Podcasts about Pediatrics

From Doctor To Patient: Lessons In Self-Advocacy From A Physician Dr. Sylvia Owusu-Ansah's life took a turn when a routine medical screening became anything but. Despite her professional expertise, she still had to navigate the frightening transition from provider to patient. Owusu-Ansah explains how she's using her story to show others how to self-advocate when navigating the healthcare system. Guest: Dr. Sylvia Owusu-Ansah, pediatric emergency medicine physician, assistant professor of pediatrics and emergency medicine, University of Pittsburgh School of Medicine, cancer patient Host: Greg Johnson Producers: Kristen Farrah   Links for information:Owusu-Ansah profileOwusu-Ansah InstagramOwusu-Ansah Website    Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This week we speak with Professor James Cnota of Cincinnati Children's Hospital about a recent report he co-authored from the SVR trial regarding the impact of tricuspid regurgitation (TR) on outcomes in hypoplastic left heart syndrome (HLHS). How common is TR seen in the HLHS patient and how does this change over time after surgical palliations? Is there an optimal time to intervene on the tricuspid valve in this patient group? What does the future hold for tricuspid surgical interventions? Dr. Cnota has the answers this week. doi: 10.1007/s00246-025-04122-x

Episode Notes Complicated UTIs just got a whole lot less complicated—or did they? Dr. Dana Bowers and Kyle Molina (@kcmolinaID) join Dr. Whitney Buckel to break down what's new, what's controversial, and what this means for your day‑to‑day antimicrobial decisions. Join us as we dig into the biggest updates, the evidence behind them, and the clinical pearls you won't want to miss. References: Nelson Z, Aslan AT, Beahm NP, et al. Guidelines for the Prevention, Diagnosis, and Management of Urinary Tract Infections in Pediatrics and Adults: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2024 Nov 4;7(11):e2444495. Trautner BW, Cortes-Penfield NW, Gupta K, et al. Complicated Urinary Tract Infections (cUTI): Clinical Guidelines for Treatment and Management. Published July 17, 2025. https://www.idsociety.org/practice-guideline/complicated-urinary-tract-infections/ Kadry N, Natarajan M, Bein E, Kim P, Farley J. Discordant Clinical and Microbiological Outcomes Are Associated With Late Clinical Relapse in Clinical Trials for Complicated Urinary Tract Infections. Clin Infect Dis 2023;76(10:1768-1775. https://academic.oup.com/cid/article/76/10/1768/6980780 USCAST Oral cephalosporin STIC against S. aureus and E. coli meeting recording. https://www.youtube.com/watch?v=HieaVFAC08s MacDougall C. A Cloudy Crystal Ball: Critically Assessing and Rethinking the Antibiogram. Clin Infect Dis. 2023;77(11):1501-1503. doi:10.1093/cid/ciad468 Koehl J, Spolsdoff D, Negaard B, et al. Cephalosporins for Outpatient Pyelonephritis in the Emergency Department: COPY-ED Study. Ann Emerg Med. 2025;85(3):240-248. doi:10.1016/j.annemergmed.2024.10.013 Dunne MW, Aronin SI, Das AF, et al. Sulopenem for the Treatment of Complicated Urinary Tract Infections Including Pyelonephritis: A Phase 3, Randomized Trial. Clin Infect Dis. 2023;76(1):78-88. doi:10.1093/cid/ciac704 Learn more about the Society of Infectious Diseases Pharmacists: https://sidp.org/About Instagram: @SIDPharm (https://www.instagram.com/sidpharm/) or @breakpointspodcast_sidp (https://www.instagram.com/breakpointspodcast_sidp/)https://www.instagram.com/breakpointspodcast_sidp/?hl=en Facebook: https://www.facebook.com/sidprx LinkedIn: https://www.linkedin.com/company/sidp/ SIDP welcomes pharmacists and non-pharmacist members with an interest in infectious diseases, learn how to join here: https://sidp.org/Become-a-Member Listen to Breakpoints on iTunes, Overcast, Spotify, Listen Notes, Player FM, Pocket Casts, Stitcher, Google Play, TuneIn, Blubrry, RadioPublic, or by using our RSS feed: https://sidp.pinecast.co/

This week on Two Parents & A Podcast we're celebrating Harrison's BIRTHDAY (with a gift reveal on camera!!), debating a tiny relationship lie that has the internet divided (it involves key lime pie lol), and talking about a parenting question we genuinely didn't know the answer to: what bathroom should girl dads take their daughters to in public?!  We get into the new screen time guidelines for kids from the American Academy of Pediatrics and why the conversation around screens is shifting from “how much” to “how and why” (+ the new DESSERT analogy we love). Plus: Harrison's getting in shape before baby boy arrives (+ his new focus on sleep), we officially started our sourdough era, and we've got THE SUIT that Harrison plans to wear when he brings baby boy home from the hospital. Later in the episode we talk about a neighborhood school Q&A that made us really excited about the future, whether travel actually helps toddlers hit developmental milestones (spoiler alert: IT DOES!!!), and something we saw that we think is really cool: Costco helping make IVF treatment more affordable for families. Finally, we answer a listener question for Dr. Ari about introducing allergens when a parent has allergies. LOVE YOU GUYS. Thanks for listening!!!!  Timestamps:  00:00:00 Welcome back to Two Parents & A Podcast! 00:01:38 HAPPY BIRTHDAY, HARRISON!  00:07:47 BICKER OF THE WEEK: Is THIS tiny relationship lie OK?!  00:10:35 Asking for forgiveness vs. permission 00:19:41 We've got our sourdough starter!  00:23:35 Harrison got the suit he will wear home from the hospital! 00:27:45 Getting in shape before the baby is born 00:32:23 Can lack of sleep cancel out the benefits of exercise? 00:40:33 School Q&A happy hour with neighborhood moms  00:48:58 THINGS WE DMED EACHOTHER: The AAP's new screen time guidelines for kids 00:59:10 Where should dads take daughters to the bathroom? 01:05:56 Do you remember the first time you got lost?!  01:07:41 We're going to Disney World!!!! 01:17:38 Travel actually DOES help toddlers hit milestones  01:21:07 THINGS WE DMED EACHOTHER: Costco making IVF more affordable?! 01:24:28 IN THE COMMENTS: A listener question for Dr. Ari: introducing allergens when YOU have allergies?!  01:26:24 LOVE YOU GUYS! #twoparentsandapod --------------------------------------------------------------- Thank you to our sponsors this week: *Bobbie: If you want to feed with confidence too, head to https://www.hibobbie.com for the formula trusted by 700,000+ parents. *Little Spoon: Simplify your kids' mealtimes. Go to https://www.littlespoon.com/TWOPARENTS and enter our code TWOPARENTS at checkout to get 30% OFF your first Little Spoon order. *Merit Beauty: Right now, Merit Beauty is offering our listeners their Signature Makeup Bag with your first order at https://www.meritbeauty.com *Perelel: Exclusive for our listeners, new customers can enjoy 20% off their first order with code TWOPARENTS - Visit https://www.perelelhealth.com *Cozy Earth: Go to https://www.cozyearth.com/TWOPARENTS for up to 20% off! --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@twoparentsandapod https://open.spotify.com/show/7BxuZnHmNzOX9MdnzyU4bD?si=5e715ebaf9014fac https://podcasts.apple.com/us/podcast/two-parents-a-podcast/id1737442386 --------------------------------------------------------------- Follow Two Parents & A Podcast: Instagram | https://www.instagram.com/twoparentsandapod TikTok | https://www.tiktok.com/@twoparentsandapod Follow Alex Bennett: Instagram | https://www.instagram.com/justalexbennett TikTok | https://www.tiktok.com/@justalexbennett Follow Harrison Fugman: Instagram | https://www.instagram.com/harrisonfugman TikTok | https://www.tiktok.com/@harrisonfugman --------------------------------------------------------------- Powered by: Just Media House – https://www.justmediahouse.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Email the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.GI issues can start and the "top" but can continue through the "bottom". From prenatal to older folks, GI issues happen. Hosted on Acast. See acast.com/privacy for more information.

Measles is back in the headlines, and with it a wave of fear, confusion, and half-answers. This episode looks past the rhetoric to a question that matters deeply to families and clinicians alike: What does the evidence actually say about treating measles once someone is sick, in both children and adults?Sign up for weekly webinars: Weekly Webinars - Independent Medical Alliance Host Dr. Elizabeth Mumper, Senior Fellow, Pediatrics at the Independent Medical Alliance, is joined by two co-authors of a new peer-reviewed systematic review in Antiviral Research titled “Acute Management of Measles: A Systematic Review of Therapeutic Strategies.” Her guests are Dr. Joseph Varon, IMA President, and Matthew Halma, IMA Director of Research.Together, they walk through what decades of published research already tell us about measles treatment and why so few parents and even clinicians have heard about it.They cover:• Why this systematic review was needed and what question it set out to answer• Key findings on Vitamin A, ribavirin, interferon-alpha, IVIG, and supportive nutrients• What measles tends to look like clinically in children and how it can differ in adults• Whether treatment-focused research has been overlooked or crowded out by vaccine-only messaging• How to think clearly about immunity from infection versus immunity from vaccination• Practical, evidence-informed steps families can take if measles is circulating, including when to seek urgent medical care• For parents, pediatricians, and front-line clinicians, this conversation offers a calm, evidence-based look at what can be done during measles illness, not just before it.Aired Wednesday, March 11, 2026.Also:• Donate: https://imahealth.org/donate/• Follow: https://imahealth.org/contact/• Webinar: https://imahealth.org/category/weekly-webinars/• Treatment: https://imahealth.org/treatment-protocols/• Medical Disclaimer: https://imahealth.org/about/terms-and-conditions/About IMA (Formerly FLCCC Alliance)The Independent Medical Alliance™ is a nonprofit, 501(c)(3) organization and coalition of physicians, nurses, and healthcare professionals united by a mission to restore trust and transparency in healthcare. The organization's mission is one driven by Honest Medicine™ that prioritizes patients above profits and emphasizes long-term wellness and disease prevention through empowerment of both physicians and their patients. With a focus on evidence-based medicine, informed consent, and systemic reform, IMA is driving a movement to create a more compassionate and effective healthcare system.For more information about the Independent Medical Alliance, visit www.IMAhealth.org

You can listen wherever you get your podcasts or check out the fully edited transcript of our interview at the bottom of this post.I am so excited I was able to interview a parenting thought leader I greatly admire. Lenore did not disappoint! So much wisdom, and so much fun! I think you'll love this podcast episode.In this episode of The Peaceful Parenting Podcast, I interview Lenore Skenazy, author of “Free-Range Kids,” which grew into the Free-Range Kids movement. Now she is president of Let Grow, the national nonprofit that is making it easy, normal, and legal to give kids back independence. We talk about screens, anxiety, free play, and why childhood independence matters more than ever.

