Charting Pediatrics

A child can be doing well on paper and still be struggling to grow into who they are. They're meeting milestones. They're doing fine in school. There's no diagnosis and no crisis. There's nothing that sends up a red flag. But are they learning how to manage frustration, build healthy relationships, navigate conflict, recover from setbacks and ask for help when they need it? Mental health in childhood isn't just about identifying what's wrong. It's also about understanding what healthy development looks like and recognizing opportunities to strengthen it before there's a problem to diagnose.

This episode was recorded live on the exhibit floor at the 2026 American Academy of Pediatrics Conference in San Diego, California. Joining us for this episode is Joan Jeung, MD. She is a clinical professor within the Department of Pediatricians and Division of Developmental Medicine at the University of California San Francisco School of Medicine.

Some highlights from this episode include:

This episode is underwritten by Wings Credit Union, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. Wings generously responded to Children's Colorado's State of Emergency for pediatric mental health in 2021 and is pleased to support this episode. For more information on Children's Colorado, visit: childrenscolorado.org.

Toilet training may seem like a simple developmental milestone until you're the pediatrician helping a family navigate accidents, resistance, constipation, regression, and the growing pressure to get it right. For many families, toilet training quickly stops being about developmental readiness and starts becoming a collision of pressure, comparison, preschool deadlines, power struggles, and late-night Googling. What seems like a simple milestone on the surface often turns into one of early childhood's most emotionally charged transitions. And for pediatricians, it remains one of the most common yet surprisingly nuanced conversations in clinical practice.

To unpack the developmental science, behavioral realities, and clinical challenges we are joined by two experts: Yodit Denu, PhD, and Melissa Buchholz, PsyD. As child psychologists, they specialize in infant and early childhood mental health. They both teach at the University of Colorado School of Medicine.

Some highlights from this episode include:

For more information on Children's Colorado, visit: childrenscolorado.org. Follow us on Instagram @ChartingPediatrics

The NICU discharge is a milestone, but it's not the finish line. For children born prematurely, primary care plays a critical role in what comes next: tracking growth and development, recognizing ongoing health needs and helping families navigate the transition from intensive neonatal care to everyday childhood. But how should pediatricians adjust their approach? And what are the things we're at risk of missing? We're focusing on the practical side of caring for children born prematurely in the primary care setting, with the goal of helping pediatricians turn a complex NICU history into a clear, proactive care plan. Prematurity may shape the beginning of the story, but primary care helps shape what comes next.

To move beyond the NICU discharge summary, we are joined by Laura Brown, MD. She specializes in neonatal and perinatal medicine at Children's Hospital Colorado. She is also a professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

An earache. A fussy toddler. A worried parent. And often, a familiar prescription: antibiotics. Acute otitis media is one of the most common reasons children receive antibiotics. But as we continue to better understand when antibiotics truly make a difference — and when children may do just as well without them — there's an opportunity to rethink what appropriate treatment looks like. So how can pediatricians confidently reduce unnecessary prescribing while still treating pain, addressing parents' concerns, and making sure the children who do need antibiotics get them? We'll answer that in this episode.

To dive into this ever-evolving topic, we are joined by two experts. Nicole Poole, MD, specializes in infectious diseases at Children's Colorado, serves as the Associate Medical Director of the Antimicrobial Stewardship Program and leads the Outpatient Antibiotic Stewardship Program. She is also an associate professor at the University of Colorado School of Medicine. Holly Frost, MD is a pediatrician at Intermountain Health and also serves as Enterprise Associate Chief Medical Officer, Professor of Research at Intermountain and faculty in pediatric infectious diseases at the University of Utah

Some highlights from this episode include:

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

There was a time when the vaccine conversation in pediatrics felt straightforward: here's the schedule, here's what your child needs, and here's when they need it. Today, it's anything but simple. The recommendations are evolving. The vaccine schedule is under a microscope. New guidance is emerging around COVID-19 and RSV. And at the same time, pediatricians are sitting across from families who may be confused, skeptical or overwhelmed by what they're hearing online. So how do we make sense of all of it — and, perhaps more importantly, how do we talk about it?

To break down the latest recommendations from the American Academy of Pediatrics we are joined by Sean O'Leary, MD, the immunization schedule editor for the AAP. He specializes in infectious diseases and is the director of the Colorado Pediatrics Practice-Based Research Network, also known as the Colorado Children's Outcomes Network. He is also a professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Atopic dermatitis may be common, but it can be anything but simple. For children and their families, sleepless nights from persistent itch and discomfort from recurrent flares can take a real toll, and the treatment landscape is changing quickly. So, what do pediatricians need to know? In this episode, we'll unpack the latest American Academy of Dermatology guidelines for children, from daily skin care and topical treatments to when we need to intensify therapy.

To break down these new guidelines, we are joined by two dermatologists here at Children's Colorado: Emily Gurnee, MD, and Carla Torres-Zegarra, MD. Both teach at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Wheezing, cough and increased work of breathing are common pediatric presentations that can quickly lead clinicians to consider asthma. But not every child with lower -airway symptoms has asthma. Viral illness, tracheomalacia, aspiration and other conditions can mimic asthma, making the underlying cause difficult to recognize based on symptoms alone. In this episode, we take a closer look at the clinical clues that can help pediatricians distinguish non-asthmatic causes of lower-airway symptoms from asthma.

Monica Federico, MD, is a pulmonologist at Children's Hospital Colorado, the medical director of the hospital's asthma program and a professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Fifteen minutes. That's about all the time most pediatricians have to care for an entire child and family. In that brief visit, they are expected to address preventive care, developmental concerns, chronic conditions, behavioral health, documentation, and countless questions from parents, all while building meaningful relationships. It's a lot to ask of both clinicians and the healthcare system. What if the answer isn't working faster, but working differently? Today, we're talking about how pediatric practices can build systems that support better coordinated, family-centered care while creating more sustainable and fulfilling careers for clinicians.

Joining us for this important discussion is Tricia Ramos, MD. She is a general pediatrician visiting all the way from Quezon City in the Philippines.

Some highlights from this episode include:

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

Iron deficiency anemia is one of the most common nutritional deficiencies in children and adolescents, but it can sometimes be easy to miss. From the toddler who drinks almost exclusively milk to the adolescent athlete struggling to keep up with their peers or the teen with heavy menstrual bleeding and persistent fatigue, these patients may present differently while sharing the same underlying diagnosis.

In this episode, we explore iron deficiency anemia in pediatric patients, including why it remains so common, which children and adolescents may be at increased risk, and the clinical clues that can help pediatricians recognize iron deficiency before it becomes a missed opportunity. Joining us for this important conversation is Akhila Vadivelan, MD, a pediatric hematologist/oncologist at Children's Hospital Colorado and an assistant professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Tics are common in childhood, but recognizing when they are part of typical development, and when they may indicate Tourette syndrome or another tic disorder, can be challenging for pediatricians. A child repeatedly blinks during a well visit. A parent mentions a new throat-clearing sound that has been happening for weeks. Soon comes the question pediatricians hear often: "Should I be worried?"

In this episode, we take a closer look at tics and Tourette syndrome, helping pediatricians distinguish common childhood tics from situations that may warrant further evaluation. We'll explore the natural history of tic disorders, common co-occurring conditions, and practical strategies for counseling and supporting families.

Joining us for this conversation is Chelsey Stillman, PA-C, a physician assistant at Children's Colorado and the creator and director of the Integrative Tic Clinic. She is also an Assistant Professor of Pediatrics.

Some highlights from this episode include:

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

When adults look back on school, they often remember more than lessons and worksheets. They remember recess — the playground, movement, friendships, laughter and freedom. Yet in many schools today, recess can be one of the most negotiable parts of the school day. It may be shortened, delayed or withheld in favor of academics, structure or behavior management. But research continues to show that recess is far more than a break. Regular opportunities for play and movement support children's physical health, mental well-being, social development, and ability to learn. Pediatricians are uniquely positioned to keep play, movement and recess part of the conversation about child health.

We're joined by two experts from Children's Hospital Colorado: Amanda Lopez, a school health nurse, and Eve Kutchman, a prevention education and outreach manager. Together, they share insights into the role of recess in children's health and development and how pediatricians can advocate for making play a priority.

