There is a lot of mis and dis information out there around gender affirming care for youth. This is both fueled by and leads to a general misunderstand about the basic ethical considerations present similar to other aspects of clinical care. On this episode of A Question of Ethics, Dr. Wolfe talks with the head of Children's Gender Clinic to discuss the ethical considerations around gender affirming care for youth.
Jun 20, 2025•42 min
Evaluation of a child with edema can be stress-inducing given the differential diagnoses invoked including nephrotic syndrome, liver disease, and heart failure. Determining the cause involves dusting off some principles of physics. Protein, namely albumin, hangs onto water to maintain intravascular osmotic pressure. Not having enough protein causes leakage into surrounding tissues to create characteristic puffiness, begging the question: are we losing protein or not making enough? If protein and...
Jun 09, 2025•25 min
Measles is back, with the largest outbreak in this country in 30 years. Two children have died and several people have been hospitalized by the extremely contagious disease that was once considered eliminated, but has surged again as vaccine hesitancy has spread. As public health funds are cut across the country and misinformation about measles and vaccines permeate our highest public health positions, Patsy Stinchfield, MS, CPNP, measles expert, joins us to discuss the situation. View the trans...
May 23, 2025•28 min
In this episode, Dr. Courtney Herring talks with Dr. Nadia Maccabee-Ryaboy about cannabinoid hyperemesis syndrome (CHS), a malevolent downstream condition related to cannabis use being seen in a growing uptrend of adolescent emergency department visits and hospital admissions. Listen in on the discussion that circles around clinical practice guidelines addressing how best to identify, manage, and support patients with CHS as public policy and public health collide. View the transcript here: http...
May 09, 2025•20 min
In this episode of Equity Actions, James Burroughs engages in a compelling conversation with Yinka Ajose, Senior Director of Clinical Operations, and Tonya Montesinos, Senior Director of Clinical Practice. Together, they explore the importance of advocating for equitable roles among staff, providing essential resources to patients and families, and gaining a deeper understanding of community needs. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-...
Apr 25, 2025•17 min
On today's "Specialty Spotlight With Siva", Siva welcomed Dr. Steven Goudy, President Elect of the American Cleft Palate and Craniofacial Association. He is a passionate advocate for patients and families navigating the challenges of cleft and craniofacial conditions and in this episode they explore his insights into cleft and craniofacial care and his vision for advancing advocacy and improving outcomes for these patients. This conversation is especially relevant for parents and providers who p...
Apr 07, 2025•21 min
On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-the-outside-hospitalist-dont-hold-your-breath-acute-respiratory-illnesses-part-two-3-28-25/
Mar 28, 2025•23 min
On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-the-outside-hospitalist-dont-hold-your-breath-acute-respiratory-illnesses-part-one-3-7-25/
Mar 07, 2025•16 min
Pediatric clinicians have obligations to their patients and law enforcement. But it can be challenging to figure out how to navigate situations where these obligations conflict or where there is uncertainty about the right thing to do. This has increased with recent exectuive branch agendas. Dr. Alyssa Burgart is the Associate Director of Pediatric Bioethics at the Stanford Center for Biomedical Ethics, Medical Director of Ethics for the Stanford Medicine Children’s Health, and writes about ethi...
Feb 14, 2025•26 min
We are blessed to have a very international patient population at our clinic in Minneapolis, helped by the Twin Cities reputation as a safe and supportive place for immigrants, refugees and asylees. With roots abroad, many of our families frequently travel home, where infectious disease exposures carry a unique profile compared to that of the U.S. It is therefore not surprising that having a returning traveler with fever, especially when ill appearing, can be a stressful trip down infectious dis...
Feb 07, 2025•21 min
On this episode of Equity Actions, we dive into an inspiring conversation as James Burroughs welcomes Tikki Brown, the Commissioner for the Minnesota Department of Children, Youth, and Families. Listen in as the two converse on Tikki’s background, her journey into human services, and taking on her new role as a Commissioner. James and Tikki explore her remarkable journey into human services, her strategic vision for building a diverse leadership team, and the critical importance of addressing di...
Jan 24, 2025•22 min
On today's episode EBC, Courtney sits down with pediatric gastroenterologist, Dr. Ramalingam Arumugam, to discuss a lurking danger in our own homes.With approximately 3500 button battery ingestions per year, it is the 4th leading cause for calls to poison control centers in the United States.With high risk of morbidity and and an escalating risk of severe morbidity and mortality due to the increased use of larger and more powerful button batteries, we'll explore past the natural history and reiv...
Jan 10, 2025•22 min
"Conscience-based objection' is a term that has been around a long time. Since the pandemic and a number of political and legal efforts in the nation, the term has been employed more frequently. But what is a conscience-based objection? What are the ethical considerations around when and how one might have a claim of concience? What is required of a clinician when it might impact a patient's right to access care? What is required of a leader or employer? We talk with legal bieothicist Thaddeus P...
Jan 03, 2025•25 min
On this episode, we navigate the overwhelming world of teens and screens with Erin Walsh, co-founder of the Spark and Stitch Institute and formerly with the National Institute on Media and the Family. Join us as we tackle social media, setting limits, the bottomless pit of YouTube and how pediatric clinicians can advise patients and parents toward healthier relationships with the screens in their lives. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediat...
Dec 13, 2024•31 min
In this episode of Equity Actions, James Burroughs chats with Malik Rucker, V3 Sports Executive Director. Malik was a high school star athlete in North Minneapolis. He used his excellent skills as a student athlete and football cornerback to show others how they can strive for success and accomplish community building goals. Malik has dedicated his post football career to bringing attention to the importance of health and well being for youth and how changing attitudes, healthy living mental mod...
