Addressing Neurologic Conditions with Precision

Charting Pediatrics

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Kandungan disediakan oleh Jessie Cohen and Children's Hospital Colorado. Semua kandungan podcast termasuk episod, grafik dan perihalan podcast dimuat naik dan disediakan terus oleh Jessie Cohen and Children's Hospital Colorado atau rakan kongsi platform podcast mereka. Jika anda percaya seseorang menggunakan karya berhak cipta anda tanpa kebenaran anda, anda boleh mengikuti proses yang digariskan di sini https://ms.player.fm/legal.

<div class="span index">1</div> <span><a class="" data-remote="true" data-type="html" href="/series/cloud-realities">Cloud Realities</a></span>

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Cloud Realities

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6 days ago6d ago

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Exploring the practical and exciting alternate realities that can be unleashed through cloud driven transformation and cloud native living and working. Each episode, our hosts Dave, Esmee & Rob talk to Cloud leaders and practitioners to understand how previously untapped business value can be released, how to deal with the challenges and risks that come with bold ventures and how does human experience factor into all of this? They cover Intelligent Industry, Customer Experience, Sustainability, AI, Data and Insight, Cyber, Cost, Leadership, Talent and, of course, Tech. Together, Dave, Esmee & Rob have over 80 years of cloud and transformation experience and act as our guides though a new reality each week. Web - https://www.capgemini.com/insights/research-library/cloud-realities-podcast/ Email - Podcasts.cor@capgemini.com

about a year ago 31:35

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One of the specialties leading the way in precision medicine is pediatric neurology. According to the World Health Organization, more than one in three people are affected by some type of neurological condition. They are a leading cause of ill health and disability worldwide. This subset of precision medicine will not only help us decrease those numbers but also allow us to treat some of these conditions in ways we have never done before.

To detail this exciting work, we’re joined by two experts. Scott Demarest, MD, and Julie Parsons, MD, are both pediatric neurologists at Children’s Hospital Colorado and faculty at the University of Colorado School of Medicine. Dr. Demarest focuses on rare epilepsy conditions, and Dr. Parsons specializes in neuromuscular disease. Dr. Demarest is the Clinical Director of the Precision Medicine Institute at Children’s Colorado.

Some highlights from this episode include:

Understanding precision neurology within the context of precision medicine
Why precision neurology positively impacts diagnosis and treatment options
How families are more easily accessing important genetic testing
The role primary care providers play with caring for these rare diseases

For more information on Children’s Colorado, visit: childrenscolorado.org.   

424 episod

#Fitness #Medicine #Michael Solari #Childrens Hospital Colorado #Primary Care

Addressing Neurologic Conditions with Precision

Charting Pediatrics

13 subscribers

published about a year ago

Kongsi

MP3•Laman utama episod

Some highlights from this episode include:

Understanding precision neurology within the context of precision medicine
Why precision neurology positively impacts diagnosis and treatment options
How families are more easily accessing important genetic testing
The role primary care providers play with caring for these rare diseases

For more information on Children’s Colorado, visit: childrenscolorado.org.   

424 episod

#Fitness #Medicine #Michael Solari #Childrens Hospital Colorado #Primary Care

Tất cả các tập

1
Measles in the Modern World 36:35

1 day ago36:35

36:35

A highly contagious virus, once thought to be nearly eradicated, has made a comeback. Measles is affecting even our youngest patients in communities around the country and putting vulnerable populations at risk. Our primary care providers are on the frontlines of this resurgence. It’s crucial they feel prepared to vaccinate patients, educate families and respond effectively. To discuss the current state of measles, understand its return and discover how we can address it, we are joined by two experts, Sam Dominguez, MD , and Jessica Cataldi, MD . Dr. Dominguez is the Medical Director for the Clinical Microbiology Laboratory at Children’s Hospital Colorado. Drs. Dominguez and Cataldi both specialize in infectious disease and teach at the University of Colorado School of Medicine. Some highlights from this episode include: A discussion on the current outbreak of measles, and its impact on our global community Steps primary care providers can take to identify and manage suspected cases The role of vaccination and how primary care providers can help vaccinate more members of the community Opportunities to help patients after exposure Some resources mentioned in the episode include: CDC measles guidance American Academy of Pediatrics measles guidance Children's Hospital Colorado resources; Contagious Comments Firstline: Measles, Evaluating Risk in Patients Presenting with Fever and Rash Firstline: Measles Vaccination and Post-Exposure Prophylaxis Continuing education - Spotting Measles Before it Spreads Continuing education - Measles: Connecting the Dots For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Stroke Strikes Early 31:18

