https://302.buzz/PM-WhatAreYourThoughts The medical world is accomplishing great things; for example - Rapid Whole Genome Sequencing. A cutting-edge concept that has cut diagnoses of rare diseases from weeks and months to days and hours. It’s called Project Baby Deer and it’s focused on implementing evidence-based precision medicine and pediatrics to facilitate rapid whole genome sequencing for sick inpatients, neonates and children across the state. The project was born out of a collaboration b...
Feb 28, 2023•56 min•Ep. 130
https://302.buzz/PM-WhatAreYourThoughts Patient Confidentiality is a complex subject and more times than not, the answer to the questions will begin with “ Well, it depends….” Dr. Elizabeth Alderman, a pediatrician, shares her journey into pediatrics and how she has handled this issue in her own practice in the state of New York. Both Dr Gaggino and Dr. Alderman talk about the frustrations that healthcare providers face when they must decide on the best course of action to take, particularly whe...
Feb 22, 2023•59 min•Ep. 129
https://302.buzz/PM-WhatAreYourThoughts The challenges of mental health in children are complex, to say the least. One of this podcast’s favorite guests, Dr. Mark Sloane is a long-time pediatrician with decades of experience in this field, returns to talk about the challenges of persuading primary care physicians to pursue additional education, the effects of trauma on children, and the demand for more training in medical school and residency. There’s also a discussion on the impact of screening...
Feb 15, 2023•1 hr 5 min•Ep. 128
https://302.buzz/PM-WhatAreYourThoughts This is a very special episode where I (the Pediatric Meltdown producer) get to interview your host, Dr. Lia Gaggino. There are lots of great things happening in 2023 and we thought this would be a great way to tell you about all of it as well as getting to know your host a little bit better. We’ll talk about what made her fall in love with Pediatrics as well as her decision to step down from the practice. There is a sneak peak of some episodes coming up, ...
Feb 08, 2023•29 min•Ep. 127
https://302.buzz/PM-WhatAreYourThoughts Ehlers-Danlos Syndrome…. Ever hear of it? Well, they say that it’s the most common illness that you’ve never heard of. Jayne Mattingly makes a return appearance and gives Dr. Gaggino an update on her health and life since she was last on the podcast. She will talk about how her condition has progressed and gives an honest account of what life is currently like for her. It’s emotional, it’s raw, and it’s real. [00:33 -13:39] What is Ehlers-Danlos syndrome (...
Feb 01, 2023•46 min•Ep. 126
https://302.buzz/PM-WhatAreYourThoughts Dr. Lia Gaggino asks pediatric neurologist Dr. Sarah Dixon some interesting questions about a phenomenon called “TikTok Tics”. Ever hear of it?? Yeah…. Me either. But it is, indeed, a real thing. We’ve all seen TV shows or movies where someone with Tourette’s spews out a string of curse words and many people think that is the definitive symptom of the disorder. It is more complicated than that. Dr. Dixon talks about the different types of tic disorders and...
Jan 25, 2023•46 min•Ep. 125
https://302.buzz/PM-WhatAreYourThoughts When you hear Dr. Joey Skelton speak about his patients, it’s clear how deep his commitment runs. He looks beyond the numbers as he believes that each patient deserves to be treated like an individual being. Today's discussion is on childhood obesity. But don’t make the mistake of rolling your eyes and thinking “oh, yeah… it’s a problem” ... . This is a different kind of discussion with a different kind of doctor. You’ll hear some things in this episode th...
Jan 18, 2023•1 hr 1 min•Ep. 124
https://302.buzz/PM-WhatAreYourThoughts Child abuse has long been a troubling and widespread issue, and sadly, it seems to be getting worse. Munchausen by Proxy (MBP), often known as somatic illnesses or medical child abuse, is one particularly nefarious kind of child maltreatment. Children's health and safety may be seriously impacted by this type of child abuse. Clinicians must be aware of the symptoms and warning signs of MBP in order to safeguard children against this condition. Dr. Nasuh Ma...
Jan 11, 2023•50 min•Ep. 123
https://302.buzz/PM-WhatAreYourThoughts As Dr. Gaggino looks back on her episodes over the past year, she gives out kudos to some of the standout guests of 2022. She also has some reminders of past episodes that you may have missed or may even be worth another listen, (just scroll down to get those links) and there’s a sneak peek at some of the exciting things to come in 2023. If you haven’t already, make sure to tap on that follow button and to ensure that you’ll never miss an episode, get that...
Jan 04, 2023•11 min•Ep. 122
https://302.buzz/PM-WhatAreYourThoughts Norrine Russell is the creator of a cutting-edge coaching approach for challenging children, such as those who are 2E, have ADHD, Autism, or Anxiety, as well as those who have learning disabilities. Since 2009, Connected Coaching has demonstrated success with hundreds of students. Dr. Russell is an expert in child development, learning styles, special needs, and effective parenting practices. She has twenty years of experience developing positive youth dev...