Dec 02, 2024•22 min
On this "Outside Hospitalist" episode of Talking Pediatrics, Dr. Gabi Hester chats with Children's Minnesota Sports Medicine and Pediatric Emergency Medicine physician Dr. Laura Nilan, and Tria Orthopedics Certified Athletic Trainer, Micaela Kelso-Otieno, about keeping young athletes healthy. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-the-outside-hospitalist-getting-back-in-the-game-11-15-24/
Nov 15, 2024•40 min
In this episode of Specialty Spotlight with Siva, we sit down with pediatric and fetal cardiologist, Dr. Lisa Howley, to explore the latest in early detection and management of congenital heart disease (CHD). From in-utero diagnosis to postnatal care, learn how advances in technology and treatment are transforming care for the tiniest of patients. Join us for an insightful conversation on the journey to healthier little hearts. View the transcript here: https://www.childrensmn.org/for-health-pro...
Nov 01, 2024•22 min
On today's Evidence Based Charm, Courtney welcomes Dr. Gabi Hester as they merge community and pediatric-centric health worlds to review and discuss sepsis—a dual-faced threat to children’s lives. From definitions to diagnostic tools, listen as they meander through this often-overlooked infectious phenomenon that kills more children per year than cancer. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-evidence-based-cha...
Oct 18, 2024•32 min
In Minnesota, we are currently grappling with yet another measles outbreak, a danger that is entirely avoidable with adequate vaccination rates. This is the reality of a post-COVID era defined by politicized basic healthcare and well-funded anti-vaccination groups striking fear in well intentioned parents. Indeed, conversations with vaccine hesitant parents can be some of the most challenging in our work as pediatricians, taking not only time in tight schedules but also extreme patience and reso...
Oct 04, 2024•33 min
Elections affect all families and their children and pediatric clinicians sit at an important interface between voters and public policy as trusted community members. In this conversation with Minnesota Secretary of State Steve Simon, we discuss what families need to know about how to vote, how elections work and how to learn more about issues affecting kids. We also learn how to support our patients who are new to the polls and how to navigate tricky election issues and politics with younger ki...
Sep 20, 2024•25 min
LGBTQ youth are often trying to navigate social and family relationships, which can include struggling with their sprituality. This struggle can itself lead to trauma. We talk with an expert on LGBTQ spirituality and trauma to learn some ways to support youth in these space. View the transcript hee: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-question-ethics-lens-narrative-ethics-9-6-24/
Sep 06, 2024•18 min
Year after year, tens of thousands of lives in the United States are lost to homicide due to a gun and, according to the CDC, in 2020 guns became the leading cause of death for children and teenagers. Dr. Marc Gorelick, CEO of Children’s Minnesota, has been a consistent and fierce advocate for gun violence prevention and lends his expertise about this ongoing epidemic and how we can start to address this public health crisis. Go to savingourkidsbook.com to learn more about Dr. Gorelick's book, "...
Aug 23, 2024•17 min
Meet the new equity doctors at Children’s Minnesota. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-equity-actions-suite-empowering-providers-make-equity-part-patient-centered-care-8-9-24/
Aug 09, 2024•29 min
In this episode of Specialty Spotlight with Siva, Siva welcomes Pediatric Oncologist, Dr. Lane Miller. Listen back as Dr. Miller discusses the comprehensive work-up of children with newly discovered masses, providing a detailed overview of the diagnostic steps, key considerations, and best practices designed to equip primary care providers with the tools to manage these challenging cases effectively. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatric...
Jul 26, 2024•24 min
A conversation among three pediatricians on navigating mid-career changes. View the transcript here: https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-outside-hospitalist-inside-7-12-24/
Jul 12, 2024•23 min
On this debut episode of Evidence Based Charm: Guidelines with Courtney, we will journey through the pivotal decision points using the storyboard framework who, what, when, where, why, and how regarding periorbital infections. Periorbital infections are predominantly pediatric-centric disease. This collection of diseases has a myriad of etiological considerations that will begin the patient's story towards investigation and ultimately treatment. Intrigues and hidden antagonists will lurk so keen...
Jun 28, 2024•21 min
On this episode of Talking Pediatrics, we are focusing on the “I” of LGBTQIA, which is the intersex community. It is estimated that about 2% of people worldwide have intersex traits and that there are around 40 different ways that people can express intersex traits or come to identify as intersex. Our guest Ly Baumgardt (it/he/they) is the intersex coordinator at TIGERRS and shares their expertise on how health care teams can best care for intersex patients. View the transcript here: https://www...
Jun 14, 2024•21 min
For many families, the idea of their child going under general anesthetic can be frightening and a time of deep uncertainty. During these times, family often turn to their trusted Primary care providers for advice and counselling.In first installment of “Specialty Spotlight with Siva,” we welcome Dr. Megan Clinton. Dr. Clinton, is a renowned pediatric anesthesiologist, who will help us break down the complexities of pediatric anesthesia, addressing common concerns, best practices, and the latest...
May 31, 2024•23 min
Death from suicide amongst older kids and teens surpasses those from major medical illnesses like heart disease and cancer and has only been increasing worldwide over the past 20 years. As pediatricians, we play a pivotal role in early detection and prevention of suicidality. Recently the AAP has recommended screening adolescents at every health encounter, providing a safety net for intervention even when knee pain or acne are the chief complaints. But when a flag is positive, what do we do as p...
May 17, 2024•27 min
Joining together with patients and families in pediatrics can present challenges, particularly when it involves convincing adolescents to follow medical recommendations. There are times when less than ideal compliance to a care plan is undertaken. This can leave clinicians in a confusing situation where they may not know what to do; where they are unsure how to do good for the patient and respect the adolescent's assent and dissent. This can lead us to having to consider a "least worst" option o...
May 03, 2024•17 min
