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Hallie presents with bilateral anterior knee pain and an in-toeing gait. Craig's test reveals 10° of femoral anteversion on both sides. Which of the following special tests is MOST appropriate to further assess the cause of the in-toeing?A) FABER testB) Tibial torsion testC) Q-angle measurementD) Thomas testJoin the FREE Facebook Group: www.nptegroup.com
When your child's life is shaped by medical complexity, childhood can quickly become defined by hospital stays, procedures, and limitations. In today's episode, we explore how medically supported camps transform that narrative—creating space for joy, belonging, and healing for children, families, and even healthcare providers themselves. Katie Taylor is joined by Dr. Laura Blaisdell, Chief Medical Officer of SeriousFun Children's Network, and Jamie Gentille, Child Life Specialist Leader and former camper, to share the life-changing impact of camp for children with serious illnesses. From zip-lining with oxygen tubing to late-night cabin chats that build confidence and identity, this conversation highlights how thoughtfully designed camp experiences allow kids to be kids—without compromising medical safety. This episode explores the power of positive childhood experiences, how camps seamlessly integrate complex medical care behind the scenes, the role of child life specialists and medical volunteers in creating safe spaces for play, and why camp is just as healing for providers as it is for children. You'll also hear Jamie's personal journey from camper to child life specialist and why camp will always feel like home. Explore Child Life On Call's directory of medical and disability-friendly summer camps for kids! This resource helps families find inclusive summer camp options that support children with medical needs and disabilities, making it easier to plan fun, safe, and engaging summer experiences. Today's Episode is sponsored by Moog Medical. Moog Medical is a trusted leader in infusion and enteral feeding technology, designing reliable, easy-to-use pumps that support safe, precise care for patients with complex medical needs—at home and in healthcare settings. Resources from today's episode: Medical & Camp Support: SeriousFun Children's Network Hole in the Wall Gang Camp Painted Turtle Camp Medical volunteer opportunities through SeriousFun Connect & Support from Child Life On Call Subscribe: Never miss an episode on Apple Podcasts or Spotify. Visit insidethechildrenshospital.com to search stories and episodes easily Follow us on Instagram for updates and opportunities to connect with other parents Download SupportSpot: receive Child Life tools at your fingertips. Leave a Review: It helps other families find us and access our resources! Keywords: Medically complex children, Pediatric medical camps, SeriousFun Children's Network, Child life specialist, Positive childhood experiences, Pediatric chronic illness support, Medical trauma healing, Camp for children with illness, Family-centered care, Pediatric resilience, Provider burnout prevention, Therapeutic play, Sibling support, Pediatric healthcare community Medical information provided is not a substitute for professional advice—please consult your care team
GLP-1 medications have become an important part of adult obesity treatment and are now increasingly relevant in pediatric care. As new approvals emerge and clinical guidance continues to evolve, pediatricians are being asked to consider when, and for whom, these therapies may be appropriate. In this episode, we review the current evidence, discuss clinical considerations and examine the evolving role of GLP-1 medications in child and adolescents. Megan Kelsey, MD, is the medical director of both lifestyle medicine and adolescent bariatric surgery. Jaime Moore, MD, specializes in pediatric nutrition and obesity medicine. Both Drs. Moore and Kelsey are on the faculty here at the University of Colorado School of Medicine. Some highlights from this episode include: How GLP-1s are changing lives for kids with obesity Learning how they work and are administered The average effect of these medications The future of use as access to these medications becomes easier Below are some resources mentioned in this episode: Institute for Healthy Childhood Weight University of Minnesota: Virtual Advanced Therapies for Pediatric Obesity Conference For more information on Children's Colorado, visit: childrenscolorado.org.
How To Avoid Winter Sickness When there is snow on the ground, a chill in the air, sniffles all around — it's winter somewhere! Sickness seems inevitable this time of year, but it does not have to be. There are simple ways to prevent, treat and identify symptoms of illness early and avoid hospital visits or medication. Pediatricians Paul Thomas, M.D. (retired) and Larry Palevsky, M.D. have extensive experience equipping families with tips and tricks to promote health over the seasons. In this program, they share some of these pointers to help viewers, like you, stay safe out there! Watch it on CHD.TV.
Pediatric hospitals are one of the most important segments in the industry to watch right now. Although children's hospitals make up only 5% of total hospital market share, more than 40% of U.S. children rely on Medicaid, leaving pediatric organizations disproportionately exposed as the Medicaid-related provisions of the One Big Beautiful Bill Act take effect. The pressures inside pediatric care were mounting even before this moment. After years of outperforming adult hospitals, children's hospitals have seen margins fall from double digits to just 1% last year. Rising bad debt, higher supply and labor costs, a rapid shift toward lower margin outpatient care, and emerging challenges like declining birth rates and vaccine policy upheaval have created a perfect financial storm. While some of these dynamics are unique to pediatrics, the sector also offers an early warning signal for the rest of healthcare — and an opportunity to translate lessons across both worlds. In this episode, host Abby Burns and Advisory Board expert Vidal Seegobin break down why pediatric leaders must simultaneously manage immediate-term margin pressure, prepare for a more ambulatory-dominant model, and futureproof their organizations amid shifting demographics. Vidal also shares actionable steps leaders can take now, along with the critical lessons pediatric hospitals offer the wider healthcare ecosystem. We're here to help: 5 insights on the state of pediatric hospitals today 12 things CEOs need to know in 2026 The State of the Healthcare Industry in 2026 Read Advisory Board's 2026 research agenda 3 trends shaping healthcare in 2026 (and how to respond) 278: Dr. Emily Oster on fighting misinformation and rebuilding trust in healthcare 277: Patient distrust is costing you. Here's how to rebuild it. Learn how outpatient shifts can impact your organization by using Advisory Board's Market Scenario Planner tool. Sign up today for this Optum Health Webinar: Scaling your EHR: How Optum Health built an enterprise platform to redefine care delivery. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
Liked the Webster's Infant Adjusting Protocols? Now here are some classic pediatric examination concepts!
So many children struggle within families that cannot afford to find their next meal - we talked to Michael Arenson of Hennepin Healthcare who discusses the importance of nutrition and the need for families to keep their children fed and in good health - he also deep dives into the current struggles people face when it comes to not leaving their home, the current state of SNAP benefits for families and much more!
Send us a textIn this episode, Dr. Amy Gelfand, a child neurologist specializing in pediatric headaches, discusses the complexities and treatment of migraines in children. Gelfand explains the genetic nature of migraines and their commonality among kids, noting triggers like menstrual cycles and changes in sleep patterns. She elaborates on distinguishing features of migraines and provides insight into preventive and acute treatments, including NSAIDs, triptans, neuromodulation devices, and supplements. The discussion also covers the importance of a regular schedule, the benefits of cognitive behavioral therapy (CBT), and recent advancements in migraine-specific medications. Dr. Gelfand emphasizes the significant progress in migraine treatment and encourages families to consult specialists for personalized care.About Dr Gelfand:Dr. Amy Gelfand is a pediatric neurologist who specializes in diagnosing and treating children with a variety of headache disorders, as well as those with childhood periodic syndromes (such as abdominal migraine), which may be precursors to migraine headache later in life. Her research focuses on the epidemiology of pediatric migraine and childhood periodic syndromes.Gelfand received her medical degree from Harvard Medical School. She completed residencies in pediatrics and child neurology at UCSF.Gelfand has received a teaching award from the UCSF pediatric residency program and writing awards from the medical journal Neurology. She is a member of the American Academy of Neurology, Child Neurology Society and American Headache Society.Your Child is Normal is the trusted podcast for parents, pediatricians, and child health experts who want smart, nuanced conversations about raising healthy, resilient kids. Hosted by Dr. Jessica Hochman — a board-certified practicing pediatrician — the show combines evidence-based medicine, expert interviews, and real-world parenting advice to help listeners navigate everything from sleep struggles to mental health, nutrition, screen time, and more. Follow Dr Jessica Hochman:Instagram: @AskDrJessica and Tiktok @askdrjessicaYouTube channel: Ask Dr Jessica If you are interested in placing an ad on Your Child Is Normal click here or fill out our interest form.-For a plant-based, USDA Organic certified vitamin supplement, check out : Llama Naturals Vitamin and use discount code: DRJESSICA20-To test your child's microbiome and get recommendations, check out: Tiny Health using code: DRJESSICA The information presented in Ask Dr Jessica is for general educational purposes only. She does not diagnose medical conditi...
