Charting Pediatrics

Register for our Weekly COVID-19 Town Hall, 5/21 from 6-7 p.m. MST

The COVID-19 Pandemic has presented unprecedented challenges to maintaining healthy habits and healthy weight for our patients and families. We know that kids tend to loose structure and gain excess weight in the summer – we saw this prior to COVID-19 and we are now facing the most stressful and unpredictable summer of our lifetime. In this our 12th COVID-19 podcast, we will discuss healthy routines for pediatricians to discuss with patients and parents in their practice to help protect and preserve healthy habits and weight.

Today we are fortunate to be joined by Matt Haemer, MD and Richard Boles, PhD of our Clinical Nutrition Team at Children's Hospital Colorado.

Dr. Haemer helps to lead the nutrition team at Children's Hospital Colorado and is Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine.

Dr. Boles is psychologist with the Clinical Nutrition Team at Children's and Associate Professor of Pediatrics and Nutrition at the University of Colorado School of Medicine.

• The habits that help kids maintain healthy weight during the COVID19 pandemic are the same habits that help with mental health, good school performance, and healthy peer relationships. By focusing on the healthy routines we'll talk about today, pediatricians can support parents as they help their children achieve all these goals. Lifestyle Medicine Psychologist Richard Boles PhD offers practical advice that pediatricians can share with families to help maintain healthy habits during this very challenging time.

• Pediatricians play a critical role in helping parents to promote healthy habits. They can help parents realize when a child's weight gain is unhealthy, offer brief follow-up counseling to help families set goals for lifestyle change, refer families for extra help when needed, and share resources like those below.

• A primary care provider can make a single referral to Children's Hospital Colorado's Lifestyle Medicine Program to address any and all medical problems from excess weight that a child may have, or to help children prevent these medical problems at any age. You can reach any of the Lifestyle Medicine team for consult or referral via OneCall, 720-777-3999.

Fitness:

Children's Hospital Colorado's Lifestyle Medicine Exercise Physiologist, Michael Witten MS has compiled a variety of fitness videos that kids of different ages and fitness levels can do at home, maybe with their parents! Subscribe to the CHCO Wellness Center gym Youtube channel:

https://www.youtube.com/playlist?list=PLpuAXaEwLGbpvi_sqs9ZdhUJchqVGInP2

Nutrition and Food Resources

The Food Bank of the Rockies has an updated list of all the food banks and food distribution sites: https://www.foodbankrockies.org/emergency-assistance/

Our dietitians recommend families try kid-friendly healthy recipes from the CHOP CHOP website: https://www.chopchopfamily.org/recipes/

Food preparation videos from the professional society of Registered Dietitians: https://www.eatright.org/food/planning-and-prep/cooking-tips-and-trends/basics-of-meal-prepping

Shopping and meal preparation tips to save money on healthy food from Cooking Matters, an organization dedicated to reducing food insecurity for families with kids: http://cookingmatters.org/tips

Children's Hospital Colorado has recommendations to help pediatricians and parents talk with children about the pandemic: https://www.childrenscolorado.org/conditions-and-advice/coronavirus-covid19-resources-updates/

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

Register for our weekly Provider Town Hall During COVID-19, May 21 from 6-7 p.m. MST.

In recent weeks, there has been an outbreak of severe Kawasaki-like disease at the Italian epicenter of the SARS-CoV2 epidemic and as of May 12, the state of New York Health Department had identified 102 kids with potential infection. Up to this point, our pediatric population had seen a relatively mild disease course during this pandemic, but these recent developments have captured the attention of pediatricians, parents and the global news media. Yesterday the CDC officially named this the Multisystem Inflammatory Syndrome in Children, Associated with COVID-19. In this, our 13th COVID-19 podcast we will cover the clinical presentation of MIS-C, how it differs from Kawasaki's and what the early literature is saying.

Sam Dominguez, MD, PhD, is an Infectious Disease physician at Children's Colorado and Associate Professor of Pediatrics at the University of Colorado School of Medicine.