Some highlights from this episode include:

This episode is underwritten by Ovintiv, proud philanthropic supporter of Charting Pediatrics and the Children's Hospital Colorado Foundation. Ovintiv recognizes that their responsibility begins in the communities where they live and work. They are committed to giving back and building safer and more resilient communities. Ovintiv's generous support has made a monumental difference for our patients and families, from enhancing health outcomes to reducing health disparities.

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

Some of the most serious diagnoses in pediatrics begin with common pediatric symptoms. A child comes in looking pale or with a febrile illness. They've been more tired than usual. Maybe they're bruising easily or complaining their legs hurt. Individually, none of these symptoms are unusual. Together, or with persistence, they can tell a different story. Leukemia is the most common childhood cancer, but it's earliest signs often resemble everyday illnesses.

The episode introduces Ashley Rogers, MD, a pediatric oncologist at Children's Hospital Colorado and faculty member at the University of Colorado School of Medicine, as the newest host of Charting Pediatrics. As David Brumbaugh concludes his remarkable nine-year tenure as host, he passes the microphone to Dr. Rogers, ushering in the next chapter of the podcast.

Dr. Rogers joins the conversation to share her expertise on childhood leukemia, including key considerations for diagnosis, treatment and the pediatrician's role in recognizing and managing these patients. This episode offers both valuable clinical insights and a warm welcome to a new voice who will continue bringing evidence-based pediatric education to listeners.

Some highlights from this episode include:

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

Tick bites used to be a seasonal nuisance, something you might mention briefly at a well visit in late spring. But that's no longer the reality. With emergency department visits for tick bites climbing to their highest levels in nearly a decade and tick populations expanding into new regions, pediatricians are now seeing the ripple effects of a changing environment in real time. In this episode, we break down what's driving this surge, how to approach tick bites in clinic, and what's new in our understanding of tick-borne illness — including important updates on alpha-gal syndrome that every clinician should have on their radar.

In this episode, we are joined by tick expert, Justin Searns, MD. He specializes in pediatric infectious diseases and hospital medicine at Children's Hospital Colorado. He is also an associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Puberty doesn't always follow the expected timeline. What happens when it shows up ahead of schedule? For pediatricians, the early appearance of breast development, pubic hair or accelerated growth can trigger a cascade of questions. Is this a normal variant? Should we investigate further? When is it time to refer? In this episode, we unpack the complexities of precocious puberty and explore how timely identification and thoughtful management can make a lasting difference for kids and their families.

To create clarity, we are joined by Stephanie Hsu, MD, PhD, and Clare Parker, MD. Dr. Hsu specializes in endocrinology here at Children's Hospital Colorado and is an associate professor at the University of Colorado School of Medicine. Dr. Parker is a pediatric endocrinology fellow.

Some highlights from this episode include:

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

A child's future begins long before the first words, first steps or even the first smile. In the span of just 1,000 days, billions of neural connections are formed, and the foundation for lifelong health, learning, and resilience quietly takes shape. Pediatricians understand the critical nature of early development, and they translate that message to parents, helping guide, nurture, recognize risk and shape outcomes that can last decades.

To explore this fascinating time in a child's life, we are joined by two experts. Caroline Dias, MD, PhD, and Annie Helms, MD, both specialize in developmental and behavioral pediatrics here at Children's Hospital Colorado and are assistant professors at the University of Colorado School of Medicine. Dr. Helms also leads the BLOSSOM Clinic at Children's Colorado.

Some highlights from this episode include:

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

The human spine is designed to support, balance and adapt through a lifetime of growth. But what happens when that growth starts to bend in an unexpected direction? Scoliosis often emerges during periods of rapid development, turning what should be a normal growth spurt into a race against progression. The challenge isn't just finding the curve. It's predicting what that curve will do next.

To explore the latest in scoliosis care, we are joined by Mark Erickson, MD. He specializes in orthopedic surgery and is the Medical Director of the spine center at Children's Hospital Colorado. He is a professor at the University of Colorado School of Medicine as well as the fellowship director of pediatric orthopedic surgery.

Some highlights from this episode include:

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

When most people hear the word "discipline", they think consequences, punishments or stopping bad behavior in the moment. But what if we've been thinking about discipline too narrowly? We are reframing discipline in toddlers through a completely different lens. One rooted in connection, development and emotional regulation. Because toddler "misbehavior" isn't usually about manipulation or defiance. More often, it's communication.

To help us create developmentally appropriate expectations, we are joined by two experts. Julia Palozzi, PsyD, specializes in child psychology here at Children's Hospital Colorado and is an instructor at the University of Colorado School of Medicine. Alyson Hatten, MS, is a Licensed Professional Counselor, specializing in child counseling as well as infant and early childhood mental health. She also is an assistant professor.

Some highlights from this episode include:

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

It's one of the most unsettling calls a pediatrician can get: a baby who turned blue, stopped breathing or suddenly went limp, only to appear completely normal moments later. Welcome to the clinical gray zone of BRUE (Brief Resolved Unexplained Event). It sits at the intersection of alarm and ambiguity, where the history is often dramatic, but your clinical exam is reassuring. We are going to go beyond the definition and into real-life decisions that you have to make on the phone and in the office. From risk stratification to avoiding unnecessary testing, we break down what actually matters in the moment and what doesn't.

This episode was recorded during a live podcast event in Colorado Springs with Michael DiStefano, MD, and Jamie Hug, DO. Dr. DiStefano is the Chief Medical Officer of Children's Hospital Colorado, Colorado Springs, and a pediatric emergency medicine physician. Dr. Hug is a pediatrician in Southern Colorado at the Children's Clinic of Pueblo.

Some highlights from this episode include:

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

For many families, water represents joy, summer afternoons, swimming lessons, beach vacations, backyard pools and time spent together. But in pediatrics, we also know that water can become dangerous in seconds, often quietly and without warning. Drowning remains one of the leading causes of preventable death in children, and recent updates from the American Academy of Pediatrics reinforce that prevention must be layered, proactive and tailored. In this episode, we explore how pediatricians can support drowning prevention, because some of the most important work in pediatrics happens long before an emergency occurs.

We are joined by Jason Woods, MD. He specializes in emergency medicine at Children's Hospital Colorado and is the Associate Program Director of the Pediatric Emergency Medicine Fellowship Program at the University of Colorado School of Medicine. He is also an associate professor.

Some highlights from this episode include:

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

What if the patient you're least worried about is the one most at risk? In pediatrics, we're trained to look for red flags such as low weight, failing growth curves and visible signs of malnutrition. But atypical anorexia challenges that instinct. These patients may sit comfortably on the growth chart, or even above it, while experiencing the same dangerous behaviors and medical instability as those with classic anorexia. In this episode, we rethink what we've been taught to look for. We explore how atypical anorexia presents, why it's so often missed and what it takes to recognize the warning signs hiding beneath the surface.

To discuss this important topic, we are joined by Kimberly Sheffield, PhD. She is an eating disorders psychologist at Children's Hospital Colorado, as well as the clinical director of PMHI day programs, and the associate training director for psychology training.

Some highlights from this episode include:

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

Heart murmurs are one of the most common findings in pediatric practice, but determining which ones warrant further evaluation can be challenging. While many murmurs are innocent, others may signal underlying structural heart disease and require timely referral and management.

In this episode, we discuss how pediatricians can approach the evaluation of heart murmurs, including key features of the child's history and physical exam that help distinguish benign murmurs from those that may be pathologic. We also explore how factors can influence what you hear through your stethoscope.

Joining us is Christopher Rausch, MD, pediatric cardiologist and Director of the Cardiac Developmental Outcomes Program at Children's Hospital Colorado. He is also a professor at the University of Colorado School of Medicine. Dr. Rausch shares practical insights to help pediatricians feel more confident in evaluating murmurs, identifying red flags, and knowing when referral is appropriate.

Some highlights from this episode include:

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

Ebola has a way of cutting through the noise of the news cycle. Its name alone can shift conversations in exam rooms and on living room couches. But what's circulating in headlines is not always what's circulating in reality. For pediatricians, that gap matters. In this episode, we break down what's actually happening right now with Ebola, what is known about current risk and how clinicians can respond when families arrive with urgent questions shaped more by media than by medicine.

