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Avec Josianne Delorme et Joëlle Longpré, nutritionnistes au CHU Sainte-Justine, nous allons:définir les éléments de base à connaître sur la nutrition entérale;différencier les types de solutions entérales et leur mode d'utilisation, tout en identifiant les détails à tenir compte lors des ruptures d'approvisionnement;résumer les principes généraux à tenir compte pour l'administration des médicaments lors d'une alimentation entérale concomitante.*Références:Groupe de travail Québécois sur les soins complexes à domicile pour les enfants, & Patel, H. et al. (2021). Nutrition entérale. Soins complexes à domicile pour enfants.CHU Sainte-Justine. (2025, mars). Alimentation entérale.Abbott Nutrition. (2023). Guide des produits nutritionnels pour enfants [PDF]. https://nutrition.abbott/ca/frAbbott Nutrition. (2024). Outils sur les produits pour enfants. https://nutrition.abbott/ca/fr/ressources/nutrition-enfantsNestlé Health Science. (2025). Notions de base. https://www.nestlehealthscience.us/mytubefeeding/tube-feeding-education Cardinal Health Canada. (2025). Système de connexion ENFit. [site web] https://www.cardinalhealth.ca/fr/alimentation-enterale/enfit/ White, R., & Bradnam, V. (2015). Handbook of drug administration via enteral feeding tubes (3e éd.). London, UK: Pharmaceutical Press.Joncas, M. (2000). L'administration des médicaments par les sondes d'alimentation entérale : problème ou défi? Pharmactuel, 33(6).ISMP Canada. (2013). Certains médicaments liquides peuvent ne pas convenir à l'administration par sonde entérale. https://ismpcanada.ca/wp-content/uploads/BISMPC2013-05_CertainsMedicamentsLiquides.pdf*Addendum 28/06/2025: Les suspensions avec granules n'ont pas été mentionnées explicitement (ex. clarithromycine, ciprofloxacine, lansoprazole), mais celles-ci font partie des quelques exceptions où il faut porter une attention particulière à la forme liquide, car cela peut mener à une obstruction du tube.Les invité(e)s et l'animatrice ne déclarent aucun conflit d'intérêt. Captation et montage: Philippe Lacroix, spécialiste en audiovisuelIdée originale, réalisation et animation: Émilie Roy-St-PierreConseillères en communication: Katrine Louis-Seize et Pascale ChatagnierLogo: Équipe des communications et du graphisme du CHU Sainte-JustineMusique: Samuel Ross Collègues, ami(e)s et famille, merci pour votre précieux soutien. © mgparkilo 2025 Merci pour l'écoute! Allez mettre une réaction sur vos épisodes préférés, partagez la bonne nouvelle sur Facebook/Instagram et abonnez-vous pour ne rien manquer
This week we speak with congenital heart surgeon T. Konrad Rajab of Arkansas Children's Hospital about a recent report he co-authored on piglet experiments on partial heart transplantation. How did transplanted heart valves grow in comparison to standard homografts and how did the valvular function differ with time? Is there a minimum dose of immunosuppresion that can protect these valves and can this dose be lower than full heart transplantation immunosuppresion therapy? Is partial heart transplantation considered a potential life-long approach to valve replacement or mostly something used to allow for growth of valves during childhood? What do we know about the world's limited experience in humans of this approach? Dr. Rajab shares the answers this week in an exciting 'sci-fi' episode. The future is now.https://doi.org/10.1016/j.jacbts.2024.10.015
Original Air Date: 06-28-24Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: hematuria (blood in urine), proteinuria (protein in urine), and carpel tunnelEmail the show: remedy@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
On June 18, Tradeoffs moderated an online event with economists and doctors examining why this legislation could cost so many people their health coverage — or even their lives.Guests:Eric Roberts, Associate Professor, Department of General Internal Medicine, Perelman School of MedicineAditi Vasan, Assistant Professor, Department of Pediatrics, Perelman School of MedicineRachel Werner, Executive Director, Leonard Davis Institute of Health Economics, University of PennsylvaniaLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.
New studies show cannabis use is rising among older adults. Clinicians have been able to provide medical marijuana to eligible patients since 2016. But the legalization of cannabis in 2021 means increasing numbers of people are using it for a variety of symptoms and conditions including pain, anxiety, cancer symptoms and seizures. Guest host Racquel Stephen talks with local clinicians and a patient about this trend and about what patients should consider when requesting and using cannabis. Our guests: Leonid Vilensky, M.D., medical director of Upstate Pain Clinic Al Bain, patient who uses cannabis Paul Vermilion, M.D., assistant professor of palliative care in the Departments of Medicine, Pediatrics, and Neurology at the University of Rochester Medical Center Take our audience survey to help us learn more about you, and make a better show for you.
In this powerful episode of Pushing the Limits, Lisa Tamati sits down with integrative gut health expert Dr. Kathleen Janel (a.k.a. GI Janel) to explore the hidden root causes of IBS, SIBO, and chronic digestive dysfunction and the groundbreaking use of high-dose MSM as part of a holistic gut repair strategy. Dr. Janel shares her personal healing journey from debilitating gut issues to full recovery and how this inspired her mission to help others with complex gastrointestinal conditions. Together, they dive into how glyphosate exposure wreaks havoc on the gut microbiome, suppresses immunity, and fuels systemic inflammation and what you can do to detoxify and heal. You'll learn: The overlooked role of glyphosate toxicity in gut disorders Why many SIBO protocols fail and what to do instead How MSM (methylsulfonylmethane) helps rebuild the intestinal lining and reduce inflammation The science behind low sIgA, leaky gut, and microbiome collapse Natural protocols combining MSM with binders, glutathione, and sulforaphane How to personalise a gut-healing plan without destroying your microbiome This is a must-listen episode for anyone suffering from IBS, bloating, food intolerances, or looking to reverse gut-driven autoimmunity. Connect with Dr. Kathleen Website: GI Janel Instagram: @gijanelwellness Dr Kathleen's Bio: Dr Kathleen Janel has been practicing medicine for over 25 years. She is a graduate of Bastyr Medical School and has a degree in Biochemistry from the University of British Columbia. In New England, she completed residency and associate positions in Pediatrics and Primary Care. Over the past decades, Dr Janel has developed and refined a unique treatment approach for digestive disorders. She has used this therapy for patients around the country and around the world, to help eliminate symptoms of abdominal pain, diarrhea, constipation, and the gas and bloating of IBS and SIBO. She firmly avoids using antibiotics as a treatment for digestive issues with remarkable results. Her work was published and release in the book entitled, “GI Janel, Permanent IBS/SIBO Resolution”. In it she guides the reader through her unique steps for successful digestive recovery.
Last month, scientists reported a historic first: they gave the first personalized gene-editing treatment to a baby who was born with a rare life-threatening genetic disorder. Before the treatment, his prognosis was grim. But after three doses, the baby's health improved. So how does it work? What are the risks? And what could this breakthrough mean for the 30 million people in the US who have a rare genetic disease with no available treatments?To help get some answers, Host Flora Lichtman is joined by the physician-scientists who led this research: geneticist Dr. Kiran Musunuru and pediatrician Dr. Rebecca Ahrens-Nicklas.Guests: Dr. Rebecca Ahrens-Nicklas is an assistant professor of pediatrics and genetics at the Children's Hospital of Philadelphia and the University of Pennsylvania.Dr. Kiran Musunuru is a professor of translational research at the University of Pennsylvania.Transcripts for each episode are available within 1-3 days at sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.
A debate on the mind, soul, consciousness, and the afterlife. Michael Egnor, MD, is Professor of Neurosurgery and Pediatrics at the Renaissance School of Medicine at Stony Brook University. He received his medical degree from the College of Physicians and Surgeons at Columbia University and trained in neurosurgery at the University of Miami. He has been on faculty at Stony Brook since 1991. He is the neurosurgery residency director and has served as the director of pediatric neurosurgery and as vice-chairman of neurosurgery at Stony Brook Medicine. He has a strong interest in Thomistic philosophy, philosophy of mind, neuroscience, evolution and intelligent design, and bioethics and has published and lectured extensively on these topics. His new book is The Immortal Mind: A Neurosurgeon's Case for the Existence of the Soul. Christof Koch is a neuroscientist at the Allen Institute and at the Tiny Blue Dot Foundation, the former president of the Allen Institute for Brain Science, and a former professor at the California Institute of Technology. Author of four previous titles—The Feeling of Life Itself: Why Consciousness Is Widespread but Can't Be Computed, Consciousness: Confessions of a Romantic Reductionist, and The Quest for Consciousness: A Neurobiological Approach—Koch writes regularly for a range of media, including Scientific American. His latest book is Then I Am Myself the World.
Dariush Mozaffarian is the director of the Food is Medicine Institute at the Friedman School of Nutrition Science and Policy at Tufts University and a professor of medicine at Tufts University School of Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. D. Mozaffarian. Regulatory Policy to Address Ultraprocessed Foods. N Engl J Med 2025;392:2393-2396.
