Charting Pediatrics

Central nervous system (CNS) tumors account for a quarter of all cancers in children aged 1 to 19 years. Nearly 70% of CNS tumors can be effectively treated, but early detection is critical to allow for the best possible treatments and outcomes. Too often, CNS tumors are initially misdiagnosed as more common pediatric conditions such as migraine, gastroenteritis or other psychologic and behavioral problems. In this episode, we discuss the classic signs and presentations of CNS tumors to support early detection. Our guest for today's episode is Dr. Green. Dr. Green is part of the Center for Cancer and Blood Disorders Team at Children's Hospital Colorado and is Assistant Professor of Pediatrics, Hematology/Oncology/and Bone Marrow Transplantation 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, [email protected]

Non-alcoholic fatty liver disease (NAFLD) is the most common liver disease in the United States, affecting almost 10 percent of all children. Sometimes referred to as "fatty liver disease," it is actually a range of diseases that all begin when excess fat gets deposited in the liver, most significantly impacting our obese patients. In today's episode we are joined by guest Shikha Sundaram, MD to discuss the clinical presentation and treatment of NAFLD, including how primary care providers can provide critical support to families making significant lifestyle changes as part of their treatment. Dr. Sundaram is the Medical Director of the Pediatric Liver Transplant Program at Children's Hospital Colorado and is Associate Professor of Pediatrics, Gastroenterology, Hepatology and Nutrition 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, [email protected]

After last week's announcement that Pfizer had applied for their EUA we have heard from a number of you requesting a special podcast episode in preparation for delivering the COVID vaccine to our kids aged 5-11. We have set up something even better for you – vaccine expert and past Charting Pediatrics guest, Dr. Sean O'Leary is going to join Dr. Brumbaugh to host a live COVID Vaccine Town Hall scheduled for Thursday, October 28 at 6PM MST. Register Here: https://attendee.gotowebinar.com/register/6229170295675128332 This Town Hall will be an interactive session with the latest information about the vaccines, motivational interviewing techniques and other resources to leverage in support of vaccinating this younger pediatric population. We will also have a time for live Q&A from you. Even if you are unable to join us live, go ahead and register and you will receive a copy of the recording sent to your email at the conclusion of the live event. If you have any questions you would like specifically addressed on the Town Hall, please email [email protected] Our leadership panel includes: Lalit Bajaj, MD, Chief Quality Officer David Brumbaugh, MD, Chief Medical Officer Jessica Cataldi, MD, Pediatric Infectious Diseases Sean O'Leary, MD, Pediatric Infectious Diseases Shen Nagel, MD, Pediatrics West, Primary Care Pediatrician in Denver We look forward to connecting with many of you on October 28 as we prepare to vaccinate our younger pediatric patients and take one step closer to closing out the pandemic.

While the majority of Western culture tends to focus on a child's academic readiness & success, the importance and benefits of play are critical to development. In today's episode, we are joined by our colleagues from Nationwide Children's Hospital to talk about a recent article they published about the important role that individual and group play has in child development. This episode is part of our Resident Files series where we are pleased to feature the thoughts and work of the talented pediatric residents. Today's guests are Dr. Gabriella Gonzales, PGY3 at Nationwide Children's Hospital and Dr. Alex Rakowsky, Associate Program Director of the Pediatric Residency Program at Nationwide Children's Hospital and Assistant Professor of Pediatrics at The Ohio State University. Article cited in this episode: The Importance of Play by Gabriella Gonzales, MD and Alex Rakowsky, MD to be published Fall 2021 in Peds in Review. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

COVID-19 Town Hall for Providers: Join Dr. Brumbaugh and the Children's ID team this Thursday, October 14 at 6P MST to hear the latest information about the impact of the pandemic on pediatrics: https://attendee.gotowebinar.com/register/5597455784941724942 Fitting the unprecedented nature of the last 18 months, Summer 2021 ushered in an unusual, very early respiratory season in pediatrics, causing many of us to pause to consider what the typical Winter respiratory season may hold. Between the rise of the Delta variant, national nursing shortages, contentious mask mandates and the eager anticipation of EUA approval for the COVID vaccine use in kids aged 5-11... we in healthcare find ourselves in a sobering reality. In this episode, we are joined by our pediatric pulmonary colleagues to talk through clinical pearls for determining if patients are presenting with RSV, COVID or some other viral infection. Heather De Keyser, MD is a faculty member in the Breathing Institute at Children's Colorado and Assistant Professor of Pediatrics and Pulmonary Medicine at the University of Colorado School of Medicine. Oren Kupfer, MD is the Inpatient Medical Director of the Breathing Institute at Children's Colorado and Associate Professor of Pediatrics and Pulmonary Medicine 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, [email protected]

While more than 10% of patients in the U.S. have a penicillin allergy noted in their medical record, many of these patients are not allergic and have either outgrown their allergy or actually experienced viral rash or nonimmunological adverse reactions. In this episode, we will talk through recently published studies that inform efforts to delabel patients who are incorrectly labeled as penicillin allergic. Our guest for today's episode is Dr. Kirstin Carel. Dr. Carel is part of our Allergy and Immunology Team at Children's Hospital Colorado and is Associate Professor of Pediatric Allergy and Immunology 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, [email protected]