Dec 28, 2022•1 hr•Ep. 121
https://302.buzz/PM-WhatAreYourThoughts Dr. Cullinan is back to finish up this 4-part series on ADHD. There is an enormous amount of practical information and parenting tips in these 4 episodes. If you haven’t yet, be sure to pull up parts 1, 2 and 3. Here is some data from ADDA (American Deficit Disorder Association WHAT IS ADHD? Attention deficit hyperactivity disorder (ADHD) is a Neurodevelopmental disorder. It is one of the most common disorders of this kind diagnosed in children. ADHD often...
Dec 21, 2022•47 min•Ep. 120
https://302.buzz/PM-WhatAreYourThoughts Dr. Colleen Cullinan is back for part III, diving deeper into Executive Function. This series not only takes a look at the condition from the child’s point of view, but also the parents. Dr. Gaggino asks the questions that many have thought but few have asked. If you’re a parent of a child with ADHD, this is especially for you. Dr. Cullinan knows you. She hears you. And she gives a voice to those that have been on the sidelines. Pro Tip: listen to this wit...
Dec 14, 2022•52 min•Ep. 119
https://302.buzz/PM-WhatAreYourThoughts Dr. Lia Gaggino talks to Dr. Herschel Lessin on how physicians can juggle their ADHD patients, parents, practice. Here are some facts on ADHD ( Attention deficit hyperactivity disorder) : -There's more than one type of ADHD -ADHD is genetic. -There is no cure for ADHD, but medication and therapy can control symptoms -ADHD often persists into adulthood -People with ADHD may be protected by the Americans with Disabilities Act “ ADHD is a chronic condition of...
Dec 07, 2022•1 hr 7 min•Ep. 118
https://302.buzz/PM-WhatAreYourThoughts Dr. Susan Walley was born to work with kids. She was hooked from the beginning. Recognizing that repertory issues are the #1 cause of hospitalization and realizing that parents don’t realize the impact on their own kids, gave her the inspiration to dive into the work of tobacco/nicotine/vaping addiction. Dr. Lia Gaggino asks the questions that you’ve been wondering about. But first, let’s look at some stats: Results from the Annual National Youth Tobacco S...
Nov 30, 2022•58 min•Ep. 117
https://302.buzz/PM-WhatAreYourThoughts Who will heal the healers? Managing physician burnout is a tall order. And yet when both Dr. Tyra Fainstad and Dr. Adrienne Mann found themselves going through difficult life-chapters, they saw a need in the system that had not been addressed. Their program, Better Together, is for the medical community that may feel isolated or may feel like there’s no outlet. Even though there are definite differences between a Coach and a Physician, when listening to th...
Nov 23, 2022•1 hr 4 min•Ep. 116
https://302.buzz/PM-WhatAreYourThoughts Eating the right foods, getting enough rest, participating in some activity... We’ve all heard that so many times, we can’t even count. However, when Dr. Lenz says it… he backs it up with evidence. Listen in while Dr. Michael Lenz makes the connection of what’s really going on in a patient that is suffering from chronic pain. It all sounds so logical when Dr. Lenz talks about the Food-Mind-Body connection. Dr. Gaggino and Dr. Lenz talk about how the brain ...
Nov 16, 2022•1 hr 4 min•Ep. 115
https://302.buzz/PM-WhatAreYourThoughts You should know that we’re talking about very hard things today. However, death is part of life, and (just like adults), children are not excluded. But logic doesn’t ease the blow when a child passes. Keith was only 6 months old. He left behind 2 loving parents who have now dedicated their lives to creating special programs, support groups and educating medical professionals on best practices when faced with a family going through this kind of a life alter...
Nov 09, 2022•1 hr 11 min•Ep. 114
https://302.buzz/PM-WhatAreYourThoughts Advocacy can take many forms, from speaking out publicly to organizing groups to writing letters to elected officials. Whatever the form, advocacy is an important way to bring attention to issues and make change. And although anyone can be an advocate, there’s definitely an art to being an “ Effective Advocate ”. Today, Dr. Gaggino talks with Dr. Pam Shaw who has perfected the art of advocacy. Among the many hats that Dr. Pam Shaw wears, (i.e., Professor o...
Nov 02, 2022•51 min•Ep. 113
TRIGGER WARNING: Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers. https://302.buzz/PM-WhatAreYourThoughts No one expected it. How could you? I mean, he was doing so well. Taking the meds, socially engaged. Everything seemed fine….. But one day in February something went wrong. Dr. Colleen Kraft makes a second appearance on the podcast, but this time, she walks us through...
Oct 26, 2022•1 hr 3 min•Ep. 112
https://302.buzz/PM-WhatAreYourThoughts Why is the U.S. falling behind in healthcare and what can we do to change the narrative? In this episode, Dr. Gaggino talks to the author of “Who Shall We Let Die”, Dr. Koye Oyerinde. As a Public Health/Global Health Expert, Dr. Oyerinde has had a major role in strengthening health systems for the delivery of Reproductive, Maternal, Newborn, Child and Adolescent Health services in low and middle-income countries. Listen in as Dr. Gaggino and Dr. Oyerinde h...
