Charting Pediatrics

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. Join our 11,000+ advocates who speak up clearly and powerfully for kids’ health when public policy decisions are made by signing up today to be a Child Health Champion: https://bit.ly/2uixrab. To learn more about general advocacy efforts at Children’s Hospital Colorado visit www.childrenscolorado.org/advocacy. Finally, email advocacy@childrenscolorado.org with questions or if you’d like to get more involved by joining our and the Colorado AAP's statewide pediatricians' advocacy network, penning letters to the editor, attending advocacy events and more.   Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

26 Feb 202025min

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

25 Feb 202027min

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

18 Feb 202024min

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

13 Feb 202026min

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

11 Feb 202025min

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

4 Feb 202030min

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: Update: Interim Guidance for Health Care Professionals Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use, US Department of Health and Human Services/Center for Disease Control and Prevention MMWR - January 3, 2020 Partnership for Drug-Free Kids: What you Need to Know and How to Talk with Your Kids About Vaping CDC: Outbreak of Lung Injury Associated with the Use of E-Cigarette, or Vaping, Products Previous Charting Pediatrics Episodes about Vaping: E-Cigarettes and Vaping (S2:E23) Vaping Associated Pulmonary Injury (S3:E6) Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org

30 Jan 202026min

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

28 Jan 202030min