Host(s): Dr. Susan Buttross, Professor of Pediatrics at the University of Mississippi Medical Center, and Abram NanneyGuest(s): Dr. John GaudetTopic: Smartphones, Social Media and Artificial Intelligence are here to stay. I think that we all know that there are benefits and pitfalls of using them. But we as adults are supposed to be able to understand how and when to use them, but do we? And what is it doing to our children, many who have never known anything but having this technology as part of their lives. Are we letting the technology aide us or harm us and our children. Today we have Dr. John Gaudet to help us better understand the benefits and the potential harm to our children and our relationshipsYou can join the conversation by sending an email to: family@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

This episode of EM Pulse dives into a critical intersection of clinical practice: the overlap between objective evidence-based medicine and the subjective influence of implicit bias. In a special collaboration with Don't Forget the Bubbles (DFTB), we are joined by experts from across the globe to discuss a landmark study on how clinical decision rules—specifically the PECARN (Pediatric Emergency Care Applied Research Network) imaging rules—impact disparities in pediatric trauma imaging. The Variables of Bias We often think of medical decision-making as a clean equation, but how much do factors like a patient's perceived race or ethnicity “creep” into our choices? The team explores the concept of equitable care—providing the best possible outcome regardless of factors outside a patient's control—and why awareness alone often isn’t enough to counteract the biases we all carry. Standardizing Equity: The Power of the Rule The core of this discussion centers on a prospective multicenter study titled “Perceived Race and Ethnicity on CT Use in Children with Minor Head or Abdominal Trauma.” * The Question: Do racial and ethnic disparities in CT use still exist in the “PECARN era”? The Twist: Why the researchers chose to look at clinician-perceived race rather than self-identification to capture what is actually happening in the provider's mind during a shift. The Finding: The guests discuss the surprising (and encouraging) results regarding how structured clinical rules can act as “equity builders.” A Global Perspective Bias isn’t just a local issue. With representation from UC Davis, UCSF, Children's National, and Athens, Greece, the panel looks at the international landscape of pediatric emergency care. They discuss: The barriers to implementing decision tools in different healthcare systems. The concept of “pediatric readiness” on a global scale. How these rules—originally developed in the U.S.—are being validated and adapted from Australia to Europe. Moving Beyond the “Black Box” While AI and machine learning are the buzzwords of the day, this episode highlights the beauty of “simple” statistical tools that are transparent and easy to use at the bedside. The guests share how they envision these findings changing their next shift—not by removing the “humanity” of the process, but by anchoring conversations with families in solid evidence. Check the Show Notes: We've included links to the original study and the companion blog post at Don't Forget the Bubbles, which features a deep dive into the data. You can also find the PECARN Pediatric Head Injury and Intra-abdominal Injury (IAI) rules on MDCalc to use on your next shift.   We want to hear from you! Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children’s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Nisa Atigapramoj, Pediatric Emergency Medicine Physician at UCSF Benioff Children’s Hospital Dr. Spyridon Karageorgos, Pediatric Emergency Medicine Physician at Aghia Sophia Children's' Hospital in Athens, Greece Resources: DontForgetTheBubbles.com: CT Use in Children with Minor Head or Abdominal Trauma Atigapramoj NS, McCarten-Gibbs K, Ugalde IT, Badawy M, Chaudhari PP, Yen K, Ishimine P, Sage AC, Nielsen D, Uppermann JS, Kravitz-Wirtz ND, Tancredi DJ, Holmes JF, Kuppermann N. Perceived Race and Ethnicity on CT Use in Children With Minor Head or Abdominal Trauma. Pediatrics. 2026 Feb 1;157(2):e2024070582. doi: 10.1542/peds.2024-070582. PMID: 41520991. PECARN Spotlight: Tools Validated Excuse Me, Your Bias is Showing PECARN **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

In this episode of our Poison Control series, host, Paul Wirkus, MD, FAAP and guest Michael Moss, MD, focus on several high-risk exposures commonly encountered in pediatrics. Our guests review toxic thresholds for medications such as acetaminophen, discuss the dangers of prescription medication ingestions, and highlight particularly hazardous household items, including button batteries, magnets, hydrocarbons, and cleaning agents. The conversation emphasizes early recognition, appropriate initial management, and when to seek expert guidance. Listeners will gain practical insights to help prevent serious injury and respond effectively when exposures occur.If there is ever a concern about a possible poisoning, contact Poison Control at 1-800-222-1222 for immediate guidance anywhere in the United States.Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Body image has become one of the most complex parts of the teenage experience, often shaped by a mix of online aesthetics and the constant feedback loop of social media. Supplements, workout routines, and influencer-driven wellness advice are everywhere, making it harder than ever for young people to know what's safe, what's hype, and what truly supports their health. On this episode of the Healthier You podcast, Dr. Ashlee Williams speaks with Dr. Mutsa Nyakabau, a board-certified pediatrician, about how online content shapes the expectations teens place on themselves and how we can help young people build a healthier relationship with their bodies, find balance in a high-pressure environment, and make informed decisions about fitness and nutrition.  Learn more about Mutsa Nyakabau, MD  

In this Complex Care Journal Club podcast episode, Drs. Astrida Kaugars and Jessica Schnell discuss a measure development and preliminary validation study of a Complex Care Program Family Impact Questionnaire. They describe the importance of capturing the value of complex care programs, the four domains of program impact that were identified (general satisfaction, caregiver well-being, family well-being, and medical care empowerment), and next steps from this work. SPEAKERS Astrida Kaugars, PhD Professor, Psychology Marquette University Jessica L. Schnell, MD, MPH Associate Professor of Pediatrics, Complex Care Medical College of Wisconsin HOST Emily J. Goodwin, MD Clinical Associate Professor of Pediatrics, University of Missouri, Kansas City School of Medicine Pediatrician, General Academic Pediatrics Beacon Program, Children's Mercy, Kansas City DATE Initial publication date: March 10, 2026. JOURNAL CLUB ARTICLE Kaugars AS, Bungert N, Lee KJ, Michlig J, Oswald DL, Paul MK, Quates SK, Schnell JL. Capturing caregivers' and families' experiences in a Complex Care Program: development of the Complex Care Program-Family Impact Questionnaire (CCP-FIQ). J Pediatr Psychol. 2025 Nov 16:jsaf096. doi: 10.1093/jpepsy/jsaf096. Epub ahead of print. PMID: 41241776; PMCID: PMC12826604. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/qkc6tx5crb2k4pp6fpbc4gf/Kaugars_and_Schnell_final_transcript Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: https://forms.gle/Bdxb86Sw5qq1uFhW6. 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 between healthcare providers around the world caring for critically ill children in 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 Kaugars A, Schnell JL, Goodwin EJ. Measuring the Value of Complex Care Programs to Families, With Families. 3/2026. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/measuring-the-value-of-complex-care-programs-to-families-with-families.

Episode 3 of Ready, Prep, Go! Season 3, “A Long Way Home,” reveals the long and difficult recovery after a devastating hurricane. From documenting damage and filing insurance claims to managing debris removal and repairs, families learn that recovery is measured in months and years rather than days.  "A Long Way Home” highlights the emotional toll of recovery on children, and how routine and reassurance are powerful tools in supporting their mental health post-disaster. Social media influencer Dr. Beachgem is a pediatric emergency medicine physician at Johns Hopkins All Children's Hospital and a mom of four. She has built a following of more than 1.3 million by translating complex medical information into clear, practical guidance for parents, a voice that became especially vital during the COVID-19 pandemic and continues well beyond it. Her trusted, no-nonsense approach has led to multiple viral moments, with videos featured by outlets ranging from Good Morning America to Scary Mommy. Most recently, her posts warning about the dangers of wire grill brushes and debunking myths around “dry drowning” have sparked widespread conversation and education. Through her work both in the emergency department and online, Dr. Beachgem bridges frontline medicine and everyday parenting with clarity, credibility, and compassion. Travis Witt brings decades of frontline and leadership experience to his role as Director of Safety and Emergency Management at Johns Hopkins All Children's Hospital. A retired Lieutenant with Saint Petersburg Fire Rescue, he served in a wide range of critical positions, including Safety and Training Officer, Rescue Lieutenant, and Emergency Management leader. During his time with the city, Travis also acted as Planning Section Chief for major large-scale events such as the Firestone Grand Prix of St. Petersburg and the St. Pete Pride Parade, helping ensure public safety for hundreds of thousands of attendees. Following his retirement from active fire service, Travis moved into healthcare safety leadership, where his deep operational knowledge continues to guide emergency preparedness and organizational safety strategy. He remains focused on advancing best practices through innovative approaches, modern technology, and proven risk-reduction methods to create safer environments for patients, staff, and the community. This episode offers continuing education credit for physicians and nurses. To receive credit, learners must register and complete an evaluation on the PPN Continuing Education portal after listening to the episode. Related Resources Hurricane Season is Coming Hurricane season poses significant risks to children, families and healthcare systems. Explore curated resources to help clinicians, caregivers and communities prepare, respond and recover effectively.   The Disaster Medicine Handbook: A Quick Reference  This guide supports hurricane readiness by breaking down core disaster response concepts (preparedness, surge capacity, triage, crisis standards of care, reunification, and ICS) that hospitals and communities rely on before, during, and after major storms.   Pediatrics & Obstetrics Module Collection - Weather Emergencies and Disasters EMS providers play a vital role in natural and manmade disaster response, from hurricanes and floods to nuclear incidents. North Carolina ranks among the most impacted states, with frequent severe weather and three active nuclear reactors posing additional risk. This course prepares EMS professionals to respond quickly, safely, and effectively during large-scale emergencies—enhancing readiness, coordination, and public safety. Strengthen your disaster response skills and be ready to serve your community when it matters most. 

