Lighthouse Workshops If individuals are interested in learning more about the Monthly Virtual Carrier Meeting, they can contact emily@parentprojectmd.org. Carrier Connections is sponsored by Kyowa Kirin and Amgen. For more information about our organization, check out rememberthegirls.org.
Send us a textIn this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Don't miss this unique opportunity to hear from some of the leading voices in neonatal care.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Send us a textIn this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Don't miss this unique opportunity to hear from some of the leading voices in neonatal care.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Send us a textIn this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Don't miss this unique opportunity to hear from some of the leading voices in neonatal care.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Send us a textIn this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Don't miss this unique opportunity to hear from some of the leading voices in neonatal care.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Send us a textIn this special episode of The Incubator podcast, Ben and Daphna wrap up the 2024 Delphi Neonatal Innovation Conference, sharing their favorite moments and highlights. This episode features the exclusive audio from four captivating Delphi talks. Dr. Suresh Gautham, Chair of Pediatrics at Nemours Children's Hospital, opens with an intriguing talk on "What Neonatologists Can Learn from Sherlock Holmes," drawing parallels between neonatal practice and detective work. Dr. Terrie Inder from CHOC delivers insights in "The Science and Art of Improving Neurological Outcomes in NICU Graduates," blending research with practical care strategies. Pediatric nephrologist Chryso Pefkaros Katsoufis from the University of Miami explores "The Road Less Traveled? Neonatal Biomarkers of Chronic Kidney Disease," shedding light on innovative approaches to CKD in newborns. Finally, Dr. Lauren Ruoss, from Winnie Palmer Hospital, enchants the audience with "Abracadabra! Making POCUS Appear in the NICU," detailing the role of point-of-care ultrasound in neonatal care. Ben and Daphna conclude the episode by previewing exciting upcoming developments for The Incubator network. Don't miss this unique opportunity to hear from some of the leading voices in neonatal care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
A pilot program from Nemours Children's Health aims to expedite acute mental health services for kids ages 2 to 17.
In this episode, host Jakob Emerson sits down with Allison Gertel-Rosenberg, Vice President and Chief Policy and Prevention Officer at Nemours Children's Health. They discuss the importance of nutritional literacy, equitable access to healthy foods, and Nemours' recognition as the first pediatric health system to become a USDA MyPlate National Strategic Partner. Discover how Nemours is shaping the future of children's health through innovative strategies and community partnerships.
In this episode, host Jakob Emerson sits down with Allison Gertel-Rosenberg, Vice President and Chief Policy and Prevention Officer at Nemours Children's Health. They discuss the importance of nutritional literacy, equitable access to healthy foods, and Nemours' recognition as the first pediatric health system to become a USDA MyPlate National Strategic Partner. Discover how Nemours is shaping the future of children's health through innovative strategies and community partnerships.
This week we have Amy Broccoli returning to the show to tell us more about her journey through sobriety. Amy has used the power of the CrossFit community to help her stay great full and strong on her hardest days. Embark with me on an intimate exploration of CrossFit's role in personal transformation, where grit meets grace and sobriety clears the path to strength. Donate to Nemours Children's Health through Dewey Beach Championship below.https://urldefense.com/v3/__https:/secure.qgiv.com/event/dv2024deweybeachchampionship/account/1756523-Hungrydog__;!!G6MNE2S8Nw!nV-7_Ww5dxmxBkmANrVbDp2V0Z4zJ4JGxxTu-W9a8_Vz7rmIMP7Su2jVxOJbHc7w0nzvJxnHed7-xvEh-9r5TOT3aRsk$
