Podcasts about Pediatrics

A new report shows no state in the country has enough affordable housing for the families most in need. Reset discusses what's driving the shortage in Illinois, how a lack of affordable housing can put a family's health at risk and how organizations and lawmakers are working to close the gap with Bob Palmer, policy director of Housing Action Illinois, Amanda Henley, community expert of the Housing Committee at the Illinois Chapter of the American Academy of Pediatrics, Dr. Nancy Heil, chair of the Housing Committee at the Illinois Chapter of the American Academy of Pediatrics, Guacolda Reyes, chief real estate development officer of the Resurrection Project and Illinois State Rep. Will Guzzardi (D-Chicago).

A Toby Rogers Re-post: Democrats aspire to create a society made up entirely of obedient children ruled over by the abusive Pharma state by Toby Rogers March 18, 2023 (tobyrogers.substack.com)One of the strangest facets of the iatrogenocide is that many Democrats can no longer tell the difference between adults and children. It brings me no joy to note this. But it's everywhere and I have not seen others report on this so I will.1. Democrats at all levels of government — from President Biden on down to county supervisors and city council members — believe that children should be able to make the decision to take puberty blockers (such as the chemical castration drug, Lupron) and undergo sex change surgery that will leave them permanently infertile. Nearly all mainstream medical associations (e.g. the American Medical Association, American Academy of Pediatrics, and the Endocrine Society) and public health agencies are staffed by Democrats and they are all on board with this.Democrats are making several extraordinary intellectual mistakes in this case: • Thinking that children have the intellectual capacity to make an informed decision about complex medical issues with lifelong implications; • Not even bothering to study the possible long-term harms from this approach; • Seeing adulthood as a disease to be prevented; and• Not realizing that in many cases Pharma and surgeons are enriching themselves by taking advantage of children on the autism spectrum.In a sane world, any one of these points would end this scheme. And yet Democrats all fell in line in the space of 15 years.2. Nearly every blue state pushes minor consent bills to allow children to be vaccinated at school without their parents' knowledge or permission. It's nearly impossible to overstate how evil these bills are. • Children are not old enough to properly weigh risks and benefits from vaccines. • Children will not know their full medical history and any possible contraindications going back to infancy. • What happens if the child is injured by a vaccine and the parents don't even know that a vaccine was administered? How will the parents apply for injury compensation during the brief window of eligibility without knowing what was done to their child?• Minor consent bills are a violation of federal law that requires vaccine information statements to be provided to the parent or legal guardian for any vaccines on the childhood schedule.I also want to underscore the brazen hypocrisy of minor consent bills. Democratic lawmakers claim that children are mentally capable of making a decision about vaccination. Yet, these bills do NOT allow a child to REFUSE a vaccine that their parents have consented to. So are children capable of making this decision or not? It seems that Democrats consider children to be capable decision-makers insofar as they are submissive and obedient to the drug cartel and all risk of harm is borne by the child, in secret.For more see this link: https://robertyoho.substack.com/p/212-a-dystopian-peter-pan#detailsSupport the show

What makes a good podcast host? That's a question many of us ask! What gives a Podcast its "hostiness" and makes you want to come back for more again and again?“There's almost nothing about hosting and really by implication producing and that, that quality – I did not coin the term 'hostiness,' that comes from I believe PRX many years ago – but it's, it's this ineffable quality that makes us go 'oh, I love listening to Ira Glass,' or Jad Abumrad of Radio Lab, or Anna Sale, or Brené Brown, or whoever we connect with, and different people obviously connect with different hosts. But what is that makes us connect?”-- Elaine Appleton GrantMy next guest has actually been on this podcast before. She's an award-winning journalist, audio producer, and on-air talent who worked for three NPR affiliates before founding Podcast Allies, LLC in 2019. She hosts the podcast Sound Judgment, a master study in great podcast hosting, and I'm certainly honored to have her here. In fact, you might have heard her review of this podcast read out on a recent show. Her show features today's best hosts, and producers, including Glynn Washington, host of Snap Judgment, John Barth, founding producer of Marketplace, Ann Bogel of What Should I Read Next, and Stephanie Wittels Wachs of Last Day. Her production company, Podcast Allies, develops narrative and conversation podcasts for social impact organizations, such as the Environmental Defense Fund and the American Academy of Pediatrics, so her background in audio is pretty extensive.Her name is Elaine Appleton Grant, and I'm looking forward to getting her take on what she feels makes a good podcast and a great host. With all the interesting people she's interviewed, she's bound to have a very informed opinion.As always, if you have questions for my guest, you're welcome to reach out through the links in the show notes. If you have questions for me, visit www.audiobrandingpodcast.com where you'll find a lot of ways to get in touch. Plus, subscribing to the newsletter will let you know when the new podcasts are available. And if you're getting some value from listening, feel free to spread that around and share it with a friend, along with leaving an honest review. Both those things really help – and I'd love to feature your review on future podcasts. You can leave one either in written or in voice format from the podcast's main page. I would so appreciate that. The Voice of GodAs we start the episode off, the discussion turns straight to podcasting, its storytelling strengths, and the powerful role it plays in audio branding. We talk about her work with John Barth, developer of the famous Moth Radio Hour, and Elaine and I discuss audio trends in everything from television commercials to movie trailers, and how modern audiences have outgrown the classic "voice of God" Hollywood voice-overs. As Elaine puts it, "it's like the end of the newscaster voice." Ways to Get AttentionOur conversation continues with a look at how multi-tasking and our always-on-the-go lifestyle have changed the tone and purpose of advertising. "We're all trying to find ways to get attention," she says. "There are effective ways, there are good ways, there are ways with integrity, and there are ways that you and I might argue are less so." We talk about how this very podcast got its start and the audio trends, both good and not-so-good, that helped inspire its focus on sonic branding. An Ineffable QualityElaine tells us about the start of her podcast Sound Judgment and her search for the true meaning of “hostiness,” a word she borrowed from Jay Bear to describe that perfect chemistry with a host that brings the...

Today, Melanie and Dr. Adriana Stacey discuss a recent article in the Journal of Pediatrics on independent play and how it relates to children's mental well-being. This episode is full of great recommendations, encouragement, and a ton of research on why allowing your children the autonomy of independent play will make them happier, healthier, and more well-rounded adults.References & Links:Journal of Pediatrics article Dr. Stacey refers to throughout the episode: Decline in Independent Activity as a Cause of Decline in Children's Mental Wellbeing: Summary of the EvidencePlay: How it Shapes the Brain, Opens the Imagination, and Invigorates the Soul by Dr. Stuart BrownThe Let Grow Project for Childhood Independence Episode 38: Helping Your Children Avoid Screen Addiction with Tracy Markle______________________________________________________Please subscribe, rate, and share this podcast to help spread the word. Stay Strong! Become a Connect Member to get access to our exclusive online forum, LIVE webinars with medical experts, and the entire ScreenStrong library of videos, audio clips, interviews, e-books, handouts, and more!Our ScreenStrong Lifestyle Courses are also NOW AVAILABLE! Production Team: Host—Melanie Hempe Producer & Audio Editor—Olivia Kernekin

RIPPED FROM THE HEADLINES! Semaglutide is sweeping the news cycle right now. From influencers and celebrities touting its weight loss effects, to the American Academy of Pediatrics' new (controversial) recommendations on children's weight, talk about this medication is hard to miss.With all that talk, there is ripe opportunity for MISINFORMATION. That's precisely why we brought back OUR FAVORITE PHARMACIST, Greg Castelli, PharmD, to give us the facts on semaglutide (Ozempic, Wegovy)Topics in this episode include:What is semaglutide? How does it work?Why/how was it approved for weight loss?Is it safe? What do the studies/research show?What are the side effects?For whom is Ozempic/Wegovy prescribed? Who is the target audience?Why are there shortages of this medication?Is it covered by insurance? How expensive is it?What happens when you stop taking it?Is there long-term data on risks/benefits of use (more than 5-6 years)?Is there research/data on its use in kids?Greg our Pharmacist recommends checking out Michael Pollan's book "In Defense of Food".For more episodes, limited edition merch, or to become a Friend of Your Doctor Friends (and more), follow this link!Also, CHECK OUT AMAZING HEALTH PODCASTS on The Health Podcast Network(For real, this network is AMAZING and has fantastic, evidence-based, honest health information, and we are so happy to partner with them!) Find us at:Website: yourdoctorfriendspodcast.com Email: yourdoctorfriendspodcast@gmail.com Call the DOCLINE on 312-380-5005 and leave us a message. We will listen and maybe even respond/play it on the show! (Disclaimer: we will not answer specific medical questions or offer medical advice. Consult your healthcare professional with any and all personal health questions.) Connect with us:@your_doctor_friends (IG)@JeremyAllandMD (IG, FB, Twitter)@JuliaBrueneMD (IG)@HealthPodNet (IG)

This month Steven Kelly, MD and host Paul Wirkus, MD, FAAP discuss common problems in pediatric otolaryngology.In week three, the conversation centers around neck masses in children - work up, treatment and when to refer. Want to ask Dr. Kelly a question? Send your question to questions@vcurb.com. Your question 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.