In this episode of the Healing Powers Podcast, host Laura Michelle Powers speaks with medical doctor and functional medicine expert Dr. Kelly McCann about mast cell activation syndrome (MCAS), histamine intolerance, and the growing number of people experiencing unexplained chronic symptoms. Although mast cell activation was only first described in medical literature in 2007, research suggests that up to one in five people may be affected.Dr. McCann explains how mast cells—an important part of the immune system—can become overly reactive due to environmental toxins, mold exposure, infections, stress, and trauma. When this happens, it can trigger widespread inflammation throughout the body and lead to symptoms such as allergies, brain fog, digestive issues, insomnia, migraines, anxiety, and fatigue. Laura also shares her own experiences with mold exposure and sensitivities, highlighting how many people struggle to get answers through conventional testing.Learn more about Dr. Kelly McCann at thespringcenter.com As Dr. Kelly referenced, you can find more information and locate mold-aware professionals through the International Society for Environmentally Acquired Illness (ISEAI): https://iseai.org/Kelly K. McCann, MD, MPH is a triple board-certified physician in Internal Medicine, Pediatrics, and Integrative Medicine, with additional certifications in Functional Medicine and Medical Acupuncture. She is the founder of The Spring Center in Costa Mesa, California, where she specializes in complex chronic illness, including Mast Cell Activation Syndrome, mold and mycotoxin illness, Lyme disease, and environmentally acquired conditions.Dr. McCann has hosted multiple international summits on MCAS and allergy-related illness and serves on the boards of the American Academy of Environmental Medicine and was a founding Board member of the International Society for Environmentally Acquired Illness. A graduate of Tulane University School of Medicine and one of only 35 physicians worldwide to complete the residential fellowship at the University of Arizona's Center for Integrative Medicine, she also holds a Master's in Spiritual Psychology.Her work is now evolving into what she calls The Unforgetting Project: a new healing paradigm that bridges functional medicine with spiritual psychology, inviting patients to experience symptoms not as failures, but as meaningful messages guiding them back to wholeness.Laura is a Celebrity Psychic who has been featured by Buzzfeed, The Weakest Link, Beast Games, NBC, ABC, CBS, FOX, the CW, Motherboard by Vice Magazine and the #1” Ron Burgundy Podcast” with Will Ferrell. Laura Powers is a clairvoyant, psychic medium, writer, actress, producer, writer, and speaker who helps other receive guidance and communicate with loved ones. Laura travels nationally and internationally for clients, events, television appearances, and speaking engagements. She is also the author of 7 books on the psychic realm and 1 book on podcasting. Laura also works as a psychic, entertainer, and creative entrepreneur.For more information about Laura and her work, you can go to her website www.healingpowers.net or find her on X @thatlaurapowers, on Facebook at @realhealingpowers and @mllelaura, and on Instagram, TikTok and Insight Timer @laurapowers44.

What are the risks of regularly handing an upset child a screen to soothe them? How can we help younger kids handle their big emotions related to screen time rules? How can you get evidence-based answers to any screen time question, straight from the AAP? Dr. Ruston speaks with pediatricians and researchers Dr. Megan Moreno and Dr. Jenny Radesky, who helped launch and now oversee the American Academy of Pediatrics' Center of Excellence on Social Media and Youth Mental Health. Dr. Moreno is a professor of pediatrics at the University of Wisconsin–Madison and co-medical director of the center. Dr. Radesky is an associate professor of pediatrics at the University of Michigan Medical School and director of the Division of Developmental Behavioral Pediatrics. Together, they share their research and insights on children, screens, and how families can get trusted guidance from the American Academy of Pediatrics.   Featured Experts Megan Moreno, MD Jenny Radesky, MD   Resources The American Academy of Pediatrics (AAP) Center of Excellence  on Social Media and Youth Mental Health The AAP's Family Media Plan Tool   ‍Additional Resources Screenagers Website Bring Screenagers to Your Community   Time Code 00:00 Meet the Experts 00:28 Megan's Early Social Media Cases 01:36 Jenny's Relational Health Lens 02:33 Screens as Regulation Research 04:50 Calm Without the iPad 08:14 AAP Family Media Plan 10:48 Problem Solving With Fast Tech 13:24 Key Rules for Teens 16:19 Content Choices for Little Kids

Send a textIn this episode of Your Child Is Normal, Dr. Jessica Hochman talks with Dr. Stan Block, a pediatrician who spent more than four decades caring for children and is the author of Pediatrics Around the Block.Drawing on years of experience in clinical practice and pediatric research, Dr. Block shares practical wisdom about the questions parents ask every day. They discuss why vaccines remain one of the most important tools in pediatric medicine, what normal speech development looks like in young children, how to think about ADHD concerns in active kids, and why frequent colds and ear infections are often part of normal childhood.They also talk about one of the most common worries parents have: fever and developmental delays. Dr. Block explains when parents should be concerned. This episode is full of reassuring, practical advice for parents!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...

This week we listen in to a wonderful presentation that was delivered at the CHOP 2026 annual conference which was held in Phoenix, AZ. In this week's lecture we hear Dr. Gail Pearson of the NHLBI and NIH deliver her thoughts about the future of congenital heart research. Where does this master of research believe the next discoveries are going to arise from? What are the lessons we have learned from the PHN research endeavors over the past 25 years? Dr. Pearson offers her thoughts in this wonderful presentation which was the 24th Annual William J. Rashking Memorial Lecture at this conference. This presentation was delivered on 2.28.26.

In this episode, Dr. Bill Cooper, Senior Vice President for Professionalism and Clinical Excellence at Vanderbilt University Medical Center and Cornelius Vanderbilt Professor of Pediatrics and Health Policy at Vanderbilt University School of Medicine, shares how structured feedback, credo based evaluations, and peer led cup of coffee conversations strengthen culture and patient safety. He explains how timely, respectful interventions improve clinician behavior, engagement, and overall care delivery.

Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: kidney diseaseEmail the show: remedy@mpbonline.org. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.

Every other week I'm republishing one of my most popular or impactful episodes and adding an update, new insight, or context that will help you benefit from it even more. This week I'm highlighting Episode 46, where I break down the concept of V/Q mismatch. ____________________Full Transcript- Read the article "What's a V/Q Mismatch?"and view references FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.  Straight A Nursing App - Study on-the-go with the Straight A Nursing app! Review more than 5,000 flashcards covering a wide range of subjects including Fundamentals, Pediatrics, Med Surg, Mental Health, Maternal Newborn, and more! Available for free in the Apple App Store and Google Play Store. 

Email the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast Hosted on Acast. See acast.com/privacy for more information.

The US is on pace for another record-breaking year in terms of measles cases. We talk with Dr. Corey Hebert, Associate Professor of Pediatrics at LSU Health New Orleans School of Medicine, about what the disease actually is, how dangerous it can be, and why it's so important to get your kids vaccinated.

Marc Cox welcomes Mary Vought, Vice President of Strategic Communications at Heritage, to discuss recent developments in transgender care for minors, emphasizing the American College of Pediatricians' stance against medical interventions for children and contrasting it with the American Academy of Pediatrics' positions. The conversation highlights parental rights, teacher accountability, and a major Supreme Court ruling in California that strengthens transparency in schools nationwide. Vought stresses the broader implications for common sense policymaking, education, and the upcoming spring school board elections, framing the debate around protecting children and parental authority. Hashtags: #MaryVought #ParentalRights #TransgenderCare #AmericanCollegeOfPediatricians #SupremeCourt #EducationPolicy #MarcCox #HeritageFoundation #SchoolBoardElections #ChildProtection

In this episode, Alex Kemper, MD, MPH, MS, FAAP, editor-in-chief of the journal Pediatrics, offers a sampling from the March issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Allison Empey, MD, FAAP, about considerations in research with American Indian and Alaska Native communities. For resources go to aap.org/podcast.