Generation Alpha has arrived. More than 2 billion children in this cohort were or will be born worldwide between 2010 and the end of 2024. It will be the largest generation as well as the most digitally-connected in history. What do we need to know about this dynamic group as they navigate some of the world's biggest challenges? Dr. Leah Orchinik, a pediatric psychologist at Nemours Children's Health, joins The Excerpt to provide a clinical and developmental perspective on what impact this group might have on our world.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Did you know that most of your bone strength is made by the time you turn 18? How can you prevent broken bones, and build strong bones? Ever wondered why they limit how much kids pitch in baseball? Orthopedic surgeon Reid Nichols, MD returns to explain what to do about common growth pain problems like Osgood-Schlatter, Sever's Apophysitis and talk about how playing sports can be both good and bad for kids Meet Dr. Reid Nichols at Nemours Children's Health Send your questions to hello@pediatriciannextdoorpodcast.com or submit at drwendyhunter.com Find products from the show on the shop page. *As an Amazon Associate, I earn commission from qualifying purchases. More from The Pediatrician Next Door: Website: drwendyhunter.com Instagram: @the_pediatrician_next_door Facebook: facebook.com/wendy.l.hunter.75 TikTok: @drwendyhunter LinkedIn: linkedin.com/in/drwendyhunter This is a Redd Rock Music Podcast IG: @reddrockmusic www.reddrockmusic.com Learn more about your ad choices. Visit megaphone.fm/adchoices
When is it okay for kids to have bowlegs, flat feet, toe-waking and frequent tripping? Orthopedic surgeon Reid Nichols, MD explains why toddlers fall, and when to worry about pigeon toes and knock knees. READ More: When Should Kids Wear Shoes? Meet Dr. Reid Nichols at Nemours Children's Health Send your questions to hello@pediatriciannextdoorpodcast.com or submit at drwendyhunter.com Find products from the show on the shop page. *As an Amazon Associate, I earn commission from qualifying purchases. More from The Pediatrician Next Door: Website: drwendyhunter.com Instagram: @the_pediatrician_next_door Facebook: facebook.com/wendy.l.hunter.75 TikTok: @drwendyhunter LinkedIn: linkedin.com/in/drwendyhunter This is a Redd Rock Music Podcast IG: @reddrockmusic www.reddrockmusic.com Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of Causes or Cures, Dr. Eeks chats with Dr. Erica Fernandes about the identification of a new syndrome linked to fentanyl exposure while in the womb. Dr. Fernandes first discusses how a new syndrome related to developmental or genetic abnormalities is identified and then explains how they carried out their study at Nemours Children's Hospital. She discusses the specific characteristics identified in the babies enrolled in their study and how fentanyl was identified as the common exposure. She explains how other known syndromes were ruled out and discusses ongoing research to determine how exactly fentanyl causes the new syndrome. Finally, she offers next steps in terms of informing the public and public health. Dr. Fernandes is a practicing physician and researcher in the division of medical genetics at Neymours Children's Health. Her and her team's study on the new syndrome was recently published here in Genetics in Medicine Open. You can contact Dr. Eeks at bloomingwellness.com.Follow Dr. Eeks on Instagram here.Or Facebook here.Or TikTokOr Twitter.Or Youtube.Subscribe to her newsletter here!Support the show
Hosts Fred Goldstein and Gregg Masters MPH welcome Dr. Jared Capouya, a board-certified pediatrician with a focus on inpatient pediatrics and infectious diseases. The three explore the critical role of pediatric care in the broader context of population health management. Dr. Capouya will share insights from his extensive experience at Nemours Children's Hospital, discussing the challenges and opportunities in preventing and managing infectious diseases among children, and how these efforts contribute to the overall health of communities. Tune in for an informative session that bridges pediatric care with population health strategies. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
This episode features Dr. R. Lawrence Moss, President and CEO of Nemours Children's Health. Here, he discusses his journey and insights into pediatric healthcare. He also sheds light on his concerns about the healthcare system's narrow focus on volume over outcomes and shares his thoughts on the progress and challenges in pediatric healthcare today.
Teenagers who are Black and of lower socioeconomic status have major complications after surgery for the most common type of scoliosis.That's according to a new study published by Nemours Children's Health, which also found the same black and low-income teenage patients are more likely to return to the Emergency Department within 90 days of surgery.Delaware Public Media's Joe Irizarry is joined this week by Dr. Suken Shah – the study's senior author and pediatric orthopedic surgeon at Nemours Children's Health – to learn more about the disparities in scoliosis surgery.