8 days ago31:18

31:18

Most people believe that strokes only affect adults, but children can experience them too. Although rare, strokes in kids can lead to catastrophic outcomes if not treated properly. Seizure or migraines are often misdiagnosed in this population, making it crucial to have proper protocols in place. While many never think of stroke as something that can impact kids, it’s still in the top 10 causes of death in children. To understand the scope of pediatric stroke and the strides being made to prevent and treat it, we are joined by two experts. Timothy Bernard, MD , is the Director of Education for the section of Child Neurology, and the Director of the Childhood Stroke Program here at Children’s Hospital Colorado. He is also a Professor of Pediatrics and Neurology at the University of Colorado School of Medicine. Ethan Rosenberg, MD , is the Director of Inpatient Childhood Stroke and Neurocritical Care. He is also an Assistant Professor of Pediatrics and Neurology. Some highlights from this episode include: Understanding diagnosis in this population What causes stroke in kids Why there are delays in recognizing stroke symptoms in younger children The role of the primary care provider with stroke protocol For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Avian Flu in Flight 32:47

15 days ago32:47

32:47

It’s been a busy year for influenza cases, but it’s not what we’ve seen in our clinics and hospitals that has infectious disease experts most worried. They are concerned about avian flu, otherwise known as the H5N1 subtype of influenza A. Specifically, they are worried about stress what happens if H5N1 jumps to humans and potentially spreads. What is that risk for people and what challenges lie ahead? In this episode, we’ll explore our current standing and whether we are approaching public health crisis. From virology to epidemiology to infection control strategies, we’ll break down the science, the current data and practical considerations for clinicians on the front lines. To help us understand this ever-evolving virus and its threat, we are joined by two incredible infectious disease experts, Samuel Dominguez, MD, and Suchitra Rao, MD . They both specialize in infectious disease at Children’s Hospital Colorado. Dr. Dominguez is the Medical Director of the Clinical Microbiology Laboratory. Dr. Dominguez is a professor of pediatrics at the University of Colorado School of Medicine and Dr. Rao is an associate professor. Some highlights from this episode include: Overview of the current flu season and why it stands out H5N1 transmission of H5N1 and the factors making this season concerning alarming How humans have been infected this season Assessing the current risk to kids Key actions primary care providers (PCPs) can take right now For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Safe and Secure Storage 29:21

22 days ago29:21

29:21

Firearms are the leading cause of death of kids in the United States, and in Colorado, there is at least one pediatric injury from a gun every day. In 2021, Colorado passed the safe storage bill which requires firearms to be safely stored when minors are present in the home. Despite this, many people don’t know how to provide the safest environment for children. Pediatricians can play a unique role in gun violence protection. That’s why the Colorado chapter of the American Academy of Pediatrics, alongside the Colorado Department of Public Health and Environment (CDPHE), have launched a new campaign called “Secure Their Future”. This new project aims to educate pediatric practices across the state on the importance discussing safe firearm storage with families To learn more about this program and how other states can replicate its efforts, we are joined by one of the leaders of this project, Caitlin Jones-Bamman, MD. Dr. Jones-Bamman is a pediatrician at Pediatrics 5280 and has been at the forefront of this project. Some highlights from this episode include: What “Secure Their Future” is and how the initiative secured funding. Understanding the unique role pediatricians play in protecting children from firearm-related risks. Learning how cable locks work. How other practices can adopt this model. For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Immunity in Action 36:19

29 days ago36:19

36:19

One of humanity’s frailties is our tendency to view the world through the lens of what we’ve seen, lived through or experienced firsthand. That’s not to say we ignore things that happened in the past, but we may not give historical events equal weight or importance when compared to current events. In medicine, it’s important for us to recognize the vaccine preventable diseases we combatted in the past and apply those lessons to the future. In this episode, we reflect on the improvements and discuss how vaccine technology has improved global child heath over the last century. Many current doctors have never treated some of these diseases firsthand but our three experts for this episode have. Drs. Jim Todd and Mimi Glode worked for decades at Children’s Hospital Colorado in infectious diseases. Dr. Todd is professor emeritus, and Dr. Glode is professor emerita at the University of Colorado School of Medicine. Dr. Todd directed our department of epidemiology, and Dr. Glode directed our pediatrics residency program. Our third guest, Dr. Edwin Asturias, specializes in infectious diseases and is a professor of pediatrics. He helps direct our global health programs, has led many international vaccine research projects and currently serves as voting member of the advisory committee on immunization practices (ACIP). Some highlights from this episode include: Their experiences treating patients with infections, such as chicken pox, meningitis and measles Navigating current vaccine skepticism across the healthcare landscape The changing attitudes of parents to toward pediatric vaccines over time Learning how this history can help inform current infectious diseases For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Advocating for Equitable Care 23:53

