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August 20, 2019
Hirschsprung disease occurs in approximately one in 5,000 newborns. Despite advances in the diagnosis and management of the disease, patients remain at risk for long-term gastrointestinal morbidity, including obstructive symptoms, fecal incontinence, and enterocolitis, with negative implications on quality of life. In today’s episode we are talking with Luis De la Torre, MD, to unpack the diagnosis and management of Hirschsprung disease and discuss new treatments being explored. Dr. De la Torre is a Visiting Associate Professor of Surgery at the University of Colorado School of Medicine and the newest member of our International Center for Colorectal and Urogenital Care team at Children’s Hospital Colorado. We'd love to hear from you! Share your thoughts about today's episode or ideas for a future topic by emailing the Charting Pediatrics host team.
August 13, 2019
Cryptorchidism or undescended testis (UDT) is one of the most common pediatric disorders of the male endocrine glands and the most common genital disorder identified at birth. The main reasons for treatment of cryptorchidism include increased risks of impairment of fertility potential, testicular malignancy, torsion and/or associated inguinal hernia. In today’s episode we will talk with Brian Caldwell, MD about the difference in presentation of undescended vs retractile testis, approaches to treatment and long-term prognosis for these patients. Dr. Caldwell is a Pediatric Urologist from the Children's Hospital Colorado, Colorado Springs faculty and is an associate professor of surgery and urology at the University of Colorado School of Medicine. Let us know your suggestion for a future podcast topic. Dr. Caldwell can be reached through OneCall, 720-777-3999. 
August 6, 2019
Welcome to Season 3 of Charting Pediatrics! In today's season kick-off show we discuss the most common bleeding disorders in pediatrics through the lens of the CBC with Tazio Nakano, MD.  Dr. Nakano is Medical Director of the Vascular Malformation and Tumor Center at Children's Hospital Colorado and is Assistant Professor of Pediatrics of Hematology/Oncology and Bone Marrow Transplant at the University of Colorado School of Medicine. Thank you to each of you who cast a vote of support for Children's Hospital Colorado in the 14th Annual People's Choice Podcast Award Nominations!  Send Dr. Nicklas at tweet and let him know what you think about today's episode. Let us know if you have a suggestion for a future podcast topic.
July 30, 2019
Charting Pediatrics Podcast has received initial nomination eligibility for the 14th Annual People’s Choice Podcast Award in the Science and Medicine category!
July 30, 2019
Our guest for this episode is Jessica Malmberg, PhD, the Clinical Director of Outpatient Services at the Pediatric Mental Health Institute and assistant professor of child psychiatry at CU School of Medicine. Dr. Malmberg talks us through a common behavioral issues of school-aged children – school refusal – and provides insights, advice and tools to help prevent, manage and understand this behavior. In this episode: Outlining and identifying the underlying symptoms and signs associated with a child refusing to attend school How primary care providers (PCPs) can assist parents who are experiencing guilt Identifying the four most common reasons that children refuse to go to school Exploring the effects of social media on children's behavior when it comes to school refusal How a PCP should approach treatment of school refusal The recommended frequency of follow-up care for kids who are refusing to go to school The importance of connecting parents to community-based resources Preventative practices parents can set up in the home to prevent this behavioral issue What an excellent prognosis looks like for children experiencing school refusal When it's time to refer to a mental health professional PCPs in the Denver Metro Area can refer patients to the Children's Hospital Colorado Outpatient Psychiatry Clinic or to a local community mental health center Resources for dealing with school refusal: School Refusal: Information for Educators (.pdf) from the National Association for School Psychologists School Refusal in Children and Adolescents from American Family Physician The Functional Assessment of School Refusal Behavior Effective Child Therapy Division 53 of the Society of Clinical Child & Adolescent Psychology website School Refusal from the American Academy of Child & Adolescent Psychiatry
July 27, 2019
Welcome back Charting Pediatrics listeners! We are so excited to announce the third season of the podcast which will release on August 6th. With the success of Season 2, going from under 500 to almost 20,000 listeners per month, we are expectant to see what Season 3 will have in store. In this new season, we will explore case studies in the nuanced art of practicing pediatric medicine, covering topics from innovative care approaches to bread-and-butter diagnoses that you deal with on a daily basis.
July 23, 2019
In today's episode we dive in to the topic of toxicity and the most common overdoses in pediatric medicine. Our guest is Sam Wang, MD, returning from earlier this season when we covered the topic of Marijuana as Medicine (S2:E14). Dr. Wang is a Pediatric Emergency Medicine Physician and Medical Toxicologist at Children’s Hospital Colorado and the University of Colorado School of Medicine.  Let us know what you thought of today's episode: Tweet Dr. Brent (@AlisonBrentMD) or write to us, chartingpediatrics@childrenscolorado.org.
July 16, 2019
The practice of pediatric pain management has developed significantly in the last decade with the use and validation of pain assessment tools specific to pediatric patients, yielding evidence-based pain management guidelines in children of all ages. Still, pharmacological intervention options coupled with practicing safe prescribing can be overwhelming in the primary care setting.  In today’s episode we are joined by Tom Majcher, DO, to discuss a practical approach to outpatient pain management in pediatrics and the prevalence of conditions associated with acute and chronic pain. Dr. Majcher is Chair of Anesthesiology at Children’s Hospital Colorado and Professor of Anesthesiology at the University of Colorado School of Medicine.
