Charting Pediatrics

In this podcast, Bill Anderson, MD, co-director of the multidisciplinary Asthma Program at Children's Colorado and assistant professor of pediatrics at the University of Colorado School of Medicine, talks about asthma. He discusses challenges in the management of asthma, the effect of asthma on pediatric patients and treatment options now available. In this episode, Dr. Anderson discusses: Common challenges for managing asthma in pediatric patients Factors that come into play when choosing controller medications Why steroids are better suited for atopic patients Teaching patients and families how to use a spacer How co-morbidities affect children with asthma The impact that psychosocial factors have on asthma Working with social workers to help families overcome hurdles Latest treatment options for treating pediatric asthma Overcoming the adherence barrier using technology Natural medications available to pediatric asthma patients Advice for people with dog allergies

10 Apr 201821min

In this episode, Daniel Searing, MD, Professor of pediatrics and allergies at Children's Colorado, talks about seasonal allergies and pollen. He discusses the effects of pollen, how to treat and alleviate allergies, and more. In this episode, Dr. Searing discusses: Pollen and how it affects allergies Why cottonwood trees are a big pollinator, especially in the springtime Why rain and humidity shut down pollen levels Why Colorado's climate makes people more susceptible to allergies How allergy symptoms will vary from year to year The importance of monitoring the quantitative level of pollen in the environment How physicians should manage the initial approach to a child with allergy symptoms Key features to look out for Why treating pollen allergies with persistent treatment is more effective What role the prescription drug Montelukast plays in treating allergic rhinitis What you can do to help prevent pollen from spreading Which medicines and therapies can help alleviate allergies When to see a doctor for seasonal allergies The approach of an immunotherapy treatment plan and the two phases of a typical treatment schedule

3 Apr 201822min

Today, we're discussing celiac disease with guest Edwin Liu, MD. Dr. Liu is an international leader in the research and management of celiac disease, the Director of the Colorado Center for Celiac Disease at Children's Colorado and a professor of pediatrics at the CU School of Medicine. In this episode: How the prevalence of celiac disease has changed over time and what that means The hygiene hypothesis and its role in infectious diseases The ways that the clinical representations of children with celiac disease have changed Untraditional symptoms and signs of celiac disease in children The relationship between type 1 diabetes and celiac disease An outline and definition of the non-genetic, environmental triggers of celiac disease The tests to order if you suspect a child may have celiac disease The populations that should be screened for celiac disease because of their risk factors What distinguishes celiac disease from gluten sensitivity The importance of and how to go about educating families on diet after their child is diagnosed with celiac disease The answer of whether or not there's a chance that children can grow out of having celiac disease Exploring the misconception of celiac disease as an "under dog" condition

27 Mar 201820min

In this episode, Stephanie Mayer, MD, joins us to share her insights on diagnosing hip pain in pediatric patients. We're discussing this issue from its symptoms and causes to how to manage hip pain. Dr. Mayer is a pediatric orthopedic surgeon at Children's Colorado and an assistant professor of orthopedics at the CU School of Medicine. In this episode: The common hip pain causes to watch for in adolescents Sports that lend themselves to hip pain Practices for starting an evaluation of the patient and their injury The importance of the patient history when dealing with and considering hip pain The questions to ask, signs to look for and specifics to consider when diagnosing hip pain and differentiating between infection and oncologic hip injuries Signs and factors possibly indicating a patient's hip pain is systemic or rheumatological and when it's time to look for Lyme disease How to determine where hip pain originates from and the conditions to consider The mechanical indicator that the cause of hip pain is slipped capital femoral epiphysis (SCFE) Diagnosing and addressing other causes of hip pain such as Legg-Calvé-Perthes Discussing urgency and when it's time to refer to an orthopedic specialist When and why it's appropriate to order an MRI early on The central role imaging plays in determining a proper hip pain treatment and when it's the right time to order an x-ray for hip pain The benefits of getting images of the entire hip versus radiation exposure

20 Mar 201823min

In today's episode we discuss autism spectrum disorder with Elizabeth Coan, PsyD. Dr. Coan is a doctor of psychology at the Neuroscience Institute at Children's Colorado and is an instructor of developmental pediatrics at the CU School of Medicine. In this episode: How a PCP can take the first steps towards diagnosing autism How you can implement autism screening tools in your practice How to sensitively discuss autism spectrum disorder with parents and families Tips for managing screenings and referrals after diagnosing autism The reason why there are things to celebrate once you've made an autism diagnosis Tips PCPs can share with families to help develop the strengths of a child with autism Counseling families on how they use the internet when researching autism Autism Speaks ABA Therapy  M-CHAT Screening Tool

13 Mar 201822min

In this episode, we explore the stigmatized topic of physician burnout with Jenny Reese, MD, Director of the Resilience Program at CU Anschutz and Inpatient Medicine at Children's Colorado and Sonja O'Leary, MD, Medical Director of Denver Health's School-Based Health Centers Team. Drs. Reese and O'Leary share their personal experiences with burnout and offer valuable insights on what physician burnout is, its effects and how hospitals can reduce burnout by implementing preventative measures. In this episode: Defining burnout and the golden measurement of burnout The three main domains of burnout The prevalence of burnout according to the numbers The trends surrounding burnout over time The effects and realities behind compassion fatigue and the second victim phenomenon amongst physicians Outlining if and how burnout differs according to a physician's gender and parental role Why it's important to implement reflective supervision in the workplace Actions to prevent, normalize and reduce the stigma of burnout in medicine

27 Feb 201823min

Our guest for this episode is Jessica Malmberg, PhD, the Clinical Director of Outpatient Services at the Pediatric Mental Health Institute and assistant professor of child psychiatry at CU School of Medicine. Dr. Malmberg talks us through a common behavioral issues of school-aged children – school refusal – and provides insights, advice and tools to help prevent, manage and understand this behavior. In this episode: Outlining and identifying the underlying symptoms and signs associated with a child refusing to attend school How primary care providers (PCPs) can assist parents who are experiencing guilt Identifying the four most common reasons that children refuse to go to school Exploring the effects of social media on children's behavior when it comes to school refusal How a PCP should approach treatment of school refusal The recommended frequency of follow-up care for kids who are refusing to go to school The importance of connecting parents to community-based resources Preventative practices parents can set up in the home to prevent this behavioral issue What an excellent prognosis looks like for children experiencing school refusal When it's time to refer to a mental health professional PCPs in the Denver Metro Area can refer patients to the Children's Hospital Colorado Outpatient Psychiatry Clinic or to a local community mental health center Resources for dealing with school refusal: School Refusal: Information for Educators (.pdf) from the National Association for School Psychologists School Refusal in Children and Adolescents from American Family Physician The Functional Assessment of School Refusal Behavior Effective Child Therapy Division 53 of the Society of Clinical Child & Adolescent Psychology website School Refusal from the American Academy of Child & Adolescent Psychiatry

20 Feb 201828min

Today we're discussing the serious topic of teen suicide with Jenna Glover, PhD, MS, of the Pediatric Mental Health Institute at Children's Colorado. Dr. Glover is the Director of Clinical Psychology Training at Children's Colorado and an assistant professor of child psychiatry at the University of Colorado School of Medicine. Mental health and suicide prevention resources from the episode: Primary care provider toolkit from the Suicide Prevention Resource Center PHQ-9 (.pdf) screening tool Columbia Suicide Severity Rating Scale (.pdf) "13 Reasons Why" Colorado Crisis Services Second Wind Fund National Suicide Prevention Line: 1-800-273-TALK (8255) MentalHealth.gov

13 Feb 201820min