To guide us through the science, we are joined by Sam Dominguez, MD, PhD. He is the Medical Director of the Clinical Microbiology Laboratory, as well as the Associate Medical Director of Infection Control and Prevention at Children's Hospital Colorado. He is a professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

There's a moment in a pediatrician's day that doesn't show up on the schedule. It's the bruise that doesn't quite match the story, or the awkward pause after a parent answers a question just a little too quickly or the child who won't make eye contact or let go of your sleeve. In these moments, pediatricians become more than clinicians. They become interpreters, advocates and sometimes the only line of protection.

To help us understand the latest on child abuse, we are joined by Denise Abdoo, PhD, CPNP. Dr. Abdoo is a pediatric nurse practitioner who specializes in child abuse and neglect. She is also an associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

When a rare disease suddenly dominates headlines, questions spread quickly and so does anxiety. Over the past few weeks, hantavirus has re-entered the national conversation, leaving many families wondering how concerned they should be. For pediatricians, moments like this can be challenging as they balance public concern with clinical reality, and help families navigate information that is often incomplete, alarming or misleading. In this episode, we take a closer look at hantavirus through an evidence-based pediatric lens including what it is, how transmission occurs, who is truly at risk and what clinicians should know when these questions inevitably enter the exam room.

To create clarity, we are joined by Samuel Dominguez, MD, PhD and Justin Searns, MD. Dr. Dominguez is the Medical Director of the Clinical Microbiology Laboratory, as well as the Associate Medical Director of Infection Control and Prevention at Children's Hospital Colorado. Dr. Searns specializes in pediatric infectious diseases and hospital medicine. Both of these experts teach at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Pediatric urinary tract infections, or UTIs, don't always follow a script. While they're one of the most common diagnoses, they're also one of the most nuanced. They can be subtle, inconsistent and easy to over — or under — diagnose. Aside from clear urinary symptoms, they can show up as a fever without a source, vague abdominal pain, new incontinence or a child who simply isn't acting like themselves. And in those moments, the decisions pediatricians make such as who to test, how to collect a sample or how to interpret results, carry real clinical weight.

To dive into this topic, we are joined by Kevin Olson, PA, and Meghan Rommel, NP, who practice in the Department of Pediatric Urology at Children's Hospital Colorado.

Some highlights from this episode include:

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

Genetic testing is no longer a distant, specialized tool reserved for rare disease clinics or academic centers. It's showing up in pediatric practice. For example, pediatricians are increasingly considering genetic diagnoses in children with developmental delays outside the normal range. A NICU graduate may already carry a genetic diagnosis when they see their pediatrician after discharge. What does the practicing pediatric provider need to understand about ordering and interpreting genetic tests? In this episode, we unpack how community pediatricians can make sense of the world of genomics.

Joining us for this robust conversation are Austin Larson, MD, and Margarita Saenz, MD. Dr. Larson is a pediatric medical and biochemical geneticist. He is the Medical Director of Precision Medicine Clinical Informatics, as well as the Director of the Mitochondrial Care Network Clinic at Children's Hospital Colorado. Dr. Saenz specializes in clinical genetics and dysmorphology. She is the Medical Director of Precision Medicine Education and Family Engagement. They both are faculty members at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

It's one of the most common calls you'll get as a pediatrician, and one of the fastest infections to spread through a classroom. A pink eye shows up and suddenly the questions follow: Is it contagious? Do they need drops? Can they go back to school? Pink eye seems like a simple fix until it's not. From bacterial to viral to allergic, knowing what you're looking at can change how it impacts a family.

Rebecca Edwards Mayhew, MD, PhD, specializes in pediatric ophthalmology and adult strabismus, at Children's Hospital Colorado. She is also an assistant professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

"Picky eater" is one of the most common labels in pediatrics and one of the easiest to overlook. But when a child's diet is shrinking instead of expanding, when meals are a source of stress instead of routine, or when growth and nutrition start to feel like a question mark, it's worth taking a second look. In this episode, we're discussing ARFID: what it looks like in clinic, how to spot the difference from typical picky eating, and how to approach these patients with a sharper clinical lens.

In this episode, we are joined by Kimberly Sheffield, PhD. She is an eating disorders psychologist at Children's Hospital Colorado, as well as the Clinical Director of Pediatric Mental Health Institute (PMHI) day programs, and the Associate Training Director for Psychology Training.

Some highlights from this episode include:

This episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent is Colorado's largest credit union serving more than 550,000 members at 60 service centers across the Front Range. Ent generously responded to Children's Colorado's State of Emergency for pediatric mental health in 2021 and is pleased to support this episode. Visit ent.com, insured by NCUA.

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

A toddler takes their first bite of peanut butter and breaks out in hives. A parent sits across from you, equal parts frightened and overwhelmed, asking the question you hear every day, "What happens now?" Food allergies have long lived at the intersection of fear and uncertainty, for families and clinicians alike. But that story is changing. A landscape once defined by strict avoidance is rapidly evolving into proactive management, personalized risk assessment, and emerging therapies that are reshaping outcomes. In this episode, we step into that evolving world. From early introduction and updated diagnostic strategies to the expanding role of oral immunotherapy and biologics, we'll unpack what's here, what's coming, and what it means for how you care for patients in real time.

Two allergy experts, David Fleischer, MD, and Allison Hicks, MD, join us for this episode. Dr. Fleischer is the Section Head of Allergy and Immunology, as well as the Director of the Allergy and Immunology Center at Children's Hospital Colorado. Dr. Hicks is the Director of Food Immunotherapies. They both teach at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Inside every one of us is a complex, evolving ecosystem influencing everything from immunity to inflammation to long-term health. This is known as our gut microbiome. The choices made early on, such as how babies are born, fed and treated, can have lasting effects. In this episode, we explore the pediatric gut microbiome: what builds it, what disrupts it and why it matters more than some may think.

We're joined by gastroenterology experts Jaime Belkind-Gerson, MD, and Edwin DeZoeten, MD.Dr. Belkind-Gerson is the Director of the Neurogastroenterology program at Children's Colorado. Dr. DeZoeten is the Director of the Pediatric Inflammatory Bowel Disease Center. They are also professors at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Every pediatric visit tells two stories. One is about the child in front of us: their growth, symptoms and milestones. The other belongs to the parent beside them, often unspoken but deeply felt. In this episode, we're talking about parental wellbeing and why it belongs at the center of pediatric care. From chronic stress and mental health challenges to resilience and support systems, a caregiver's experience doesn't stay in the background but rather shapes a child's biology, behavior and long-term health.

To discuss this important topic, we are joined by Mona Amin, DO. She is a board-certified pediatrician, a mom of two and the founder of the incredible podcast PedsDocTalk,a globally recognized platform reaching over 1.5 million people.

Some highlights from this episode include:

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

A tired teen who struggles to get out of bed or a child whose growth is falling behind expectations, are familiar clinical problems, each with a differential diagnosis. Thyroid disorders are often on the differential for many common symptoms we see, yet thyroid disease rarely walks into the office announcing itself. Instead, thyroid disorders can hide in plain sight, disguised as other diagnoses such as anxiety, depression, ADHD, delayed puberty, constipation or "just teenage hormones." In this episode, we've diving into the physiology, the pitfalls and the practical decisions behind pediatric thyroid care. Because when we understand the thyroid, we can protect long-term health.

Maggie Chan, MD, is an endocrinologist at Children's Hospital Colorado, as well as an associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Anatomy doesn't work in silos. For example, the airway affects feeding. Feeding affects growth. Reflux affects the lungs. Suddenly, one child has three subspecialists and one very full calendar. Aerodigestive medicine lives in that overlap, and while multidisciplinary teams bring powerful expertise, primary care providers are co-managing these patients. They are fielding the "is this normal" calls. They are tracking growth, advocating for these patients and helping families make sense of recommendations.

