Charting Pediatrics

Months of progress in the United States has been overshadowed this week by a resurgence of COVID-19 cases, with areas of the South and West experiencing their first strong wave of cases. Earlier this week Texas Children’s Hospital announced they are admitting adult patients to help with surge capacity in Houston. As pediatric providers, we are considering ongoing PPE preparedness for an unknown future, what the latest literature is telling us about the virus in kids and what a vaccine or treatment option might look like. In this our 15th COVID-19 podcast, we will delve into these topics and more as we unpack what we’ve learned about COVID-19 in pediatrics with Dr. Sam Dominguez. Today we are fortunate to be joined once again by my un-official Charting Pediatrics co-host, Sam Dominguez, MD. Sam is a pediatric infectious diseases physician at Children’s Hospital Colorado and Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. COVID-19 Risk/Benefit Gauge from the Colorado Department of Public Health & Environment   Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

26 Jun 202025min

Across our organization, our Children’s Hospital Colorado team members have engaged in dialogue about the institutional origins of systemic racism, the targeted injustices that continue in Black communities, and the ways our social structures produce disparities in education, housing, economics, and health. Today we want to bring this conversation to the podcast and talk about the opportunity our pediatric provider community has in turning the passion of these conversations into progress by providing positive impact to equity in pediatric medicine. In this moment, it is necessary for us all to demonstrate clarity, courage and fortitude to address these long-standing injustices. Today our guest is Brandi Freeman, MD. Dr. Freeman is a pediatrician at the Children’s Colorado Child Health Clinic and Assistant Professor of Pediatrics at the University of Colorado School of Medicine. She is an advocate for Diversity and Inclusion in the Health Professions workforce.

18 Jun 202023min

As communities begin to emerge from stay-at-home orders, the question of return to sports and recreation is on the minds of many. While professional and collegiate sports may take longer to resume play and allow spectators in the stands, youth sports organizations are hopeful that they may be able to lead the way in restoring a sense of normalcy to everyday life. Given the unprecedented circumstances posed by the COVID-19 pandemic, there is no clear prescription for success, but guidance is emerging to help shape the re-opening of youth sports. In this our 14th COVID-19 podcast, we will discuss those considerations and guidance with Julie Wilson, MD and Aubrey Armento, MD. Dr. Wilson has joined us on Season 1 and 2 of the podcast to discuss the topic of concussion management – she serves as Club Outreach Medical Director of the Children’s CO Sports Medicine Center and is an Assistant Professor of Orthopedics and Pediatrics at the University of Colorado School of Medicine. Dr. Armento is a Primary Care Sports Medicine Physician at Children’s Sports Medicine Center and Assistant Professor of Orthopedics at the University of Colorado School of Medicine. Resources Mentioned in this Episode: Aspen Institute Project Play Return to Play COVID-19 Risk Assessment Tool CDC Considerations for Youth Sports NFHS Guidance for Opening up High School Athletics and Activities A Game Plan for the Resumption of Sport and Exercise after Coronavirus Disease 2019 (COVID-19) Infection Cardiac Considerations for Athletes with COVID-19 from the Pediatric Sports Medicine Podcast with Dr. Mark Halstead Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

11 Jun 202035min

Clinical effectiveness seeks to answer the question “What works?” in healthcare; what are the best ways to prevent, diagnose and treat diseases in children? Today we are going to talk with Lalit Bajaj, MD, MPH/MPSH and dive in to clinical effectiveness and look at how those practices are be applied here at Children’s Colorado and beyond and the impact of this work to the primary care setting. Dr. Bajaj is a Pediatric Emergency Medicine Physician, Professor of Pediatrics and Emergency Medicine at the University of Colorado School of Medicine, and Director of Clinical Effectiveness at Children’s Hospital Colorado. Pediatric Clinical Pathways Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org This episode was recorded prior to COVID-19.

9 Jun 202027min

We are privileged to have John Barnard, MD join us on the podcast today to discuss exciting pediatric research breakthroughs in fields of genomics, gene therapy, and more. Dr. Barnard is from Nationwide Children’s Hospital where he serves as the chief of Pediatrics, president of The Research Institute and holds the Ann I. Wolfe Endowed Chair in Pediatric Research Leadership. He is also the chair of the Department of Pediatrics and professor of Pediatrics, Gastroenterology, Hepatology and Nutrition at The Ohio State University College of Medicine.  This episode was recorded prior to the COVID-19 pandemic. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

