Charting Pediatrics

Primary care providers and Pediatricians play a vital role in the identification, prevention, and management of pediatric mental health. With the increased need for mental health services and limited access to resources, early detection is a crucial first step. On this episode, we are going to discuss the importance of routine mental health screenings and the tools and resources primary care providers can leverage within the medical home.

In the early 1950's, Polio was one of the most unknown and feared disease in the United States. According to the CDC, polio caused hundreds of thousands of cases of paralysis before the development of a vaccine. Since the vaccine, there have been no new cases, until now. In addition, we are seeing the continued spread of another virus that can cause paralysis, Enterovirus D68. Today we will talk about the possible relationships between these two viral diseases and what you our healthcare providers need to be aware of for prompt diagnosis and treatment.

Today I am delighted to be speaking with my colleague Dr. Kevin Messacar.

Kevin works in the Infectious Disease department at Children's Hospital Colorado and is an Associate professor in the department of pediatrics at the University of Colorado school of Medicine.

Resources:

Polio MMWR: https://www.cdc.gov/mmwr/volumes/71/wr/mm7133e2.htm

EV-D68 MMWR: https://www.cdc.gov/mmwr/volumes/71/wr/mm7140e1.htm

AFM Consensus Recommendations: https://www.thelancet.com/article/S0140-6736(20)32723-9/fulltext

CDC Job Aid for AFM Reporting: https://www.cdc.gov/acute-flaccid-myelitis/downloads/job-aid-for-clinicians-508.pdf

AFM Physician Support Portal: https://wearesrna.org/living-with-myelitis/resources/afm-physician-support-portal/

https://www.cdc.gov/acute-flaccid-myelitis/downloads/examining-proximal-muscle-weakness-508.pdf

Toilet training is a natural milestone that many children master by the age of 3. Although accidents are bound to happen from time to time, consistent day time wetting may be linked to a more serious medical condition. On average, daytime wetting, or Diurnal enuresis, happens in about 3-4% of children and is commonly associated with dysfunctional voiding. Today, we are going to unpack some of the common reasons kids experience daytime wetting and what primary care providers can do to treat this in the medical home.

Today I am happy to be speaking with Brian Miller.

Brian Miller is PA-C Lead Advanced Practice Provider for Pediatric Urology here at Children's hospital Colorado.

It is not uncommon for newborn babies to have slight imperfections in their heads. Most of the time, these imperfections will fix themselves over time, or once they begin to develop. However, sometimes a more serious diagnosis will require medical interventions. Craniosynostosis is a condition where a baby's skull begins to fuse together too early. This occurs at birth or shortly after and if not treated, can affect brain development.

Today, I am excited to be speaking with my colleagues Dr. Brooke French and Dr. Allyson Alexander. Dr Allyson is a Pediatric Neurosurgeon here at Children's Hospital Colorado and is also an Assistant Professor at University of Colorado School of Medicine. Dr. Brooke French is the Co – Director of Cleft and Craniofacial Surgery Programs and is also the Director of Cosmetic Surgery here at Children's Hospital Colorado.

The youth mental health crisis in America is not a new problem. The pandemic drove unprecedented numbers of kids to seek care at all levels and really brought this to the public's attention. In 2021, to highlight the mental health crisis in the United States, the surgeon general's office issued the Youth Mental Health Advisory. Today, as we begin our season 6 focus on mental health with our Charting Pediatrics Mental Health series, we are privileged to talk with our U.S Surgeon General, Dr. Vivek Murthy, and our very own Mental Health In-Chief Ron-Li Liaw.

Vivek Murthy serves as the 21st Surgeon General of the United States. Dr. Murthy is a renowned physician, research scientist, and entrepreneur. As the Nation's Doctor, the Surgeon General's mission is to help lay the foundation for a healthier country. Dr. Ron- Li Liaw is the Cannon Y. & Lyndia Harvey Chair in Child and Adolescent Psychiatry, the vice chair of Diversity, Equity, and inclusion and most recently, Ron-Li has been announced as the first ever Mental Health In-Chief for Children's Hospital Colorado.

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

Since 2020, life as we know it has been turned upside down. Every person has had to deal with the repercussions of the global COVID-19 pandemic in their own individual ways. Pediatrics is no different. Pediatrics has changed immensely over the last few years, and as we emerge from the pandemic, many people are anticipating the "normal" of life to come back. However, it is important to understand that there may be a "new normal". In this episode, we will be discussing what has changed in the landscape of pediatrics, what will stay, and what areas will not recover.

Raphe Schwartz serves as Chief Strategy Officer at Children's Hospital Colorado and joining us from health care analytics and intelligence firm Sg2, Rhae Gamber, Senior 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

Sleep is an essential function that is vital to the health and well-being of every individual yet millions of people either neglect or have trouble sleeping. Sleep issues in kids are among the most common problems that parents report when visiting their Primary Care provider. In fact, 20% of all children suffer from some type of sleeping problem. In today's episode, we are going to discuss common sleep disorders and when Primary Care providers should refer patients to a sleep specialist.

Today I am happy to be speaking with my colleague Dr. Antoinette Burns. Dr. Burns is a pediatric sleep physician. She is the Associate Medical Director of the Pediatric Sleep Lab in Colorado Springs, Colorado and is also an Associate Professor of Clinical Practice in the Department of Pediatrics at the University of Colorado school of Medicine.

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.

Welcome back Charting Pediatrics listeners! We are so excited to announce that the sixth season of the podcast will release on August 23rd. In this new season, our host team will bring you the latest and greatest in pediatrics along with the bread-and-butter topics that help you in your daily practices. In addition, the Charting Pediatrics team is excited to launch a 12-part Mental Health Series. This series will take a deep dive into relevant behavior health topics that will help inform and equip primary care providers in these challenging times. These episodes will cover a variety of topics such as the history of pediatric mental health, stress and resiliency management, trauma informed care and more.

In today's teaser episode, we are joined by Ron-Li Liaw. Ron-Li is our inaugural Mental Health-in-Chief at Children's Hospital Colorado and has teamed up with us to create this exciting new series.

On behalf of the host team, thank you for your faithful support in listening and engaging with us and also sharing the content with your colleagues. Be sure to join us weekly for yet another great season!

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.