July 9, 2019
A real public health problem has snuck up on us as pediatricians - vaping and e-cigarettes use. On today’s episode, we will unpack the facts about e-cigarettes and vaping, provide you with practical tools to counsel your patients and families and talk about upcoming advocacy and policy work pertaining to e-cigarettes. Our guests today are Jennifer Woods, MD, Medical Director of the Adolescent Medicine Clinic at Children’s Hospital Colorado and associate professor of pediatrics at the University of Colorado School of Medicine; and Heather Hoch, MD pediatric pulmonologist at Children’s Hospital Colorado and assistant professor the CU School of Medicine. From today's episode: The 2018 NIH Monitoring the Future Survey Results were released last month. The survey found that 37% of 12th graders and 18% of 8th graders have vaped in the last year and the number of kids who used vaping products in the last month jumped from 11 to 21% in 12th graders and from 9 to 16% in 10th graders — those changes are the biggest jumps in adolescent substance use that has been seen in the 4 decades of conducting the Monitoring the Future Survey. From the AAP: 5 Facts to talk to Teens about Vaping The FDA held a public hearing on January 18, 2019 to discuss efforts to eliminate youth e-cigarette use, with a focus on the potential role of drug therapies to support cessation and the issues impacting the development of such therapies. If this is a topic you are passionate about, we encourage our listeners to visit the FDA website to submit a public comment, those public comment submissions will be available through February 1, 2019 https://www.fda.gov/TobaccoProducts/Labeling/ProductsIngredientsComponents/ucm456610.htm) Pediatricians Push for Laws to Prevent Teen Vaping Colorado Bill Introduced to Combat Skyrocketing Youth E-Cigarette Use, Clean Indoor Air Act, House Bill 19-1076 Feedback on this episode or suggestions for a future topic? Write to us at chartingpediatrics@childrenscolorado.org - we love hearing from our listeners!
July 2, 2019
In this episode, we discuss abnormal pediatric head growth, shape and treatment options with Todd Hankinson, MD. Dr. Hankinson is a Pediatric Neurosurgeon at Children’s Hospital Colorado and Associate Professor of Neurosurgery at the University of Colorado School of Medicine.  
June 25, 2019
Today’s guests are Dr. Lori Prok and Pediatric Nurse Practitioner, Julieann Tibbetts, here to discuss the most common clinical presentations, causes, and treatment of Atopic Eczema. Dr. Prok is a Pediatric Dermatologist at Children’s Colorado and Associate Professor of Dermatology at the University of Colorado School of Medicine. Julieann is a Pediatric Nurse Practitioner in the Dermatology Department at Children’s Colorado and Senior Instructor of Dermatology at the University of Colorado School of Medicine.
June 18, 2019
Today’s guests are Dr. Jens Goebel and Dr. Robert Fuhlbrigge, here to discuss Henoch-Schönlein purpura (HSP). Dr. Goebel is the Section Head of Nephrology at Children’s Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Fuhlbrigge is Section Head of Rheumatology at Children’s Colorado and Professor of Pediatrics also at the University of Colorado School of Medicine.
June 11, 2019
In today’s episode, we’re examining a case that started in a primary care pediatrician’s office and ended in the Children’s Hospital Colorado Aerodigestive Program.  Joining us are the three physicians involved in the patient’s care examine: Larissa Applegate, MD, a pediatrician at Pediatrics West in Wheat Ridge, Colorado; RyanCaltagirone, MD, a pediatricemergency room physician at Children’s Colorado; and Sven Streubel, MD, an otolaryngologist with Children's Colorado.  In this episode: Our three guests examine their roles in the patient’s care and share their key takeaways to inform other medical professionals The origins of the case and how the patient, baby Rachel, first presented in the hospital Steps taken once Rachel’s respiratory struggles were evident and next steps to get her to the Emergency Department Importance of clear communication between departments and with patient families in complex, multidisciplinary cases Approaching a patient who presents with laryngomalacia from an ENT perspective Using a bedside scope to determine the severity of the laryngomalacia The various elements of Rachel’s multidisciplinary care, including: admission procedure, observation of feedings, continued oxygen support and plan for next steps Most common medical treatment plan for patients with laryngomalacia Designing a long-term management plan for a child with laryngomalacia that supports the patient as well as their family Accounting for comorbidities that come along with laryngomalacia Update from patient and key takeaways from the case
June 4, 2019
Treating STDs in adolescent patients can be a challenge for today’s busy pediatrician. Eliza Buyers, MDof the Pediatric and Adolescent Gynecologyteam at Children’s Colorado returns to our pediatric podcast to provide practical tools for preventing and treating sexually transmitted infections in teens.   In this episode: Why STD rates are higher in adolescents and young adults How PCPs can address teen reproductive health challenges Why we need to consider age as the primary risk factor for STDs Examining the issue of STD rates as a health disparity Importance of conducting universal screening in sexually active adolescents Expedited partner therapy (EPT) and its importance Recommended STD and HIV screening periods for different populations Screening guidelines for STD examinations in the absence of symptoms. Approaching one-to-one time with teen patients Importance of promoting condom use to prevent STDs in teens When to consider screening for less common STDs Why it’s crucial to know confidential screening clinics you can send your patients   STD management resources: The CDC STD treatment guidelines mobile app CDC STD treatment guidelines for special populations
May 28, 2019
In today’s episode all three hosts are in the recording studio for a round table discussion about provider self-care and compassion fatigue. The host team shares personal experiences and strategies they utilize for keeping them energized when cases have challenging outcomes. The host team includes is David Brumbaugh, MD, pediatric gastroenterologist and Associate Chief Medical Officer at Children’s Colorado; Alison Brent, MD Pediatric Emergency Medicine Physician and Medical Director of Physician Relations and the Network of Care at Children’s Colorado; and Dan Nicklas, MD, pediatrician and Medical Director of the Pediatric Call Center at Children’s Colorado. Thank you to all of our listeners for a fantastic Season 2 of Charting Pediatrics! Season 3 will launch on August 6. If you have suggestions for a future topic email us.