For the last 18 months we have collectively navigated personal and professional challenges related to the pandemic – We have celebrated the achievements of science with the development of the COVID vaccines and we have grieved the compounding impacts to all things "normal" in life, including how we deliver care to our patient families. Today, we face a national shortage of healthcare workers converging with an increased demand for care as a historic early respiratory season and the Delta variant circulate in our communities. In this episode we are joined by Raphe Schwartz and Rhae Gamber to discuss the pediatric healthcare landscape and unique considerations for pediatric providers. Raphe serves as Chief Strategy Officer at Children's Hospital Colorado and joining us from Sg2 Healthcare Intelligence services, Rhae Gamber, Consulting Director of Women's Health & Pediatric Intelligence. If any children's hospital leaders or pediatric providers are looking for more info on Sg2 visit https://www.sg2.com/childrens To listen to our last discussion about the impacts of the COVID-19 pandemic on primary care pediatrics and the broader pediatric healthcare delivery system, listen to COVID-19 & the Pediatric Healthcare Landscape with Madeleine McDowell, MD, Karyl Kopaskie, PhD and Raphe Schwartz (S4:E8) Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

When our pediatric and adolescent patients are diagnosed with cancer or another life-altering conditions, the focus is often on treatment and not the changes chemotherapy, radiation and surgery may have on their body's long-term function. In this episode, we are joined by Leslie Appiah, MD to discuss the innovative topic of fertility preservation for pediatric and adolescent patients -- both at cancer diagnosis and in survivorship. Dr. Appiah is part of the Pediatric and Adolescent Gynecology team at Children's Colorado and is Division Chief, Academic Specialists in Obstetrics and Gynecology and Director of the Fertility Preservation and Reproductive Late Effects Program at the University of Colorado School of Medicine. She is co-founder of the Pediatric Initiative Network of the Oncofertility Consortium where she served as chair for 5 years and is current co-chair of the Adolescent and Young Adult Reproductive Late Effects Committee. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Annual seasonal influenza vaccination remains the most effective means of protection against contracting influenza illness and preventing spread of the disease. It is estimated that more than 23,000 deaths occur each year in the United States because of influenza, including approximately 124 children. Egg-allergic children are a subgroup who may be at higher risk for influenza-related complications. In this episode we are joined by Matt Greenhawt, MD to review the incidence, suspected epidemiology and current policy related to allergic reactions to the influenza vaccine and steps for avoiding potential adverse reactions. Dr. Greenhawt is the Director of the Food Challenge and Research Unit at Children's Hospital Colorado and Associate Professor of Pediatrics, Section of Allergy & Immunology at the University of Colorado School of Medicine. Listen to COVID Vaccine & Kids: Managing Potential Allergic Reactions with Matthew Greenhawt, MD (S4:E38) Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

It is impossible to ignore the deep, and ongoing impact the COVID-19 pandemic has on every aspect of our lives. As providers who have uniquely felt these changes because of our profession, it is imperative to take time to consider our own resiliency. On today's episode we are joined by Sylvia Klauser, PhD to talk through the practice of bringing a non-anxious presence as an avenue towards resilience and healing. Dr. Klauser is the Manager of Spiritual Care and Bereavement Services at Children's Hospital Colorado. References: "What is happening to our nervous system" and interview of Dr. Christine Runyan, PhD, with Krista Tippett at On Being Wintering: The Power of Rest and Retreat in Difficult Times by Katherine May. This is a book, but also in interview with Krista Tippett and the author Katherine May For the more spiritual, or theological minded folks: Serene Jones, PhD, Trauma and Grace: Theology in a Ruptured world. Serene Jones is the President of Union Theological Seminary. And one for all healthcare providers who would like to learn to be more mindful and present a more contemplative approach: Roshi Joan Halifax, PhD: Standing at the Edge: Finding Freedom where Fear and Courage meet. And here the link to her book Join Dr. Brumbaugh, Dr. Dominguez and Dr. Cataldi for our next COVID-19 Virtual Town Hall on Thursday, September 9 at 6PM (MST). Register here: https://attendee.gotowebinar.com/register/1065070942537572367 Access previous Town Hall recordings and other COVID-19 resources for providers by visiting https://www.childrenscolorado.org/covid19 Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Join Dr. Brumbaugh, Dr. Cataldi and Dr. Dominguez for the next Virtual COVID-19 Town Hall for Pediatric Providers, Thursday, September 9 at 6PM MST. Register here: https://bit.ly/3jcQVDR COVID-19 is once again dominating concerns for pediatric providers as we prepare for back to school across the U.S. Between the rise of the Delta variant, national nursing shortages, mask mandates and the eager anticipation of EUA approval for the COVID vaccine use in kids aged 5-11... we in healthcare find ourselves in a sobering reality. In this episode we are joined by Jessica Cataldi, MD and Sam Dominguez, MD, PhD to overview the latest impacts of the pandemic on pediatrics. Resources: Masks and development/learning in young kids Masking in Schools Literature Review Low secondary transmission in schools when masking in place Note that the most frequently cited article about masks and children being harmful has been retracted due to concerns of fraud and misrepresentation of methods and findings. Dr. Cataldi's recipe for marinated cucumber and tomato salad (add dill & feta) Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