We explore how to refine and optimize care in the vital minutes following ROSC. Hosts: Jonathan Elmer, MD, MS Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Post-ROSC_care.mp3 Download Leave a Comment Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below.  Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine,  with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 I. Phase 1: Stabilization (Minutes 0–10) The “Rearrest” Window & Pathophysiology High-Risk Period: Rearrest rates reach 30% within the first minutes post-ROSC. Shock Incidence: Two-thirds of patients develop profound hypotension/shock as initial resuscitative efforts subside. Catecholamine Washout: Super-physiologic “code-dose” epinephrine (1mg IV) typically wears off within ~3 minutes post-ROSC, leading to predictable hemodynamic collapse. Secondary Injuries: Evaluate for “CPR-induced trauma” (blunt thoracic trauma, rib fractures, pneumothorax, liver/splenic lacerations). Immediate Resuscitative Actions Vascular Access: Transition rapidly from IO to reliable IV access within 1–2 minutes. Prioritize Intraosseous (IO) placement within 5 minutes if IV attempts fail; intra-arrest data suggests no significant difference in early outcomes. Vasoactive “Bridge”: Maintain a “bolus-dose” pressor at the bedside for immediate push-dose titration. Options: Phenylephrine, dilute Epinephrine, or dilute Norepinephrine (titrated to effect rather than rigid dosing). Physician-Specific Task: Arterial Line: Goal: Placement within 5 minutes of ROSC. Preferred Site: Femoral (by landmarks/blind if necessary) for speed; should be a 80 mmHg. The BOX Trial Nuance: While the BOX trial showed no difference between MAP 63 vs. 77, its cohort (Denmark) had exceptionally high survival rates (70% back to work) and short response times, which may not generalize to North American populations with lower shockable rhythm incidence. Permissive Hypertension: If the patient is “self-driving” to higher pressures, do not aggressively lower them, as this may be a physiologic demand for cerebral blood flow. Ventilation and Oxygenation PaCO2 Management: Target: High-normal to slightly hypercarbic (45–55 mmHg). Rationale: Avoid accidental hyperventilation (PaCO2

This month we turn our attention to Poison Control, beginning with an overview of why children are uniquely vulnerable to toxic exposures. In this episode, our host, Paul Wirkus, MD, FAAP and guest Michael Moss, MD review common pediatric ingestions, household risks, and explain factors that increase children's vulnerabilities.We also take a behind-the-scenes look at how the nation's poison control system works - how calls are triaged, who provides guidance, and how centers collaborate across the country to deliver real-time, evidence-based recommendations. Most importantly, we emphasize when and how to use this invaluable resource.If you have a concern about a possible poisoning, call 1-800-222-1222 to reach your local poison control center anywhere in the United States.Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

A tongue tie update? Barbara and Nancy discuss a 2026 research study on tongue ties by Raol et al. and a commentary response in this episode of All Things Breastfeeding. One of the goals of LactaLearning is to provide recent studies that have the potential to impact clinical lactation practices. The debate over whether tongue ties are being over- or under-treated has been ongoing for several years. After reviewing the latest research on tongue ties for the upcoming edition (this edition is still at least a year away from being released), the research conclusion seems to be that there are absolutely cases where a tongue tie release appeared to be critical for an infant to be able to nurse effectively and/or without pain for the parent. On the other hand, it appears that more babies are undergoing this procedure, even though this may not have been the core issue. The Raol study looked at 476 infants and found “Conclusions: Although ankyloglossia may affect breastfeeding experiences, ankyloglossia alone does not appear to affect breastfeeding maintenance or infant weight gain. Improving breastfeeding outcomes should include multidisciplinary management to focus on all potential causes and not only ankyloglossia.” What was so different about this recent study? “Their study is unique in that none of the infants had a frenotomy or other surgical treatment of their ankyloglossia, and exclusive breastfeeding was assessed at 2–4 weeks, 3 months, and 6 months after delivery. Surprisingly, there were no differences in rates of exclusive breastfeeding at any time point, including at 6 months (82.3% [no ankyloglossia] vs 73.5% [assessed with ankyloglossia]; P?=?.25), and no differences in infant growth velocity at any time point.” Dr. Ann Will and Dr. Lydia Furman reported. What was also unique was that, instead of releasing the tongues, they provided great lactation support and were grounded in a community that valued breastfeeding. Could this be enough for many babies? There are flaws to the study as well. One issue was the way the authors identified tongue ties. It is not clear how many of the babies had more serious ties. Again, this is food for thought. If you work with breastfeeding/chestfeeding families and are passionate about lactation support, or you want to turn your passion for nursing into professional practice, visit LactaLearning.com and consider following us on social media! Instagram @lacta.learning Facebook LactaLearning Raol, N., Silamkoti, B., Syed, S. M., Hosek, K., Theetla, P., & Madireddy, A. (2026). Ankyloglossia, breastfeeding, and infant weight gain: a mixed-methods study. Pediatrics, 157(1), e2024070531.Witt, A., & Furman, L. (2026). Untreated Ankyloglossia: A Broader Perspective. Pediatrics, 157(1), e2025073238.Bristol Tongue Assessment ToolMartinelli Tongue Tie Assessment Lingual Frenulum Protocol for InfantsThomas, K., Kliff, S., & Silver-Greenberg, J. (2023). Inside the booming business of cutting babies' tongues. New York Times, 18.LeFort, Y., Evans, A., Livingstone, V., Douglas, P., Dahlquist, N., Donnelly, B., Leeper, K., Harley, E., Lappin, S., and Academy of Breastfeeding Medicine. (2021). Academy of breastfeeding medicine position statement on ankyloglossia in breastfeeding dyads. Breastfeeding Medicine, 16(4), 278-281. https://www.nytimes.com/2023/12/18/health/tongue-tie-release-breastfeeding.html Responses to the above article: https://www.liebertpub.com/doi/10.1089/bfm.2024.29263.editorial https://www.thestewartcenterforoptimalhealth.com/2024/03/17/breaking-down-the-nyt-article-inside-the-booming-business-of-cutting-babies-tongues The post All Things Breastfeeding Episode 108: Tongue Tie Update appeared first on The Breastfeeding Center of Ann Arbor.

This week on The Hamilton Review Podcast, we're pleased to welcome Dr. Jaime Deville. In this episode, Dr. Deville joins Dr. Bob for an important conversation about childhood vaccines. They explore common myths versus reality and share what parents need to know to keep their children safe and protected from preventable diseases. Don't miss this informative episode.  Jaime G. Deville, MD is a Clinical Professor of Pediatrics in the Division of Infectious Diseases at the David Geffen School of Medicine at UCLA and UCLA Mattel Children's Hospital and is the Director of the Care-4-Families Clinic at UCLA. Dr. Deville obtained his MD from Universidad Peruana Cayetano Heredia, Lima, Peru, and completed a one year Tropical Medicine fellowship at the Alexander Von Humboldt Tropical Medicine Institute in Lima, Peru, a pediatric internship at the Cayetano Heredia University Hospital in Lima, Peru, and subsequently completed his pediatric residency as well as chief residency at State University of New York Downstate Medical Center. Dr. Deville has been at UCLA since 1992 where he completed research and clinical Pediatric Infectious Disease fellowships, including a one year epidemiology fellowship at the UCLA Center for Vaccine Research. Dr. Deville is a member of the Advisory Commission in Childhood Vaccines for the Health Resources and Services Administration of the US Department of Health and Human Services, and also is a member of the National Advisory Committee of the National Hispanic Medical Association and serves as a reviewer for 13 leading medical journals. Dr. Deville's main areas of research have been in childhood vaccines, immunology and morbidity of pediatric HIV infection, neonatal and pediatric gram-positive infections. Dr. Deville has conducted studies on safety and immunogenicity of live influenza vaccine in HIV-infected children. He served as vice-chair of ACTG 351 and as a protocol team member of PACTG 1048. How to contact Dr. Bob: Dr. Bob on YouTube: https://www.youtube.com/channel/UChztMVtPCLJkiXvv7H5tpDQ Dr. Bob on Instagram: https://www.instagram.com/drroberthamilton/ Dr. Bob on Facebook: https://www.facebook.com/bob.hamilton.1656 Dr. Bob's Seven Secrets Of The Newborn website: https://7secretsofthenewborn.com/ Dr. Bob's website: https://roberthamiltonmd.com/ Pacific Ocean Pediatrics: http://www.pacificoceanpediatrics.com/

En la medicina solemos hablar mucho del éxito, los logros académicos, publicaciones y reconocimientos. Pero ¿qué significa realmente triunfar como mujer hispana en medicina en la actualidad?  ¿Es el éxito lo mismo para todos? ¿O lo definimos desde nuestra historia, nuestra cultura o en base a nuestros valores? Hoy conversamos sobre cómo las mujeres hispanas estamos transformando la idea del éxito en la medicina, enfrentando desafíos únicos, construyendo una comunidad y abriendo camino para las generaciones futuras. Tenemos una invitada de lujo. La Dra. Sofia Dávila es médico hospitalista pediatra y profesora asistente en Nationwide Children's Hospital, con más de 16 años de experiencia en medicina hospitalaria. Su trayectoria combina la práctica clínica con la docencia, enfocándose en la formación de futuros médicos y la mejora continua del cuidado pediátrico. La Doctora Dávila tiene doble certificación por el American Board of Pediatrics en pediatría general y en medicina hospitalaria. La Dra. Dávila es además fundadora y directora de la Conferencia Nacional de Hispanas en Medicina, un evento en colaboración con Mayo Clinic. La conferencia tiene como objetivo fortalecer la representación de las mujeres hispanas en el campo médico, fomentar el liderazgo, la mentoría y las oportunidades académicas, y crear una red de apoyo nacional que inspire a la próxima generación de médicas hispanas a alcanzar posiciones de influencia en la medicina y la investigación. ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast?  Escríbenos a pediatrasenlinea@childrenscolorado.org.