In this episode of The Untethered Podcast, Hallie Bulkin dives deep into the non-negotiable link between how a child breathes and how they eat. This conversation provides the essential clinical "missing link" for pediatric therapy: The Airway.Hallie challenges the idea that mouth breathing is "just a habit," reframing it as a structural adaptation that can stall even the best feeding therapy plans. If you've ever had a patient hit a plateau or show signs of "feeding fatigue," this episode will show you why you must look at the nose and the airway before you can fix the plate.IN THIS EPISODE, YOU'LL LEARN:✔️ The Adaptation Myth: Why mouth breathing is a physiological survival mechanism, not a behavioral choice.✔️ Structural Consequences: How chronic open-mouth posture alters dentofacial development and maxillofacial growth over time.✔️ The "Airway Trumps Everything" Rule: Why the body will always prioritize breathing over eating, and how this creates "feeding fatigue."✔️ The Airway Lens: How to integrate airway and sleep screenings into your standard feeding evaluations.✔️ Beyond the Plate: Recognizing when feeding therapy alone isn't enough and when to refer out for airway obstruction.✔️ Efficiency vs. Effort: How open mouth posture impacts a child's ability to coordinate the suck-swallow-breathe sequence.KEY TAKEAWAYS & SOUND BITES"Mouth breathing is not just a habit. It is an adaptation. We have to ask: What is blocking nasal breathing?""Airway trumps everything. If the body is fighting for air, it will never prioritize the complex mechanics of feeding."RELATED EPISODES YOU MIGHT LOVEEp 337: Unlocking Pediatric Feeding: Expert Strategies with Hallie Bulkin, MA, CCC-SLP, CMT®, CPFT™How Pediatric Feeding Changed in 2025—and What It Means for CliniciansOTHER WAYS TO CONNECT & LEARN
In this episode, Dr. Kelly Sandberg, Chief Medical Quality Officer and Pediatric Gastroenterologist at Dayton Children's, and Dr. Katherine Winner, Division Chief of Psychiatry at Dayton Children's, discuss the quality improvement initiatives driving lower mental health readmissions. They share how individualized programming, follow up calls, standardized processes, and collaboration are strengthening care across inpatient and crisis settings.
This week we review a recent work on fetal atrial septal interventions in the patient with hypoplastic left ventricle or double outlet right ventricle with mitral valve atresia/dysplasia and a restrictive or intact atrial septum. How often was this procedure technically feasible and successful? What are the criteria to be considered for such an intervention? Why does use of a laser improve the crossing of the atrial septum in this procedure? Should prenatal intervention be used instead of postnatal intervention in this setting? Associate Professor of Pediatrics at Baylor College of Medicine, Dr. Betul Yilmaz shares her insights into this fascinating topic.https://doi.org/10.1161/CIRCINTERVENTIONS.125.015209
Alexandria Rodts's son Brayton got the stomach flu in February of 2023 which had already affected his family in January. Brayton's symptoms continued well past the normal time for a stomach flu to be an issue, and this was not helped by the fact that all the doctors he went to basically came to the same conclusion that by taking Zofran, he would feel better. 6 months later, in August of that year his diagnosis of ATRT which was so shocking, was finally confirmed at Rady's Children's Hospital in San Diego, thanks to his pediatrician who pushed much harder than others to get Brayton's true issue diagnosed correctly. He was 19 months old at the time of his diagnosis. Brayton is feeling well and doing as well as possible as 2026 is underway.
In this episode of the Integrated Care podcast from the Collaborative Family Healthcare Association, hosted by Grace Pratt, the team explores the complexities and rewards of implementing integrated care, especially in pediatric settings. Michelle Shrek from Children's Wisconsin shares her journey of integrating behavioral health into a pediatric practice, including the structural, operational, and cultural challenges encountered. The conversation delves into the importance of appropriate provider-to-patient ratios, earning trust within a medical team, and the unique aspects of working in pediatrics. The team also welcomes a new member, Ashley Garrison, a pediatric dietician, who shares her insights on the importance of diet and nutrition in holistic care. The episode concludes with a reflective poem on parenting and children's independence. This episode offers a realistic yet hopeful look at the path to successful integrated care, emphasizing the importance of relationships, organizational readiness, and passion for the work. 00:00 Introduction and Opening Remarks
When your child survives one medical emergency only to face another, parenting becomes a constant act of advocacy and courage. Today's guest joins us to share her daughter's journey with rare and complex medical conditions, from early respiratory failure and unexplained hospitalizations to epilepsy, lung disease, and life with medical uncertainty. As a military spouse navigating deployments, Brittany shares what it means to walk this path largely alone, trust her instincts as a mother, and fight to be believed by medical professionals. This episode explores navigating rare disease without clear answers, the life-changing impact of compassionate child life support, supporting siblings through medical trauma, and how rituals, play, and community help families find hope and meaning in the midst of chaos. Download our free Children's Hospital Passport to help empower your child and family during hospital stays. Sponsored in part by HealthWell Foundation—learn how you can help families afford life-saving medications at healthwellfoundation.org. Resources from today's episode: Medical Support: Stanford Children's Health Undiagnosed Diseases Network Nonprofit & Community Support: Live Like JoJo Foundation The Meg Foundation (Pediatric Pain & Poke Plans) Brave Bears Club (Epilepsy Support) Child Life Mommy CHYP Connect with Brittany Follow Brittany's journey as she shares life as a medical mom, military spouse, and advocate. Connect & Support from Child Life On Call Subscribe: Never miss an episode on Apple Podcasts or Spotify. Visit insidethechildrenshospital.com to easily search stories and episodes Follow us on Instagram for updates and opportunities to connect with other parents Download SupportSpot: receive Child Life tools at your fingertips. Leave a Review: It helps other families find us and access our resources! Keywords: Rare disease parenting, Medical motherhood, Medically complex child, Pediatric lung disease, Pediatric epilepsy, Intractable epilepsy, PICU parent experience, Military family healthcare, Parent advocacy in healthcare, Child life specialist support, Sibling support during hospitalization, Parenting after medical trauma, Coping with chronic illness, Undiagnosed disease journey, Hospital parent support Medical information provided is not a substitute for professional advice—please consult your care team
Treating sick kids in the ED takes thoughtful planning to ensure the best care possible, which is why the National Pediatric Readiness Project is set to embark on this spring's NPRP Assessment. Robin Goodman with the Emergency Medical Services for Children Innovation & Improvement Center joins the ENA Podcast to talk about what's ahead with the assessment and why every ED should take part. Learn about the NPRP Assessment: pedsready.org Pediatric readiness resources: emscimprovement.center Feb. 12 webinar: https://bit.ly/45D8Ifn
In this episode, Dr. Jenna Gibbs and Libby Ritchie join Lauren Lavin, host of the College of Public Health's student podcast at the University of Iowa, to explore the realities of pediatric agricultural injuries. They discuss why injuries remain the leading cause of death for Americans ages 1–44, how terminology like “incident” instead of “accident” helps shift the focus toward prevention, and what makes farm environments uniquely challenging for children. Grounded in both research and real farm experience, this episode offers realistic, culturally informed guidance to keep rural kids safe while still allowing them to grow, learn, and contribute. Episode ResourcesPediatric Agricultural Injuries: An Interview with Jenna Gibbs, Injury Prevention Research Center, College of Public HealthSafety Guidelines, Cultivate Safety“Accidents” vs Incidents Webpage, Marshfield Clinic Research Institute
Pediatric Insights: Advances and Innovations with Children’s Health
This episode explores the Bleeding Disorders Treatment Program at Children's Health℠ and how it provides comprehensive care for pediatric patients with bleeding and clotting disorders. Learn more about Children's Health's Pediatric Bleeding Disorders Treatment Program. Learn more about Dr. Zia.
The connection between Immunity and the Upper Cervical Spine.
In this episode of The Untethered Podcast, Hallie Bulkin sits down with Kelly Wenger to explore the evolution of a pediatric feeding clinician. Kelly shares her raw and relatable journey—from the initial overwhelm of entering private practice as a new mother to finding her voice as a confident feeding specialist.The conversation dives deep into the "confidence gap" many clinicians face when dealing with complex feeding cases. Kelly discusses how shifting to an integrative approach and moving therapy into the home environment has not only improved patient outcomes but has also allowed for a more profound connection with parents. Whether you are a clinician looking to level up your skills or a business owner wanting to build a stronger referral network, this episode offers a roadmap for professional and personal growth.IN THIS EPISODE, YOU'LL LEARN:✔️ The Confidence Catalyst: How specialized training like Feed the Peds transforms clinical uncertainty into expert action. ✔️ The In-Home Advantage: Why the home environment is the "secret sauce" for the generalization of feeding skills. ✔️ Integrative Thinking: How to look at a child holistically to address multiple developmental needs simultaneously. ✔️ Building Your Network: Strategies for creating a robust referral circle that supports your practice growth. ✔️ Empowering Parents: Navigating the shift in parental awareness and how to effectively educate caregivers on their child's needs. ✔️ The Ripple Effect: Understanding how one clinician's education creates a wave of positive impact across an entire community.Join me for this free 3-day training, where I'll show you how to screen feeding cases clearly, confidently, and with intention — so you know exactly what to do next.