Navigating A Stellar Career in Pediatric Dermatology: Dr. Ilona FriedenIn this episode of The Girl Doc Survival Guide, Dr. Ilona Frieden, a distinguished leader in pediatric dermatology, shares her journey and insights. Dr. Frieden discusses her personal background, the challenges she faced growing up in California, and her unexpected path into medicine. She underscores the importance of balancing career aspirations with personal well-being and family, talking about her own experiences with social activism, feminism, and motherhood. Dr. Frieden also highlights the significance of finding meaning and community in one's work, her pragmatic approach to problem-solving, and the vital role of humility and collaboration in medical practice. This episode offers valuable lessons on work-life balance, career development, and the evolving nature of professional fulfillment.00:00 Introduction and Guest Background01:27 Personal Anecdotes and Early Life03:13 Career Journey and Achievements05:13 Work-Life Balance and Parenting09:55 Mentorship and Professional Insights16:37 Reflections on Medicine and Legacy23:28 Final Thoughts and Gratitude
Some topics in pediatrics are flashy — like seizures, mystery rashes and fevers. While those often make headlines, others, like pediatric nephrology, are a routine but critical part of daily practice. Understanding these bread-and-butter issues is essential to diagnosing so many patients. Protein in the urine, blood pressure creeping up or a UTI that is more than ‘just a UTI' are often signs that something may be wrong with the kidneys. In this episode, we examine those practical essentials and learn how PCPs can feel confident in managing these diagnoses. This episode was recorded on the exhibit floor of the 2025 Pediatric Academic Societies Conference in Honolulu, Hawaii. Joining us for this episode are Bradley Warady, MD, and Nathan Bines, MD, both from Children's Mercy Kansas City and the University of Missouri-Kansas City School of Medicine. Dr. Warady is the Director of the Division of Nephrology, a Professor of Pediatrics and the McLaughlin Family Endowed Chair in Nephrology. Dr. Beins is the Associate Program Director for the Pediatric Nephrology Fellowship Training Program, as well as a Clinical Associate Professor of Pediatrics. Some highlights from this episode include: Understanding the core kidney issues in general pediatrics How to identify these conditions early The difference between benign findings and red flags Tools for friendly language about topics that might be sensitive or embarrassing for a child For more information on Children's Colorado, visit: childrenscolorado.org.
Dr. Hoffman continues his conversation with Dr. Michelle Perro, a seasoned pediatrician and integrative medicine specialist, about her upcoming book, “Making Our Children Well: A Guidebook Empowering Parents with Nutrition and Homeopathy.”
Empowering Parents with Nutritional and Integrative Health Strategies for Children: Dr. Michelle Perro, a seasoned pediatrician and integrative medicine specialist. discusses her upcoming book, “Making Our Children Well: A Guidebook Empowering Parents with Nutrition and Homeopathy,” which aims to provide parents with practical health strategies. The conversation covers Dr. Perro's extensive experience in various medical fields, the harmful impacts of GMO foods and pesticides, and the benefits of integrative approaches like homeopathy. They delve into controversial topics such as vaccine safety and the need for nutrition education in medical schools, highlighting Robert F. Kennedy Jr.'s initiatives. Dr. Perro shares insights into the ongoing health crises affecting children, including chronic diseases, autism, and the toxic effects of certain medical practices and environmental factors.
This Week on The Virtual Curbside: Measles Q&A In this final episode of the measles series, host Paul Wirkus, MD, FAAP, is joined by experts Andy Pavia, MD, and TW Jones, MD, to answer listener questions. The conversation covers practical clinical concerns around measles, including diagnosis, outbreak response, and prevention strategies. The group also dives into broader vaccine topics—discussing the MMR vaccine, mRNA vaccines, and lessons learned from COVID-19. 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.
Navigating Pediatric Practice: Insights from Dr. Robert WiskindIn this episode of The Pediatric Lounge podcast, hosts welcome Dr. Robert Wiskind, a seasoned pediatrician with decades of experience in Georgia. Dr. Wiskind shares his journey from medical school at Emory to establishing Peachtree Park Pediatrics and navigating the complexities of independent pediatric practice. The discussion covers the evolution of his practice, from its unique exam room system to growing into a larger facility. Dr. Wiskind emphasizes the value of involving in organized medicine through roles like the Georgia Chapter of the American Academy of Pediatrics, and his contributions to creating the Children's Care Network, a clinically integrated network. Additionally, the episode touches on the challenges and future of independent pediatric practices, the benefits of clinical integration, and the importance of adapting to ongoing changes in medicine. The conversation also delves into balancing patient care with administrative duties, and the collaborative efforts required to sustain and improve pediatric healthcare standards.00:00 Introduction to The Pediatric Lounge00:36 Meet Dr. Robert Wiskiind01:23 Dr. Wiskiind's Journey in Pediatrics03:07 Peachtree Park Pediatrics: A Legacy04:25 The Evolution of the Practice05:12 Partnership Dynamics and Growth08:39 The Children's Care Network13:04 Challenges and Successes in Pediatric Care22:43 The Importance of Organized Medicine29:08 Balancing Parental Expectations and Medical Judgment31:52 Challenges of Setting Up a Collaborative Network32:48 Financial Strategies and Physician Involvement34:49 Future of Independent Practice38:32 Role and Structure of Pediatric Committees43:13 Complexities in Healthcare Policies and Payments48:41 High Costs of Advanced Medical Treatments54:13 Socioeconomic Disparities in Healthcare58:01 Personal Reflections on Career Choices01:00:12 Conclusion and Final ThoughtsSupport the show
In our continuing series on What You May Have Missed at ATS 2025, Sunil Kapoor, MD, Medical College of Georgia, and host Erika Moseson, MD, MA, of the Air Health Our Heath podcast, discuss their takeaways from the "Strategies to Reduce Pulmonary and Critical Care Practice Emissions" networking event at ATS 2025. This includes how practices can reduce their carbon footprint and how better climate change policies can help patient outcomes. Did you miss the ATS 2025 International Conference? Or were you unable to attend some key sessions? Go to conference.thoracic.org/program/conference-highlights/ to purchase your ATS Conference Highlight Package.Be sure to check out the Out of the Blue podcast from the American Journal of Respiratory and Critical Care Medicine, which takes you out of the pages of the Blue Journal and into the minds of the most brilliant researchers in the fields of respiratory, critical care, and sleep medicine. Tune in wherever you listen to podcasts!
Host: Dr. Susan Buttross, Professor of Pediatrics at the University of Mississippi Medical Center, and Abram NanneyGuest(s): Nita Norphlet-Thompson, and Dr. Jill DentTopic: You often hear that children are our future. That's not just a cliché statement but it is the truth! But do we really understand that statement and the importance of it? Today I am at the Mississippi Early Child Education conference with over 1200 educators across our state at their statewide Convention. We'll be talking with Dr. Jill Dent, Executive Director, Office of Early Childhood at MS Department of Education and Nita Norphlet-Thompson, Executive Director at Mississippi Head Start Association about how they are helping to lead the development and education of our state's future!You can join the conversation by sending an email to: family@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
Moms and moms-to-be need all the support they can get. One of those sources of support is housed in the TTUHSC School of Medicine Department of Pediatrics in Amarillo. The Infant Risk Center is a call center used by physicians, nurse, lactation consultants and mothers worldwide. Our guest for this episode is director of the Infant Risk Center of Excellence, Kaytlin Krutsch, Ph.D., Pharm.D. Dr. Krutsch tells us all about the IRC and the information they provide. Dr. Krutsch goes on to explain how substances transfer to breast milk, the most common concerns and questions the IRC addresses, how we can support the IRC and moms, and in a world full of artificial intelligence, assures us that when someone calls the center, they're speaking to an actual health care provider.
Event Objectives:To provide a historical perspective for how Connecticut Children's has influenced pediatric health care in our region.To better understand the trajectory of the Department of Pediatrics within the framework of Connecticut Children's and the University of Connecticut School of Medicine.To summarize key advancements in pediatric research, education and clinical care, over the past 12 years.Claim CME Credit Here!
This final episode of the Harvard Macy Institute podcast features Liz Armstrong, founding director of the Harvard Macy Institute. Liz is inspiration, mentor and friend to many in the HMI community and beyond. Dr. Armstrong is a professor in Pediatrics, PT, at Harvard Medical School, Boston Children's Hospital, and has held positions at Harvard Medical School since 1984, including director of Curriculum 1988-1992, director of medical education 1992-2001 and director of education programs at Harvard Medical International from 2001-2009. In 1994 with funding from the Josiah Macy Jr. Foundation, she created and directed the Harvard Macy Institute through May 2023. She received an honorary doctor of medicine degree from the University of Lund Medical Faculty in recognition of her international contributions to medical education and in 2016 received the Award for Excellence in Medical Education formerly named the Abraham Flexner Award, the highest annual award given by the American Association of Medical Colleges. In this episode we do a deep dive into Liz's unique contributions to HMI and to the global health professions educational community. We explore her personal style, her deep professional expertise in education, and her ‘innovators DNA.' Rich with stories and anecdotes, our conversation is helpful to understand the achievement of building and sustaining the Harvard Macy Institute, as well as how to be brave and adventurous with our work. Liz offers her perspective on the future of medical education, emphasizing the need for ongoing innovation and collaboration. This episode is a tribute to her remarkable contributions and a call to action for the work still to be done in health professions education. Your host for this episode is Victoria Brazil (Educators, '05, Leaders '07, Assessment ‘10). Victoria is a professor of emergency medicine at Bond University Faculty of Health Sciences and Medicine. She hosts the HMI podcast and is co-producer of Simulcast-a podcast about health care simulation.