Send a textDescription: An immersive reading of Offerings From My Patients and Their Families by Hanna M. Saltzman with reflection on offerings, gifts, complaints, and boundary crossings.Website:https://anauscultation.wordpress.comWork:https://jamanetwork.com/journals/jama/article-abstract/2839104 References:Saltzman HM. Offerings From My Patients and Their Families. JAMA. 2025;334(15):1399. doi:10.1001/jama.2025.12143https://jamanetwork.com/journals/jama/article-abstract/2839104 Hanna Saltzman: www.hannasaltzman.com Hyde, Lewis. The Gift: Imagination and the Erotic Life of Property. 25th anniversary ed., Vintage Books, 2007.Campo R. Making Lists in Medicine and Poetry. JAMA. 2025;334(15):1399. doi:10.1001/jama.2025.12103https://www.etymonline.com/word/offering 

Host(s): Dr. Susan Buttross, Professor of Pediatrics at the University of Mississippi Medical Center, and Abram NanneyTopic: Cognitive bias serves as an essential, adaptive mental shortcut that allows fast, efficient, and, in some cases, protective thinking and can be beneficial because it aides us in making decisions quickly. But cognitive bias can also take the form of harmful preconceptions that serve to hurt individuals or relationships. Join us to better understand what cognitive bias is and how this great mental shortcut that we all use can damage relationships if we're not careful.You can join the conversation by sending an email to: family@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

Are bright colours and fast-paced screens harming your child's development? In this episode, we take a close look at what the research says about children's media, classroom colour, and why beauty matters more than we think.There's a reason the old Disney films, the gentle pace of Heidi and Little House on the Prairie, and those exquisite hand-illustrated picture books felt so different from what children are watching today.Studies show that just nine minutes of fast-paced cartoons can measurably impair a four-year-old's ability to focus, self-regulate, and solve problems. And it's not only screens — research on classroom environments finds that heavily decorated spaces with competing bright colours actually lower children's academic performance and increase disruptive behaviour.We've somehow convinced ourselves that louder, brighter, and faster is better for children. This episode will push back hard on that.Whether you're a parent, an educator, or both — this one will make you look at your child's environment differently.

In this episode of Talk Nerdy, Cara is joined by Bioethicist and Assistant Professor of Pediatrics at Stanford University, Dr. Daphne O. Martschenko. They discuss her book, What We Inherit: How New Technologies and Old Myths Are Shaping Our Genomic Future. Follow Daphne: @daphmarts  

Everyone else has a phone. Your child feels left out. And you’re the “mean parent” holding the line. So what now? In this solo Q&A episode of the Happy Families Podcast, I unpack one of the most common parenting dilemmas today: peer pressure, smartphones, and the fear that saying no will push your child away. If your 10–12 year old is desperate to “follow the crowd,” this episode gives you a research-backed, relationship-first roadmap to hold boundaries without losing connection. Because this isn’t really about the phone. It’s about identity, belonging, and trust. KEY POINTS Why friendship becomes central to identity around age 11 The real risk isn’t strict boundaries — it’s feeling dismissed The 3-step framework: Explore. Explain. Empower. What the research says about smartphones, depression, sleep, and obesity The exact script to say when the answer is “not yet” How to say yes to connection while saying no to the device QUOTE OF THE EPISODE “My job is to protect your developing brain — even when that feels unfair.” RESOURCES MENTIONED Study published in the Pediatrics on smartphone use and wellbeing Previous “Doctor’s Desk” episode on screens Submit your parenting question at happyfamilies.com.au ACTION STEPS FOR PARENTS Explore first. Ask: “Tell me what a phone would give you.” Listen without correcting. Explain calmly. Share the why behind your boundary — not just the rule. Empower together. Brainstorm ways to increase friend connection without a smartphone. Give a future pathway. Revisit the conversation at a clear milestone (age, responsibility, contribution). Stay warm. Boundaries don’t push kids away. Disconnection does. See omnystudio.com/listener for privacy information.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! Dr. Dhaval Desai, an Atlanta-based internal medicine–pediatrics physician and former hospitalist director, shares his path from studying economics and Spanish and teaching high school to training abroad and leading a 30-physician hospitalist group at Emory St. Joseph's with a split clinical/administrative role. He describes how COVID-era pressures and a new baby contributed to burnout, sleep and mood issues, and seeking therapy and medication, later deepening his advocacy through a memoir and work with the Dr. Lorna Breen Heroes Foundation, noting about 400 U.S. physicians die by suicide annually. After being rejected for a chief wellbeing officer role and facing institutional limits on speaking publicly, he hired an executive coach and resigned, concluding loyalty can hold physicians back. He pivoted to direct primary care by purchasing a retiring physician's practice, citing autonomy, fewer patients, and reduced bureaucracy as key to preventing burnout. Here are 3 key takeaways from this episode: Physician Loyalty Can Become a Career Trap: Dr. Desai learned that his loyalty to his institution, patients, and colleagues was actually holding him back from making necessary career changes. His executive coach's blunt advice - "Nobody is going to give a shit if you leave tomorrow" - proved true when he resigned. Healthcare systems will move on, regardless of individual contributions, and physicians need to recognize when loyalty is preventing them from pursuing fulfillment. Institutional Control Compromises Professional Integrity: Large healthcare systems often restrict physicians' ability to speak freely and advocate for what they believe in, even on humanitarian issues. Dr. Desai's experience being called in after writing an op-ed about ICE raids in hospitals showed how "the firm" can force physicians to compromise their values. This institutional pressure, combined with being passed over for the Chief Wellbeing Officer position, revealed that systems may pigeonhole physicians regardless of their capabilities. Direct Primary Care Offers Control and Prevents Burnout: Transitioning to a Direct Primary Care (DPC) model allowed Dr. Desai to reclaim control over his schedule, patient panel size, and work-life balance. By eliminating insurance billing bureaucracy and middle management, he now spends 30-60 minutes per patient visit instead of documenting for 6 hours daily. This autonomy - combined with ongoing therapy and medication - has eliminated the "dread of going to work" and allows him to pursue advocacy, media, and other passions without institutional gatekeeping. Meet Dr. Dhaval Desai: Dr. Dhaval Desai is a dual board-certified Internal Medicine and Pediatrics physician who transitioned from hospital leadership into Direct Primary Care to practice medicine with deeper connection and purpose. He is the author of "Burning Out on the COVID Front Lines..." and host of the podcast SEEN IN FULL, where he explores burnout, identity, advocacy, and the human experience in modern work and life. Connect with Dr. Dhaval Densai:

