 Sinusitis is a common viral or bacterial infection that causes swelling in the sinuses. Although some patients need prescription medication, often sinusitis can be triggered by allergies or the common cold. In general, sinusitis is overtreated with antibiotics. In the United States, there are five million antibiotic prescriptions for children and adolescents with acute sinusitis, and around 65% of patients are prescribed either amoxicillin or amoxicillin/clavulanate as first-line treatments. To date, there have been little to no studies to compare the effectiveness and safety of these prescriptions. In today’s episode, we discuss a study done by Timothy Savage, MD, and Matthew Kronman, MD, to determine the effectiveness of antibiotics and how to determine who needs antibiotic treatment and who does not.    Guest:    Matthew Kronman, MD, MSCE, is the fellowship program director for Pediatric Infectious Diseases and the medical director of outpatient antimicrobial stewardship at Seattle Children’s Hospital, and an associate professor at University of Washington School of Medicine.     For more information on Children’s Hospital Colorado, visit: childrenscolorado.org        

Treatment of Acute Sinusitis in Children with Matthew Kronman, MD (S6:E42)

Children's Hospital Colorado experts examine the latest treatment options for the most common chief complaints in pediatric medicine. We will talk about significant research and advances in pediatric medicine, the nuanced art of practicing pediatrics and everything in between.

Medicine

Science & Medicine

Health & Fitness

   The mouth is a fundamental part of the human body. It allows us to eat, drink, breathe, speak, smile and express ourselves. Naturally, that means oral health is connected to our broader physical health, but in the United States, medical and dental care are structurally separate. Despite their connections, the two have entirely different systems of professional training schools, insurance coverage and care networks. This is referred to as the dental divide, and it results in varied levels of access and health outcomes. The repercussions of these barriers are significant, especially for children in our most vulnerable communities. To discuss this important topic, we are joined by Patricia Braun, MD. Dr. Braun is a primary care pediatrician at Denver Health, as well as a professor of pediatrics at the University of Colorado School of Medicine. She is the immediate past chair of the Section on Oral Health for the American Academy of Pediatrics, and her research focuses on oral health outcomes and program evaluation. She also currently directs the Rocky Mountain Network for Oral Health Integration. Some highlights from this episode include:     How to understand the dental divide  Ways this divide leads to poor oral health for children  Options for the medical community to combat these barriers  What primary care providers can look for in their visits with patients     For more information on Children’s Colorado, visit: childrenscolorado.org.     

Dissecting the Dental Divide

  When you work in neonatology, you are surrounded by babies. You’re regularly meeting new parents in the Neonatal Intensive Care Unit, some who are living the best days of their lives, and others who are experiencing the very worst. But as a doctor, you never expect to become  the patient. We go beyond the white coat in this episode with a story of tragedy and personal discovery from  Laurie Sherlock, MD, that changed how she interacts with her patients and practices medicine. “I’ve been gifted through the accident and my son’s death. I’ve been gifted so much compassion for what our families are going through. I think my bandwidth is so much higher because it’s so easy for me to put myself in their shoes,” says Dr. Sherlock. Dr. Sherlock specializes in neonatal and perinatal pediatric medicine at Children’s Hospital Colorado and is an assistant professor of pediatrics and neonatology at the University of Colorado School of Medicine. Mostly importantly, she is a survivor who is using her own narrative to help others. Some highlights from this episode include:     Dr. Sherlock’s personal story and the impact it’s had on her career  Using personal experience to be a better doctor  Tapping into compassion at the bedside  Advice for patients and families experiencing tragedy      For more information on Children’s Colorado, visit: childrenscolorado.org.     

Turning Tragedy into Triumph

  Innovations and techniques to enhance spinal surgical care, and support patient- centric outcomes, have made big strides in the last decade. Technology like surgical robots, 3D printed models customized to the patient, and a new procedure called vertebral body tethering are just a few examples of the many incredible advancements.      Two leading experts on scoliosis surgery at Children’s Hospital  Colorado  join us to discuss these impressive changes and how they are impacting patient care.  Mark Erickson, MD, is the medical director of the Children’s Hospital Colorado Spine Program, as well as a specialist in orthopedic surgery. He’s also a professor of pediatrics at the University of Colorado School of Medicine. Sumeet Garg, MD, a pediatric orthopedic specialist, is the quality and safety director for the Spine Program, as  well an associate professor at the University of Colorado School of Medicine.    Some highlights from this episode include:     An orthopedic surgeon’s approach to spinal surgery and how it’s evolved over time  How surgery can improve a patient’s quality of life    A look at new, customized patient approaches  How the use of robotics is advancing treatment  What’s on the horizon in spine surgery innovation      For more information on Children’s Colorado, visit: childrenscolorado.org.     

Spine Surgery Innovations: Advancing Treatment with Technology

     When babies enter the world, there’s a plethora of diagnoses providers need to look out for. Some are simple fixes, while others are a bit more complicated. When parents take their kids home, how should they know what to keep an eye out for? In this episode, we explore one potential diagnosis for an infant: tongue ties. How can you tell if a baby has one, and if they do, when should it be fixed? Looking at the concerns and consequences of tongue ties is important in making a decision on how to treat it.  To provide guidance in making these decisions, Soham Roy, MD, is our guest for this episode. Dr. Roy specializes in pediatric otolaryngology at Children’s Hospital Colorado, and he’s a visiting professor of otolaryngology at the University of Colorado School of Medicine.  Some highlights from this episode include:     How to identify a tongue tie and variability in diagnoses   Why tongue ties are controversial    Identifying fact versus fiction in understanding tongue ties   The upsides and downsides of the tongue tie procedure   How providers can learn more     For more information on Children’s Colorado, visit: childrenscolorado.org.      

The Lowdown on Tongue Ties: Breaking Down Fact Versus Fiction

 The care of children with cleft lip and palate spans an entire lifetime. It requires methodical care with a multidisciplinary team, and a special emphasis on the family. Integration with a child’s pediatrician, medical home and their loved ones is key. While the oral cleft is the most common craniofacial malformation in a newborn, the three main types differ vastly.      We are in for a treat with the guest for this episode. We are joined by a gifted plastic surgeon who has traveled the world to perform these life-changing surgeries and bring smiles to everyone involved. Phuong Nguyen, MD, specializes in plastic and reconstructive surgery here at Children’s Hospital Colorado. In addition, he is the associate vice chair of global surgery, chief of plastic surgery, co-director of the cleft lip and palate program and a professor of surgery at the University of Colorado School of Medicine.    Some highlights from this episode include:   Prevalence and diagnosis of cleft lip and palate  The role of the pediatrician or PCP throughout the lifespan of these patients  Understanding if treatment is unique per patient  Global impact of specialists, like Dr. Nguyen, traveling to treat patients     For more information on Children’s Colorado, visit: childrenscolorado.org    

Treatment of Acute Sinusitis in Children with Matthew Kronman, MD (S6:E42)

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