In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Julie Wei, president of the American Society of Pediatric Otolaryngology, discuss how lifestyle medicine can resolve common chronic pediatric ENT complaints. --- SHOW NOTES First, Dr. Wei explains the “milk and cookie disease”, a condition she coined that relates to a triad of symptoms in children that include chronic cough, nasal congestion, and rhinorrhea. In her practice, she noted that consuming dairy and sugar products close to bedtime was directly correlated with the triad of symptoms. Thus, she emphasizes that diet is the main pillar in lifestyle medicine in children. She then explains her general workup for pediatric patients. She notes that pediatric ENT patients often have multiple complaints, so it is helpful to categorize each as chronic or acute. She always asks how many total ounces of milk the child consumes in a day, the type of milk, and the timing of dairy consumption. She has noticed that excess consumption of sugary beverages, yogurt products, and flavored milk have correlated with increased ENT complaints in children. However, Dr. Wei emphasizes the importance of educating parents about a diet of moderation instead of judging or shaming them. Dr. Wei notes that in teenagers, sleep hygiene is even more important and that eating is tied to emotions and mental states. She encourages pediatric ENTs to share previous patient stories and to be familiar with the American Academy of Pediatrics guidelines. Other techniques for family counseling include: prioritizing key changes for a short duration and giving specific action items. She also explains how she created a pilot study and discovered that increased sugar consumption correlated with increased inflammatory cytokines. Finally, she discusses her published books, blog posts, and online courses about the importance of lifestyle medicine in pediatric ENT. --- RESOURCES “A Healthier Wei” by Julie Wei https://www.drjuliewei.com/pages/a-healthier-wei Dr. Julie Wei's Blog https://www.drjuliewei.com/blogs/news Dr. Julie Wei's Online Courses https://drjuliewei.mykajabi.com/

Dr. Greenberg received a BA degree from the University of Pennsylvania, his medical degree from University of Florida, and completed his residency in Pediatrics and Fellowship in Allergy and Clinical Immunology from the University of California, Los Angeles. As a Pediatrician in practice for over twenty years he knows firsthand how hard it can be to run a successful medical practice. As if declining reimbursement isn't enough, costs keep going up with no end in sight. Dr. Greenberg started MPPG to save money not only for his medical practice, but those of his colleagues as well! MEDICAL PRACTICE PURCHASING GROUP (MPPG) was founded in 2004 by Dr. Brian Greenberg, a Pediatrician and Allergist in Agoura Hills and Tarzana, California in order to help physicians with the high cost of medical practice. https://mppg.net/ ----------------------------------- “Dr. Sharon Mclaughlin is board certified plastic surgeon. She is founder of the Female Physician Entrepreneurs Network and Business Program where she empowers women physicians by helping them turn their idea into profitable businesses so that they can have the freedom to live their best life. She is also the founder of Mind Lull, which helps others slow down by providing tools and journals which help small business owners improve their focus and have more fulfillment. Her latest book, Thriving After Burnout, is a compilation of stories from women physicians who share tips and strategies on what helped them during burnout. Thriving After Burnout Thriving After Burnout: A Compilation of Real Stories and Strategies to Reduce Female Physician Burnout For women physicians https://fpestrong.com You can find Dr Mclaughlin's planners here Journal and Business Planner For Entrepreneurs and Small Business Owners: Intention and Gratitude Journal For Entrepreneurs Her website https://sharonmackconsuting,.com You can reach her at sharon@sharonmackconsulting.com Social Media Instagram https://www.instagram.com/sharonmclaughlinmd/ Tik Tok https://www.tiktok.com/@sharonmclaughlinmd Linkedin https://www.linkedin.com/in/sharonmclaughlinmd/ Facebook Female Physician Entrepreneurs Group Female Physician Entrepreneurs | Facebook #medicalpractice #privatepractice #physicianmom #physicianentrepreneur #medicaleconomy

Hearing that your child has a medical diagnosis throws a new kind of stress and strain into the parenting arena. Whether the diagnosis is transient or severe, increased parental anxiety is a common issue that presents many twists and turns. Today's guest shares a pediatrician's perspective on supporting parents' mental health through this process. Join us to learn more! Dr. Kelly Fradin is a pediatrician and the author of Advanced Parenting: Helping Kids Through Diagnoses, Differences, and Mental Health Challenges. She is a mother of two and a child advocate based in New York City.  Currently the Director of Pediatrics at the Atria Institute, she was inspired to become a doctor because of her experience of surviving childhood cancer. She is a graduate of Harvard College and Columbia College of Physicians and Surgeons, and she has dedicated her career to caring for children with complex medical conditions, using her skills in academic clinics, private practice, inpatient units, and schools. In addition to sharing information from her new book, Dr. Fradin shares realistic and powerful parenting advice and children's health information on her Instagram account: @adviceigivemyfriends.  Show Highlights: How Dr. Kelly's childhood cancer journey opened her eyes to the mental health needs of parents Why we should normalize and talk about the challenges that come with new parenthood–and anticipate that trying times will come Why it is important to have an honest relationship with your doctor and your child's doctor How feeding challenges come up for a new baby as a very common issue and diagnosis How a child's diagnosis can lead to excessive worry, anxiety, and intrusive thoughts How a more serious diagnosis and a larger medical care team lead to a more complex responsibility and anxiety Why parents should NOT try to “do it all” themselves but should accept help and delegate responsibilities to others How a NICU experience can impact parents' mental health (While in the NICU, don't be afraid to ask for what you need!) What the reality is in coping with a diagnosis and the stigma that follows in the “what's next?” phase Why it helps fight feelings of isolation to be open with your circle of family and friends Why it's OK to give yourself permission to feel anger in addition to frustration and sadness How a couple may experience their child's diagnosis in very different ways  What Dr. Fradin's book shares about information and coping strategies for parents Resources: Connect with Dr. Kelly Fradin: Website, Instagram, and Book Visit www.postpartum.net for resources! I'd love to hear from you! Visit www.postpartum.net/professionals/certificate-trainings/ for information on the grief course.   Visit my website, www.wellmindperinatal.com, for more information, resources, and courses you can take today! Learn more about your ad choices. Visit megaphone.fm/adchoices