In this episode of "PICU Doc On Call," Drs. Pradip Kamat and Rahul Damania discuss the acute management of a 14-year-old boy with severe rectal bleeding and hypertension, ultimately diagnosed with inflammatory bowel disease (IBD). They review the approach to pediatric lower GI bleeding, diagnostic workup, and imaging, emphasizing early recognition and resuscitation. They outline IBD management, including steroids, biologics such as infliximab, and nutritional support, while highlighting the importance of screening for infections before immunosuppression. The episode provides practical insights for PICU physicians on handling acute GI emergencies in children.Show Nighlights: Clinical case of a 14-year-old male with hypertension and rectal bleeding.Diagnosis of inflammatory bowel disease (IBD) following significant blood loss.Approach to pediatric rectal bleeding and its implications.Diagnostic workup including laboratory tests and imaging modalities.Management strategies for IBD in acute pediatric care.Importance of early recognition and resuscitation in cases of shock.Physiological principles related to blood loss and shock in children.Differential diagnoses for lower gastrointestinal bleeding in pediatrics.Initial evaluation and stabilization protocols for pediatric patients.Nutritional support and multidisciplinary care in managing IBD. References:Romano C, Oliva S, Martellossi S, et al. Pediatric gastrointestinal bleeding: Perspectives from the Italian Society of Pediatric Gastroenterology. World J Gastroenterol. 2017;23(8):1326-1337.Pai AK, Fox VL. Gastrointestinal bleeding and management. Pediatr Clin North Am. 2017;64(3):543-561.Padilla BE, Moses W. Lower gastrointestinal bleeding and intussusception. Surg Clin North Am. 2017;97(1):63-80.Kaur M, Dalal RL, Shaffer S, Schwartz DA, Rubin DT. Inpatient management of inflammatory bowel disease-related complications. Clin Gastroenterol Hepatol. 2020;18(11):2417-2428.Ashton JJ, Ennis S, Beattie RM. Early-onset paediatric inflammatory bowel disease. Lancet Child Adolesc Health. 2017;1(2):147-158.Bouhuys M, Lexmond WS, van Rheenen PF. Pediatric inflammatory bowel disease. Pediatrics. 2022;150(6):e2022059341.Rosen MJ, Dhawan A, Saeed SA. Inflammatory bowel disease in children and adolescents. JAMA Pediatr. 2015;169(11):1053-1060.Conrad MA, Rosh JR. Pediatric Inflammatory Bowel Disease. Pediatr Clin North Am. 2017 Jun;64(3):577-591.
The Nurses Report with David, Nicole & Ashley – Nurses challenge modern medicine's profit-driven culture, questioning plastic-based pharmaceuticals, vaccine policy shifts, and pediatric care ethics. The conversation exposes conflicts of interest, environmental risks, and failures in informed consent while calling for transparency, independent research, real food guidance, and patient-centered decision-making led by those at the...
The Nurses Report with David, Nicole & Ashley – Nurses challenge modern medicine's profit-driven culture, questioning plastic-based pharmaceuticals, vaccine policy shifts, and pediatric care ethics. The conversation exposes conflicts of interest, environmental risks, and failures in informed consent while calling for transparency, independent research, real food guidance, and patient-centered decision-making led by those at the...
This week we replay an important episode from 2 years ago in which we delved into the world of antibiotic prophylaxis for dental procedures. What are the data to support its use in the congenital heart patient? Why has this been such a difficult topic to study? What do we now know about this topic and what still remains unanswered? Given the low prevalence but dire consequences of this disease, how can investigators consider studying this topic in the future? Is there adequate equipoise to proceed with a randomized controlled trial? We speak with Advanced Imaging Fellow at Boston Children's Hospital, Dr. Francesca Sperotto of Harvard University about her recent multicenter meta-analysis of 30 studies including over one million cases of endocarditis. DOI: 10.1001/jamacardio.2024.0873
Asthma is one of the most common long-term conditions in children. It is a leading cause of missed school and emergency room visits. Doctors use tools (validated questionnaires) to assess how well a child's asthma is controlled and whether their medicine is helping. Some tools only ask about symptoms, which can miss children who are still at risk for asthma attacks. The lead author, Dr. Kevin Murphy, joins us to talk about “Pediatric Asthma Impairment and Risk Questionnaire: A Control Assessment for Children Aged 5 to 11 Years,” published July 2025 in Journal of Allergy and Clinical Immunology: In Practice. The Peds-AIRQ was designed to improve how doctors identify uncontrolled asthma in children by asking about both current symptoms and past asthma attacks. This approach helps avoid missing children who may seem okay day to day but are at higher risk for future flare-ups. What we cover in this episode Why asthma control in children can be hard to measure What “controlled asthma” really means Why past asthma attacks matter, even when symptoms seem mild What the Peds-AIRQ is and how it works How this tool may support better conversations between families and doctors DOWNLOAD THE INFOGRAPHIC More asthma in kids resources Take the Peds-AIRQ questionnaire What is asthma? Asthma in Babies and Children Childhood Asthma: A Complex Condition That Doesn't Have to Be So Complicated - video *********** The Itch Review, hosted by Dr. Gupta, Kortney, and Dr. Blaiss, explores allergy and immunology studies, breaking down complex research in conversations accessible to clinicians, patients, and caregivers. Each episode provides key insights from journal articles and includes a one-page infographic in the show notes for easy reference. *********** Made in partnership with The Allergy & Asthma Network. Thanks to AstraZeneca for sponsoring today's episode. This podcast is for informational purposes only and does not substitute professional medical advice. Always consult with your healthcare provider for any medical concerns.
In this episode of the Pediatric and Developmental Pathology, our hosts Dr. Mike Arnold (@MArnold_PedPath) and Dr. Jason Wang speak with Dr. Lauren Miller (@LJMiller_MD), a 4th year AP/CP Pathology Resident at the University of Michigan; Dr. Amer Heider (@amerheider), Pediatric and Perinatal Pathologist at the University of Michigan; and Dr. Lina Shao, Cytogeneticist and Clinical Professor at the University of Michigan. Hear about Pathology at the University of Michigan (https://www.pathology.med.umich.edu/) and training in Pediatric Pathology (https://www.pathology.med.umich.edu/index.php?t=page&id=1396). Find out how they triage tissue from pediatric cancers, and how that approach led to their article in Pediatric and Developmental Pathology: A Novel GLCCI1::BRAF Fusion With Independent MYC and MYCN Amplifications in Pediatric Pancreatic Acinar Cell Carcinoma Learn more about Pathology at the University of Michigan on social media: X: @UMichPath Insta: umichpath Facebook: University of Michigan Department of Pathology Featured public domain music: Summer Pride by Loyalty Freak
Trending with Timmerie - Catholic Principals applied to today's experiences.
Pediatric and geriatric Dr. Katherine R. Schlaerth and Author Joy Pullman, executive editor of The Federalist, joins Trending with Timmerie. Episode Guide Understand the changes in your body as you age (2:18) As a pediatric geriatrician, I encounter young adults who just don't want children, or want only one (11:52) Maintaining energy and stamina (19:14) How belief and socialization maintains our health (27:26) How to find a good Catholic pro-life doctor? (34:24) The reality of daycare for the child amidst Minnesota scandal (36:24) Resources mentioned: Our guest Dr. Katherine Schlaerth: https://clinicasierravista.org/team/doctors-clinicians/katherine-schlaerth-md/ The Ways Our Bodies Age by Katherine Schlaerth, MD: https://www.amazon.com/Ways-Our-Bodies-Age-Physiology/dp/1665769416 Pro-Life Ministry: https://savethestorks.org/ Show featuring how to prevent Osteoporosis: https://relevantradio.com/2026/01/revival-of-body-and-soul/ Being There: Why Prioritizing Motherhood in the First Three Years Matters https://amzn.to/4rbK0uZ https://mycatholicdoctor.com/ Shows featuring Erica Komisar https://relevantradio.com/?s=ERICA+KOMISAR MyCatholicDoctor https://mycatholicdoctor.com/ Prenatal vitamins: Thorne Prenatal https://www.thorne.com/products/dp/basic-prenatal?gclid=CjwKCAjww7KmBhAyEiwA5-PUSkGPF-ZnrCpknZFIsUSUNv-bfmViuWCADDO5PtFdrjFvPUgidInBghoCjdYQAvD_BwE Mama Bird Prenatal: https://www.bestnestwellness.com/products/best-prenatal-vitamin Smartypants Prenatal https://www.amazon.com/SmartyPants-Prenatal-Multivitamin-Development-Immunity/dp/B094Q843T5/ref=sr_1_10?hvadid=267848952186&hvdev=c&hvlocphy=9031294&hvnetw=g&hvqmt=e&hvrand=2839674783214023957&hvtargid=kwd-451284605015&hydadcr=21226_9690829&keywords=smarty%2Bpants%2Borganic%2Bprenatal&qid=1691193688&sr=8-10&th=1 Federalist articles by Joy Pullman https://thefederalist.com/author/joy-pullmann/
When picky eating is extreme, it's rarely just about the food. Pediatric dietitian Katharine Jeffcoat explains how anxiety and sensory challenges impact eating, what helps beyond nutrition, and how to reduce pressure at the table—plus a simple "food science" approach to support progress.
