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Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Jaclyn Hill is titled "Distal Femur Physeal Injury."Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
This week we replay an episode from nearly 2 years ago about an editorial commentary from multiple congenital heart surgical leaders in the US. The topic of their expert opinion piece is the concept of public reporting of results and their 'amplification' through organizations such as US News and World Report, to name one. How has the use of the database from STS been sometimes misinterpreted through public reporting or ranking systems? What was the initial intent of the STS database and how does the present usage of these data differ from the initial intent? Do STS risk adjustment models capture all aspects of risk for patients undergoing surgery and how do deficiencies in this result in unfair 'rankings' of programs? Can we 'take control' of our data and interpret it more clearly and accurately for the public and reduce misusage or misinterpretation of the data? How can public reporting result in improved outcomes? How can 'gaming' of the system be reduced? Dr. Emile Bacha, Professor of Surgery at Columbia University shares his deep insights into a complex and challenging topic.DOI: 10.1016/j.jtcvs.2023.03.022
Every other week I'm republishing one of my most popular or impactful episodes from my backlog of over 450 episodes. This week I'm highlighting Episode 410, which is all about post-op pediatric airway emergencies. You don't want to miss this one! ___________________ Full Transcript - Read the article and view references Episode 140 - Listen to episode 140 for an overview of pediatric respiratory distress. 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! 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! 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. NCLEX Study Plan - Not sure how to plan your NCLEX studying or which topics to focus on? Grab this free guide which details strategies based on how much time you have to prepare.
Parents Need ACCESS to the Right DoctorsWelcome to Episode 293 of Autism Parenting Secrets.If you're raising a child with complex medical or neurological challenges, you've likely discovered that not all doctors are equipped to help - especially when symptoms don't fit neatly into one diagnosis.This week, we talk about why that gap exists and what's starting to change.My guest, Honey Rinicella, is the Executive Director of the Medical Academy of Pediatrics and Special Needs, also known as MAPS.MAPS is the leading organization training physicians to care for children with complex conditions - including autism, PANS/PANDAS, epilepsy, immune dysregulation, allergies, and more - by addressing root causes rather than isolated symptoms.Under Honey's leadership, MAPS is also opening the door for parents to hear directly from these practitioners, recognizing that parent understanding, clarity, and leadership are essential for progress.In this conversation, we explore what makes MAPS doctors different, why community and in-person connection matter so much for families, and why parents need more than just additional information.The secret this week is… Parents Need ACCESS to the Right DoctorsYou'll Discover:Why Most Doctors Aren't Trained For Complex Kids (2:10)How MAPS Doctors Think Differently About Complex Kids (6:45)Why MAPS Is Rapidly Attracting More Physicians (12:30)How In-Person Community Changes Parents And Outcomes (21:40)Why Parents Play A Bigger Role Than They Realize (29:10)About Our Guest:Honey Rinicella is the Executive Director of the Medical Academy of Pediatrics and Special Needs (MAPS), the nation's leading organization training physicians to care for children with complex medical needs using integrative and functional approaches. Under her leadership, MAPS has expanded its educational programming and strengthened collaboration among practitioners, researchers, and advocacy leaders nationwide. Honey's work is deeply personal. As the mother of twins with complex medical needs, her advocacy began at home and grew into a lifelong commitment to ensuring families have access to compassionate care, reliable information, and a supportive community.References In This Episode:Medical Academy of Pediatrics and Special Needs (MAPS)MAPS Fellowship ProgramMAPS Spring Conference for Practitioners (Charlotte, NC) - Practitioners use code APS2026 for a discountMAPS Spring Conference - Parent Day (Charlotte, NC)Additional Resources:To learn more about personalized 1:1 support go to www.elevatehowyounavigate.comTake The Quiz: What's YOUR Top Autism Parenting Blindspot?If you enjoyed this episode, share it with your friends.
This episode of EM Pulse dives into one of the most stressful scenarios in the ED: the febrile infant in the first month of life. Traditionally, a fever in this age group has meant an automatic “full septic workup,” including the dreaded lumbar puncture (LP). But times are changing. We sit down with experts Dr. Nate Kuppermann and Dr. Brett Burstein to discuss a landmark JAMA study that suggests we might finally be able to safely skip the LP in many of our tiniest patients. The Study: A Game Changer for Neonates Our discussion centers on a massive international pooled study evaluating the PECARN Febrile Infant Rule specifically in infants aged 0–28 days. While previous guidelines were conservative due to a lack of data for this specific age bracket, this study provides the evidence we've been waiting for. The Cohort: A large pool of infants across multiple countries. The Findings: The PECARN rule demonstrated an exceptionally high negative predictive value for invasive bacterial infections. The Big Win: The rule missed zero cases of bacterial meningitis. Defining the Danger: SBI vs. IBI The experts break down why we are shifting our terminology and our clinical focus. Serious Bacterial Infection (SBI) Historically, this was a “catch-all” term including Urinary Tract Infections (UTIs), bacteremia, and meningitis. However, UTIs are generally more common, easily identified via urinalysis, and typically less life-threatening than the other two. Invasive Bacterial Infection (IBI) This term refers specifically to bacteremia and bacterial meningitis. These are the “high-stakes” infections the PECARN rule is designed to rule out. Dr. Kuppermann notes that we should ideally view bacteremia and meningitis as distinct entities, as the clinical implications of a missed meningitis case are far more severe. The HSV Elephant in the Room One of the primary reasons clinicians hesitate to skip an LP in a neonate is the fear of missing Herpes Simplex Virus (HSV) infection. Low Baseline Risk: While the overall risk of HSV in a febrile infant is low, the risk of “isolated” HSV (meningitis without other signs or symptoms) is even rarer. Screening Tools: Most infants with HSV appear clinically ill. Clinicians can also use ALT (liver function) testing as a secondary screen – transaminase elevation is a common marker for systemic HSV. Clinical Judgment: If the baby is well-appearing, has no maternal history of HSV, no vesicles, and no seizures, the risk of missing HSV by skipping the LP is exceptionally low. Practical Application: Shared Decision-Making This isn’t just about the numbers—it’s about the parents. “Families don’t mind their babies being admitted… They do not want the lumbar puncture. It is the single most anxiety-provoking aspect of care.” — Dr. Brett Burstein The PECARN “Low-Risk” Criteria: (Remember, this rule applies only to infants who are not ill-appearing.) Urinalysis: Negative Absolute Neutrophil Count (ANC): ≤ 4,000/mm³ Procalcitonin (PCT): ≤ 0.5 ng/mL The Bottom Line: If an infant is well-appearing and meets these criteria, physicians can have a nuanced