Please support the podcast by taking our short listener survey: https://www.surveymonkey.com/r/intotheimpossible Be sure to watch the video of this episode on YouTube here: https://youtu.be/hDKGF5W4Qis?sub_confirmation=1 Where does consciousness come from? Can we cure autism? Can we grow a human BRAIN in Space? Dr. Alysson Muotri joins me to discuss all these fascinating questions and more. Brain organoids are lab-grown minibrains that mimic structural and functional features of full-size brains. They are created by culturing pluripotent stem cells in a three-dimensional rotational bioreactor, and they develop over a course of months. Brain organoids have emerged as novel model systems that can be used to investigate human brain development and disorders34, as well as evolutionary studies and neural network research Muotri is a Professor at the Departments of Pediatrics and Cellular & Molecular Medicine at UC San Diego, an Associate Director of CARTA, The Center for Research and Training in Anthropology, and Director of the Stem Cell Program, and of the Archealization Center (ArchC) at UC San Diego. He moved to the Salk Institute as Pew Latin America Fellow in 2002 for postdoctoral training in the fields of neuroscience and stem cell biology. His research focuses on brain evolution and modeling neurological diseases using human-induced pluripotent stem cells and brain organoids. He has an additional focus on solving one of life's greatest mysteries: What is it that makes us uniquely human? Our unique social brains are one of the key distinguishing factors between humans and other primates. We are even very different from our closest relatives, the Neanderthals. His work has implications for the generation of human disease models by determining the molecular and cellular mechanisms driving neurological complex disorders, such as autism. It is also creating opportunities for identifying and testing novel therapeutic approaches. Understanding the evolutionary path and the tradeoffs of the modern human brain will likely illuminate the origins of human disease. Dr. Moutri has received several awards, including the prestigious NIH Director's New Innovator Award, NARSAD, Emerald Foundation Young Investigator Award, Surugadai Award, Rock Star of Innovation, NIH EUREKA Award, and two Telly Awards for Excellence in Science Communication. Links: Department of Cellular and Molecular Medicine: cmm.ucsd.edu Center for Academic Research and Training in Anthropogeny: carta.anthropogeny.org/users/alysson-muotri the Archealization Center: Archc.ucsd.edu Subscribe to the Jordan Harbinger Show for amazing content from Apple's best podcast of 2018! https://www.jordanharbinger.com/podcasts  Please leave a rating and review: On Apple devices, click here, https://apple.co/39UaHlB On Spotify it's here: https://spoti.fi/3vpfXok On Audible it's here https://tinyurl.com/wtpvej9v  Find other ways to rate here: https://briankeating.com/podcast Support the podcast on Patreon https://www.patreon.com/drbriankeating  or become a Member on YouTube- https://www.youtube.com/channel/UCmXH_moPhfkqCk6S3b9RWuw/join To advertise with us, contact advertising@airwavemedia.com Learn more about your ad choices. Visit megaphone.fm/adchoices

We demystify primary aldosteronism, MRAs (mineralocorticoid receptor antagonists), non-steroidal MRAs, and how to recognize and treat renovascular hypertension with nephrologist/hypertension expert, Dr. Matt Luther (@DrJMLuther) as part of the NephMadness  PodCrawl 2023. Fill out a bracket for NephMadness and check out all eight NephMadness PodCrawl participants at NephMadness.com/podcrawl (list below) and the MRA region write-up by Micah Schub (@AcidBassMD). The Curbsiders gets the skinny on mineralocorticoid receptor antagonists Core IM will be covering Kidney Transplant in their classic Five Pearl format The CardioNerds will be covering the effect of Heart Failure Devices on Kidney Health Freely Filtered will try to understand thrombotic microangiopathy ISN Global Kidney Care goes deep on IgA nephropathy The Cribsiders look at transitions, first the Pediatrics to Adult nephrology transition and then from living to death with palliative nephrology  Fellow on Call will be covering Onconephrology And finally, The Nephron Segment looks at Transgender Health and CKD Claim free CME for this episode at curbsiders.vcuhealth.org! Episodes | Subscribe | Spotify | YouTube | Mailing List | Contact | Swag | CME Show Segments Intro Diagnosis and Management of Primary Aldosteronism (PA) MRAs vs non-steroidal MRAs (mineralocorticoid receptor antagonists) NephMadness MRA region picks Renovascular Hypertension Outro Credits Writer and Producer: Matthew Watto MD Show Notes: Matthew Watto MD Cover Art & Infographic: Matthew Watto MD Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: J. Matthew Luther MD Sponsor: Locumstory Get a comprehensive view of locums, and decide if it;s right for you, at locumstory.com Sponsor: indeed Visit indeed.com/internalmedicine to start hiring now. 

As you may know, we love to see pregnant mommas and babies in our office. Here's the short list of reasons why.Dive in to learn how we are addressing a CAUSE, not a symptom.BY DESIGN | A Brain-Based DocumentaryConnect with Dr. Daniel:InstagramFacebookConnect with Nexus Family Chiropractic:InstagramFacebookYouTubeWeb

Listener Feedback SurveyAbout our Guest:  Samuel Davila, M.D. is an Associate Professor of Pediatrics here at UT Southwestern. He completed both his pediatric infectious disease and critical care fellowships at Washington University at St. Louis Children's Hospital. He now is a practicing pediatric infectious disease specialist and intensivist at the UTSW/ Children's Medical Center in Dallas, Texas. His professional and research interests include cardiovascular infections, cardiac ECMO, and post heart transplant infections. I spend time doing handshake stewardship in the ICUs and committee work for hospital acquired conditions and infection prevention. Learning Objectives: By the end of this podcast, listeners should be able to: Define ventilator-associated conditions and infection-related ventilator-associated complications (IVAC).  Recall the clinical characteristics and laboratory tests required to diagnose ventilator-associated pneumonia (VAP). Differentiate VAP from tracheitis. Recall the common or worrisome pathogens associated with VAP. Recall principles guiding empiric antibiotic selection for a patient with suspected VAP. Recognize the importance of antimicrobial stewardship in management of VAP and develop a strategy to limit unnecessary antibiotics (duration of therapy, strategies for narrowing coverage or discontinuing antibiotics if other diagnosis is more likely). Recognize when consultation with infectious disease is recommended in the management of VAP. How to support PedsCrit:Please rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.References:Willson DF, Hoot M, Khemani R, Carrol C, Kirby A, Schwarz A, Gedeit R, Nett ST, Erickson S, Flori H, Hays S, Hall M; Ventilator-Associated INfection (VAIN) Investigators and the Pediatric Acute Lung Injury and Sepsis Investigator's (PALISI) Network. Pediatric Ventilator-Associated Infections: The Ventilator-Associated INfection Study. Pediatr Crit Care Med. 2017 Jan;18(1):e24-e34. doi: 10.1097/PCC.0000000000001001. PMID: 27828898.Spalding MC, Cripps MW, Minshall CT. Ventilator-Associated Pneumonia: New Definitions. Crit Care Clin. 2017 Apr;33(2):277-292. doi: 10.1016/j.ccc.2016.12.009. Epub 2017 Jan 18. PMID: 28284295; PMCID: PMC7127414.Support the show

“A child [patient] makes a mistake, upsets things - one doesn't console or complain, but just reflects whatever the patient's affect was at that moment, such as, ‘that seems to bother you' or ‘it's hard to put those two pieces together'- to just observe it, to not have an affective response of disgust or irritation. The same thing is true if a patient comes in bragging or talking about something that made them very proud - to acknowledge their being proud but to not get all excited. The kind of things that often these children who have a lot of difficulty due to parents' narcissistic investment in them, and we're all narcissistically invested in our kids - they have a lot of trouble knowing what they really feel and what they really want. I think my non-judgmental, either positively judgmental or negatively judgmental attitude, allows them to begin to experience that what they're doing is what they are doing for themselves for some reason, not what they're doing for me or for the witness, that's an enormously important part.”      Episode Description: We begin with Judy sharing her professional journey that led her to child analysis. She is active as a psychoanalytic clinician, supervisor, teacher, consultant, writer, and editor. We discuss four key papers of hers that study neutrality, enactments, informative experiences, and the role of attachment. Central to her writing and thinking is her curiosity about the inner lives of her patients, especially as action and interaction provide clues to that latent life. We discuss the analyst's experience of ‘wearing the attributes' that patients need to project onto us and tolerating the often deep discomfort in doing so. We consider how her model of therapeutic action, entailing surprise and changes in perceptual frame, does and doesn't have some similarities to psychedelic-assisted therapy. We close with her sharing her analytic experiences with gender-conflicted boys and her hope for the future of our field.     Our Guest: Judith Fingert Chused, MD, is an Emeritus Training and Supervising Psychoanalyst at the Washington Baltimore Center for Psychoanalysis and Supervising Psychoanalyst at the Denver, Cleveland, and Seattle Institutes.  She is also a Clinical Professor of Behavioral Sciences and of Pediatrics at the George Washington School of Medicine. She is married for 57 years to a former nursery school and medical school classmate and has seven delightful, mischievous grandchildren.      Recommended Readings:  Chused, J. F. (2016) An Analyst's Uncertainty and Fear. Psychoanalytic Quarterly 85:835-850     Chused, J. F. (2000) Discussion: A Clinician's View of Attachment Theory. Journal of the American Psychoanalytic Association 48:1175-1187     Chused, J. F. (1999) Male Gender Identity and Sexual Behaviour. International Journal of Psychoanalysis 80:1105-1117     Chused, J. F. (1996) The Patient's Perception of the Analyst's Countertransference. Canadian Journal of Psychoanalysis 4:231-253     Chused, J. F. (1996) The Therapeutic Action of Psychoanalysis: Abstinence and Informative Experiences. Journal of the American Psychoanalytic Association 44:1047-1071    Chused, J. F. (1991) The Evocative Power of Enactments. Journal of the American Psychoanalytic Association 39:615-639    Chused, J. F. (1992) The Patient's Perception of the Analyst: The Hidden Transference. Psychoanalytic Quarterly 61:161-184     Chused, J. F. (1990) Neutrality in the Analysis of Action-Prone Adolescents. Journal of the American Psychoanalytic Association 38:679-704     Chused, J. F. (1987) Idealization of the Analyst by the Young Adult. Journal of the American Psychoanalytic Association 35:839-859     Chused, J. F. (1982) The Role of Analytic Neutrality in the Use of the Child Analyst as a New Object. Journal of the American Psychoanalytic Association 30:3-28 

