Podcasts about pediatric

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Welcome to the emDOCs.net podcast! Join us as we review our high-yield posts from our website emDOCs.net.Today on the emDOCs cast with Brit Long, MD (@long_brit), we cover pediatric intussusception.emDOCs.net Emergency Medicine (EM) Podcast To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle PlaySend us Fan Mail

This week we go back 2.5 years and delve into the world of cardiovascular surgery when we review a review of STS data on the pulmonary artery band (PAB). The STS assigns a STAT category of 4 to this operation, denoting higher risk for mortality. Is this warranted? Are all PAB candidates equal? What features are associated with higher or lower mortality rates in patients undergoing banding? Should the data in this work drive innovation to avoid the PAB in some settings? These are amongst the questions posed to the senior author of this week's work, cardiovascular surgeon Dr. Tara Karamlou who is Professor of Surgery at the Cleveland Clinic in Cleveland, Ohio. DOI: 10.1016/j.athoracsur.2023.09.020

  We are continuing our series of podcasts called “Pediatric Sport Medicine Profiles.” There have been some individuals who have been significantly influential in this pediatric sports medicine, whether it be training many of us, people who have completed critical research, those who have been […]

Show Notes What does it take to walk into a room full of suffering and keep showing up? In this episode of Real Women's Work, I revisit a conversation with Carolyn Flynn, a registered nurse who spent ten years caring for critically ill children in a pediatric burn unit. What I remembered as a conversation about nursing turns out to be something much deeper: a conversation about purpose, resilience, teamwork, and what it means to help people through the hardest moments of their lives. Carolyn shares what it's really like to work in an environment where every day can bring life-and-death decisions, heartbreaking stories, unexpected joy, and extraordinary acts of compassion. She talks about the unique culture of nursing, where independence and teamwork coexist, and where help arrives without needing to be asked for. One of the most powerful moments in our conversation comes when Carolyn describes her very first day in a pediatric burn unit—a day she thought might prove she wasn't capable of doing the work. Instead, it revealed exactly where she belonged. This episode is ultimately about something bigger than healthcare. It's about finding meaning in service, showing up when outcomes are uncertain, and discovering that success isn't always measured by what you can fix. In This Episode Why nursing requires both fierce independence and deep teamwork The reality of working in a pediatric burn unit How medical teams support one another during crises What Carolyn learned on her first day as a nurse The role of compassion when you can't change the outcome Finding joy and connection in difficult circumstances Why Carolyn believes her purpose is to make people as comfortable as possible The moments that reminded her she was exactly where she needed to be Memorable Quote "My purpose is to make other people as comfortable as I possibly can. I can't control the outcome, but I can fight for my patients and do everything in my power to make them comfortable." Why Listen? This conversation offers a rare glimpse into a profession most of us only see from the outside. But even more than that, it's a reminder that meaningful work isn't always about achievement. Sometimes it's about presence, compassion, and being willing to stand beside people during the hardest moments of their lives.

CardioNerds (Drs. Rawan Amir, Tripti Gupta, and Alysha Joseph) discuss the fundamentals of adult congenital heart disease (ACHD) surgery with Dr. Elizabeth Stephens.  Audio editing by CardioNerds academy intern, Grace Qiu.  Using a case of a young adult undergoing a Ross procedure, the episode walks through what happens in the operating room—from induction and intraoperative transesophageal echocardiography (TEE) to cardiopulmonary bypass (CPB), myocardial protection, and surgical repair. The discussion highlights key concepts including cardioplegia, cross-clamp and bypass times, hypothermic circulatory arrest, and the complexity of redo sternotomy. This episode provides learners with a practical framework to interpret operative reports, anticipate postoperative physiology, and better collaborate with surgical teams. This episode was produced by the CardioNerds ACHD Council and planned by Dr. Rawan Amir.  CardioNerds Adult Congenital Heart Disease PageCardioNerds Episode Page Pearls “LV distension kills patients.”Preventing left ventricular distension with appropriate venting and awareness of aortic insufficiency is critical to intraoperative safety.  TEE can change the surgical plan in real time.Findings such as underestimated aortic regurgitation, mitral pathology, or a PFO may directly alter cannulation and cardioplegia strategy.  Cross-clamp time = myocardial ischemic time; bypass time = systemic stress.Both are key predictors of postoperative complications including renal injury, bleeding, and ventricular dysfunction.  Redo sternotomy risk is driven by anatomy, not just number.Aorta adherent to the sternum, conduit position, and chamber pressurization define risk more than the number of prior surgeries.  Think longitudinally—ACHD surgery is lifetime planning.Surgical materials and strategies must account for future interventions, especially in younger patients. Notes: Notes drafted by Dr. Alysha Joseph, aided by generative artificial intelligence. What are the key steps in congenital cardiac surgery from incision to closure? Preoperative planning is multidisciplinary, involving surgeon, anesthesia, cardiology, and ICU teams; high-risk inductions (e.g., critical AS, Williams syndrome) are identified early TEE is performed immediately after induction to reassess anatomy and may reveal new findings (e.g., underestimated AI, mitral disease, PFO) Median sternotomy is performed, followed by creation of a pericardial well to optimize exposure Heparin is administered prior to cannulation; arterial and venous cannulas are placed for initiation of CPB Cross-clamp is applied and cardioplegia delivered to arrest the heart, allowing a still and protected operative field Surgical repair (e.g., Ross procedure) is performed, followed by de-airing, cross-clamp removal, and reperfusion Patient is weaned from bypass with TEE reassessment, hemostasis achieved, and chest closed What is cardioplegia and how is it delivered? Cardioplegia is a potassium-rich solution that arrests myocardial activity and reduces metabolic demand Most commonly used solution in the U.S. is Del Nido cardioplegia, originally developed for pediatric myocardium Delivery strategies include: Antegrade (via aortic root) – standard approach  Ostial (direct coronary delivery) – used when aortic root cannot be relied upon  Retrograde (via coronary sinus) – useful in severe AI or coronary disease NOTE: Severe aortic regurgitation can impair antegrade delivery and requires alternative strategies and LV venting  What do cross-clamp time and bypass time represent clinically? Cross-clamp time = duration of myocardial ischemia while the heart is arrested Bypass time = total duration on CPB, reflecting systemic exposure to non-physiologic circulation Prolonged cross-clamp time (>2–3 hours) increases risk of myocardial dysfunction, especially with poor baseline function Longer bypass time is associated with increased risk of renal injury, coagulopathy, and bleeding These metrics often reflect both case complexity and intraoperative challenges What is hypothermic circulatory arrest (HCA) and when is it used? HCA involves complete cessation of blood flow to allow a bloodless surgical field Typically used in complex aortic arch repairs Patients are cooled to ~18°C to reduce metabolic demand and protect organs Duration is ideally limited to

Dr. Paul Thomas sits down with Peter McCullough, M.D. — internist, cardiologist, epidemiologist, and author of the new book *[Vaccines, Mythology, Ideology and Reality](https://a.co/d/02qncPEJ)* — for one of the most substantive children's health conversations this show has hosted. Dr. McCullough has published over a thousand peer-reviewed articles, established the first life-saving treatment protocol for SARS-CoV-2, and has spent years leading the [McCullough Foundation](https://mcculloughfnd.org/)'s systematic review of the vaccination literature. This is that conversation.