conversation with parents about the risks and benefits of forgoing the LP, while still admitting the child for observation (often without empiric antibiotics) while cultures brew. Key Takeaways The “Well-Appearing” Filter: If an infant looks ill, the rule does not apply. These patients require a full workup, including an LP, regardless of lab results. Meticulous Physical Exam: Assess for a strong suck, normal muscle tone, brisk capillary refill, and any rashes or vesicles. History is Key: Always ask about maternal GBS/HSV status, pregnancy or birth complications, prematurity, sick contacts, and any changes in feeding, stooling or activity. Procalcitonin: PCT is the superior inflammatory marker for this rule. If your facility only offers traditional markers like CRP, the PECARN negative predictive value cannot be strictly applied. In the words of Dr. Kuppermann: “If you don’t have it, for God’s sakes, just get it! ALT to Screen for HSV: While not part of the official PECARN rule, our experts suggest that significantly elevated liver enzymes should raise suspicion for systemic HSV. Observe, Don’t Discharge: Being “low risk” does not mean the infant goes home. All infants ≤ 28 days still require admission for 24-hour observation and blood/urine cultures. We want to hear from you! Does this change how you approach febrile neonates in the ED? How do you handle shared decision-making with parents? Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children’s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Brett Burstein, Clinician-Scientist and Pediatric Emergency Medicine Physician at Montreal Children’s Hospital, McGill University Resources: Burstein B, Waterfield T, Umana E, Xie J, Kuppermann N. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. 2026 Feb 3;335(5):425-433. doi: 10.1001/jama.2025.21454. PMID: 41359314; PMCID: PMC12687207“Hot” Off the Press: Infant Fever Rule “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? PECARN Infant Fever Update: 61-90 Days Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Apr 1;173(4):342-351. doi: 10.1001/jamapediatrics.2018.5501. PMID: 30776077; PMCID: PMC6450281. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O’Leary ST, Okechukwu K, Woods CR Jr; SUBCOMMITTEE ON FEBRILE INFANTS. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug;148(2):e2021052228. doi: 10.1542/peds.2021-052228. Epub 2021 Jul 19. Erratum in: Pediatrics. 2021 Nov;148(5):e2021054063. doi: 10.1542/peds.2021-054063. PMID: 34281996. ****Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
Pediatric hospitals are one of the most important segments in the industry to watch right now. Although children's hospitals make up only 5% of total hospital market share, more than 40% of U.S. children rely on Medicaid, leaving pediatric organizations disproportionately exposed as the Medicaid-related provisions of the One Big Beautiful Bill Act take effect. The pressures inside pediatric care were mounting even before this moment. After years of outperforming adult hospitals, children's hospitals have seen margins fall from double digits to just 1% last year. Rising bad debt, higher supply and labor costs, a rapid shift toward lower margin outpatient care, and emerging challenges like declining birth rates and vaccine policy upheaval have created a perfect financial storm. While some of these dynamics are unique to pediatrics, the sector also offers an early warning signal for the rest of healthcare — and an opportunity to translate lessons across both worlds. In this episode, host Abby Burns and Advisory Board expert Vidal Seegobin break down why pediatric leaders must simultaneously manage immediate-term margin pressure, prepare for a more ambulatory-dominant model, and futureproof their organizations amid shifting demographics. Vidal also shares actionable steps leaders can take now, along with the critical lessons pediatric hospitals offer the wider healthcare ecosystem. We're here to help: 5 insights on the state of pediatric hospitals today 12 things CEOs need to know in 2026 The State of the Healthcare Industry in 2026 Read Advisory Board's 2026 research agenda 3 trends shaping healthcare in 2026 (and how to respond) 278: Dr. Emily Oster on fighting misinformation and rebuilding trust in healthcare 277: Patient distrust is costing you. Here's how to rebuild it. Learn how outpatient shifts can impact your organization by using Advisory Board's Market Scenario Planner tool. Sign up today for this Optum Health Webinar: Scaling your EHR: How Optum Health built an enterprise platform to redefine care delivery. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
In this episode, Rachel Moon, MD, FAAP, associate editor of blogs for Pediatrics, offers a rundown of the February issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Steven Bondi, MD, JD, FAAP, about providing medical care for parents during the pediatric visit. For resources go to aap.org/podcast.
We review diagnosing and managing bacterial meningitis in the ED. Hosts: Sarah Fetterolf, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Meningitis_2_0.mp3 Download Leave a Comment Tags: CNS Infections, Infectious Diseases, Neurology Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below. Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine, with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 Patient Presentation & Workup Patient: 36-year-old male, currently shelter-domiciled, presenting with 3 weeks of generalized weakness, fevers, weight loss, and headaches. Vitals (Initial): BP 147/98, HR 150s, Temp 100.2°F, RR 18, O2 99% RA. Clinical Evolution: Initial assessment noted cachexia and a large ventral hernia. Following initial workup, the patient became acutely altered (A&O x0) and febrile to 102.9°F. Physical Exam Findings: Brudzinski Sign: Positive (knees flexed upward upon passive neck flexion). Kernig Sign: Discussed as highly specific (resistance/pain during knee extension with hip flexed at 90°). Meningeal Triad: Fever, nuchal rigidity, and AMS (present in 40% of cases; 95% of patients have at least two of the four cardinal symptoms including headache). Imaging: Chest X-ray: Scattered opacities (pneumonia) and a small pneumothorax. CT Abdomen/Pelvis: Confirmed asplenia (secondary to 2011 GSW/exploratory laparotomy). Head CT: Ventricle enlargement concerning for obstructive hydrocephalus and diffuse sulcal effacement. CSF Analysis & Microbiology Bacterial Meningitis Opening Pressure: Elevated (Normal is 1000–2000/mm3 WBC); dominated by neutrophils (>80% PMN). Glucose: Low (
This month we are focusing on neonatal opioid withdrawal syndrome (NOWS), with an emphasis on the underlying physiology and clinical presentation. Our host, Paul Wirkus, MD, FAAP and guest Camille Fung, MD review the mechanisms of opioid exposure and withdrawal, including neuroexcitability and the gastrointestinal and autonomic manifestations commonly seen in affected newborns. The discussion also highlights the role of specialized clinics and coordinated care models that support mothers during pregnancy and the postpartum period. Together, this episode provides a foundational understanding of NOWS to help clinicians recognize symptoms early and deliver informed, compassionate care to both infants and their families. Have a question? Email questions@vcurb.com. They will be answered in week four.For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP. Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-470 Overview: Social media use is nearly ubiquitous among adolescents, raising concern about its role in rising rates of depression, anxiety, insomnia, and suicidality. Although prior evidence has been mixed, emerging studies offer new insights on the relationship between social media use and adolescent mental health. Join us as we review current literature and discuss potential strategies to mitigate negative impacts and improve outcomes. Episode resource links: Calvert E, Cipriani M, Dwyer B, et al. Social Media Detox and Youth Mental Health. JAMA Netw Open. 2025;8(11):e2545245. doi:10.1001/jamanetworkopen.2025.45245 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2840489 Clayborne ZM, Capaldi CA, Mehra VM. Associations between digital media use behaviours, screen time and positive mental health in youth: results from the 2019 Canadian Health Survey on Children and Youth. BMC Public Health. 2025;25(1):2303. Published 2025 Jul 3. doi:10.1186/s12889-025-22874-2 Grøntved A, Singhammer J, Froberg K, et al. A prospective study of screen time in adolescence and depression symptoms in young adulthood. Prev Med. 2015;81:108-113. doi:10.1016/j.ypmed.2015.08.009 Nagata JM, Memon Z, Talebloo J, et al. Prevalence and Patterns of Social Media Use in Early Adolescents. Acad Pediatr. 2025;25(4):102784. doi:10.1016/j.acap.2025.102784 Oberle E, Ji XR, Kerai S, Guhn M, Schonert-Reichl KA, Gadermann AM. Screen time and extracurricular activities as risk and protective factors for mental health in adolescence: A population-level study. Prev Med. 2020;141:106291. doi:10.1016/j.ypmed.2020.106291 Pieh C, Humer E, Hoenigl A, et al. Smartphone screen time reduction improves mental health: a randomized controlled trial. BMC Med. 2025;23(1):107. Published 2025 Feb 21. doi:10.1186/s12916-025-03944-z Riehm KE, Feder KA, Tormohlen KN, et al. Associations Between Time Spent Using Social Media and Internalizing and Externalizing Problems Among US Youth. JAMA Psychiatry. 2019;76(12):1266–1273. doi:10.1001/jamapsychiatry.2019.2325 Varona MN, Muela A, Machimbarrena JM. Problematic use or addiction? A scoping review on conceptual and operational definitions of negative social networking sites use in adolescents. Addict Behav. 2022;134:107400. doi:10.1016/j.addbeh.2022.107400 Woolf SH. The Youth Mental Health Crisis in the United States: Epidemiology, Contributors, and Potential Solutions. Pediatrics. 2025;156(5):e2025070849. doi:10.1542/peds.2025-070849 Xiang AH, Martinez MP, Chow T, et al. Depression and Anxiety Among US Children and Young Adults. JAMA Netw Open. 2024;7(10):e2436906. doi:10.1001/jamanetworkopen.2024.36906 BBC: Australia has banned social media for kids under 16. How will it work? https://www.bbc.com/news/articles/cwyp9d3ddqyo Guest: Susan Feeney, DNP, FNP-BC, NP-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.
The Steve Gruber Show | More Taxes, Higher Energy Bills, and Zero Shame—Welcome to Democrat Rule --- 00:00 - Hour 1 Monologue 27:48 – Mary Holland, President and General Counsel of Children's Health Defense. A former law professor and human rights advocate, Holland discusses a lawsuit filed by RFK Jr.'s former organization against the American Academy of Pediatrics. She explains the legal and medical freedom implications for parents and children. 38:03 - Hour 2 Monologue 46:48 – Kristina Rasmussen, Executive Director of Do No Harm. Rasmussen argues that President Trump should do more than just cut federal funding. She explains how redirecting federal dollars could be a powerful tool to push back against harmful policies in healthcare and education. 56:52 – Peter Schweizer, investigative journalist, author, and host of The Drill Down podcast. Schweizer discusses his new book, The Invisible Coup. He breaks down how entrenched power networks operate behind the scenes and what they mean for America's political future. 1:15:30 - Hour 3 Monologue 1:24:21 – Mark Fisk, co-founder and partner of Byrum & Fisk Advocacy Communications. Fisk explains how highlights from the Detroit Auto Show underscore the need for stable and fair trade policy in Michigan. He discusses why long-term certainty is critical for the auto industry and manufacturing jobs. 1:34:33 – Rep. Bradley Slagh, Chair of the Michigan House Corrections and Judiciary Budget Subcommittee. Rep. Slagh discusses why House Republicans are urging the Michigan Supreme Court to reconsider a proposed ICE ban. He explains the legal, public safety, and enforcement concerns surrounding the issue. 1:43:20 – Ivey Gruber, President of the Michigan Talk Network. Gruber reflects on Groundhog Day before shifting to concerns about reports of candies testing positive for arsenic. The discussion also covers the war on sugar, knowing where your food comes from, and speculation about President Trump potentially brokering a deal with Cuba. --- Visit Steve's website: https://stevegruber.com TikTok: https://www.tiktok.com/@stevegrubershow Truth: https://truthsocial.com/@stevegrubershow Gettr: https://gettr.com/user/stevegruber Facebook: https://www.facebook.com/stevegrubershow Instagram: https://www.instagram.com/stevegrubershow/ Twitter: https://twitter.com/Stevegrubershow Rumble: https://rumble.com/user/TheSteveGruberShow
In this episode, we review the high-yield topic of Shaken Baby Syndrome from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
This week, the American Academy of Pediatrics released its updated vaccine schedule for children, and for the first time in decades, it does not fully align with the CDC's recommendations. All of this comes as the U.S. faces one of the worst flu seasons in recent years. In this Special Edition, we turn to Dr. Céline Gounder, a leading public health expert, physician, and epidemiologist, to help make sense of what's changing and what families should know. We break down what the split between the AAP and CDC actually means for parents, where this flu season stands right now, which symptoms and treatments matter most, and how to think about timing, vaccines, and risk moving forward. We hope this helps you feel more prepared and make more informed decisions for yourself and your family. Learn more about our guest(s): https://www.theNewsWorthy.com/shownotes Join us again for our 10-minute daily news roundups every Mon-Fri! Become an INSIDER and get ad-free episodes here: https://www.theNewsWorthy.com/insider Get The NewsWorthy MERCH here: https://www.theNewsWorthy.com/merch Sponsors: Receive 50% off your first order of Hiya's bestselling children's vitamin. To claim this deal, go to hiyahealth.com/NEWSWORTHY. To advertise on our podcast, please email: ad-sales@libsyn.com
In this episode, we review the high-yield topic of Rheumatic Fever from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
This week we review a recent work on fetal atrial septal interventions in the patient with hypoplastic left ventricle or double outlet right ventricle with mitral valve atresia/dysplasia and a restrictive or intact atrial septum. How often was this procedure technically feasible and successful? What are the criteria to be considered for such an intervention? Why does use of a laser improve the crossing of the atrial septum in this procedure? Should prenatal intervention be used instead of postnatal intervention in this setting? Associate Professor of Pediatrics at Baylor College of Medicine, Dr. Betul Yilmaz shares her insights into this fascinating topic.https://doi.org/10.1161/CIRCINTERVENTIONS.125.015209
In this episode, we review the high-yield topic of Infant Food Protein-Induced Proctocolitis from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
In this episode, we review the high-yield topic of Phenylketonuria from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Bethany B. Sabins, MSN, FNP-BCSpecialties: Gynecologic Cancers, Gynecologic OncologyEmail the show at kids@mpbonline.orgHost: Dr. Morgan McLeod, Asst. Professor of Pediatrics and Internal Medicine at the University of Mississippi Medical Center.If you enjoyed listening to this podcast, please consider contributing to MPB: https://donate.mpbfoundation.org/mspb/podcast Hosted on Acast. See acast.com/privacy for more information.