We are excited to kick off Season 5 of Charting Pediatrics today! Listen to hosts David Brumbaugh, Alison Brent and Dan Nicklas preview what this season has in store. Thank you to the more than 50,000 providers in 179 countries who tune in to Charting Pediatrics each month -- your support and engagement has made this new season possible. Do you have a suggestion for a guest or future topic? Write to us, [email protected] -- we promise to write you back!

We have spent the month of July preparing for Season 5 of the podcast where we will continue to explore everything from how the COVID-19 pandemic is impacting pediatrics, to the pediatric mental health crisis and other common topics and innovations that you can apply to your daily medical practice. Our host team would love to hear from you – if you have a specific topic or guest you would like to suggest for the show, write to us, [email protected] Look for Season 5 to start on Tuesday, August 24!

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected] Safety and teamwork are second nature for pediatric providers. In medicine, we have long looked to the airline industry as a leader in the application of crisis response and as the ideal of high reliability. Coming from a shared reality that even the most experienced professionals are vulnerable to human error, both aviation and medical professionals rely on problem-solving strategies to optimize responses to critical incidents. In this episode we discuss the collaborative work of physicians at Children's Colorado's Heart Institute and Human Factors and Pilot Development leaders at United Airlines. Our guests are Robby Bishop, MD, Director of the Simulation Lab at the Children's Hospital Colorado Heart Institute; Rob Strickland, Senior Manager of Human Factors and Pilot Development at United Airlines; and Carlos Porges, Psy.D, Neuropsychologist, Boeing 757/767 Pilot and member of the Human Factors and Development Team at United Airlines. Paper: Crisis Resource Management in Medicine: A Clarion Call for Change Video: Crisis Resource Management in Medicine: A Clarion Call for Change Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected] In Season 2 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. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected] 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, [email protected]

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected] Our guest for this episode is Jessica Hawks, 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. Hawks 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 can 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

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected] In today's episode we dive in to the topic of toxicity and the most common overdoses in pediatric medicine. Our guest is Sam Wang, MD, returning from earlier this season when we covered the topic of Marijuana as Medicine (S2:E14). Dr. Wang is a Pediatric Emergency Medicine Physician and Medical Toxicologist at Children's Hospital Colorado and the University of Colorado School of Medicine. Let us know what you thought of today's episode: Tweet Dr. Brent (@AlisonBrentMD) or write to us, [email protected].

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected] Respiratory diseases account for nearly a quarter of all pediatric consultations. And in addition to the usual suspects on our differentials, we now have the consideration of COVID-19. In today's episode, we talk with Ben Hughes, MD about the most common breathing issues during respiratory season, important diagnostic considerations and treatments options. Dr. Hughes is a pediatric pulmonologist at Children's Hospital Colorado and lives locally on the Western Slope of Colorado in Grand Junction; he is Assistant Professor of Pediatrics and Pulmonary Medicine 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, [email protected]

Our Summer 2021 Series features the rebroadcast of some of our most listened-to episodes from the last 4 seasons of Charting Pediatrics. Do you have a guest or topic suggestion for Season 5? Let us know, [email protected] Sepsis remains one of the leading causes of morbidity and mortality in children despite improved understanding of the pathophysiology leading to better clinical management and survival. Recent studies have identified several areas that must be addressed by the clinician in order to continue to impact the morbidity and mortality associated with sepsis. In today's episode we talk with Halden Scott, MD about the presentation, management and follow-up care of pediatric patients with sepsis. Dr. Scott is an Associate Professor of Pediatrics and Emergency Medicine at the University of Colorado School of Medicine and a Pediatric Emergency Medicine Physician at Children's Hospital Colorado. Resources mentioned in today's episode: The Children's Hospital Association Improving Pediatric Sepsis Outcomes Collaborative Children's Hospital Colorado Pathways: Scroll to Emergency Department/Urgent Care Sepsis for the sepsis pathway The most recent pediatric sepsis guidelines Articles that Dr. Scott referred to in the podcast about the role of lactate in sepsis, and the problems with SIRS criteria for sepsis screening: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2595569 https://www.ncbi.nlm.nih.gov/pubmed/26711848/ https://www.ncbi.nlm.nih.gov/pubmed/25778743/

Season 4 of Charting Pediatrics is a wrap! Thank you for listening, writing in and creating this dynamic pediatric podcast community. Throughout the month of July 2021 we will be re-broadcasting some of our most popular episodes from Season 4 and we look forward to launching Season 5 in August. If you are looking for new content and want to brush up on your Spanish skills, check out our new Spanish podcast for pediatric providers, Pediatras En Línea. Until next time, keep on keeping kids safe out there. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