May 21, 2019
Approximately 6 to 7 percent of children presenting with respiratory symptoms have acute sinusitis. In today’s episode we are going to talk to Steven Hamilton, MD about the causes, diagnosis, treatment and safe antibiotic prescribing practices for the management of sinusitis in pediatric patients. Dr. Hamilton is a pediatric otolaryngologist from our Colorado Springs-based faculty and is an assistant professor of otolaryngology at the University of Colorado School of Medicine. Let us know what you thought about today's episode or suggest a future topic - Send Dr. Nicklas a tweet, @DanielNicklasMD or send us an email.  Children's Hospital Colorado, Colorado Springs is set to open in late Spring 2019. Read more about our new hospital! AAP Clinical Practice Guideline for this Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years  
May 14, 2019
Feeding is a primary concern for families of pre-term and low birth weight babies following NICU discharge. Many of these infants have gagging, swallowing, vomiting, aspirating concerns or feeding aversions; they don't seem to experience the sensation of hunger, making feeding each meal an arduous task for their caregivers. In today’s episode, we talk with returning guests Laura Pickler, MD and Nancy Creskoff Maune, OT about approaches to diagnosis and treatment options for infants with severe feeding and swallowing issues, including helpful diagnostic tests and therapies. Dr. Pickler is the Chair of Family Medicine and Medical Director of the Feeding and Swallowing Program at Children’s Colorado. Nancy is an occupational therapist in the program with an extensive background in the evaluation and treatment of infants and children with feeding and swallowing problems. Tell Dr. Brumbaugh what you thought of today's episode, send him a tweet @DBrumbaughMD. 
May 7, 2019
Pediatric hypertension occurs in 2-5% of all pediatric patients and is one of the top five chronic diseases in children and adolescents. According to the National Heart, Lung and Blood Institute, the diagnosis is missed in up to 75% of pediatric patients in primary care settings and appropriate medication initiation occurs much less frequently than is indicated, according to current guidelines. In today’s episode we talk with Steve Daniels, MD about the pediatric hypertension clinical practice guideline he helped to co-author, how you can incorporate blood pressure screening at well child visits, replacing the term “prehypertension” with “elevated blood pressure” and treatment recommendations for your patients. Dr. Daniels is a pediatric cardiologist, Pediatrician-in-Chief and the L. Joseph Butterfield Chair of Pediatrics at Children's Hospital Colorado, Professor of Pediatrics at the University of Colorado School of Medicine, Professor of Epidemiology at University of Colorado School of Public Health. Dr. Daniels is a sought-out expert in the field of pediatric hypertension and pediatric nutrition.
April 30, 2019
Acute flaccid myelitis (AFM) is a rare but serious condition; one that strikes fear into the hearts of parents and providers alike. AFM affects the nervous system, specifically the gray matter of the spinal cord, which results in the presenting symptoms of a flaccid paralysis. This condition is not new. Acute flaccid myelitis appears to be caused most often by viruses, especially EV-D68, which is a member of the polio family. Although poliomyelitis has been mostly eradicated worldwide, in recent years large outbreaks of the related enterovirus 71 has been seen in Asia-Pacific countries. This virus, that some have coined “the new polio” mostly affects children, manifesting as hand, foot, and mouth disease, aseptic meningitis, poliomyelitis-like acute flaccid paralysis, brainstem encephalitis, and other severe systemic disorders. In today’s episode we are joined by Kevin Messacar, MD to talk through the most common presentations and treatment of enterovirus infections. Dr. Messacar is both an Infectious Disease Specialist and Hospitalist at Children’s Hospital Colorado and is an Assistant Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Messacar's interview in this episode is expressly his own and not on a behalf of the professional organizations he serves.  CDC AFM Guidelines and Resources for Providers What did you think of today's episode? Tweet Dr. Brent, @AlisonBrentMD or write to us chartingpediatrics@childrenscolorado.org.
