Podcast appearances and mentions of sol behar

Sol Behar idolized his childhood pediatrician when he grew up. But by the time he got to his pediatrics residency, he wondered if he had made a mistake. He was surprised by how much he missed doing procedures and how much he craved the fast pace of the emergency department. So, he changed course and went into Pediatric Emergency Medicine instead. How many of us in medicine end up in a job totally different from anything we envisioned? How many of us are surprised by what we discover in our clinical work along the way? In this episode of Only Human: Real Clinician Stories, Unfiltered, we dive into these unexpected journeys, sharing stories from three Hippo Education hosts about the twists and turns in their medical careers, illustrating how we often find our true calling in unforeseen ways. We would love to hear from you! You can write us or send a voice memo with thoughts, reactions, questions, or ideas for future episodes to podcasts@hippoeducation.com. Explore more of what Hippo Education has to offer by clicking here.

This free iTunes segment is just one tiny snippet of the fully-loaded 3-hour monthly Primary Care RAP show. Earn CME on your commute while getting the latest practice-changing primary care information: journal article breakdowns, evidence-based topic reviews, critical guideline updates, conversations with experts, and so much more. Sign up for the full show at hippoed.com/PCRAPPOD Paul Offit, MD is a world-renowned expert on the safety and efficacy of vaccines. He has authored over 160 articles, co-invented the rotavirus vaccine, and been featured on shows like “60 Minutes,” “The Daily Show,” and “The Colbert Report,” among many others. In this segment, Sol Behar, MD, and Neda Frayha,  MD pick Dr. Offit’s brain about why our patients may be skeptical about vaccines and how best to communicate with them for the safety and wellbeing of all our patients. Pearls: It is understandable that parents are questioning vaccines now given that they do not encounter the effects of these infections in their day to day life. The role of the clinician is to make the consequences of vaccine preventable diseases real for parents so that they can understand how truly scary they are.   Why might parents be skeptical of vaccines? Parents are no longer scared of the diseases that vaccines aim to protect children from. In comparison to the twenties and thirties, when children were dying from diphtheria or becoming disabled from polio, this generation of parents have not seen firsthand the effects of these infections. As practitioners, we are asking parents to vaccinate their children against 14 different diseases in the first year of life to prevent diseases that most people do not see, using biological fluids that most people do not understand. With these facts in mind, Dr. Offit underscores is reasonable it is for parents to be skeptical. What can practitioners do when faced with a vaccine skeptical parent? The first thing to do when you see someone who is hesitant about vaccines is to ask them what they are scared of. If there is a specific issue, be it autism, diabetes or multiple sclerosis, there likely will be data to answer those questions. As the clinician, you try to present the data in a compelling, passionate, and compassionate way. As Dr. Offit says, science alone is not good enough. It is also important to make people realize that the choice not to vaccinate is not a risk free choice. By referring to parent activist groups like Families Fighting Flu or National Meningitis Association, you can provide parents with examples of the very serious risk associated with not vaccinating. What is Dr. Offit’s approach to dealing with a parent that is unsure about vaccines? The way that Dr. Offit goes about it is as follows: he finds out what the parent is worried about, tries to go through how one would answer those question, he talks about what has been done to answer those questions and ends by emphasizing why it is important to vaccinate. He makes it personal, making sure that the parent knows that he has his own children that are fully vaccinated and says that vaccinating is a matter of loving the child. He tells parents that by not vaccinating their child, the parent is asking him to practice substandard care. Why might parents continue to believe that autism is linked to the MMR vaccine? As Dr. Offit explains, if you are a parent of a child that suffers from autism, you want to try and figure out why. What Andrew Wakefield offered was a reason why; in his explanation it was the vaccine that caused the development of autism. With this explanation, parents were allowed some control over the disease. For example, parents believed that they could control whether or not their future children developed autism but choosing not to vaccinate them. As practitioners we can say things like vaccines are good and vaccine protect against preventable disease but what we still cannot say is what causes autism and parents want that explanation. How can practitioners advocate for their patients? Say something. It is important for clinicians to speak up when they see misinformation being presented because these false claims are devaluing the truth of science.