In this episode, we talked to two experts about what meaningful co-management looks like, Emily DeBoer, MD, and Todd Wine, MD. Dr. DeBoer specializes in pulmonology at Children's Colorado and is a professor at the University of Colorado School of Medicine. Dr. Wine specializes in otolaryngology and is an associate professor.

Some highlights from this episode include:

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

Something is shifting in medicine, and it's hitting pediatrics hard. Fewer students are choosing to become pediatricians. Who will care for the next generation of kids and how will they do it? This episode isn't just another conversation. It's a call to action. From technology shaping tomorrow's doctors to strengthening the pediatric pipeline, we will explore how the next generation is redefining the future of pediatrics.

The journey to becoming a pediatrician is full of discovery, challenge and purpose. In this episode, we are joined by two future pediatricians sharing their own journeys to help us understand the bigger picture. Hannah Bullock, MD, is a resident, and Sarah Martin is a medical student at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

A parent walks into the exam room, but they're not alone. They've brought TikTok, Instagram, a comment section, a conspiracy thread and a viral video with 12 million views. Welcome to modern pediatrics. In this live recording, we're diving into the digital ecosystem that's shaping how families think, worry and decide. Social media isn't just background noise anymore — it's co-parenting with us. Sometimes it's loud. Sometimes it's supportive, and other times, it's just plain reckless. We are exploring how misinformation spreads faster than measles, why fear goes viral and how pediatricians can reclaim their role as trusted guides in a scroll-first world. This isn't about fighting the internet. It's about learning how to practice medicine inside it.

Mona Amin, DO, traveled from Florida to be our guest for this live event. She is a board-certified pediatrician, mom of two and founder of the incredible podcast The PedsDocTalk. That podcast is part of her globally recognized platform reaching over 2 million people with evidence-based guidance, actionable tips and relatable insights on child health, development and parenting.

Some highlights from this episode include:

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

Bullying doesn't always look like bruises and broken lunch trays. Sometimes it looks like a kid who suddenly "hates" school or a teen who's glued to their phone but never smiling. Other times, it's a patient who keeps showing up to clinic with vague symptoms like headaches, nausea and no clear diagnosis. In pediatrics, we're trained to look for patterns in data such as growth charts and lab results. But some of the most crucial patterns show up in silence, withdrawal and fear. In this episode about bullying, we are going to examine how it's changed, how it hides and why it's a health issue, not just a school problem.

Lauren Henry, PhD, is a psychologist at Children's Hospital Colorado, as well as an assistant professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

The first 24 hours of a newborn's life are not just clinical — they are electric. They're where physiology meets fear and policy meets instinct, revealing just how resilient and vulnerable babies can be. In this episode, we're unpacking what happens on that first day from the golden hour and early feeding behaviors to delayed bathing and recommended care.

Anna Ruman, MD, specializes in pediatrics at Children's Hospital Colorado. She is also an assistant professor at the University of Colorado School of Medicine. Christine Gold, MD, specializes in pediatric hospital medicine and is an associate professor.

Some highlights from this episode include:

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

In pediatrics, we often meet families during their most vulnerable moments such as illness, transition, fear and change. While pediatricians are trained to diagnose and manage disease, some of the most powerful interventions we offer don't come in a prescription bottle. They are found in the relationships we help build, strengthen and protect. In this episode, we're exploring how trauma, attachment and the family system are key to understanding patients.

Benjamin Perks works for the United Nations in New York on human rights and child development and protection. He is a senior fellow at the Jubilee Centre at the University of Birmingham in the UK and an associate member of the department of social policy and innovation at the university of oxford. He is also the author of the book titled "Trauma Proof." Susan Caso is a licensed therapist, speaker and author. She serves as a board member and advisory for The Liv Project. She is the author of the book "The Parent-Teen Connection: How to Build Lifelong Family Relationships."

Some highlights from this episode include:

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

Adolescence is full of firsts. Big questions about bodies, safety and choices rise to the surface. Contraception can feel intimidating for teens and complex for pediatricians. However, it's also a powerful touchpoint to shape safety, confidence and long-term health. In this episode, we're unpacking the role pediatricians play in guiding teens through reproductive care, where pediatricians can transform a potentially awkward moment into an opportunity for empowerment.

For this discussion, we're joined by Tricia Huguelet, MD. She is the section chief of the Division of Pediatric and Adolescent Gynecology at Children's Hospital Colorado. In addition to being a professor at the University of Colorado School of Medicine, she is the program director for the Pediatric and Adolescent Gynecology Fellowship, and co-director of the Young Women Bleeding Disorders Program.

Some highlights from this episode include:

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

Before the Friday night lights and before the season even begins, there's one appointment that can determine athletic eligibility: the pre-participation sports physical. For pediatricians, it's often treated like a checkbox but in reality, it's a powerful clinical moment. Sometimes it is the one chance to catch something that can change a life. In this episode, we explore how to turn the pre-participation physical from paperwork into prevention. We'll break down what really matters in the sports physical, what red flags to watch for and how to use this visit to protect young athletes and support families.

Kristina Wilson, MD, and Nate Howell, MD, join us for this episode. Dr. Wilson is the Medical Director of the Sports Medicine Center at Children's Hospital Colorado and an Associate Professor at the University of Colorado School of Medicine. Dr. Howell specializes in primary care sports medicine and is also an Assistant Professor.

Some highlights from this episode include:

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

GLP-1 medications have become an important part of adult obesity treatment and are now increasingly relevant in pediatric care. As new approvals emerge and clinical guidance continues to evolve, pediatricians are being asked to consider when, and for whom, these therapies may be appropriate. In this episode, we review the current evidence, discuss clinical considerations and examine the evolving role of GLP-1 medications in child and adolescents.

Megan Kelsey, MD, is the medical director of both lifestyle medicine and adolescent bariatric surgery. Jaime Moore, MD, specializes in pediatric nutrition and obesity medicine. Both Drs. Moore and Kelsey are on the faculty here at the University of Colorado School of Medicine.

Some highlights from this episode include:

Below are some resources mentioned in this episode:

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

Circumcision is one of the most common procedures performed in newborns. For such a frequent procedure, it can stir up big conversations in the primary care office. How do you help families make informed decisions? What technique details really matter? What's the role of the pediatrician when something doesn't look quite right in the days that follow? In this episode, we're unpacking the real-world essentials of circumcision in primary care from evidence-based counseling to timing, pain control, and navigating those questionable moments.

Kelly Harris, MD, and Brian Caldwell, MD, both specialize in urology at Children's Hospital Colorado. Dr. Harris is an assistant professor, and Dr. Caldwell is an associate professor at the University of Colorado School of Medicine

Some highlights from this episode include:

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

A growth charts tell a story long before a child can. A sudden dip, a stubborn plateau, a pubertal spurt that arrives too early, or too late, can spark big questions. From short stature to rapid puberty, it's time to unpack the patterns, pitfalls and possibilities behind pediatric growth. We want to help you sort the reassuring from the concerning and recognize when an endocrinology referral can truly change the trajectory.

Animesh Sharma, MD, specializes in endocrinology at Children's Hospital Colorado, and is an assistant professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

When addressing obesity in the clinic, it's common to ask patients to focus on food and exercise. But what if we think upstream of the clinical problem and consider the environments, habits and systems that shape health from the very beginning? In this episode, we sit down with an expert whose research has focused on building resilience against obesity starting early in life. From family dynamics to school and community initiatives, the picture of prevention is complex.

Shari Barkin, MD, is the Pediatrician in Chief at Children's Healthcare of Atlanta. She is also the Chair of the Department of Pediatrics, Executive Director of the Pediatric Institute, and the George W. Brumley Jr. Endowed Professor of Pediatrics at Emory University School of Medicine.

Some highlights from this episode include:

This episode is underwritten by Ovintiv, a proud philanthropic supporter of Charting Pediatrics and the Children's Hospital Colorado Foundation. Ovintiv recognizes that their responsibility begins in the communities where they live and work. They are committed to giving back and building safer and more resilient communities. Ovintiv's generous support has made a monumental difference for our patients and families, from enhancing health outcomes to reducing health disparities.