In this episode of PEM Currents: The Pediatric Emergency Medicine Podcast, we take a structured, evidence-based approach to the acute treatment of migraine in children and adolescents. From confirming the diagnosis and screening for concerning features to optimizing outpatient therapy and executing a protocolized emergency department strategy, this episode walks through what works. We review the role of NSAIDs and triptans, clarify how IV fluids and ketorolac fit into care, and provide a stepwise framework for dopamine antagonists, valproate bridge therapy, DHE protocols, steroids, discharge planning, and admission decisions. Practical dosing, reassessment timing, and family-centered communication strategies are emphasized throughout. Learning Objectives Recognize the clinical features of pediatric migraine and distinguish it from secondary causes of headache. Implement a stepwise, evidence-based emergency department approach to acute pediatric migraine, including appropriate medication selection and timing of reassessment. Develop safe discharge and follow-up plans by defining treatment endpoints, minimizing medication overuse, and identifying patients who require referral or inpatient management. References 1. Oskoui M, Pringsheim T, Holler-Managan Y, et al. Practice Guideline Update Summary: Acute Treatment of Migraine in Children and Adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology and the American Headache Society. Neurology. 2019;93(11):487-499. doi:10.1212/WNL.0000000000008095. 2. Patterson-Gentile C, Szperka CL. The Changing Landscape of Pediatric Migraine Therapy: A Review. JAMA Neurology. 2018;75(7):881-887. doi:10.1001/jamaneurol.2018.0046. 3. Bachur RG, Monuteaux MC, Neuman MI. A Comparison of Acute Treatment Regimens for Migraine in the Emergency Department. Pediatrics. 2015;135(2):232-238. doi:10.1542/peds.2014-2432. 4. Ashina M. Migraine. The New England Journal of Medicine. 2020;383(19):1866-1876. doi:10.1056/NEJMra1915327. 5. Richer L, Billinghurst L, Linsdell MA, et al. Drugs for the Acute Treatment of Migraine in Children and Adolescents. The Cochrane Database of Systematic Reviews. 2016;4:CD005220. doi:10.1002/14651858.CD005220.pub2. Transcript This transcript was generated using Descript automated transcription software and has been reviewed and edited for accuracy by the episode's author. Edits were limited to correcting names, titles, medical terminology, and transcription errors. The content reflects the original spoken audio and was not substantively altered. And today we're gonna talk about the acute treatment of migraine headache in children and adolescents. This is bread and butter for the PED, requires precise diagnosis and evidence-based treatment. We're gonna talk about making that diagnosis, red flags, outpatient and ED treatment, as well as some second-line agents, admission decisions, and a whole lot more. So migraine in children is defined by three criteria, and at least five attacks lasting two to 72 hours. So you gotta have at least two of the following: pulsating or throbbing quality, moderate to severe intensity, aggravation by routine activity, and a unilateral location. Although in children, it's often bilateral, plus at least one of nausea or vomiting and photophobia and/or phonophobia. In children headaches are frequently bilateral, bifrontal, bitemporal. The duration might be shorter than adults, especially in kids under second or third grade. And you may have to infer whether or not they have photophobia from their behavior. Like does the child close their eyes or wanna go into a dark room? In the emergency department, we're often diagnosing based on pattern recognition plus exclusion of dangerous secondary causes. Or even more often than that, the patient comes in and says, I've got a migraine. Before I move on to treatments, let's talk about some red flags where you might wanna pause and not just jump to migraine therapy. And the mnemonic SNOOP can be helpful here. And it stands for S for systemic symptoms such as fevers, myalgia, weight loss, or another S, secondary risk factors such as an immune deficiency, cancer, pregnancy, N for neurologic signs, papilledema, focal deficit, confusion, seizures. O onset sudden, or thunderclap. Migraines are often a little more gradual than that. The other O is older age, or technically younger age too, younger than five years or older than 50. Hopefully those patients are not coming into the pediatric emergency department. And then pattern changes, these new symptoms in a previously stable pattern. Don't ignore that. And precipitants, you know, is it worse with Valsalva, position change, or under significant exertion? If these signs are present, you'll probably wanna take a pause and just not throw migraine treatment at the patient. If they're stable, MRI is the preferred imaging modality, but a very sick patient, it'd be okay to get a head CT. If you've got a normal neurologic exam, there's no red flags. Again, you don't need routine imaging for migraine headaches. So let's talk about treatment. So hopefully patients have actually started to treat their headache before they arrive in the emergency department. If they haven't, it's a good idea to have some triage protocols in place. So ibuprofen, 7.5 to 10 milligrams per kilogram, 10 milligrams per kilogram is superior to placebo and it's superior to acetaminophen at two hours. So that's what we would use. Early treatment's critical. So ideally within the first hour of onset. So that's why triage protocols help. We'll give kids 10 mg per kg of ibuprofen and like 30 ounces of Gatorade. Blue is often the first Gatorade choice, though that's not an evidence-based statement. You can also use naproxen, but most of the studies are on ibuprofen. If NSAIDs fail, many adolescents and some older children will be prescribed triptans. The best evidence currently supports sumatriptan plus naproxen or zolmitriptan nasal spray. Rizatriptan is FDA approved down to age six. Adolescents respond to these agents better than younger children, and the route matters. The nasal formulations help when nausea is prominent. Families should be counseled to treat early, use weight-appropriate dosing, and avoid using acute medications more than 10 days per month. Often patients will have already taken an NSAID and a triptan before they get to the ED, and that's where we get into the treatment of refractory migraine. Now this is most of the patients that I will see, and before we push medications, let's briefly review ED treatment goals. You either want the patient headache free. Back to their baseline or mild descending pain. So a pain score of one to three. If you don't reach one of those endpoints and it's not agreed upon with the patient and their family, you've not completed treatments. You should do a reassessment within one hour after each intervention. And let's face it, if you're not reassessing within an hour and defining treatment goals, you're not practicing protocolized migraine care. So in the emergency department, many of you may be familiar with the migraine cocktail. So what is that? In general, it's a dopaminergic agent such as prochlorperazine or metoclopramide plus ketorolac, plus IV fluids. Let's take a look at all three of those components and see if you can guess which one is actually the one that can abort the migraine. So fluids are commonly given in pediatric migraine, but they alone do not treat it. They're helpful. Many patients have been throwing up or a bit dehydrated, but there are small randomized trials that show essentially no meaningful pain reduction in patients that get IV fluids alone. Well, what about ketorolac? Toradol, like that's the first thing you give to a kid with a kidney stone, right? It does help, but it's really adjunctive. So the main first-line agents for refractory or status migrainosus in the emergency department are the dopamine antagonists, and the first-line treatment for most patients is prochlorperazine or Compazine. The dose is 0.15 milligram per kilogram IV. The max is 10 milligrams. This is the backbone of ED migraine care. And why do they work? Well, migraines aren't just some random vascular headache. This is an inherited disorder with central pain pathways gone awry. Dopamine plays a large role in that pain, nausea, hypersensitivity, amplification of symptoms and more that, frankly, I won't get into this podcast because molecules hurt my head. The dopamine antagonists treat the headache, they reduce the nausea, and they just tamp down this process. Overall, the response rates approach 85%. Some studies have suggested that the response rate is about 77% at an hour and 90% at three hours. If you add the ketorolac and IV fluids, you get your response rate up to about 93 to 94%. These agents really do work well together. There have been randomized trials comparing IV prochlorperazine versus ketorolac. 85% of prochlorperazine patients achieved headache relief versus only 55% of ketorolac patients. So ketorolac helps, but really it's the prochlorperazine. Metoclopramide, or Reglan, is used in a lot of centers as well. There are some smaller studies in children and adolescents that show that prochlorperazine is more effective, but if kids have an adverse reaction, more on that in a moment, or they prefer metoclopramide because they've responded to it in the past, it's okay to go with it as well. Right. So what does it actually look like when you give the migraine cocktail to a patient? I think it's important to explain to patients and families what to expect, and if this is a teenager, I'm talking to them directly. I mean, they're getting the medication first and foremost. I tell them that the most effective way to treat their headache is with an IV. This often causes lots of angst, even in older teenagers. The medication just does not get to the brain as effectively and fast enough if you take it by mouth. Many patients who get the dopaminergic agents, so prochlorperazine, will invariably feel jittery or anxious or like they gotta move or like they got ants in their pants. I tell them to expect this so they're not surprised and worried when it happens. I tell them that once they start feeling that way, it means the medicine is probably working. They need to hit the nurse button and we're gonna get them up and have them take a walk. This fixes it for the majority of patients just getting up and moving. In adult centers, even with the initial administration of the prochlorperazine or as sort of a reflexive response to any of those symptoms, they just give a slug of IV Benadryl. There's some studies in adolescents especially that this may decrease the effectiveness of the IV agents you're giving in the first place, and it may also increase return rates to the ED. So I will use IV diphenhydramine if getting up and moving around isn't working, or if the distress is significant, or if the patient clearly indicates they've needed it in the past. So if after the migraine cocktail, the patient has met their pain goals and the reassessment is favorable, they can go home to outpatient follow-up. How about if the headache got better, but not all the way? It's usually when the initial migraine cocktail didn't achieve the pain endpoints fully, like it helped partially. If the dopamine blockade didn't do anything, valproate is unlikely to rescue the case. And so valproate works on GABA and it stabilizes some of these pain processes, but the dopaminergic agent needs to have done something first for valproate to work. Per the most common protocol, you give an initial dose of IV valproate, then you discharge the patient home on Depakote ER. So oral valproic acid under 10 years old or under 50 kilograms, 250 milligrams PO twice a day for two weeks, or older than 10 or greater than 50 kilos, 500 milligrams twice a day for two weeks. This is the extended release and it's most helpful if you give the first oral dose in the emergency department. So that's why it's very important to build this protocol in advance. If you don't have IV valproate, then don't just give the patient oral valproate, and definitely don't prescribe an oral course for discharge. All right, well, what about DHE? Dihydroergotamine for refractory or status migrainosus? Generally, this is only given at pediatric centers where you have neurology coverage. It's contraindicated if you've had another dose of DHE within 14 days, or you've had any triptan of any sort within 24 hours, and you must obtain a pregnancy test in adolescent females before giving it. The dosing for less than 30 kilograms is 0.5 milligram. At least 30 kilograms is one milligram. You give 50% of the dose over three minutes, then the remaining 50% over 30 minutes. If this is gonna work, the patients are gonna start feeling wretched at first. They're gonna get very nauseous and they're gonna vomit. They're gonna have flushing, and you'll see transient hypertension. Most of that resolves within the hour in most centers. If you're committing to DHE, you're kind of bringing the patient into the hospital anyway, though some facilities will have DHE done in the emergency department with close outpatient follow-up. Either way, it's really best practice to involve child neurology if you're giving DHE. Alright, well what about steroids? They give those in grownups too, right? Steroids really only have a role for recurrence prevention in children. So for kids that have a history of returning within 72 hours for rebound headache, you can give dexamethasone 0.6 milligram per kilogram IV dose, the max of 10 milligrams. You do not discharge them home on a steroid prescription or a Medrol dose pack or something else, and this can cut the recurrence risk down a bit. There's other therapies out there like magnesium and ketamine. There's just not enough evidence there. And the purpose of this episode is to discuss the therapies that have good evidence behind them and should be part of protocols across the country. Some patients are unfortunately not responsive to emergency department therapy and need admission. The main inpatient therapy is the DHE protocol. If they're not DHE eligible, they haven't tolerated it well or it's unavailable, admission's unlikely to help them unless they just need some IV fluids to help them get back up on their feet. You should consult neurology if the headache goals are not met after maximizing ED therapy for advice. And we should definitely avoid opioids. They don't treat patients with migraines. They increase recurrence risk. They increase revisit rates. Again, the dopamine antagonist prochlorperazine, it's superior for sustained relief when families ask about them, and fortunately they're asking about opioids far less. We use medications that treat the migraine pain pathways and signaling. We don't just wanna mask the pain. All right, so that's all I've got on the acute management of migraine headaches, especially in the emergency department. Remember that migraine care in the ED should be protocolized and evidence-based. IV fluids are supportive. Prochlorperazine is the first line, or you can use metoclopramide as well. Ketorolac is an adjunctive therapy. Valproate is next line. If you've gotta escalate, and DHE is specialized therapy, you can start in the ED, but most of these patients are getting admitted. Dexamethasone or steroids in children can reduce recurrence risk, but they're not really part of the acute management. You should definitely define the endpoints and structurally and systematically reassess patients at an hour. The goal is to get them feeling better to a defined endpoint and to restore function. There is evidence-based pediatric emergency migraine care. You should understand that, plus how to explain why these agents are being given and some of the side effects to patients and families. I find that that approach increases your likelihood of buy-in and success. Alright, so that's it for this episode on the Acute Management of Migraine Headaches in Children and Adolescents. I hope you found it helpful and I can pretty much guarantee that you're gonna see a patient with a migraine on your next shift. If you've got any feedback or comments, send them my way. If you like this episode, leave a review on your favorite podcast site. It helps more people find the show. Or recommend it to a colleague. If there's other topics that you'd like to hear, send them my way for the Pediatric Emergency Medicine podcast. This has been Brad Sobolewski. See you next time.    