Could a single social worker's snap judgment forever alter the course of a family's life? Recent revelations from the "Hidden Killers" podcast highlight a harrowing tale of a system gone awry, leaving listeners to question the checks and balances within Child Protective Services (CPS). The discussion between Tony Brueski, the show's host, and Bob Motta, Defense Attorney and host of "Defense Diaries," centered around the disturbing case of Maya Kowalski. A family already struggling with their daughter's medical challenges found themselves battling not only a daunting diagnosis but also a system that seemed hell-bent on wresting control away from them. "It's horrific to think...that you can have no judge, no jury. You can just have one social worker make these sort of broad judgments," Brueski commented, capturing the disbelief many parents may feel when confronting the reality of CPS's broad powers. The Kowalski family, already trying to manage Maya's medical needs, found themselves embroiled in a battle where their intentions, actions, and even love for their child were suddenly under scrutiny. Highlighting the depth of the issue, Motta recounted Maya's treatment at Nemours Children's Hospital, a reputable institution that initially diagnosed her condition and recommended specific treatments. However, things took a grim turn when a CPS social worker stepped in. Motta lamented, "Instead of seeing a caring mother, [the social worker] finds her shady, leaning on the Munchausen by proxy narrative," referring to a controversial disorder where caregivers purportedly feign or induce illnesses in those they care for, craving attention or sympathy. This diagnosis – made without extensive medical training and, arguably, outside the purview of the social worker's professional capabilities – became a pivotal point in the family's ongoing saga. "I have a sociology degree. I was a social worker...I wasn't diagnosing anything," Motta clarified, emphasizing the gross overreach and highlighting the potential dangers of a system that sometimes places undue power in the hands of individuals ill-equipped to wield it responsibly. The tale takes an even darker turn with the mention of Dr. Sally Smith, a figure previously involved in several questionable CPS-related investigations. Brueski elaborated on Dr. Smith's track record, indicating a pattern of questionable interventions under her watch. "This was not the only family that had these sort of things happening to them," Brueski stated, referencing a somewhat dismissive apology letter Smith had penned to another family she had deeply affected. Brueski and Motta's conversation then delved into the systemic issues underpinning such tragedies. Brueski observed, "So often we hear...about the child protective services...of not doing the job adequately." However, the Kowalski case presented a different issue, where the system seemed overzealous rather than negligent. Both hosts agreed on the need for competency and accountability within the system. "You can't leave all that power in one person's hands," Motta emphasized, calling for legislative changes to ensure such cases do not recur. In conclusion, the chilling tale of Maya Kowalski serves as a stark reminder of the need for checks, balances, and a focus on genuine child welfare within the Child Protective Services system. As we reflect on this case, a pivotal question lingers: In our quest to protect the vulnerable, have we inadvertently created a system that can shatter innocent lives? Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com
Hidden Killers With Tony Brueski | True Crime News & Commentary
Could a single social worker's snap judgment forever alter the course of a family's life? Recent revelations from the "Hidden Killers" podcast highlight a harrowing tale of a system gone awry, leaving listeners to question the checks and balances within Child Protective Services (CPS). The discussion between Tony Brueski, the show's host, and Bob Motta, Defense Attorney and host of "Defense Diaries," centered around the disturbing case of Maya Kowalski. A family already struggling with their daughter's medical challenges found themselves battling not only a daunting diagnosis but also a system that seemed hell-bent on wresting control away from them. "It's horrific to think...that you can have no judge, no jury. You can just have one social worker make these sort of broad judgments," Brueski commented, capturing the disbelief many parents may feel when confronting the reality of CPS's broad powers. The Kowalski