5 weeks ago23:53

23:53

Every child has an individual healthcare experience, but for marginalized communities like migrant families, they face some unique challenges in our healthcare system. From dealing with trauma to navigating a language barrier, working to get the right care can be complicated. At this year’s annual Children’s Hospital Colorado podcast live event, Charting Pediatrics took a close look at this topic. In this episode you will learn about acute clinical challenges, resource constraints, social needs, moral distress, impact on staff, child health policy, combating misinformation and more. Steven Federico, MD, the Chief Government and Community Affairs Officer at Denver Health joined us for this special episode. His passion for improved and equitable healthcare is fueled by his experiences as a pediatrician and primary care physician at Denver Health, where he has worked since 2002. In his past role as medical director, he oversaw three community health centers and 19 school-based clinics that provide comprehensive physical and mental health care to 70,000 children across Denver. His advocacy work focuses on eliminating barriers to adequate health coverage and healthcare. Some highlights from this episode include: The strains hospital and primary care settings have experienced with the 2024 surge in international migration to the United States Effective strategies to deliver the best care for migrant children Ways the medical community can prepare for and adapt to the possibility that patients and families may face deportation Understanding the opportunities that exist to provide optimal care in different healthcare settings For more information on Children’s Colorado, visit: childrenscolorado.org .…

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The Evolution of Pediatric ENT 31:01

6 weeks ago31:01

31:01

Advances in technology, medical knowledge and the establishment of pediatric tracheary care institutions have helped revolutionize pediatric otolaryngology. For specialists in this field, watching the growth unfold has been an exciting adventure they’ve experienced firsthand while working on the frontlines. From genetic testing to targeted therapy and new procedures, the options are now vast compared to ten years ago. In this episode, we will explore the evolution of pediatric otolaryngology and what the future holds. Kenny Chan, MD , specializes in pediatric otolaryngology at Children’s Hospital Colorado. He is a previous section head for this division at the hospital, and although he retired from clinical practice in June 2024, he remains professor emeritus at the University of Colorado School of Medicine. Some highlights from this episode include: The biggest enhancements in otolaryngology and how they’ve helped improve outcomes. Communication and collaboration with community providers to ensure kids are getting the best possible ENT care. What the future holds for this section of medicine. For more information on Children’s Colorado, visit: childrenscolorado.org .…

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When the Air Gets Thin 34:04

7 weeks ago34:04

34:04

Picture this: You travel to the mountains, excited to take on your next big adventure, only to find yourself breathless, your stomach is churning and in the morning your head is throbbing. It’s altitude sickness, otherwise known as acute mountain sickness. Here in Colorado, our mountain doctors experience this regularly, but patients don’t always realize why they’re experiencing these symptoms. In this episode, we dive into mountain myths, sleeping at altitude and how to combat this diagnosis. In this episode we are joined by a community pediatrician who treats altitude sickness on a regular basis. Christine Ebert-Santos, MD, is a pediatrician at Ebert Family Clinic in Frisco, CO. Her practice sits at 9,026 feet above sea level. She is also a clinical professor of pediatrics at the University of Colorado School of Medicine. Some highlights from this episode include: Common symptoms of altitude sickness and how to manage them Understanding why only certain people experience the reaction, while others remain unaffected Debunking popular mountain myths How high altitude can impact sleep The role of pediatricians in educating patients about altitude sickness, even at sea level For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Disparities in Organ Transplant 38:34

8 weeks ago38:34

38:34

Every year, thousands of people are added to organ transplant waiting lists, but not all patients have equal access to the life-saving procedures they desperately need. As transplant programs around the world continue to expand and improve, it’s important for healthcare providers to consider potential disparities in care, all while working hard to create an even playing field for patients. Socioeconomic status, geography, wait times and access are just a few of the factors to keep in mind. Children’s Hospital Colorado is one of the top transplant programs for kids , with some of the best outcomes in the nation. In this episode, we welcome specialists from our heart, kidney and liver transplant programs. Pediatric cardiologist Melanie Everitt, MD, is the Director of Pediatric Heart Transplant. Margret Bock, MD , is the Medical Director of Kidney Transplant and specializes in pediatric nephrology. Amy Feldman, MD , is the Program Director of the Liver Transplant Fellowship, the Medical Director for the Liver Transplant Center, and she specializes in pediatric gastroenterology. All three of our experts also teach at the University of Colorado School of Medicine. Some highlights from this episode include: The current landscape of solid organ transplant in the United States and how the waitlists work Why some children have better access to these life-saving treatments than others How primary care providers can identify potential barriers ensure their patients have the best chance at receiving a transplant The evolution of live-donor liver transplant and how it’s changing opportunities in pediatrics For more information on Children’s Colorado, visit: childrenscolorado.org .…