Today's episode is about clinical genetic services. In the first segment, Khalida talks to authors Courtney and Jade about retention of patient-facing genetic counselors and how generational age and work environment influence retention. For the second segment, Khalida chats with Dr. Ba-Jaj about telegenetics in India, reviewing data from 3 years and almost 1000 cases! Segment 1: Factors influencing retention of patient-facing genetic counselors: Role of generational age and work environment Courtney Schroeder, MS, LCGC is an oncology genetic counselor at Indiana University Health. She received her BS in Psychology and Biology from the University of Dayton and her MS in Genetic Counseling from the University of North Carolina Greensboro. Courtney primarily works with the Precision Genomics team at IU Health. She also manages the Hereditary Renal and Prostate Cancer Clinic, which she established through a grant-funded project. Jade McIntyre, MS, LCGC is a 2025 graduate of Indiana University Genetic Counseling Program. She is currently working as a genetic counselor in the Medical and Molecular Genetics Department at Indiana University Health. Jade is grateful for the opportunity to share the findings from her graduate student research that was published in July 2025. In this segment we discuss: - This episode explores factors influencing retention of patient-facing genetic counselors. - The study highlights flexibility, autonomy, and experience as key drivers of retention. - Results show higher retention among older, more experienced counselors. - The discussion emphasizes employer strategies to improve workforce retention. Segment 2: Telegenetics in India: A 3-year review of 938 appointments and patient–clinician perspectives Dr Shruti Bajaj completed her MBBS and MD Pediatrics from Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai. She subsequently pursued a Fellowship in Clinical Genetics, accredited by Maharashtra University of Health Sciences, from Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai. Thereafter, Dr. Shruti Bajaj amassed vast clinical experience as an Assistant Professor in the busy Department of Pediatrics and Clinical Genetics at Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, for five years (2013- 2017). She has to her credit a short observership and training in Clinical & Laboratory Genetics from Kasturba Medical College, Manipal. She has additionally been trained through multiple short modules in different subspecialities of Clinical Genetics from prestigious centres across the country and the world. Some of these include the 'Cancer genetic counseling' course from Tata Memorial Hospital, Mumbai and the challenging 'Skeletal dysplasia' course from Lausanne, Switzerland. Dr Shruti Bajaj is the Founder and Director of The Purple Gene Clinic, which she established in 2017. The Purple Gene Clinic provides cares to patients across the country, and is one of the busiest and most trustworthy Genetic Clinics in India. Despite a demanding and busy practice, Dr Shruti Bajaj obtained the prestigious International Masters Degree in Neurometabolism and Cell Biology, from SJD Barcelona's Children Hospital, University of Barcelona, in 2024. During this course, Dr. Bajaj was awarded the prestigious International Travel Scholarship for both 2023 and 2024, after her submitted clinical cases were selected as the best amongst all applications, highlighting her exceptional clinical acumen and dedication. As a testimony to her passion for academics, Dr Bajaj has numerous national and international publications, as well as chapters in leading textbooks, to her credit. Dr Bajaj's innate compassion and passion for social services led her to establish a support group for individuals with Down syndrome, called PEHEL, in Mumbai in 2018. She also runs a charitable OPD at The Purple Gene Clinic, called Shantidevi Gupta Charitable OPD, in the loving memory of her late grandmother. Social media handles: Linkedin profile name: Dr Shruti Bajaj (Agarwal) In this segment we discuss: - How tele-genetics improves access to genetic care across India. - When pure vs hybrid telemedicine works best for diagnosis. - Patient cost and time savings alongside clinician-reported challenges. - Scalable lessons for implementing tele-genetics in resource-limited settings. Would you like to nominate a JoGC article to be featured in the show? If so, please fill out this nomination submission form here. Multiple entries are encouraged including articles where you, your colleagues, or your friends are authors. Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”. For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others. Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com. DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. Our current intern is Stephanie Schofield.
The Trump administration proposes a modest pay increase for Medicare Advantage plans. The American Academy of Pediatrics releases its updated childhood vaccine schedule. And a platform billed as “ChatGPT for doctors” becomes the most valuable healthcare AI startup. Those stories and more, on today's episode of The Gist Healthcare Podcast. Hosted on Acast. See acast.com/privacy for more information.
