Welcome to Pediatric Meltdown, the podcast where we discuss the unique challenges parents face when it comes to their child's mental health. Host Dr. Lia Gaggino teams up with guest Dr. Cynthia Ewell-Foster to tackle the pressing issue of suicide prevention and support for families. Learn how parents can better navigate this challenging terrain as they uncover the importance of community engagement, clear communication, and empowering parents to implement discharge recommendations effectively. Y...
Sep 20, 2023•57 min•Ep. 160
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. Welcome to the Pediatric Meltdown podcast, where Dr. Lia Gaggino will take you into the world of pediatric care to tackle the most important topics that impact the well-being of our little ones. In today's episode, Dr. Gaggino and her guest, Dr. Alejandra Arango, explore the critical role of safety planni...
Sep 13, 2023•1 hr 6 min•Ep. 159
https://swiy.co/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. In this thought-provoking episode, Dr. Lia Gaggino invites Dr. Lisa Horowitz back to the mic to discuss important aspects of suicide prevention programs and validation studies. They specifically focus on the role of pediatricians in identifying and supporting young peopl...
Sep 06, 2023•50 min•Ep. 158
https://swiy.co/WhatAreYourThoughts In this abbreviated episode of Pediatric Meltdown, Dr. Lia Gaggino celebrates 3 years of the Pediatric Meltdown podcast and opens up about the challenges and uncertainties that come with transitioning from a daily pediatric practice. Join her as she explores the psychological grief and identity crisis she faced when stepping away from patient care. Dr. Gaggino shares the realization that being a pediatrician goes beyond simply seeing patients in an office, rem...
Aug 30, 2023•8 min•Ep. 157
https://swiy.co/WhatAreYourThoughts In this thought-provoking episode of Pediatric Meltdown, host Dr. Gaggino welcomes special guest Dr. Polly Y. Gipson Allen as they do a deep dive into the world of trauma-informed care and its impact on primary care settings. Reflecting on personal experiences and societal awakenings brought about by the pandemic, they shed light on the psychological, physical, and spiritual effects of racial trauma and discrimination. From trauma-informed care to enhancing or...
Aug 24, 2023•49 min•Ep. 156
https://swiy.co/WhatAreYourThoughts Get ready for another thought-provoking episode of Pediatric Meltdown, the podcast that explores the untold stories and groundbreaking developments in pediatrics. Host Dr. Lia Gaggino sits down with Dr. Wendy Hunter, a remarkable pediatrician who has revolutionized the way pediatric care is delivered. Reflecting on Wendy's inspiring journey, we are reminded of the profound impact that social determinants of health have on pediatric patients' lives. As healthca...
Aug 16, 2023•51 min•Ep. 155
https://swiy.co/WhatAreYourThoughts Welcome to the Pediatric Meltdown podcast, where we delve into the challenges and triumphs of pediatric healthcare. Today, host Lia Gaggino has the pleasure of introducing her guest, (and self-proclaimed “superfan” of Pediatric Meltdown), Dr. Alisa Minkin, a trailblazing pediatrician and host of the JOWMA Podcast, a show dedicated to health education for the Orthodox Jewish community. In today’s episode, Dr. Minkin shares her inspiring journey as a pediatricia...
Aug 09, 2023•40 min•Ep. 154
https://swiy.co/WhatAreYourThoughts Welcome back to Pediatric Meltdown. In this week’s episode, host, Dr. Lia Gaggino welcomes Dr. Lee Beers and Dr. Binny Chokshi, where they discuss the often-overlooked topic of military families and the unique challenges they face. As a military pediatrician, Dr. Beers shares her personal journey and experiences taking care of military-associated families. Dr. Chokshi, a civilian pediatrician who provides care to military families, also shares her role in rese...
Aug 02, 2023•52 min•Ep. 153
https://swiy.co/WhatAreYourThoughts Welcome to this week's Pediatric Meltdown Podcast, where host Dr. Lia Gaggino invites guests Dr. Bruno Chumpatazi and Dr. Amanda Deacy to unravel the mysteries behind chronic symptoms in children. Together, they delve into the complexities of post infectious IBS, highlighting the multifaceted causes that contribute to these symptoms. From altered pain perception and processing to the potential role of inflammation, the experts leave no stone unturned. Discover...
Jul 26, 2023•1 hr 9 min•Ep. 152
https://302.buzz/PM-WhatAreYourThoughts As the only pediatrician in her Native American community, Dr. Empey’s insights and first-hand experiences offer a valuable perspective on the need for better representation and improved healthcare access. Dr. Gaggino and Dr. Empey urge all of the listeners, (especially all you early career physicians), to step up and take leadership roles at every level within the medical community. We cannot afford to ignore the health inequities faced by marginalized po...