Are we diagnosing allergies all wrong? Join pediatric allergist and clinical immunologist Dr. Zainab Abdurrahman as we debunk common myths in allergy management. We dive deep into why patient history matters more than testing, the danger of using Benadryl, and the life-changing impact of early food introduction. Dr. Abdurrahman also discusses the "diversity gap" in Canadian healthcare, explaining why cultural sensitivity and representation are vital for better patient outcomes. Whether you're a parent, a medical professional, or someone living with allergies, this episode offers a masterclass in modern immunology and health equity. In this episode, we cover: Early Food Introduction: How to reduce allergy risks in infants. Allergy vs. Intolerance: Clearing up the most common misconceptions. The Specialist Shortage: Why Canada needs more pediatric allergists. Cultural Sensitivity: Why representation in medicine saves lives. Learn how to advocate for better care and understand the critical role of social media in spreading accurate allergy awareness. More about Dr. Abdurrahman: Dr. Zainab Abdurrahman, president of the Ontario Medical Association, is an allergist and clinical immunologist, advocating for health equity, medical innovation and inclusive leadership. She brings a strong background in biostatistics and a deep commitment to systemic change. Dr. Zainab Abdurrahman (she/her) is the president of the Ontario Medical Association and a practising allergist and clinical immunologist in the Greater Toronto Area. She serves as an assistant clinical professor of the School of Medicine at the Toronto Metropolitan University and an adjunct assistant clinical professor in pediatrics at McMaster University. Dr. Abdurrahman earned her doctorate of medicine from the University of Toronto. She completed her pediatrics residency and subspecialty training in allergy and clinical immunology at McMaster University. She also holds a master's degree in statistics, with a specialization in biostatistics. She is deeply committed to advancing health and has been a key contributor to the Black Scientists Taskforce on COVID-19 Vaccination Equity and the Black Health & Vaccine Initiative, in partnership with the Black Physicians' Association of Ontario. Beyond equity work, Dr. Abdurrahman is passionate about the intersection of technology and medicine. She is dedicated to leveraging innovation to enhance patient care and is a strong advocate for advancing the medical profession through inclusive leadership and systemic change. https://www.oma.org/expert-advice/request-a-physician-speaker/speakers-search/dr-zainab-abdurrahman/ https://www.qandaallergy.ca/post/dr-a-explains-the-concerns-about-older-sedating-antihistamines Keywords pediatric allergy, immunology, health equity, representation in medicine, food allergies, EpiPen, allergy diagnosis, cultural considerations, adult allergies, social media awareness * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube – https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact Thank you to Hospital News for being a collaborative partner with the Gritty Nurse! www.hospitalnews.com
You won't want to miss out on hearing from our special guest “truth-teller” this week, on “Pediatric Perspectives.” His name: Peter McCullough, M.D. In this episode, Dr. McCullough shares compelling information on how, years later, COVID is still haunting us. We are facing, in his words, “The biggest problem that humanity has ever tackled.” As Dr. McCullough points out, not only has its treatment been a failure in many ways, but also its “vaccine campaign…will go down as the largest biopharmaceutical debacle in human history.” And yet, helping those impacted has become the “most rewarding thing” from all the years he has been a physician. Watch the exclusive interview on CHD.TV!
When your newborn is healthy one moment and rushed to the PICU the next, life can change in an instant. Today's guest joins us to share her son's journey with severe hemophilia—from unexpected bleeding after a routine circumcision to a spontaneous brain bleed, emergency surgery, and a months-long PICU stay. This episode explores being thrust into medical motherhood, learning to advocate under unimaginable stress, and how community, child life, and modern medicine help families navigate life with a complex diagnosis. Download our free Children's Hospital Passport to help empower your child and family during hospital stays. Sponsored in part by HealthWell Foundation—learn how you can help families afford life-saving medications at healthwellfoundation.org. Resources Medical Support: Mayo Clinic Children's Center & Hemophilia Treatment Center, Rochester, MN Nonprofit & Community Support: Hemophilia Foundation of Minnesota & the Dakotas Connect with Sami Follow Sami and Cooper's journey on Instagram Connect & Support from Child Life On Call Subscribe: Never miss an episode on Apple Podcasts or Spotify. Visit insidethechildrenshospital.com to easily search stories and episodes Follow us on Instagram for updates and opportunities to connect with other parents Download SupportSpot: receive Child Life tools at your fingertips. Leave a Review: It helps other families find us and access our resources! Keywords: Severe hemophilia, Hemophilia in infants, Newborn hemophilia diagnosis, Infant brain bleed, Pediatric hemophilia, Medical motherhood, PICU parent experience, Emergency brain surgery infant, Rare disease parenting, Bleeding disorders in babies, Hemophilia treatment center, Parent advocate in healthcare, Life after a NICU or PICU stay, Medically complex child, Child life specialist support, Coping with a chronic diagnosis, Parenting after medical trauma, Hemophilia A awareness, Infant seizures medical emergency, Hospital parent support Medical information provided is not a substitute for professional advice—please consult your care team.
Success stories on the global stage! Kassa Darge, MD PhD, speaks with host Raisa Amiruddin, MBBS, on the training and educational needs to improve pediatric radiology in resource-limited settings, while sharing inspirational anecdotes from his career and strategies to get involved in outreach initiatives.
Pediatric neuropalliative medicine is an emerging area of subspecialty practice that emphasizes the human experience elements of serious neurologic illness. Child neurologists care daily for patients who can benefit from the communication strategies and management practices central to pediatric neuropalliative medicine, whether at the primary or subspecialty level. In this episode, Gordon Smith, MD, FAAN, speaks with Lauren Treat, MD, author of the article "Neuropalliative Medicine in Pediatric Neurology" in the Continuum® December 2025 Neuropalliative Care issue. Dr. Smith is a Continuum® Audio interviewer and a professor and chair of neurology at Kenneth and Dianne Wright Distinguished Chair in Clinical and Translational Research at Virginia Commonwealth University in Richmond, Virginia. Dr. Treat is an associate professor in the divisions of child neurology and palliative medicine at the University of Colorado School of Medicine in Aurora, Colorado. Additional Resources Read the article: Neuropalliative Medicine in Pediatric Neurology Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @gordonsmithMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Smith: This is Gordon Smith. Today I've got the great pleasure of interviewing my good friend Dr Lauren Treat about her article on neuropalliative medicine in pediatric neurology practice. This article appears in the December 2025 Continuum issue on neuropalliative care. Lauren, welcome to the Continuum podcast, and maybe you can introduce yourself to our listeners. Dr Treat: Such a delight to be here, Gordon. Thank you. I am a pediatric neurologist and palliative medicine doctor at the University of Colorado, Children's Hospital Colorado, and I am practicing in both areas. I do general child neurology, and I also run a pediatric neuropalliative medicine clinic. So, I'm happy to be here to talk about it. Dr Smith: And, truth in advertising, I tried very hard to get Dr Treat to move to VC to work with me. And I haven't given up yet. I'm looking forward to the conversation. And Lauren, I wonder- one, I'm really excited about this issue, by the way. This is the second podcast I've done. And I'd like to ask the same question I asked of David Oliver, who's amazing. What a great article and conversation we had. And that question is, can you define palliative care? I think a lot of people think of it as, like, end-of-life care or things like that. And is the definition a little different in the pediatric space than it is in the adult space? Dr Treat: Such a great place to start, Gordon. I absolutely think that there are nuances that are very important in pediatrics. And we especially acknowledge in pediatrics that there is a very longitudinal component of this. And even moreso, I think, then in adult neuropalliative medicine, in pediatrics, we are seeing people=even prenatally or early in their first hours and days of life, and walking with them on a journey that might last days or weeks, but might last years or decades. And so, there is this sense that we are going to come alongside them and be part of the ups and the downs. So yes, neuropalliative medicine is a kind of medicine that is a very natural partner to where neurology is in its current field. We're doing a lot of exciting things with modifying diseases, diagnosing things early, and we have a very high reliance on the things that we can measure in medicine. And not all things can be measured that are worthwhile about one's quality of life. A family very poignantly told me very recently, making sure someone stays alive is different from making sure they have a life. And that's what neuropalliative medicine is about. Dr Smith: Well, great summary, and I definitely want to follow up on several aspects of that, but there's one point I was really curious about as I've been thinking about this, you know, these are really exciting times and neurology in general and in child neurology in particular. And we've got all of these exciting new therapies. And as you know, I'm a neuromuscular person, so it's hard not to think back on SMA and not be super excited. And so, I wonder about the impact of these positive developments on the practice of neuropalliative care in kids. You know, I'm just thinking, you know, you mentioned it's a journey with ups and downs. And I wonder, the complexity of that must be really interesting. And I bet your job looks different now than it did seven or eight years ago. Dr Treat: That's absolutely true. I will self-reference here one of the figures in the paper. Figure 2 in my section is about those trajectories, about how these journeys can have lots of ups and downs and whether this person had a normal health status to begin with or whether they started out life with a