Charting Pediatrics

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:

1. Gun owners to securely store their guns
2. Federally licensed gun dealers to provide a locking device
3. 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 years)
• Islandborn by Junot Diaz (5-8 years)
• Other Words for Home by Jasmine Warga (8-12years) (pre-teen, chapter book). About a girl who wears a hijab who moves from Syria to the US and is newly labeled "Middle Eastern", and embraces her culture and grows into herself

Disability

• I Just Do It Differently by Donna Grinyer
• I Will Dance by Nancy Bo Flood (Preschool-3 years)
• Just Ask, Be Different, Be Brave, Be You by Sonia Sotomayor (4-8 years): kids of many different ethnicities with medical and developmental differences. Sotomayor was diagnosed with DM as a kid!
• My Brother Charlie by Holly Robinson Peete and Ryan Elizabeth Peete. Black author co-wrote with her son who has autism. Story about Black siblings, one of whom has autism

Gender/Sexual Orientation Diversity

• It Feels Good to be Yourself: A Book About Gender Identity by Theresa Thorn (5-8 years)
• Julian Is a Mermaid by Jessica Love (4-8 years)
• Stella Brings the Family by Miriam B. Schiffer (5-8 years)
• Worm Loves Worm by J.J. Austrian (Preschool-3 years)
• And Tango Makes Three by Justin Richardson (2-5 years)

Different religions/culture (some overlap with immigrants/refugees)

• Hats of Faith by Medeia Cohan (1-3, board book). Pictures of different "hats" that people of different faiths wear
• The Diwali Gift by Shuchi Mehta (3-8). About Indian culture
• Same, Same But Different by Jenny Sue Kostecki-Shaw (4-7). About two children who are penpals in the US and India

Anti-bias/Activism

• V is for Voting by Kate Farrell and Caitlin Kuhwald (3-6 years)
• A is for Activist by Innosanto Nagara (3-7 years)
• Antiracist Baby by Ibram X. Kendi (baby-3 years)
• No! My First Book of Protest by Julie Merberg (baby-3 years)
• An ABC of Equality by Chana Ginelle Ewing (baby-5 years)
• Woke Baby by Mahogany L. Browne (baby-3 years)

Emotions

• When You Can't See Me Smile: A book for children to help express and understand emotions, moods, and feelings while wearing a mask by Emily Alston
• Anh's Anger by Gail Silver (4-8 years)
• Steps and Stones by Gail Silver (4-8 years)
• Peace, Bugs, and Understanding by Gail Silver (Preschool-3 years)
• My Magical Words by Becky Cummings

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 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]