family, already trying to manage Maya's medical needs, found themselves embroiled in a battle where their intentions, actions, and even love for their child were suddenly under scrutiny. Highlighting the depth of the issue, Motta recounted Maya's treatment at Nemours Children's Hospital, a reputable institution that initially diagnosed her condition and recommended specific treatments. However, things took a grim turn when a CPS social worker stepped in. Motta lamented, "Instead of seeing a caring mother, [the social worker] finds her shady, leaning on the Munchausen by proxy narrative," referring to a controversial disorder where caregivers purportedly feign or induce illnesses in those they care for, craving attention or sympathy. This diagnosis – made without extensive medical training and, arguably, outside the purview of the social worker's professional capabilities – became a pivotal point in the family's ongoing saga. "I have a sociology degree. I was a social worker...I wasn't diagnosing anything," Motta clarified, emphasizing the gross overreach and highlighting the potential dangers of a system that sometimes places undue power in the hands of individuals ill-equipped to wield it responsibly. The tale takes an even darker turn with the mention of Dr. Sally Smith, a figure previously involved in several questionable CPS-related investigations. Brueski elaborated on Dr. Smith's track record, indicating a pattern of questionable interventions under her watch. "This was not the only family that had these sort of things happening to them," Brueski stated, referencing a somewhat dismissive apology letter Smith had penned to another family she had deeply affected. Brueski and Motta's conversation then delved into the systemic issues underpinning such tragedies. Brueski observed, "So often we hear...about the child protective services...of not doing the job adequately." However, the Kowalski case presented a different issue, where the system seemed overzealous rather than negligent. Both hosts agreed on the need for competency and accountability within the system. "You can't leave all that power in one person's hands," Motta emphasized, calling for legislative changes to ensure such cases do not recur. In conclusion, the chilling tale of Maya Kowalski serves as a stark reminder of the need for checks, balances, and a focus on genuine child welfare within the Child Protective Services system. As we reflect on this case, a pivotal question lingers: In our quest to protect the vulnerable, have we inadvertently created a system that can shatter innocent lives? Want to listen to ALL of our podcasts AD-FREE? Subscribe through APPLE PODCASTS, and try it for three days free: https://tinyurl.com/ycw626tj Follow Our Other Cases: https://www.truecrimetodaypod.com The latest on Catching the Long Island Serial Killer, Awaiting Admission: BTK's Unconfessed Crimes, Delphi Murders: Inside the Crime, Chad & Lori Daybell, The Murder of Ana Walshe, Alex Murdaugh, Bryan Kohberger, Lucy Letby, Kouri Richins, Malevolent Mormon Mommys, Justice for Harmony Montgomery, The Murder of Stephen Smith, The Murder of Madeline Kingsbury, and much more! Listen at https://www.truecrimetodaypod.com
Dr. Alfred Atanda Jr., is a pediatric sports medicine surgeon at Nemours Children's Hospital. He graduated from the University of Pennsylvania School of Medicine and completed his residency training at the University of Chicago. He then went on to complete his fellowship in in pediatric orthopedics at DuPont Hospital (now known as Nemours Childrens) and sports medicine surgery at Jefferson Health. He is also the Director of Clincial Wellbeing at Nemours Children's Health. Dr. Atanda is a motivational speaker touching on topics such as finding one's purpose/calling, time management, effective communication, daring leadership, continuous improvement, lean thinking, identifying alternative revenue streams, and design thinking. He leverages various digital, social, and multimedia platforms to connect with professionals in a vulnerable way to motivate and inspire them to attain their fullest personal and professional potential. Alfred Atanda: LinkedIn
This 20 minute episode features Dr. Alfred Atanda Jr, the Chief of Clinician Experience and a pediatric orthopedic surgeon at the Nemours Children's Hospital, Delaware. Dr. Atanda shares his perspective as a physician on the primary drivers behind physician burnout, ambient clinical intelligence as a documentation solution, and much more.This episode is sponsored by Nuance + Microsoft.