lot of challenges. Those ups and downs inherently involve a lot of uncertainty. And that's where palliative medicine shines. Not because we have the answer---everyone would love for us to have the answer---but because we consider ourselves uncertainty specialists in the way that we have to figure out what do we know, what can we ground ourselves in, and how can we continue to move forward even if we don't have all the answers? That is a particular aspect of neurology that is incredibly challenging for families and clinicians, and it can't stand as a barrier to moving forward and trying to figure out what's best for this child, what's best for this family. What do we know to be true about them as people, and how can we integrate that with all of the quantitative measures that we know and love in neurology? Dr Smith: So, I love the comment about prognostication, and this really ties into positive uncertainty or negative undercertainty in terms of therapeutic development. I wonder if you can talk a little bit about your approach to prognostication, particularly in a highly fluid situation. And are there pearls and pitfalls that our listeners should consider when they're discussing prognosis for children, particularly maybe young children who have severe neurological problems? Dr Treat: It's such a pivotal issue, a central issue, to child neurology practice. Again, because we are often meeting people very, very early on in their journey---earlier than we ever have before, sometimes, because of this opportunity to have a diagnosis, you know, prenatally or genetically or whatever else it is---sometimes we are seeing the very early signs of something as compared to previously where we wouldn't have a diagnosis until something was in its more kind of full-blown state. This idea of having a spectrum and giving people the range of possible outcomes is absolutely still what we need to do. However, we need to add on another skill on top of that in helping people anchor into what feels like the most likely situation and what the milestones are going to be in the near future, about how we're going to walk this journey and what we'll be on the lookout for that will help us branch into those different areas of the map down the road. Dr Smith: So, I wonder if we can go back to the framework you mentioned, two answers ago, I think? You and the article, you know, provide four different types of situations kind of based on temporal progression. I wonder if maybe the best way of approaching is to give an example and how that impacts your thoughts of how you manage a particular situation. Dr Treat: Absolutely. So, this figure in particular is helpful in multiple ways. One is to just give a visual of what these disease trajectories are doing, because we're doing that when and we take a history from a patient. But actually, to put it into an external visual for yourself, for your team, but also perhaps for the family can be really powerful. It helps you contextualize the episode of care in which you're meeting the family right now. And it also helps, sometimes, provide some sense of alignment or point out some discrepancies about how you're viewing that child's health and quality of life as compared to how the family might be viewing it. And so, if you say, you know, it sounds like during those five years before we met, you were up here, and now we find ourselves down here, and we're kind of in the middle of the range of where I've seen this person's health status be. Do I have that right? Families feel really seen when you do that and when you can get it accurately. And it also invites a dialogue between the two parties to be able to say, well, maybe I would adjust this. I think we had good health or good quality of life in this season. But you're right, it's getting harder. It's kind of that "show, don't tell" approach of bringing together all the facts to put together the relative position of where we are now in the context of everything they've been through. Dr Smith: You know, I wonder if you could talk a little bit more about the differences between palliative care and adult patients and in children? Dr Treat: Absolutely. One of the key features in pediatrics is this kind of overriding sense of an out-of-order event in the family's life. Children are not supposed to have illness. Children are not supposed to have disability. Children are not supposed to die before their parents. And that layer of tragedy is incredibly heavy and pervasive. It's not every encounter that you have in child neurology, but it does kind of permeate some of the conversations that neurologists have with their patients, especially patients who have serious neurological disease. So that could be things like epileptic encephalopathies, birth injuries, other traumatic brain injuries down the line. In the paper, I'd go through many different categories of the types of conditions that are eligible for pediatric neuropalliative medicine, that kind of support. When we think about that layer of tragedy in the relation to where we're meeting these families, they deserve extra support, not just to think about the medicines and the treatments, but also, what can we hope for? How can we give this child the best possible life in whatever circumstance that they're in? How can we show up in whatever medical decision-making circumstances present themselves to us and feel like we've done right by this child? It's a complex task, and pediatric neural palliative medicine is evolving to be able to be in those spaces with families in a very meaningful way. Dr Smith: So, of course, one of the differences is the, you know, very important role of parents in the situation, right? Obviously, parents are involved in adult palliative care issues and family is very important. But I wonder if you can talk about specific considerations given the parent-child relationship? Dr Treat: So, pediatric neuropalliative medicine really helps facilitate discussions not just about, again, those things that we have data on, but also about what is meaningful and foundational for those families. What's possible at home, what's possible in the community. In pediatrics, parents are making decisions on behalf of their child, often as a dyad, and I don't think this gets enough attention. We know from adult literature that making decisions on behalf of someone else is different from making decisions on behalf of oneself. We call this proxy decision-making. And proxies are more likely to be conservative on behalf of someone else than they are on behalf of themselves, and they're also more likely to overestimate the tolerability of a medical intervention. So, they might say, I wouldn't want this, or, I wouldn't accept this risk on behalf of myself, or, I don't think I'd want to have to persevere through something, but on behalf of this other person, I think they can do it or I will help them through it or something else like this, or, I can't accept the risk on behalf of them. So that's not good or bad. That's just different about making a decision on behalf of oneself as compared to making a decision on behalf of someone else. When there's two people trying to be proxies on behalf of a third person, on behalf of a child, that's a really, really complex task, and it deserves support. And so, pediatric neural palliative medicine can function, then, as this neutral space, as this kind of almost coaching opportunity alongside the other medical doctors to give parents an opportunity when their minds are calm---not in the heat of the moment---to talk about how they see their child, how they've shown up themselves, what they've seen go well, what they've struggled with. And how,, then we can feel prepared for future decision making times, future high-stress encounters, about what will be important to ground them in those moments, even though we can't predict fully what those circumstances might be. Dr Smith: It sounds, you know, from talking to you and having read the article, that these sorts of issues evolve over time, right? And you have commented on this already from your very first answer. And you do describe a framework for how parents think---their mental model, I guess---of, you know, a child with a serious illness. And this sounds like appreciation of that's really important in providing care. Maybe you can talk us through that topic? Dr Treat: I refer to this concept of prognostic awareness in all of the conversations that we have with families. So, what I mean by prognostic awareness is the degree of insight that an individual has about what's currently happening with their child and what may happen in the future regarding the disease and/or the complications. And when we meet people early on in their journey, often their prognostic awareness, that sense of insight about what's going on, can be limited because it requires lived experience to build. Oftentimes time is a factor in that, we gain more lived experience over time, but it's not just time that goes into building that. It's often having a child who has a complication. Sometimes it's experiencing a hospitalization. That transfer from a cognitive understanding of what's going on, from a lived experience about what's going on, really amplifies that prognostic awareness, and it changes season by season in terms of what that family is going through and what they're willing to tolerate. Dr Smith: You introduced a new term for me, which is hyper-capableism. Can you talk about that? I found that really interesting and, you know, it reminds me a lot of the epiphanies that we've had about coma and coma prognosis. So, what's hyper-capableism? Dr Treat: Yes. In neurology, we have to be very aware of our views on ableism, on understanding how we prognosticate in relation to what we value about our abilities. And hyper-capableism refers to someone who feels very competent both cognitively and from a motor standpoint and fosters that sense of value around those two aspects to a high degree. I'm referencing that in the article with regard to medicine, because medicine, the rigors of training, the rigors of practice, require that someone has mental and motor fortitude. That neurology practice and medical practice in general can breed this attitude around the value of skills in both of those areas. And we have to be careful in order to give our patients and families the best care, to not overly project our values and our sense of what's good and bad in the world regarding ableism. Impairments can look different in different social contexts. And when the social context doesn't support an impairment, that's where people struggle. That's where people have stigma. And I think there's a lot of work that we can do in society at large to help improve accommodations for impairment so that we have less ableism in society. Dr Smith: Another term that I found really interesting kind of going back to parents is the "good parent identity." Maybe you can talk about