April 23, 2019
Today we are fortunate to be joined by a home-grown Denver pediatrician, child health advocate and legislator for the Colorado House of Representatives, Rep. Dr. Yadira Caraveo. Dr. Caraveo was born and raised in Denver and attended medical school at the University of Colorado. She completed her residency in pediatrics in Albuquerque, New Mexico at the University of New Mexico and is currently a pediatrician at Peak Pediatrics in Denver. She has been interested in political and child advocacy since medical school and was elected to the Colorado House of Representatives to represent House District 31 in the November 2018 mid-term election. What did you think of today's episode? Send Dr. Brumbaugh a tweet @DBrumbaughMD or write to us at chartingpediatrics@childrenscolorado.org 
April 16, 2019
As we head into a busy travel season increasing numbers of our patients and families are venturing to high altitude to partake in activities such as sight-seeing, hiking and climbing. Children who travel to high altitude are at risk for developing some form of acute altitude illness and will seek advice from their primary care physician before traveling. In today’s episode we talk to Christine Ebert-Santos, MD to unpack what we know and what we don’t about children residing at or visiting high altitude and how you can provide anticipatory guidance to your patients and families.  Dr. Ebert-Santos is a pediatrician at the Ebert Family Clinic in Summit County, Colorado. Summit County is comprised of mountainous elevations ranging from 7,957 feet (2,425 m) at Green Mountain Reservoir to 14,270 feet (4,350 m) at Grays Peak. The elevation of the county seat of Breckenridge is 9,602 feet (2,927 m), making it one the highest cities in the state of Colorado and the United States. High Altitude Health
April 9, 2019
Acute otitis media (AOM) is one of the most common reasons that patients present to our office. Not surprisingly, ear infections are also the most common reason why children receive a prescription for a course of antibiotics. In today’s episode, we are going to talk to Peggy Kelley, MD about the classic symptoms and treatment for acute otitis media, safe antibiotic prescribing practices, and how to approach treatment failure and ear tubes. Dr. Kelley is a pediatric otolaryngologist at Children’s Hospital Colorado and Associate Professor of Otolaryngology at the University of Colorado School of Medicine. Send Dr. Nicklas a tweet and let him know what you thought about today's episode, @DanielNicklasMD  
April 2, 2019
In this episode, Daniel Searing, MD, Professor of pediatrics and allergies at Children's Colorado, talks about seasonal allergies and pollen. He discusses the effects of pollen, how to treat and alleviate allergies, and more. In this episode, Dr. Searing discusses: Pollen and how it affects allergies Why cottonwood trees are a big pollinator, especially in the springtime Why rain and humidity shut down pollen levels Why Colorado's climate makes people more susceptible to allergies How allergy symptoms will vary from year to year The importance of monitoring the quantitative level of pollen in the environment How physicians should manage the initial approach to a child with allergy symptoms Key features to look out for Why treating pollen allergies with persistent treatment is more effective What role the prescription drug Montelukast plays in treating allergic rhinitis What you can do to help prevent pollen from spreading Which medicines and therapies can help alleviate allergies When to see a doctor for seasonal allergies The approach of an immunotherapy treatment plan and the two phases of a typical treatment schedule
March 26, 2019
As providers, the safety of our patients is paramount. In recent years, increased attention has been given to diagnostic error in medicine, specifically those that arise through error in cognitive perception, failed heuristics and biases. In today’s episode, we are talking with Joe Grubenhoff, MD about error in diagnosis and strategies for reducing cognitive bias. Dr. Grubenhoff is the Associate Medical Director of Clinical Effectiveness and is a pediatric emergency medicine physician at Children’s Colorado. He is also an Associate Professor of Pediatrics at the University of Colorado School of Medicine. Resources mentioned in today's episode: How Doctor's Think by Jerome Groopman, MD Thinking Fast and Slow by Daniel Kahneman What did you think of today's episode? Send Dr. Brumbaugh a tweet @DBrumbaughMD.
March 19, 2019
Measles is a highly contagious respiratory disease that spreads easily through the air or on infected surfaces; According to the American Academy of Pediatrics, of every 1,000 people who get measles, 1 to 2 will die.  And the numbers are even higher in developing countries where the case fatality rate is 4-10%.  As providers who care for kids, we urge our parents, schools and communities to protect each other by vaccinating for measles. In today’s episode Edwin Asturias, MD joins us to talk through the classic symptoms, treatment and vaccination recommendations for measles.  Dr. Asturias is the Director for Latin American Infectious Disease at Children’s Hospital Colorado. He is also an Associate Professor or Pediatric Infectious Disease at the University of Colorado School of Medicine. Let Dr. Nicklas know what you thought of today's episode - send him a tweet @DanielNicklasMD  
March 12, 2019
In today's episode we dive in to the topic of toxicity and the most common overdoses in pediatric medicine. Our guest is Sam Wang, MD, returning from earlier this season when we covered the topic of Marijuana as Medicine (S2:E14). Dr. Wang is a Pediatric Emergency Medicine Physician and Medical Toxicologist at Children’s Hospital Colorado and the University of Colorado School of Medicine.   Let us know what you thought of today's episode: Tweet Dr. Brent (@AlisonBrentMD) or write to us, chartingpediatrics@childrenscolorado.org 
March 5, 2019
HPV vaccine rates remain low with only about 16 percent of U.S. adolescents being fully vaccinated by the time they turn 13 according to the CDC. With about 34,000 cases of HPV-induced cancers annually, we as providers have an opportunity to encourage more parents to vaccinate their children. In this episode we talk with guests Brian Gablehouse, MD and Sean O’Leary, MD about HPV vaccination hesitancy, recent updates to the HPV vaccination schedule and how to utilize motivational interviewing techniques when talking with parents. Dr. Gablehouse is a pediatrician at Peak Pediatrics located in Wheat Ridge and Thornton, Colorado. Dr. O’Leary is Director of the Colorado Pediatric Practice-Based Research Network and works on the Infectious Disease team at Children’s Hospital Colorado; he is Associate Professor at the University of Colorado School of Medicine. Let us know what you think of today's episode! Drop us an email. Check out S2:E12 for further discussion about the topic of Vaccinations & Motivational Interviewing Techniques. 