In this episode, we review the high-yield topic of Edwards Syndrome from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Announcements: Rob Palmer with a new video interview, talks with SETI astronomer Seth Shostak @5:59 The February/March issue of Free Inquiry is now available to read online, featuring a new set of articles focused on “The Ongoing Controversy: Was Jesus Real?” Don Wharton kicks things off with “A CERN-Level Proof of Mythicism,” making the argument that Jesus is a mythical figure. @9:32 David W. Falls (“Rethinking Jesus: The Morality and the Myth”) Follow-ups: News: Trump says Alex Pretti should not have carried gun that was allowed under Minnesota law @10:22 Right leaning question @18:16 ICE in Ecuadorian Consulate @26:59 Taliban Introduce New Criminal Code in Afghanistan @28:23 United States has completed its withdrawal from the World Health Organization. @32:38 Health/Medicine/Science: RFK speed round Robert F. Kennedy, Jr. has appointed two new members to the Advisory Committee on Immunization Practices (ACIP). It appears they'll fit right in @36:44 Chair of CDC's vaccine panel questions need for polio vaccines @37:24 No Link Between Acetaminophen in Pregnancy and Autism, a Study Finds @39:05 FDA deletes warning on bogus autism therapies touted by RFK Jr.‘s allies @40:06 Experts Who Advised on Diet Guidelines Say RFK Jr.'s Version Is Full of Errors @40:32 Medical groups' lawsuit attempts to undo the CDC's childhood vaccine schedule changes @41:19 RFK Jr. Links His Vocal Issues to Flu Shots | MedPage Today @41:32 Federal judge orders HHS to restore $12m in funding to American Academy of Pediatrics @43:25 Google removes some AI health summaries @44:06 U.S. measles cases at a 30-year high, Axios charts the current surge while Unbiased Science debunks the popular social media claim that “wild measles protects you from cancer.” @44:52 Religious Nonsense: The National Center for Science Education flags a proposal in the Oklahoma Senate that, “if enacted, would require any public or charter school teacher who teaches evolution also to ‘provide instruction to students on the concepts of creationism and/or intelligent design.'” @46:37 What is Christian Reconstructionism @47:22 Catholicism shrinks in Latin America while more are religiously unaffiliated @49:12 Final Stories: https://cfiig.org/dowsing-for-disease/ @51:42
Wes, Eneasz, and David keep the rationalist community informed about what's going on outside of the rationalist communitySupport us on Substack!News links:American Association of Pediatrics made recommendations that kids get 18 vaccinationsA second person - Alex Pretti - was shotVideo shows that gun was secured before shots firedTrump sent 3,000 feds to MinneapolisLocal police chief reports that his non-white off-duty officers keep getting illegally detainedKristi Noem statement on Rene Good shootingDeputy Chief of Staff Stephen Miller statementMinnesota US Attorney resigned in protest because of pressure to investigate Good's widowTrump threatening to invoke Insurrection ActInternal memo says ICE can enter homes with “administrative warrant”Last year DHS said it's illegal to record ICEFeds issued subpoenas to governor, two mayors, and two other officialsSome changes being madeICE at Winter OlympicsRelated?: Trump ended temporary protected status for SomalisState Dept. is “pausing” visas from 75 countriesTrump threatening tariffs on all Nordic countries, France, Germany, & the UKWrote an insane letter to the Norwegian prime minsterCanada made a major trade deal with ChinaTrump is being super normal about itMore pardons for fraud guys!Trump has made at least $1.4 billion since taking officeHappy News!Dream communication is happening!TikTok recently showed a privacy-policy pop-up to users in the U.S. as part of a corporate restructuringA twice-yearly shot could help end AIDSGot something to say? Come chat with us on the Bayesian Conspiracy Discord or email us at themindkillerpodcast@gmail.com. Say something smart and we'll mention you on the next show!Follow us!Feedburner RSSPocket CastsApple PodcastsIntro/outro music: On Sale by Golden Duck Orchestra This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit mindkiller.substack.com/subscribe
Monday, January 26, 2026 Trump agreed to “look into reducing the number of federal agents in Minnesota” after a Border Patrol agent killed Alex Pretti, a 37-year-old ICU nurse and U.S. citizen; Trump sent border czar Tom Homan to Minnesota to oversee ICE operations; Senate Democrats threatened to block the House-passed funding package unless Republicans strip out the Department of Homeland Security bill; the CDC's vaccine advisory panel said polio, measles, and possibly all shots should be optional; and the American Academy of Pediatrics told parents to ignore the CDC's revised federal guidance and instead follow its full childhood vaccine schedule. Read more: Day 1833: "Productive." Subscribe: Get the Daily Update in your inbox for free Feedback? Let us know what you think
As the mother of a 28-year-old daughter with autism and legal guardian of her older brother with autism, Alison Singer is a natural advocate for Autism and everything surrounding it. She started the Autism Science Foundation in 2009. She also has served on the federal Interagency Autism Coordinating Committee (IACC) for 12 years, where she chaired the Safety and Housing Workgroups, and served on the subcommittee responsible for writing an annual strategic plan to guide federal spending for autism research and participated in many of the most important Autism organizations. In 2012, the American Academy of Pediatrics named her an “autism champion.” In 2017 she received the INSAR “Outstanding Research Advocate” award and in 2018 she received the New York Families for Autistic Children Research Advocacy Award. Autism: When people refer to “Autism,” they are usually talking about Autism Spectrum Disorder (ASD), a brain-based disorder that is characterized by social-communication challenges and restricted and repetitive behaviors, activities and interests. Autism is about four times more likely to affect boys than girls, and is found in all racial, ethnic, and social groups. There is no known single cause of autism, although the best available science indicates a genetic origin. Alison talks about signs to look for, support from various places, effects on family life, and so much more. You can find Alison and information at www.AutismSciencefoundation.org Website: www.heatherthomson.com Social Media: IG: https://www.instagram.com/iamheathert/ You Tube: https://youtube.com/@iamheathert?si=ZvI9l0bhLfTR-qdo SPONSOR: AirDoctorPro - Head to www.AirDoctorPro.com and use promo code HEATHER to get UP TO $300 off today! AirDoctor comes with a 30-day money back guarantee, plus a 3-year warranty—an $84 value, free! Get this exclusive, podcast-only offer now! Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, we review the high-yield topic of Meconium Ileus from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Dr. Chris Pernell joins the class for a conversation that is equal parts urgent and tender. As a public health physician, strategist, and NAACP Fellow, Dr. Pernell breaks down the Black maternal health crisis with unflinching clarity: racism kills. She unpacks how the medical industrial complex fails Black mothers, offers practical advocacy tools for birthing people and their loved ones, and navigates the dangerous terrain of vaccine misinformation in the current political climate.But this conversation doesn't stop at systems—it goes to the soul. Dr. Pernell shares the lessons her parents taught her: a mother with "a PhD in love" who taught her how to protect her core, and a father who was "a fighter's fighter" who cultivated in her "a sense of self that racism can't touch." This is about survival, yes—but it's also about joy, freedom, and the ancestral wisdom that keeps us fighting.IN THIS EPISODE:Why Black women are 3-4 times more likely to die from pregnancy-related complications—and what we can do about itThe difference between misinformation and disinformation (and why it matters)Practical advocacy advice: "What else might this be?"How the current administration's attack on vaccines threatens public health for generationsGuarding joy in the midst of systemic battlesThe legacy of love and resistance that fuels the fight for health equityRESOURCES SHARED:American Academy of Pediatrics: https://www.aap.orgYale School of Public HealthJohns Hopkins School of Public HealthCommonwealth FundThe Political Determinants of Health by Daniel DawesNAACP Center for Health Equity: https://naacp.orgFOLLOW DR. CHRIS PERNELL:Instagram: @thegooddoctormdLinkedIn: Dr. Chris T. PernellNAACP.orgBecome a supporter of this podcast: https://www.spreaker.com/podcast/teach-the-babies-w-dr-david-j-johns--6173854/support.