A new podcast from Children's Hospital Colorado. Pediatras En Línea is a weekly podcast in Spanish for pediatric healthcare providers hosted by Carla Torres-Zegarra, MD. In this series, providers from around the globe will discuss the latest treatments and innovations for the delivery of pediatric medicine and the nuanced art of delivering care in their home communities. Listen and subscribe on Spotify, iTunes, Google Podcasts and Google Play. Read more about Pediatras En Línea Do you suggestions for a topic or guest for Pediatras En Línea? Write to us, [email protected]

After a long 18 months of living through a pandemic, vaccines have paved a way forward to a new normal – Just 6 weeks ago, the Pfizer vaccine received emergency use authorization for adolescents down to age 12; and here at Children's Colorado, we are a Pfizer vaccine trial site for kids ages 5-11. As more of our pediatric patients become eligible for the vaccine, primary care providers will be considering how to safely vaccinate patients with a risk of allergic reaction. In this episode, we will talk about the incidence, suspected epidemiology and current policy related to allergic reactions to the SARS-CoV-2 vaccines and steps for avoiding potential adverse reactions. Today's guest is Dr. Matt Greenhawt, Director of the Food Challenge and Research Unit at Children's Hospital Colorado and Associate Professor of Pediatrics, Section of Allergy & Immunology 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, [email protected]

Plastic surgery conjures up associations with cosmetic and aesthetic improvements, often in the name of vanity. However, plastic surgeons play an important role in pediatrics for addressing congenital defects, post-traumatic deformities, skin infectious and benign and malignant tumors. In this episode ,we are going to talk through the most common pediatric plastic surgery referrals from primary care. Dr. Mason is the Chief of Plastic Surgery at Children's Hospital Colorado and is Visiting Associate Professor of Plastic & Reconstructive Surgery 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. [email protected]

In our series, the Resident Files, we feature the thoughts and work of the talented pediatric residents of Children's Hospital Colorado and the University of Colorado School of Medicine. We are joined by Nadia Hoekstra, MD and Joe Zakhar, MD to explore the tenets of how our resident and fellow teams collaborated with leadership from the Children's Colorado Heart Institute to implement a program called Codes on the Go, which aimed to reduce cardiac arrest rates in the CICU, resulting in the lowest rates among any pediatric heart programs in the country. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Today Kerry Reed, NP and host David Brumbaugh, MD talk about constipation management, one of the most common issues in pediatrics. Kerry is a nurse practitioner in the Digestive Health Institute at Children's Colorado and is Senior Instructor of Pediatrics, Gastroenterology, Hepatology & Nutrition at the University of Colorado School of Medicine. Do you have questions about this episode or suggestions for a future topic? Write to us, [email protected]

According to the American Academy of Pediatrics, 1 in 4 children in the United States are part of an immigrant family unit. By definition, immigrant children are those born outside the United States or who have at least one foreign-born parent. In the last decade, global conflicts have propelled the migration of these families, creating a more diverse migrant population and given rise to divisive sociopolitical policy in our country. Like all children, the experiences of this patient population are diverse and have direct impacts on their biopsychosocial development. Additionally, this patient population may face unique challenges of inequity that can threaten their health and wellbeing. In this episode, we will talk through considerations that pediatric medical providers can make that are uniquely supportive to the refugee and immigrant patient population. For this discussion we are pleased to be joined by a colleague from the broader pediatrics community in Denver, Janine Young, MD. Dr. Young is the Medical Director of the Denver Health Refugee Clinic; Co-Medical Director of the Denver Health Human Rights Clinic and Medical Advisor for the Colorado Refugee Services Program. She is also Associate Professor of Pediatrics at the University of Colorado School of Medicine. Do you have thoughts about today's episode or suggestion for a future topic? Write to us, [email protected]

In this episode we are joined by Sue Apkon, MD and Julie Parsons, MD to discuss the impact cutting edge therapies for neuromuscular disease have had on improving the outcome and quality of life for patients. Sue is the Fischahs Endowed Chair of Pediatric Rehabilitation Medicine at Children's Colorado and is Professor of Physical Medicine & Rehabilitation at the University of Colorado School of Medicine. Julie is the Haberfeld Family Endowed Chair in Pediatric Neuromuscular Disorders at Children's Colorado and Professor of Clinical Pediatrics and Neurology 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, [email protected]

Last week, the federal government took a final step toward making the Pfizer COVID vaccine available to adolescents in the U.S. when the CDC formally recommended the vaccine for use in children ages 12 to 15. The approval of the vaccine for our adolescent patients is exciting. It also presents a unique opportunity for us, as pediatricians, to spend time engaging with families to address their questions and share our confidence in this vaccine. In this episode, we are fortunate to be joined by Dr. Eric France, Chief Medical Officer at the Colorado Department of Public Health & Environment. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Today we are joining Trainees for Child Injury Prevention (T4CIP) for their Day of Action in bringing attention to high-powered magnet injuries in kids and teens. T4CIP is a group of pediatricians and medical trainees from across the country who are passionate about childhood injury prevention. High-powered magnets have caused thousands of injuries and are considered to be among the most dangerous ingestion hazards in children. Calls to Poison Centers about High-Powered Magnets Increased by 444% after Ban Lifted We encourage you to join this national collaboration by posting messages on social media throughout today (May 19, 2021) using #MagnetSafety and participating in a Twitter chat at 1-2 p.m. ET using the same hashtag. 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 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, [email protected]