Mike Brown sits down with Dr. Sarah Fabiano and Mike Ellis as they distill pediatric diabetic ketoacidosis into a clear prehospital approach. Using a “sour blood stew” recipe metaphor, they explain how zero units of insulin produces ketones, osmotic diuresis, dehydration, and electrolyte shifts. Key takeaways for EMS: prioritize perfusion with IV fluids (lactated Ringer's preferred), monitor rhythm, obtain potassium before giving insulin, use a two bag insulin/dextrose strategy to close the anion gap safely, and avoid intubation unless absolutely necessary as spontaneous ventilation supports the physiologic need for higher alveolar tidal volumes.   This podcast is brought to you by Medical Shipment: https://medicalshipment.com/

Pediatric cardiologist at Golisano Children's Hospital of Buffalo, Rebecca Pratt on the actions taken to save the life of Ian Toutounji after going into cardiac arrest full 125 Wed, 10 Jun 2026 08:30:00 +0000 Z9ag67ifKncj1II8twrhsI1WZU3Rdiwo news,cardiac arrest,wben,williamsville,williamsville central school district,golisano children's hospital of buffalo WBEN Extras news,cardiac arrest,wben,williamsville,williamsville central school district,golisano children's hospital of buffalo Pediatric cardiologist at Golisano Children's Hospital of Buffalo, Rebecca Pratt on the actions taken to save the life of Ian Toutounji after going into cardiac arrest Archive of various reports and news events 2024 © 2021 Audacy, Inc.

The Big Unlock · Omkar Kulkarni, VP, Chief Transformation & Innovation Officer, Children’s Hospital Los Angeles (CHLA) In this episode, Omkar Kulkarni, VP, Chief Transformation & Innovation Officer at Children’s Hospital Los Angeles (CHLA), outlines the stark funding gap in pediatric innovation, which receives less than 1% of digital health investments despite children making up 20% of the population. To combat this, the CHLA-led KidsX consortium unites children’s hospitals nationwide to scale early-stage digital solutions through collaboration over competition. Omkar suggests that pediatrics requires entirely separate technological blueprints, hence digital tools must be designed for adult caregivers, accommodate strict adolescent privacy laws at age 12, and scale across diverse physiological sizes. He highlights vital innovation pipelines, including AI tools targeting the youth mental health crisis, longitudinal chronic care management, and 24/7 validated conversational interfaces for parents. For healthcare startups entering this space, Omkar emphasizes that the key to building institutional trust relies on presenting deep, heterogeneous clinical evidence, establishing commercially viable billing frameworks, and practicing deep humility when approaching complex clinical partnerships. He believes that generative AI will not replace clinicians but will instead automate administrative tasks, empowering them to focus on top-of-license, human-to-human care. Take a listen.

At all times, the brain is comparing what should be happening in the body to what is actually happening in the body. 

Can medical cannabis help children—and what does the evidence actually show?Pediatric pharmacologist, Dr. Lauren Kelly, joins Trevor and Kirk to discuss medical cannabis in children. This wide ranging conversation includes discussion about epilepsy, autism, pediatric oncology, and the unique challenges of studying cannabinoids during development. Learn what researchers know about CBD, THC & kids, why evidence remains relatively limited, and how stigma, policy, and education continue to affect patient care.Listen now for an evidence-based discussion on pediatric cannabis research, safety, and the future of cannabinoid medicine for children.Dr. Lauren Kelly - LinkedIn-University of ManitobaC4T - The Canadian Collaborative for Childhood Cannabinoid Therapeutics -WebsiteTranscripts, papers and so much more at: reefermed.ca

Pediatric lichen sclerosus tends to persist into adulthood [article]Add abx to lidocaine -> fewer infections [article]Scar massage - does it work??? [article]Delphi recs for CCCA [article]Check out Luke's Urticaria CMEexperience! https://aaaaicsu.gathered.com/curriculum/217Learn more about the U of U Dermatology ECHOmodel! physicians.utah.edu/echo/dermatology-primarycare Want to donate to the cause? Do so here!Donate to the podcast: ⁠uofuhealth.org/dermasphere⁠Check out our video content on YouTube:⁠www.youtube.com/@dermaspherepodcast⁠and VuMedi!: ⁠www.vumedi.com/channel/dermasphere/⁠The University of Utah's DermatologyECHO: ⁠⁠physicians.utah.edu/echo/dermatology-primarycare⁠ Connect with us!- Web: ⁠⁠dermaspherepodcast.com/⁠⁠ - Twitter: @⁠DermaspherePC⁠- Instagram: dermaspherepodcast- Facebook: ⁠www.facebook.com/DermaspherePodcast/⁠- Check out Luke and Michelle's other podcast,SkinCast! ⁠⁠healthcare.utah.edu/dermatology/skincast/⁠⁠ Luke andMichelle report no significant conflicts of interest… BUT checkout our friends at:- ⁠Kikoxp.com ⁠(a social platform for doctors to share knowledge)- ⁠⁠www.levelex.com/games/top-derm⁠⁠ (A free dermatology game to learn more dermatology!