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A Sublingual Solution 44:12

9 weeks ago44:12

44:12

Anaphylaxis is a serious, systemic hypersensitivity reaction with rapid onset and can be potentially fatal. It is frightening for patients, families and medical providers. Currently, the standard treatment is epinephrine as an injection. At this very moment, we are on the cusp of transforming how we treat severe allergic reactions. If approved by the FDA, a new sublingual form of epinephrine would be the first non-invasive and orally administered epinephrine treatment. Joining us for this episode is Matthew Greenhawt, MD , the Director of the Food Challenge and Research Unit at Children’s Hospital Colorado. He specializes in allergy and immunology and is also a professor of pediatrics at the University of Colorado School of Medicine. Some highlights from this episode include: The history of epinephrine Fears around needles and using an epi-pen How this new treatment could increase the life-saving capability of epinephrine Next steps to get the sublingual film into use For more information on Children’s Colorado, visit: childrenscolorado.org .…

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From Rounds to Downloads 28:29

10 weeks ago28:29

28:29

Podcasts have become one of the most popular content mediums, captivating millions worldwide. Their convenient, on-the-go format allows people to multitask while they listen. From entertainment to education, podcasts are changing the way people engage and interact with information. In medicine, they are changing the way residents are able to learn. In this episode, we are joined by Dr. Christopher Demas, a pediatrics chief resident with the University of Michigan Pediatrics Residency Program. Dr. Demas, inspired by Charting Pediatrics, created his own podcast made for and by residents, First Pediatrics. Some highlights from this episode include: Why Dr. Demas started his own podcast for residents The importance of changing how we learn and leveraging podcasts for education Understanding the way students learn today is different Why podcasts are shaping medical education For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Strategies for Success 39:25

11 weeks ago39:25

39:25

Around the country and across the globe, children’s hospitals play an essential role in kid’s health and well-being. They provide specialized care, crucial research, essential education and vital community outreach. As we kick off the new year, we take a deep dive into the evolving child health landscape to better understand what issues our patient families are currently facing and identify solutions for the future. Joining us for this strategic conversation are three experts: Raphe Schwartz, Chief Strategy Officer at Children’s Hospital Colorado; Rhae Gamber, associate principal at Sg2 Healthcare Intelligence; and Brian Thygesen is a senior partner in strategic transformation at Chartis. Some highlights from this episode include: The current demographics of pediatric healthcare and how that influences care How and why the workforce is vastly changing The current landscape of behavioral health The financial barriers and the role of Medicaid and other government programs For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Defeating Duchenne Muscular Dystrophy 20:44

12 weeks ago20:44

20:44

It’s hard to fathom why certain children receive life altering diagnoses. Pediatricians simply want to help, and that help usually comes in the form of early diagnosis. Duchenne muscular dystrophy, otherwise known as Duchenne or DMD, is the most common fatal genetic disorder diagnosed in childhood, affecting approximately one in every 5,000 live male births. Early screening and identification can mean quicker access to care, early intervention programs and special education resources. Thanks to early diagnosis and advances in care, life expectancy is increasing. Our guest joining us to discuss diagnosing and treating DMD is Michele Yang, MD , who specializes in pediatric neurology and neuromuscular medicine at Children’s Hospital Colorado. She is also an associate professor of pediatric neurology at the University of Colorado School of Medicine. Some highlights from this episode include: How diagnosis of DMD has changed over the years. Understanding the new, advanced treatments that exist. Tips and tricks for primary care providers to utilize. Realistic outcomes for these kids with DMD. For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Checking Kids Cholesterol 30:12

13 weeks ago30:12

30:12

Pediatricians don’t often screen children and adolescents for a lipid profile, an important tool for identifying cardiovascular disease. Cardiovascular disease is considered a life-course condition, meaning it can begin in childhood, so why aren’t we screening kids more regularly? Does early intervention make sense for some kids? In this episode, we discuss cholesterol, family history, genetics, and what pediatricians should be doing to educate and screen their patients. Stephen Daniels, MD , is the Chair of the Department of Pediatrics, as well as a professor at the University of Colorado School of Medicine. He is also a pediatrician in chief at Children’s Hospital Colorado, specializing in pediatric preventative cardiology. Additionally, he is the L. Joseph Butterfield Chair in Pediatrics. Some highlights from this episode include: What we know about the pathophysiology of cardiovascular disease in kids The role of obesity and other important factors to watch What questions to ask to understand the role of genetics and family history Steps pediatricians can take for earlier diagnosis For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Happy Holidays from Charting Pediatrics 8:24