The emDOCs.net team is very happy to collaborate with PECARN STELAR (Seattle, Dallas/Texas, and Los Angeles) Node and the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) in presenting high-yield pediatric topics that highlight evidence based medicine with solid research. Dr. Fishe focused on implementation science in EMS care particularly with regards to asthma.To continue to make this a worthwhile podcast for you to listen to, we appreciate any feedback and comments you may have for us. Please let us know!Subscribe to the podcast on one of the many platforms below:Apple iTunesSpotifyGoogle Play
Send us a textEpisódio 57 – Journal Club 37 | Podcast A IncubadoraBem-vindo ao episódio 57 do Podcast A Incubadora, o seu encontro quinzenal com a ciência por trás da prática em Neonatologia - sempre em português e com foco em tornar a informação acessível a profissionais da saúde. Neste episódio do Journal Club, discutimos quatro artigos recentes que trazem reflexões importantes para a prática clínica em neonatologia:1) The effect of maternal position on cerebral oxygenation in premature infants during Kangaroo care (Journal of Perinatology, 2025) https://www.nature.com/articles/s41372-025-02287-02) Diagnostic accuracy of an over‑the‑counter infant pulse oximeter for cardiorespiratory events (ADC – Fetal and Neonatal, 2025) https://pubmed.ncbi.nlm.nih.gov/40355254/3) Intraventricular Hemorrhage and Survival, Multimorbidity, and Neurodevelopment (JAMA Network Open, 2025) https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2828692#google_vignette4) Use of Initial Endotracheal Versus Intravenous Epinephrine During Neonatal CPR in the Delivery Room (The Journal of Pediatrics, 2024) https://www.jpeds.com/article/S0022-3476(24)00161-6/abstractNosso objetivo é tornar a ciência neonatal mais acessível para quem fala português. Dê o play e atualize-se com a gente!
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Duchenne Muscular Dystrophy from the Pediatrics section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
This week we speak with Professor Vladimiro Vida of U. Padua about a recent ECHSA large scale study assessing surgical outcomes of newborn cardiac surgery in Europe. What trends have become apparent in the past 10 years and why are outcomes generally better overall in this complex patient group? Why have outcomes for single ventricle surgery not improved as much as other newborn surgeries? Is there a relationship between center volume and outcomes? What interventions might result in improvements in outcomes of Norwood palliation? Dr. Vida provides his insights this week. https://doi.org/10.1016/j.athoracsur.2024.07.023
Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Topic: Peripheral neuropathy vs. radiculopathy. Symptoms, causes, and treatments.Email the show any time women@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
Most medical care is backed by varying types of evidence, yet we apply higher standards to digital health tools before they're trusted, adopted, or reimbursed.In this special episode, guest host Lucia Savage is joined by Dr. Vindell Washington of Verily and Dr. Aaron Carroll of AcademyHealth for a candid conversation about the uneven standards we apply to digital versus traditional care. Together, they explore how we define evidence, whose voices shape that definition, and what it takes to build trust in an AI-powered healthcare future.We cover:
Email the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.What do you think would be a good name for "grumpy due bad night's sleep"?Sleep: it's great for everyone Hosted on Acast. See acast.com/privacy for more information.
Cold OpenYou wanna pathologize me? Knock yerself out. Faithfully counting every leaf marked "deficit"…But missing the whole damn forest we know locally as "Survival."[Doc? You Got Us All Wrong, Pt 1: Autistic Resilience]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 5. “Doc? You Got Us All Wrong, Pt 1: Autistic Resilience.”Deficits… or strengths? Survival… or thriving? Pathology… or inborn, natural autistic behavior? We turn the diagnostic telescope around. Let's focus on the forest of resilience behind every leaf labeled "deficit."An experimental multi-part series… all around 10 minutes. Because some neurodivergent listeners like to binge in small bites. Or you can download Part 1 and Part 2 at once… for listeners who crave the whole enchilada in one sitting.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]What I tell any therapist… any caregiver… first session:I have survived physical and sexual abuse from family and schoolmates.Bullying by teachers and fellow students… 2nd grade through high school.Multiple professional crashes… in multiple careers.At least a dozen firings.2 evictions.1 bankruptcy.Dozens of major household moves.Few friends, and…2 divorces, 3 "living togethers," and a couple of "serious" relationships that, well…, weren't?Ain't this resilience?Resilience. Ya know, that cap-and-gown term pros use for getting knocked down seven times. Stubbornly getting up… eight...I'm still alive. Still creating. Still getting published. Still speaking to thousands of autistics a year.Never attempted suicide... despite three hospitalizations.AND I'm still autistic. Cuz there ain't no cure for something that ain't wrong. Unless you base your "medical model" on some statistical "normal"… which is just a made up story. Cuz not one living person is summed up by a Bell curve normal… not even within a standard deviation.Yes, yes… yes. Some professionals are evolving. Pros who listen more than lecture. But face it. In the grand scheme of things… they're rare.Let's get clear right now, right here. It's not being autistic that creates our trauma. It's living autistic in a society that inflicts trauma on us. Refusing to accept, adapt… support… us.Why do "helping" pros focus on my deficits, my lacks, my pitiful performance of “Activities of Daily Living”…? Like, did I shower today…? No.Rather than the sheer strength of will I demonstrate every time I take my next breath?Why do they offer to fix me,inform me,guide me, andcharge me for sessions,mentoring,workshops,best-selling books,SYSTEMS they've just invented…based on… at best… incomplete research?[Music]You know social media… if you like and share this podcast, a lot more people will check it out. You can do a lot of good with just one click.You wanna pathologize me? Knock yerself out.Turn my every inborn neurodivergent characteristic into a disease. You do have powerful diagnostic tools…But you're looking through that diagnostic telescope backwards. Faithfully counting every leaf marked "deficit"… But missing the whole damn forest that we know locally as "Survival."Like my "failure to maintain eye contact.” A “social deficit.” Right... completely missing how that survival skill lets me process your words… without painful sensory overload. My form of my respect… for you.Go ahead and use professionally, objectively disempowering terms, like "comorbidity"... betraying your bias that my very way of Being is… in your eyes… a disease. And then riff on, elaborate away: "pathological demand avoidance," "obsessive-compulsive disorder," "borderline personality disorder,"And on and on… and on.Truth? Every diagnosis? Just another survival mechanism. Not symptoms of autism. Responses to how society treats autism.Behaviors that kept me alive… in your world. While you obsess over what's "wrong" with me…Or… we could build on my autistic strengths.Look, none of us have all of these. And superpowers don't exist. Some have strengths not listed. But if you aren't looking for them? Likely, you're mis-treating us.* Resilience: Just surviving multiple, severe stressors is a biggie. Every autistic adult you meet has adapted to extreme challenges. Most of us… traumatized. Yet we endure. We integrate. We keep going.* Deep Feeling: Pros call ‘em "mood swings." We call it feeling everything… deeply. Depth that drives our creativity… in science, art, writing, becoming lunatic billionaires… or the cool neighbor next door.. It's not a flaw. It's fuel.* Survival Skills: My life, my continued existence… is my proof. Just as any autistic adult's life is. We've survived devastating life events. With inner strength and coping strategies.These aren't skills most professionals understand… not even some neurodivergent practitioners. Because these skills are linked to how our individual autistic minds work. Which is… in fact… different. Not just from most humans. From each other, too.* Creative Persistence: Every autistic person knows this pull. Our passionate focus on our interests. Grabbing us deeper than hunger. We don't just see details… no matter what TV tells you. We work on wide canvases. We create. We build. We solve. That's strength.* Living with Extremes: My knee surgeon was shocked. "You walked two miles a day on a torn meniscus?" Yes, but… a light touch on my face can trigger panic. That's not contradiction. That's how we survive. We may get sensory warnings earlier than most… Yet we handle what breaks others. Daily.* Hidden Adaptability: Look at my life changes—jobs, homes, relationships. Society labels us as "rigid." Truth is, we adapt constantly. We got no choice. Yet we persevere. We keep doing. That's not weakness. That's strength.* Processing Power: We take in everything. Process it deeply. Yet live through emotional and sensory experiences that would derail most people. We keep going. Keep growing. That's not dysfunction. That's determination. Coming directly from… not despite… our neurodivergent cognition.* Spectrum of Strength: Maybe resilience is a spectrum, too. And some of us autistics crank it up past 11. Not weakness from disability. Strength from difference. Turning autistic stereotypes upside down. Yet again.