Charting Pediatrics

Despite the pervasiveness of child trafficking in the United States, many communities aren’t aware of the scope of the issue. Here in Colorado, the University of Colorado’s Kempe Center is recognized as a leader in the fight against child abuse, and they are important voices in the global conversation around identifying and ending child trafficking. By committing to responding, treating and preventing all forms of child abuse and neglect, medical professionals can make a difference in this crucial effort. To shed light on these realities and provide insight into how we can all play a part, we are joined by Denise Abdoo, PhD, CPNP., who specializes in child abuse neglect at Children’s Hospital Colorado. She is an associate professor of pediatrics at the University of Colorado School of Medicine, as well as a member of the Kempe Center’s facility.    Some highlights from this episode include:  The current state of child trafficking nationally and globally  The work the Kempe Center is doing to help combat child abuse  The reasons why child trafficking is under reported  Ways the medical community can provide both physical and mental health care  For more information on Children’s Colorado, visit: childrenscolorado.org.

8 Okt 202430min

With kids back in school, pediatric viral illnesses are revving their engines. It seems we have returned to normal seasonality for viral disease after the coronavirus pandemic. Top of mind with the arrival of fall is respiratory syncytial virus (RSV). We know how quickly the onset of RSV season can take over our waiting rooms.   Last year, two important developments occurred that could change the course of RSV prevention: the FDA approval of a maternal vaccine and a monoclonal antibody for infants. Far too few mothers and infants benefitted from these treatments during last year’s respiratory season, but now we’ve had a year to prepare to do better. Joining us to discuss this hot topic are two expert pediatricians. Sean O’Leary, MD, is an Infectious Disease Physician at Children’s Hospital Colorado, a Professor of Pediatrics at the University of Colorado School of Medicine and is the chair of the American Academy of Pediatrics Committee on Infectious Diseases, also known as the Red Book Committee. Matt Dorighi, MD, specializes in pediatrics at Cherry Creek Pediatrics. He is currently chair of the Pediatric Care Network, the largest clinically integrated network for children in the state of Colorado.   Some highlights from this episode include:  Guidelines for Nirsevimab and the maternal vaccine  Why availability will not be a barrier this respiratory season  How practices can combat vaccine hesitancy  For more information on Children’s Colorado, visit: childrenscolorado.org.

1 Okt 202435min

Children with autism spectrum disorder (ASD) tend to have more medical complications than the average kid. Among the most common challenges are gastrointestinal (GI) disorders like abdominal pain, constipation and diarrhea. Untreated GI distress in kids with ASD has been linked to many other issues, including sleep, behavioral and psychiatric disorders. Many of these same kids also have selective eating, which impacts their intake of necessary nutrients. Due to these many layers of complexity, it can be challenging to know how to help a child with ASD and GI symptoms.    To understand this intricate issue, we are joined by Christine Waasdorp Hurtado, MD, who specializes in gastroenterology at Children’s Hospital Colorado. She is the Southern Colorado Executive Faculty Director of the Department of Pediatrics, as well as a Professor of Pediatrics for the University of Colorado School of Medicine.  Some highlights from this episode include:  The most common GI issues in kids with ASD  How primary care providers can best treat these kids  How certain treatment outcomes can improve quality of life  For more information on Children’s Colorado, visit: childrenscolorado.org.

24 Sep 202430min

Sharing data transparently, whether at a local or a national level, is a foundational contributor to healthcare quality. Atul Gawande wrote about this in his 2004 essay labeled ‘The Bell Curve’. Over the last several decades, we have seen many pediatric specialties organize and collaborate around data collection at a national scale to improve care. We’ve seen firsthand how our hospital’s participation in a national cardiac critical care registry has driven quality improvement, better measurable outcomes and improved cardiac arrest rates for patients. Getting the data collection right is the first challenge. In between that first step and actually seeing improvements is a tremendous amount of work. In this episode, we explore the value of data sharing and transparency to improve outcomes for kids. Our experts for this episode are Carly Scahill, DO, and Kelly O’Neil. Dr. Scahill specializes in pediatric cardiology as a pediatric cardiac intensivist. She is also the Fellowship Director for pediatric cardiology and the cardiac intensive care unit (CICU), as well as an associate professor of pediatrics at the University of Colorado School of Medicine. Kelly O’Neil is a registered nurse and the Manager of the Heart Institute Data Registries and Outcomes. Before her current role, she was a CICU nurse for over ten years. Some highlights from this episode include:  The purpose and use of clinical registries  How data collection improves measurable outcomes  The future of data collection in healthcare  How to get more entities involved  For more information on Children’s Colorado, visit: childrenscolorado.org.