Dr. Ho Ming Chow, Assistant Professor at the University of Delaware and principal investigator for the Delaware Stuttering Project, joins host Sara MacIntyre, M.A., CCC-SLP, to discuss a recent article, 'Brain developmental trajectories associated with childhood stuttering persistence and recovery,' in Developmental Cognitive Neuroscience. Ho Ming and his collaborators, including principal investigator and renowned stuttering researcher, Dr. Soo Eun-Chang from the University of Michigan, conducted the largest longitudinal study of childhood stuttering to date, comparing children with persistent stuttering and those who later recovered from stuttering with age-matched non-stuttering peers, to examine the developmental trajectories of both gray matter volume and white matter volume using voxel-based morphometry. Dr. Chow walks us through the study's development and design (which originated in Dr. Soo Eun-Chang's lab), hypotheses, findings, strengths, limitations, and shares future areas of research interest— all in a very clinician-accessible manner. Thank you for sharing your work with all of us, Dr. Chow and for your continued commitment to helping us learn more about stuttering. Article discussed in Developmental Cognitive Neuroscience: Brain developmental trajectories associated with childhood stuttering persistence and recovery Authors: Ho Ming Chow, Emily O. Garnett, Simone P.C. Kenraads, Soo-Eun ChangDelaware Stuttering Project WebsiteDr. Ho Ming Chow, Assistant Professor at the University of Delaware and a principal investigator for the Delaware Stuttering Project, received his Bachelor's and Master's Degrees in Engineering at the University of Hong Kong. After working as an engineer for a few years, he became interested in studying human cognition and went to Germany for his doctoral study. He obtained his PhD. in Cognitive Sciences with an emphasis on Cognitive Psychology at the University of Osnabrück. He completed his postdoctoral training at the National Institutes of Health. Before joining the University of Delaware in 2019, he was a research faculty at the University of Michigan and Nemours Children's Hospital, Delaware.
Gloria Caulfield is the Vice President of Strategic Alliances for Tavistock and Executive Director of the Lake Nona Institute, which is part of the Lake Nona Life Sciences Innovation and Wellness Community. Lake Nona is a planned city within Orlando, Florida, that is focused on the health and well-being of the citizens who live and work there. One of the key economic drivers is the health and life sciences innovation cluster which includes the University of Central Florida College of Medicine, a VA Medical Center, and the Nemours Children's Hospital, a state-of-the-art pediatric healthcare system. Gloria explains, "There is no question that it's a collaborative community when you're building something this new and this unique. We have leaders of these institutions that have come from all different parts of the country to bring their careers here to focus on building this new ecosystem. It fosters a spirit of collaboration, which starts with Tavistock. Tavistock as the developer, we chair research councils and CEO councils and communication councils, and just a wide range of things to bring key leaders together just for that purpose." "One that I'll mention that's unique is the Lake Nona Performance Center, and the Lake Nona Performance Center is a medically integrated fitness facility. Again, going back to my initial comment that this whole community was built and designed with people, optimizing health and human potential is really at the forefront of our focus. This performance center is a nexus of multiple things. There's clinical care delivery, there's fitness services, there's sports performance, there's mind/body practices, all under one roof." "This community is the sum of the parts. We have these big anchor organizations, which I've mentioned. We have innovation centers. One of those is the leAD Accelerator. It's a joint venture between Tavistock Group, which owns Lake Nona, and the Adi Dassler family, the founders of Adidas. It was set up and explicitly designed to support some of the best young companies in the health and sports tech arena." #LakeNona #Healthcare #Innovation #Community #LifeSciences #Wellness #SportsMedicine #HealthcareInvesting Tavistock.com Listen to the podcast here
Gloria Caulfield is the Vice President of Strategic Alliances for Tavistock and Executive Director of the Lake Nona Institute, which is part of the Lake Nona Life Sciences Innovation and Wellness Community. Lake Nona is a planned city within Orlando, Florida, that is focused on the health and well-being of the citizens who live and work there. One of the key economic drivers is the health and life sciences innovation cluster which includes the University of Central Florida College of Medicine, a VA Medical Center, and the Nemours Children's Hospital, a state-of-the-art pediatric healthcare system. Gloria explains, "There is no question that it's a collaborative community when you're building something this new and this unique. We have leaders of these institutions that have come from all different parts of the country to bring their careers here to focus on building this new ecosystem. It fosters a spirit of collaboration, which starts with Tavistock. Tavistock as the developer, we chair research councils and CEO councils and communication councils, and just a wide range of things to bring key leaders together just for that purpose." "One that I'll mention that's unique is the Lake Nona Performance Center, and the Lake Nona Performance Center is a medically integrated fitness facility. Again, going back to my initial comment that this whole community was built and designed with people, optimizing health and human potential is really at the forefront of our focus. This performance center is a nexus of multiple things. There's clinical care delivery, there's fitness services, there's sports performance, there's mind/body practices, all under one roof." "This community is the sum of the parts. We have these big anchor organizations, which I've mentioned. We have innovation centers. One of those is the leAD Accelerator. It's a joint venture between Tavistock Group, which owns Lake Nona, and the Adi Dassler family, the founders of Adidas. It was set up and explicitly designed to support some of the best young companies in the health and sports tech arena." #LakeNona #Healthcare #Innovation #Community #LifeSciences #Wellness #SportsMedicine #HealthcareInvesting Tavistock.com Download the transcript here
This episode features Dr. Lawrence Moss, President and CEO of Nemours Children's Health. Here, he discusses his new e-book Finding Health by Looking in the Right Place: How Understanding What Actually Creates Health Can Fix U.S. Healthcare.