[Music]Just a quickie… this is Part 1 of “Doc? You Got Autism All Wrong?” Why not binge the next part? Or download the long-form version with both parts? Link in transcript.Challenging Normal-izing ModelsMy story? Just one among thousands. Millions.I've worked as a magazine publisher. Functioned as an academic grad student… multiple times. And been homeless… multiple times. I've been privileged to hear many, many similar stories over the decades. At all levels of society, education, age.These stories all share one truth: Autistic traits are not inherently deficits. They can be hidden sources of strength and resilience. In the right environment. In the right community.Take one example: Pathological Demand Avoidance (PDA). What pros like to label our natural, neurodivergent response to external demands like deadlines. I meet the diagnostic criteria. Always have. But in my opinion, they bulldoze right over my inborn need for autonomy. Leading too often to trauma. PDA… seems to me… a dehumanizing slur. For the nature I was born with.Yet many neurodivergents find comfort and support diagnosed as PDA. In the acknowledgment of our differences the diagnosis does offer. I don't wish to negate their experience. And I'm not arguing neurodivergents do NOT have needs for autonomy. Or that we don't suffer due to these differences. At the hands of Straight Culture.My point: Sensory and social differences are NOT pathologies.It's like dogs noticing that cats are more hyper than canines...So to "help" ‘em, pro dogs decide to forcibly train or torture every cat. To steamroll them into converting to “Dog Normal.”We are human… autistic humans.We need what all humans need: To build on our strengths. To find our nurturing environments. To choose our supportive communities.We just accomplish these things... differently.Look, I'm fighting the whole Normative Narrative. Which demands any difference MUST be "cured." Or at least fixed.And I'm not keen on neurodivergent-based attempts to bandaid the problem. By simply defining a new normal for autistics and other neurodivergents. Just another standard we may fail to live up to.Frankly, I'm calling for a strengths-based, non-normative psychology for all neurodivergents. A theme I develop in this series and future podcasts. How we might replace CBT and similar treatments with more neurodivergent-centered alternatives.So where do we start this revolution?Doc, Stop. Look again…At the big picture this time. See those brilliant sparks of unusual strength? Far more powerful than your "deficits."Reality check: Up to now, you've just been documenting how modern consumer culture fails our neurology. In the office. In our schools. In shopping at freaking Walmart for fuck's sake.Anywhere we're forced to process too much sensory input. Or pretend to read invisible social cues. Pretend we're you… without rest or accommodation.Let's explore a new direction. Simply put?Doc… stop looking through your telescope backwards. Look at us. Right in front of your eyes._____References & Further ReadingNeither exhaustive nor comprehensive. Articles that made me think.* The high prevalence of trauma and adverse experiences among autistic individuals* PTSD and Autism* Trauma and Autism: Research and Resources* How to build resiliency in autistic individuals: an implication to advance mental health* Association Between Autism and PTSD Among Adult Psychiatric Outpatients* The relationship between autism and resilience* Building Resilience – An Important Life Skill* Understanding Resilience in Neurodivergent Adults* Autistic Resilience: Overcoming Adversity Through Self-Care and Strengths* The criticism of deficit-based models of autism* Moving Beyond Deficit-Based Models of Autism* Strengths-First Assessment in Autism* The reality of autistic strengths and capabilities* 6 Strengths (not Weaknesses) of Individuals with Autism* Autism as a Strength* Neurodiversity as a Competitive AdvantageNote: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.Doc, You Got Us All Wrong, Pt 2: CBT...? Never Worked for Autistic MeCold OpenCBT…? Never worked for autistic me.So, look, we KNOW masking doesn't work. Or FEAR. Or PAIN. We're dying from them already.That's all the words we need.[Music]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 6. “Doc? You Got Us All Wrong, Pt 2: CBT…? Never Worked for Autistic Me.”Abelist agendas. Bad research subjects. Bad data. Bad therapy.There's the whole story.An experimental multi-part series… around 10 minutes each. Cuz some autistic listeners tell me they like to binge in small bites. Others say they listen in the car… so you can also download the complete series as one file.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]I've been struggling with an article on CBT & Autism for years.Sigh. Spoons. A lot of reading. A lot of thinking…To come to my opinion… my thesis…that any therapy based on purely cognitive techniques… even if pros throw on some Behavioral rubber-band-snapping special sauce on the side…?It's inherently ableist… attacking the very way our autistic brains are wired. Demanding abilities many neurodivergents just weren't born with.Here's a snapshot. A quick personal story from when autistic-as-fuck me turned for help…“I'm sorry… What did you just say?”“I said…” He looked nervous. “I said… I always recommend aversive therapy for my autistic kids. My clients.”Me. In a dead-cold voice. “Snapping a rubber band.”“Y-e-s-s.” He seemed torn. Was I gonna get positive reinforcement… Or that weird, hostile, defensiveness professionals get. When you ask questions.Into that hesitant silence, I say, “Snap it hard. Hard as they can. Against their wrist.”“Yes. The sting is important.” Now, he's eager to share. “When they repeat the aversive stimulus, they…”Again I interrupt with my ashen, Clint-Eastwood voice. “During a meltdown.”“Well… actually… just before.” He's beaming, proud. “They learn to snap the band at the earliest hint they'll lose control. It's operant conditioning.”A kid having a meltdown on Aisle 3. Likely overwhelmed by sensory overload.Let's just add a little sharp pain… and see what happens…As if by giving it some science-y name… it's not self-inflicted torture.Brief CBT BackgroundCognitive Behavioral Therapy emerged in the 60s. A kind of forced marriage. Between Beck's cognitive therapy… focused on internal thoughts. And Skinner's behavioral therapy… focused on observable behavior. Both developed studying neurotypical minds.Change your thoughts, change your feelings, change your behavior… change your life. Simple, right?Unless your brain doesn't work that way…Sometimes…? Research… Ain't.How could COGNITIVE Behavioral Therapy not be inappropriate for autistics?Research Problem #1. It's based on studying neurotypical populations. But we autistics think differently by definition.Problem #2? For the foundational studies, CBT researchers used white, university student subjects… for the most part. They're easy and cheap to find. But maybe 3% are autistic? Maybe? ALL with decent IQs and functioning student skills… even the few autistic subjects?And Problem #3 is a doozy. Many autistics survive by people-pleasing. Kids and grownups. We're likely to mask our true experiences to appear "better"... or please therapists. Plus we may have trouble perceiving and communicating our own experience. Self-reported data might not reflect our reality.,Then there's one that's rarely discussed. Problem #4… the "waitlist relief effect." Most neurodivergent folks endure months or years waiting for therapy, suffering intensely. When we finally get accepted into therapy? There's overwhelming relief… elevating our mood and behavior. Which distorts everything a therapist will hear.We may dial up our masking. Cuz we're scared shitless we'll lose this lifeline.Meanwhile, researchers publish, buff their nails…. and attribute any self-reported improvement as proof their technique works.,The Cognitive Part…? A Stopper.Substitute "executive functioning" for "cognitive." As in the thing they say is largely missing from my autistic forebrain.The entire technique? One cognitive process after another.. First you must notice. Then you must reflect.Then decide.Then review.Then judge context.Then review…Finally… Act.Then regret.Let that sink in. All of cognitive therapy is about monitoring individual thoughts for "cognitive errors." Then replacing them with correct ones.Hundreds of decisions, distinctions, social cue processings. Executive functioning. A process that NEVER became automatic for me. As clinician after clinician cheerfully reassured me it would.Many autistic individuals have memory differences. Working memory differences that make it nearly impossible to hold the kind of information cognitive work requires. Much less manipulate it on the fly…Now… About Behavior.Now, the "Behavioral" part of CBT? The Skinnerian special sauce?Rewards… and punishments… for the action you choose. Hoping you'll build automatic, correct responses.Basically rat training. If you shock me enough times. Sure. I won't go through that door. AND I will struggle mightily to only have an internal stroke... rather than an external meltdown.But the researcher... or teacher... gets to check the box, "Cured." Cuz we're no longer a nuisance to them. And we continue to quietly die. Invisibly. Politely...Inside.That kind of aversion... to fear or pain? True for every living thing at an evolutionary level above a paramecium.Like rats. Or kids. Cuz... FEAR works. PAIN works. Just not the way they think.These Practical Implementation Failures…Should sound pretty familiar. To autistic folks. Keenly aware of the nightmare effort Autistic Masking demands around Straight Society.So, look, we know masking doesn't work. Or fear. Or PAIN. We're dying from them already.That's all the words we need.Add to this our difficulty forming new habits, maintaining routines, and processing cognitive information differently. Under stress… which therapy itself can induce… we often revert to previous behaviors. Any “improvements” from “techniques”? Not bloody likely they're ingrained as permanent muscle memory.Requiring frequent refresher sessions to maintain the illusion of change… and progress.As one commenter wrote: "To me, CBT has always felt inherently surface-level. It's like closing a few tabs on your browser as opposed to doing a factory reset."Biggest problem of all? Neurodivergent Diversity.Autistic, ADHD, AuDHD, dyslexic, dyspraxic… all different cognitive profiles.Sure, we're all different from the typical population. But an autistic who also experiences ADHD thinks and acts differently than a dyslexic one. At least to my trained observation. I was a mental health social worker for 10 years…Despite these complexities… Maybe because it is complex… It seems to me that CBT treats us all as if we're standard-model humans. With a few bugs to fix.We require GENERATIONAL studies of representative populations to sort this spaghetti pile out. Before we should be recommending these techniques.On living humans. Adults. And especially kids.ABA and Its Relatives: An Even Deeper Hole.Applied Behavioral Analysis (ABA) deserves special mention. It's the behavioral therapy most parents hear about in grammar schools.What most don't know? ABA shares roots with debunked, torturous gay Conversion Therapy. Outlawed in many states. Both were developed by O. Ivar Lovaas in the 60s.Both aim to eliminate "undesirable" behaviors. Using “aversive” techniques. From snapping rubber bands in the nice clinics. To cattle prods in the not-so-nice facilities.Punishing and suppressing behaviors that are natural to our nervous systems. Behaviors that protect us from a society not built for us.ABA may have volumes of "data." But it's all shaped by behaviors researchers and parents want, not what autistic children or adults need. The outcomes measured? Eye contact. Sitting still. Verbal responses. Not internal autistic wellbeing.It's important to understand one simple point. Data is not science.How you frame your research or experiment How you gather your data How you choose how many subjects and whom When you choose to gather data How you interpret your data How you present your dataAll impact its validity and value. ABA and all its camouflaged cousins fall down on this core scientific truth.Bottom line? When former ABA children grow up, many report trauma. PTSD. Anxiety. Depression. Self-harm.ConclusionFuck #ABA. Fuck #CBT.Everybody in the therapeutic-industrial complex from