17 Sep 202433min

Over the last few decades, the roles of nurse practitioners (NPs) and physician assistants (PAs), also known as advanced practice providers (APPs), have greatly expanded to touch even more patient-family lives. They are an essential part of the care we provide, and their roles have evolved over time. In this episode, we explore the crucial part they play in our medical system and how that might continue to evolve in the future. For this episode, we are joined by two University of Colorado leaders who continue to help keep our APP programs among the top ranked in the country. Jonathan Bowser is the Child Health Associate and Physician Assistant Program Director at the University of Colorado School of Medicine. He is also the Associate Dean of Physician Assistant Studies, the Section Head of Pediatrics, and an associate professor. Jill Marks, NP, is the Specialty Director of the Acute Care Pediatric Nurse Practitioner Program at the University of Colorado College of Nursing. She is also an inpatient nurse practitioner for the section of pediatric neurology at the University of Colorado School of Medicine. Some highlights from this episode include:  Background on the creation of NPs and PAs  The ways these roles have changed over time  The impact APPs make on patient care  The role APPs will play in healthcare in the future  For more information on Children’s Colorado, visit: childrenscolorado.org.

10 Sep 202425min

Our medical community is committed to providing excellent patient care, and it’s also our duty for that care to extend to our planet. Climate change is an increasingly important global health issue where children are the most vulnerable to adverse health outcomes. One major contributing factor to climate change in medicine is the use of nitrous oxide in spaces like the operating room and outpatient clinics. Efforts are underway in hospitals across the country to decrease our environmental impact, including at Children’s Hospital Colorado. To explore the exciting new project happening at Children’s Colorado and to discuss the environmental impacts on a global scale, we are joined by two experts. Tom Majcher, DO, is the Chief of Anesthesiology at Children’s Colorado, as well as a professor of pediatrics and clinical practice for anesthesiology at the University of Colorado School of Medicine. Diane Gordon, MD, specializes in anesthesiology at Children’s Colorado and is an associate professor of pediatric anesthesiology at the University of Colorado School of Medicine. Some highlights from this episode include:  How nitrous oxide is currently used in medical settings  The damage it does on the environment  What efforts are underway to reduce its impact  How to keep the same standard of care with new alternatives  The importance of this transition in the operating room  For more information on Children’s Colorado, visit: childrenscolorado.org.

3 Sep 202440min

Over the last few decades, there have been many incredible medical advances in newborn care. At Children’s Hospital Colorado, we’re launching an exciting new initiative to take another step forward in care for our tiniest patients. For newborns who need to be hospitalized, getting home as soon as possible is critical for their successful development. A common barrier for discharge that can keep babies in the neonatal intensive care unit (NICU) for additional days or weeks is the need for a nasogastric (NG) tube. Ensuring an infant is receiving proper nutrition is essential to securing a safe discharge. What if we could deliver NG tube feeds at home and provide all the necessary support? That’s the game changing idea we explore in this episode with our neonatology experts. To dive into this topic, we are joined by three neonatologists practicing at Children’s Colorado. Stephanie Bourque, MD, Kathleen Hannan, MD, and Danielle Smith, MD, tell us about a new at-home NG tube feed program that the team at Children’s Colorado is currently developing. Dr. Smith is the Medical Director of the NICU, Dr. Bourque is the Associate Medical Director of the NICU, and all three of our guests are faculty at the University of Colorado School of Medicine. Some highlights from this episode include:  What the need has been historically for NG tubes  Model for this at-home program  What’s required to make this at-home model a reality  The role of the primary care provider in this partnership  The impact a change like this could have on patient outcomes and family satisfaction For more information on Children’s Colorado, visit: childrenscolorado.org.

27 Aug 202426min

Join us for another insightful season of Charting Pediatrics! The same hosts you know and love will continue to bring the latest and greatest information about pediatric medicine to your ears. Joined by renowned experts, we will explore prominent topics while being moved by their personal stories. This is a season you won't want to miss! For more information on Children’s Colorado, visit: childrenscolorado.org.

20 Aug 202410min