This week's episode of the podcast is supported by the SADS Foundation (SADS.ORG) and is on the topic of the overdiagnosis of LQTS. What sorts of conditions can lengthen the QT interval without true congenital LQTS syndrome? What are the most common errors of ECG interpretation that account for misdiagnosis of this condition and are there leads of the ECG that might help or hurt when attempting to accurately measure the QT interval. What is the role of the ICD in the LQTS patient? We speak with Professor of Pediatrics, Medicine and Pharmacology at the Mayo Clinic Alix School of Medicine, Dr. Michael Ackerman about a recent work he published on this important topic.doi: 10.1016/j.jacc.2022.11.036.

Introducing EM Pulse Podcast™ Rebeat! In our Rebeat episodes, we will revisit important past episodes. In this Rebeat, we discuss a challenging but important aspect of emergency medicine - identifying and addressing child abuse or non-accidental trauma (NAT). We talk with expert Dr. Mary Clyde Pierce about her paper, which validates the TEN-4 FACESp clinical decision rule for predicting abuse in young children, and share insights on how we can save a child's life through vigilance and awareness of specific findings. Have you used TEN-4 FACESp to identify potential non-accidental trauma? Share your experience with us via social media, @empulsepodcast, or through our website, ucdavisem.com. ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Assistant Professor of Emergency Medicine at UC Davis Guest: Dr. Mary Clyde Pierce, Professor of Pediatrics at Northwestern University, Pediatric Emergency Physician and Director of Child Abuse Research at Laurie Children's Hospital. Resources: Pierce MC, Kaczor K, Lorenz DJ, Bertocci G, Fingarson AK, Makoroff K, Berger RP, Bennett B, Magana J, Staley S, Ramaiah V, Fortin K, Currie M, Herman BE, Herr S, Hymel KP, Jenny C, Sheehan K, Zuckerbraun N, Hickey S, Meyers G, Leventhal JM. Validation of a Clinical Decision Rule to Predict Abuse in Young Children Based on Bruising Characteristics. JAMA Netw Open. 2021 Apr 1;4(4):e215832. doi: 10.1001/jamanetworkopen.2021.5832. Lorenz DJ, Pierce MC, Kaczor K, Berger RP, Bertocci G, Herman BE, Herr S, Hymel KP, Jenny C, Leventhal JM, Sheehan K, Zuckerbraun N. Classifying Injuries in Young Children as Abusive or Accidental: Reliability and Accuracy of an Expert Panel Approach. J Pediatr. 2018 Jul;198:144-150.e4. doi: 10.1016/j.jpeds.2018.01.033. Epub 2018 Mar 15. PMID: 29550228; PMCID: PMC6019119. CDC Morbidity and Mortality Weekly Report: Trends in US Emergency Department Visits Related to Suspected or Confirmed Abuse and Neglect Among Children and Adolescents Aged

For nearly 50 years the term Limited English Proficient (LEP) has been continuously used to refer to our multilingual communities since it was first coined in the Lau vs. Nichols Supreme Court case of 1974.  As we shift towards a better understanding and appreciation of multilingualism, perhaps it's time we start having conversations about a shift in terminology that more positively reflects our communities that speak a language other than English. In today's enriching conversation I have the opportunity to discuss this particular topic with a team of Drs. from Seattle Children's Hospital, authors of the commentary - Language Matters: Why We Should Reconsider the Term "Limited English Proficiency".  Dr. Desiree Yeboah is a 2nd year Pediatric Hospitalist Medicine Fellow at Seattle Children's Hospital, committed to advancing and sustaining equitable healthcare for underserved patients through quality improvement and medical education research. Dr. Corrie McDaniel is an Assistant Professor and Pediatric Hospitalist with the University of Washington School of Medicine and Seattle Children's Hospital, currently a funded Investigator with the Agency for Healthcare Research and Quality with specific interest in addressing disparities for children in rural hospitals.Dr. Casey Lion is an Associate Professor of Pediatrics in the divisions of General Pediatrics and Hospital Medicine at the University of Washington School of Medicine, and an investigator at the Seattle Children's Research Institute.Some topics discussed include:The marginalization of our multilingual communitiesFocusing on limitation changes our approachesChanging system approachesThe role time plays in discussions about language servicesEmpowering with knowledgeReconsidering the terminology currently adopted, and more!Only on the podcast that shares your stories about our profession. Brand the Interpreter! Thanks for tuning in, till next time!

To readers of the Capital Research Center or InfluenceWatch, none of the findings reported by New York Post columnist Karol Markowicz and stay-at-home mother, children's book editor, and political commentator Bethany Mandel in their book Stolen Youth: How Radicals are Erasing Innocence and Indoctrinating a Generation will be that surprising; capture of institutions ranging from school boards to the American Academy of Pediatrics by left-of-center interests will be familiar. But the details and personal accounts Mandel and Markowicz summon to warn parents about the direct challenges by left-wing interests to their children's well-being are alarming. Joining me to discuss the book is co-author Bethany Mandel. Links: Link to Book: https://store.dailywire.com/products/stolen-youth-by-bethany-mandel-and-karol-markowicz Stolen Youth and the Power of the Powerless: https://capitalresearch.org/article/stolen-youth-and-the-power-of-the-powerless/ Follow us on our Socials: Twitter: @capitalresearch Instagram: @capitalresearchcenter Facebook: www.facebook.com/capitalresearchcenter YouTube: @capitalresearchcenter

Dr. Greenberg received a BA degree from the University of Pennsylvania, his medical degree from University of Florida, and completed his residency in Pediatrics and Fellowship in Allergy and Clinical Immunology from the University of California, Los Angeles. As a Pediatrician in practice for over twenty years he knows firsthand how hard it can be to run a successful medical practice. As if declining reimbursement isn't enough, costs keep going up with no end in sight. Dr. Greenberg started MPPG to save money not only for his medical practice, but those of his colleagues as well! MEDICAL PRACTICE PURCHASING GROUP (MPPG) was founded in 2004 by Dr. Brian Greenberg, a Pediatrician and Allergist in Agoura Hills and Tarzana, California in order to help physicians with the high cost of medical practice. https://mppg.net/ ----------------------------------- “Dr. Sharon Mclaughlin is board certified plastic surgeon. She is founder of the Female Physician Entrepreneurs Network and Business Program where she empowers women physicians by helping them turn their idea into profitable businesses so that they can have the freedom to live their best life. She is also the founder of Mind Lull, which helps others slow down by providing tools and journals which help small business owners improve their focus and have more fulfillment. Her latest book, Thriving After Burnout, is a compilation of stories from women physicians who share tips and strategies on what helped them during burnout. Thriving After Burnout Thriving After Burnout: A Compilation of Real Stories and Strategies to Reduce Female Physician Burnout For women physicians https://fpestrong.com You can find Dr Mclaughlin's planners here Journal and Business Planner For Entrepreneurs and Small Business Owners: Intention and Gratitude Journal For Entrepreneurs Her website https://sharonmackconsuting,.com You can reach her at sharon@sharonmackconsulting.com Social Media Instagram https://www.instagram.com/sharonmclaughlinmd/ Tik Tok https://www.tiktok.com/@sharonmclaughlinmd Linkedin https://www.linkedin.com/in/sharonmclaughlinmd/ Facebook Female Physician Entrepreneurs Group Female Physician Entrepreneurs | Facebook #medicalpractice #privatepractice #physicianmom #physicianentrepreneur #medicaleconomy

