Months of progress in the United States has been overshadowed this week by a resurgence of COVID-19 cases, with areas of the South and West experiencing their first strong wave of cases. Earlier this week Texas Children's Hospital announced they are admitting adult patients to help with surge capacity in Houston. As pediatric providers, we are considering ongoing PPE preparedness for an unknown future, what the latest literature is telling us about the virus in kids and what a vaccine or treatme...
Jun 26, 2020•26 min•Season 3Ep. 58
Across our organization, our Children's Hospital Colorado team members have engaged in dialogue about the institutional origins of systemic racism, the targeted injustices that continue in Black communities, and the ways our social structures produce disparities in education, housing, economics, and health. Today we want to bring this conversation to the podcast and talk about the opportunity our pediatric provider community has in turning the passion of these conversations into progress by prov...
Jun 18, 2020•23 min•Season 3Ep. 57
As communities begin to emerge from stay-at-home orders, the question of return to sports and recreation is on the minds of many. While professional and collegiate sports may take longer to resume play and allow spectators in the stands, youth sports organizations are hopeful that they may be able to lead the way in restoring a sense of normalcy to everyday life. Given the unprecedented circumstances posed by the COVID-19 pandemic, there is no clear prescription for success, but guidance is emer...
Jun 11, 2020•35 min•Season 3Ep. 56
Clinical effectiveness seeks to answer the question "What works?" in healthcare; what are the best ways to prevent, diagnose and treat diseases in children? Today we are going to talk with Lalit Bajaj, MD, MPH/MPSH and dive in to clinical effectiveness and look at how those practices are be applied here at Children's Colorado and beyond and the impact of this work to the primary care setting. Dr. Bajaj is a Pediatric Emergency Medicine Physician, Professor of Pediatrics and Emergency Medicine at...
Jun 09, 2020•28 min•Season 3Ep. 55
We are privileged to have John Barnard, MD join us on the podcast today to discuss exciting pediatric research breakthroughs in fields of genomics, gene therapy, and more. Dr. Barnard is from Nationwide Children's Hospital where he serves as the chief of Pediatrics, president of The Research Institute and holds the Ann I. Wolfe Endowed Chair in Pediatric Research Leadership. He is also the chair of the Department of Pediatrics and professor of Pediatrics, Gastroenterology, Hepatology and Nutriti...
Jun 02, 2020•26 min•Season 3Ep. 54
In this episode we cover the COVID-19 global pandemic, en Español with Edwin Asturias, MD. Dr. Asturias is part of the Infectious Disease Team and Director for Latin America at Children's Colorado and Professor of Pediatrics & Infectious Diseases at the University of Colorado School of Medicine. Dr. Asturias is headed for Guatemala on May 24 to become their Presidential Commissioner for the COVID-19 Response. Do you have thoughts about today's episode or suggestions for a future topic? Write...
May 21, 2020•32 min•Season 3Ep. 53
Register for our Weekly COVID-19 Town Hall , 5/21 from 6-7 p.m. MST The COVID-19 Pandemic has presented unprecedented challenges to maintaining healthy habits and healthy weight for our patients and families. We know that kids tend to loose structure and gain excess weight in the summer – we saw this prior to COVID-19 and we are now facing the most stressful and unpredictable summer of our lifetime. In this our 12th COVID-19 podcast, we will discuss healthy routines for pediatricians to discuss ...
May 19, 2020•28 min•Season 3Ep. 52
Register for our weekly Provider Town Hall During COVID-19, May 21 from 6-7 p.m. MST. In recent weeks, there has been an outbreak of severe Kawasaki-like disease at the Italian epicenter of the SARS-CoV2 epidemic and as of May 12, the state of New York Health Department had identified 102 kids with potential infection. Up to this point, our pediatric population had seen a relatively mild disease course during this pandemic, but these recent developments have captured the attention of pediatricia...
May 16, 2020•28 min•Season 3Ep. 51
In this our 11th COVID-19 podcast, we will discuss clinical considerations for women and babies in the era of COVID-19 with Jessica Cataldi, MD and Erica Wymore, MD . Join us for this week's Provider Town Hall, Thursday, May 14 from 6-7 p.m. MST: https://attendee.gotowebinar.com/register/5938843139417544973 The global pandemic has impacted every area of life, including the considerations and concerns that new mothers have bringing their babies into the world – will they be able to have a partner...
May 13, 2020•54 min•Season 3Ep. 50
Join us for our weekly Virtual Town Hall for Providers during COVID-19, Thursdays from 6-7 p.m. MST In this, our 10th COVID-19 podcast, we will have a case discussion around functional and high-yield adult medicine topics that might be useful for pediatricians helping to care for adult patients in the middle of this pandemic. You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 of the podcast. Today we are fortunate to be joined by Dr. Aaron Manning and Dr. St...
