Each year hundreds of children are listed for liver transplants across the United States. Whether these children have chronic liver disease or acute liver failure, too many children spend months or even years waiting for an organ. Historically, deceased organ transplants have been the most common type of organ donation. However, the outcome for many children with chronic liver disease is to experience long wait times with poor quality of life. Too many children die while waiting for a transplant. Living donor transplants have emerged as a new way to care for children with chronic liver disease. Relatives, friends and even strangers serve as living donors to help patients bypass long and uncertain wait times. In this episode, we are joined by two experts from our living donor program to share more about this organ donation option.

Today, I am excited to be speaking with Dr. Amy Feldman and Dr. Megan Adams.

Dr. Feldman is a pediatric Gastroenterologist and is the Director of the Liver Transplant program here at Children’s Hospital Colorado. Dr. Megan Adams is the surgical director of the pediatric living donor transplantation and pediatric transplant clinical reach team here at Children’s Hospital Colorado.

Resources: 

https://www.childrenscolorado.org/doctors-and-departments/departments/transplant/liver/ 

Many people view mental and physical health as two separate and unrelated issues. However, there are many intersections between the two. For example, it is not uncommon for children and adolescents to develop and experience emotions as physical symptoms. Children who experience Somatic Symptoms, or SSRDs, account for 10-15% of medical visits to primary care providers. Today, we are going to be talking about the connection between physical and mental health and how health care professionals can better understand, diagnose, and treat these patients in the medical home. 

Today, I am excited to be speaking with my colleagues Dr. Lauren Wood and Dr. Beau Carubia.

Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. Ent, Colorado’s largest credit union, has a passion for people, not for profit. Ent has more than 45 service centers located up and down the Front Range, including the Denver Metro area and Northern Colorado. Ent dot com. Insured by NCUA.

Children these days face a myriad of social pressures. Kids come from different homes and backgrounds. They grow at different rates. They walk, talk, and act differently. This diversity and individualism can be something to embrace, but often leads to insecurities about being different and not fitting in socially. These insecurities can have detrimental effects on the mental health of kids during their formative years.

Today I am speaking with Dr. Daniel Flannery and Dr. Seth Scholer. Dr. Flannery is a professor at the Mandel school at Case Western Reserve University, Director of the Begun Center for Violence Prevention, and Professor of Pediatrics and Psychiatry. Dr. Scholer is a professor of pediatrics in the division of general pediatrics at Vanderbilt University Medical Center.

Happy Holidays from the Charting Pediatrics team! 

In past episodes of Charting Pediatrics, we have discussed the health equity challenges that organizations and healthcare systems face and the importance of a diverse workforce. Differences such as race, gender, and socioeconomic status are all associated with the disparities we see in health care systems each day. An important step to help providers close this gap, starts within healthcare professional education. In this episode, we are going to take a deep dive into how health systems can help protect and advocate for the most vulnerable patients of all, the patients in the NICU.

Today, I am excited to be speaking with Dr. Paula Dias Maia and Dr. Nicolle Dyess. 

Dr. Paula Dia Maia is a neonatal-perinatal fellow and was previously one of the leaders of the diversity in pediatrics committee. Dr. Nicolle Dyess works in the Division of Neonatal-Perinatal medicine and is an assistant professor and the University of Colorado.

Today's episode is underwritten by Aon, a proud supporter of Charting Pediatrics and Children's Hospital Colorado. Aon believes that businesses thrive when the communities they serve flourish. Thank you to Aon for helping our community flourish through this partnership.

About 14 out of every 1,000 healthy infants born full term develop a fever during the ages 8 days to 60 days old. While most fevers do not lead to severe illness, it can be challenging to immediately identify the cause of a baby’s fever and identifying infants who may be at risk for developing serious bacterial infections. In this episode, we will discuss the updated AAP guidelines for well-appearing infants between 8-60 days old who develop a fever at or above 100.4 degrees Fahrenheit (38 degrees Celsius). We will take a deep dive into the changing epidemiology of serious bacterial infection in febrile infants, advances in technology, and evolving research strategies. 

This episode is being broadcasted live from the AAP NCE in Anaheim California. Today, I am delighted to be speaking with Dr. Samir Shah.