Dr. Joseph O. Lopreiato Undergraduate: B.S. (Biology) Seton Hall University, South Orange, New Jersey, 1973-1977.Medical: M.D. Georgetown University School of Medicine, Washington, D.C., 1977-1981.Masters Degree: Masters of Public Health, University of Texas Health Science Center School of Public Health, 1995-1997.Internship: Pediatrics, National Naval Medical Center, Bethesda, Maryland, 1981-1982.Residency: Pediatrics, National Naval Medical Center, Bethesda, Maryland, 1982-1984.Fellowships: Primary Care Faculty Development Fellowship, Michigan State University, East Lansing, Michigan 1993-1994.Academic Pediatrics Fellowship, University of Texas Health Science Center, San Antonio, Texas 1995-1997.Certificate: Healthcare Modeling and Simulation. Naval Postgraduate School, Monterey, CA. September 2013.BIOGRAPHYDr. Joseph O. Lopreiato MD, MPH received his MD degree from Georgetown University in 1981 and his MPH degree from the University of Texas. He completed his pediatric internship and residency at the National Naval Medical Center in Bethesda, MD in 1984 and did fellowships in faculty development and academic pediatrics at Michigan State University and The University of Texas Health Science Center, San Antonio where he earned an MPH degree. He subsequently completed a 31 year career in the United States Navy Medical Corps as a pediatrician and educator. He has held several education leadership positions including pediatric clerkship director, director for educational affairs, and pediatric residency program director. He is the recipient of several national awards for education including the Academic Pediatric Association's Ray Helfer Award for Innovation Medical Education, The American Academy of Pediatrics National Education Award, a finalist for the ACGME Parker J. Palmer Award, and the recipient of the Association of Pediatric Program Director's Walter Tunneson Award for extraordinary or innovative contributions in pediatric graduate medical education. He has conducted consultations for pediatric training programs for the Association of Pediatric Program Directors and is a case developer for the National Board of Medical Examiners Step II clinical skills examination.He is currently the Associate Dean for Simulation Education and Professor of Pediatrics, Medicine and Nursing at the Uniformed Services University of the Health Sciences in Bethesda, MD. He is also the medical director of the Val G. Hemming Simulation Center, a multidisciplinary learning laboratory serving students across the continuum of medicine. He is a fellow of the American Academy of Pediatrics, a member of the American Pediatric Society, the Association of Standardized Patient Educators and is the President of the Society for Simulation in Healthcare. He is certified as a Healthcare Simulation Educator by the Society.REPRESENTATIVE PUBLICATIONS, PROJECTS, AND/OR DEPLOYMENTSAssociate Dean for Simulation Education and Medical Director, Val G. Hemming Simulation Center, 2003-presentProfessor of Pediatrics, Uniformed Services University of the Health Sciences, May 2011.William P. Clements Award as Outstanding Military Educator, USUHS, 1992.Alpha Omega Alpha Honor Society, USUHS, 1992.Captain, Medical Corps, US Navy 1999-2008Department of Defense Superior Service Medal, 2008President, Society for Simulation in Healthcare, 2018-2019Member, National Board of Medical Examiners Test Reliability (IRC) committee for Step II CS exam. 2016-present.Chair, Executive committee, Uniformed Services Section, American Academy of Pediatrics, 2001-2005.John M. Eisenberg Award for Innovation in Patient Safety and Quality, the Joint Commission and the National Quality Forum, 2016

Terry Platchek, MD serves as Vice President for Performance Improvement and Associate Chief Quality Officer at Stanford Medicine Children'sHealth, as Co-Executive Director of the StanfordMedicine Center for Improvement and as a Clinical Professor of Pediatrics and Medicine at Stanford. Dr. Platchek's career focuses on healthcare improvement with an emphasis on using Lean management to improve quality,safety, service, appropriateness and cost in healthcare delivery. Dr. Platchekis co-author of the book Advanced Lean in Healthcare and is co-author to over dozens of peer reviewed publications describing improvements in healthcare delivery and advocating for higher value models of care. In his role overseeing performance improvement at Stanford Medicine Children's Health, Dr. Platchek is a key leader driving improvement practice throughout the organization which has repeatedly ranked as a top 10 Children's hospital in the US. Dr. Platchek has been active nationally and internationally in advocating for healthcare system improvement and promoting clinician engagement. He is a founder and co-convener of the Lean Healthcare Academic Conference and has advised healthcare systems across the US, Australia and the UK on value improvement and junior doctor continuous improvement programs. He also helped found and co-leads the Stanford Medicine Center for Improvement and has over 50 invited presentations and published abstracts.Dr. Platchek co-designed and directs the Clinical Excellence Research Center Fellowship which engages elite post-doctoral clinicians and scientists in value incented healthcare delivery innovation using human-centered design methodology, bright spots research, and cost analysis. Over 50 fellows have graduated from the program and their care models which lower the cost of great healthcare, have been published in leading journals with many elements in use across the United States .Dr. Platchek holds degrees from Georgetown University (BS) and the University of Michigan (MD). He completed his residency in Internal Medicine and Pediatrics at the University of Michigan, followed by a Chief Residency in the Department Pediatrics and Communicable Diseases. He practices as a Pediatric Hospitalist at Stanford.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Dr. Greenberg, in medical practice since 1991, received a BA degree from the University of Pennsylvania, his medical degree from University of Florida, and completed his residency in Pediatrics and Fellowship in Allergy and Clinical Immunology from the University of California, Los Angeles. As a Pediatrician in practice for over twenty years he knows firsthand how hard it can be to run a successful medical practice. As if declining reimbursement isn't enough, costs keep going up with no end in sight. Dr. Greenberg started MPPG to save money not only for his medical practice, but those of his colleagues as well! MEDICAL PRACTICE PURCHASING GROUP (MPPG) was founded in 2004 by Dr. Brian Greenberg, a Pediatrician and Allergist in Agoura Hills and Tarzana, California in order to help physicians with the high cost of medical practice. https://mppg.net/ ----------------------------------- “Dr. Sharon Mclaughlin is board certified plastic surgeon. She is founder of the Female Physician Entrepreneurs Network and Business Program where she empowers women physicians by helping them turn their idea into profitable businesses so that they can have the freedom to live their best life. She is also the founder of Mind Lull, which helps others slow down by providing tools and journals which help small business owners improve their focus and have more fulfillment. Her latest book, Thriving After Burnout, is a compilation of stories from women physicians who share tips and strategies on what helped them during burnout. Thriving After Burnout Thriving After Burnout: A Compilation of Real Stories and Strategies to Reduce Female Physician Burnout For women physicians https://fpestrong.com You can find Dr Mclaughlin's planners here Journal and Business Planner For Entrepreneurs and Small Business Owners: Intention and Gratitude Journal For Entrepreneurs Her website https://sharonmackconsuting,.com You can reach her at sharon@sharonmackconsulting.com Social Media Instagram https://www.instagram.com/sharonmclaughlinmd/ Tik Tok https://www.tiktok.com/@sharonmclaughlinmd Linkedin https://www.linkedin.com/in/sharonmclaughlinmd/ Facebook Female Physician Entrepreneurs Group Female Physician Entrepreneurs | Facebook #medicalpractice #privatepractice #physicianmom #physicianentrepreneur #medicaleconomy

In this episode Sean O'Leary, MD, MPH, FAAP, chair of the AAP Committee on Infectious Diseases, shares updates to the Child and Adolescent Immunization Schedule. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Stacey Stokes, MD, MPH, FAAP, about her article in Pediatrics focusing on inclusive care for gender minority patients. For resources go to aap.org/podcast.

Do you ever wonder if your teenager's behavior is normal? On this episode of Raising Joy, Sam McCage, Ph.D., a licensed professional counselor at Cook Children's, answers all of our questions about teens. From moodiness to social media, vaping and therapy – we're doing a deep dive into teen behavior and what parents can do to make these difficult years a little easier. 