What happens when a technology leader who's helped scale a therapy organization from 70 to 180 clinicians decides to build the tool he always wished existed? You get Ambiki — and you get Kevin Dias.Kevin is the founder of Ambiki, an EMR and practice management platform built specifically for pediatric speech, occupational, and physical therapy practices. Before launching Ambiki, Kevin served as CTO at Sidekick Therapy Partners, where he played a pivotal role in growing the organization from 70 to 180 clinicians in just three years. He knows firsthand what it takes to scale a therapy business — the operational chaos, the tech gaps, and the very real cost of using tools that were never designed with pediatric clinicians in mind.In this episode, co-host Rick Segal joins the conversation as Kevin pulls back the curtain on why he built Ambiki from the ground up, what makes pediatric therapy practices uniquely complex to run, and how the right technology can free clinicians to focus on what matters most — their patients. We also get into what it's like to build a U.S.-focused healthcare startup while living in Japan, the lessons he carries from his days as a CTO, and his vision for where pediatric therapy technology is headed.Whether you're a clinic owner, a therapist, or just someone fascinated by the intersection of healthcare and technology — this episode is packed with insight.Get your copy of Rick Segal's book, The Heart of It here: https://amplifypublishinggroup.com/product/nonfiction/business-and-finance/entrepreneurship/the-heart-of-it/Read Rick Segal's blog: https://impactinvestorsegal.com/blog

Dr. Melisa Moore, board-certified psychologist and pediatric sleep expert, discusses sleep challenges in neurodivergent children and shares practical tips from her book, "The Good Sleep Guide for Neurodivergent Kids."See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Tune in to hear Dr. Cathryn Sibbald and Dr. Ilka Netravali, leaders of PeDRA's Hair Disorders Focused Study Group, explore how pediatric hair disorders research is evolving beyond alopecia areata. They discuss multicenter studies, emerging biomarkers and precision medicine approaches, cross-specialty collaboration, and the importance of incorporating patient and family perspectives to improve care. The conversation highlights how this growing body of research is helping move the field toward more personalized, evidence-based, and equitable treatment for children with hair disorders.

06-06-26 Girl Talk with Ranken Jordan Pediatric Bridge Hospital, Mike Bush by

This week we speak with 2 pioneers in the field of pediatric cardiac critical care, Dr. Anthony Rossi and Dr. Gil Wernovsky. Both were present at the very start of the field of cardiac critical care for children. What was it like in an era before transesophageal echocardiography or even postoperative echo? Why was the advent of the bidirectional cavo-pulmonary anastomosis such a game changer in the care of children with heart disease? What do Drs. Rossi and Wernovsky think were the most important improvements to care for children with heart disease in their 35+ year careers? What about care today troubles these intensive care gurus? This is a rare opportunity to speak with two who have seen and done it all in cardiac critical care for children.For those interested to hear Dr. Rossi speak about goal directed therapy, take a listen to episode 21 and episode 200 of this podcast!

In this episode, Ryan Cameron, Executive Vice President, Chief Information & Innovation Officer, Children's Nebraska, shares how his team is leveraging AI, real-time data, and human-centered design to improve care delivery across pediatric settings. He discusses innovative initiatives ranging from school-based telehealth and Medicaid automation to command center technology and empowering clinicians to build their own digital solutions.

Pediatric Grand Rounds: Heavy Menstrual Bleeding in Pediatric and Adolescent & Young Adult (AYA) Patients — A Pediatric Hematology Perspective Speaker: Victoria E. Lehrmann, MD Holly Wayment presents a Pediatrics Now Grand Rounds on evaluating heavy menstrual bleeding in adolescents: defining normal vs abnormal bleeding, recognizing red flags for inherited bleeding disorders, and reviewing common hematologic causes such as von Willebrand disease, platelet dysfunction, and hemophilia/carrier states. The episode covers practical diagnostic tools (ISTH-BAT, PBAC), initial labs (pregnancy test, CBC, PT/PTT, fibrinogen, ferritin, and VWD testing), and interpretation caveats, plus acute and long-term management strategies (stabilization, hormonal therapy, tranexamic acid, iron repletion, IUDs) and the importance of multidisciplinary care.

In this episode, Ryan Cameron, Executive Vice President, Chief Information & Innovation Officer, Children's Nebraska, shares how his team is leveraging AI, real-time data, and human-centered design to improve care delivery across pediatric settings. He discusses innovative initiatives ranging from school-based telehealth and Medicaid automation to command center technology and empowering clinicians to build their own digital solutions.

In this episode, Ryan Cameron, Executive Vice President, Chief Information & Innovation Officer, Children's Nebraska, shares how his team is leveraging AI, real-time data, and human-centered design to improve care delivery across pediatric settings. He discusses innovative initiatives ranging from school-based telehealth and Medicaid automation to command center technology and empowering clinicians to build their own digital solutions.

For many families, going home from the hospital feels like the finish line. But what happens when the emotional impact of a medical experience lingers long after discharge? On this episode of Inside the Children's Hospital, Katie Taylor sits down with Jen Aspengren, founder of Alongside Network, to discuss pediatric medical traumatic stress (PMTS), a common yet often overlooked experience that affects children, parents, siblings, and caregivers following serious medical events. Jen shares her family's journey after her infant son underwent life-saving airway surgery at just seven months old. While his physical recovery went well, the emotional effects lasted for years, leading Jen to discover a significant gap in support for families navigating life after hospitalization. Together, Katie and Jen explore: Jen's son's diagnosis of congenital subglottic stenosis and emergency airway surgery The unexpected emotional toll that followed after returning home What pediatric medical traumatic stress (PMTS) is and how it affects the entire family Common signs of traumatic stress in children, parents, and caregivers Why many families feel isolated after discharge despite receiving excellent medical care The importance of validation, community, and coping skills during recovery How small moments of connection from healthcare providers can build trust and resilience The impact of emotional support on long-term health outcomes and medical adherence How Alongside Network is helping families and healthcare providers better navigate medical trauma Jen also shares practical insights for healthcare professionals, highlighting how simple actions—such as a follow-up phone call or a few moments of acknowledgment—can make a lasting difference for families facing difficult diagnoses and hospitalizations. This conversation is a powerful reminder that healing doesn't end when a child leaves the hospital. Supporting the emotional well-being of children, parents, and caregivers is an essential part of recovery. About Our Guest Jen Aspengren Jen Aspengren is the founder of Alongside Network, a nonprofit organization dedicated to helping families and healthcare providers address pediatric medical traumatic stress. Prior to founding Alongside, Jen spent over 20 years working in systems-change initiatives and supporting social entrepreneurs around the world. Today, she combines her professional expertise with her lived experience as a healthcare parent to improve support systems for families navigating medical challenges. About Alongside Network Alongside Network works to ensure that families affected by pediatric illness, injury, and hospitalization have access to the emotional support they need during and after medical experiences. One of their core offerings is a free six-week virtual well-being program for parents and caregivers based on the evidence-based Take a Breath curriculum developed at the Royal Children's Hospital in Melbourne, Australia. The program focuses on: Validation of family experiences Building supportive community connections Developing coping and resilience skills Resources & Links Learn more about Alongside Network: https://www.alongsidenetwork.org Connect with us! Instagram: @childlifeoncall + @insidethechildrenshospital Subscribe: Never miss an episode on Apple Podcasts or Spotify. Visit insidethechildrenshospital.com to search stories and episodes easily Leave a Review: It helps other families find us and access our resources   Medical information shared in this episode is not a substitute for professional medical advice. Please consult your care team for guidance specific to your child and family. Pediatric Medical Traumatic Stress, Medical Trauma, Medical Parenting, Child Life Specialist, Family-Centered Care, Pediatric Mental Health, Caregiver Support, Pediatric Hospitalization, Trauma-Informed Care, Family Resilience