Oct 19, 2022•36 min•Ep. 111
https://302.buzz/PM-WhatAreYourThoughts Dr. Dennis Flores’ first study looked into the circumstances that contributed to the recent HIV infection of young gay men in Atlanta. This was done with an awareness of the personal and contextual factors that increase sexual and gender diverse individuals' vulnerability for HIV/STI infection and poor care-related outcomes. His subsequent HIV/STI prevention work, which includes community education in both urban and rural areas, serving as the national spo...
Oct 12, 2022•49 min•Ep. 110
https://302.buzz/PM-WhatAreYourThoughts The eight key executive functions are Impulse control, Emotional Control, Flexible Thinking, Working Memory, Self-Monitoring, Planning and Prioritizing, Task Initiation, and Organization. Early identification and intervention is important for helping individuals with ADHD to reach their full potential. Dr. Colleen Cullinan is back for part 2 in Dr. Gaggino’s series on ADHD. They pick up where they left off on Episode #88 (the link to the episode is below)....
Oct 05, 2022•1 hr 2 min•Ep. 109
TRIGGER WARNING : Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers. https://302.buzz/PM-WhatAreYourThoughts When Dr. Kemia Sarraf's 13-year-old son was diagnosed with leukemia in 2014, her world — at least for the next three years — came to a full stop. And as he regained his health—which, by the way, he's great now—it led her down a path that would ultimately become her ...
Sep 28, 2022•58 min•Ep. 108
TRIGGER WARNING : Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers. https://302.buzz/PM-WhatAreYourThoughts A national project called Zero Suicide aims to address the issue of suicide in the medical and mental health systems. The effort is founded on the idea that suicide can be stopped and that systems of medical and mental health care can do more to do so. Seven element...
Sep 21, 2022•54 min•Ep. 107
https://302.buzz/PM-WhatAreYourThoughts TRIGGER WARNING : Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers. https://galas.fm/episode/08d6fc7c-09cb-59bb-a0d4-865ece3e4580 In the United States, suicide is the second leading cause of death for children and adolescents between the ages of 10 and 24. Suicide rates have been increasing in recent years, with the rate for girls a...
Sep 14, 2022•34 min•Ep. 106
TRIGGER WARNING : Please note that this episode contains a discussion of suicide, self-injurious behavior, depression and/or reference of other mental health disorders that may act as triggers. https://302.buzz/PM-WhatAreYourThoughts In this very personal episode of Pediatric Meltdown, Dr Gaggino talks with her sister, Alyssa, who attempted to take her own life 19 years ago. As with many who attempt suicide, there were many factors that may have contributed. Risk factors include a history of tra...
Sep 07, 2022•30 min•Ep. 105
https://302.buzz/PM-WhatAreYourThoughts Welcome to Pediatric Meltdown! In Today’s episode, our guest is Travis Atkinson. Travis has worked in the crisis intervention field for over 20 years and describes how our mental health system of care was created with a medical model that does not meet the needs of our patients. Our offices and emergency departments are facing enormous numbers of kids who are struggling, and it is up to us to create a patient-centered system that works based on choice, age...
Aug 31, 2022•58 min•Ep. 104
https://302.buzz/PM-WhatAreYourThoughts Welcome to Pediatric Meltdown! In Today’s episode, our guest is Ken Ginsburg, MD, MSEd . Dr. Ginsburg re-frames adolescence - not peril and drama, but instead, a time marked by exploration, curiosity, and joy. Parents often believe that they won't matter anymore, but in reality, they matter more than ever. While teens are embarking on their journey to independence, the adults in their lives, us too, serve as guides and teachers. We are the emotional contai...
Aug 24, 2022•1 hr 3 min•Season 1Ep. 103
https://302.buzz/PM-WhatAreYourThoughts School Avoidance, social anxiety, and phobias are all common in childhood affecting 5% to 12% of kids. This is a lot of patients showing up in pediatric practices. The gold standard for treatment is exposure therapy, but that model has its limitations. How do you get a kid on an airplane multiple times to help with fear of flying? A new virtual reality (VR) therapy model is an exciting option. Trained psychologists use VR goggles and with sophisticated sof...
Aug 17, 2022•53 min•Season 1Ep. 102
https://302.buzz/PM-WhatAreYourThoughts Welcome back to Pediatric Meltdown today we are joined by Dr. Colleen Kraft. Dr. Colleen, the past president of the AAP 2018 and offers an overview of the impact the pandemic has had on child development including safety and security, nutrition, physical health, educational opportunities, and responsive caregiving. These are the pillars that make up the WHO Nurturing Care Framework. Dr. Kraft takes us beyond assessing the damage and instead focuses on the ...
Aug 10, 2022•43 min•Season 1Ep. 101