Even as a pediatrician, I was completely overwhelmed when my daughter was born. I struggled with both the everyday chaos of being an exhausted new parent and some of the deeper pains of physical recovery and postpartum depression and anxiety. At each turn, with each new challenge, I found myself unable to find a source of guidance and support that didn't seem to make things more complicated or give me more anxiety. The official rules from my own pediatric organizations were scientific but often rigid and unrealistic. The online, unofficial guidance was easier to follow and designed to lessen new mom guilt, but as a pediatrician, I knew there was unsafe advice being doled out with the healthy dose of big-picture perspective. I needed a one-stop-shop source to give me realistic, scientific, safe, and pediatrician-approved information, and it didn't exist. So I decided to write it! IN HER WORDS: Dr. Rebekah Diamond is a pediatric hospitalist in New York City and an Assistant Professor of Pediatrics at Columbia University. She received her undergraduate degree from Yale University, and then her M.D. from the Mount Sinai School of Medicine. Her medical expertise has been featured in dozens of websites including Scary Mommy, Parents, Forbes, Time, ABC News, Little Spoon, The Boston Globe, Giddy, Healthline, and USA Today. Dr. Diamond is also a working mother and the founder of the website, ParentLikeAPediatrician.com, which gives realistic, safe guidance that pediatrician parents follow themselves. FIND HER HERE: www.Parentlikeapediatrician.com IG https://www.instagram.com/parentlikeapediatrician The book is available through all bookstores and online retailers! --- Send in a voice message: https://anchor.fm/becoming-parents/message

Dr. Greenberg received a BA degree from the University of Pennsylvania, his medical degree from University of Florida, and completed his residency in Pediatrics and Fellowship in Allergy and Clinical Immunology from the University of California, Los Angeles. As a Pediatrician in practice for over twenty years he knows firsthand how hard it can be to run a successful medical practice. As if declining reimbursement isn't enough, costs keep going up with no end in sight. Dr. Greenberg started MPPG to save money not only for his medical practice but those of his colleagues as well! MEDICAL PRACTICE PURCHASING GROUP (MPPG) was founded in 2004 by Dr. Brian Greenberg, a Pediatrician and Allergist in Agoura Hills and Tarzana, California in order to help physicians with the high cost of medical practice. https://mppg.net/ ----------------------------------- “Dr. Sharon Mclaughlin is board certified plastic surgeon. She is founder of the Female Physician Entrepreneurs Network and Business Program where she empowers women physicians by helping them turn their idea into profitable businesses so that they can have the freedom to live their best life. She is also the founder of Mind Lull, which helps others slow down by providing tools and journals which help small business owners improve their focus and have more fulfillment. Her latest book, Thriving After Burnout, is a compilation of stories from women physicians who share tips and strategies on what helped them during burnout. Thriving After Burnout Thriving After Burnout: A Compilation of Real Stories and Strategies to Reduce Female Physician Burnout For women physicians https://fpestrong.com You can find Dr Mclaughlin's planners here Journal and Business Planner For Entrepreneurs and Small Business Owners: Intention and Gratitude Journal For Entrepreneurs Her website https://sharonmackconsuting,.com You can reach her at sharon@sharonmackconsulting.com Social Media Instagram https://www.instagram.com/sharonmclaughlinmd/ Tik Tok https://www.tiktok.com/@sharonmclaughlinmd Linkedin https://www.linkedin.com/in/sharonmclaughlinmd/ Facebook Female Physician Entrepreneurs Group Female Physician Entrepreneurs | Facebook #medicalpractice #privatepractice #physicianmom #physicianentrepreneur #medicaleconomy

This month Steven Kelly, MD and host Paul Wirkus, MD, FAAP discuss common problems in pediatric otolaryngology. This week join the conversation about when tonsillectomy is indicated in children. Want to ask Dr. Kelly a question? Send your question to questions@vcurb.com. Your question 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.

In this episode Stephen invites Dr. Li and Dr. Ching, two paediatric emergency medicine physicians, to discuss paediatric considerations in disasters. The discussion highlights the importance of planning for these vents including involving paediatric patients in disaster drills. Re-unification is stressed as something that requires a great deal of planning to appropriately execute and both Dr. Li and Dr. Chung identify key factors for successful implementation. EMS and Law Enforcement can also play an important role, and the team shares some advice on transport of paediatric patients in the disaster setting. The discussion ends on a difficult topic, which is planning for the death of a child and trauma-informed methods for managing this, as well as the affected families and staff. Sarita Chung, MD is the Director of Disaster Preparedness in the Division of Emergency Medicine at Boston Children's Hospital and Assistant Professor of Paediatrics and Emergency Medicine, Harvard Medical School. Board certified in paediatrics and paediatric emergency medicine, Dr. Chung's expertise covers all aspects of paediatric emergency preparedness and response, including advocacy, research, education, and clinical care. She previously served on the FEMA National Advisory Council and currently is the Co-Lead for EMSC EIIC Disaster domain as well as the MA EMSC Advisory Council Chair. Joyce Li, MD, MPH is an Assistant Professor in Paediatrics and Emergency Medicine at Boston Children's Hospital, Harvard Medical School. She serves as the Regional Liaison for the Massachusetts Emergency Medical Services for Children, Co-Chair of the Massachusetts ACEP Paediatric Committee and Vice Chair of AAP Society of Emergency Medicine Paediatric Readiness Subcommittee. Locally she is the chair of the New England Regional Paediatric Emergency Care Coordinator (PECC) Network. She has devoted her career to understanding and helping to fill the gaps in the care of paediatric care in all emergency department (ED) settings. She has both done research on variations and gaps in care of paediatric patients in the community ED setting as well as extensive on the ground work with New England PECCs. Participation of Children and Adolescents in Live Crisis Drills and Exercises - PubMed (nih.gov) Supporting the Grieving Child and Family - PubMed (nih.gov) AAP Reunification Toolkit.pdf EIICDisasterChecklist_Current081822.pdf (emscimprovement.center) AAP policies on Children and Disaster: Council on Children and Disasters | Pediatrics | American Academy of Pediatrics (aap.org)

We're exploring something different in this episode and intentionally not discussing pediatric care. In this episode we share the incredible story of an enduring friendship between two pediatricians — a friendship that's been both generous and life-changing.  Guests: Dr. Jennifer England, a pediatrician with Pediatrics at Cherry Creek, and Dr. Sunit Gill, a pediatrician at Greenwood Pediatrics, both located in Colorado. For more information on Children's Hospital Colorado, visit: childrenscolorado.org

This week on the podcast Mikki speaks to returning guest Dr Tommy Wood, about cognition, the brain, and what we can do to support brain health. They discuss how the environment today brings with it challenges to the brain that can be both protective, but also potentially work against us. They discuss how important genetics is in determining your disease risk profile when it comes to conditions such as Parkinsons and Alzheimers, and how lifestyle affects this risk. They discuss the paper that Tommy co-authored with Josh Turnkett that evaluated lifestyle interventions that move in the needle in terms of protecting the degeneration of our cognitive function (more than just sudoku) and this provides practical recommendations for anyone wanting to protect their brain as they age. They also discuss the link between muscle mass and brain health, and much more!Paper discussed: https://pubmed.ncbi.nlm.nih.gov/36139364/ Tommy Wood is part of the research faculty at the University of Washington (UW) in the Department of Pediatrics. His research focuses on ways to increase resilience of, and treat injury of, the developing brain. He has a bachelor's degree in biochemistry from the University of Cambridge, a medical degree from the University of Oxford, and a PhD in physiology and neuroscience from the University of Oslo. In addition to his role as a faculty at UW, he serves as President of Physicians for Ancestral Health, and is on the scientific advisory board of Hintsa Performance. Alongside his career in medicine and research, he has invested time in developing easily-accessible methods with which to track human health, performance, and longevity. He has published and spoken on multiple topics surrounding functional and ancestral approaches to health, including examining the root causes of multiple sclerosis and insulin resistance. He uses his experiences in coaching and competing in rowing, CrossFit, powerlifting, and ultra-endurance racing to inform his day-to-day interaction with clients looking to achieve long-term health and performance.Tommy can be found at http://drragnar.weebly.com/IG: @drtommywoodTommy's podcast: http://drragnar.weebly.com/podcastTommy's previous episode: https://share.transistor.fm/s/3bcee261 Contact Mikki:https://mikkiwilliden.com/https://www.facebook.com/mikkiwillidennutritionhttps://www.instagram.com/mikkiwilliden/https://linktr.ee/mikkiwillidenSave 20% on all NuZest Products with the code MIKKI20 at www.nuzest.co.nzCurranz supplement: MIKKI saves you 25% at www.curranz.co.nz