2 Jun 202026min

In this episode we cover the COVID-19 global pandemic, en Español with Edwin Asturias, MD. Dr. Asturias is part of the Infectious Disease Team and Director for Latin America at Children’s Colorado and Professor of Pediatrics & Infectious Diseases at the University of Colorado School of Medicine. Dr. Asturias is headed for Guatemala on May 24 to become their Presidential Commissioner for the COVID-19 Response. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

21 Mai 202031min

Register for our Weekly COVID-19 Town Hall, 5/21 from 6-7 p.m. MST The COVID-19 Pandemic has presented unprecedented challenges to maintaining healthy habits and healthy weight for our patients and families. We know that kids tend to loose structure and gain excess weight in the summer – we saw this prior to COVID-19 and we are now facing the most stressful and unpredictable summer of our lifetime. In this our 12th COVID-19 podcast, we will discuss healthy routines for pediatricians to discuss with patients and parents in their practice to help protect and preserve healthy habits and weight.   Today we are fortunate to be joined by Matt Haemer, MD and Richard Boles, PhD of our Clinical Nutrition Team at Children’s Hospital Colorado. Dr. Haemer helps to lead the nutrition team at Children’s Hospital Colorado and is Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine. Dr. Boles is psychologist with the Clinical Nutrition Team at Children’s and Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine. Key Points The habits that help kids maintain healthy weight during the COVID19 pandemic are the same habits that help with mental health, good school performance, and healthy peer relationships. By focusing on the healthy routines we’ll talk about today, pediatricians can support parents as they help their children achieve all these goals. Lifestyle Medicine Psychologist Richard Boles PhD offers practical advice that pediatricians can share with families to help maintain healthy habits during this very challenging time. Pediatricians play a critical role in helping parents to promote healthy habits. They can help parents realize when a child’s weight gain is unhealthy, offer brief follow-up counseling to help families set goals for lifestyle change, refer families for extra help when needed, and share  resources like those below.  A primary care provider can make a single referral to Children’s Hospital Colorado’s Lifestyle Medicine Program to address any and all medical problems from excess weight that a child may have, or to help children prevent these medical problems at any age. You can reach any of the Lifestyle Medicine team for consult or referral via OneCall, 720-777-3999. Fitness: Children's Hospital Colorado's Lifestyle Medicine Exercise Physiologist, Michael Witten MS has compiled a variety of fitness videos that kids of different ages and fitness levels can do at home, maybe with their parents! Subscribe to the CHCO Wellness Center gym Youtube channel: https://www.youtube.com/playlist?list=PLpuAXaEwLGbpvi_sqs9ZdhUJchqVGInP2   Nutrition and Food Resources  The Food Bank of the Rockies has an updated list of all the food banks and food distribution sites: https://www.foodbankrockies.org/emergency-assistance/ Our dietitians recommend families try kid-friendly healthy recipes from the CHOP CHOP website: https://www.chopchopfamily.org/recipes/  Food preparation videos from the professional society of Registered Dietitians: https://www.eatright.org/food/planning-and-prep/cooking-tips-and-trends/basics-of-meal-prepping Shopping and meal preparation tips to save money on healthy food from Cooking Matters, an organization dedicated to reducing food insecurity for families with kids: http://cookingmatters.org/tips Psychology and Mental health: American Psychological Association: tips on learning at home, supporting play, and parenting in the era of COVID-19:  https://www.apa.org/topics/covid-19/parenting-caregiving Children’s Hospital Colorado has recommendations to help pediatricians and parents talk with children about the pandemic: https://www.childrenscolorado.org/conditions-and-advice/coronavirus-covid19-resources-updates/  Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

19 Mai 202028min

Register for our weekly Provider Town Hall During COVID-19, May 21 from 6-7 p.m. MST. In recent weeks, there has been an outbreak of severe Kawasaki-like disease at the Italian epicenter of the SARS-CoV2 epidemic and as of May 12, the state of New York Health Department had identified 102 kids with potential infection. Up to this point, our pediatric population had seen a relatively mild disease course during this pandemic, but these recent developments have captured the attention of pediatricians, parents and the global news media. Yesterday the CDC officially named this the Multisystem Inflammatory Syndrome in Children, Associated with COVID-19. In this, our 13th COVID-19 podcast we will cover the clinical presentation of MIS-C, how it differs from Kawasaki’s and what the early literature is saying. Sam Dominguez, MD, PhD, is an Infectious Disease physician at Children's Colorado and Associate Professor of Pediatrics at the University of Colorado School of Medicine. Todd Carpenter, MD, is Director of the Pediatric Intensive Care Unity at Children's Colorado and Professor of Pediatrics at the University of Colorado School of Medicine.

16 Mai 202027min