In this Q&A episode, Host Paul Wirkus, MD, FAAP and Ophthalmologist Mitchell Strominger, MD address common clinical questions related to pediatric red eye presentations. The discussion covers key elements of the differential diagnosis, including how to approach cloudy corneas and other concerning findings. We also review practical questions pediatricians frequently encounter, such as whether massage is effective for clearing duct obstruction and important considerations for contact lens use in children and adolescents. This episode offers clear, practical guidance to support safe evaluation, counseling, and management of pediatric eye concerns. Have a question? Email questions@vcurb.com. We will have a new topic 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.
Dr. Jeffrey Kopin, Chief Medical Officer for Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital, joins John Williams to talk about how someone typically catches a cold, the flu shot preventing you from getting really sick, the American Academy of Pediatrics departing from the CDC with childhood vaccine revisions, and colorectal cancer now being the leading cause […]
Dr. Jeffrey Kopin, Chief Medical Officer for Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital, joins John Williams to talk about how someone typically catches a cold, the flu shot preventing you from getting really sick, the American Academy of Pediatrics departing from the CDC with childhood vaccine revisions, and colorectal cancer now being the leading cause […]
Host: Dr. Susan Buttross, Professor of Pediatrics at the University of Mississippi Medical Center, and Abram NanneyTopic: In desperation to protect our loved ones who have illnesses or disorders, it is easy to become emotional and overzealous. We may want to quickly react to reported causations and/or treatments that are touted. Of course, if we could prevent a devastating illness or a developmental disorder in our loved one, we would go for it, right. But sometimes jumping to a treatment or stopping a treatment may not be helpful and could even be dangerous. Today we'll be talking about why understanding “correlation without causation” is so important as we make medical decisions.You can join the conversation by sending an email to: family@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.
Dr. Jeffrey Kopin, Chief Medical Officer for Northwestern Medicine Catherine Gratz Griffin Lake Forest Hospital, joins John Williams to talk about how someone typically catches a cold, the flu shot preventing you from getting really sick, the American Academy of Pediatrics departing from the CDC with childhood vaccine revisions, and colorectal cancer now being the leading cause […]
In this episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jenn Lee talk to Dr. Ross Maltz, pediatric gastroenterologist at Nationwide Children's Hospital and Associate Professor at The Ohio State University College of Medicine. He is Director of the Very Early Onset Inflammatory Bowel Disease (VEOIBD) Program and Research Director of the Inflammatory Bowel Disease Center at Nationwide Children's.He provides a massive update on all things IBD medications, including discussing the latest on biosimilar medications, the medications we have available and their positioning, and new things in the pipeline.Dr. Maltz does not have any conflicts of interest to disclose.Learning objectivesUnderstand the safety and efficacy of biosimilar medications for children with IBD.Review the latest guidance on medications available for treatment of children with IBD.Discuss opportunities for advocacy to provide better access to IBD medications for children.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.
In this episode, we review the high-yield topic of Homocysteinuria from the Pediatrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
This podcast will discuss an Approach to Dehydration in Children. This Podcast was created by Catherine Korman, a fourth-year medical student at McGill University with the help of Dr. Preetha Krishnamoorthy, a Pediatric Endocrinologist at the Montreal Children's Hospital and the Director of Pediatric Undergraduate Education at McGill University and Dr. Robert Sternszus, a Hospitalist Pediatrician and an Associate Professor of Pediatrics and Health Sciences Education at McGill University. This PedsCases podcast focuses on an overview of approach to dehydration including management. There are no conflicts of interest to disclose by the authors.
Tobias Straube, MD, is an Assistant Professor of Pediatrics in the Division of Critical Care Medicine at Duke University School of Medicine, where he has served since joining the faculty in July 2021. He completed his pediatric residency and critical care fellowship at Duke University Hospital following earning his medical degree from McGovern Medical School at UTHealth. COI disclosure: Dr. Straube is the Chief Medical Officer of VQ Biomedical working to develop a minimally-invasive oxygenator catheter. This work is unrelated to this content discussed in today's episode. Learning Objective:By the end of this podcast, listeners should be able to describe an evidence-based and expert-guided clinical approach to the recognition and management of exertional heat stroke in critically-ill children.Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease 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. 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. You can also check out our website at http://www.pedscrit.com. Thank you for listening to this episode of PedsCrit!
Interview with Dr. Carolina Bejarano, an Assistant Professor and clinical child psychologist in the Division of Behavioral Medicine and Clinical Psychology at Cincinnati Children's Hospital and the University of Cincinnati Department of Pediatrics. Dr. Carolina M. Bejarano is a member of the 20th class of the YWCA Rising Star Equity Leader and a board member of Apoyo Latino (The Greater Cincinnati Latino Coalition), a community-based network and resource hub in Cincinnati, Ohio, dedicated to improving access to services for Hispanic/Latino individuals. Dr. Bejarano discusses her upbringing, family environment, and cultural background, and their impact on her life. She shares her passion for pediatric psychology and her career's blend of scientific challenges and personal fulfillment. Dr. Bejarano highlights her cultural contributions to her professional experience and her role as a board member of Apoyo Latino, a Cincinnati-based community organization. She shares her experiences, the lasting impact she can make on children's health and development, and the variety of treatments available for childhood illnesses. Dr. Bejarano also discusses her selection to the 20th class of the YWCA Rising Star Equity Leadership Program and her advice to individuals inspired by her, particularly within the Latino community.