14 weeks ago8:24

8:24

In this special holiday episode, we reflect on our favorite episodes from the past year and look forward to the year ahead. From all of us at Children’s Hospital Colorado, we wish you a happy holiday season. Charting Pediatrics would not be the success it is today without your support, wonderful topic ideas and intrigue. It’s providers like you who are changing pediatric healthcare around the world. For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Racial Disparities Postpartum 33:30

15 weeks ago33:30

33:30

The United States has the highest rate of maternal deaths among high-income nations and women of color, are disproportionately affected. For Black women in this country, the rate jumps from 22 deaths with every 100,000 births to 50 deaths for every 100,000 births. When it comes to postpartum depression, these same women are several times more likely to suffer, but less likely to receive treatment. To understand these disparities and discuss ways to combat them, we are joined by three experts. Shaleah Dardar, MD , and Brigitte McClellan, PsyD , specialize in child and adolescent psychiatry at Children’s Hospital Colorado and are both assistant professors at the University of Colorado School of Medicine. Whitney Dunlap is a lactation consultant and health educator. Some highlights from this episode include: Barriers and biases that put Black mothers and their babies at a disadvantage How primary care providers can create a safe space for parents to be vulnerable The overlap of adult care and newborn care during post-partum For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Caring for Kids in Conflict 37:05

16 weeks ago37:05

37:05

Pediatric providers around the world are focused on helping sick children — finding cures, creating new treatment options and developing innovative techniques to improve care. But when it comes to conflict zones and border areas, there are fewer doctors available to protect the health of vulnerable children. Paul Wise, MD, MPH, is a physician who has dedicated his career to taking on that complex and sometimes daunting problem, working to improve and reform systems so that no child suffers needlessly. Dr. Wise has served as the Juvenile Care Monitor for the U.S. Federal Court, overseeing the treatment of migrant children in the United States detention system. He’s also served as the senior advisor to St. Jude Global’s SAFER Ukraine collaborative since 2022, and he’s supported international work in Gaza, Central America and Venezuela. As a professor and fellow of multiple disciplines at Stanford University, he is dedicated to bridging the fields of child health equity, public policy and international security studies. He is also Co-Director for the Stanford Center for Prematurity Research. He has served in a variety of professional and consultative roles, including special assistant to the U.S. Surgeon General. Some highlights from this episode include: A discussion of Dr. Wise’s experiences at the southern border and how they shaped his care recommendations for migrant children. A global understanding of what children face in unstable environments like border areas and war zones. A close look at what changes have already been implemented at local, national and international levels to better protect vulnerable children. Suggestions on the role primary care providers can play in making conflict zones around the world safer for children in need. For more information on Children’s Colorado, visit: childrenscolorado.org .…

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100 Years of Children’s Rights 30:26

17 weeks ago30:26

30:26

2024 marks 100 years since the Geneva Declaration of the Rights of the Child. In the aftermath of World War I, this declaration called for universal attention to the needs of children, including their health. A century later, we’ve made progress, but children still face vast challenges here in the United States and around the world. How can we advance the global cause of children’s health? In this episode we talk to one of the world’s foremost ambassadors for this work about the struggles and opportunities facing children’s healthcare. Professor Ann Skelton is a renowned children’s rights expert and Chair of the UN Committee on the Rights of the Child. She is a professor of law at the University of Pretoria and Leiden University, as well as a visiting professor at the University of Oxford and the University of Strathclyde. Some highlights from this episode include: A look into Ann Skelton’s work The current state of children’s rights in the U.S. and around the world The challenges facing children’s healthcare and how health advocacy can help change that Tangible opportunities to engage in to ensure all children have access to the healthcare they need For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Support for Post-Partum Depression 24:35

18 weeks ago24:35

24:35

Bringing a baby into this world is the start of many significant changes, yet one change that some families may not anticipate is post-partum depression (PPD). This condition affects more than the parent’s wellbeing, it can impact children and other family members too. About one in five new parents experience mood or anxiety concerns during pregnancy or after delivery, making maternal mental health conditions the most common complication of pregnancy and childbirth. While 80% of them will fully recover, setting them up for success can start in the pediatric primary care setting. To understand how primary care providers can help support parents with post-partum depression, we are joined by two experts for this episode. Celeste St. John-Larkin, MD , specializes in child and adolescent psychiatry at Children’s Hospital Colorado and is an associate professor of child psychiatry at the University of Colorado School of Medicine. She is also The Anschutz Chair in Perinatal Mental Health. Kelly Glaze, PsyD, is a psychologist at Children’s Colorado and an assistant professor of child psychiatry at the University of Colorado School of Medicine. Some highlights from this episode include: How long parents are at risk of PPD after birth The difference between PPD and baby blues How primary care pediatricians can support the adults alongside their kids How to navigate support after giving birth For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Top CEOs Provide Pediatric Insight 25:23