What if one of pediatrics' most common emergency procedures hasn't meaningfully evolved in over a century? In this episode of Med Tech Gurus, we sit down with Bob Cooper, CEO of SMoLTAP, to explore how a simple but powerful positioning innovation is transforming infant lumbar punctures. For decades, pediatric spinal taps have relied on manual restraint, inconsistent positioning, and high failure rates—often leading to repeat attempts, unnecessary hospital admissions, and increased stress for clinicians and families. SMoLTAP's positioning cradle stabilizes infants in a consistent seated posture, improving first-stick success rates, reducing procedural time, and minimizing the need for sedation. Bob shares the origin story—from a frustrating clinical moment at Brown University to adoption in over 100 hospitals—and dives into the realities of pediatric medical device commercialization. We explore specialty distribution strategies, navigating value analysis committees, building ROI calculators, and scaling capital-efficiently in a challenging healthcare market. This episode is a powerful example of how human-centered design, operational insight, and disciplined execution can change the standard of care.

Christopher Romero, MD, a pediatric endocrinologist at Mount Sinai Medical Center, New York City, and Associate Professor of Pediatrics at the Icahn School of Medicine at Mount Sinai discusses arginine vasopressin deficiency. The name of the rare disease central diabetes insipidus was changed in 2024 to better reflect its etiology.Central diabetes insipidus, a rare disease, is unrelated to the common medical problem diabetes mellitus, other than they are both problems related to endocrinologic dysfunction. Whereas diabetes mellitus involves pancreatic function and the production of the hormone insulin, central diabetes insipidus involves the pituitary gland and regulation of the hormone vasopressin. Dr. Romero stated that a new name for central diabetes insipidus was introduced in 2024—arginine vasopressin deficiency (AVP-D) to reflect the difference and relieve misconceptions caused by the traditional naming. The central issue with AVP-D is the function of antidiuretic hormone, which regulates water concentrations in the body. Pediatric and adult patients with this vasopressin deficiency (which mediates antidiuretic hormone levels) excrete more urine than patients without the deficiency. “It causes these patients to drink more, to make up for the water loss,” said Dr. Romero, “resulting in kids being thirstier and having to use the bathroom more often.” As a result, AVP-D can lead to weight loss and loss of appetite, dehydration, and electrolyte abnormalities. He also pointed out that the abnormal cycle of drinking and urination in children interferes with school work and performance. “Unless you're aware of [AVP-D], you may miss the diagnosis,” said Dr. Romero. The pituitary gland is involved with so many functions, and symptoms only slowly evolve. Issues with the onset of puberty and growth may hint at the pituitary source of the problem. Historically, treatment was managed with an oral formulation of vasopressin, which was first available in the 1970s. An intravenous form was available in inpatient settings. A nasal spray formulation was subsequently developed, and is useful particularly with older children. Dr. Romero pointed out, figuring out the correct dosage for an individual pediatric patient is key; every child with AVP-D is different in terms of how much water they lose during the drinking–urination cycle. “Even though the oral form was effective, only two dosages were available. You have to titrate the dose to balance the water loss,” he emphasized.The introduction of Desmoda in February 2026, an oral solution of desmopressin acetate 0.05 mg/mL, allows for easier titration. The solution may be easier to take than the pills for young children, and caregivers may have a better idea of precisely how much medication the patient is getting. For those reasons, Dr. Romero believes this formulation may be the best option for young pediatric patients with AVP-D. 

EP 148: The Gift of Life: Inside Pediatric Transplants with Dr. Mo Saying “yes” to organ, eye, and tissue donation can change everything. In this episode of This Thing Called Life, Dr. Monique “Dr. Mo” Goldschmidt from Cincinnati Children's Hospital Medical Center shares her passion for pediatric transplantation and the journey that brought her to Cincinnati. She reflects on the emotional connections she builds with her young patients and their families, and the extraordinary collaboration among care teams that makes successful outcomes possible. This episode is a moving reminder of the power of compassion, teamwork, and the gift of life.   Resources: Donatelifeky.org https://getoffthelist.org/ https://www.networkforhope.org/ https://www.networkforhope.org/about-us/ https://www.networkforhope.org/stories-of-hope/ https://www.facebook.com/NetworkForHopeOPO https://www.youtube.com/@NetworkforHope. https://aopo.org/ RegisterMe.org/NetworkforHope

Event Objectives:Describe the use of simulation in safer firearm storage education for pediatric residents.Discuss how simulation increases comfort of pediatric residents in discussing safer firearm storage at well visits.Evaluate caregiver comprehension and usability of a pediatric SMART asthma action plan using iterative field testing and health literacy principles.Identify differences in interpretation and preferences between English- and Spanish-speaking caregivers regarding SMART asthma management instructions.Refine and co-develop a bilingual SMART asthma action plan through caregiver feedback to improve clarity, safety, and real-world usability for home asthma management.Review common concerns of providers and patients surrounding home NG programs.Discuss our hospital's home NG pathway and evaluate the success of its implementation.Evaluate trends in G-tube vs home NG placement and identify opportunities to reduce surgical intervention.Examine the feasibility, acceptability, and preliminary benefits of end-of-block reflective debriefing sessions on pediatric resident professional well-being.Claim CME Credit Here!                                                                                                                                      