In value-based care, we have both an economic and a moral imperative. What's at stake is so much more than saving our healthcare system. It is about ensuring the continued prosperity of our nation to ensure that we leave it better for future generations. The best indicator of whether our country is on the right path is the assurance that healthy mothers can give birth to healthy children. And those children, in turn, must be assured of good care and a sound education that will enable them to face the challenges of a changing world. If we could have but one generation of properly born, educated, and healthy children, many of the insurmountable problems in our country would vanish in our lifetimes. This week on the Race to Value, you are going to hear from a value-based care leader who is boldly moving beyond with a call to action to serve our nation's youth. Karen Wilding, the Chief Value Officer at Nemours, is on a passionate pursuit of the Quadruple Aim, and her health system is redefining children's health in our country. Nemours Children's Health is truly “leaning in” to the promise of population health by transforming the very definition of what it means for children to be healthy. And their value journey reflects a bold vision to create the healthiest generations of children that will take us beyond medicine by ultimately impacting the world. If you are looking for an example of inspirational leadership in value-based care, look no further than Karen Wilding and the Nemours Children's Health System! Episode Bookmarks: 01:30 “If we could have but one generation of properly born, educated, and healthy children, many of the insurmountable problems in our country would vanish in our lifetimes.” 02:30 Introduction to Karen Wilding, the Chief Value Officer at Nemours Children's Health 03:00 Support Race to Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts. 05:45 Karen describes the whole-person care orientation at Nemours and how the mission of “Well Beyond Medicine” guides their value-based care journey. 06:45 Social Determinants of Health (SDOH) screening in underserved populations to expand care network and create community partnerships. 07:45 Driving “macro-system impact” as an anchor institution (e.g. best practice clinical research, cross-sector partnerships, health equity investments) 08:30 Health Equity opportunities in pediatric whole-person care (e.g. teen birth rates, preventative care access, infant mortality rates…and even household income). 09:00 “Well Beyond Medicine is a commitment to not just care for the medical aspects of children – we also care for the larger health ecosystem to create whole-child health and healthier generations.” 11:45 “Payment transformation is foundational to being able to create sustainability in value-based care.” 12:30 Karen explains how the fee-for-service infrastructure does not align incentives for healthy outcomes (e.g. asthma exacerbations with children in Delaware). 13:30 “Investing in children's health is the single most important thing we can do as a society.” (balancing present-day economics vs. future economics). 14:45 Partnering with payers to pursue health equity transformation and the importance of community-based investments. 16:45 Nemours has been utilizing Community Health Workers to conduct SDOH screenings and individualized interventions through a culturally competent care model. 17:45 Karen explains how the interdisciplinary care team at Nemours works together to capture, assess, and address SDOH barriers. 18:45 The importance of enterprise-level buy-in when launching a SDOH population health strategy. 20:30 Overcoming fears and concerns of families in sharing personal information about their social barriers. 21:00 The creation of a national toolkit on whole-child population health and how Nemours is collaborating with policy stakeholders at the federal level.