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

Joint pain is a common concern in pediatric practice. If a child is limping after sports or describes vague aches and pains, it often points to a minor injury or a self-limited condition. But in some cases, joint pain may signal something more serious. The challenge for pediatricians is knowing how to distinguish benign, mechanical causes from symptoms that warrant further evaluation. In this episode, we explain how to identify red herrings versus true red flags in pediatric joint pain. While awaiting a rheumatology referral, we'll talk about what primary care pediatricians can do in the meantime to support children and families facing the possibility of arthritis.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. Angela Chun, MD, is the associate program director for the Division of Rheumatology at Lurie Children's Hospital of Chicago. She is also an assistant professor at the Northwestern University Feinberg School of Medicine.

Some highlights from this episode include:

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

Anxiety in children can serve as a safeguard or become profoundly disruptive. For pediatricians, distinguishing between developmentally appropriate worry, generalized anxiety disorder and clinically significant anxiety is rarely straightforward. In this episode, we explore how anxiety presents across childhood, why it is more than "just nerves" and how pediatricians can play a key role in early identification and support.

Benjamin Mullin, PhD, is the lead psychologist of the Colorado OCD and Anxiety Program (COAP) at Children's Hospital Colorado, as well as an associate professor at the University of Colorado School of Medicine. He is also the Leslie and William Vollbracht Family Chair in Stress and Anxiety Disorders.

Some highlights from this episode include:

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

From a newborn's first trip home to the day a teenager buckles into the driver's seat, car rides are milestones throughout childhood. Between those moments lie years of transition: rear-facing to forward-facing seats, boosters to seat belts, and countless opportunities for confusion, error and learning. This episode breaks down the latest recommendations in child passenger safety, addresses common misconceptions, and offers practical guidance pediatricians can use to help families keep children safe at every stage.

This episode was recorded on the exhibit floor of the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. Meghan Beucher, MD, is an assistant professor of emergency medicine and pediatrics, as well as a trained child passenger safety technician instructor, with Hasbro Children's Hospital and the Warren Alpert Medical School of Brown University. Raquel Denis, MD, is an assistant professor of pediatrics at Prisma Health and the University of South Carolina, as well as a child passenger safety technician.

Some highlights from this episode include:

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

In pediatric practice, few topics are as foundational and scientifically grounded as vaccinations. This season, a major shift in federal vaccine advisory guidance has sparked fresh discussion about how we protect infants from hepatitis B. The Center for Disease Control and Prevention's advisory committee on immunization practices voted to revise the more than 30-year guidance around the universal birth-dose of the Hepatitis B vaccine. In this episode, our goal is to provide clarity for clinicians on the best vaccination approach for our youngest patients.

For this important discussion, we are joined by Sean O'Leary, MD, a pediatric infectious disease specialist at Children's Colorado, as well as a professor at the University of Colorado School of Medicine. He is also chair of the American Academy of Pediatrics (AAP) Committee on Infectious Diseases, otherwise known as the Red Book Committee.

Some highlights from this episode include:

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

Food is more than fuel. Its culture, comfort, connection and, increasingly, a source of confusion for families. Parents ask questions shaped by headlines, influencers and evolving dietary guidelines. Pediatricians aren't simply monitoring growth curves, they are helping families navigate a complex nutrition environment that influences children's health now and long into adulthood. In this episode, we explore how to navigate today's dietary landscape with clarity, compassion and evidence-based tools you can use in everyday practice, highlighting the importance of healthy eating.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Praveen Goday, MD, is a gastroenterologist at Nationwide Children's Hospital, as well as the director of their nutrition and feeding programs. He is also a clinical professor at Ohio State University.

Some highlights from this episode include:

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

Water is essential to a child's health, making up the majority of their body weight. But when illness or heat disrupts that balance, dehydration can set in quickly and dangerously. Despite being one of the most common pediatric issues, the simplest and most effective solution often goes unnoticed: oral rehydration. In this episode, we'll shine a light on this powerful yet underused therapy. From recognizing early warning signs to selecting the best approach, we'll explore the science and practical tools behind keeping children safely hydrated.

Joining us virtually from Iowa is Aamer Imdad, MD. He is a gastroenterologist at Stead Family Children's Hospital, as well as an assistant professor of pediatrics at the University of Iowa.

Some highlights from this episode include:

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

Childhood obesity management has evolved far beyond the traditional advice of "eat healthier and move more." Today's clinical toolbox includes GLP-1 medications, behavioral health interventions, multidisciplinary lifestyle programs and bariatric surgery. These evidence-based tools can be complex, nuanced, and sometimes controversial, but they share a common goal: supporting young people in achieving healthier lives.

In this episode, we explore how modern treatment strategies come together to meet the needs of individual patients and families. Our guests discuss when and how to use these tools, the importance of coordinated care and what pediatricians should consider as this field continues to rapidly expand.

Jonathan Hills-Dunlap, MD, is the Director of Robotics Surgery as well as the Surgical Director of the Bariatric Surgery Program at Children's Colorado. Megan Kelsey is the Medical Director of both Lifestyle Medicine and the Adolescent Bariatric Surgery Program. Both are on faculty at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Smartphones and tablets have become part of daily life for children and families, but their influence on sleep, attention, mood and overall development is increasingly under the microscope. From overstimulation and disrupted sleep patterns to rising concerns about anxiety and attention regulation, the research around screen time is rapidly evolving. In this episode, we take a closer look at the evidence behind how screens are shaping childhood and explore what pediatricians can do to help families find balance in an always-connected world.

Rachel Workman, MD, is a Pediatric Integrative Medicine Specialist at Children's Hospital Colorado and an Assistant Professor of Pediatrics at the University of Colorado.

Some highlights from this episode include:

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

Recently, leucovorin and acetaminophen have been at the center of new discussions in pediatric medicine. Could leucovorin really help some children with autism? Does the latest evidence suggest acetaminophen has any impact on neurodevelopment? In today's episode, we'll break down what the science actually tells us, what remains uncertain and how pediatricians can confidently guide families through these complex topics.

Joining us for this important discussion is Abigail Angulo, MD. She is a developmental-behavioral pediatrician at Children's Hospital Colorado. She is also an associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

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

Not every episode that looks like a seizure is one, and for pediatricians, distinguishing the difference can be challenging. Few moments in the clinic can feel as urgent, or as uncertain, as evaluating spells. In this episode, we unravel the mysteries of seizures and their mimics to prevent misdiagnosis and avoid unnecessary intervention.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Shavonne Massey, MD. She is a neurologist at Children's Hospital of Philadelphia and an Assistant Professor of Neurology at the University of Pennsylvania School of Medicine.

Some highlights from this episode include:

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

Behind every medical breakthrough for kids is usually a long history of research advances. Research is incremental, and new therapies exist, thanks to questions that are asked in science laboratories. Those investigators not only asked the hard questions but also found the funding to answer them. What happens when that funding starts to disappear? Research drives progress in pediatric medicine from vaccines to breakthrough treatments for rare diseases. That progress is currently at risk. Cuts and cancellations in key federal research programs, including CDC and NIH funding, threaten to stall discoveries and disproportionately impact pediatric investigators. In this episode, we dig into what's happening with child health research funding, why it matters for every pediatrician, and where the greatest opportunities for advocacy lie.

For this episode, we are joined by two experts at the forefront of this conversation. Joe St. Geme, MD, is the Physician in Chief at the Children's Hospital of Philadelphia, as well as the President of the CHOP Practice Association. He is also a professor at the University of Pennsylvania Perelman School of Medicine. Zach Zaslow is the Vice President of Advocacy and Community Health at Children's Hospital Colorado.

Some highlights from this episode include:

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

From playground falls to sports injuries, oral trauma is part of growing up. But when a tooth gets chipped, knocked out or a lip is cut, it can be stressful for families and challenging for providers. In this episode, we take a closer look at pediatric dental and oral trauma from the primary care perspective. We are focusing on what to look for, when to act and how to guide families through those anxious first moments after an injury.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Erica Brecher, DMD. She is a pediatric dentist with Duke Street Pediatric Dentistry and is on staff at Duke Children's Hospital. She is also an adjunct professor at the University of North Carolina School of Dentistry.

Some highlights from this episode include:

To access the dental trauma guide mentioned in this episode, click here. To access the app "Tooth SOS" click here. For more information on Children's Colorado, visit: childrenscolorado.org.