This free iTunes segment is just one tiny snippet of the fully-loaded 3-hour monthly Peds RAP show. Earn CME on your commute while getting the latest practice-changing peds information: journal article breakdowns, evidence-based topic reviews, critical guideline updates, conversations with experts, and so much more. Sign up for the full show at hippoed.com/PEDSRAPPOD. Sol Behar, MD, and Jason Woods, MD discuss the evaluation and management of bilious emesis in a neonate.  Bilious emesis in an infant should be treated as an emergency because this is often a symptom of obstruction due to intestinal atresia or midgut volvulus. Causes of intestinal obstruction that present during the neonatal period include: Malrotation with or without volvulus Intestinal atresia Hirschsprung disease Intussusception (rare in the neonatal period) Necrotizing enterocolitis  Malrotation with volvulus. In this condition, the cecum is abnormally positioned in the right upper quadrant and this abnormal positioning predisposes the intestine to twist on its mesentery resulting in volvulus. This causes acute small bowel obstruction and ischemia.  An upper GI, the gold standard for diagnosing or evaluating malrotation, classically shows a duodenum with a "corkscrew" appearance. Intestinal atresia. This is a term used to describe a complete blockage or obstruction anywhere in the intestine. Approximately 30% of infants with duodenal atresia have a chromosomal anomaly, most typically Down syndrome. The "double bubble" sign is caused by dilation of the stomach and proximal duodenum and strongly suggests duodenal atresia Hirschsprung disease. This is a disorder of the motor innervation of the distal intestine that leads to a functional obstruction. In Hirschsprung, the nerves that allow the relaxation of the smooth muscle within the intestine wall are missing, so the area that is affected is constricted.   A contrast enema can support the diagnosis of Hirschsprung disease. It will often show the presence of a “transition zone” which represents the change from the normal caliber rectum to the dilated colon proximal to the aganglionic region.   For younger kids who have not had time to develop the “transition zone”, the rectosigmoid index, the ratio between the diameter of the rectum and the sigmoid colon, is typically >1 in normal children   Necrotizing enterocolitis. This is a condition characterized by bowel necrosis with associated severe inflammation, bacterial invasion, and dissection of gas into the bowel wall. Pneumatosis intestinalis, a hallmark of NEC, appears as bubbles of gas in the bowel wall. Meconium ileus is caused by the obstruction of the small intestines with inspissated meconium. Approximately 10% of patients with CF present with meconium ileus.

Sol Behar, MD and Jason Woods, MD get together to discuss the evaluation and management of bilious emesis in a neonate.    Bilious emesis in an infant should be treated as an emergency because this is often a symptom of obstruction due to intestinal atresia or midgut volvulus. Causes of intestinal obstruction that present during the neonatal period include: Malrotation with or without volvulus Intestinal atresia Hirschsprung disease Intussusception (rare in the neonatal period) Necrotizing enterocolitis  To view all the rest of the incredible show notes and see all the  references Click Here 

Children seem to be less affected than adults by the direct effects of COVID-19 infection, but the pandemic has brought forth other health risks to the pediatric population. Sol Behar interviews Oakland, CA based primary care pediatricians Celine Sparrow and Katie D’Harlingue about the indirect impact of COVID-19 on children. Topics covered include home school and academic achievement, mental health issues, and nutrition/food insecurity.    To view the references and show notes from this podcast Click here

Children seem to be less affected than adults by the direct effects of COVID-19 infection, but the pandemic has brought forth other health risks to the pediatric population. Sol Behar interviews Oakland, CA based primary care pediatricians Celine Sparrow and Katie D’Harlingue about the indirect  impact of COVID-19 on children. Topics covered include home school and academic achievement, mental health issues, and nutrition/food insecurity.    To view the references and show notes from this podcast Click here

Children seem to be less affected than adults by the direct effects of COVID-19 infection, but the pandemic has brought forth other health risks to the pediatric population. Sol Behar interviews Oakland, CA based primary care pediatricians Celine Sparrow and Katie D’Harlingue about the indirect  impact of COVID-19 on children. Topics covered include home school and academic achievement, mental health issues, and nutrition/food insecurity.  To view the references and show notes from this podcast Click here

General pediatrician Cori Cross, MD and Sol Behar, MD review the good, the bad, and the annoying (for parents) aspects of social media use in children. To view the show notes and references for this episode CLICK HERE

Sol Behar, MD interviews New York City pediatric emergency physician Dr. Ee Tay, highlighting the features of pediatric COVID disease, including an emerging illness that is being compared to Kawasaki Shock Syndrome called “pediatric inflammatory multisystem disease” (PIMS). To view the references and show notes from this podcast Click here

Sol Behar, MD interviews New York City pediatric emergency physician Dr. Ee Tay, highlighting the features of pediatric COVID disease, including an emerging illness that is being compared to Kawasaki Shock Syndrome called “pediatric inflammatory multisystem disease” (PIMS). To view the references and show notes from this podcast Click here