19 weeks ago25:23

25:23

From startups to global corporations, CEOs have the power to make immense strides in any respective industry. In pediatric medicine, they drive advancements in child health through high-quality care, coordinated programs, education, research and advocacy. While providers are working directly with patients, these leaders are preparing the infrastructure for success while pushing us to reimagine healthcare. It’s because of them, institutions like Children’s Hospital Colorado and Nationwide Children's remain among the top 10 pediatric hospital systems in the country. In this episode, we go beyond the white coat by sitting down with two of the most influential CEOs in pediatrics. Jena Hausmann is the President and CEO of Children’s Colorado and Tim Robinson is the CEO of Nationwide Children’s. Under Jena’s leadership, Children’s Colorado has been recognized nationally and internationally for our medical, research and advocacy programs. Jena has been a champion for increasing research and innovation and improving pediatric mental health. Tim’s leadership has helped transform Nationwide Children’s from an important regional children’s medical center into an internationally prominent academic healthcare system. Nationwide has become a model for how a hospital system can improve neighborhoods, increase health care access in rural communities, drive innovation and pioneer economic development. Some highlights from this episode include: The career path of working in healthcare to becoming a CEO How pediatric healthcare has evolved and where it’s going The current challenges and threats to the healthcare landscape The importance of children’s hospitals partnering with community providers For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Can We Prevent Congenital CMV? 34:44

20 weeks ago34:44

34:44

The most common congenital viral infection in children is cytomegalovirus infection (CMV). Oftentimes the mother will experience little to no symptoms, but the virus can significantly affect the newborn, with outcomes ranging from no symptoms to severe systemic and intercranial complications. What if we could prevent this infection all together with a vaccine? A candidate MRNA vaccine against CMV has elicited promising immune responses to date and is on a pathway towards FDA approval. To learn more about this treatment, we are joined by one of the nation’s leading experts in vaccine development for the prevention of congenital viral disease. Sallie Permar, MD , is the Nancy C. Paduano Professor and Chair of Pediatrics at Weill Cornell Medicine. She serves as pediatrician-in-chief at New York-Presbyterian/Weill Cornell Medical Center. She is also a professor of immunology and microbial pathogenesis at the Weill Graduate School of Medical Sciences. Some highlights from this episode include: The scale of impact of congenital CMV in children Understanding how the virus originates with the mother and affects the baby Where the CMV vaccine stands in the vaccine development process Strategies for educating the public and primary care providers on this new treatment For more information on Children’s Colorado, visit: childrenscolorado.org .…

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When is a Bloody Nose Concerning? 23:57

21 weeks ago23:57

23:57

As a child, a nosebleed can be painful and embarrassing. Surprisingly, it’s also something primary care providers run into often in their practices. While the great majority of nosebleeds, also called epistaxis, are limited in severity and duration, about 6% of people who experience them will seek medical attention. Interventions range from self-treatment and home remedies to more intensive procedural options and medications. Why are we seeing so many cases of epistaxis in our offices? What is causing the onset of these nosebleeds, and are environmental changes a culprit? To explore the intricacies of epistaxis, we are joined by Jeremy Prager, MD . Dr. Prager specializes in otolaryngology at Children’s Hospital Colorado and is a Professor of Otolaryngology at the University of Colorado School of Medicine. Some highlights from this episode include: How to differentiate between a nosebleed and a more severe epistaxis diagnosis. The importance of partnership between the specialist and the primary care provider to properly care for a nosebleed. The most common causes of a nose bleed in children by age. How to support patients when outpatient management isn’t working. For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Addressing Neurologic Conditions with Precision 31:35

22 weeks ago31:35

31:35

One of the great medical accomplishments of our time is the evolution of precision medicine. The ability to understand a patient’s unique genetic profile has become more accessible to our patients, and now, there are multiple mechanisms for using that information to overcome disease. One of the specialties leading the way in precision medicine is pediatric neurology. According to the World Health Organization, more than one in three people are affected by some type of neurological condition. They are a leading cause of ill health and disability worldwide. This subset of precision medicine will not only help us decrease those numbers but also allow us to treat some of these conditions in ways we have never done before. To detail this exciting work, we’re joined by two experts. Scott Demarest, MD , and Julie Parsons, MD , are both pediatric neurologists at Children’s Hospital Colorado and faculty at the University of Colorado School of Medicine. Dr. Demarest focuses on rare epilepsy conditions, and Dr. Parsons specializes in neuromuscular disease. Dr. Demarest is the Clinical Director of the Precision Medicine Institute at Children’s Colorado. Some highlights from this episode include: Understanding precision neurology within the context of precision medicine Why precision neurology positively impacts diagnosis and treatment options How families are more easily accessing important genetic testing The role primary care providers play with caring for these rare diseases For more information on Children’s Colorado, visit: childrenscolorado.org .…