In this episode, Drs. Jason Silverman and Amber Hildreth talk to Dr. Valeria Cohran about the advances in intestinal rehabilitation care for infants and children with short bowel syndrome including changes nutrition management, line care and use of GLP-2 analogues that have led to decreases in intestinal failure associated liver disease and transplantation. Learning objectivesTo understand the composition and impact of multidisciplinary intestinal rehabilitation teams.To review the historical presentation of intestinal failure-associated liver disease (IFALD) and changes in practice that have reduced its prevalence and severity.To review GLP-2 analogues and their impact on outcomes and quality of life for children with short bowel syndrome. LinksPapers mentioned:PIFCON data paper on IFALDCholestasis and infection in long-term PNManagement of CVL in SBS Position PaperIntestinal Rehabilitation Teams Practice GuidelinePrevious episodes mentioned:Sue Protheroe - Enteral Nutrition in Intestinal FailureDanielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)Ruben Quiros-Tejeira - Multivisceral TransplantationPaul Wales - Surgical Management in Short Bowel SyndromeValeria Cohran & Conrad Cole - Racism in MedicineSend us Fan MailSupport the showThis episode may be eligible for CME credit!  Once you have listened to the episode, click this link to claim your credit.  Credit is available to NASPGHAN members (if you are not a member, you should probably sign up).  And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, host Jenn Dawson talks with Dr. Dawn Davis, Dr. Amy Paller, and Dr. Larry Eichenfield about the newly published pediatric atopic dermatitis guidelines and what they mean for clinicians, patients, and families. Together, they unpack the evidence behind prevention, comorbidities, and treatment recommendations, discuss how rapidly the therapeutic landscape is evolving, and highlight the biggest unanswered questions that remain in research. The conversation also explores the importance of patient advocacy, shared decision-making, and improving access to care as the field moves toward more personalized treatment.Guidelines of care for primary prevention of atopic dermatitis and awareness of comorbid conditions in pediatric atopic dermatitis.Guidelines of care for the management of atopic dermatitis in pediatric patients.Please click here for a list of speakers' conflicts of interest.

Thomas Ruggia, CEO and President of Theialife,  delves into pediatric progressive myopia, a severe form of nearsightedness caused by the elongation of the eye in children, which can lead to significant long-term health issues.  The development of their novel oral therapy is designed to address the underlying physiology of the eye by strengthening the sclera to halt its elongation, unlike other treatments that only manage visual acuity. This oral therapy is available in capsules that can be opened and sprinkled on food, making it patient-friendly and child-compliant, avoiding the need for often hard-to-administer eye drops. Thomas explains, "Myopia is known as nearsightedness, and I think everybody is familiar with folks who wear spectacles for nearsightedness, or contact lenses, or have had LASIK surgery. But pediatric progressive myopia is a subset of myopia that is particularly difficult."  "The pediatric progressive myopia is a disease that's a bit different than just standard nearsightedness. Someone who might be minus two myopic can easily correct their vision with glasses. In this type of condition, generally, parents have a child who is having some difficulty seeing, and the next year, the child has extreme difficulty seeing. And then every year following, things get worse and worse. They end up at the optometrist or ophthalmologist for extensive recalculating their prescription, new glasses for those years of maybe between six and 16 years old."  "We're actually talking about a disorder that continues for the life of the patient that leads to significant challenges between the ages of, let's say, 40 and 80, where this elongated eye, which is what the condition really is, leads to challenges in retina detachment, maculopathy, early cataracts, and other conditions that are unique to the myopia patients."   "So we have a number of medical devices and pharmaceutical interventions that are being studied today, all of which have an effect on the visual acuity a patient might experience, but none of them affect the underlying structural changes in the eye during that time period. And our ND10 from Theialife has the potential to do so."  #Theialife  #MyopiaAwareness #PediatricMyopia #PediatricOphthalmology #VisionHealth #ND10 #AdenosineReceptors #7Methylxanthine #MyopiaManagement #Ophthalmology #Optometry #ChildEyeHealth #ScleralStrengthening #OphthalmicInnovation #EyeCare Theialife.com  Listen to the podcast here

Thomas Ruggia, CEO and President of Theialife,  delves into pediatric progressive myopia, a severe form of nearsightedness caused by the elongation of the eye in children, which can lead to significant long-term health issues.  The development of their novel oral therapy is designed to address the underlying physiology of the eye by strengthening the sclera to halt its elongation, unlike other treatments that only manage visual acuity. This oral therapy is available in capsules that can be opened and sprinkled on food, making it patient-friendly and child-compliant, avoiding the need for often hard-to-administer eye drops. Thomas explains, "Myopia is known as nearsightedness, and I think everybody is familiar with folks who wear spectacles for nearsightedness, or contact lenses, or have had LASIK surgery. But pediatric progressive myopia is a subset of myopia that is particularly difficult."  "The pediatric progressive myopia is a disease that's a bit different than just standard nearsightedness. Someone who might be minus two myopic can easily correct their vision with glasses. In this type of condition, generally, parents have a child who is having some difficulty seeing, and the next year, the child has extreme difficulty seeing. And then every year following, things get worse and worse. They end up at the optometrist or ophthalmologist for extensive recalculating their prescription, new glasses for those years of maybe between six and 16 years old."  "We're actually talking about a disorder that continues for the life of the patient that leads to significant challenges between the ages of, let's say, 40 and 80, where this elongated eye, which is what the condition really is, leads to challenges in retina detachment, maculopathy, early cataracts, and other conditions that are unique to the myopia patients."   "So we have a number of medical devices and pharmaceutical interventions that are being studied today, all of which have an effect on the visual acuity a patient might experience, but none of them affect the underlying structural changes in the eye during that time period. And our ND10 from Theialife has the potential to do so."  #Theialife #MyopiaAwareness #PediatricMyopia #PediatricOphthalmology #VisionHealth #ND10 #AdenosineReceptors #7Methylxanthine #MyopiaManagement #Ophthalmology #Optometry #ChildEyeHealth #ScleralStrengthening #OphthalmicInnovation #EyeCare Theialife.com Download the transcript here

This week we review a recent report from the team at Amrita Institute in Cocchin, India about their use of extended reality and virtual reality as well as heart model printing to aid in planning for complex intracardiac baffles for the treatment of complex congenital heart defects. What was the process used to provide actionable advice in the operating room during surgery? How has the team in southern India created a workflow that can accurately predict this complex anatomy and the patches needed to successfully septate complex hearts? We speak with the director of the 3D imaging group at Amrita, Professor Mahesh Kappanayil about this remarkable achievement of imaging in collaboration with surgery. DOI: 10.1016/j.jtcvs.2026.03.616