If you have a child with ADHD, you know how hard it can be to parent them. In fact, it's exhausting! Well…parenting your ADHD kiddos are about to get a lot easier!Dr. Melissa Dvorsky is my guest and she is an EXPERT among experts in the area of ADHD and organizational management for kids to help them improve time management and planning skills, improve organization. In this episode, we talk about Executive Functioning, what it is and how it impacts our kids' behavior, mood and conduct. ADHD shows up differently in each person with it so how do we know if it's ADHD or it's a mood disorder like depression? Dr. Dvorsky has a wealth of helpful resources to help you, your child and their educational team. When we can give our kids the tools, they need to be successful, it's empowering! For Melissa Dvorsky's “Teaching Online Organizational and Virtual Learning Skills” video and infographic resources on organization and time management skills for children and adolescents, you can download it from the Parent Toolbox. www.parent-toolbox.comFor my collection of ADHD resources and episodes, follow this link: https://www.youtube.com/playlist?list=PLTEQEXoiEMYjLnaPOa4yuZ6M76zEbyso0For Melissa's infographics and video resources: https://chadd.org/stroud-umdadhdtools/About Melissa DvorskyMelissa Dvorsky, Ph.D., M.S. is a licensed clinical psychologist specializing in attention, learning, behavior and attention-deficit/hyperactivity disorder (ADHD) in children, adolescents and emerging adults and their families. She is Assistant Professor in the Division of Psychology and Behavioral Health and the Children's National Center for Translational Research. She is the director of the ADHD & Learning Differences Program. Dr. Dvorsky is also an Assistant Professor of Pediatrics, Psychiatry and Behavioral Sciences at the George Washington University School of Medicine and Health Sciences.Dr. Dvorsky 's clinical work and research are focused on helping children, adolescents and emerging adults with ADHD and their families be resilient and successful. Her programs focus on improving access to, and effectiveness of mental health treatments for youth with attention, behavior, organizational, executive functioning and/or academic difficulties in schools and communities. Her current research programs leverage technology to optimize, personalize and disseminate treatment programs for youth and families with ADHD, learning and behavior challenges.Social Media:Website: https://www.tryclarifi.com/ https://melissadvorsky.comhttps://theatomprogram.comhttps://childrensnational.org/adhdLinkedIn: https://www.linkedin.com/in/melissa-dvorsky-phdInstagram: @ melissadvorskyTwitter: @MelissaDvorskyThanks for listening! For more on Robbin, her work and free resources, keep reading! READY FOR YOUR FAMILY CHECK UP CALL? If you're feeling burnt out by bad behavior, worn down from constant battles and bickering and you've struggled to get the cooperation, respect and obedience you want from your kids, I've been there too. It might be time to learn new tools (that you've never been taught) to help you get your kids to listen to you, build teamwork, and grow the harmony in your home. https://parentingforconnection.as.me/CheckupcallFREE GUIDE FOR PARENTS OF STRONG-WILLED KIDS: “How to Turn a NO into Cooperation” go to www.strongwilledkids.com It means so much to me that you listened to my podcast! If you resonate with my message and would like my personal help in your parenting journey, I'd love to talk to you. Please visit my website to book a call with me where we can talk about your parenting frustrations and I'll share how I can help you. www.parentingforconnection.com The intention for my show is

Course: Albuterol for Bronchiolitis? - A Conversation with an Intenstivist Course Director: Tony R Tarchichi MD  - Associate Professor in Dept of Pediatrics at the University of Pittsburgh School of Medicine Course Director:  Jonathan Pelletier MD - Associate Professor of Pediatrics at the Northeast Ohio Medical University This Podcast series was created for Pediatric Hospitalists or those healthcare professionals who take care of hospitalized children.  This episode is Albuterol for Bronchiolitis? - A Conversation with an Intenstivist. As always there is free CME credit of up to 1 AMA category 1 for listening to this podcast and going to the Univ of Pitt site. See the link below.  ______________________________________________________ Objectives: Upon completion of this activity, participants will be able to:        1.  Discuss the increase in albuterol usage for bronchiolitis occurring in pediatric intensive care units nationally.        2.     Discuss the evidence base behind using albuterol for bronchiolitis in critically ill pediatric patients.        3.     Discuss how the American Academy of Pediatrics bronchiolitis guidelines apply to the patients in the pediatric intensive care units. ______________________________________________________ Released:  3/13/2023, Reviewed 3/13/2023, Expire: 3/13/2024 If you are new to the Internet-based Studies in Education and Research (ISER) website (which is how you will get your CME credit), you will first need to create an account: Step 1. Create an Account https://www.hsconnect.pitt.edu/HSC/home/create-account.do If you have used the ISER website in the past, you can click on the link below and then log onto in order to complete the evaluation for this training: Step 2. To access the test for CME credit: Coming Soon!!! Accreditation Statement: The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material for a maximum of  (1)  AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

  The American Academy of Pediatrics has issued updated guidelines for the treatment of childhood obesity, which has come under intense scrutiny from healthcare professionals. Case Specific Nutrition dietitian Danielle Marzella, MS, RDN, LDN who specializes in eating disorders and treats both kids and adults of all ages has some thoughts. 

In this episode, Dr. Peter Lu and Dr. Jennifer Lee talk to Dr. Jacob Langer about Hirschsprung disease, including how to diagnose and treat the child with Hirschsprung disease who continues to struggle with constipation or fecal incontinence after surgery.  Dr. Langer is a pediatric surgeon and for many years was the Chief of General and Thoracic Surgery at the Hospital for Sick Children (SickKids) in Toronto, Canada.  He is an internationally-recognized leader in the field and pioneered several surgical techniques and procedures that are widely used today in the care for children with Hirschsprung disease.  He is also a musician -- you can listen to his music here.Learning Objectives:Discuss the pathophysiology and diagnosis of Hirschsprung diseaseRecognize the differences among surgical techniques for treating Hirschsprung disease and the impact these differences can have on long-term symptomsUnderstand the evaluation and differential diagnosis of the child with Hirschsprung disease who continues to struggle with obstructive symptoms or soiling after surgeryThis episode is eligible for CME credit!  Once you have listened to the episode, click this link to claim your credit.  Credit is available to NASPGHAN members (if you are not a member, you should probably sign up).  And thank you to the NASPGHAN Professional Education Committee for their review!Support the showAs always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes!

Dr. Mona is an attending physician in the Department of General Pediatrics at Children's Hospital Los Angeles and an Associate Professor in the Department of Pediatrics at the Keck School of Medicine of the University of Southern California. She sat down with us to challenge the many medical myths and stereotypes surrounding children with Down syndrome. Health Supervision Guidelines: https://www.healthychildren.org/English/health-issues/conditions/developmental-disabilities/Documents/Health_Care_Information_for_Families_of_Children_with_Down_Syndrome.pdf Episode Transcript: https://ifweknewthen701833686.wordpress.com/2023/03/12/135-revisiting-with-childrens-hospital-los-angeles-pediatrician-dr-mona-patel-gera/2/ Please follow us on Twitter @ifweknewthenPOD you can drop us a line on our Facebook page @ifweknewthenPOD or visit our website https://www.IfWeKnewThen.com to send us an email with questions and comments. You can join our mailing list there and get alerts of future podcast episodes. Thank you again and we look forward to you joining us on the next episode of IF WE KNEW THEN.