Complex patients are increasingly common in primary care and often have poor clinical outcomes. Barriers within our healthcare system challenge effective care for complex patients within our hospital systems, but less is known about the potential impact and meaning of caring for complex patients on a daily basis for primary care providers (PCPs). Today, we are going to talk about improving care for medically complex young adults, including their experiences of health system barriers and facilitators and their strategies to enhance provision of effective care. In our series, the Resident Files, we explore efforts of Children's Hospital Colorado and CU School of Medicine pediatric residents to examine the social determinants of health that impact the patients they see in primary care clinic and how all pediatric providers can make considerations for these impacts in their own practice. Our guests for this Resident File episode are Dr. Michelle Brajcich, PGY3; Dr. Samantha Robin PGY2 and Dr. Hannah Friedman PGY2. Do you thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

A new podcast from Children's Hospital Colorado. Pediatras En Línea is a weekly podcast in Spanish for pediatric healthcare providers hosted by Carla Torres-Zegarra, MD. In this series, providers from around the globe will discuss the latest treatments and innovations for the delivery of pediatric medicine and the nuanced art of delivering care in their home communities. Watch for the launch on May 18, 2021. Listen and subscribe on Spotify, iTunes, Google Podcasts and Google Play beginning May 18. Do you suggestions for a topic or guest for Pediatras En Línea? Write to us, [email protected]

Join Dr. Brumbaugh and the Children's Colorado ID Team on May 13 at 6 p.m. MST for the next COVID-19 Provider Town Hall, featuring live Q&A, Register now: https://bit.ly/2RoiezA It has been almost a month since Pfizer requested to expand use of its COVID-19 vaccine to adolescents ages 12 to 15. The request asks the Food and Drug Administration to amend their vaccine's emergency use authorization, which the FDA originally granted late last year for people ages 16 and up. Meanwhile, our colleagues in Michigan are seeing record numbers of hospitalized pediatric patients, creating a greater sense of anticipation and urgency for the vaccine's approval down to age 12. In this episode we will delve into vaccines, variants, schools and more as we examine the latest impacts the pandemic has had on pediatrics. Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Dr. Sam Dominguez. And not only is Sam with us, but we have the expertise of returning Infectious Diseases experts Dr. Sean O'Leary and Dr. Jessica Cataldi. For those of you who don't know, Children's Colorado has hosted virtual COVID-19 Town Halls for pediatricians since March 2020 – these Town Halls have been anchored and fueled by the expertise of Sam, Sean & Jess and we are exceptionally fortunate to be joined by all of them on the podcast today. Register for our next Town Hall here: ://bit.ly/2RoiezA Don't miss Post-Acute COVID Syndrome in Pediatrics with Donna Curtis, MD & Rachel Workman, MD (S4:E29) Do you have thoughts about today's episode or suggestion for a future topic? Write to us, [email protected]

While statistics indicate that children have largely been spared from the worst effects of COVID-19, little is known about what causes a small percentage of them to develop serious illness. Providers are now reporting the emergence of downstream complications that mimic what's seen in adult "long haulers." In this episode, Dr. Donna Curtis and Dr. Rachel Workman join us as we consider how pediatricians can support patients who are dealing with the lingering effects of post-COVID infection. Donna Curtis, MD is an infectious diseases physician at Children's Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Rachel Workman, MD runs the Integrative Medicine Clinic at Children's Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine. Patient-Led Research Collaborative for COVID-19 Join us for our next Virtual COVID-19 Town Hall on May 13 at 6 p.m. (MST) where we unpack the latest research on the pandemic and how it is impacting kids, as well as Q&A with the Children's Colorado Infectious Diseases team. Register today: https://bit.ly/3tZ1CwH Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

In the last decade, studies have shown the fundamental role Vitamin D plays in disease and health. Vitamin D deficiency often develops in childhood and is estimated to impact one in 10 U.S. children. Prolonged and untreated vitamin D deficiency can impact multiple organs and functions, but it rarely causes overt symptoms and often goes unnoticed. In this episode, we are joined by Liliane Diab, MD to discuss screening for iron and Vitamin D deficiency. Dr. Diab is part of the Clinical Nutrition team at Children's Hospital Colorado and is 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, [email protected]

The growing prevalence of specialization and year-around training in youth sports has contributed to an increase in bone stress injuries in children. In today's episode we are going to discuss the factors which contribute to stress injuries, including nutrition, hormonal health, age of the athlete and more. Our guests on this episode are Aubrey Armento, MD and Amanda McCarthy, Sports Nutritionist from the Sports Medicine Center at Children's Hospital Colorado. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