Sol Behar, MD interviews New York City pediatric emergency physician Dr. Ee Tay, highlighting the features of pediatric COVID disease, including an emerging illness that is being compared to Kawasaki Shock Syndrome called “pediatric inflammatory multisystem disease” (PIMS). To view the references and show notes from this podcast Click here

Sol Behar, MD interviews Children’s Hospital of Philadelphia NICU doc Joanna Parga-Belinkie, MD to discuss Covid-19 and some of the peripartum issues that come up during the novel coronavirus pandemic for both pregnant moms and their newborns. For the show notes and additional references please click here  

Sol Behar, MD interviews Children’s Hospital of Philadelphia NICU doc Joanna Parga-Belinkie, MD to discuss Covid-19 and some of the peripartum issues that come up during the novel coronavirus pandemic for both pregnant moms and their newborns. For the show notes and additional references please click here

Sol Behar, MD interviews Children’s Hospital of Philadelphia NICU doc Joanna Parga-Belinkie, MD to discuss Covid-19 and some of the peripartum issues that come up during the novel coronavirus pandemic for both pregnant moms and their newborns. For the show notes and additional references please click here

Andi Marmor, MD and Sol Behar, MD review clinical features, complications, and latest treatment options of strep pharyngitis. GAS as a cause of pharyngitis is most commonly observed in children 5–15 years of age. Diagnostic studies for GAS pharyngitis are not recommended for children under 3  because acute rheumatic fever is rare in children

Sol Behar, MD and CHOP NICU doc Joanna Parga-Belinkie, MD review the evidence behind some of the peripartum practices that happen in the delivery room and in the immediate aftermath. There is so much more to PedsRAP each month. For more incredible education and 42 hours of CME CLICK HERE!  

Given the recent spike of VAPI (vaping associated pulmonary injury) cases, our HIPPO medical editorial team review the clinical presentation and latest management recommendations for this lung disease. Mizuho Morrison and Sol Behar discuss a recent case, and review the hot-off-the-press published CDC health alert. Take a listen! Pearls: There has been a recent explosion in vape associated pulmonary injury, with serious morbidity and mortality. VAPI has been more commonly associated with THC-containing products ,although a wide variety of nicotine containing products and devices have been reported. Symptoms:  Constitutional symptoms (100%) Respiratory distress and cough (98%) GI symptoms: nausea, vomiting, diarrhea (80%) Fever (30%) Diagnosis: Vaping in past 90 days, bilateral pulmonary infiltrates on imaging, Ground-glass appearance noted on CT chest. Absence of detectable bacterial/viral infection.  Treatment:  Respiratory support Steroids may be beneficial Antibiotics alone do not appear to help as this is not an infectious process, rather an inflammatory one. However given initial mixed presentation, it is not unreasonable to initiate antibiotics until pneumonia is ruled out and diagnosis is confirmed.    References:  Layden JE1,Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Preliminary Report. N Engl J Med. 2019 Sep 6.  https://www.cdc.gov/media/releases/2019/p0906-vaping-related-illness.html https://emcrit.org/ibcc/vaping-associated-pulmonary-injury/  https://health.ny.gov/press/releases/2019/2019-09-05_vaping.htm   How would you like to listen to 6 months of full episodes for free? For the month of September, when you refer a friend to sign up for Peds RAP,  you'll get 6 free months of Peds RAP for yourself--on top of the $25 Amazon gift card you get for every friend who signs up! Start sharing below! Refer a friend

Given the recent spike of VAPI (vaping associated pulmonary injury) cases, our HIPPO medical editorial team review the clinical presentation and latest management recommendations for this lung disease. Mizuho Morrison and Sol Behar discuss a recent case, and review the hot-off-the-press published CDC health alert. Take a listen! Pearls: There has been a recent explosion in vape associated pulmonary injury, with serious morbidity and mortality. VAPI has been more commonly associated with THC-containing products ,although a wide variety of nicotine containing products and devices have been reported. Symptoms:  Constitutional symptoms (100%) Respiratory distress and cough (98%) GI symptoms: nausea, vomiting, diarrhea (80%) Fever (30%) Diagnosis: Vaping in past 90 days, bilateral pulmonary infiltrates on imaging, Ground-glass appearance noted on CT chest. Absence of detectable bacterial/viral infection.  Treatment:  Respiratory support Steroids may be beneficial Antibiotics alone do not appear to help as this is not an infectious process, rather an inflammatory one. However given initial mixed presentation, it is not unreasonable to initiate antibiotics until pneumonia is ruled out and diagnosis is confirmed.    References:  Layden JE1,Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Preliminary Report. N Engl J Med. 2019 Sep 6.  https://www.cdc.gov/media/releases/2019/p0906-vaping-related-illness.html https://emcrit.org/ibcc/vaping-associated-pulmonary-injury/  https://health.ny.gov/press/releases/2019/2019-09-05_vaping.htm   How would you like to listen to 6 months of full episodes for free? For the month of September, when you refer a friend to sign up for Primary Care RAP,  you'll get 6 free months of Primary Care RAP for yourself--on top of the $25 Amazon gift card you get for every friend who signs up! Start sharing below!  Refer a friend