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/CQN865. CME/AAPA/IPCE credit will be available until June 21, 2027.ADAPT to Advance in ALL/LBL: Achieving Durable Asparaginase Exposure With Personalized Treatment in Pediatric and AYA Patients In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis program is supported by an independent medical education grant from Jazz Pharmaceuticals.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/CQN865. CME/AAPA/IPCE credit will be available until June 21, 2027.ADAPT to Advance in ALL/LBL: Achieving Durable Asparaginase Exposure With Personalized Treatment in Pediatric and AYA Patients In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis program is supported by an independent medical education grant from Jazz Pharmaceuticals.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/CQN865. CME/AAPA/IPCE credit will be available until June 21, 2027.ADAPT to Advance in ALL/LBL: Achieving Durable Asparaginase Exposure With Personalized Treatment in Pediatric and AYA Patients In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis program is supported by an independent medical education grant from Jazz Pharmaceuticals.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/CQN865. CME/AAPA/IPCE credit will be available until June 21, 2027.ADAPT to Advance in ALL/LBL: Achieving Durable Asparaginase Exposure With Personalized Treatment in Pediatric and AYA Patients In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis program is supported by an independent medical education grant from Jazz Pharmaceuticals.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/CQN865. CME/AAPA/IPCE credit will be available until June 21, 2027.ADAPT to Advance in ALL/LBL: Achieving Durable Asparaginase Exposure With Personalized Treatment in Pediatric and AYA Patients In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis program is supported by an independent medical education grant from Jazz Pharmaceuticals.Disclosure information is available at the beginning of the video presentation.

If potty training, constipation, accidents, or stool withholding feel way harder than they should, you are not alone. In this episode, we're talking about pediatric pelvic floor health and why many toileting struggles are actually connected to body awareness, sensory processing, nervous system regulation, and coordination.Amanda shares her perspective as an OT specializing in pediatric pelvic floor health, while Rachel brings in the sensory and regulation lens. Together, we break down why kids who struggle with toileting are not being lazy, stubborn, or defiant, and why pressure and shame often make things worse.We also talk about common signs a child may need extra support, how stress and dysregulation impact the body, and practical strategies families can use at home to make toileting feel safer and more manageable.This episode is all about helping parents better understand what's happening beneath the surface and reminding families that their child is not broken and they are not failing.Thanks for listening

In this episode of *Pediatric Perspectives*, I'm joined by integrative pediatrician Michelle Perro, M.D. — a clinician with 43 years of experience, an environmental medicine specialist, and the CEO and founder of [GMO Science](https://gmoscience.org). Dr. Perro has spent decades studying how food, pesticides, and environmental toxicants affect children's health, and in this conversation she brings that perspective directly to bear on one of the most pressing issues in pediatrics today: childhood obesity and the growing push to treat it with GLP-1 agonist drugs.

Show Notes  Pediatric vital signs are more than numbers on a monitor — they are part of a larger clinical picture that includes development, physiology, behavior, medical complexity and careful observation. In this episode of Acute Conversations, host Dr. Leo Arguelles is joined by Ashley Parish, PT, DPT, PhD, CRT, CCS, and Dawn Drumm, PT, DHSc, two contributors to the new Pediatric Vital Signs Guide. Together, they discuss how the resource came to life, why collaboration across APTA Acute Care, the Academy of Cardiovascular and Pulmonary Physical Therapy, and pediatric clinicians was essential, and how the guide can support therapists across settings. Ashley and Dawn share the challenges of building a practical document from variable pediatric references, the importance of using the guide alongside clinical reasoning, and why pediatric knowledge matters even for therapists who primarily treat adults. From infants in the NICU to adults living with congenital conditions, this episode highlights the need to think across the lifespan. Today's Guests: Dawn Drumm PT, DHSc ddrumm@luriechildrens.org https://www.linkedin.com/in/dawn-drumm-b141b455/ IG: drummdawn Ashley Parish PT, DPT, PhD, CRT, CCS ashbrown@uab.edu https://www.linkedin.com/in/ashley-parish-pt-dpt-phd-crt-ccs-b98b60273/ IG: ashleyparish_pt Guest Quotes: 18:31 Ashley “ What we came up with originally, and Dawn will probably laugh, it’s a massive- massive document. It was a textbook. And we were like- … “Yeah, we gotta shave this down and make it like a guide people can actually use in clinic practice.” 21:05 Dawn “First look at the document, it’s a great overview of just the lifespan within a pediatric lens. And so honing in on those first few areas of content, it just gives you kind of basics. Heart rate through the lifespan, your, respiratory rate… I think that beginning section is really important to highlight so that way you’re getting your foundational guidance that way.” 28:51 Ashley “ If you specifically wanna go into acute care peds, sometimes it’s difficult to find a job because there aren’t as many pediatric hospitals as there are adult hospitals, so just hang in there if it’s really hard for you to get on at first. Get experience in acute care. That always looks really good if you go from an adult hospital to a pediatric hospital. But those jobs do open up, so just be patient if you can’t find one right out of school ’cause no one likes to leave pediatric acute care. It’s the best setting.” Rapid Responses:  What's your favorite color scrubs to wear while you’re at work? Ashley “ Oh, since I’m a peds therapist, it’s always fun, bright colors. I would say Barney purple is my favorite set. Barney purple.” Dawn “ Okay. So sadly, we don’t actually have to wear scrubs at work. Oh, wow … and we don’t have a color. But I feel like physical therapy was always blue. We always were like- … blue at county, Going with my basic blue.”  You know you’re an acute care therapist when… Ashley “You have a distain for purewicks.” Dawn “ You've have changed more diapers than you would probably like. Yes. So getting down- In both adult and pediatrics, right? Both. Oh, yes … you can’t get away without poop talk.” Links: Pediatric Vital Sign Interpretation in Acute Care Guide 2025 https://www.mdpi.com/2077-0383/13/24/7681/xml https://www.sralab.org/research/labs/max-nader-rto/projects/intervention-promote-motor-development-infants

When your child faces a medical emergency, specialized care can make all the difference. Pediatric emergency physician Dr. Juan Carlos Abanses explains what sets pediatric emergency care apart, including advanced training, child‑specific equipment and how pediatric ER teams support both children and families during stressful moments.Learn more about pediatric emergency rooms at BayCare

High Yield Pediatric Viral Exanthem / Illness Review: Roseola infantum, Varicella-zoster virus infection (Chickenpox), Measles, Hand, foot, and mouth disease, Epstein-Barr virus (EBV), Erythema infectiosum, Mumps, Rubellafor your PANCE, PANRE, Eor's, Physician Assistant exams, USMLE, NCLEX, nursing exams.►Support the channel by joining and becoming a member! (Thank you so much!)►Paypal Donation Link: https://bit.ly/3dxmTql (Thank you!)►INSTAGRAM: https://www.instagram.com/cramthepance/►YOUTUBE: https://www.youtube.com/channel/UCZCILePJ-E17txF-ObXlFKwIncluded in review: Slapped cheek rash, Koplik spots, Forchheimer spots, Posterior auricular lymphadenopathy, Circumoral pallor, Dew drops on a rose petal, Maculopapular rash, Vesicular rash, Parotitis, Orchitis, Oral hairy leukoplakia.Become a supporter of this podcast: https://www.spreaker.com/podcast/cram-the-pance--5520744/support.