February 26, 2019
Historically, there has not been a Food and Drug Administration – approved medical therapy to treat food allergies. This is about to change with emerging research in immune desensitization and clinical trials with food immunotherapy products that will likely soon hit the market. In today’s episode, we will talk about these clinical trials, what two products are likely to be FDA-approved by the end of 2019 and what that means for your food-allergic patients. Today’s guests are David Fleischer, MD and Matthew Greenhawt, MD. Dr. Fleischer is Director of the Allergy and Immunology Center at Children’s Hospital Colorado and Associate Professor in Pediatrics and Allergy at the University of Colorado School of Medicine. Dr. Greenhawt is Director of the Food Challenge and Research Unit at Children’s Hospital Colorado Associate Professor of Pediatrics and Allergy at the University of Colorado School of Medicine. Related Research: Effect of Epicutaneous Immunotherapy vs Placebo on Reaction to Peanut Protein Ingestion Among Children With Peanut Allergy: The PEPITES Randomized Clinical Trial, JAMA February 22, 2019  We love hearing from our listeners - email the Charting Pediatrics team to suggest a future topic or tell what you thought of this one.
February 19, 2019
As a continuation of our discussion of congenital heart disease from Season 2, Episode 21, we are going to look at the primary care provider’s ongoing role caring for these patients; signs and symptoms of undiagnosed patients and how to support adolescent patients transitioning to adult care. Today’s guest is Joe Kay, MD. Dr. Kay is Program Director of the joint Adult Congenital Heart Disease Program at the University of Colorado Hospital and Children’s Hospital Colorado, and Associate Professor of both Pediatrics and Medicine at University of Colorado School of Medicine. We love hearing from our listeners! Reach out and tell us what you would like to hear in a future episode.  
February 12, 2019
How many concussions are too many for a young athlete? When should sport retirement be considered? In today's episode we are going to look at the case of a high school athlete as the basis for exploring these questions with Julie Wilson, MD. Dr. Wilson is Co-Director of the Concussion Program at Children's Hospital Colorado and Assistant Professor at the University of Colorado School of Medicine. Tell us what you thought about today's episode. Charting Pediatrics is now on Spotify!
February 5, 2019
The practice of pediatric pain management has developed significantly in the last decade with the use and validation of pain assessment tools specific to pediatric patients, yielding evidence-based pain management guidelines in children of all ages. Still, pharmacological intervention options coupled with practicing safe prescribing can be overwhelming in the primary care setting.  In today’s episode we are joined by Tom Majcher, DO, to discuss a practical approach to outpatient pain management in pediatrics and the prevalence of conditions associated with acute and chronic pain. Dr. Majcher is Chair of Anesthesiology at Children’s Hospital Colorado and Professor of Anesthesiology at the University of Colorado School of Medicine.
January 29, 2019
A real public health problem has snuck up on us as pediatricians - vaping and e-cigarettes use. On today’s episode, we will unpack the facts about e-cigarettes and vaping, provide you with practical tools to counsel your patients and families and talk about upcoming advocacy and policy work pertaining to e-cigarettes. Our guests today are Jennifer Woods, MD, Medical Director of the Adolescent Medicine Clinic at Children’s Hospital Colorado and associate professor of pediatrics at the University of Colorado School of Medicine; and Heather Hoch, MD pediatric pulmonologist at Children’s Hospital Colorado and assistant professor the CU School of Medicine. From today's episode: The 2018 NIH Monitoring the Future Survey Results were released last month. The survey found that 37% of 12th graders and 18% of 8th graders have vaped in the last year and the number of kids who used vaping products in the last month jumped from 11 to 21% in 12th graders and from 9 to 16% in 10th graders — those changes are the biggest jumps in adolescent substance use that has been seen in the 4 decades of conducting the Monitoring the Future Survey. From the AAP: 5 Facts to talk to Teens about Vaping The FDA held a public hearing on January 18, 2019 to discuss efforts to eliminate youth e-cigarette use, with a focus on the potential role of drug therapies to support cessation and the issues impacting the development of such therapies. If this is a topic you are passionate about, we encourage our listeners to visit the FDA website to submit a public comment, those public comment submissions will be available through February 1, 2019 https://www.fda.gov/TobaccoProducts/Labeling/ProductsIngredientsComponents/ucm456610.htm) Pediatricians Push for Laws to Prevent Teen Vaping Colorado Bill Introduced to Combat Skyrocketing Youth E-Cigarette Use, Clean Indoor Air Act, House Bill 19-1076 Feedback on this episode or suggestions for a future topic? Write to us at chartingpediatrics@childrenscolorado.org - we love hearing from our listeners!