Given the recent spike of VAPI (vaping associated pulmonary injury) cases, our HIPPO medical editorial team review the clinical presentation and latest management recommendations for this lung disease. Mizuho Morrison and Sol Behar discuss a recent case, and review the hot-off-the-press published CDC health alert. Take a listen! Pearls: There has been a recent explosion in vape associated pulmonary injury, with serious morbidity and mortality. VAPI has been more commonly associated with THC-containing products ,although a wide variety of nicotine containing products and devices have been reported. Symptoms:  Constitutional symptoms (100%) Respiratory distress and cough (98%) GI symptoms: nausea, vomiting, diarrhea (80%) Fever (30%) Diagnosis: Vaping in past 90 days, bilateral pulmonary infiltrates on imaging, Ground-glass appearance noted on CT chest. Absence of detectable bacterial/viral infection.  Treatment:  Respiratory support Steroids may be beneficial Antibiotics alone do not appear to help as this is not an infectious process, rather an inflammatory one. However given initial mixed presentation, it is not unreasonable to initiate antibiotics until pneumonia is ruled out and diagnosis is confirmed.    References:  Layden JE1,Pulmonary Illness Related to E-Cigarette Use in Illinois and Wisconsin - Preliminary Report. N Engl J Med. 2019 Sep 6.  https://www.cdc.gov/media/releases/2019/p0906-vaping-related-illness.html https://emcrit.org/ibcc/vaping-associated-pulmonary-injury/  https://health.ny.gov/press/releases/2019/2019-09-05_vaping.htm  How would you like to listen to 6 months of full episodes for free? For the month of September, when you refer a friend to sign up for Urgent Care RAP,  you'll get 6 free months of Urgent Care RAP for yourself--on top of the $25 Amazon gift card you get for every friend who signs up! Start sharing below! Refer a friend

Sol Behar sits down with UCLA pediatrician and researcher Adam Schickedanz to discuss the impact of Adverse Childhood Experiences on the physical and mental health of children. An adverse childhood experience or event is a stressful or traumatic experience before age 18.  ACEs fall into three categories: 1) abuse, 2) neglect and 3) household dysfunction. ACEs disrupt social connections early in life.     Subscribe to hear the rest of this months program

Drs. Parul Bhatia and Sol Behar discuss the red flags for chronic abdominal pain and categories of functional abdominal pain for those kids with chronic abdominal pain and no red flags for serious organic pathology.    

Dr. Paul Offit is a world-renowned expert on the safety and efficacy of vaccines. He has authored over 160 articles, co-invented the rotavirus vaccine, and been featured on shows like “60 Minutes,” “The Daily Show,” and “The Colbert Report,” among many others. In this segment, Sol Behar and Neda Frayha pick Dr. Offit’s brain about why our patients may be skeptical about vaccines and how best to communicate with them for the safety and wellbeing of all our patients.

Dr. Paul Offit is a world-renowned expert on the safety and efficacy of vaccines. He has authored over 160 articles, co-invented the rotavirus vaccine, and been featured on shows like “60 Minutes,” “The Daily Show,” and “The Colbert Report,” among many others. In this segment, Sol Behar and Neda Frayha pick Dr. Offit’s brain about why our patients may be skeptical about vaccines and how best to communicate with them for the safety and wellbeing of all our patients.

IIene Claudius, MD  and Sol Behar, MD interview ID expert Anne Blaschke, MD about the clinical utility of respiratory viral panels in working up young febrile infants.

Pediatric hematologist and hemophilia researcher Dr Guy Young reviews with Parul Bhatia and Sol Behar  presentations, complications and treatment of hemophilia.