This has been a tragic week on top of an already difficult year for us in Colorado. On Tuesday, March 23, a gunman opened fire at a local grocery store in Boulder, killing 10 people; the suspect is a 21-year-old. Our community mourns another mass shooting. As our Charting Pediatrics team grieves with our neighboring community, we are reminded of the critical role that we as pediatricians can play in promoting gun safety and safe storage of fire arms. Locally, in Colorado Children's Hospital Colorado is supporting HB21-1106, a firearm storage safety legislation which requires three main things: Gun owners to securely store their guns Federally licensed gun dealers to provide a locking device The Colorado Department of Public Health and Environment to publish information on safe storage The bill passed the House on March 9 and has been introduced in the Senate and assigned to the Senate Judiciary Committee for a hearing. We encourage our Colorado listeners to contact your local lawmakers to support the bill. If you have questions about how you can be further involved in advocacy efforts please email us, [email protected] This is a rebroadcast from Season 2 that covers practical tips for talking with your patient families about firearm safety. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Join Dr. Brumbaugh and the Children's Colorado Infectious Diseases team this Thursday, March 25 at 6 p.m. MST for our virtual COVID-19 Town Hall with live Q&A and discussion about the latest developments in the ongoing pandemic and the impact to pediatrics. Register here: https://register.gotowebinar.com/register/2692793450142707472 Sacral dimples are relatively common and seen in around 2-4% of healthy, newborn babies and are not cause for concern. Although the cause of them is unknown, in most cases, sacral dimples are simply signs of minor abnormalities as the baby grows inside the womb, but in rare cases, they can indicate a deeper spinal abnormality. In this episode, we are joined by Todd Hankinson, MD to discuss the epidemiology of sacral dimples, their associated pathophysiologic conditions and indications they are associated with congenital anomalies. Dr. Hankinson is the Chief of Neurosurgery at Children's Hospital Colorado and is Professor of Neurosurgery 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, [email protected]

Many of our patients grow up never seeing a character that looks like themselves in a book. In fact, research suggests that 75% of characters in children's books are white. Being able to relate to a character in a book helps entice our early readers that reading is fun and link themselves to the story. Seeing ones-self as the lead character of a book gives our patients an idea of what they might become. Diversity in literature matters. In today's Resident Files episode, we discuss an initiative called Just Like Us Books that pediatric residents at Children's Hospital Colorado have launched. Our guests for today's episode are all PGY3 pediatric residents at Children's Hospital Colorado and the University of Colorado School of Medicine: Alexis Ball, MD; Katelyn Soares, MD and Ariel Porto, MD. Books included in Just Like Us Project: It's Okay to Be Different by Todd Parr (Preschool-1 year) First Laugh, Welcome Baby! By Rose Ann Tahe Antiracist Baby by Ibram X. Kendi (baby-3 years) Hair Love by Matthew A. Cherry (Preschool-3 years) Worm Loves Worm by J.J. Austrian (Preschool-3 years) And Tango Makes Three by Justin Richardson (2-5 years) Antiracist Baby by Ibram X. Kendi (baby-3 years) Round is a Tortilla by Roseanne Thong (3-5 years) Fry Bread by Kevin Noble Maillard (3-6 years) The Proudest Blue by Ibtihaj Muhammad(Preschool-3 years) Same, Same, but Different by Jenny Kostecki-Shaw (4-7) A Family Is a Family Is a Family by Sara O'Leary (4-7 years) Sulwe by Nyong'o Lupita (4-8) Just Ask, Be Different, Be Brave, Be You by Sonia Sotomayor (4-8 years) Anh's Anger by Gail Silver (4-8 years) Other Words for Home by Jasmine Warga (8-12years) List of books we like with some broad categories that we were thinking about for inclusivity: Inclusive books - characters from all types of backgrounds It's Okay to Be Different by Todd Parr (Preschool-1 year) I Am Me by Tristan Towns Little Dreamers: Visionary Women Around the World by Vashti Harrison (8-12 years) Think Big, Little One by Vashti Harrison (Baby-3 years) Dream Big, Little One by Vashti Harrison (Baby-3 years) Be Kind by Pat Zietlow Miller (4-8 years), characters are very diverse and inclusive, not explicitly about that, but nice to see all of the different kids getting along Same, Same, but Different by Jenny Kostecki-Shaw (4-7). Penpals in US and India tell each other about their lives and they see that even though they live in different parts of the world, they do a lot of the same things Inclusive families: parents who look different Life with My Family by Renee Hooker and Karl Jones (3-7 years) A Family Is a Family Is a Family by Sara O'Leary (4-7 years) Heather Has Two Mommies by Leslea Newman (Preschool-2 years) I am Perfectly Designed by Karamo Brown (4-8 years) Black/African/African American Amazing Grace by Mary Hoffman (4-8 years) I Am Enough by Grace Byers (4-8 years) Little Leaders: Bold Women in Black History by Vashti Harrison (8-12 years) Little Legends: Exceptional Men in Black History by Vashti Harrison (8-12 years) Change Sings: A Children's Anthem by Amanda Gorman (4-8 years) All Because You Matter by Tami Charles (Preschool-3 years) Hair Love by Matthew A. Cherry (Preschool-3 years) I Like Myself by Karen Beaumont (4-8) Sulwe by Nyong'o Lupita (4-8): about colorism within the Black community, photo of Lupita on the back cover New Kid by Jerry Craft (pre-teen, graphic novel/chapter book) Miami Jackson Sees It Through by Patricia McKissack (8-11, early chapter book) Brown Boy Joy by Dr. Thomshia Booker (3-7) LatinX/Hispanic Julian Is a Mermaid by Jessica Love (4-8 years) Round is a Tortilla by Roseanne Thong (3-5 years) Green is a Chile Pepper by Roseanne Thong (3-5 years) One is a Pinata by Roseanne Thong (3-5 years) The Day of the Dead by Bob Barner (2-5 years) Schomburg: The Man Who Built a Library by Eric Velasquez (7-12, lots of words but also great pictures on every page). True story about an afro-Puerto Rican man who immigrated to the US from Puerto Rico and collected books created a library about the achievements of African people/descendants throughout the ages Separate is Never Equal by Duncan Tonathiuh (4-12). True story about Sylvia Mendez' family's fight for desegregation in CA, family was Mexican. All around us by Xelena Gonzalez - gentle story that celebrates family, culture, community and the connectedness of all thing Indigenou/Native American Fry Bread by Kevin Noble Maillard (3-6 years) We Are Water Protectors by Carole Lindstrom (Preschool-1 year) The Pencil by Susan Avingaq. About an Inuit family who lives in an iglu First Laugh, Welcome Baby! By Rose Ann Tahe. Story about a new baby and the significance of the first laugh in Navajo culture Sweetest Kulu by Celina Kalluk (1-3). Poem written for a baby about Inuit values and respect for the land, seems like a good bedtime story. Immigrants/Refugees The Proudest Blue by Ibtihaj Muhammad(Preschool-3 years) Watch Me: A Story of Immigration and Inspiration by Doyin Richards (3-5