In 2010, when he was 15, Dr. Manuel "Manny" Gonzales was a sophomore in high school and a varsity cross-country runner when he received a stunning diagnosis: cancer. At that time, he underwent a grueling regimen to battle the disease: 10 rounds of chemotherapy, thirteen lumbar punctures, and countless hours spent in both the inpatient and outpatient settings of the hospital where he was being treated: Nemours Children's Hospital, Delaware. His experience changed his life, creating a passion for becoming a pediatric oncologist. Dr. Gonzales shared his story on Episode 56 of the podcast. We've invited him back to check in on his health and career path as he completes his pediatric residency at Nemours and heads into a hematology/oncology fellowship. Dr. Gonzales was recently nominated as a Visionary of the Year Candidate for The Leukemia & Lymphoma Society. He is raising money to power innovative research for newer and safer therapies needed in pediatric oncology. Click here for more information on his campaign and to join his fundraising team. Carol Vassar, producer
Listener Feedback SurveyAbout our Guest: Scott Weiss, MD is an Associate Professor of Pediatrics and Pathology at Thomas Jefferson University. He serves as the Chair of the Division of Pediatric Critical Care Medicine at Nemours Children's Hospital in Wilmington, Delaware. Dr. Weiss' research focuses on epidemiology of pediatric sepsis and mitochondrial dysfunction in sepsis-associated organ injury. He recently served as the Co-Vice Chair for the international Pediatric Surviving Sepsis Campaign and was first author on the 2020 pediatric sepsis guidelines.Learning Objectives: By the end of this podcast series, listeners should be able to: Describe the high-quality literature of fluid boluses in the management of pediatric septic shock.Recognize how healthcare settings and resource availability may affect the utility of fluid boluses in select pediatric patients with suspected septic shock.Recall the limitation of the beside assessment to determine if a patient with sepsis is suffering from “cold” or “warm” shock.Describe the role of advanced hemodynamic monitoring in determining a patient's underlying physiology in septic shock.Describe an approach to choosing initial and second-line vasoactive medications in septic shock.Describe the physiologic rationale, evidence, and limitations of targeting a higher hemoglobin threshold for patients with ongoing septic shock. Describe the physiologic rationale, evidence, and limitations of using a combination of hydrocortisone, ascorbic acid, and thiamine (HAT) in the management of septic shock. Recognize when VA-ECMO might be indicated in pediatric septic shock.How to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Reference:Weiss SL, Peters MJ, Alhazzani W, Agus MSD, Flori HR, Inwald DP, Nadel S, Schlapbach LJ, Tasker RC, Argent AC, Brierley J, Carcillo J, Carrol ED, Carroll CL, Cheifetz IM, Choong K, Cies JJ, Cruz AT, De Luca D, Deep A, Faust SN, De Oliveira CF, Hall MW, Ishimine P, Javouhey E, Joosten KFM, Joshi P, Karam O, Kneyber MCJ, Lemson J, MacLaren G, Mehta NM, Møller MH, Newth CJL, Nguyen TC, Nishisaki A, Nunnally ME, Parker MM, Paul RM, Randolph AG, Ranjit S, Romer LH, Scott HF, Tume LN, Verger JT, Williams EA, Wolf J, Wong HR, Zimmerman JJ, Kissoon N, Tissieres P. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children. Pediatr Crit Care Med. 2020 Feb;21(2):e52-e106. doi: 10.1097/PCC.0000000000002198. PMID: 32032273.Support the show
The season of rebirth, renewal, and growth is here: Spring. And for many, it brings with it thoughts of putting our hands in the soil and planting seeds or transplanting seedlings in gardens. That's exactly what is happening right now on the Nemours Estate in Wilmington, Delaware. The Can Grow Garden is a collaboration between the estate and Nemours Children's Hospital Delaware to grow plants and provide a place for patient, family, and associate education and respite. The grown plants - mainly vegetables - provide food for the community to help alleviate food insecurity and teach healthy cooking and eating. Carol Vassar, producer View the Can Grow Garden video here. For more information on the Can Grow Garden, contact Judy Lieberman