This podcast explores the science, policy, and clinical reasoning behind updated pediatric immunization schedules. This CE episode reviews current 2026 American Academy of Pediatrics and US Department of Health and Human Services pediatric immunization recommendations, examines the data supporting vaccine timing, and compares U.S. practices with international approaches. Through a patient-centered lens, the discussion highlights how shared decision-making can be applied in real-world pediatric care. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Humans live in a world of ideas—born in the brain, shared through language, accumulated in culture across generations, and made reality. Professor Alysson Muotri, UC San Diego Departments of Pediatrics and Cellular and Molecular Medicine, examines how human brain evolution reflects the interplay between genetic innovation and environmental pressures, focusing on Neuro-oncological ventral antigen 1 (NOVA1), an evolutionarily conserved splicing regulator essential for neural development with a protein-coding substitution unique to modern humans compared with Neanderthals and Denisovans. By reintroducing the archaic NOVA1 allele into human induced pluripotent stem cells and studying cortical organoids, the work finds accelerated maturation, increased surface complexity, altered synaptic marker expression, and changes in electrophysiological properties. Muotri also analyzes long-term lead exposure using fossilized teeth from multiple hominid species spanning over two million years, revealing pervasive exposure across extinct and extant hominids. Lead exposure selectively disrupted FOXP2 expression in cortical and thalamic organoids carrying the archaic NOVA1 variant, and findings were independently validated in NOVA1 humanized mouse models with altered vocalization. Together, these results suggest gene–environment interactions may have influenced neural circuit development, social behavior, and complex language capacity. Series: "CARTA - Center for Academic Research and Training in Anthropogeny" [Science] [Show ID: 41297]

Is your child struggling with constipation, rashes, recurring infections, anxiety, meltdowns, or behavioral changes that don’t feel “normal”? In this episode of The Health Revival Show, Liz and Becca sit down with pediatric functional practitioner Andrea Jones to unpack the gut-brain-immune connection in children. We discuss: - PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Strep) - The link between gut inflammation and behavior - Chronic ear infections, reflux, eczema, and constipation as “soft signs” - Why MiraLAX doesn’t solve the root cause - Nervous system dysregulation in kids - How parents can support their child without burning out If you’ve been told “it’s just a phase” but your gut says otherwise — this episode is for you. Connect with Andrea: Instagram *** Want to break through your weight loss resistance? Join our new Metabolic Reset Accelerator Program *** CONNECT:

Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of ⁠⁠⁠⁠⁠Neurofibromatosis⁠⁠⁠⁠ ⁠from the Pediatrics section.⁠Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Orthobullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on Social Media:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠YouTube

First, meet Dr. Steiner, Chair of Pediatrics at the University of Oklahoma College of Medicine. Oklahoma Children's OU Health is the new sponsor of the Kids Marathon and we are so glad Dr. Steiner is here to chat with us about Children's health and wellbeing! Then, meet Mark Bravo! Mark has been an integral part of the OKC running community for decades. If you've run a race in Oklahoma, chances are you've heard him announcing one before! Mark works with OK Runner and helps announce at our Health and Fitness expo. Finally, hear from Jackie Levi, co-founder and Chief Strategy Officer at Haku, our registration company! We love our partners at Haku. Thinking about registering for a race? Sign up now and beat the price increase on March 4!

Send a textIf you've been sick for months or years with no clear answers, this episode is for you.Dr. Eric Potter of Sanctuary Functional Medicine joins Michael Rubino to discuss how mold exposure impacts the immune system, brain function, hormones, fertility, and long-term health.While conventional medicine often focuses on respiratory symptoms, mold illness can present as multi-system dysfunction: brain fog, chronic fatigue, food sensitivities, depression, strange medication reactions, recurrent infections, infertility, and autoimmune issues.Dr. Potter explains:• Why mold is missed in traditional medicine• How mold suppresses immune function• Why detox takes time• Why you cannot fully heal while still in exposure• How mold affects fertility and hormone balance• The connection between mold and longevity-----------------------------------------------------------------------------------------------About Dr. PotterDr. Eric Potter graduated from Vanderbilt University School of Medicine before completing dual training in Internal Medicine and Pediatrics. Over the years, he has cared for patients of all ages and backgrounds, continually expanding his medical knowledge and clinical skills. He later dedicated hundreds of hours to earn his Institute for Functional Medicine (IFM) Certification, placing him among a select group of practitioners in the region who have completed the full program. At Sanctuary, he combines the best of conventional medicine with the best of functional medicine to deliver truly comprehensive care.Beyond his extensive training, Dr. Potter has personally experienced the challenges of today's healthcare system—both as a physician and as a family member supporting loved ones through illness. These experiences fueled his desire to create a better model of care. By stepping outside the insurance-driven system, he is able to offer longer visits, whole-person care, and unbiased recommendations with wholesale pricing on labs and supplements. Practicing functional medicine enables him to uncover root causes rather than simply manage symptoms, serving as a trusted advocate for patients seeking a healthier, more abundant life.Outside the clinic, Dr. Potter is married and a father of six, with a family story shaped by God's providence, including the blessing of adoption. He enjoys running, reading, hiking, and spending quality time with his family.

Send a textBen and Daphna conclude Journal Club with a quality improvement study from Pediatrics titled "Improving Health-Related Social Needs Screening and Support Across a Pediatric Health Care System". The hosts discuss the successful implementation of universal social determinants of health (SDOH) screening across nine pediatric divisions at Levine Children's. They highlight the impressive results—screening compliance reaching 92%—and the practical impact of connecting families to resources like FindHelp.org, which led to a 56% resolution rate in food insecurity for positive screens. Daphna makes a personal commitment to improve resource accessibility in her own unit.----Improving Health-Related Social Needs Screening and Support Across a Pediatric Health Care System. Laroia R, Minor W, Carr A, Buitrago Mogollon T, White BB, Mabus S, Stilwell L, Ahmed A, Mehta S, Obita T, Reed S, Senturias Y, Mittal S, Horstmann S, Demmer L, Dantuluri K, Chadha A, Noonan L, Courtlandt C.Pediatrics. 2026 Feb 5:e2024070035. doi: 10.1542/peds.2024-070035. Online ahead of print.PMID: 41638605Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send a textBen and Daphna review a randomized controlled trial published in The Journal of Pediatrics by Dr. Ariel Salas and colleagues at UAB. The study investigates whether early high-dose vitamin D supplementation (800 IU/day starting day 1) in extremely preterm infants reduces the incidence of Bronchopulmonary Dysplasia (BPD) compared to standard care (starting day 14). The hosts discuss the physiologic rationale linking vitamin D to lung development, the use of impulse oscillometry to measure lung mechanics, and the secondary findings regarding metabolic bone disease. They explore why the "physiologic rationale" doesn't always translate to clinical significance.----Early Vitamin D Supplementation in Infants Born Extremely Preterm and Fed Human Milk: A Randomized Controlled Trial. Salas AA, Argent T, Jeffcoat S, Tucker M, Ashraf AP, Travers CP.J Pediatr. 2025 Dec;287:114754. doi: 10.1016/j.jpeds.2025.114754. Epub 2025 Jul 24.PMID: 40714046 Clinical Trial.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send a textIn this episode of Journal Club, Ben and Daphna review a retrospective cohort study from Pediatrics examining antibiotic duration for uncomplicated Gram-negative bloodstream infections in the NICU. The study, a collaboration between Nationwide Children's Hospital and UT Health San Antonio, compares outcomes between short course (≤8 days) and long course (≥9 days) therapy. The hosts discuss the startling finding that while recurrence rates were similar, the long-duration group had a 14% rate of developing multi-drug resistant (MDR) infections within 90 days, compared to 0% in the short-duration group.----Duration of Antibiotic Therapy for Gram-Negative Bloodstream Infections in the Neonatal Intensive Care Unit. Djordjevich CJ, Magers J, Cantey JB, Prusakov P, Sánchez PJ.J Pediatr. 2026 Jan 17:114993. doi: 10.1016/j.jpeds.2026.114993. Online ahead of print.PMID: 41554433 Free article.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

In this episode, Patrick Brady, MD, MSc, FAAP, editor-in-chief for Hospital Pediatrics, offers a rundown of the February issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Justin Long, MD, FAAP, about critical elements for the pediatric periprocedural anesthesia environment. For resources go to aap.org/podcast.