Groin bulges, scrotal swelling, and nonpalpable testes are findings that often surface during routine well-child exams, and they can raise immediate questions for pediatricians and families alike. Is this normal? Will it resolve on its own? Or does it require surgical referral? In this episode, we take a closer look at three common genitourinary conditions in children: inguinal hernias, hydroceles, and undescended testes. We diagnose the details to help clarify the evaluation process, management strategies, and referral guidelines that every pediatrician should know.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. Joining us is Eric Bortnick, MD. He is a Urologist and Assistant Professor of Urology at the Yale School of Medicine.

Some highlights from this episode include:

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

The childhood immunization schedule is one of the defining pillars of pediatric practice and remains among the most successful public health achievements of the modern era. Yet, in recent months, the schedule and the systems that support it have faced new challenges, raising serious concerns for pediatricians across the country.

This episode was recorded live at the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. In this episode, we discuss the latest AAP vaccine updates and the evolving landscape of childhood immunizations. Sue Kressly, MD, is a general pediatrician as well as the President of the AAP. Sean O'Leary, MD, is a pediatric infectious disease specialist at Children's Colorado and a professor at the University of Colorado School of Medicine. He is also chair of the AAP Committee on Infectious Diseases, otherwise known as the Red Book Committee.

Some highlights from this episode include:

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

Ocular complaints in children, such as a red or painful eye, sudden vision changes, or difficulty opening one eye, may be more than a minor concern. In pediatrics, these presentations can progress rapidly, and timely recognition is critical to preventing long-term vision impairment. A focused five-minute eye examination can often distinguish between emergent, urgent and routine conditions, making early assessment and intervention essential in the primary care setting.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics National Conference in Denver, Colorado. Our guest is Donny Suh, MD, Professor of Ophthalmology and Chief of Pediatric Ophthalmology at the University of California, Irvine, and Children's Hospital of Orange County.

Some highlights from this episode include:

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

Enuresis, or bedwetting, is one of the most common concerns encountered in pediatrics. It can present as nighttime bedwetting, daytime urinary accidents, or a combination of both. Oftentimes, families and clinicians are left wondering what's typical and what's considered concerning. In this episode, we focus on the evaluation and management of enuresis in children. Each case is influenced by a range of factors including fluid intake, bowel habits, sleep quality and lifestyle routines. While first-line, non-pharmacologic strategies are the cornerstone of care, effective treatment requires attention to detail and a comprehensive approach.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. In this episode, we are joined by Julie Cheng, MD, an Assistant Professor of Urology at Seattle Children's Hospital and the University of Washington.

Some highlights from this episode include:

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

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. Steven Humphrey.

Steven is a pediatric hospitalist at Children's Hospital Colorado and Instructor of Pediatrics at the University of Colorado School of Medicine.

Aaron is also a pediatric hospitalist at Children's Colorado and is Assistant Professor of Hospital Medicine at the University of Colorado School of Medicine.

POPCoRN (Pediatric Overflow Planning Contingency Response Network): https://www.popcornetwork.org/. This site is a multi-institutional collaboration that was created during the COVID-19 pandemic as a vehicle for optimizing adult care in pediatric environments. It contains many "one-pagers" which review the management of a variety of common adult conditions, links to adult protocols shared by various institutions, and recommendations regarding care of patients with COVID-19 among others. Adult medicine guidebooks: Several organizations have made available their adult medicine guidebooks free of charge.
UCSF Department of Medicine Hospitalist Handbook (currently free in the Apple and Google App Stores) MGH Resource Guide for Commonly-Encountered Inpatient Topics (available via the POPCoRN website) Society for Hospitalist Medicine: Non-Hospitalist Onboarding. This resource offers a step by step guide to preparing non-hospitalists for the inpatient management of adult care (available via the POPCoRN website) University of Pennsylvania Hospitalists Primer. A resource meant to prepare non-hospitalists for the care of hospitalized adults (http://pennhspprimer.com/)

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 through the impacts of loosened shelter-in-place orders around the country.

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 once again by un-official Charting Pediatrics co-host, Dr. Sam Dominguez. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Additionally, we are joined by Dr. Kyle Annen who is Director of the Blood Donor Center at Children's Colorado and Assistant Professor of Pathology at the University of Colorado School of Medicine.

Join our weekly COVID-19 Virtual Provider Town Hall - Thursday, April 30, 2020 from 6-7 p.m. MST

Donate convalescent plasma

ABC News Coverage of convalescent plasma for COVID-19

Do you have thoughts about today's episode or suggestions for a future podcast? Write to us, chartingpediatrics@childrenscolorado.org

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 and Director of Epidemiology at Children's Hospital Colorado. He is also a Professor Emeritus in Pediatrics at the University of Colorado School of Medicine.

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 fellow healthcare workers who have many colleagues caring for COVID-positive and exposed patients.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3, Episodes 31, 36 and 38, 41, 42, 43 and 44.

Sean has joined us several times on the podcast to discuss vaccines and vaccines hesitancy, he is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Sean is also an active spokesperson with the AAP on the topic of vaccines and services as the Director of the Colorado Children's Outcome Network.

Additionally, we are pleased to have Dr. Robin Larabee join us today as well. Robin is a pediatrician in Denver and partner with Sapphire Pediatrics.

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.

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 healthcare providers have faced is a shortage of necessary PPE. Additionally, what is the truth about the efficacy and use of homemade cloth face coverings? How should providers approach PPE as we move out of the peak of the pandemic? We will cover these topics and more in this episode.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3, Episodes 31, 36 and 38, 41, 42 and 43.

Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Sam Dominguez, MD, PhD. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Additionally, we are excited to have Pat Givens, DHA, EdM, RN, NEA-BC, as a guest today as we dive in to PPE. Pat is the Chief Nursing Executive for Children's Hospital Colorado and is serving as our PPE Guardian during the COVID-19 Pandemic.

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 every area of life. Nothing feels normal. Maintaining one's mental health while practicing social distancing, online learning and school, loss of routine and regular social interactions is a challenge!

On the podcast we have previously covered a number of topics related to the COVID-19 pandemic – you can go back and listen to those discussions on Season 3, Episodes 31, 36 and 38, 41 and 42.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 administered care through telehealth as a secondary, less preferred option in cases where distance between provider and patient was too far to be together in person. In this episode we are joined by Christina Olson, MD; Fred Thomas, PhD and Alison Brent, MD.

Christina Olson, MD is Telehealth Medical Director at Children's Colorado and Assistant Professor of Pediatrics at the University of Colorado School of Medicine

Fred Thomas, PhD is Director of Telehealth at Children's Colorado and Executive Director of ECHO Colorado; He has academic appointments in the Departments of Psychiatry, Pediatrics and Family Medicine in the Colorado School of Medicine.

And finally, we turn the mic on Charting Pediatrics co-host, Alison Brent, MD. Alison is a Pediatric Emergency Medicine Physician at Children's Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. She is currently serving on the Executive Committee of the AAP Section of Telehealth Care.

Telehealth Resources Mentioned:

Do you have questions about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 of COVID-19, answer listener submitted questions and talk about the creative delivery of primary care that you could consider implementing in your practice as you navigate the pandemic.

On the podcast we have previously covered the clinical presentation of the coronavirus in pediatrics, what providers should do if their clinical suspension is high and approaches to pediatric care during the mitigation phase of this pandemic – you can go back and listen to those discussions on Season 3, Episodes 31, 36 and 38.

Today we are fortunate to be joined again on the podcast by Sam Dominguez, MD, PhD a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Maya Bunik, MD is the Medical Director of the Child Health Primary Care Pediatrics Clinic at Children's Hospital Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Bunik was previously on the podcast to discuss Breastfeeding Management, you can listen to that on Season 1, Episode 10.

Kelly Galloway, RN, is the Director of Patient Care Services for primary care at Children's Hospital Colorado.

COVID-19 Resources for Providers

COVID-19 Resources for Patients and Families

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 Critical Care at the University of Colorado School of Medicine.

Dr. Gunville is the Associate Medical Director of the PICU at Children's Hospital Colorado and is Associate Professor of Pediatrics and Critical Care at the University of Colorado School of Medicine.