January 22, 2019
Integrative health care describes the blending of complementary and conventional therapies by practitioners to include all appropriate therapies in a patient-centered and evidence-based fashion. Today we will offer up some practical tips about how you can incorporate an integrative approach to your care of kids and adolescents with Rachel Workman, MD. Dr. Workman runs the Integrative Medicine Clinic at Children’s Hospital Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine. Resources mentioned in this episode: Nourish Your Tribe by Nicole Magryta, MBA, RDN Finally Focused by James Greenblatt, MD FoundMyFitness Podcast with Rhonda Patrick, PhD The Tim Ferriss Show Health for the Whole Child: An Integrative Approach CME Conference, October 30, 2019 in Aurora, CO (CME Credit)
January 15, 2019
In this episode we discuss how to respond to abnormal results of the newborn Critical Congenital Heart Disease (CCHD) screening with Chris Rausch, MD. Dr. Rausch is the Director of the Cardiopulmonary Exercise Laboratory at Children’s Hospital Colorado and Associate Professor of Pediatric Cardiology at the University of Colorado School of Medicine.  In this Episode: Why Critical Congenital Heart Disease (CCHD) requires attention from pediatric provider Reasons why CCHD can be missed in prenatal screenings CCHD screening protocols and toolkits for nurseries The recommended screening window for newborns How to ensure that newborns get the appropriate evaluations Understanding the effect of elevation on CCHD screening results The false-positive rate of CCHD screenings Improvement in outcome rates for newborns with CCHD Occurrences when screenings will be performed by the primary care physician
January 8, 2019
Today we discuss pediatric trigger thumb (also know as Trigger Finger, Flexor Tenosynovitis, or Stenosing Tenosynovitis) with Sarah Sibbel, MD. Dr. Sibbel is the Director of the Pediatric Hand and Upper Extremity Program and Surgical Director of the Brachial Plexus Center at Children’s Hospital Colorado and Assistant Professor of Orthopedics at the University of Colorado School of Medicine.  In this episode:  Defining pediatric trigger thumb and the path of physiology Hypothesis of why trigger thumb occurs in children and adults Diagnosing trigger thumb in primary care Helpful imaging to obtain Operative and non-operative treatment plans and their associated risks The success rate of surgery as a treatment Time optimal period between observation and surgery for trigger thumb How trigger thumb impacts a child’s day-to-day life Role for non-steroidal anti-inflammatory agents in trigger thumb treatment Follow-up plans for the outpatient setting
December 20, 2018
Happy holidays to you, our Charting Pediatrics listeners. Whether the snow is falling where you are, or your palm trees are wrapped in lights, we hope you will be enjoying these next couple of weeks with family and friends. In this season of celebration and reflection, we wanted to say thank you to you, our Charting Pediatrics listeners. Each week we get the opportunity to interview our pediatric colleagues to bring you meaningful educational content, and we have the best time doing this. Indeed, when we do each of these podcasts, it’s the very best part of our day. It’s truly humbling to know that there are more than 10,000 of you tuning in each month as part of our amazing Charting Pediatrics community. Like you, we will be taking the next couple of weeks off for friends and family. But don’t worry! The show will return on January 8th with new and exciting content that you won’t want to miss. Thank you for sharing a piece of your week with us. So until next time, keep on keeping kids safe out there and Happy Holidays!
December 18, 2018
On this episode we discuss the diagnosis and management of ovarian cysts and torsion risk with Patricia Huguelet, MD. Dr. Huguelet is the Section Chief of Pediatric and Adolescent Gynecology at Children’s Hospital Colorado and Associate Professor of Obstetrics and Gynecology at the University of Colorado School of Medicine. In this episode: Most common presentations/symptoms of ovarian cysts reported to a primary care provider. Why many ovarian cysts can be asymptomatic. Differentiating between other abdominal pain versus ovarian cyst pain. Determining whether ovarian cysts are benign or malignant. The differences in symptoms and pain in benign versus malignant cysts. Three mechanisms of ovarian pain: ischemia from torsion, acute rupture and hemorrhage, rapid capsular stretch. The optimal modality for ovarian cyst imaging diagnosis. Symptoms and pain that would lead more towards ovarian torsion diagnosis. When ovarian torsion might occur without the presence of a cyst or mass. Why it is always better to preserve the ovary after torsion; resilience of function. The fertility outlook for women who have had ovarian torsion. Best treatment course for a hemorrhagic cyst; preserving fertility. Laboratory tests to consider when diagnosing ovarian cysts/torsion. Outpatient followup care for patients after treatment/diagnosis for ovarian cysts or torsion. Likelihood of recurrence of ovarian cysts and risk for torsion. The role of non-steroidal use in ovarian cyst pain control.
December 11, 2018
In this episode, we discuss abnormal pediatric head growth, shape and treatment options with Todd Hankinson, MD. Dr. Hankinson is a Pediatric Neurosurgeon at Children’s Hospital Colorado and Associate Professor of Neurosurgery at the University of Colorado School of Medicine.  