that? Dr Treat: Good parent identity, good parent narrative, is something that is inherent to the journey when you're trying to take care of and make decisions on behalf of a child. And whether you're in a medical context or outside of a medical context, all parents have this either explicit or implicit sense of themselves about what it means to do right by their child. This comes up very poignantly in complex medical conditions because there are so many narratives about what parents ought to do on behalf of their child, and some of those roles can be in tension with one another. It's a whole lot of verbs that often fall under that identity. It's about being able to love and support and take good care of and make good decisions on behalf of someone. But it's also about protecting them from harm and treating their pain and being able to respond to them and know their cues and know these details about them. And you can't, sometimes, do multiple of those things at once. You can't give them as much safety and health as possible and also protect them from pain and suffering when they have a serious illness, when they need care in the hospital that might require a treatment that might be invasive or burdensome to them. And so, trying to be a good parent in the face of not being able to fulfill all those different verbs or ideas about what a good parent might do is a big task. And it can help to make it an explicit part of the conversation about what that family feels like their good parent roles might be in a particular situation. Dr Smith: I want to shift a little bit, Lauren, that's a really great answer. And just, you know, listening to you, your language and your tongue is incredibly positive, which is exciting. But, you know, you have talked about up and downs, and I wanted you to comment on a quote. I actually wrote it down, I'm going to read it to you, because you mentioned this early on in your article: "the heavy emotional and psychological impacts of bearing witness to suffering as a child neurologist." I think all of us, no matter how excited we are about all the therapeutic development, see patients who are suffering. And it's hard when it's a child and you're seeing a family. I wonder if you could talk a little bit about that comment and how you balance that. You're clearly- you're energized in your career, but you do have to bear witness to suffering. Dr Treat: You're right. Child neurologists do incredible work, it's an incredible, exciting field, and there are a lot of challenges that we see people face. And we see it impacts their lives in really intense ways over the course of time. We bear witness to marriages that fall apart. We bear witness to families that lose jobs or have to transition big pieces of their identity in order to care for their children. And that impacts us. And we hold the collective weight of the things that we are trying to improve but sometimes feel less efficacious than we hoped that we could around some of these aspects of people's lives. And so, pediatric neuropalliative medicine is also about supporting colleagues and being able to talk to colleagues about how the care of the patients and the really real effort that we exert on their behalf and the caring that we have in our hearts for them, how that matters. Even if the outcome doesn't change, it's something that matters for our work and for our connections with these families. It's really important. Dr Smith: I wonder, maybe we can end by learning a little bit about your journey? And maybe this is your opportunity to- I know we have students and residents who listen to us, and junior faculty. I think neuropalliative care is obviously an important issue. There's a whole Continuum issue on it---no pun intended---but what was your journey, and maybe what's your pitch? Dr Treat: I'm just going to give a little bit of a snippet from a poem by Andrea Gibson, who's a poet, that I think speaks really clearly to this. They say a difficult life is not less worth living than a gentle one. Joy is simply easier to carry than sorrow. I think that sums these things up really well, that we find a lot of meaning in the work that we do. And it's not that it's easier or harder, it's just that these things all matter. I'm going to speak now, Gordon, to your question about how I got to my journey. When I went into pediatrics and then neuro in my training, I have always loved the brain. It's always been so crucial to what I wanted to do and how I wanted to be in the world. And when I was in my training, I saw that a lot of the really impactful conversations that we were having felt like we left something out. It felt like we couldn't talk about some of the anticipated struggles that we would anticipate on a human level. We could talk about the rate and the volume of the G tube, but we couldn't talk about how this was going to impact a mother's sense of being able to nourish and bond and care for their child because we didn't have answers for those things. And as I went on in my journey, I realized that even if we don't have answers, it's still important for us to acknowledge those things and talk about them and be there for our patients in those conversations. Dr Smith: Well, Lauren, what a great way to end, and what a wonderful conversation, and what a great article. Congratulations and thank you. Dr Treat: Thank you, Gordon. It was a pleasure to be here. Dr Smith: Again today, I've been interviewing Dr Lauren Treat about her really great article on neuropalliative medicine in pediatric neurology practice. This article appears in the December 2025 Continuum issue on neuropalliative care. Be sure to check out Continuum Audio episodes from this issue and other issues. And thanks again to you, our listeners, for joining us today. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
Send us a textA mouse who can't eat cheese and an owl who loves her anyway—sometimes the simplest stories hold the biggest truths. We welcome author MB Mooney to share how The Mouse Who Couldn't Eat Cheese grew from the life and legacy of Alex, a bright, owl‑loving kid who lived with Crohn's disease and inspired a foundation, Beautiful Beyond the Pain. Instead of a medical explainer, MB wrote a friendship-first tale that helps children understand invisible illness, practice empathy, and see vulnerability as a path to connection.We open up the creative process behind writing for kids and parents at once: crafting a title that hooks curiosity, choosing scenes that feel honest, and striking a tone that respects young readers without sanding down the hard parts. MB explains why children's books are tougher than they look, how early readers—many without any IBD connection—found universal meaning in the story, and what it takes to put your heart on the page when criticism is part of the job. For aspiring authors in the chronic illness community, he shares a practical roadmap: draft freely, revise with audience in mind, find a writing group for accountability and critique, and build resilience for the inevitable one‑star review.We also look ahead to future volumes featuring Alex the Owl, including a potential ADHD story drawn from MB's family experience. Along the way we talk about making invisible illness visible, helping kids self‑advocate, and why every community benefits when friends learn to meet each other's needs with flexibility and care. If you're a parent, patient, educator, or creator looking for stories that heal and tools that help, this conversation is a warm, grounded guide.If the episode resonates, follow the show, share it with a friend, and leave a quick review—your support helps more listeners find thoughtful conversations like this one.Links: MB Mooney's websiteThe Mouse Who Couldn't Eat CheeseCamp Oasis- Crohn's & Colitis Foundation USA A longer interview with MB about his book- Adventures in the Heart of Children's Book Authors podcastLet's get social!!Follow us on Instagram!Follow us on Facebook!Follow us on Twitter!
Episode 42 - Erin Feldman - Prehabilitation in Pediatric Inflammatory Bowel Disease In this episode of Nutrition Pearls: the Podcast, co-hosts Jen Smith and Nikki Misner speak with dietitian Erin Feldman on the topic of prehabilitation in pediatric IBD. Erin Feldman, RD, is a registered dietitian at Cedars-Sinai in Los Angeles with more than 25 years of experience supporting pediatric patients with complex gastrointestinal conditions, including inflammatory bowel disease (IBD). She plays an integral role in Cedars-Sinai's IBD prehabilitation program for patients 13 and older, guiding patients through nutrition optimization before, during, and after surgery to help ensure the best possible outcomes. Over the past 2 years, Erin has served as faculty for Cedars-Sinai's six-month IBD Dietitian Apprenticeship Program, where she trains and mentors dietitians in pediatric IBD care. Her deep clinical expertise and passion for multidisciplinary collaboration make her a key voice in advancing nutrition for pediatric IBD patients.Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:Banty A, et al. Feasibility of a nurse and dietitian-led IBD surgical prehabilitation program. Abstracts From the 2023 Crohn's & Colitis Congress. 2023;164(4)S21.Ladd MR et al. Malnutrition increases the risk of 30-day complications after surgery in pediatric patients with Crohn disease. J Ped Surg. 2018;53(11)2336-2345.Menchaca AD, et al. Preoperative nutrition status predicts hospital length of stay and unplanned reoperation risk in pediatric patients with inflammatory bowel disease. J Ped Surg. 2025;60(3)162147.Martins DS, Piper HG. Nutrition considerations in pediatric surgical patients. Nutr Clin Pract 2022;37:510–520.Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org
Pediatric physician Dr. Ryan Steele, MD FAAP, joins Bryce Hamilton LSCSW, in this episode to answer questions about puberty, especially in young boys. They define puberty, outline what... The post Puberty in Boys with Pediatrician Dr. Ryan Steele MD FAAPP appeared first on WebTalkRadio.net.
In this episode of the "Swallow Your Pride" podcast, bilingual SLP Margarita Guzman shares her expertise on pediatric feeding disorders in early intervention. She discusses the vital role of SLPs, the importance of early identification, and practical steps—ensuring safety, functional feeding observation, and interdisciplinary collaboration. Margarita emphasizes family-centered care, the need for more specialized training, and offers resources for clinicians. She also introduces her platform, Koosman SLP, dedicated to empowering providers with evidence-based tools. The conversation highlights the challenges families face and the importance of empathy and teamwork in supporting children with feeding difficulties. Get the show notes at: https://syppodcast.com/387 The post 387 – From Picky Eaters to Happy Eaters: Strategies for Pediatric Feeding Success appeared first on Swallow Your Pride Podcast.