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 presentation and treatment of ingested foreign objects and the anticipatory guidance primary care providers can give to their patients and families.

What our listeners may not know about Dr. Brumbaugh is that he has a job beyond co-hosting Charting Pediatrics; he is a pediatric gastroenterologist and Associate Chief Medical Officer at Children's Hospital Colorado and is Associate Professor of Pediatrics at the University of Colorado School of Medicine.

Ingested Button Battery Clinical Pathway

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 provide you with an update as we move from a containment to a mitigation strategy. In this episode we will cover the current epidemiology of COVID-19, answer listener submitted questions and provide you with resources of where to find ongoing resources.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 of a traditional urban area.

What is it like to practice and take care of kids in a more rural setting? In this episode we will discuss rural and tertiary care bridges with Bird Gilmartin, MD.

Dr. Gilmartin is the Pediatric Medical Director at Uinta Medical Group in Evanston, Wyoming. She is a member of the American Academy of Pediatrics (AAP) Section on Early Career Physicians and was the recipient of the AAP's 2019 Award for Outstanding Service to Maltreated Children.

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 presentation of the coronavirus in pediatrics and what providers should do if their clinical suspicion is high – you can go back and listen to that on Season 3, Episode 31.

Today we are going to examine the current epi of the situation, answer listener submitted questions in follow-up to our previous COVID-19 episode and provide you with resources of where to find ongoing resources.

Today we are going to examine the current epi of the situation, answer listener submitted questions in follow-up to our previous COVID-19 episode and provide you with resources of where to find ongoing resources. We are fortunate to be joined again on the podcast by Dr. Sam Dominguez, a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

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 at the University of Virginia School of Medicine.

Do you have questions about today's episode or suggestion for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 bringing you a special edition of Charting Pediatrics to discuss vaccine legislation and advocacy in our local state of Colorado, specifically Senate Bill 163, which sets a Colorado- statewide immunization goal of 95%.

Zach Zaslow, Director of Government Affairs for Children's Hospital Colorado, directs local, state, and federal policy and advocacy efforts with the goal of improving child health by being a voice for kids when and where public policy decisions are being made.

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 Colorado, School of Medicine, she's also the Assistant Director of the International Centre for Colorectal and Urogenital Care at Children's Hospital Colorado.

Connect with Doctors Pena Bischoff:

Facebook: @DrsPenaBischoff

Twitter: https://www.linkedin.com/in/andreabischoff

YouTube: https://www.youtube.com/watch?v=FMqLE0sE3zc

Instagram: @penabischoff

Website for Pena course is: www.penacourse.org

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 Pediatric Movement of Disorders Clinic and an Assistant Professor of Child Neurology at Texas Children's Hospital and Baylor College of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 recorded on Tuesday, February 11, 2020.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us at chartingpediatrics@childrenscolorado.org

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.

This episode was recorded live at the 2019 American Academy of Pediatrics NCE in New Orleans, La.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

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 the adolescent female with Stephen Scott, MD.

Dr. Scott is the endowed chair of Perinatal Mental Health and a member of the Pediatric and Adolescent Gynecology team at Children's Hospital Colorado. Dr. Scott is an Associate Professor of Obstetrics and Gynecology and Pediatrics at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Earlier this fall we shared a special episode to update providers about the growing associations between vaping and more acute, severe lung injury called Vaping Associated Pulmonary Injury – you can listen to that content from Season 3, Episode 6. Today we are going to circle back to this topic with Robin Deterding, MD, and discuss its rapid evolution during the recent months.

Dr. Deterding is the Chief of Pediatric Pulmonary Medicine at Children's Hospital Colorado and a Professor of Pediatrics at the University of Colorado School of Medicine.

Resources Mentioned in this Episode:

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

With Super Bowl season upon us we wanted to use the occasion to examine a common sports injury seen in our pediatric patient population – ACL injury and treatment.

An ACL tear was once an injury exclusive to professional or elite athletes, but the growing prevalence of specialization and year-around training in youth sports has contributed to a large rise in ACL tears in pediatric patients. In this episode, Jay Albright, MD joins us as we will look at the ACL tear case of a 16 year-old-female to highlight the diagnosis, treatment and recovery for these patients.

Dr. Albright is the Surgical Director of the Sports Medicine Center at Children's Hospital Colorado and Assistant Professor of Orthopedics at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Last season on the podcast we discussed the initial diagnosis and lifestyle management of hypertension in pediatric patients. If you have not had the opportunity to listen to that episode, go back and check out Season 2, Episode 36 as it will set the back drop for today's discussion as we dive more specifically into medication management for pediatric hypertension patients.

In this episode we discuss medication management for pediatric hypertension patients with a pediatric cardiologist, Steve Daniels, MD, PhD and a clinical pharmacist, Dr. Megan Greene.

Dr. Greene is a pediatric clinical pharmacist at Children's Hospital Colorado with a specialization in critical care and kidney and liver transplant pharmaceutical support, and also works in our pediatric hypertension clinic.

Dr. Daniels is the Pediatrician-in-Chief at Children's Hospital Colorado and L. Joseph Butterfield Chair of Pediatrics within the University of Colorado School of Medicine, where he is a professor of pediatrics and epidemiology. He is a cardiologist by training and a sought-out expert in the fields of pediatric hypertension, dyslipidemia, and pediatric nutrition.

If you have feedback or questions about today's episode or suggestions for a future topic, write to us at chartingpediatrics@childrenscolorado.org

In this episode we discuss the history of vaccines and religion with Josh Williams, MD. For a discussion about today's anti-vaccination climate, listen to S3:E17, Peter Hotez, MD, PhD: Physician-Scientist, Pediatrician, Advocate.

Dr. Williams is a Pediatrician at Denver Health Medical Center and an Assistant Professor of Pediatrics at the University of Colorado School of Medicine.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Is social media good or bad? How much or how little screen time should kids and adolescents have each day? What is the impact of screen time? What kind of digital footprint or reputation are parents creating for their children?

These questions and more are covered with our guests Jenny Radesky, MD and Michael Rich, MD who discuss social media and its impact on patients and families.

Dr. Radesky is a Developmental/Behavioral Pediatrician whose research focuses on family digital media use, child social/emotional development, and parent-child interaction.

Dr. Rich is the Director of the Center on Media and Child Health at Boston Children's Hospital. He has developed media-based research methodologies and authored numerous papers and AAP policy statements, testified to the United States Congress, and makes regular national press appearances.

Do you have feedback about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

On behalf of the Charting Pediatrics team, we would like to wish you Happy Holidays and a very Happy New Year! 2019 has been a year of explosive growth for the podcast. We went from averaging 8,000 monthly downloads in January to more than 33,000 monthly downloads last month. Thank you to each one of you for listening and sharing the podcast with your colleagues. Connecting with some of you in person at the 2019 AAP Conference was really a highlight for us. We appreciate you coming by the booth and we love reading the emails and tweets that you send our way. We will be taking the next couple of weeks off from releasing new episodes and will look forward to kicking off our first episode of 2020 on Tuesday, January 7th. Happy Holidays!

On behalf of the Charting Pediatrics team, we would like to wish you Happy Holidays and a very Happy New Year! 2019 has been a year of explosive growth for the podcast. We went from averaging 8,000 monthly downloads in January to more than 33,000 monthly downloads last month. Thank you to each one of you for listening and sharing the podcast with your colleagues. Connecting with some of you in person at the 2019 AAP Conference was really a highlight for us. We appreciate you coming by the booth and we love reading the emails and tweets that you send our way. We will be taking the next couple of weeks off from releasing new episodes and will look forward to kicking off our first episode of 2020 on Tuesday, January 7th. Happy Holidays!

In this episode we are fortunate to be talking with Bernard Dreyer, MD from the New York University School of Medicine discussing school and health care provider partnerships that have been successful in addressing effects of childhood poverty.

Dr. Dreyer is past president of the American Academy of Pediatrics (AAP) having served as the 2016 AAP president.

Dr. Dreyer is a general and development-behavioral pediatrician who has spent his professional lifetime serving poor children and families. He is Professor of Pediatrics at NYU where he leads the Division of Developmental-Behavioral Pediatrics and is Director of Pediatrics at Bellevue Hospital; he also works as a hospitalist.