Pediatric urinary tract infections, or UTIs, don't always follow a script. While they're one of the most common diagnoses, they're also one of the most nuanced. They can be subtle, inconsistent and easy to over — or under — diagnose. Aside from clear urinary symptoms, they can show up as a fever without a source, vague abdominal pain, new incontinence or a child who simply isn't acting like themselves. And in those moments, the decisions pediatricians make such as who to test, how to collect a sample or how to interpret results, carry real clinical weight. To dive into this topic, we are joined by Kevin Olson, PA, and Meghan Rommel, NP, who practice in the Department of Pediatric Urology at Children's Hospital Colorado. Some highlights from this episode include: The challenges of diagnosis and the importance of getting it right  How UTIs present differently across ages   When to use antibiotics versus when more discovery is needed  Approaching recurrent UTIs in children  For more information on Children's Colorado, visit: childrenscolorado.org. 

In this episode, Rohit Shenoi, MD, FAAP, discusses prevention of drowning. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Robert Vinci, MD, FAAP, about an initiative to address pediatric workforce shortages. For resources go to aap.org/podcast.

In this World Shared Practice Forum Podcast, Drs. Mark Peters and Scott Weiss provide their expert insight on the methodology and development of the 2026 International Surviving Sepsis Campaign guidelines. They discuss challenges encountered during the process and review notable changes to these guidelines compared to previous iterations. The authors share the recommendations that will most impact their personal practice for patients with sepsis, and reflect on how we can improve global research infrastructure to address salient knowledge gaps in pediatric critical care. LEARNING OBJECTIVES - Understand the design and methodology for the 2026 Surviving Sepsis Campaign guidelines - Review notable changes in the 2026 sepsis guidelines compared to the 2020 edition - Discuss the implications of the altered recommendations for clinical practice changes - Consider methods to improve global pediatric research infrastructure and data organization AUTHORS Mark Peters, MBChB, PhD, MRCP, FFICM, FRCPCH Professor of Paediatric Intensive Care NIHR Senior Investigator UCL Great Ormond St Institute of Child Health Hon. Consultant Paediatric Intensivist Paediatric Intensive Care Unit and Children's Acute Transport Service Great Ormond St Hospital Scott Weiss, MD, MSCE Professor of Pediatrics and Pathology & Genomic Medicine, Division Chief of Critical Care, Vice-Chair of Research for the Department of Pediatrics, Nemours Children's Hospital, Sidney Kimmel Medical College at Thomas Jefferson University Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: May 26, 2026. ARTICLES REFERENCED & ADDITIONAL REFERENCES - Weiss SL, Peters MJ, Oczkowski SJW, et al. Surviving Sepsis Campaign International Guidelines for the Management of Sepsis and Septic Shock in Children 2026. Pediatr Crit Care Med. 2026;27(4):379-434. https://pubmed.ncbi.nlm.nih.gov/41869844/ - Balamuth F, Weiss SL, Long E, et al. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. N Engl J Med. Published online April 24, 2026. https://pubmed.ncbi.nlm.nih.gov/42028918/ - Weiss SL, Balamuth F, Long E, et al. PRagMatic Pediatric Trial of Balanced vs nOrmaL Saline FlUid in Sepsis: study protocol for the PRoMPT BOLUS randomized interventional trial. Trials. 2021;22(1):776. Published 2021 Nov 6. https://pubmed.ncbi.nlm.nih.gov/34742327/ - Steven Pinker "Enlightenment Now” - https://stevenpinker.com/publications/enlightenment-now-case-reason-science-humanism-and-progress - Blood Poison: The Untold Story of Sepsis - https://amplifypublishinggroup.com/product/nonfiction/health-medicine-and-wellness/general-health-medicine-and-wellness/blood-poison/ TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/at/r9q8w9vhsbpg7wwzn35kbmz/202605_WSP_Peters_and_Weiss_Transcript.pdf Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge among healthcare providers worldwide who care for critically ill children across all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access, thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Peters MJ, Weiss SL, O'Hara J, Burns JP. Pediatric Surviving Sepsis: Insights From the Leadership. 05/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/pediatric-surviving-sepsis-insights-from-the-leadership-by-m-peters-s-weiss-openpediatrics.

Episode Highlights With Dr. Tony EbelThe perfect storm of what is affecting our kidsWe are our own primary healthcare provider, and that of our children His background work in genetics and how it led to his current workWhere he starts with the top triggers in addressing these conditions in kidsNervous system, gut, and other important triggers, especially in childrenThe link he discovered between birth interventions and neurological issues in kidsDiving really deep into nervous system health and healing, especially for kidsWhat's the perfect storm for these conditions for kids: emotional stress.How to help resolve issues from birth interventionsVagus nerve- and how this cranial nerve is so vital for nervous system healthWays to support the vagus nerve through movement, breath, and lifestyle The most potent and important vagus nerve stimulator for most people The endocrine system is very intimately connected to the nervous system and why neurological adjustments can be beneficialNumber one thing the nervous system is sensitive to: emotionsResources MentionedThe Experience Miracles Podcast - The Wellness World Says “Do More”… The Nervous System Says “Do Less” w/ The Wellness MamaTony's website pxdocs and his InstagramHis resources on vagus nerve Dr. Tony Ebel & The PX Docs Network on FacebookJust Thrive:Just Thrive Health has been one of my longtime favorite brands for gut health and they have an amazing Daily Gut Detox. Your immune system, gut barrier, and digestion get the support they need to stay strong and healthy. You can find this and their probiotics at justthrivehealth.com/wellnessmama or use code wellnessmama for 20% off your order. HiyaHiya created a super powered chewable vitamin for kids that packs twelve organic fruits and vegetables plus fifteen essential vitamins and minerals into every dose. Try it at hiyahealth.com/wellnessmama for 50% off your first order.