Register for our next COVID-19 Town Hall on March 11 at 6 p.m. MST: https://register.gotowebinar.com/register/3191284534166093839 COVID-19 has disrupted people's ability to smell, for days or months and has been well-documented at this point in the pandemic, but researchers aren't sure why. Even less is known about the long-term effects on children who have not regained their sense of smell months after recovering from COVID-19, a phenomenon that is believed to be vastly underreported. Pediatric patients are less likely to articulate to a provider or to their parents that they cannot smell or taste normally. On today's episode, we talk with Kenny Chan, MD about the existing supportive evidence for olfactory training to help with post-COVID-19 infection recovery and a new research study being launched at Children's Colorado to help learn more about these patients. Dr. Chan is the Chair of Pediatric Otolaryngology at Children's Hospital Colorado and is Professor of Otolaryngology and Surgery at the University of Colorado School of Medicine. JAMA Insights Article: Olfactory Dysfunction in COVID-19 Diagnosis & Management

The first person to see a child following an eye emergency plays a critical role in preventing and treating an eye injury and subsequent visual loss. A basic, five minute eye exam can help providers determine how urgent an ocular problem is and the appropriate treatment approach. In today's episode Emily McCourt, MD shares clinical pearls to help providers diagnose and triage a child who presents with an eye injury. Dr. McCourt is the Chair of Pediatric Ophthalmology at Children's Hospital Colorado and is Associate Professor of Pediatric and Adult Strabismus 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, [email protected]

Hearing loss is the most common developmental disorder identifiable at birth and its prevalence increases throughout school‐age due to the additions of late‐onset, late identified and acquired hearing loss. Under identification and lack of appropriate management of hearing loss in children has broad effects and impact on educational, cognitive and social development. According to the American Academy of Pediatrics For all children, regular surveillance of developmental milestones, auditory skills, parental concerns, and middle-ear status should be performed in the medical home. On today's Resident Files episode we are going to walk through the hearing screening schedule and risk indicators with Jordan Yoeli, MD, PGY-3 pediatrics resident at Children's Hospital Colorado and the University of Colorado School of Medicine. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for our next COVID-19 Town Hall - Thursday, February 11 at 6 p.m. MST. Read more about our COVID-19 Town Hall series for pediatric providers here. The number of COVID-19 cases, deaths and hospitalizations are steadily declining in the U.S., signaling we may have turned a corner in the pandemic. And after a challenging start to rolling out the vaccine, about 31.6 million people in the US have received at least one dose of the COVID vaccine, including about 9.1 million people who are fully vaccinated. In today's episode, we discuss the latest in the journey to end the pandemic and what it means for pediatrics with Sam Dominguez, MD. Dr. Dominguez 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. Do you have thoughts about today's episode or suggestions for a future podcast topic? Write to us, [email protected]