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Courageous Conversations Around Suicide 33:48

23 weeks ago33:48

33:48

Many of us avoid talking about suicide, not only because it’s a difficult conversation, but also because we don’t know how to. And avoiding that conversation can be a barrier to helping those most at risk. One family from Colorado is at the forefront of changing the stigma and creating opportunities for fearless conversations. They courageously shared their story in a powerful documentary released earlier this year called “My Sister Liv.” In this special episode, we honor Liv Kunik’s life and learn about how her story is spurring hundreds of courageous discussions around suicide. The guests for this episode are family members at the heart and soul of the documentary, as well as mental health advocates. Honey Beuf is Liv’s mom, and she is the co-founder and Executive Director of The Liv Project . Tess Kunik is Liv’s sister and the co-founder of The Liv Project. Her voice also narrates the film, taking us through Liv’s story. Jessica Hawks, PhD , is the Clinical Director of the Pediatric Mental Health Institute at Children’s Hospital Colorado and a child and adolescent psychologist. She is also an Associate Professor at the University of Colorado School of Medicine. Some highlights from this episode include: An overview of how the “My Sister Liv” documentary came together and the impact it’s having in the community Ways for friends, family and providers to have “fearless conversations” A discussion of how providers can best care for suicidal patients and their families, such as asking direct questions A look at advocacy efforts underway and tools created to support courageous conversations A youth suicide prevention resource from the American Academy of Pediatrics and the American Foundation for Suicide Prevention providers can use in their daily practice Visit The Liv Project website to learn more about their work, how you can access the film and details about the game mentioned in the episode, The Game that Goes There. For more information on Children’s Colorado, visit: childrenscolorado.org .…

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How Substance Abuse Affects Newborns 40:30

24 weeks ago40:30

40:30

In the state of Colorado, cases of Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS) increased by 120% from 2011 to 2016. Clinicians provide critical support to improve outcomes for these newborns, and there’s been impressive collaboration among healthcare providers around this issue. Two important examples are the Colorado Hospitals Substance Exposed Newborn Quality Improvement Collaborative, otherwise known as CHoSEN QIC, and Kids in Care Setting Clinic (KICKS). In this episode, we learn about these initiatives and how they benefit hospitals like Children’s Hospital Colorado to provide the best care for our patients. Joining us for this discussion are two experts. Bird Gilmartin, MD , is the Medical Director for Kids in Care Settings Clinic (KICS) at Children’s Colorado, as well as an associate professor of clinical pediatrics at the University of Colorado School of Medicine. Sunah (Susan) Hwang, MD , specializes in neonatal and perinatal medicine at Children’s Colorado and is an associate professor of pediatric neonatology at the University of Colorado School of Medicine. This episode looks at: The epidemic of perinatal opioid use, as well as illicit and legally prescribed substance abuse Suggestions on shifting your perspective as a provider about families with substance use issues The ways these substance abuse programs intertwine with our legal system Some resources our experts recommend utilizing are the Colorado Perinatal Care Quality Collaborative (CPCQC) , Illuminate , and Tough as a Mother. For more information on Children’s Colorado, visit: childrenscolorado.org .…

1
The Fight Against Child Trafficking 30:35

25 weeks ago30:35

30:35

Despite the pervasiveness of child trafficking in the United States, many communities aren’t aware of the scope of the issue. Here in Colorado, the University of Colorado’s Kempe Center is recognized as a leader in the fight against child abuse, and they are important voices in the global conversation around identifying and ending child trafficking. By committing to responding, treating and preventing all forms of child abuse and neglect, medical professionals can make a difference in this crucial effort. To shed light on these realities and provide insight into how we can all play a part, we are joined by Denise Abdoo, PhD, CPNP. , who specializes in child abuse neglect at Children’s Hospital Colorado. She is an associate professor of pediatrics at the University of Colorado School of Medicine, as well as a member of the Kempe Center’s facility. Some highlights from this episode include: The current state of child trafficking nationally and globally The work the Kempe Center is doing to help combat child abuse The reasons why child trafficking is under reported Ways the medical community can provide both physical and mental health care For more information on Children’s Colorado, visit: childrenscolorado.org .…