A school administrator and massage therapist wants guidance on how to respond to a student who is reluctant to work with clinic clients who report a history of herpes. Is this a significant risk for massage therapists? The reality is that anyone with a history of herpes simplex can shed the virus intermittently, even without visible symptoms. However, the risk to massage therapists who follow proper hygiene and self-care protocols is extremely low. In that sense, herpes falls into the same category as other infections that may be transmitted through direct contact but are effectively managed with consistent hygienic practices. The key issue is not the client's infection status; it is the therapist's adherence to appropriate hygiene protocols. Resources: Ang, J.Y. et al. (2012) "A Randomized Placebo-Controlled Trial of Massage Therapy on the Immune System of Preterm Infants," Pediatrics, 130(6), pp. e1549–e1558. Available at: https://doi.org/10.1542/peds.2012-0196.  Contributors, W.E. (no date) Genital Herpes Treatment Options, WebMD. Available at: https://www.webmd.com/genital-herpes/genital-herpes-treatment-options (Accessed: March 7, 2025). Globally, an estimated two-thirds of the population under 50 are infected with herpes simplex virus type 1 (no date). Available at: https://www.who.int/news/item/28-10-2015-globally-an-estimated-two-thirds-of-the-population-under-50-are-infected-with-herpes-simplex-virus-type-1 (Accessed: March 6, 2025). Herpes simplex Information | Mount Sinai - New York (no date) Mount Sinai Health System. Available at: https://www.mountsinai.org/health-library/report/herpes-simplex (Accessed: March 6, 2025). Herpes simplex virus (no date). Available at: https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus (Accessed: March 6, 2025). How many people have herpes? Myths, facts, and statistics (2020). Available at: https://www.medicalnewstoday.com/articles/how-many-people-have-herpes (Accessed: March 6, 2025). Kaneko, H. et al. (2008) "Evaluation of mixed infection cases with both herpes simplex virus types 1 and 2," Journal of Medical Virology, 80(5), pp. 883–887. Available at: https://doi.org/10.1002/jmv.21154. Line is blurring between human herpes simplex viruses (no date) UW Medicine | Newsroom. Available at: https://newsroom.uw.edu/news-releases/line-blurs-between-human-herpes-simplex-viruses (Accessed: March 6, 2025). Products - Data Briefs - Number 304 - February 2018 (2019). Available at: https://www.cdc.gov/nchs/products/databriefs/db304.htm (Accessed: March 6, 2025). Ramchandani, M. et al. (2016) "Herpes Simplex Virus Type 1 Shedding in Tears, and Nasal and Oral Mucosa of Healthy Adults," Sexually transmitted diseases, 43(12), pp. 756–760. Available at: https://doi.org/10.1097/OLQ.0000000000000522. Rapaport, M.H., Schettler, P. and Bresee, C. (2012) "A Preliminary Study of the Effects of Repeated Massage on Hypothalamic–Pituitary–Adrenal and Immune Function in Healthy Individuals: A Study of Mechanisms of Action and Dosage," Journal of Alternative and Complementary Medicine, 18(8), pp. 789–797. Available at: https://doi.org/10.1089/acm.2011.0071. Usatine, R.P. and Tinitigan, R. (2010) "Nongenital Herpes Simplex Virus," American Family Physician, 82(9), pp. 1075–1082. (2025) "Herpes Simplex Treatment & Management: Approach Considerations, Medical Care, Consultations." Available at: https://emedicine.medscape.com/article/218580-treatment (Accessed: March 7, 2025). Host Bio:                Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.    Sponsors: Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.                      Website: anatomytrains.com                    Email: info@anatomytrains.com           Facebook: facebook.com/AnatomyTrains                    Instagram: www.instagram.com/anatomytrainsofficial YouTube: https://www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA    Precision Neuromuscular Therapy seminars (www.pnmt.org) have been teaching high-quality seminars for more than 20 years. Doug Nelson and the PNMT teaching staff help you to practice with the confidence and creativity that comes from deep understanding, rather than the adherence to one treatment approach or technique. Find our seminar schedule at pnmt.org/seminar-schedule with over 60 weekends of seminars across the country. Or meet us online in the PNMT Portal, our online gateway with access to over 500 videos, 37 NCBTMB CEs, our Discovery Series webinars, one-on-one mentoring, and much, much more! All for the low yearly cost of $167.50. Learn more at pnmt.thinkific.com/courses/pnmtportal!  Follow us on social media: @precisionnmt on Instagram or at Precision Neuromuscular Therapy Seminars on Facebook.   Upledger CranioSacral Therapy addresses deep restrictions, supports neurological and fascial systems, and enhances whole-body function—by working with the body's natural healing processes.    For over forty years, Upledger Institute International has led the field of CranioSacral Therapy—setting the global standard for education and clinical application. With trained therapists in more than 120 countries, CST continues to evolve through ongoing clinical experience and alignment with current scientific understanding.    CST integrates seamlessly into any manual therapy practice and supports common to complex and chronic conditions—orthopedic, neurological, pediatric, geriatric, and beyond.    Learn from our International Teaching Team—experienced clinicians who help you develop your skills, expand your clinical reasoning, and achieve greater clinical outcomes.    Begin your training for as little as one hundred dollars a month.    Find a class near you at upledger.com/courses or call 800-233-5880, extension 2—and begin your CranioSacral Therapy journey with the leaders who continue to shape the profession.  Website: upledger.com/courses   Email: upledger@upledger.com   Phone: 800-233-5880 Ext 2   Facebook: https://www.facebook.com/upledger.institute   Instagram: https://www.instagram.com/upledger_institute_intl/   YouTube: https://www.youtube.com/channel/UCSIFELbP6Jsp55cb9puZigQ     Somatic Mindfulness helps massage therapists prevent physical and emotional burnout by integrating somatic principles into bodywork. Created by Fernando Rojas, LMT, PhD, Massage Hall of Famer, Master Somatic Therapist, Educator, and author of Embodied Presence & Attuned Touch, it teaches self-care as a professional skill so that the therapist's own wellbeing becomes the method for creating the conditions for healing and clarity of purpose. Through continuing education workshops, somatic touch training, and mindful self-study, Fernando helps therapists work sustainably, communicate clearly, and rediscover meaning in their practice. https://somaticmindfulness.co/ https://www.facebook.com/somatic.mindfulness https://www.instagram.com/somatic.mindfulness/  

In this Q&A episode of our neonatal opioid withdrawal syndrome (NOWS) series, we address challenging and nuanced clinical questions surrounding withdrawal, toxicology testing, and newborn exposures. Our host, Paul Wirkus, MD, FAAP, and guest Camille Fung, MD, review the early signs of withdrawal and discuss the process of obtaining consent for neonatal toxicology screening, clarifying when testing is considered diagnostic and how results may have reporting implications.We also explore common clinical scenarios, including the impact of maternal fentanyl administered via epidural on newborn toxicology results, and how in utero SSRI exposure may present with symptoms such as apnea, posturing, or seizure-like activity. The conversation further examines the effects of prenatal THC exposure, addressing common misconceptions, potential neonatal impacts, and the persistence of THC in breastmilk.Throughout the discussion, the emphasis remains on careful clinical assessment, clear communication with families, and a nonjudgmental, evidence-based approach to care.Have a question? Email questions@vcurb.com.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This week, Gabby talks with Dr. Taz — traditionally trained physician, integrative medicine expert, and founder of Whole Plus — about what it really means to practice medicine in today's world.They begin with the new U.S. health guidelines and unpack why Dr. Taz considers them a “win” — particularly the shift toward whole foods, protein, healthy fats, fiber, and the callout of ultra-processed foods. But the conversation quickly goes deeper.They discuss why food pairing and portion size matter more than food labels, how blood sugar and inflammation are driving modern disease, and why simple carbohydrates may be at the center of the chronic illness epidemic.From there, the episode moves into something bigger: shared decision-making in medicine. Dr. Taz explains why individualized care — especially in pediatrics — requires nuance, context, and trust between families and physicians. She shares her own journey through personal health struggles, how that experience reshaped her medical philosophy, and why healing requires more than just prescriptions and protocols.Gabby and Dr. Taz also explore:Micro habits that lower cortisol and improve metabolic healthThe impact of blue light and screens on inflammationWhy 10-minute practices can shift your nervous systemThe difference between “data-driven” health and intuitive healthGender differences in how men and women approach wellnessThe importance of family systems in long-term healingWhy medicine must move from authority to partnershipAt its core, this conversation isn't about trends or controversy. It's about reconnecting science with spirit — and empowering families to think critically, ask better questions, and practice health in ways that actually work for their lives.Chapters00:00 – Why evidence-based holistic medicine matters05:00 – The new U.S. health guidelines: what changed10:00 – Simple carbs, insulin resistance, and inflammation15:00 – Full-fat foods, meat, and food pairing nuance22:00 – Why personalization beats rigid rules30:00 – Gender differences in health blind spots40:00 – Micro habits: 10-minute practices that shift cortisol50:00 – Personalized medicine and micro-dosing prescriptions58:00 – Pediatric care, shared decision-making, and gut health1:08:00 – Trust in medicine and rebuilding relationships1:18:00 – Medicine as a calling, not a business1:24:00 – What keeps Dr. Taz groundedKey Takeaways• Pairing and portions matter more than labels.• Inflammation and blood sugar instability drive most chronic disease.• Micro habits can regulate cortisol without overwhelming change.• Health is contextual — environment, stress, and family systems all matter.• Personalized medicine isn't alternative — it's responsible.• Shared decision-making builds trust between doctors and families.• Nervous system regulation may be the foundation of long-term healing.ConnectDr. TazInstagram: @drtazmdWhole Plus: https://holplus.coGabby ReeceInstagram: @gabbyreeceYouTube: The Gabby Reece ShowProduced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, Drs. Jason Silverman and Jennifer Lee talk to Dr. Paul Wales all about the surgical management of short bowel syndrome, including decision-making based on initial presentation and important considerations for any autologous reconstruction procedure.Learning objectivesTo define intestinal failure, short bowel syndrome and ultrashort bowel syndrome as well as surgical subtypes of short bowel syndromeTo review surgical considerations in the staged management of short bowel syndromeTo discuss surgical approaches to autologous bowel reconstruction including their potential advantages and disadvantages LinksPapers mentioned:Surgical therapy for short bowel syndrome (review with images)Establishing norms for intestinal length in childrenPredicting Intestinal Adaptation in Pediatric Intestinal FailureAdvantages of the distal sigmoid colostomyDelayed primary STEP procedurePrevious episodes mentioned:Sue Protheroe - Enteral Nutrition in Intestinal FailureDanielle Wendel - Central Line Management in Intestinal Failure (Special JPGN Episode)Ruben Quiros-Tejeira - Multivisceral TransplantationSupport 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.