December 4, 2018
On today's episode we discuss the most common clinical presentations, causes and treatments of atopic eczema with Lori Prok, MD and Julieann Tibbetts, PNP. Dr. Prok is a Pediatric Dermatologist at Children’s Colorado and Associate Professor of Dermatology at the University of Colorado School of Medicine. Julieann is a Pediatric Nurse Practitioner in the Dermatology Department at Children’s Colorado and Senior Instructor of Dermatology at the University of Colorado School of Medicine.  
November 27, 2018
Today we discuss the art and science of caring for young mothers in the pediatric practice. Hana Smith, MD and Amy Ehmer, PsyD, join us to discuss the Young Mothers Clinic and the Colorado Adolescent Maternity Program and opportunities to adopt aspects of this care model into the primary care practice. Dr. Smith is the Medical Director of the Young Mother’s Clinic at Children's Colorado and assistant professor at the University of Colorado School of Medicine. Dr. Ehmer is a psychologist at the Young Mothers Clinic and Colorado Adolescent Maternity Program, and a Senior Instructor at the University of Colorado School of Medicine.   In today's episode:  PHQ-9 Screening Tool - Modified for Teens Edinburgh Postnatal Depression Scale (EPDS) Nurse Family Partnership Supporting clinical documentation and tests for young mothers Colorado Adolescent Maternity Program (CAMP) Washington Post article about Children's CO CAMP Program
November 20, 2018
This episode was recorded live from the 2018 American Academy of Pediatrics (AAP) National Conference and Exhibition in Orlando, Fla. with Leslie Walker-Harding, MD discussing addiction prevention in primary care. Dr. Walker-Harding is the chair of the Department of Pediatrics and the pediatrician-in-chief at Penn State Health Milton S. Hershey Medical Center and the Medical Director of Penn State Children’s Hospital.
November 13, 2018
This episode was recorded live from the 2018 American Academy of Pediatrics (AAP) National Conference and Exhibition in Orlando, Fla. with Elissa Miller, MD and Sam Wang, MD discussing the timely and controversial cultural topic of marijuana as medicine. Dr. Miller is the Chief of the Division of Palliative Medicine at Nemours/Alfred I. duPont Hospital for Children and Clinical Associate Professor of Pediatrics at Thomas Jefferson University in Philadelphia, Pa. Dr. Wang is a Pediatric Emergency Physician and Medical Toxicologist at Children’s Hospital Colorado and Assistant Professor at the University of Colorado School of Medicine in Denver. Marijuana Exposure in Kids Rose after Recreational Use Legalized in Colorado: Retrospective Study Finds Significant Increase in Unintentional Exposure Marijuana Safety in the Home  Acute Marijuana Intoxication Medical Marijuana Research
November 6, 2018
This episode was recorded live from the 2018 American Academy of Pediatrics (AAP) National Conference and Exhibition in Orlando, Fla. with Rachel Moon, MD discussing safe infant sleep. Dr. Moon is the Division Head of General Pediatrics and professor of pediatrics at the University of Virginia School of Medicine, and Chair of the AAP SIDS Task Force. SIDS and other Sleep-Related Infant Deaths: Updated 2016 Recommendations for Safe Infant Sleeping Environment 
October 30, 2018
Welcome back Charting Pediatrics listeners! Today we are excited to announce that with Season 2 of Charting Pediatrics, we are taking our show on the road. We are going to be live podcasting from Orlando next month at the American Academy of Pediatrics National Conference and Exhibition, which of course is the big general pediatrics conference of the year! Dr. David Brumbaugh and Dr. Alison Brent are thrilled to have the opportunity to sit down and record with some wonderful pediatric experts from around the US and discuss the timely topics they are covering in their specific conference presentations. Our guests will include Dr. Elissa Miller from Nemours/Alfred I. duPont Hospital for Children, and Dr. Sam Wang from our own Children’s Hospital Colorado. In addition, we have Dr. Leslie Walker-Harding from Penn State Children’s Hospital, as well as Dr. Rachel Moon from the University of Virginia School of Medicine. We’d love the opportunity to meet you, our listeners. So please stop by the exhibit hall where we will be live podcasting from Booth 1113. Stop in, say hello, and catch some of the live recordings that will be taking place on Saturday, November 3rd with this fantastic panel of guests. Until next time, keep on keeping kids safe out there!
October 23, 2018
Today we are discussing the diagnosis and treatment of Henoch–Schönlein purpura, HSP with Jens Goebel, MD and Robert Fuhlbrigge, MD. Dr. Goebel is the section head of Nephrology at Children’s Colorado and professor of pediatrics at the University of Colorado School of Medicine. Dr. Fuhlbrigge is section head of Rheumatology at Children’s Colorado and Professor of Pediatrics also at the University of Colorado School of Medicine.  Key Points From This Episode: Effects of systemic corticosteroids on HSP symptoms and potential complications. The incidence of HSP in the community and what ages are most likely to be affected. Classification criteria for the onset of HSP in patients. Understanding the events and drive of HSP at a molecular level. Tests that are helpful to understand risk of progression or to confirm diagnosis of HSP. How often HSP patients who are at risk for nephritis should be screened. Treatment decisions for patients with more severe HSP and complications. The percentage of recurrent flares of HSP symptoms in patients. Unusual presentation of HSP symptoms in pediatric patients.