1
Combatting RSV in Real Time 35:19

26 weeks ago35:19

35:19

With kids back in school, pediatric viral illnesses are revving their engines. It seems we have returned to normal seasonality for viral disease after the coronavirus pandemic. Top of mind with the arrival of fall is respiratory syncytial virus (RSV). We know how quickly the onset of RSV season can take over our waiting rooms. Last year, two important developments occurred that could change the course of RSV prevention: the FDA approval of a maternal vaccine and a monoclonal antibody for infants. Far too few mothers and infants benefitted from these treatments during last year’s respiratory season, but now we’ve had a year to prepare to do better. Joining us to discuss this hot topic are two expert pediatricians. Sean O’Leary, MD , is an Infectious Disease Physician at Children’s Hospital Colorado, a Professor of Pediatrics at the University of Colorado School of Medicine and is the chair of the American Academy of Pediatrics Committee on Infectious Diseases, also known as the Red Book Committee. Matt Dorighi, MD, specializes in pediatrics at Cherry Creek Pediatrics. He is currently chair of the Pediatric Care Network , the largest clinically integrated network for children in the state of Colorado. Some highlights from this episode include: Guidelines for Nirsevimab and the maternal vaccine Why availability will not be a barrier this respiratory season How practices can combat vaccine hesitancy For more information on Children’s Colorado, visit: childrenscolorado.org .…

1
The Connection Between Autism and GI Issues 30:00

27 weeks ago30:00

30:00

Children with autism spectrum disorder (ASD) tend to have more medical complications than the average kid. Among the most common challenges are gastrointestinal (GI) disorders like abdominal pain, constipation and diarrhea. Untreated GI distress in kids with ASD has been linked to many other issues, including sleep, behavioral and psychiatric disorders. Many of these same kids also have selective eating, which impacts their intake of necessary nutrients. Due to these many layers of complexity, it can be challenging to know how to help a child with ASD and GI symptoms. To understand this intricate issue, we are joined by Christine Waasdorp Hurtado, MD, who specializes in gastroenterology at Children’s Hospital Colorado. She is the Southern Colorado Executive Faculty Director of the Department of Pediatrics, as well as a Professor of Pediatrics for the University of Colorado School of Medicine. Some highlights from this episode include: The most common GI issues in kids with ASD How primary care providers can best treat these kids How certain treatment outcomes can improve quality of life For more information on Children’s Colorado, visit: childrenscolorado.org .…

1
The Fundamentals of Sharing Data 33:25

28 weeks ago33:25

33:25

Sharing data transparently, whether at a local or a national level, is a foundational contributor to healthcare quality. Atul Gawande wrote about this in his 2004 essay labeled ‘The Bell Curve’. Over the last several decades, we have seen many pediatric specialties organize and collaborate around data collection at a national scale to improve care. We’ve seen firsthand how our hospital’s participation in a national cardiac critical care registry has driven quality improvement, better measurable outcomes and improved cardiac arrest rates for patients. Getting the data collection right is the first challenge. In between that first step and actually seeing improvements is a tremendous amount of work. In this episode, we explore the value of data sharing and transparency to improve outcomes for kids. Our experts for this episode are Carly Scahill, DO, and Kelly O’Neil. Dr. Scahill specializes in pediatric cardiology as a pediatric cardiac intensivist. She is also the Fellowship Director for pediatric cardiology and the cardiac intensive care unit (CICU), as well as an associate professor of pediatrics at the University of Colorado School of Medicine. Kelly O’Neil is a registered nurse and the Manager of the Heart Institute Data Registries and Outcomes. Before her current role, she was a CICU nurse for over ten years. Some highlights from this episode include: The purpose and use of clinical registries How data collection improves measurable outcomes The future of data collection in healthcare How to get more entities involved For more information on Children’s Colorado, visit: childrenscolorado.org .…

1
The Evolution of APPs 25:33

29 weeks ago25:33

25:33

Over the last few decades, the roles of nurse practitioners (NPs) and physician assistants (PAs), also known as advanced practice providers (APPs), have greatly expanded to touch even more patient-family lives. They are an essential part of the care we provide, and their roles have evolved over time. In this episode, we explore the crucial part they play in our medical system and how that might continue to evolve in the future. For this episode, we are joined by two University of Colorado leaders who continue to help keep our APP programs among the top ranked in the country. Jonathan Bowser is the Child Health Associate and Physician Assistant Program Director at the University of Colorado School of Medicine. He is also the Associate Dean of Physician Assistant Studies, the Section Head of Pediatrics, and an associate professor. Jill Marks, NP, is the Specialty Director of the Acute Care Pediatric Nurse Practitioner Program at the University of Colorado College of Nursing. She is also an inpatient nurse practitioner for the section of pediatric neurology at the University of Colorado School of Medicine. Some highlights from this episode include: Background on the creation of NPs and PAs The ways these roles have changed over time The impact APPs make on patient care The role APPs will play in healthcare in the future For more information on Children’s Colorado, visit: childrenscolorado.org .…

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