clinic receptionist to billionaire pharmaceutical CEO makes money. From your kid's pain. Caused by treatments that don't address neurodivergent needs. As far as I… and better-known neurodiversity-affirming authorities… can tell.Strong words? Yes. Because minds… and lives… are at stake.We need therapies that work WITH our neurology, not against it. That build on our strengths instead of calling us coolly, professionally, pathologizing names.In Part 3, we'll really bring this all home. How labeling our intrinsic differences as disease is about as anti-therapeutic as you can get.We'll explore "PDA… Not Every Difference Is a Disease." And really raise a ruckus.OutroFor your deeper diving pleasure, the transcript contains references and footnotes for most points I raise. From a variety of views.Hey, don't forget, you can download Part 1, “Autistic Resilience.” Or download both parts as one file.More coming in this series exploring how neurodivergent folks can build sustainable, authentic lives… with or without professional intervention. With 2 more parts coming…AutisticAF Out Loud podcast is supported solely by listeners like you. If you have a friend or family member touched by neurodiversity? Why not turn them on to us with a quick email?By the way, we believe no one should have to pay to be autistic. Many neurodivergent people can't afford subscription content.Your Ko-Fi tip of any amount helps keep this resource free for them. Or join our paid subscriber community at johnnyprofaneknapp.substack.com for ongoing support. I put both links in description.References & Further Reading1: Ableist: Discriminating against people with disabilities by assuming everyone's mind and body work the same way. Like designing a world only for the "standard model human" and then blaming us when we can't navigate it.2: Operant conditioning: A learning process in which behavior is shaped by rewards or punishments.3: Beck, A. T. (1979). Cognitive therapy and the emotional disorders. Penguin.4: Bottema-Beutel, K., & Crowley, S. (2021). Pervasive Undisclosed Conflicts of Interest in Applied Behavior Analysis Autism Literature. Frontiers in Psychology, 12.5: Cage, E., Di Monaco, J., & Newell, V. (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults. Journal of Autism and Developmental Disorders, 48(2), 473-484.6: Masking: The act of concealing one's autistic traits to fit in or avoid negative attention.7: Meta-analyses show that waitlist control groups often overestimate the effect sizes of psychotherapies for depression and anxiety, and that changes occurring during waitlist periods are typically small, making waitlist-controlled trials a less strict test of effectiveness.Cuijpers, P., Karyotaki, E., Reijnders, M., Purgato, M., de Wit, L., Ebert, D. D., ... & Furukawa, T. A. (2024). Overestimation of the effect sizes of psychotherapies for depression in waitlist-controlled trials: a meta-analytic comparison with usual care controlled trials. Epidemiology and Psychiatric Sciences, 33, e10.8: Patterson, B., Boyle, M. H., Kivlenieks, M., & Van Ameringen, M. (2016). The use of waitlists as control conditions in anxiety disorders research. Journal of Anxiety Disorders, 41, 56-64.9: Boucher, J., Mayes, A., & Bigham, S. (2012). Memory in autistic spectrum disorder. Psychological Bulletin, 138(3), 458-496.10: Happé, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5-25.11: Rekers, G. A., & Lovaas, O. I. (1974). Behavioral treatment of deviant sex-role behaviors in a male child. Journal of Applied Behavior Analysis, 7(2), 173–190.See also: El Dewar (2024), "ABA: The Neuro-Normative Conversion Therapy," NDConnection; and the Lovaas Institute's 2024 statement regarding conversion therapy.12: Sandoval-Norton, A. H., & Shkedy, G. (2019). How much compliance is too much compliance: Is long-term ABA therapy abuse? Cogent Psychology, 6(1).13: McGill, O., & Robinson, A. (2020). "Recalling hidden harms": Autistic experiences of childhood Applied Behavioral Analysis (ABA). Advances in Autism, ahead-of-print.14: Xie, Y., Zhang, Y., Li, Y., et al. (2021). Cognitive Behavioral Therapy for Autism Spectrum Disorders: A Systematic Review. Pediatrics, 147(5), e2020049880.81015: Weston, L., Hodgekins, J., & Langdon, P. E. (2016). Effectiveness of cognitive behavioural therapy with people who have autistic spectrum disorders: A systematic review and meta-analysis. Clinical Psychology Review, 49, 41-54.16: Miguel, C., Harrer, M., Cuijpers, P., et al. (2025). Self-reports vs clinician ratings of efficacies of psychotherapies for depression: a meta-analysis. Epidemiology and Psychiatric Sciences, 34, e9.Note: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.#AutisticAF Out Loud Newsletter is a reader-supported publication. Click below to receive new posts… free. To support my work, consider becoming a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit johnnyprofaneknapp.substack.com/subscribe
Cold OpenCBT…? Never worked for autistic me.So, look, we KNOW masking doesn't work. Or FEAR. Or PAIN. We're dying from them already.That's all the words we need.[Music]IntroYou're listening to AutisticAF Out Loud. One voice. Raw. Real. Fiercely Neurodivergent. Since 1953.Season 5, Episode 6. “Doc? You Got Us All Wrong, Pt 2: CBT…? Never Worked for Autistic Me.”Abelist agendas. Bad research subjects. Bad data. Bad therapy.There's the whole story.An experimental multi-part series… around 10 minutes each. Cuz some autistic listeners tell me they like to binge in small bites. Others say they listen in the car… so you can also download the complete series as one file.Just one autistic elder's truth. I'm Johnny Profane.Content Note: trauma discussion, medical system critique, institutional discrimination, psychiatric hospitalizations, systemic oppression + experiences & opinions of one autistic voice... in my 70s.[Music]I've been struggling with an article on CBT & Autism for years.Sigh. Spoons. A lot of reading. A lot of thinking…To come to my opinion… my thesis…that any therapy based on purely cognitive techniques… even if pros throw on some Behavioral rubber-band-snapping special sauce on the side…?It's inherently ableist… attacking the very way our autistic brains are wired. Demanding abilities many neurodivergents just weren't born with.Here's a snapshot. A quick personal story from when autistic-as-fuck me turned for help…“I'm sorry… What did you just say?”“I said…” He looked nervous. “I said… I always recommend aversive therapy for my autistic kids. My clients.”Me. In a dead-cold voice. “Snapping a rubber band.”“Y-e-s-s.” He seemed torn. Was I gonna get positive reinforcement… Or that weird, hostile, defensiveness professionals get. When you ask questions.Into that hesitant silence, I say, “Snap it hard. Hard as they can. Against their wrist.”“Yes. The sting is important.” Now, he's eager to share. “When they repeat the aversive stimulus, they…”Again I interrupt with my ashen, Clint-Eastwood voice. “During a meltdown.”“Well… actually… just before.” He's beaming, proud. “They learn to snap the band at the earliest hint they'll lose control. It's operant conditioning.”A kid having a meltdown on Aisle 3. Likely overwhelmed by sensory overload.Let's just add a little sharp pain… and see what happens…As if by giving it some science-y name… it's not self-inflicted torture.Brief CBT BackgroundCognitive Behavioral Therapy emerged in the 60s. A kind of forced marriage. Between Beck's cognitive therapy… focused on internal thoughts. And Skinner's behavioral therapy… focused on observable behavior. Both developed studying neurotypical minds.Change your thoughts, change your feelings, change your behavior… change your life. Simple, right?Unless your brain doesn't work that way…Sometimes…? Research… Ain't.How could COGNITIVE Behavioral Therapy not be inappropriate for autistics?Research Problem #1. It's based on studying neurotypical populations. But we autistics think differently by definition.Problem #2? For the foundational studies, CBT researchers used white, university student subjects… for the most part. They're easy and cheap to find. But maybe 3% are autistic? Maybe? ALL with decent IQs and functioning student skills… even the few autistic subjects?And Problem #3 is a doozy. Many autistics survive by people-pleasing. Kids and grownups. We're likely to mask our true experiences to appear "better"... or please therapists. Plus we may have trouble perceiving and communicating our own experience. Self-reported data might not reflect our reality.,Then there's one that's rarely discussed. Problem #4… the "waitlist relief effect." Most neurodivergent folks endure months or years waiting for therapy, suffering intensely. When we finally get accepted into therapy? There's overwhelming relief… elevating our mood and behavior. Which distorts everything a therapist will hear.We may dial up our masking. Cuz we're scared shitless we'll lose this lifeline.Meanwhile, researchers publish, buff their nails…. and attribute any self-reported improvement as proof their technique works.The Cognitive Part…? A Stopper.Substitute "executive functioning" for "cognitive." As in the thing they say is largely missing from my autistic forebrain.The entire technique? One cognitive process after another.. First you must notice. Then you must reflect.Then decide.Then review.Then judge context.Then review…Finally… Act.Then regret.Let that sink in. All of cognitive therapy is about monitoring individual thoughts for "cognitive errors." Then replacing them with correct ones.Hundreds of decisions, distinctions, social cue processings. Executive functioning. A process that NEVER became automatic for me. As clinician after clinician cheerfully reassured me it would.Many autistic individuals have memory differences. Working memory differences that make it nearly impossible to hold the kind of information cognitive work requires. Much less manipulate it on the fly…Now… About Behavior.Now, the "Behavioral" part of CBT? The Skinnerian special sauce?Rewards… and punishments… for the action you choose. Hoping you'll build automatic, correct responses.Basically rat training. If you shock me enough times. Sure. I won't go through that door. AND I will struggle mightily to only have an internal stroke... rather than an external meltdown.But the researcher... or teacher... gets to check the box, "Cured." Cuz we're no longer a nuisance to them. And we continue to quietly die. Invisibly. Politely...Inside.That kind of aversion... to fear or pain? True for every living thing at an evolutionary level above a paramecium.Like rats. Or kids. Cuz... FEAR works. PAIN works. Just not the way they think.These Practical Implementation Failures…Should sound pretty familiar. To autistic folks. Keenly aware of the nightmare effort Autistic Masking demands around Straight Society.So, look, we know masking doesn't work. Or fear. Or PAIN. We're dying from them already.That's all the words we need.Add to this our difficulty forming new habits, maintaining routines, and processing cognitive information differently. Under stress… which therapy itself can induce… we often revert to previous behaviors. Any “improvements” from “techniques”? Not bloody likely they're ingrained as permanent muscle memory.Requiring frequent refresher sessions to maintain the illusion of change… and progress.As one commenter wrote: "To me, CBT has always felt inherently surface-level. It's like closing a few tabs on your browser as opposed to doing a factory reset."Biggest problem of all? Neurodivergent Diversity.Autistic, ADHD, AuDHD, dyslexic, dyspraxic… all different cognitive profiles.Sure, we're all different from the typical population. But an autistic who also experiences ADHD thinks and acts differently than a dyslexic one. At least to my trained observation. I was a mental health social worker for 10 years…Despite these complexities… Maybe because it is complex… It seems to me that CBT treats us all as if we're standard-model humans. With a few bugs to fix.We require GENERATIONAL studies of representative populations to sort this spaghetti pile out. Before we should be recommending these techniques.On living humans. Adults. And especially kids.ABA and Its Relatives: An Even Deeper Hole.Applied Behavioral Analysis (ABA) deserves special mention. It's the behavioral therapy most parents hear about in grammar schools.What most don't know? ABA shares roots with debunked, torturous gay Conversion Therapy. Outlawed in many states. Both were developed by O. Ivar Lovaas in the 60s.Both aim to eliminate "undesirable" behaviors. Using “aversive” techniques. From snapping rubber bands in the nice clinics. To cattle prods in the not-so-nice facilities.Punishing and suppressing behaviors that are natural to our nervous systems. Behaviors that protect us from a society not built for us.ABA may have volumes of "data." But it's all shaped by behaviors researchers and parents want, not what autistic children or adults need. The outcomes measured? Eye contact. Sitting still. Verbal responses. Not internal autistic wellbeing.It's important to understand one simple point. Data is not science.How you frame your research or experiment How you gather your data How you choose how many subjects and whom When you choose to gather data How you interpret your data How you present your dataAll impact its validity and value. ABA and all its camouflaged cousins fall down on this core scientific truth.Bottom line? When former ABA children grow up, many report trauma. PTSD. Anxiety. Depression. Self-harm.ConclusionFuck #ABA. Fuck #CBT.Everybody in the therapeutic-industrial complex from clinic receptionist to billionaire pharmaceutical CEO makes money. From your kid's pain. Caused by treatments that don't address neurodivergent needs. As far as I… and better-known neurodiversity-affirming authorities… can tell.Strong words? Yes. Because minds… and lives… are at stake.We need therapies that work WITH our neurology, not against it. That build on our strengths instead of calling us coolly, professionally, pathologizing names.In Part 3, we'll really bring this all home. How labeling our intrinsic differences as disease is about as anti-therapeutic as you can get.We'll explore "PDA… Not Every Difference Is a Disease." And really raise a ruckus.OutroFor your deeper diving pleasure, the transcript contains references and footnotes for most points I raise. From a variety of views.Hey, don't forget, you can download Part 1, “Autistic Resilience.” Or download both parts as one file.More coming in this series exploring how neurodivergent folks can build sustainable, authentic lives… with or without professional intervention. With 2 more parts coming…AutisticAF Out Loud podcast is supported solely by listeners like you. If you have a friend or family member touched by neurodiversity? Why not turn them on to us with a quick email?By the way, we believe no one should have to pay to be autistic. Many neurodivergent people can't afford subscription content.Your Ko-Fi tip of any amount helps keep this resource free for them. Or join our paid subscriber community at johnnyprofaneknapp.substack.com for ongoing support. I put both links in description.References & Further Reading1: Ableist: Discriminating against people with disabilities by assuming everyone's mind and body work the same way. Like designing a world only for the "standard model human" and then blaming us when we can't navigate it.2: Operant conditioning: A learning process in which behavior is shaped by rewards or punishments.3: Beck, A. T. (1979). Cognitive therapy and the emotional disorders. Penguin.4: Bottema-Beutel, K., & Crowley, S. (2021). Pervasive Undisclosed Conflicts of Interest in Applied Behavior Analysis Autism Literature. Frontiers in Psychology, 12.5: Cage, E., Di Monaco, J., & Newell, V. (2018). Experiences of Autism Acceptance and Mental Health in Autistic Adults. Journal of Autism and Developmental Disorders, 48(2), 473-484.6: Masking: The act of concealing one's autistic traits to fit in or avoid negative attention.7: Meta-analyses show that waitlist control groups often overestimate the effect sizes of psychotherapies for depression and anxiety, and that changes occurring during waitlist periods are typically small, making waitlist-controlled trials a less strict test of effectiveness.Cuijpers, P., Karyotaki, E., Reijnders, M., Purgato, M., de Wit, L., Ebert, D. D., ... & Furukawa, T. A. (2024). Overestimation of the effect sizes of psychotherapies for depression in waitlist-controlled trials: a meta-analytic comparison with usual care controlled trials. Epidemiology and Psychiatric Sciences, 33, e10.8: Patterson, B., Boyle, M. H., Kivlenieks, M., & Van Ameringen, M. (2016). The use of waitlists as control conditions in anxiety disorders research. Journal of Anxiety Disorders, 41, 56-64.9: Boucher, J., Mayes, A., & Bigham, S. (2012). Memory in autistic spectrum disorder. Psychological Bulletin, 138(3), 458-496.10: Happé, F., & Frith, U. (2006). The weak coherence account: detail-focused cognitive style in autism spectrum disorders. Journal of Autism and Developmental Disorders, 36(1), 5-25.11: Rekers, G. A., & Lovaas, O. I. (1974). Behavioral treatment of deviant sex-role behaviors in a male child. Journal of Applied Behavior Analysis, 7(2), 173–190.See also: El Dewar (2024), "ABA: The Neuro-Normative Conversion Therapy," NDConnection; and the Lovaas Institute's 2024 statement regarding conversion therapy.12: Sandoval-Norton, A. H., & Shkedy, G. (2019). How much compliance is too much compliance: Is long-term ABA therapy abuse? Cogent Psychology, 6(1).13: McGill, O., & Robinson, A. (2020). "Recalling hidden harms": Autistic experiences of childhood Applied Behavioral Analysis (ABA). Advances in Autism, ahead-of-print.14: Xie, Y., Zhang, Y., Li, Y., et al. (2021). Cognitive Behavioral Therapy for Autism Spectrum Disorders: A Systematic Review. Pediatrics, 147(5), e2020049880.81015: Weston, L., Hodgekins, J., & Langdon, P. E. (2016). Effectiveness of cognitive behavioural therapy with people who have autistic spectrum disorders: A systematic review and meta-analysis. Clinical Psychology Review, 49, 41-54.16: Miguel, C., Harrer, M., Cuijpers, P., et al. (2025). Self-reports vs clinician ratings of efficacies of psychotherapies for depression: a meta-analysis. Epidemiology and Psychiatric Sciences, 34, e9.Note: Links are provided for reference only. Views expressed may differ from my own experiences and observations. Sources affiliated with Autism Speaks are controversial in the neurodiversity community. Their research may be included for completeness. But perhaps be cautious.Binge on the most authentic autistic voice in podcasting.7 decades of raw truth, real insights, zero yadayada.#AutisticAF Out Loud Newsletter is a reader-supported publication. Click below to receive new posts… free. Tosupport my work, consider becoming a paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit johnnyprofaneknapp.substack.com/subscribe
Could a child's focus and mood problems really boil down to low iron levels and overlooked gut parasites? What happens when a leading pediatric nutritionist uncovers "obvious" root causes of ADHD and autism that most doctors miss?Join hosts Dr. Emmie Brown, ND, and Melissa Gentile, INHC, as they welcome Lucinda Miller, clinical lead at Nature Doc and acclaimed expert in pediatric nutrition, naturopathy, and functional medicine. Drawing on over 25 years of clinical experience and her own journey as both a clinician and a parent navigating neurodiversity, Lucinda offers a deep exploration of how personalized, evidence-based nutrition can transform the neurodevelopmental trajectories of children.The conversation traces Lucinda's evolution from family-centered experimentation to a clinical model focused on children with autism, ADHD, sensory challenges, and similar concerns. She emphasizes the importance of advanced functional testing, including organic acid analysis, nutrient panels, and comprehensive stool analysis, to reveal underlying drivers such as mineral deficiencies, parasites, gut dysbiosis, and mycotoxin exposures that are often overlooked in standard care.Key Takeaways from Today's Episode:
In this episode of the Brain & Life Podcast, co-host Dr. Katy Peters is joined by actors Micah Fowler, Kelsey Cardona, and Phoebe Rae Taylor. Micah shares how his Cerebral Palsy (CP) diagnosis differs from the character who he played on ABC's Speechless and his sister Kelsey explains the benefits of this representation that she's seen in real-time. Phoebe Rae then explains how she got her role in Disney's Out of my Mind and how acting has inspired her for the future. Dr. Peters is then joined by Dr. Ann Tilton, a Professor of Neurology and Pediatrics at LSU Health New Orleans with more than 30 years of experience in the field. Dr. Tilton explains what CP is, how it can differ from person to person, and what advancements the community can look forward to. Additional Resources What is Cerebral Palsy? Biking Gives Freedom to a Teen with Cerebral Palsy Becky Dilworth Skied and Raised a Family Despite Cerebral Palsy Other Brain & Life Podcast Episodes on Similar Topics Scoring Goals with CP Soccer's Shea Hammond Gavin McHugh is Building an Acting Career and a Community with Cerebral Palsy RJ Mitte on Living Confidently with Cerebral Palsy We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? Record a voicemail at 612-928-6206 Email us at BLpodcast@brainandlife.org Social Media: Guests: Micah Fowler @micahdfowler; Kelsey Cardona @thekelseycardona; Phoebe Rae Taylor @phoeberaetaylorx Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD
This Week on The Virtual Curbside: Containing Measles – What Works and What Doesn't In this episode, we focus on containing the spread of measles—what pediatricians need to know about effective infection control, public health coordination, and common missteps. Host Dr. Paul Wirkus and Andy Pavia, MD along with TW Jones, MD, and Mary Fortini, DO also tackle the misunderstood role of Vitamin A in measles treatment, dispelling myths and clarifying where it fits (and doesn't) in clinical practice.Have a question? Email questions@vcurb.com. Your questions will be answered next week.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.