Jul 19, 2023•33 min•Ep. 151
Welcome to Pediatric Meltdown, the podcast dedicated to exploring the complexities and challenges of pediatric care. Today, host Dr. Lia Gaggino and guest speaker Dr. Marian Earls tackle the concepts of mental health competencies and integrated behavioral health. As pediatricians, it is crucial to have a multifaceted understanding of mental health and offer the necessary support to children in need. From debunking myths surrounding SSRIs to advocating for policy and payment support, Lia and Mari...
Jul 12, 2023•53 min•Ep. 150
https://302.buzz/PM-WhatAreYourThoughts Youth mental health is a pressing issue that often goes untreated, but in this episode of Pediatric Meltdown, Dr. Lia Gaggino and Dr. Rich Dopp shed light on effective strategies for addressing this challenge. Dr. Dopp's expertise in treating adolescents with depressive disorders shines through as he discusses the use of SSRIs and the significance of understanding family history. The episode also highlights the importance of gathering information from mult...
Jul 05, 2023•1 hr 3 min•Ep. 149
https://302.buzz/PM-WhatAreYourThoughts This episode of "Pediatric Meltdown" features an insightful conversation with Doctor Sandy Chung, the 2023 president of the American Academy of Pediatrics. Dr. Chung joins host Dr. Lia Gaggino to discuss the importance of investing in children's mental health. The AAP is a national organization that represents over 67,000 pediatricians and aims to promote the health and well-being of children. Dr. Sandy Chung's advocacy work through VMAP and AAP has been i...
Jun 28, 2023•47 min•Ep. 148
https://302.buzz/PM-WhatAreYourThoughts Unless you’ve been a victim of Healthcare Disparity and systemic racism, you may not be aware that such a thing exists, and that’s exactly why this episode of “Pediatric Meltdown” is especially important for you to hear. Host Dr. Lia Gaggino and her guest Dr. Terri Major-Kincade, discuss the structural barriers that exist in hospitals and Dr. Terri will give some practical advice on being empathetic and listening to patients' concerns. From Dr. Terri’s exp...
Jun 21, 2023•1 hr 4 min•Ep. 147
https://302.buzz/PM-WhatAreYourThoughts The adverse effects of racism in healthcare have increasingly become a topic of discussion among medical professionals worldwide. In this episode of the Pediatric Meltdown, host, Dr. Lia Gaggino, is joined by Dr. Joseph Wright, Chief Health Equity Officer of the University of Maryland Medical System, to discuss the role of race consciousness in addressing systemic and structural inequities in healthcare delivery. Dr. Wright talks about how we can no longer...
Jun 14, 2023•56 min•Ep. 146
https://302.buzz/PM-WhatAreYourThoughts Despite ongoing efforts to combat the opioid crisis, there has been a steady increase in the number of individuals struggling with substance use disorder. This trend has left healthcare providers and parents searching for effective ways to address the problem. In this episode of Pediatric Meltdown, Dr. Lia Gaggino and Dr. Deepa Camenga delve into the impact of the opioid epidemic on children and teenagers. They also discuss strategies for screening, identi...
Jun 07, 2023•56 min•Ep. 145
https://302.buzz/PM-WhatAreYourThoughts Mental health is a crucial aspect of our lives, yet it's often neglected and stigmatized. Dr. Lia Gaggino and her guest, Dr. Carol Chen, will discuss the delicate subject of self-harm and how it pertains to mental health in this episode of Pediatric Meltdown. They examine the numerous causes of young people's self-injury as well as the risk factors and comorbidities that go along with it. You'll learn about Dialectical Behavioral Therapy (DBT), a successfu...
May 31, 2023•48 min•Ep. 144
https://302.buzz/PM-WhatAreYourThoughts Psychological safety is crucial and cannot be undervalued in the continuing and challenging process of addressing physician burnout and prioritizing well-being. Dr. Gaggino's guest, Karen Horneffer-Ginter, PhD, discusses how organizations and institutions can start to acknowledge and deal with the systemic problems causing burnout by creating a space where clinicians can openly express concerns without fear of retaliation or condemnation. Individuals must ...
May 24, 2023•55 min•Ep. 143
https://302.buzz/PM-WhatAreYourThoughts If you're a parent, you know that there's nothing quite as challenging as dealing with difficult childhood behaviors. Tantrums, potty training, and biting are just a few of the challenges that parents face on a daily basis. Today, Dr. Lia Gaggino talks with pediatrician Dr. Arthur Lavin and Therapist Susan Glaser who have not only authored several books on parenting But are the hosts of the highly acclaimed podcast Parent Talk that offers practical parenti...
May 17, 2023•58 min•Ep. 142
https://302.buzz/PM-WhatAreYourThoughts When you think of HIV, do you breathe a sigh of relief thinking “well, at least we don’t have to deal with THAT anymore”? Has it completely fallen off your radar as a medical issue that is “under control”? Well, then it’s important that you listen to this episode. Dr. Gaggino talks with Dr. Julia Rosebush and Britt Hodgdon, LCSW. Together they dive into the topic of HIV and trauma recovery. They’ll share insights on how to support individuals living with H...