Join our next COVID-19 Provider Town Hall on Thursday, February 11 at 6 p.m. MST: https://bit.ly/3cMwxH5 Throughout the COVID-19 pandemic we have examined various impacts this time has had on the pediatric population. In recent months, the Charting Pediatrics host team has received multiple emails from pediatricians around the globe who are observing increased number of patients struggling with health weight stigma and eating disorders as the pandemic lingers on. The clinical experiences and observations of our colleagues writing in inspired today's discussion with Jennifer Hagman, MD and Matt Haemer, MD. Dr. Hagman is Director of the Eating Disorder Program at Children's Hospital Colorado and Professor of Psychiatry at the University of Colorado School of Medicine. Dr. Haemer helps lead the Nutrition team at Children's Colorado and is Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine. Resources Mentioned: Children's Colorado Obesity Clinical Pathway Resources for screening and discussing health behaviors can be found on page 2 Food Security Resources Cooking Matters Fitness Blender National Association of Anorexia Nervosa and Associated Disorders Children's Colorado Eating Disorder Program Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Respiratory diseases account for nearly a quarter of all pediatric consultations. And in addition to the usual suspects on our differentials, we now have the consideration of COVID-19. In today's episode, we talk with Ben Hughes, MD about the most common breathing issues during respiratory season, important diagnostic considerations and treatments options. Dr. Hughes is a pediatric pulmonologist at Children's Hospital Colorado and lives locally on the Western Slope of Colorado in Grand Junction; he is Assistant Professor of Pediatrics and Pulmonary Medicine 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, [email protected]

New studies from Germany, Norway and the U.S. offer yet more data to show that childcare facilities and elementary schools should remain open or re-open to full-time, in-person learning as quickly as possible. Despite these research findings, schools across the US have largely been closed to in-person learning since the pandemic reached critical mass in the U.S. in March 2020. On today's episode, we are going to talk through these recent studies and the advocacy needed to support the re-opening of schools to full-time, in-person learning. https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.26.1.2002011 https://www.nejm.org/doi/10.1056/NEJMc2026670 https://pediatrics.aappublications.org/content/early/2021/01/06/peds.2020-048090 Today we are joined by returning guest Dr. Sean O'Leary, an Infectious Disease physician at Children's Colorado and Director of the Colorado Pediatric Practice-Based Research Network. Sean is also a spokesperson for the American Academy of Pediatrics and can regularly be found being interviewed and quoted in the New York Times, C-SPAN, PBS and CNN to name a few. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

In this episode we are joined by Dr. Debbie Singer and Dr. Paula Riggs to discuss their successful collaboration screening adolescents for substance use disorders, implementing the SBIRE (screening for evaluation) vs SBIRT (referral for treatment) approach, and its rationale and effectiveness in this partnership between primary care pediatrics and psychiatry. Debbie Singer, MD is a primary care pediatrician at Every Child Pediatrics in Denver, Colo. and Fellow of the American Academy of Pediatrics (FAAP). Paul Riggs, MD is Director of the Division of Addiction Science, Prevention & Treatment; Vice Chair of Faculty Affairs for the Department of Psychiatry and Professor of Psychiatry at the University of Colorado School of Medicine; and Director of the Encompass Clinic. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

COVID-19 Provider Town Hall: COVID-19 Variants & Vaccine Focus: https://bit.ly/3ndY8Cs on Thursday, January 7, 2021 at 6 p.m. MST. For the last month of the pandemic, hope and excitement have surrounded the COVID vaccination deployment as more than 3 million Americans received their first vaccine dose by the close of 2020. While the pandemic is far from over, there is a sense of hope that the vaccine represents the beginning of the end. As this hope was rising, a new variant of the virus emerged with an unusually large number of mutations. This variant seems to spread more easily and quickly than other variants and was first detected in September 2020. It is now highly prevalent in London and southeast England, and has since been detected in numerous countries around the world, including the United States and Canada. In today's episode, we are going to talk with Sam Dominguez, MD about the details of the virus variant mutations and what that means for pediatrics and the vaccine. You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 and 4 of the podcast. We are pleased to welcome back Dr. Sam Dominguez to the podcast. 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. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

The COVID-19 pandemic has presented uncountable challenges for each of us, but as we considered some specific patient populations that have particularly been impacted our kids with autism and developmental delays come to mind. These children are especially vulnerable to the effects of the pandemic due to overall more significant healthcare needs, their dependency on community-based and school-based services and global mental health concerns. On today's episode we talk with Caitlin Middleton, PhD and Abigail Angulo, MD through the considerations primary care providers should make for their patients with autism and developmental delays as we move through the latest wave of the pandemic. Dr. Middleton is part of the Developmental Pediatrics team at Children's Hospital Colorado and is Assistant Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Angulo is part of the Developmental Pediatrics team at Children's Hospital Colorado and is 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, [email protected]

Last month we introduced you to Part I of primary care for children and teens living in out-of-home care -- In today's follow-up episode, we will discuss important aspects of the physical exam; considerations for ACE scores and their impacts to overall child health; and finally, how to advocate for this patient population particularly during the pandemic. We are fortunate to be joined by Denver Health pediatrician Dr. James Kaferly and happy to welcome Dr. Sara Hills, Clinical Psychologist from Denver Health. Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]