The Pediatric Lounge: Insights into Pediatric Urgent Care with Dr. Amanda MontalbanoIn this episode of The Pediatric Lounge podcast, Dr. Amanda Montalbano, a general pediatrician with extensive experience in pediatric urgent care, joins the conversation. The discussion covers a range of topics including the importance of implementation sciences in medicine, the challenges of training new doctors in urgent care, and the intricacies of managing pediatric urgent care units. Dr. Montalbano also shares her personal journey with her son's Type 1 diabetes diagnosis, highlighting the importance of early screening and intervention. Additional topics include the structure and functioning of pediatric urgent care centers in Kansas City, and the collaboration between general practitioners and urgent care practitioners.00:00 Introduction to The Pediatric Lounge00:35 Meet Dr. Amanda Montalbano01:44 Choosing Pediatrics: Dr. Montalbano's Journey03:11 Pediatric Urgent Care: Training and Challenges06:27 Pediatrics in Kansas City10:26 Urgent Care Operations and Models25:34 Research and Data in Pediatric Urgent Care39:33 Discovering Implementation Science40:42 The Importance of Measuring Change42:15 Understanding Resistance to New Technologies43:24 The Five Whys Technique46:19 Challenges with AI Scribes57:34 Advocating for Early Type 1 Diabetes Screening01:09:06 A Personal Story of Type 1 Diabetes01:17:56 Concluding Thoughts and ReflectionsSupport the show
Send us a textIt's a really bad year for measles. Cases are spiking in countries where children should have been fully vaccinated, such as the United States, Canada, and Mexico. More than 1,000 cases have been reported in the United States just in the first half of 2025, with at least 3 deaths. The death of a child in Texas early in 2025 was the first time a child had died from the infection in the United States since 2003. It's even worse in Canada, with more than 2,500 reported cases. Measles was declared eliminated in the United States in 2000, thanks to vaccination, but this very infectious virus has come roaring back because of a decline in vaccination. The decline is overwhelmingly linked to fears and false rumors about vaccines – especially the hard-to-kill notion that the measles vaccine might somehow cause autism.Now, one of the leading proponents of this thoroughly disproven idea, Robert F. Kennedy, Jr., has become U.S. Secretary of Health and Human Services and he's bent on both casting more doubt on vaccines, and on renewing fears about autism.He got more ammunition in the spring of 2025 with the latest surveillance report from the U.S. Centers for Disease Control and Prevention showing that about 1 in 31, or 3.2 percent, of children aged 8 years old has been diagnosed with autism spectrum disorder. This is up from 1 in 36 in 2020 and 1 in 54 in 2008. Kennedy has called for collecting more data on people with autism while also shedding even more doubt on the safety of vaccines in general.The CDC itself still says vaccines do not cause autism, but Kennedy, widely blamed for stoking vaccine hesitancy that helped fuel an outbreak of measles in Samoa in 2019 that killed 83 people, is in a position to further weaken vaccination efforts while spreading misinformation about autism.“It takes 10 minutes to create a vaccine scare and at least 10 years to overcome it,” says Dr. Judith S. Miller, a psychologist in the Department of Child and Adolescent Psychiatry and Behavioral Sciences and a senior scientist and training director in the Center for Autism Research at Children's Hospital of Philadelphia.Better screening and broader criteria are likely the main reason autism diagnoses are on the rise, says Dr. Miller, who is also Associate Professor of Psychology in Psychiatry and Pediatrics at the Perelman School of Medicine at the University of Pennsylvania.Listen as Dr. Miller discusses why it's a waste of time to re-examine the disproven links between vaccines and autism, why establishing new government databases may actually hold back research, and what autism professionals really need from the federal government.
Host: Dr. Susan Buttross, Professor of Pediatrics at the University of Mississippi Medical Center, and Abram NanneyTopic: Have you ever wondered what “normal mental health is?” Do you know what it means to be mentally healthy? We talk often about unhealthy states of mental health. Most of us know the symptoms of anxiety and depression. You may have an idea about other states of mental illness, but do you know and understand what it means to be mentally healthy? Today we'll talk about what that means and how you can know if you are mentally healthy and how you can achieve it if you're not.You can join the conversation by sending an email to: family@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
In this fascinating episode of Research Renaissance, host Deborah Westphall welcomes Dr. Alysson Muotri, a professor in the Departments of Pediatrics and Cellular & Molecular Medicine at the University of California, San Diego., for a deep dive into what makes the human brain unique—and how understanding that uniqueness might unlock new treatments for neurological disorders. From stem cell brain models grown in the lab to sending "mini-brains" into space, Dr. Muotri shares his bold, unconventional path to advancing neuroscience and personalized medicine.Dr. Muotri discusses his work creating 3D brain organoids to model human neurological development, including conditions like autism and epilepsy. He explains how modern humans evolved slower brain development than our ancestors, and how that developmental window leaves us vulnerable to mutation and disease—but also offers the complexity that makes human cognition and collaboration possible.The conversation also touches on ethical frontiers, including the potential for lab-grown brains to develop consciousness, the future of neuroscience in space, and how traditional Amazonian medicine may offer clues to protecting the brain.In This Episode:Why collaboration and sociality are key traits of the human brainHow brain organoids help us study disorders like autism without invasive methodsUsing Neanderthal DNA to uncover what's uniquely humanWhy space accelerates brain aging—and how that might fast-track drug discoveryThe ethical questions we must face as lab-grown brain tissues become more advancedHow Dr. Muotri's personal journey as a father shaped his scientific missionThe need for alternative funding models to support bold, high-risk scienceQuotes to Remember:
Stepping away from traditional education wasn't originally in Jessica's plans. When her mother-in-law, a retired kindergarten teacher, began casually teaching her daughter at home "just for fun," Jessica discovered unexpected benefits that eventually led her family down the homeschooling path.As the owner of Well-Rooted, a holistic wellness practice with multiple locations across several states, Jessica brings a unique perspective to homeschooling. The flexibility allows her family to integrate education with their entrepreneurial lifestyle - traveling when needed, adjusting schedules around sports commitments, and fostering stronger family bonds. "We wanted to maximize our time with our children to its fullest potential," she explains, noting that after struggling with infertility, every moment with her children feels precious.This conversation dives deep into practical homeschooling approaches, from curriculum choices to incorporating outside teachers. Jessica shares how her family moved from boxed curriculum to more personalized learning methods that respect each child's unique learning style. Rather than assuming all children learn the same way, their approach incorporates games, movement, and real-world application. The parallels between Jessica's holistic health practice and homeschooling philosophy become evident as she discusses toxins in food, preventative healthcare, and teaching children to understand the "why" behind health choices. This isn't just about academics - it's about raising children who can think critically, advocate for themselves, and navigate life's complexities with confidence.Whether you're currently homeschooling, considering it as an option, or simply curious about alternative educational approaches, this episode offers valuable insights into how one family balances business ownership, health advocacy, and personalized education. Follow Jessica and Well-Rooted Pediatrics on Instagram to learn more about their integrated approach to family wellness and education.https://mywellrooted.com/Follow: Well Rooted Pediatrics Yuka appWhat is the most important thing we can teach our kids?HOW TO HANDLE AN EMERGENCY!This could mean life or death in some cases!Help a child you know navigate how to handle an emergency situation with ease:Let's Talk, Emergencies! -and don't forgetTuttle Twins- use code Cheryl15 for 15% off!Support the showInstagram: TheHomeschoolHowToPodcast Facebook: The Homeschool How To Podcast
Judy Guzman-Cottrill, DO, Professor of Pediatrics at Oregon Health & Science University, and John Brooks, MD, former CDC medical officer, rejoin Mati Hlatshwayo Davis, MD, MPH, FIDSA, to discuss the impact of federal funding cuts, including the return of preventable diseases, the loss of mental health resources, and what can be done to protect the progress made toward health equity.The IDSA Leadership Institute empowers infectious diseases and HIV practitioners to be future leaders. Crafted specifically by and for specialists in infectious diseases and HIV, the Leadership Institute offers two tailored leadership development pathways.Learn More
This week we speak with Assistant Professor of Pediatrics at Harvard Medical School, Dr. Audrey Dionne about a recent work she co-authored on the topic of outcomes of ablation in the early postoperative period following congenital heart surgery. Who is a candidate for this intervention and what were the outcomes? How commonly were serious complications encountered and how successful were these procedures? Dr. Dionne reviews these and other aspects of this novel review this week. https://doi.org/10.1016/j.hrthm.2024.08.061
Original Air Date: 03-21-2025Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Guest(s): Dr. Danny Riche, Clinical Pharmacist at the University of Mississippi Medical CenterTopic: SupplementsEmail the show: remedy@mpbonline.org. 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 116, which is all about pediatric pharmacology. When you understand these key foundation concepts, the whole subject of pharm gets a whole lot easier. Enjoy! As cute and adorable as they are, kids are not just tiny adults. Especially when it comes to pharmacology. The way kids absorb, distribute, metabolize and excrete drugs varies greatly, making pediatric pharmacology a truly unique subject. If you're heading into your pediatric rotation or starting out as a new pediatric RN, then pop in those earbuds. I'll talk you through the key things you need to know to utilize medications safely in this very special and vulnerable population. ___________________ Full Transcript - Read the article 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! Dosage Calculations Guide - Kick math anxiety to the curb and learn the basics of how to set up and perform dosage calculations using dimensional analysis with this FREE guide. Includes 10 free practice questions! Pharmacology Success Pack - Want to get a head start on pharmacology? Download the FREE Pharmacology Success Pack. Fast Pharmacology - Learn pharmacology concepts in 5 minutes or less in this audio based program. Perfect for on-the-go review! 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.