May 05, 2020•40 min•Season 3Ep. 49
One of the bright spots during the COVID-19 pandemic has been the promising and experimental use of convalescent plasma, which was recently approved by the FDA for emergency treatment. The donation of antibody-rich blood from patients who have recovered from the SARS-CoV2 virus has been pioneered by Dr. Kyle Annan and the team at Children's Colorado. I n this, our 9th COVID-19 podcast we will cover the topic of convalescent plasma, discuss the current epidemiology of the pandemic, and talk throu...
Apr 27, 2020•32 min•Season 3Ep. 48
In this episode we will discuss the diagnosis and management of TSS and are privileged to be joined by Jim Todd, MD who first discovered TSS in 1975. Toxic shock syndrome (TSS) is a cluster of symptoms that involves many systems of the body. Certain bacterial infections release toxins into the bloodstream, which then spreads the toxins to body organs and can cause severe damage and illness. Dr. Todd is the previous Section Head of Infectious Diseases, Jules Amer Chair, and Community Pediatrics a...
Apr 21, 2020•35 min•Season 3Ep. 47
In this, our 8th COVID-19 podcast, I talk to two of my pediatric colleagues, Sean O'Leary, MD and Robin Larabee, MD who have had COVID-19 and are now recovered. We will discuss their symptoms and disease course in depth in hopes that it provides greater education and context for how different people have experienced COVID-19. As we move into our second month of the global pandemic most of us know someone who has contracted the SARS-CoV2 virus; this especially probable for you our listeners, as f...
Apr 20, 2020•30 min•Season 3Ep. 46
Today's guest is Dr. Scott Sagel, here to discuss the care of patients with cystic fibrosis (CF) and the clinical research that has led to the advances in access to these breakthrough therapies. Dr. Scott is a Pediatric Pulmonologist at Children's Hospital Colorado and a Professor of Pediatrics at the University of Colorado School of Medicine.
Apr 14, 2020•30 min•Season 3Ep. 45
In recent weeks, the podcast has received hundreds of questions from listeners around the topic of PPE. So today, this episode is for you. We are going to cover all things PPE while reviewing the current epidemiology of COVID-19. We are now entering our second month of the global COVID-19 Pandemic. Our world has never experienced anything like this before – some days feel like they have contained an entire month's worth of change and challenges. One of the difficult realities that many healthcar...
Apr 10, 2020•33 min•Season 3Ep. 44
In this episode, we are going to discuss practical ways primary care providers can protect their own mental health needs and also deliver meaningful mental health support to their patients and families during the COVID-19 global pandemic. Mental health; never has there been a more crucial time for our primary care providers to talk openly about finding creative and innovative ways to support the mental health needs both of their patients and for themselves. The COVID-19 pandemic has impacted eve...
Apr 07, 2020•25 min•Season 3Ep. 43
In this episode, we are going to talk to the Telehealth team at Children's Hospital Colorado and share how primary care providers could operationalize the delivery of care through telehealth quickly to help navigate the COVID-19 pandemic and looking to the future post-pandemic. For all the reasons that COVID-19 has turned our personal and professional lives upside down, it has positively accelerated the delivery of care through telehealth. Until a few weeks ago, most of our ambulatory providers ...
Mar 31, 2020•35 min•Season 3Ep. 42
As the COVID-19 global pandemic has entered its third week, our healthcare providers are realizing the dramatic impact this has had on how we deliver care. Our lives have been touched not only professionally, but certainly personally as well. The uncertainty that this pandemic has driven into our lives is equally matched by the resiliency and ingenuity of our healthcare providers and larger community to come together to face this head on. In this episode, we will cover the current epidemiology o...
Mar 25, 2020•35 min•Season 3Ep. 41
In this episode we talk with Todd Carpenter, MD and Cameron Gunville, DO about drivers behind general growth in pediatric critical care bed occupancy that has outpaced the general inpatient population; the most important critical care interventions in the last 10 years that has benefited children and the important outcome metrics that define success in pediatric critical care. Dr. Carpenter is the Medical Director of the PICU at Children's Hospital Colorado and is Professor of Pediatrics and Cri...
Mar 25, 2020•28 min•Season 3Ep. 40
Kids are notorious for exploring small objects and putting them up their nose, in their ear or swallowing them. Some ingestions like button batteries and small, b-b sized magnets are potentially life-threatening for children and adolescents. Catastrophic and fatal injuries can occur when the object becomes lodged in the esophagus, where injury can extend beyond the esophagus to the trachea or aorta. In this episode, we are going to turn the mic on host, David Brumbaugh, MD , to look at the prese...