October 16, 2018
In today’s episode, we’re examining a case that started in a primary care pediatrician’s office and ended in the Children’s Hospital Colorado Aerodigestive Program.  Joining us are the three physicians involved in the patient’s care examine: Larissa Applegate, MD, a pediatrician at Pediatrics West in Wheat Ridge, Colorado; RyanCaltagirone, MD, a pediatricemergency room physician at Children’s Colorado; and Sven Streubel, MD, an otolaryngologist with Children's Colorado.  In this episode: Our three guests examine their roles in the patient’s care and share their key takeaways to inform other medical professionals The origins of the case and how the patient, baby Rachel, first presented in the hospital Steps taken once Rachel’s respiratory struggles were evident and next steps to get her to the Emergency Department Importance of clear communication between departments and with patient families in complex, multidisciplinary cases Approaching a patient who presents with laryngomalacia from an ENT perspective Using a bedside scope to determine the severity of the laryngomalacia The various elements of Rachel’s multidisciplinary care, including: admission procedure, observation of feedings, continued oxygen support and plan for next steps Most common medical treatment plan for patients with laryngomalacia Designing a long-term management plan for a child with laryngomalacia that supports the patient as well as their family Accounting for comorbidities that come along with laryngomalacia Update from patient and key takeaways from the case
October 12, 2018
Welcome back Charting Pediatrics listeners! Today we are excited to announce that with Season 2 of Charting Pediatrics, we are taking our show on the road. We are going to be live podcasting from Orlando next month at the American Academy of Pediatrics National Conference and Exhibition, which of course is the big general pediatrics conference of the year! Dr. David Brumbaugh and Dr. Alison Brent are thrilled to have the opportunity to sit down and record with some wonderful pediatric experts from around the US and discuss the timely topics they are covering in their specific conference presentations. Our guests will include Dr. Elissa Miller from Nemours/Alfred I. duPont Hospital for Children, and Dr. Sam Wang from our own Children’s Hospital Colorado. In addition, we have Dr. Leslie Walker-Harding from Penn State Children’s Hospital, as well as Dr. Rachel Moon from the University of Virginia School of Medicine. We’d love the opportunity to meet you, our listeners. So please stop by the exhibit hall where we will be live podcasting from Booth 1113. Stop in, say hello, and catch some of the live recordings that will be taking place on Saturday, November 3rd with this fantastic panel of guests. Until next time, keep on keeping kids safe out there!
October 9, 2018
Navigating the waters of child sexual abuse is difficult. This patient population necessitates a delicate approach. Andy Sirotnak, MD, Director of the Child ProtectionTeam and nurse practitionerDenise Abdoo, PhDdiscuss adolescent and child sexual abuse, its indicators and how to approach and care for these patients.  In this episode: How providers can normalize conversations around sexual abuse with patients and families When concerns about child sexual abuse most commonly arise Most common indicators and signs of sexual abuse in children Why it is critical to teach children not to take photos of their bodies or keep secrets and good touch versus bad touch What a pediatrician should do when a parent calls with concerns of possible child sexual abuse Key components of a sexual abuse exam and the focus on external genitalia The bathing suit concept for talking to children about private parts Importance of building the family story and why having the parents’ history is crucial for treating patients of childhood sexual abuse The role of mental health issues in the spectrum of child sexual abuse Recommended follow-up care and resources to help families through child sexual abuse  Resources for sexual abuse: Sirotnak recommends physicians: Be familiar with local child advocacy center and victim assistance programs Use local experts in their communities Call other pediatricians for insight or resources National Child Traumatic Stress Network International Society for the Prevention of Child Abuse & Neglect Child abuse and neglect resourcesfrom the American Academy of Pediatrics The Resilience Project Council on Child Abuse and Neglect
October 2, 2018
Scoliosis management will vary according to each patient’s unique situation and presentation. Mark Erickson, MD, Rose Brown Chair of Pediatric Orthopedic Surgeryand Medical Director of the Children’s Colorado Spine Center, joins us to discuss the diagnosis and treatment of scoliosis. In this episode:  The three primary types of scoliosis and their common presentations, symptoms, causes and treatments: Congenital scoliosis Neuromuscular scoliosis Idiopathic scoliosis The key components of a physical examination for scoliosis Recommended imaging to order for aiding a scoliosis diagnosis Red flags that may indicate more serious problems and non-idiopathic scoliosis Scoliosis surgeryand treatment and its evolution Risk factors for disease progression The long-term prognosis for a child with scoliosis
September 25, 2018
Bart Schmitt, MD, pioneer and father of telephone triage pediatric protocols, discusses the role of telephone triage in the pediatrician’s office. Dr. Schmittis the Medical Director of General Pediatric Consultations at Children’s Colorado.  In this episode: Introduction to telephone triage and pediatric telephone protocols for nurses The benefits and importance of having protocols for a call center and medical practice caring for pediatric patients Why pediatricians offer telephone care and telehealth more often than other specialists Why electronic protocols are better than a book The importance of second-level physician triage for after-hours calls How pediatric telephone triage protocols and resources like the symptom checker support patient-centered care   Telephone triage resources: ChildrensMD, the pediatric symptom checker app for parents (iTunes,Google Play) “Pediatric Telephone Protocols” ParentSmart HealthlineTM, Children’s Hospital Colorado’s 24/7 telephone triage
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