Todd Carpenter, MD, is Director of the Pediatric Intensive Care Unity at Children's Colorado and Professor of Pediatrics at the University of Colorado School of Medicine.

In this our 11th COVID-19 podcast, we will discuss clinical considerations for women and babies in the era of COVID-19 with Jessica Cataldi, MD and Erica Wymore, MD.

Join us for this week's Provider Town Hall, Thursday, May 14 from 6-7 p.m. MST: https://attendee.gotowebinar.com/register/5938843139417544973

The global pandemic has impacted every area of life, including the considerations and concerns that new mothers have bringing their babies into the world – will they be able to have a partner's support in their birthing room? Is it safe to breastfeed their baby if they, the new mother, test positive for SARS-CoV2? Should any family or friends be allowed around the baby? Is it safe to bring the baby in for routine checkups and well-child care in the middle of the pandemic? There are many questions that surround this special and critical time in a new mother and baby's life.

Dr. Cataldi is a pediatric infectious disease physician at Children's Colorado and is Assistant Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Dr. Wymore is a neonatologist at Children's Colorado and Assistant Professor of Pediatrics and Neonatology at the University of Colorado School of Medicine.

https://perinatalcovid19.org/neoclear/

Join us for our weekly Virtual Town Hall for Providers during COVID-19, Thursdays from 6-7 p.m. MST

In this, our 10th COVID-19 podcast, we will have a case discussion around functional and high-yield adult medicine topics that might be useful for pediatricians helping to care for adult patients in the middle of this pandemic.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 of the podcast.

Today we are fortunate to be joined by Dr. Aaron Manning and Dr. Steven Humphrey.

Steven is a pediatric hospitalist at Children's Hospital Colorado and Instructor of Pediatrics at the University of Colorado School of Medicine.

Aaron is also a pediatric hospitalist at Children's Colorado and is Assistant Professor of Hospital Medicine at the University of Colorado School of Medicine.

1. POPCoRN (Pediatric Overflow Planning Contingency Response Network): https://www.popcornetwork.org/. This site is a multi-institutional collaboration that was created during the COVID-19 pandemic as a vehicle for optimizing adult care in pediatric environments. It contains many "one-pagers" which review the management of a variety of common adult conditions, links to adult protocols shared by various institutions, and recommendations regarding care of patients with COVID-19 among others.
2. Adult medicine guidebooks: Several organizations have made available their adult medicine guidebooks free of charge.
   1. UCSF Department of Medicine Hospitalist Handbook (currently free in the Apple and Google App Stores)
   2. MGH Resource Guide for Commonly-Encountered Inpatient Topics (available via the POPCoRN website)
   3. Society for Hospitalist Medicine: Non-Hospitalist Onboarding. This resource offers a step by step guide to preparing non-hospitalists for the inpatient management of adult care (available via the POPCoRN website)
   4. University of Pennsylvania Hospitalists Primer. A resource meant to prepare non-hospitalists for the care of hospitalized adults (http://pennhspprimer.com/)

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]

One of the bright spots during the COVID-19 pandemic has been the promising and experimental use of convalescent plasma, which was recently approved by the FDA for emergency treatment. The donation of antibody-rich blood from patients who have recovered from the SARS-CoV2 virus has been pioneered by Dr. Kyle Annan and the team at Children's Colorado. I

n this, our 9th COVID-19 podcast we will cover the topic of convalescent plasma, discuss the current epidemiology of the pandemic, and talk through the impacts of loosened shelter-in-place orders around the country.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3 of the podcast.

Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Dr. Sam Dominguez. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Additionally, we are joined by Dr. Kyle Annen who is Director of the Blood Donor Center at Children's Colorado and Assistant Professor of Pathology at the University of Colorado School of Medicine.

Join our weekly COVID-19 Virtual Provider Town Hall - Thursday, April 30, 2020 from 6-7 p.m. MST

Donate convalescent plasma

ABC News Coverage of convalescent plasma for COVID-19

Do you have thoughts about today's episode or suggestions for a future podcast? Write to us, [email protected]

In this episode we will discuss the diagnosis and management of TSS and are privileged to be joined by Jim Todd, MD who first discovered TSS in 1975.