In this episode of "PICU Doc On Call," Drs. Pradip Kamat and Rahul Damania discuss the acute management of a 14-year-old boy with severe rectal bleeding and hypertension, ultimately diagnosed with inflammatory bowel disease (IBD). They review the approach to pediatric lower GI bleeding, diagnostic workup, and imaging, emphasizing early recognition and resuscitation. They outline IBD management, including steroids, biologics such as infliximab, and nutritional support, while highlighting the importance of screening for infections before immunosuppression. The episode provides practical insights for PICU physicians on handling acute GI emergencies in children.Show Nighlights: Clinical case of a 14-year-old male with hypertension and rectal bleeding.Diagnosis of inflammatory bowel disease (IBD) following significant blood loss.Approach to pediatric rectal bleeding and its implications.Diagnostic workup including laboratory tests and imaging modalities.Management strategies for IBD in acute pediatric care.Importance of early recognition and resuscitation in cases of shock.Physiological principles related to blood loss and shock in children.Differential diagnoses for lower gastrointestinal bleeding in pediatrics.Initial evaluation and stabilization protocols for pediatric patients.Nutritional support and multidisciplinary care in managing IBD. References:Romano C, Oliva S, Martellossi S, et al. Pediatric gastrointestinal bleeding: Perspectives from the Italian Society of Pediatric Gastroenterology. World J Gastroenterol. 2017;23(8):1326-1337.Pai AK, Fox VL. Gastrointestinal bleeding and management. Pediatr Clin North Am. 2017;64(3):543-561.Padilla BE, Moses W. Lower gastrointestinal bleeding and intussusception. Surg Clin North Am. 2017;97(1):63-80.Kaur M, Dalal RL, Shaffer S, Schwartz DA, Rubin DT. Inpatient management of inflammatory bowel disease-related complications. Clin Gastroenterol Hepatol. 2020;18(11):2417-2428.Ashton JJ, Ennis S, Beattie RM. Early-onset paediatric inflammatory bowel disease. Lancet Child Adolesc Health. 2017;1(2):147-158.Bouhuys M, Lexmond WS, van Rheenen PF. Pediatric inflammatory bowel disease. Pediatrics. 2022;150(6):e2022059341.Rosen MJ, Dhawan A, Saeed SA. Inflammatory bowel disease in children and adolescents. JAMA Pediatr. 2015;169(11):1053-1060.Conrad MA, Rosh JR. Pediatric Inflammatory Bowel Disease. Pediatr Clin North Am. 2017 Jun;64(3):577-591.
Reference: Aronson PL, et al. Prediction Rule to Identify Febrile Infants 61–90 Days at Low Risk for Invasive Bacterial Infections. Pediatrics. September 2025 Date: January 6, 2026 Guest Skeptic: Dr. Jillian Nickerson is a pediatric emergency medicine attending at Children's National Hospital and Assistant Professor of Pediatrics and Emergency Medicine at The George Washington University […] The post SGEM#501: Here it Goes Again – Another Clinical Decision Rule for Febrile Infants 61-90 Days first appeared on The Skeptics Guide to Emergency Medicine.
House Republicans break ranks in droves and vote with democrats to squeeze $16B of earmarks and garbage into the budget bill due next week, exposing their deep state true colors. Tim Walz asks for money for his legal defense and the American Academy of Pediatrics is being sued for lying to America's parents about the vaccine schedule and the safety of the shots they require of America's children. Steve Hartman returns to a child's lemonade stand for the sweetest of updates.
This week we replay an important episode from 2 years ago in which we delved into the world of antibiotic prophylaxis for dental procedures. What are the data to support its use in the congenital heart patient? Why has this been such a difficult topic to study? What do we now know about this topic and what still remains unanswered? Given the low prevalence but dire consequences of this disease, how can investigators consider studying this topic in the future? Is there adequate equipoise to proceed with a randomized controlled trial? We speak with Advanced Imaging Fellow at Boston Children's Hospital, Dr. Francesca Sperotto of Harvard University about her recent multicenter meta-analysis of 30 studies including over one million cases of endocarditis. DOI: 10.1001/jamacardio.2024.0873
I play some audio from the WEF and describe the larger plan on how the WEF has been dismantled right in front of their own faces; I play current political reaction from two corrupt board members; and a RICO lawsuit against the American Academy of Pediatrics has real weight. Lawsuit toward the AAP: https://www.skirsch.com/covid/legal/AAP.pdf Book Websites: HERE and HERE. https://www.moneytreepublishing.com/shop PROMO CODE: “AEFM” for 10% OFF, or https://armreg.co.uk PROMO CODE: "americaneducationfm" for 15% off all books and products. (I receive no kickbacks). https://www.thriftbooks.com/ Q posts book: https://drive.proton.me/urls/JJ78RV1QP8#yCO0wENuJQPH
This Physician World Shared Practice Forum Podcast explores two multicenter studies on extubation outcomes in neonates and children following congenital cardiac surgery. These studies incorporate integration of machine learning and risk analytics for extubation decision-making, and examine extubation readiness and extubation failure outcomes. LEARNING OBJECTIVES - Understand the key factors influencing extubation outcomes following congenital cardiac surgery - Examine the use of machine learning and risk analytics in neonatal and pediatric extubation decisions - Discuss how machine learning can improve clinical decision-making and patient safety AUTHORS Daniel Hames, MD, MPH Assistant Professor of Pediatrics, Cardiac Care Unit Director of Quality and Safety University of Nebraska Medical Center Children's Nebraska Jeffrey Burns, MD, MPH Emeritus Chief Division of Critical Care Medicine Department of Anesthesiology, Critical Care and Pain Medicine Boston Children's Hospital Professor of Anesthesia Harvard Medical School DATE Initial publication date: January 27, 2026. ARTICLES REFERENCED - Hames DL, Abbas Q, Asfari A, Borasino S, Diddle JW, Gazit AZ, Lipsitz S, Marshall A, Reise K, Guerineau LR, Wolovits JS, Salvin JW. Extubation Failure in Neonates Following Congenital Cardiac Surgery: Multicenter Retrospective Cohort, 2017-2020. Pediatr Crit Care Med. 2025 May 1;26(5):e590-e599. doi: 10.1097/PCC.0000000000003703. Epub 2025 Feb 10. PMID: 39927824. - Hames DL, Abbas Q, Asfari A, et al. Clinical and Risk Analytics Associations With Extubation Failure in Children Following Congenital Cardiac Surgery: A Multicenter Retrospective Cohort Study, 2017-2020. Pediatr Crit Care Med. 2025;26(9):e1105-e1114. doi:10.1097/PCC.0000000000003793. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/w7qqc97g6m9g5n5vrq5vkx6x/202601_WSP_Hames_Transcript. Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Hames DL, Burns JP. Integrating Risk Analytics in Post-Cardiac Surgery Extubation Readiness. 01/2026. OPENPediatrics. Online Podcast.
Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Guest(s): Mildred Ridgway, M.D., Professor in the Department of Gynocology and Oncology at the University of Mississippi Medical Center. Topic: Cervical Cancer, Screenings, and Vaccinations Email the show: remedy@mpbonline.org. If you enjoy listening to this podcast, please consider contributing to MPB. https://donate.mpbfoundation.org/mspb/podcast. Hosted on Acast. See acast.com/privacy for more information.
HelixTalk - Rosalind Franklin University's College of Pharmacy Podcast
In this episode, we review the clinical presentation, diagnosis, and treatment of uncomplicated urinary tract infections. Key Concepts Uncomplicated urinary tract infections (UTI) are defined as an infection localized to the bladder without any systemic signs or symptoms of infection in someone who is not immunocompromised, pregnant, catheterized, and has normal urologic anatomy. UTIs are most commonly seen in younger women. E. coli is by far the most common urinary pathogen. Symptoms alone drive most of the diagnosis of UTI; however, urinalysis and urine culture can be helpful in some circumstances. Nitrofurantoin (Macrobid) is recommended for men and women for first-line therapy in most patients. Fosfomycin, Bactrim, pivmecillinam, and certain B-lactams can be considered in certain circumstances. Women are usually treated for 3-5 days and men 5-7 days. Some evidence suggests inferior clinical outcomes for B-lactam; however, the amount of data in general is lacking for B-lactams. Recommended B-lactams (aside from pivmecillinam) include amoxicillin/clavulanate, cephalexin, cefadroxil, cefpodoxime, and cefdinir. References Nelson Z, Aslan AT, Beahm NP, et al. Guidelines for the Prevention, Diagnosis, and Management of Urinary Tract Infections in Pediatrics and Adults: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2024;7(11):e2444495. Published 2024 Nov 4. doi:10.1001/jamanetworkopen.2024.44495 Gupta K, Hooton TM, Naber KG, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011;52(5):e103-e120. doi:10.1093/cid/ciq257 Kurotschka PK, Gágyor I, Ebell MH. Acute Uncomplicated UTIs in Adults: Rapid Evidence Review. Am Fam Physician. 2024;109(2):167-174. https://www.wikiguidelines.org/
Renue Healthcare https://Renue.Healthcare/ToddYour journey to a better life starts at Renue Healthcare. Visit https://Renue.Healthcare/Todd Bulwark Capital https://KnowYourRiskPodcast.comFind out how the future of AI could impact your retirement during Zach Abraham's free “New Year Reset” live webinar January 29th 3:30pm Pacific. Register at KnowYourRiskPodcast.com.Alan's Soaps https://www.AlansArtisanSoaps.comUse coupon code TODD to save an additional 10% off the bundle price.Bonefrog https://BonefrogCoffee.com/ToddThe new GOLDEN AGE is here! Use code TODD at checkout to receive 10% off your first purchase and 15% on subscriptions.LISTEN and SUBSCRIBE at:The Todd Herman Show - Podcast - Apple PodcastsThe Todd Herman Show | Podcast on SpotifyWATCH and SUBSCRIBE at: Todd Herman - The Todd Herman Show - YouTubeYou wouldn't believe the excuse a judge has used to allow pharma to continue to harm your kids...Episode Links:Aaron Siri: "They reported two children died of measles in Texas recently. We represent one of those families. That child did not die of measles. We have all the medical records… The other child we don't represent but… that also wasn't measles."“The judge said the American Academy of Pediatrics can sue RFK Jr. to block the revised vaccine schedule because its members will have to talk more about vaccines with patients, harming their financial interests.”Doctors STILL telling patients: "You're NOT vaccine injured!" Former CDC Director Dr. Robert Redfield: "We don't have a lot of honesty about vaccine injury. I spend my clinical time on long COVID patients with vaccine injury from the mRNA vaccines."WATCH: Peter Hotez tells woman her repeated COVID infections are basically her fault for skipping boosters.Bill Maher Delivers a Brutal Message to the COVID “Experts” Who Got It Wrong
Welcome to Season 2 of the Orthobullets Podcast. Today's show is Podiums, where we feature expert speakers from live medical events. Today's episode will feature Dr. Cecilia Pascual-Garrido is titled "Persistent Pain Following Hip Arthroscopy and Borderline Dysplasia Straight to PAO."Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Welcome to Season 2 of the Orthobullets Podcast.In this episode, we review the high-yield topic of Kohler's Disease from the Pediatrics section.Follow Orthobullets on Social Media:FacebookInstagramTwitterLinkedInYouTube
Smartphones feel inevitable… until you see what early access actually does to a child’s mental health, sleep, and happiness. In this episode, Dr Justin & Kylie Coulson break down new research from Pediatrics and share the family standard that finally ended the phone wars in their home (after one very big mistake). KEY POINTS New study: earlier smartphones = worse outcomes for kids. The four real reasons parents give phones (and why they’re flawed). Why “safety” doesn’t require a smartphone. How to replace phones with smarter solutions (incl. dumb phones + watches). The research consensus: delay improves outcomes. The family rule that ends entitlement (“when you can afford it…”). Boundaries if you already handed over a phone (it’s not too late). The real question: approval now or wellbeing later? QUOTE OF THE EPISODE “Kids don’t need smartphones — they need smart parents. And smart parents give their kids dumb phones.” RESOURCES MENTIONED Pediatrics research on smartphone age & outcomes (referenced in episode) SpaceTalk Watch G-Mee Phone Free Range Kids by Lenore Skenazy Lisa Damour — Adolescent Psychology Resources ACTION STEPS FOR PARENTS Define the real problem you’re solving (safety, logistics, social connection, or training). Offer alternatives (dumb phone, landline, watch). Create a family standard — e.g. “When you can pay for it, you can have it.” If they already have a phone: Bedrooms & bathrooms = no-phone zones No phones at meals or short car rides Time limits & age limits on social media Review + scale back where possible See omnystudio.com/listener for privacy information.
In this episode, Andrea Cruz, MD, MPH, FAAP, deputy editor for Pediatrics, offers a rundown of the January issue. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Meg Parker, MD, MPH, FAAP, about promoting human milk and breastfeeding for the very low birth weight infant. For resources go to aap.org/podcast.
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