In this episode, Krissy Dilger of SRNA interviewed Dr. Vivien Xie regarding the significance of brain lesions in pediatric MOG antibody disease (MOGAD). Dr. Xie explained the autoimmune nature of MOGAD and the common occurrence of optic neuritis in young patients [00:01:28]. She described her study comparing children with optic neuritis who had brain lesions to those who did not, revealing that brain lesions often did not result in additional symptoms [00:02:41]. The findings suggested that brain lesions didn't significantly impact long-term outcomes, which may provide reassurance for patients with concerning MRI results [00:06:43]. Finally, they discussed the study's implications for better understanding different phenotypes of MOGAD and improving patient prognosis. Future research directions include more detailed MRI analysis and cognitive outcome assessment [00:12:29]. You can read about this multicenter study here:https://pubmed.ncbi.nlm.nih.gov/41167051/Vivien Xie, MD, is a pediatric neurologist and neuroimmunology fellow at Children's National Hospital and MedStar Georgetown University Hospital. Originally from Baltimore, she earned her undergraduate degree in biology from the University of Maryland, College Park and her medical degree from the University of Maryland School of Medicine. She then completed a child neurology residency at Children's National Hospital, where she discovered a passion for helping young patients and their families navigate rare and often life-long neuroimmunologic disorders. Dr. Xie's research interests include pediatric multiple sclerosis and MOG antibody–associated disease, with publications and presentations spanning national and international conferences. She is a committed academic clinician dedicated to advancing clinical trials and research initiatives to improve diagnosis and care for children with rare neuroimmunologic conditions.00:00 Introduction01:28 Understanding MOG Antibody Disease02:41 Research Motivation and Background05:33 Study Design and Methodology06:43 Key Findings and Implications12:29 Future Research Directions14:10 Conclusion and Acknowledgements
One of the first executive orders President Donald Trump signed after his inauguration last January was titled “Protecting Children from Chemical and Surgical Mutilation.” The order directed the Department of Health and Human Services (HHS) to produce a systematic review of pediatric transgender procedures and their impact on children within 90 days.In May 2025, HHS published a more than 400-page review, titled “Treatment for Pediatric Gender Dysphoria: Review of Evidence and Best Practices.” In November last year, an updated, peer-reviewed version was published with additional appendices and supplements.Leor Sapir, a senior fellow at the Manhattan Institute, is one of the report's main outside co-authors. In our in-depth interview, Sapir provides a detailed overview of the review's findings and conclusions.“We tried to be as factual and defensible as we possibly could,” he said.The goal of the report, he says, is to “engage with people in the medical profession who may not be aligned with the administration, but who do care about questions of medical evidence and medical ethics.”In this episode, he breaks down:- The prevalence of sex-changing procedures in the United States, as well as the reversal in approaches in various Scandinavian countries and in the UK.- How misleading and unscientific language was used by professionals across many fields to promote pediatric sex transitioning.- The role of the organization, World Professional Association for Transgender Health (WPATH), in establishing “gender-affirming care” as the accepted standard.- How clinicians, in his view, distorted the principle of patient autonomy to increase pediatric sex change surgeries.There is one chapter in the report that everyone should read, Sapir said. And that is the chapter about ethics.“The question on everybody's mind is: Should we do it? That's an ethical question. And medical ethics is, you would hope, [what] governs the field of medicine,” he told me.Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.
This week we review a follow-up work from the team at USC and Children's LA led by Dr. Yaniv Bar-Cohen on a novel micropacemaker. How has the device changed and improved over the past 3-5 years since his last visit to Pediheart? What are some of the difficulties of designing a device that is both stable on the epicardium but not inclined to develop inflammation? Why did the team move from a screw in eletrode model to a different design? What applications could this device have both for infants but also adults? Dr. Bar-Cohen shares his deep knowledge of both electrophysiology and device design this week.DOI: 10.1016/j.hrthm.2025.01.036For those interested in stepping back in time to hear Dr. Bar-Cohen's first description of an earlier version of this novel pacemaker, here is the link from 2018:https://podcasts.apple.com/us/podcast/pediheart-podcast-26-novel-means-of-epicardial/id1341472214?i=1000498801107
Osteosarcoma Webinar Series: Joseph Skeate, PhD, an Assistant Professor at the University of Minnesota, discusses his OutSmarting Osteosarcoma funded work (Because of Annaleigh) on next generation dual-CAR gamma delta T cells for the treatment of pediatric osteosarcoma.In this presentation, Dr. Skeate will provide an overview of the next-generation genome engineering strategies deployed for this project and share updates on the development of a gamma-delta chimeric antigen receptor (CAR) T cell therapy for treating osteosarcoma. He will describe how the team is combining non-viral transposon insertion of a CAR transgene with targeted gene modification using an Adenine Base Editor to enhance T cell function in the presence of suppressive factors characteristic of osteosarcoma tumors.Dr Joseph Skeate is an Assistant Professor in the Division of Pediatric Hematology/Oncology at the University of Minnesota. He obtained his PhD in Medical Biology from the University of Southern California Keck School of Medicine. Following his doctoral work, he completed a postdoctoral fellowship at the University of Minnesota under the mentorship of Drs Branden Moriarity and Beau Webber. During this time, he developed a hyperactive transposon system and deployed novel genome engineering approaches using Cas9 systems, creating a powerful toolkit for rapid non-viral engineering and preclinical testing of primary human cells. Leveraging his background and expertise in immunology and genome engineering, his lab now focuses on developing next-generation cellular therapies for rare pediatric disease, including osteosarcoma.
Listen to this podcast featuring highlights from our expert roundtable discussion to learn about the most pressing issues in pediatric influenza vaccines, including current vaccine technologies, recent vaccine uptake and epidemiologic trends, and how to discuss the vast benefits of timely vaccination in pediatric patients with their parents and caregivers. Topics covered include:Groups at High Risk for ComplicationsGuideline Recommendations for Influenza VaccinationAvailable Seasonal Flu Vaccine Formulations and Their CharacteristicsPractical Considerations for Selecting Pediatric Influenza VaccinesUptake of Influenza Vaccines in Children: Reversing the TrendsPresenters:Ravi Jhaveri, MD, FIDSA, FPIDS, FAAPDivision HeadPediatric Infectious DiseasesAnn & Robert H. Lurie Children's Hospital of ChicagoProfessor of PediatricsNorthwestern University Feinberg School of MedicineChicago, IllinoisTina Q. Tan, MD, FAAP, FIDSA, FPIDSProfessor of PediatricsFeinberg School of Medicine of Northwestern UniversityPediatric Infectious Diseases AttendingMedical Director, International Adoptee ClinicPresident, Lurie Medical/Dental StaffAnn & Robert H. Lurie Children's Hospital of ChicagoChicago, IllinoisJennifer M. Walsh, DNP, CPNP-PC, CNECertified Pediatric Nurse Practitioner, Primary CareAssistant ProfessorGeorge Washington UniversitySchool of NursingWashington, DCLink to full program: https://bit.ly/45UVzy6Get access to all of our new episodes by subscribing to the Decera Clinical Education Infectious Diseases Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Viral Skin Conditions: Exam Organization Viral dermatologic conditions are best approached by age, distribution, and systemic involvement rather than by memorizing individual viruses. Confusion on exams often occurs when pediatric viral exanthems are tested against one another. Categories for exam organization:• Pediatric systemic viral patterns (viral exanthems, hand-foot-and-mouth disease, varicella)• Localized viral lesions (HSV, molluscum […] The post 151 Childhood Viral Rashes Made Simple – Exanthems, HFMD, Chickenpox & the Patterns That Show Up on PANCE appeared first on Physician Assistant Exam Review.
“It all starts with the core” is a common phrase used amongst physical and occupational therapists in all settings. All developmental movement starts with the core beginning with head control and moving up the developmental spectrum to having strong lateral hips to perform high level plyometrics and everything in between. A strong knowledge of the core as a foundation for movement, stability, and posture will assist the clinician in designing effective exercise programs and treatment interventions. Pediatric clinicians see patients with a wide array of ages, impairments and motor abilities, and patients in all gross motor function classification system (GMFCS) levels can benefit from core activation to assist at the impairment, functional mobility, and activity levels. Often the knowledge of these exercises is gleaned only through experience, which makes it hard to design exercise programs without frequent exposure to different populations. Once the basic knowledge of the core anatomy, muscle action, and muscle function is obtained the clinician is charged with creating exercises and home programs that allow activation of needed muscle groups and provide carryover to function. This course will provide insight into core exercises useful across the age and motor ability span and rationale for specific diagnosis. To view accreditation information and access completion requirements to receive a certificate for completing this course, please click here. The content of this Summit podcast is provided only for educational and training purposes for licensed physical therapists and occupational therapists. This content should not be used as medical advice to treat any medical condition in either yourself or others.