Dr. Shah is joining us from Cincinnati Children’s hospital where he is the Director of the Division of Hospital Medicine and a professor of pediatrics.  

Data from multiple countries have shown an uptick in eating disorder presentations in youth during the pandemic. Here in Colorado, we have certainly seen an increase in medically unstable eating disorder patients admitted to the hospital. As part of our series this year on mental health today we will focus on disordered eating, which encompasses a spectrum of different problems in children. I am joined by two experts between them with many decades of experience caring for children and adolescents with disordered eating so this is going to be a lot of fun.

This episode is part of our 12-episode mental health series where we aim to give primary care providers useful tools and relevant clinical information to support them in the care of patients with mental health needs.

Today I am happy to be speaking with Dr. Amy Sass and Dr. Jennifer Hagman.

Dr. Sass works in the adolescent medicine department at Children’s Hospital Colorado and is a professor at the University of Colorado School of Medicine.  Dr. Jennifer Hagman works in the child and adolescent psychiatry department here at Children’s Colorado and is professor at the University of Colorado school of medicine.

Resources:

AAP -

 https://publications.aap.org/pediatrics/article/147/1/e2020040279/33504/Identification-and-Management-of-Eating-Disorders 

NEDA – National Eating Disorders Association​

www.nationaleatingdisorders.org​

Families Empowered And Supporting Treatment of Eating Disorders (FEAST)​

www.feast-ed.org​

Academy of Eating Disorders​

www.aedweb.org​

NIH - National Institutes of Health​

www.nlm.nih.gov  (Search “Eating Disorders”)​

Information on Maudsley Method​

www.eatingwithyouranorexic.com, http://www.maudsleyparents.org/, www.aroundthedinnertable.org 

Today's episode is underwritten by Ent Credit Union, proud supporter of Charting Pediatrics and Children's Hospital Colorado. 

In our series, the Resident Files, we feature the thoughts and work of talented pediatric residents here in Colorado and around the country.

The section on pediatric trainees has implemented several initiatives into making pediatrics a more diverse and inclusive workforce. This group is working towards achieving child health equity in a global sense. The equity, diversity, and inclusion work group has focused their efforts on increasing visibility of underrepresented in medicine groups highlighting both trainees and faculty members using social media campaigns.

This episode was broadcasted live from the AAP conference in Anaheim California. Today I am privileged to be joined by Jeffrey Edwards.

Jeffrey is a member of the section on pediatric trainees currently wrapping up his time as the executive coordinator for equity diversity and inclusion with the section on pediatric trainees leadership council.

Although Acute Appendicitis(AA) is the most common acute surgical conditions encountered by children, multiple aspects of the approach to management of AA remain well debated. Despite recent advancements in management, including scoring systems, imaging, antibiotics, the variations in management options, from appendectomy to a laparotomic approach to non-operative management (NOM) remain topics of intense discussion.  And with no absolute consensus in the literature, controversy among surgeons and faculty persists.

Dr. Kelley-Quon is joining us from Children’s Hospital Los Angeles, where she practices as a pediatric surgeon and is an assistant professor of surgery and population and public health sciences at Keck school of Medicine at the University of Southern California. 

Today, a vast majority of teenagers and adolescents dedicate their time to athletics. In fact, nearly 8 million students participate in high school sports. With the increasing popularity of club sports, most kids are practicing and playing their dedicated sports year-round. Participating in organized sports allows kids to become a part of a team and improves both physical and mental health. However, an injury to an athlete can impact their ability to perform and practice and can be devastating mentally. On today’s episode, we will be discussing common orthopedic injuries among student athletes and how these injuries can be treated and prevented.

Welcome to Charting Pediatrics. I’m your host Dan Nicklas. If you are new with us, welcome to our pediatric provider community where we release an episode every Tuesday, and special updates to cover hot topics that impact pediatric providers.

 Today I am happy to be speaking with Dr. Curtis VandenBerg.

Dr. Curt VandenBerg is a Sports medicine surgeon with Children's Hospital Colorado and the University of Colorado school of medicine.

Resources:

https://www.joinmyhuddle.com/about