Making the leap from a school-based setting into a specialized pediatric feeding niche is an incredible professional transformation. But what happens when that career pivot collides with your own deeply personal parenting journey?In this episode, Hallie sits down with Aerica Walsh, M.S., CCC-SLP, CPFT™, an ASHA-certified speech-language pathologist, pediatric feeding therapist, and the founder of Thrive Therapy Solutions. Aerica opens up about her unique path into the world of pediatric feeding—a journey that took a profoundly meaningful turn when her daughter was born with tongue and lip ties that impacted their early breastfeeding dynamic, followed by her son being born with Down syndrome and diagnostic feeding challenges.They dive into the common medical misconceptions surrounding low tone and special needs, the reality of balancing deep grief with profound gratitude as a parent, and the heavy advocacy needed in hospital and NICU settings. This conversation is an invaluable mix of raw personal storytelling, actionable clinical advice, and a beautiful reminder of why compassionate, holistic, family-centered care always trumps generic medical protocols.Key Topics & TakeawaysThe Leap From Schools to Feeding: How Aerica navigated the transition from a traditional school-based SLP caseload into the highly specialized world of feeding therapy.A Diagnosis in the Middle of Training: Aerica shares the emotional and clinical impact of receiving her child's Down syndrome diagnosis while completing her specialized CPFT™ program.The "Low Tone" Misconception: A close look at why low muscle tone is so frequently misunderstood in children with Down syndrome, and how to look past a label to find functional solutions.The Power of Pre-Feeding Skills: Practical strategies for supporting vital pre-feeding motor skills long before a child with special needs ever takes their first bite of solids.Advocacy & "The Mama Gut": Why clinical reasoning and motherly intuition should always come before generic medical timelines in hospital and NICU environments.Building Thrive Therapy Solutions: The challenges, rewards, and exact mindset shifts required to successfully launch your own specialized private practice while parenting children with additional needs.Soundbites"Low tone is often misunderstood in Down syndrome" "Trust your mama gut over medical protocols" "Find your niche and dive deep into it"Timestamps00:00 – Intro Clip00:20 – Welcome to the Untethered Podcast00:57 – Meet Aerica Walsh, M.S., CCC-SLP, CPFT™02:10 – How Motherhood Led Aerica Into Feeding Therapy04:35 – Pregnancy Expectations vs Reality07:15 – Parenting a Child With Additional Needs10:25 – NICU Experience & Early Feeding Challenges13:40 – The Overwhelming Amount of Parenting Advice15:00 – Identifying Feeding & Development Concerns18:20 – Tongue Ties, Breastfeeding & Early Intervention21:45 – Navigating Medical Professionals & Parent Advocacy25:00 – Hospital Experiences & Emotional Impact28:15 – Why Standardized Feeding Support Matters30:00 – Gaps in Pediatric & Feeding Education34:10 – Supporting Families Beyond Clinical Care37:50 – The Emotional Side of Motherhood & Therapy40:00 – Learning to Trust Your Parent Instincts43:25 – Helping Parents Feel Seen & Supported46:40 – Balancing Family Life & Professional Growth50:00 – Building a Career in Feeding Therapy52:30 – Advice for Clinicians Entering Feeding Therapy55:00 – Investing in Education & Mentorship57:00 – Final Thoughts & OutroLinks & ResourcesConnect with Aerica: Follow her on Instagram https://www.instagram.com/thrivewithaerica/WORTH A LISTEN: CONTINUE YOUR JOURNEYEP 343: Inside a Mission-Driven Pediatric Feeding PracticeEpisode 361: Why Two Therapists Get Different Feeding Outcomes (And How to Fix ItSTAY CONNECTED & GROW YOUR PRACTICEJoin the conversation: Get behind-the-scenes insights, clinical pearls, and real conversations over on Substack. Hosted on Acast. See acast.com/privacy for more information.

Todd Conklin and Bob Edwards discuss Solutions for Patient Safety (SPS), a grassroots movement of learning teams that used operational learning to dramatically reduce harm in pediatric care. The episode covers emotional stories from the SPS meetings, practical methods like soak time and learning teams, the power of continuous improvement, and the real-world impact of saving thousands of young lives.

This week we review a landmark paper from the NEJM by the SCOUT-HCM study group assessing the impact of mavacamten on HCM in the adolescent patient. How does this agent work and what impact did it have on the LVOT gradients in obstructed HCM teens? Does this agent affect other biomarkers associated with more obstruction in this setting? Who is a good potential candidate for the use of this agent? Why must the EF be carefully monitored while using this agent? Dr. Joseph Rossano, Professor of Pediatrics at The University of Pennsylvania and the chief of pediatric cardiology at The Children's Hospital of Philadelphia joins the podcast to discuss this groundbreaking work.doi: 10.1056/NEJMoa2601103

Many patients interpret their illness through the lens of their religious tradition. Sometimes this process brings hope, comfort, or growth – but other times it compounds their suffering. What are patients supposed to do when they don't see their lives reflected in the religious stories they cherish? And how can physicians recognize and respond to spiritual suffering that is layered on top of the physical? Our guest on this episode is Dr. Jonathan Weinkle, clinical assistant professor at the University of Pittsburgh School of Medicine. Dr. Weinkle practices Internal and Pediatric medicine at Squirrel Hill Health Center – a health center focused on overcoming economic, cultural, and logistical barriers to health care. He serves as a consultant to the Jewish Healthcare Foundation and as the medical director of the Physician Assistant Program at Chatham University. In 2025, he published his book From Illness to Exodus with the goal of helping patients and healers navigate illness – using one of the world's oldest stories.  Over the course of our conversation, Dr. Weinkle shares insights from the story of the Jewish Exodus that may help patients feeling trapped in the “narrow place” of illness. We discuss the spiritual and emotional complexity faced by patients whose own illness stories don't end with a miraculous escape. Finally, we reflect on the importance of healers who understand their patients' “idioms of distress” and who can attune to their suffering. On this episode, you'll hear about: 2:45 - How Dr. Weinkle found his way to a career in Med-Peds, and the many hats he wears in his current work 9:00 - Dr. Weinkle's views on balancing faith and science in medicine16:00 - The cultural importance and traditions of Passover in the Jewish faith 21:30 - How the lessons of the Passover can be connected to medicine and healing 28:45 - Why Dr. Weinkle chose to write a book for healers 40:00 - Dr. Weinkle's advice for identifying and responding to a patient's taxonomy of distress47:30 - Attending to suffering when it cannot be ‘fixed'52:25 - How healers can use ritual to center themselves in their work  If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2026