Mar 17, 2020•29 min•Season 3Ep. 39
Coronavirus. COVID-19. Since we last recorded the podcast the World Health Organization has named COVID-19 a global pandemic. We have previously covered the clinical presentation of the coronavirus in pediatrics and what providers should do if their clinical suspension is high – you can go back and listen to both of those discussions on Season 3, Episodes 31 and 36 . Given the rapidly changing nature of this situation and the virus' spread throughout our local Colorado communities we wanted to p...
Mar 14, 2020•26 min•Season 3Ep. 38
There are many great things about living in rural communities. Across a broad range of healthcare indicators though, our children in rural America are doing more poorly urban areas — higher all-cause mortality rates, higher disability rates, higher rates of obesity and higher risks for suicide and unintentional injury. More than 50% of rural counties in the United States do not have a pediatrician and the number of patients per physician and healthcare professional shortage areas is twice that o...
Mar 10, 2020•25 min•Season 3Ep. 37
Coronavirus. COVID-19. It is safe to say that this virus is on the minds of people across the globe and there is increased anxiety among the general public who are seeking guidance from their healthcare providers. And many healthcare providers are looking to their regional healthcare centers and the local/national health authorities for guidance – this is an emerging, rapidly evolving situation. In mid-February we recorded our first episode about COVID-19 where we covered the clinical presentati...
Mar 05, 2020•36 min•Season 3Ep. 36
In this episode we have the privilege of welcoming Rachel Moon, MD back to the podcast to discuss the importance of social networks, social norms and attitudes in infant care practice decisions. Dr. Moon first joined us on Charting Pediatrics at the 2018 AAP Conference, you can go back and listen to Dr. Brumbaugh's interview with her on Infant Safe Sleep Practices on Season 2, Episode 13 . Dr. Moon is the Harrison Distinguished Teaching Professor of Pediatrics and the Division Head of Pediatrics...
Mar 03, 2020•22 min•Season 3Ep. 35
State-level vaccination advocacy is the topic of today's podcast with Zach Zaslow, Director of Government Affairs at Children's Hospital Colorado. Colorado's current vaccination rate for the measles, mumps and rubella vaccine among kindergarteners is 87.4%, one of the lowest in the nation. After more than 15 hours of testimony in committee hearing on February 19, Colorado Senate Bill 163, which aims to standardize and challenge vaccine exemption, passed its first hearing 3-2. Today we are bringi...
Feb 26, 2020•25 min•Season 3Ep. 34
There are few things that are more frustrating to parents and young patients than issues involving chronic constipation and involuntary defecation. These issues often have a significant negative impact on the quality of life for the child and the family. In today's episode we are going to talk through the key features, diagnostic evaluation and treatment for fecal incontinence in children with Andrea Bischoff, MD. Dr. Bischoff is an Associate Professor of Pediatric Surgery at the University of C...
Feb 25, 2020•27 min•Season 3Ep. 33
In this episode we discuss seizures and spells, and the diagnosis and management of events that worry us. This episode was recorded at the 2019 American Academy of Pediatrics NCE in New Orleans with Mered Parnes, MD and Shavonee Massey, MD, MSCE . Dr. Massey is is a pediatric neurologist in the Division of Neurology at Children's Hospital of Philadelphia, specializing in the care of children with epilepsy and a Clinical Instructor in Pediatrics and Neurology. Dr. Parnes is the Director of the Pe...
Feb 18, 2020•25 min•Season 3Ep. 32
What do you need to know about COVID-19 ? In this special episode we are joined by Sam Dominguez, MD to discuss the clinical presentation of the coronavirus in pediatrics, what providers should do if their clinical suspicion is high, and updated epidemiology of the situation. Dr. Dominguez is a pediatric infectious disease physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. This episode was reco...
Feb 13, 2020•26 min•Season 3Ep. 31
In this episode we dive in to the topic of medical missions, specifically surgical and perioperative care in resource-limited settings, with Brian Shaw, MD . Dr. Shaw is a pediatric orthopedic surgeon from Children's Hospital Colorado, Colorado Springs Hospital , Chief of the Section of Pediatric Surgery at Memorial Hospital for Children in Colorado Springs, Associate Professor of Orthopedic Surgery at the University of Colorado School of Medicine and Vice-Chair of the AAP Section on Orthopedics...
Feb 11, 2020•25 min•Season 3Ep. 30
Pelvic pain most often involves the gastrointestinal or the urinary systems in pre-pubertal girls. However, during late adolescence, gynecologic conditions become more prevalent as etiologies for pelvic pain. Dysmenorrhea and noncyclic pelvic pain are common in adolescents and the management of chronic pelvic pain is often more complex than in adult women. In today's episode we will discuss how to diagnosis and treat possible gynecologic and non-gynecologic conditions of chronic pelvic pain in t...
Feb 04, 2020•31 min•Season 3Ep. 29