In this episode of Health Matters, we discuss what causes dizziness with Dr. Louise Klebanoff, a neurologist with NewYork-Presbyterian and Weill Cornell Medicine. Dr. Klebanoff explains the different types of dizziness, such as lightheadedness, vertigo, and gait instability. We also cover how to differentiate between these types, the potential causes, and when to seek medical attention.___Dr. Louise Klebanoff, MD has been named the Chief of General Neurology and the Vice Chair of Operations for the Department of Neurology at Weill Cornell Medical College. She is also an Assistant Attending Neurologist at NewYork-Presbyterian Hospital/Weill Cornell Medical Center. Dr. Klebanoff received her medical degree from Georgetown University Medical Center, graduating first in her class, and went on to complete a residency in Neurology and a fellowship in Critical Care Neurology at NewYork-Presbyterian Hospital/Columbia University Medical Center.Prior to joining the Weill Cornell faculty, Dr. Klebanoff served as Attending Neurologist at Beth Israel Medical Center, where she also held leadership roles on various committees and served as the first female president of the Medical Board.Dr. Klebanoff is board certified in Psychiatry and Neurology. She is a member of the Alpha Omega Alpha honor society, the American Medical Association and the American Academy of Neurology.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org
Amanda Kallen is an associate professor in the Division of Reproductive Endocrinology and Infertility at the University of Vermont Larner College of Medicine and an adjunct professor at the Yale School of Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A.N. Kallen and Others. Undermining Women's Health Research — Gambling with the Public's Health. N Engl J Med 2025;392:2185-2187.
In this episode of The Root Cause Medicine Podcast, we're joined by Dr. Elisa Song—pediatrician, integrative medicine expert, and author of Healthy Kids, Happy Kids. With a deep commitment to helping children thrive, Dr. Song shares how gut health forms the foundation of pediatric wellness and why holistic care is essential in addressing the chronic health challenges kids face today. We dive into how the microbiome shapes immunity, mood, and behavior, and why addressing nutrition, lifestyle, and environmental factors is crucial for long-term health. Dr. Song also breaks down five core pillars for nurturing a healthy gut in children and reveals the surprising ways added sugar and ultra-processed foods impact the developing brain. You'll learn: - The role of gut health in preventing and managing childhood conditions - Five foundational habits to support your child's microbiome - How sugar and processed foods disrupt children's brain and gut function - The link between gut health and mental wellness in kids - What lab tests can help assess and guide pediatric gut health interventions This episode is a must-listen for parents, caregivers, and healthcare providers who want to raise healthy, resilient children through informed, integrative strategies. Order tests through Rupa Health, the BEST place to order functional medicine lab tests from 30+ labs - https://www.rupahealth.com/reference-guide
In this episode, we go beyond the clinical basics to explore the history of measles, common complications, and current approaches to diagnosis and management. Our guests also tackle the rise in misinformation and share strategies for having effective, empathetic conversations with families about measles and the MMR vaccine. Listen to the fascinating discussion with host Dr. Paul Wirkus, who is joined by TW Jones, MD, Andy Pavia, MD, and Mary Fortini, DO.Have a question? Email questions@vcurb.com. Your questions 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.
Welcome to Dr. M's Women and Children First, where we dive into the latest insights on health and wellness for women and children. Today, we're honored to have Dr. Peter Rowe, a world-renowned expert from Johns Hopkins University, joining us to unravel the complexities of chronic fatigue. Dr. Peter Rowe is a Professor of Pediatrics at the Johns Hopkins University School of Medicine. He is the inaugural Sunshine Natural Wellbeing Foundation Professor of Chronic Fatigue and Related Disorders and serves as the Director of the Chronic Fatigue Clinic at Johns Hopkins Children's Center. His areas of clinical expertise include chronic fatigue syndrome and other disorders characterized by fatigue and orthostatic intolerance. Dr. Rowe and his colleagues were the first to describe the relationship between chronic fatigue syndrome (CFS) and treatable orthostatic intolerance syndromes, as well as the association between Ehlers-Danlos syndrome and CFS. In this episode, Dr. Rowe and I dive deep into CFS and long Covid for both the parent and the clinician. We set the stage for a better understanding of this complex disorder in order to encourage earlier diagnosis and better therapy. From its impact on daily life to cutting-edge approaches for management, Dr. Rowe brings decades of expertise to help us understand this challenging condition. Please Enjoy, Dr. M
Send us a textPatent Ductus Arteriosus in Preterm Infants.Ambalavanan N, Aucott SW, Salavitabar A, Levy VY; Committee on Fetus and Newborn; Section on Cardiology and Cardiac Surgery.Pediatrics. 2025 May 1;155(5):e2025071425. doi: 10.1542/peds.2025-071425.PMID: 40288780 Review.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
Send us a textIn this week's Journal Club, Ben and Daphna dive into the latest report from the American Academy of Pediatrics on the management of patent ductus arteriosus (PDA) in preterm infants. They dissect the nuances of prophylactic versus selective treatment, review recent meta-analyses, and explore why early intervention might not yield better outcomes despite effective PDA closure. They also break down new echocardiographic criteria for diagnosing a hemodynamically significant PDA and discuss the role of transcatheter procedures.The conversation then shifts to MRI timing and classification in neonatal encephalopathy, highlighting recent Canadian consensus recommendations for standardizing imaging protocols post-therapeutic hypothermia. The episode wraps up with a look at the TOHOP trial on permissive hypotension, challenging long-standing blood pressure treatment thresholds in preterm infants.Listeners will gain a pragmatic view of evolving clinical practices and research gaps in neonatal care, particularly for infants with PDA and hypoxic-ischemic encephalopathy. If you're looking to stay current on evidence-based recommendations without the fluff, this episode is for you. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!
This episode packs an impactful punch and is a can't-miss! Host Dr. Vin Gupta is joined by recently declared U.S. Senate candidate Dr. Annie Andrews, who is looking to unseat Lindsey Graham in 2026, for an expansive discussion on her candidacy, policy priorities, and broader calls to action. Afterwards, Dr. Sean O'Leary, Professor of Pediatrics and Chair of the Committee on Infectious Diseases at the American Academy of Pediatrics, provides much-needed clarity on the chaotic messaging about childhood vaccines that came out of HHS last week. Learn more about your ad choices. Visit megaphone.fm/adchoices
Ready to squeeze in some dynamic NCLEX prep, even on a busy day? Let's go! In this PodQuiz episode, we're doing Q&A – just like flashcards, but for your ears. Whether you're driving, folding laundry, or walking the dog, you can quiz yourself on-the-go and reinforce key nursing concepts without sitting at a desk or staring at a screen. This format is what I use inside Study Sesh, and it's designed to help you actively recall important information—one of the most effective ways to study for the NCLEX. In this episode, we're focusing on an assortment of topics you'll encounter on the NCLEX, so get ready to test your knowledge, sharpen your thinking, and boost your confidence. ___________________ Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats including podquizzes, case studies and drills that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh! Fast Pharmacology - This audio-based program is just for pharm. Learn pharmacology concepts in 5 minutes or less, perfect for on-the-go review! 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.