Listener Feedback SurveyAbout our Guest: Scott Weiss, MD is an Associate Professor of Pediatrics and Pathology at Thomas Jefferson University. He serves as the Chair of the Division of Pediatric Critical Care Medicine at Nemours Children's Hospital in Wilmington, Delaware. Dr. Weiss' research focuses on epidemiology of pediatric sepsis and mitochondrial dysfunction in sepsis-associated organ injury. He recently served as the Co-Vice Chair for the international Pediatric Surviving Sepsis Campaign and was first author on the 2020 pediatric sepsis guidelines.Learning Objectives: By the end of this podcast series, listeners should be able to: Describe the high-quality literature of fluid boluses in the management of pediatric septic shock.Recognize how healthcare settings and resource availability may affect the utility of fluid boluses in select pediatric patients with suspected septic shock.Recall the limitation of the beside assessment to determine if a patient with sepsis is suffering from “cold” or “warm” shock.Describe the role of advanced hemodynamic monitoring in determining a patient's underlying physiology in septic shock.Describe an approach to choosing initial and second-line vasoactive medications in septic shock.Describe the physiologic rationale, evidence, and limitations of targeting a higher hemoglobin threshold for patients with ongoing septic shock. Describe the physiologic rationale, evidence, and limitations of using a combination of hydrocortisone, ascorbic acid, and thiamine (HAT) in the management of septic shock. Recognize when VA-ECMO might be indicated in pediatric septic shock.How to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.Reference:Weiss SL, Peters MJ, Alhazzani W, Agus MSD, Flori HR, Inwald DP, Nadel S, Schlapbach LJ, Tasker RC, Argent AC, Brierley J, Carcillo J, Carrol ED, Carroll CL, Cheifetz IM, Choong K, Cies JJ, Cruz AT, De Luca D, Deep A, Faust SN, De Oliveira CF, Hall MW, Ishimine P, Javouhey E, Joosten KFM, Joshi P, Karam O, Kneyber MCJ, Lemson J, MacLaren G, Mehta NM, Møller MH, Newth CJL, Nguyen TC, Nishisaki A, Nunnally ME, Parker MM, Paul RM, Randolph AG, Ranjit S, Romer LH, Scott HF, Tume LN, Verger JT, Williams EA, Wolf J, Wong HR, Zimmerman JJ, Kissoon N, Tissieres P. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children. Pediatr Crit Care Med. 2020 Feb;21(2):e52-e106. doi: 10.1097/PCC.0000000000002198. PMID: 32032273.Support the show
Dr. Gul Dadlani, the Division Chief of Cardiology at Nemours Children's Hospital, joins the podcast to discuss his background, top 3 biggest issues in cardiology today, how he sees heart care evolving over the next year and a half, and current nerves and excitements.
As the pandemic was settling in on the world in 2020, a Nemours Children's Hospital in Orlando resident was pondering a way to take her work out of the hospital and into the community. Her vision of well beyond medicine: a mobile clinic providing health care (and so much more) to underinsured or uninsured children and families in Greater Orlando. A fortuitous encounter with a Nemours grant writer yielded the seed money to make this resident's dream a reality. Featuring Nemours Associates Dr. Laura Chilcutt, Dr. Branden Trandai, and Gabe Krivenko. Carol Vassar, producter
On this episode of DGTL Voices, Ed is joined by Karen Wilding, Chief Value Officer at Nemours Children's Health, one of the nation's leading pediatric health systems to chat care across the continuum.
In this special sponsored episode, we're discussing how ambient clinical intelligence can improve patient care and reduce clinician burnout. Our sponsor is the Dragon Ambient Experience, or DAX, an ambient clinical intelligence solution from Nuance Communications and Microsoft. I'm joined by Alfred Atanda Jr., MD, a pediatric orthopedic surgeon at Nemours Children's Health in Delaware. He is chief of the Center for Sports Medicine and the Chief of Clinician Experience, as well as an assistant professor of orthopedic surgery at the Sidney Kimmel Medical College at Thomas Jefferson University. We discuss the challenges of declining physician well-being and the potential solutions to address it. We'll also be discussing the impact of clinical documentation on burnout and how ambient clinical intelligence solutions like DAX can help alleviate these burdens. Join us as we discuss Dr. Atanda's experiences with burnout and clinical documentation and the benefits of using ambient clinical intelligence in their practice. Find out more at https://nuance.com/exploreDAX The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. VISIT SPONSOR → https://nuance.com/exploreDAX SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd
In this episode, we are joined by Cami Mitelman, Customer Success Manager at NRC Health, and Dr. Peggy Greco, Chief Patient Experience Officer at Nemours Children's Health, to discuss what diversity, equity and inclusion looks like in patient experience, how NRC provides Nemours the capability to identify disparities in the patience experience and more. This episode is sponsored by NRC Health.