Episode 131: Breastfeeding Part 2Lia and Aruna explain some updates given by the American Academy of Pediatrics regarding breastfeeding. Dr. Arreaza adds some comments about breastfeeding. Written by Aruna Sridharan, MS4, and Lia Khachikyan, MS4, Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.The motivation for this episode was a recent publication by the American Academy of Pediatrics, on June 27, 2022, titled Policy Statement: Breastfeeding and the Use of Human Milk. During this episode, we included updated information along with other useful material.Duration of breastfeeding:The American Academy of Pediatrics (AAP), World Health Organization (WHO), and Center of Disease Control (CDC) recommend exclusive breastfeeding at least for the first 6 months, after which one can start to introduce complementary pureed foods. The US Department of Agriculture states that initiating complementary foods earlier than 6 months offers no benefit to the baby and can even be associated with a higher risk of overweight or obesity, especially if introduced before 4 months. Mothers are then encouraged to continue breastfeeding for at least one year and can further continue up to 2 years of age or longer - as long as mutually desired by mother and child. This is an update from previous recommendations regarding the duration of breastfeeding until 1 year of age.Composition of human breastmilk:As the sole source of nutrition for infants in the first 6 months of life, breast milk plays a critical role in development. Human milk has a unique composition of proteins, fats, and lactose, as well as vitamins, electrolytes, antimicrobial, anti-inflammatory immunoregulatory agents, and living leukocytes, all of which contribute to the developing immune system of the child. Breast milk is rich in Vitamins B1, B2, and B6, Vitamins C, A, E, Ca, Mg, phosphate, and folate. However, it is low in Vitamins K, D, B12, and iron, therefore supplementation of these nutrients is required. It is important for mothers to consume an adequate and healthy diet for their breastmilk to contain appropriate levels of these nutrients. Water-soluble and Fat-soluble vitamins can be low in breast milk if the mother has a deficiency. Selenium can be low if maternal serum levels are low. Dietary iodine deficiency may also be exacerbated by smoking; iron deficiency; and consumption of large amounts of foods that interfere with the production of thyroid hormones, known as goitrogens, including Brussels sprouts, kale, cabbage, cauliflower, and broccoli. Maternal diet:Mothers should consume iodine-rich foods, such as lean meat, eggs, dairy, beans, and lentils. It is important to choose a variety of whole grains, as well as fruits and vegetables, and continue taking multivitamins. Fun fact: Different foods will change the flavor of your breast milk. This will expose your baby to different tastes, which might help him or her more easily accept solid foods down the road! It is recommended that mothers consume 290 mcg of iodine and 550mg of choline a day. Is there anything that mothers should avoid in their diet?-Limit seafood: Although fish is a good source of protein and lean meat, it contains some mercury, which can be transferred to the baby's diet. High amounts of mercury can have an adverse effect on the baby's brain and nervous system.-Limit caffeine: Also, we know a lot of people love their morning dose of espresso! Low to moderate amounts, equivalent to 2-3 cups of coffee per day, do not adversely affect the infant. However, anything more than around 300 mg of caffeine can cause irritability, poor sleeping patterns, fussiness, and jitteriness. Remember! This also includes sodas, energy drinks, tea, and even chocolate! As a reminder, one cup of coffee can have 95mg of caffeine.Vegan mothers: Vegetarian/vegan mothers may have very limited amounts of vitamin B12 in their bodies, which can result in neurological damage to the baby. Iron levels may also be sparse since plant-based foods only contain non-heme iron, which is less absorbable than heme iron. The American Dietetic Association recommends supplementation of vitamin B12, iron, and other nutrients such as choline, zinc, iodine, or omega-3 fats. Benefits:For the baby: Studies show that exclusively breastfeeding for 6 months decreased rates of neonatal and infant mortality as well as pediatric disorders such as otitis media, diabetes mellitus, obesity, lower respiratory tract disorders, asthma, atopic dermatitis, sudden infant death syndrome (SIDS), severe diarrhea, and inflammatory bowel disease. The longer an infant is breastfed, the greater the protection from certain illnesses and long-term diseases. For the mother: The longer a mother breastfeeds, the greater the benefits to her health as well. Mothers who breastfeed experience a lower risk of hypertension, type 2 diabetes, and breast, ovarian, and endometrial cancers. Contraindications:-Alcohol: Having up to 1 drink per day is not harmful to the baby, especially if the mother waits at least 2 hours before feeding the infant. This allows time for the blood alcohol concentration in the breastmilk to decrease. Consuming more than 2 standard alcoholic drinks daily is highly discouraged.-Tobacco: Cigarette smoking, or the use of nicotine products, is associated with decreased production of milk, shorter lactation time, and an increased risk of SIDS, asthma, and other respiratory illnesses in infants. Therefore, mothers should be strongly encouraged to stop smoking and minimize secondhand exposure. We know it is very difficult for people to quit abruptly. While transitioning to cessation, mothers should be counseled to smoke right after breastfeeding to allow the greatest amount of time for nicotine to exit the body until the next feed. Other cessation alternatives such as the patch or gum can also be used during breastfeeding.Varenicline: No human data is available to assess the risk of infant harm, but it is likely excreted in the milk, no data on the assessment of milk production.-Other substances: Marijuana, opioids, amphetamine, cocaine, and other illicit drugs are contraindicated due to their effects on neurodevelopmental behaviors. If these substances have been used intrapartum or during breastfeeding, it is important to monitor the baby for Neonatal Abstinence Syndrome. Some symptoms include poor weight gain, tremors, high-pitched crying, stuffy nose, poor feeding/sucking, seizures, irritability, poor sleep, vomiting, and diarrhea.-Maternal infections: Breastfeeding is not contraindicated during most maternal infections. Some exceptions include HIV, Human T-cell lymphotropic virus type I or II, untreated brucellosis, Ebola virus, or active Herpetic lesions on the breast. Women with herpetic lesions may breastfeed from the unaffected breast. -Maternal medications: Medications are relatively safe for breastfed babies, but some contraindications include anticancer drugs, oral retinoids, lithium, iodine, and amiodarone. Mothers should go over their medication list with their primary physician.Pregnancy and Lactation Labeling Final Rule (PLLR): Classification of drugs according to their impact on pregnancy and breastfeeding (categories A, B, C, D, X) was started in 1979, but it was stopped in 2015 and replaced by the Pregnancy and Lactation Labeling Final Rule (PLLR). The former categories were replaced with narrative sections and subsections to include: Pregnancy (including labor and delivery), Lactation, and information for Females and Males of Reproductive Potential (pregnancy testing, contraception, infertility).Role of the physician and stigmas:It is well known that breastfeeding can strengthen the bond between the mother and her child. Therefore, when latching becomes a problem, mothers are quick to become discouraged. If this happens, pediatricians should educate the parents that many breastfeeding problems commonly arise between 4-7 days after birth. Sometimes, exclusive or any amount of breastfeeding is not always possible, despite the mother's best intentions. This can understandably cause them to feel a lot of guilt and disappointment as a new mother. Physicians should provide a safe, non-judgmental environment for the parents to openly discuss their difficulties while educating them on proper latching techniques and other alternatives for breastfeeding.Conclusion: Now we conclude our episode number 131 “Breastfeeding Part 2.” Aruna and Lia explained that the American Academy of Pediatrics now recommends continued breastfeeding until 2 years or as long as the mother and the baby desire it. It is important to remember some contraindications such as babies with galactosemia, mothers who are using illicit drugs, and some maternal infections such as HIV, untreated brucellosis, and Ebola virus. This week we thank Hector Arreaza, Aruna Sridharan, and Lia Khachikyan. Audio editing by Adrianne Silva.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________Dror, D. K., & Allen, L. H. (2018, May 29). Overview of Nutrients in Human Milk. PubMed Central (PMC). https://doi.org/10.1093/advances/nmy022.Meek, J. Y., Noble, L., & Breastfeeding, S. O. (2022, July 1). Policy Statement: Breastfeeding and the Use of Human Milk. American Academy of Pediatrics. https://doi.org/10.1542/peds.2022-057988.“Maternal Diet.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 17 May 2022, https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/diet-and-micronutrients/maternal-diet.html.Breastfeeding FAQs. Centers for Disease Control and Prevention. https://www.cdc.gov/breastfeeding/faq/index.htm. Accessed February 21, 2023. Butte, Nancy F., and Alison Stuebe. Maternal nutrition during lactation. UpToDate, July 13, 2022. https://www.uptodate.com/contents/maternal-nutrition-during-lactation. Accessed March 6, 2023. Royalty-free music used for this episode: “Gushito - Burn Flow." Downloaded on October 13, 2022, from https://www.videvo.net/

In this replay episode from 2021, we review a recent work on CMR outcomes pre and post cone reconstruction of the tricuspid valve in Ebstein's anomaly. How durable of a repair is this operation? Is there evidence for ventricular remodeling? Is there an optimal age to perform this surgical procedure? How should arrhythmia risk be assessed prior to surgery? These are amongst the many questions reviewed by and posed to Professor Pedro DelNido of Harvard University. This is a rare opportunity to speak with one of the finest congenital heart surgeons in the world today and a noted expert on the cone repair. doi: 10.1016/j.jtcvs.2020.10.124