May 10, 2023•1 hr•Ep. 141
https://302.buzz/PM-WhatAreYourThoughts Do you have a picky eater in the house? Then this is the episode you’ve been waiting for. Dr. Lia Gaggino’s guest this week is Dr. Natalie Prohaska where they’ll discuss avoidant, restrictive food intake disorder (ARFID), which was previously referred to as feeding disorder of children. They will break down the three different types of ARFID and discuss how they affect children's psychosocial and nutritional functioning. As the COVID-19 pandemic continues ...
May 03, 2023•52 min•Ep. 140
https://302.buzz/PM-WhatAreYourThoughts School-based healthcare centers (SBHC) are playing an important role in providing equitable access to healthcare for children who are not able to access a regular medical home. Today, host, Dr. Lia Giggino talks with Dr. Sara Bode about the benefits of a SBHC and the challenges they face in ensuring that every child has access to quality care. They discuss the challenges that school-aged children face in accessing healthcare, such as transportation issues,...
Apr 26, 2023•42 min•Ep. 139
https://302.buzz/PM-WhatAreYourThoughts Aggression in children is a complex issue that can leave parents feeling helpless and desperate for a solution. Many turn to medication as a quick fix, but according to Dr. Lia Gaggino’s guest, Dr. Peter Jensen, multiple medications are not always the answer. It's important to assess the situation correctly and consider alternative approaches before turning to medication. In this episode, Doctors Gaggino and Jensen explore the various causes of aggression ...
Apr 19, 2023•1 hr 5 min•Ep. 138
https://302.buzz/PM-WhatAreYourThoughts Childhood can be a challenging time for many young individuals. As they try to navigate the world around them, they often display aggressive behaviors in different situations. But not all aggression is harmful, as it can be a normal part of development. Understanding what constitutes normal childhood aggression and identifying its triggers is essential for parents and clinicians alike to help children thrive. In this 2nd of a 3-part series on childhood agg...
Apr 12, 2023•51 min•Ep. 137
https://302.buzz/PM-WhatAreYourThoughts This is the first of three episodes on aggression in youth and violence prevention. Dr. Gaggino’s guest is Cindy Marble, who retired from the US Secret Service after 27 years, including two tours in the protective intelligence division. Cindy now trains individuals across various sectors on behavioral threat assessment and prevention, including K-12 schools, campuses, and private industry. In this podcast, she emphasizes the team approach to threat assessm...
Apr 05, 2023•56 min•Ep. 136
https://302.buzz/PM-WhatAreYourThoughts Join your host, Dr. Lia Gaggino, on this episode of Pediatric Meltdown as she chats with Dr. Danny Mallen, a pediatric gastroenterologist and medical educator at Cincinnati Children's Hospital Center. Dr. Mallen talks about his interest in nutrition, the puzzle that is the gut, and his passion for helping children with celiac disease. He also discusses his article on finding your “One Thing” and how mentors and opportunities play a role in one's career. Bu...
Mar 29, 2023•57 min•Ep. 135
As an educator and administrator, Meadow Nuyen acknowledges the challenges faced due to the pandemic, such as staffing shortages and virtual learning for early childhood education. Meadow talks about the importance of empowering parents and recognizing them as the first educators during a child's developmental years. She believes that parents should feel comfortable advocating for their child's needs and speaking up if they have any concerns. She stresses the importance of recognizing the family...
Mar 22, 2023•52 min•Ep. 134
https://302.buzz/PM-WhatAreYourThoughts Childhood trauma can have a lasting impact on mental health and well-being, but addressing it in therapy requires a careful and compassionate approach. In this episode, child psychologist, Conni Lutes, shares her unique strategies on working with young children who may be experiencing behavior issues or challenges related to autism. Your host, Dr. Lia Gaggino and Conni discuss the importance of using language and creative outlets, such as art and play ther...
Mar 15, 2023•57 min•Ep. 133
https://302.buzz/PM-WhatAreYourThoughts Dr. Brooks Keeshin, a triple-board trained child psychiatrist with a focus on trauma, shares his journey into child psychiatry, and discusses the idea of it being a subspecialty of pediatrics. The conversation leads to a discussion on the role of pediatricians in prescribing psychotropic medication and the importance of identifying and recognizing mental health concerns in children. Dr. Keeshin highlights the pitfalls of thinking about mental health as a c...
Mar 08, 2023•1 hr 1 min•Ep. 132
https://302.buzz/PM-WhatAreYourThoughts The American Academy of Pediatrics Section on Pediatric Trainees is an active group that offers a variety of leadership roles for medical students, residents, and fellows. Dr. Madeleine Norris shares her journey from child neurology to pediatric mental health and her involvement in the AAP. Your host, Dr. Lia Gaggino, a leader in the AAP, explains how trainees can submit abstracts to the SOPT Abstract Competition and become a member of the Section on Pedia...
Mar 03, 2023•27 min•Ep. 131