Toxic shock syndrome (TSS) is a cluster of symptoms that involves many systems of the body. Certain bacterial infections release toxins into the bloodstream, which then spreads the toxins to body organs and can cause severe damage and illness.

Dr. Todd is the previous Section Head of Infectious Diseases, Jules Amer Chair, and Community Pediatrics and Director of Epidemiology at Children's Hospital Colorado. He is also a Professor Emeritus in Pediatrics at the University of Colorado School of Medicine.

In this, our 8th COVID-19 podcast, I talk to two of my pediatric colleagues, Sean O'Leary, MD and Robin Larabee, MD who have had COVID-19 and are now recovered. We will discuss their symptoms and disease course in depth in hopes that it provides greater education and context for how different people have experienced COVID-19.

As we move into our second month of the global pandemic most of us know someone who has contracted the SARS-CoV2 virus; this especially probable for you our listeners, as fellow healthcare workers who have many colleagues caring for COVID-positive and exposed patients.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3, Episodes 31, 36 and 38, 41, 42, 43 and 44.

Sean has joined us several times on the podcast to discuss vaccines and vaccines hesitancy, he is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine. Sean is also an active spokesperson with the AAP on the topic of vaccines and services as the Director of the Colorado Children's Outcome Network.

Additionally, we are pleased to have Dr. Robin Larabee join us today as well. Robin is a pediatrician in Denver and partner with Sapphire Pediatrics.

Today's guest is Dr. Scott Sagel, here to discuss the care of patients with cystic fibrosis (CF) and the clinical research that has led to the advances in access to these breakthrough therapies. Dr. Scott is a Pediatric Pulmonologist at Children's Hospital Colorado and a Professor of Pediatrics at the University of Colorado School of Medicine.

In recent weeks, the podcast has received hundreds of questions from listeners around the topic of PPE. So today, this episode is for you. We are going to cover all things PPE while reviewing the current epidemiology of COVID-19.

We are now entering our second month of the global COVID-19 Pandemic. Our world has never experienced anything like this before – some days feel like they have contained an entire month's worth of change and challenges. One of the difficult realities that many healthcare providers have faced is a shortage of necessary PPE. Additionally, what is the truth about the efficacy and use of homemade cloth face coverings? How should providers approach PPE as we move out of the peak of the pandemic? We will cover these topics and more in this episode.

You can go back and listen to our previous coverage on the COVID-19 Pandemic on Season 3, Episodes 31, 36 and 38, 41, 42 and 43.

Today we are fortunate to be joined once again by un-official Charting Pediatrics co-host, Sam Dominguez, MD, PhD. Sam is a pediatric infectious diseases physician at Children's Hospital Colorado and Associate Professor of Pediatrics and Infectious Diseases at the University of Colorado School of Medicine.

Additionally, we are excited to have Pat Givens, DHA, EdM, RN, NEA-BC, as a guest today as we dive in to PPE. Pat is the Chief Nursing Executive for Children's Hospital Colorado and is serving as our PPE Guardian during the COVID-19 Pandemic.

Do you have questions about today's episode or suggestions for a future topic? Write to us, [email protected]

In this episode, we are going to discuss practical ways primary care providers can protect their own mental health needs and also deliver meaningful mental health support to their patients and families during the COVID-19 global pandemic.

Mental health; never has there been a more crucial time for our primary care providers to talk openly about finding creative and innovative ways to support the mental health needs both of their patients and for themselves. The COVID-19 pandemic has impacted every area of life. Nothing feels normal. Maintaining one's mental health while practicing social distancing, online learning and school, loss of routine and regular social interactions is a challenge!

On the podcast we have previously covered a number of topics related to the COVID-19 pandemic – you can go back and listen to those discussions on Season 3, Episodes 31, 36 and 38, 41 and 42.

Do you have thoughts about today's episode or suggestions for a future topic? Write to us, [email protected]