Pediatric Meltdown

118 ADHD: Assessment, Treatment and Pearls


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https://302.buzz/PM-WhatAreYourThoughts

Dr. Lia Gaggino talks to Dr. Herschel Lessin on how physicians can  juggle their ADHD patients, parents, practice. 

 Here are some facts on ADHD (Attention deficit hyperactivity disorder):

-There's more than one type of ADHD

-ADHD is genetic.

-There is no cure for ADHD, but medication and therapy can control symptoms

-ADHD often persists into adulthood

-People with ADHD may be protected by the Americans with Disabilities Act

 

 “ADHD is a chronic condition of the brain that makes it difficult for children to control their behavior. 

According to national data, AKHD affects about 9.4% of U.S. children ages 2-17 including 2.4% of children ages 2-5 and 4%-12% of school-aged children…”  American Academy of Pediatrics ADHD | All AAP | AAP

 

[00:33 -8:20] Opening Segment

  • Dr. Gaggino introduces us to Dr. Herschel Lessin
  • What drives Dr. Lessin’s passion to be a pediatrician?  
  • How his personal experience inspired him to learn more about ADHD
  • If managed properly, ADHD has to potential of being a “Superpower”

[8:21- 16:21]  Current Pharmaceutical Development for ADHD Treatment  

  • Issues with current drug availability
  • Potential solutions moving forward
  • Problem Regarding Pediatricians Comfort with Treating ADHD
  • Barriers to Treating ADHD


[16:22 -32:47]  The economics behind drug pricing and formulary change

  • How this affects health care providers and patients
  • Challenges posed by mid-year formulary changes 
  • Disruption to patient treatment plans
  • Difficulty in switching between medications
  • National Shortages of Short Acting Medication

 

 

[32:48 -59:32] Making a List from the ADHD Toolkit

  • Learning How to Code for all Service
  • Documenting Your Thinking 
  • How to Set Up a Practice for ADHD Kid
  •  The importance of documentation and avoiding being audited


[59:33 - 1:07:23]  Closing segment Takeaway

 

 Links to resources mentioned on the show

 AAP

ADHD toolkit - 

https://302.buzz/AAP-ADHDToolKit

 

ADHD Clinical Practice Guideline -

https://302.buzz/ClinicalPracticeGuideline

 

AAP publication “Congrats You’re Having a Teen!” 

https://shop.aap.org/congrats-youre-having-a-teen-paperback/

 

REACH Institute - 

https://thereachinstitute.org/Ma

 

Massachusetts General Child and Adolescent Psychopharmacology 2023 course - 

https://302.buzz/mgcaPsycPharma

 

AACAP - ADHD Facts for Families - 

https://302.buzz/AACAP-ADHD

 

NEI Global - neigglobal.com

 

Stephen Stahl’s Prescriber’s Guide - 

https://302.buzz/PrescribersGuide

 

Find the state map for your child psychiatry access program 

NNCPAP National Network of Child Psychiatry Access Programs


Another episode you may like:

Episode #68

Trouble At School

https://302.buzz/TroubleAtSchool


Episode #88 

Strategies For Boosting Executive Function 

https://302.buzz/88ADHD-Boosting Executive Function


Episode 104

Youth Mental Health; 

https://302.buzz/104YouthMentalHealth


Key quotes for Twitter:

“If you wanna do this successfully in the office, you are not the only cog in this wheel”:... Dr. Herschel Lessin on not only the physician needs training in treating ADHD, but the front office needs training on meeting ADHD patients needs.


“No one will treat children unless you pay exorbitant amounts out of pocket and next to no one will do that. And so I thought to myself, am I gonna let these people drown or am I gonna try to help them”.. Dr. Herschel Lessin on dealing with the Insurance companies


THANK YOU FOR YOUR SUPPORT!

Pediatric Meltdown was listed as a Top 20 Pediatric Podcast on FeedSpot.

If you’d like to connect with me, you can find me on LinkedIn, Facebook, Instagram, and Twitter, or email me at [email protected] or [email protected]. To learn more about me visit https://www.medicalbhs.com/

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