In this week's episode of Medicine: The Truth, hosts Dr. Robert Pearl and Jeremy Corr look closely at the stories and controversies shaping U.S. healthcare at the start of 2026. From a severe flu season and resurgent vaccine-preventable diseases to drug pricing, autism research and the growing role of AI in medicine, the episode offers a data-driven look at where American healthcare is headed. The show opens with warnings about infectious disease. A dangerous H3N2 flu strain is driving hospitalizations, particularly among children, while measles and whooping cough outbreaks continue to spread among unvaccinated populations. To Dr. Pearl, these trends do not appear random. They reflect falling vaccination rates, weakened public-health messaging and growing political interference at federal agencies tasked with protecting the public. From there, the conversation turns to vaccine policy itself. Recent changes at the CDC (including a sharply reduced childhood vaccine schedule and new recommendations against universal newborn hepatitis B vaccination) raise serious concerns. Pearl explains why comparisons to countries like Denmark (with its reduced vaccine schedule) are deeply misleading, and why abandoning universal vaccination in a fragmented U.S. healthcare system risks reversing decades of progress. Here's a look at other must-know stories from this episode of Medicine: The Truth: Positive vaccine evidence: New CDC data show significant reductions in emergency visits among children who received COVID vaccines, reinforcing their safety and effectiveness. Pandemic lessons for children: Pediatric obesity rose during COVID lockdowns, while mental health outcomes improved after schools reopened, underscoring the tradeoffs of prolonged closures. Drug pricing deals with manufacturers: The administration's agreements with pharmaceutical companies apply narrowly to government purchases and exclude many high-cost drugs, limiting their overall impact. First oral GLP-1 approved: The FDA cleared the first pill version of a GLP-1 weight-loss drug, offering convenience but likely remaining unaffordable until prices fall closer to $200 per month. Autism research update: Rising autism prevalence is driven largely by broader diagnostic criteria and awareness. Large studies continue to show no link to vaccines or acetaminophen, while new research points to strong genetic factors and distinct autism subtypes. ACA exchange subsidy uncertainty: Congress has yet to prevent looming premium increases for millions of exchange enrollees. Pearl argues for avoiding coverage cliffs and capping household contributions as a share of income. Polypharmacy in seniors: One in eight Medicare Part D beneficiaries now takes eight or more medications, increasing the risk of side effects, falls and hospitalizations in a fragmented system. New dietary guidelines: Federal recommendations now emphasize animal protein alongside stronger warnings against sugar and ultra-processed foods, a shift that may conflict with earlier public-health messaging. AI's expanding role in healthcare: OpenAI's tools increasingly integrate health data from electronic records and consumer apps, signaling how quickly generative AI is becoming part of medical decision-making. Medicare and AI oversight: Traditional Medicare is moving toward AI-assisted prior authorization for certain procedures, a response to fraud and low-value care that Pearl says is inevitable as costs continue to rise. Tune in to Medicine: The Truth for more fact-based coverage and analysis of healthcare's biggest stories. * * * Dr. Robert Pearl is the author of the new book “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post MTT #102: Vaccines under fire, rising disease & the cost of politics in medicine appeared first on Fixing Healthcare.
What if you could build a private practice with your spouse, create flexibility for your family, and serve your community at the same time? That's exactly what Morgan and Connor Randel have done with their private practice, Speak, Play, Love, in Charlotte, North Carolina.Morgan has been a speech-language pathologist for 8 years in which she had the privilege working with diverse infants, toddlers, and school age children. Her passion for working with kids started when she was just 12, babysitting and dreaming of a career helping children. After exploring teaching and nursing, she discovered speech pathology in college—a perfect blend of her interests. Connor, her husband, brought a lifelong entrepreneurial spirit and a background in finance and accounting. Together, they realized they could combine their skills to create something truly unique.After moving to Charlotte and navigating the challenges of finding her first job as a new graduate, Morgan started working as an independent contractor. She began to see firsthand the possibilities of private practice. When Morgan became pregnant with their first child, she and Connor decided it was the perfect time to take the leap—launching Speak, Play, Love while growing their family.Starting small, Morgan began seeing 5–10 clients a week, primarily through existing relationships with local daycares. By the time they had their second child, their practice had grown to 18 clients and 26 weekly sessions. Connor stepped in to manage the business side—billing, onboarding, and growth strategy—allowing Morgan to focus on therapy and client care.Over the next several months, Morgan and Connor continued to hire therapists, expand services, and grow their caseload. By creating a mobile-based practice, they kept overhead low, maximized their reach across Charlotte, and made therapy accessible to families who might otherwise face barriers to care.Morgan and Connor's story highlights the power of partnership. Morgan leads in therapy and client care, while Connor manages the business operations and growth. Their complementary skills, mutual trust, and shared vision allow them to operate a practice that works for their family, serves the community, and supports other therapists in their professional growth.In Today's Episode, We Discuss:Transitioning from traditional employment to private practice while starting a familyBuilding a mobile-based practice to serve the community efficientlyPartnering with a spouse to balance business growth and personal lifeHiring and onboarding therapists to scale services without sacrificing qualityCreating systems that allow for flexibility, sustainability, and growthMorgan and Connor's journey is a reminder that private practice is more than just a job—it's about designing a life. By combining their strengths, embracing the challenges, and thinking creatively about their model, they've built a thriving practice that supports their family, their clients, and their therapists.If you're ready to create a private practice that works for you and your family—whether solo or with a partner—the Start Your Private Practice Program can give you the tools and step-by-step guidance to get started. Learn more at www.StartYourPrivatePractice.com.Whether you want to start a practice, grow an existing one, or explore unique practice models, Morgan and Connor's story shows that with vision, support, and...
In this episode of The Untethered Podcast, Hallie Bulkin sits down with Cheryl Pelletier ,M.S., CCC-SLP to discuss the essential infrastructure of a successful career in feeding therapy: mentorship, community, and the courage to evolve.Many clinicians feel like they are on an island when navigating complex pediatric swallowing and feeding cases. Hallie and Cheryl pull back the curtain on why "gatekeeping" in the profession hinders patient care and how transitioning from a solo mindset to a collaborative one transforms clinical outcomes. They explore how the right tools—combined with structured mentorship—can turn clinical anxiety into confident, life-changing intervention.This episode dives deep into the reality that clinical excellence isn't just about what you know; it's about who you learn with. From navigating the "imposter" feelings of a new specialty to leveraging innovative tools for safer feeding, Hallie and Cheryl provide a roadmap for clinicians ready to elevate their professional standing and improve their patients' quality of life.In this episode, you'll learn:✔️ Why mentorship is a constant necessity, not just a "beginner phase" ✔️ How to overcome the obstacles and "gatekeeping" that stall professional growth ✔️ The role of specialized certification in building clinical reasoning and authority ✔️ Why sharing knowledge across disciplines (SLPs and OTs) is the key to reducing waitlists ✔️ How innovative feeding tools can facilitate safer, more effective therapy sessions ✔️ Why building on a child's strengths is more effective than focusing on deficits ✔️ How to measure success through improved quality of life for the whole familyIf you're ready to stop second-guessing your clinical decisions and start leading with confidence, Screen The Peds to Feed The Peds is your next step.Join me for this free 3-day training, where I'll show you how to screen feeding cases clearly, confidently, and with intention — so you know exactly what to do next.
This week we review a recent large scale PHIS database study on pericardial effusion following congenital heart surgery. Which operations other than ASD are most highly associated with the development of an effusion? What might be some approaches both surgically and medically to reduce the chances of these developing or requiring intervention? What are the implications of a pericardial effusion after surgery? How many require readmission for this complication? Dr. Mario O'Connor, who is a congenital heart surgical research fellow at UT Austin, shares his insights into his recent publication. DOI: 10.1177/21501351251322876
In this episode of Pediatric Perspectives, Dr. Paul welcomes holistic pediatrician Dr. Carissa Stanton, author of Motherhood Makeover. Together they explore her journey from conventional pediatrics into holistic, root-cause care, her transition out of the insurance system, and her passion for empowering mothers. Dr. Stanton shares practical insights for stressed parents, explains why modern medicine fails families with chronic conditions, and emphasizes intuition, resilience, and creating a supportive home environment. The conversation also highlights societal pressures undermining parents, the importance of reducing fear, and reclaiming authentic motherhood.
About this episode: HHS leadership started 2026 with an unexpected announcement changing federal childhood vaccine recommendations. In this episode: Dr. Josh Sharfstein joins Lindsay Smith Rogers to talk about the announcement's immediate impact, the rationale behind it, and how it will reshape vaccination in the U.S. Guests: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: CDC Acts on Presidential Memorandum to Update Childhood Immunization Schedule—U.S. Department of Health and Human Services Kennedy Scales Back the Number of Vaccines Recommended for Children—New York Times AAP Opposes Federal Health Officials' Unprecedented Move to Remove Universal Childhood Immunization Recommendations—American Academy of Pediatrics Vaccines 101: The Vaccine Injury Compensation Program—Public Health On Call (February 2025) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @PublicHealthPod on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
About this episode: Citing a memorandum from President Trump, health officials in the Trump Administration are ending routine recommendations for vaccinating against meningitis, hepatitis A and B, and rotavirus. Vaccine expert Ruth Karron explains why each of these vaccines is critical for safeguarding health, reducing hospitalizations, and preventing deaths. She and Dr. Josh Sharfstein recorded this episode before the recent vaccine announcement. They also discuss chicken pox and RSV, where immunization recommendations are unchanged. *Please note that this episode was recorded prior to the announcement from HHS changing recommended vaccines for children. Guests: Dr. Ruth Karron is a pediatrician and a professor of Internation Health at the Johns Hopkins Bloomberg School of Public Health. She is the director of Johns Hopkins Vaccine Initiative. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: CDC Acts on Presidential Memorandum to Update Childhood Immunization Schedule—U.S. Department of Health and Human Services Hepatitis B Vaccination is an Essential Safety Net for Newborns—Johns Hopkins Bloomberg School of Public Health Two New RSV Products to Protect Infants—Public Health On Call (November 2023) Vaccines 101—Public Health On Call (2025) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @PublicHealthPod on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.