This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

In this episode we have the pleasure to talking with Adiaha Spinks-Franklin, MD from Texas Children's Hospital about strategies to help sleepless teens.

Dr. Spikes-Franklin is Associate Professor of Pediatrics at Texas Children's Hospital and the Baylor College of Medicine in Houston.

Dr. Spinks-Franklin's research interests are in the areas of the cultural aspect of child development. Her previous research experience included studying the development of children in Senegal, West Africa, and studying the mental health impact of the aftermath of Hurricane Katrina on school-aged African American children in Houston. Other research experiences including exploring the racial identity development of school-aged African American and Latino children in the Houston area who are participating in a reading intervention program. She has also studied healthcare disparities among children with Autism Spectrum Disorders. She is currently studying the effect of Adverse Childhood Experience (ACEs) among children and adolescents with developmental disabilities.

This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana.

Topics Discussed in this Episode:

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Substance use among adolescents is pervasive and commonly encountered in primary care pediatrics. According to the most recent Monitoring the Future Study published in 2018, opioid misuse among teens and marijuana use remains stable while vaping device use is climbing to record numbers. The general approach to the assessment and treatment of adolescents with substance use disorders is similar in some respects to adults; however, developmental considerations require an approach tailored to the cognitive, social, and legal status of adolescents.

In this episode we discuss the epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis of substance use and substance use disorder in adolescents with Christian Thurstone, MD.

Dr. Thurstone is the Director of Behavioral and Health Sciences at Denver Health and Professor of Psychiatry at the University of Colorado Denver.

Discussed in this episode:

Have feedback about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Each year thousands of babies born neonatal abstinence syndrome and require specialized medical and psycho-social support. In this episode we discuss the care for newborns who have been exposed to substances, specifically how primary care providers can understand the child's needs and support their caregivers. We are joined by Stephen Patrick, MD from the Vanderbilt University School of Medicine and recorded this discussion live from the 2019 American Academy of Pediatrics NCE in New Orleans.

Dr. Patrick is a neonatologist and associate professor of pediatrics and is Director at the Vanderbilt Center for Child Health Policy. You can view Dr. Patrick's 2019 AAP NCE plenary session on this topic here.

You can reach Dr. Patrick on Twitter @stephenwpatrick and Dr. Brumbaugh on Twitter @DBrumbaughMD

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

In this episode we were privileged to sit down with Megan Sandel, MD, at the 2019 American Academy of Pediatrics NCE in New Orleans to discuss the impact of housing on child health.

Dr. Sandel is an associate professor of pediatrics at the Boston University School of Medicine as well as an associate professor of environmental health at the Boston University School of Public Health. She has held both of these positions for the last eight years, but has been working with the university since 2002, first as an assistant professor. She is the former pediatric medical director of Boston Healthcare for the Homeless program and the first medical director of the founding site for medical-legal partnerships, Medical-Legal Partnership-Boston. In addition to publishing articles and serving on committees, she is considered an expert in her field on the topic of housing and child health.

Resources Mentioned in this Episode:

This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana.

Do you have thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

In this episode we discuss the diagnosis and management of child abuse in primary care pediatrics. We are pleased to be joined by Andy Sirotnak, MD who recently released his new book at the 2019 AAP NCE, Child Abuse Medical Diagnosis and Management.

Dr. Sirotnak is a Professor and Vice-Chair for Faculty Affairs in the Department of Pediatrics and the Director of the Child Protection Team at Children's Hospital Colorado.

Do you have questions about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

The development and deployment of childhood vaccines represents the most important life saving achievement in the last century, but the status of our protection against vaccine-preventable illness is as fragile as ever in the United States. In 2019 we have already seen the most cases of measles since 1992 — over 1200 — this for a disease that was declared eliminated from the U.S. in 2000. Vaccine hesitancy among families has been fueled by an anti-vaccine movement that has steadily organized during the last two decades, represents an existential threat to the health of children and is the subject of today's podcast.

Our guest is a physician-scientist, pediatrician and advocate we admire greatly — Peter Hotez, MD, PhD. In today's episode we are going to talk about his new book, Vaccines Did Not Cause Rachel's Autism: My Journey as a Vaccine Scientist, Pediatrician and Autism Dad.

Dr. Hotez is Dean of the National School of Tropical Medicine and Professor of Pediatrics and Molecular Virology & Microbiology at Baylor College of Medicine where he is also the Director of the Texas Children's Center for Vaccine Development (CVD) and Texas Children's Hospital Endowed Chair of Tropical Pediatrics. He is also University Professor at Baylor University, and Fellow in Disease and Poverty at the James A Baker III Institute for Public Policy.

Thoughts about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

Pediatric patients, ages 13 to 18 years, with severe obesity should have greater access to bariatric surgery, according to a new American Academy of Pediatrics (AAP) policy statement.

For pediatricians, that means seeking out high-quality multidisciplinary centers for patients who meet criteria; providing timely referrals; and facilitating care before and after surgery for adolescents with severe obesity, defined as a BMI ≥35 or ≥120% of the 95th percentile for age and sex, whichever is lower.

Thepolicy statement, and a supportingtechnical report, were simultaneously published in Pediatrics.

Today's guest is Thomas Inge, MD, discussing the new AAP policy statement on bariatric surgery. Dr. Inge is a Professor of Surgery and Pediatrics at the University of Colorado School of Medicine and Associate Surgeon in Chief, Director of Pediatric Surgery and the Director of the Center for Bariatric Surgery at Children's Hospital Colorado.

This episode of Charting Pediatrics Podcast was recorded live from the 2019 American Academy of Pediatrics NCE in New Orleans.

Do you have questions about this episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

In this episode we talk with Lewis First, MD and Alex Kemper, MD about studies published in the last year that could change the way you practice pediatrics.

Dr. First (@lewis_first) is Professor and Chair of the Department of Pediatrics at the Larner College of Medicine at the University of Vermont and Chief of Pediatrics at the University of Vermont Children's Hospital. He serves as the Editor-in-Chief of Pediatrics, the peer-reviewed medical journal of the American Academy of Pediatrics.

Dr. Alex Kemper (@AlexRKemper) is the Division Chief of Primary Care Pediatrics at Nationwide Children's Hospital and Professor of Pediatrics at The Ohio State University College of Medicine. He serves as the Deputy-Editor-in-Chief of Pediatrics.

Articles Covered that can be found from Pediatrics:

This episode was recorded live from the 2019 AAP NCE in New Orleans, Louisiana.

Do you have a question about this episode or a suggestion for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

In young children, many of the symptoms of eosinophilic esophagitis resemble those of gastroesophageal reflux disease (GERD)—including feeding disorders and poor weight gain—so the child may be mistakenly diagnosed with GERD. In today's episode we talk to Glenn Furuta, MD about the importance of a proper diagnosis of esophagitis in children, signs/symptoms to look for and effective treatment options.

Dr. Furuta is the La Cache Endowed Chair for GI Allergic and Immunologic Diseases, the Director of Gastrointestinal Eosinophilic Diseases Program at Children's Colorado and a Professor of Pediatrics in Gastroenterology at the University of Colorado School of Medicine.

Do you have a suggestion for a future episode or feedback about this one? Write to us, chartingpediatrics@childrenscolorado.org

Biliary atresia is a rare gastrointestinal disorder, occurring approximately 1 in 10,000 to 15,000 births in the United States, and is characterized by a destruction or absence of, all or a portion of the extrahepatic bile duct. Affected infants present with jaundice and fibrosis.

In some cases, additional abnormalities may be present, including cardiac defects and intestinal, spleen and kidney malformations; the exact cause of biliary atresia is unknown. In today's episode we talk with Cara Mack, MD to unpack the clinical presentation, management and ongoing care for patients with biliary atresia.

Dr. Mack is a Professor of Pediatrics at the University of Colorado School of Medicine, a practicing Pediatric Hepatologist and the Director of the Pediatric Liver Center at Children's Hospital Colorado.

Let us know if you have a suggestion for a future topic or thoughts about this episode!