Charting Pediatrics

Enuresis, or bedwetting, is one of the most common concerns encountered in pediatrics. It can present as nighttime bedwetting, daytime urinary accidents, or a combination of both. Oftentimes, families and clinicians are left wondering what's typical and what's considered concerning. In this episode, we focus on the evaluation and management of enuresis in children. Each case is influenced by a range of factors including fluid intake, bowel habits, sleep quality and lifestyle routines. While first-line, non-pharmacologic strategies are the cornerstone of care, effective treatment requires attention to detail and a comprehensive approach.

This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. In this episode, we are joined by Julie Cheng, MD, an Assistant Professor of Urology at Seattle Children's Hospital and the University of Washington.

Some highlights from this episode include:

• Differentiating between types of enuresis
• How key elements in pediatric history and physical examination can help diagnose the problem
• Evidence-based first-line interventions and when to escalate care
• The role behavioral factors, such as sleep or screen time, play in enuresis

For more information on Children's Colorado, visit: childrenscolorado.org.

While asthma may be the most common chronic disease in pediatrics, it never feels routine for medical professionals. In the primary care setting, pediatricians carry the challenge and opportunity of turning this common condition into a well-managed part of daily life. In this episode, we'll dig into tools, strategies and insights that help us move from reactive treatment to proactive partnerships. The goal is for kids to focus less on their breathing and more on being kids.

For this episode, we are joined by two asthma experts, Monica Federico, MD, and Heather De Keyser, MD. Dr. Federico is the Medical Director of the Asthma Program, as well as Population Health, at Children's Hospital Colorado. She is a Professor of Pediatrics at the University of Colorado School of Medicine. Dr. De Keyser is the Co-Director of the Multidisciplinary Asthma Clinic and an Assistant Professor of Pediatrics.

Some highlights from this episode include:

• Understanding the best options for treatment
• Deciphering between asthma and other respiratory diagnoses
• The latest updates in asthma guidelines
• The importance of collaborating with schools on a child's action plan

Some resources mentioned in today's episode include guidelines for the management and diagnosis of asthma, as well as information from the Global Initiative for Asthma (GINA). For more information on Children's Colorado, visit: childrenscolorado.org.

Constipation is one of the most common conditions that pediatricians see. From the toddler squirming on the exam table to the school-aged child with recurring belly pain, functional constipation is everywhere in pediatric primary care. In this episode, we will discuss how to diagnose, when additional testing is needed and treatment strategies that work.

Joining us for this episode is Christine Waasdorp-Hurtado, MD. She is a pediatric gastroenterologist, the Southern Colorado Executive Faculty Director for the Department of Pediatrics, and a professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• Identifying the signs of functional constipation
• Steps primary care physicians can take with families before referral
• How advice changes depending on the child's age
• Why managing constipation improves more than just a kid's bowel movements

For more information on Children's Colorado, visit: childrenscolorado.org.

Imagine your body as a complex orchestra. Every hormone playing its part in harmony. When one section falls out of sync, the entire performance shifts. That's what happens with polycystic ovary syndrome (PCOS), especially in adolescents. During puberty, hormones are already in flux, and PCOS can add another layer of challenges.

Irregular periods, acne, excess hair growth, and weight gain are more than frustrating symptoms, they're signs of an underlying hormonal imbalance that deserves attention. For pediatricians, recognizing PCOS early can make all the difference in helping teens navigate both their physical health and emotional well-being.

In this episode, we sit down with Melanie Cree, MD, PhD, a pediatric endocrinologist at Children's Hospital Colorado, Director of the Multi-Disciplinary PCOS Clinic at the University of Colorado School of Medicine, and a professor.

Some highlights from this episode include:

• Understanding why its name can be deceiving
• The role of the primary care provider in diagnosing and managing PCOS
• Differences between abnormal and normal puberty changes
• The impact of this lifelong disease

For more information on Children's Colorado, visit: childrenscolorado.org.

Whether it's a bump, a blow, or a moment of confusion, concussions in kids don't always look dramatic, but the impact can be significant. When parents start to worry and question what injury lies beneath the surface, pediatricians are typically the first phone call or visit. With evolving guidelines and pressure to clear kids for school and sports, what is the right call? In this episode, we will break down what every clinician should know about concussions including how to spot them, how to manage them and how to guide families through recovery with confidence.

To understand the current status of concussions, we are joined by Kristina Wilson, MD. Dr. Wilson is the Medical Director of the Sports Medicine Center at Children's Hospital Colorado and is an Associate professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• Helpful tools PCPs can utilize to recognize a concussion
• The importance of team involvement regardless of the injury
• Properly managing family support
• Interventions and when they should be utilized

For more information on Children's Colorado, visit: childrenscolorado.org.

Every parent dreams of the perfect bedtime routine: a quick story, a goodnight kiss, and lights out until morning. But real life? Toddlers fight sleep with boundless energy, grade-schoolers push for one more story and teens stay up late scrolling TikTok. Sleep problems in children and teens are common, but pediatricians can play a key role in guiding families toward better rest.

In this episode, we explore how to help kids sleep better at every age. From gentle sleep training strategies for young children to managing insomnia and circadian rhythm shifts in teens, we'll break down practical, evidence-based approaches to pediatric sleep. Join us as we share the science and real-world tools that can help families build healthy sleep habits, for brighter mornings and better overall health.

We are joined by Stacey Simon, PhD. She is the Co-Director of Sleep Medicine at Children's Hospital Colorado and an Associate Professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• Best sleep practices for different age groups
• Addressing the most common sleep issues in children
• Evidence around sleep training and if it's successful
• Can medications be a helpful tool for sleep?

For more information on Children's Colorado, visit: childrenscolorado.org.

For kids with eczema the discomfort of dry patches, constant itching and sleepless nights, can be relentless. For their parents, the search for answers is as well. In this episode, we're scratching beneath the surface of one of the most common skin conditions in pediatrics. We'll explore how to spot triggers, calm flare-ups, choose the right treatments and know when it's time to call in a dermatologist. Whether it's helping a toddler stop scratching or giving a teen the confidence to ditch the long sleeves, we're here to equip pediatricians with the tools to help their patients find relief and reclaim their skin.

For this episode, we are joined by Emily Gurnee, MD. She is a Dermatologist at Children's Hospital Colorado as well as an Assistant Professor at the University of Colorado School of Medicine.

Some highlights from this episode include:

• The most up-to-date information with eczema
• Medication versus other remedies
• How to provide care that fits into a family's routine
• Best ways PCPs can support kids with eczema

For more information on Children's Colorado, visit: childrenscolorado.org.

For many teenagers, acne is always top of mind. At the doctor's office, it's not uncommon for teens to ask about their skin during a visit. With teenage patients, we're not just treating acne. We're also treating their self-esteem. In the wild world of acne, clogged pores meet hormonal havoc. Patients often want magic, and providers need a plan. In this episode, we extract the evidence and apply the right topical clinical wisdom to help manage acne in the office.

Joining us for this episode is the host of our sister podcast, fully in Spanish, Pediatrias en Linea, Carla Torres-Zegarra, MD. Dr. Torres-Zegarra specializes in dermatology at Children's Hospital Colorado and is the Director of the Pediatric Dermatology Fellowship at the University of Colorado School of Medicine.

Some highlights from this episode include:

• The severity of acne in teenagers
• Options for management and treatment in the primary care setting
• The importance of diagnosis from the beginning
• How to identify when acne is abnormal

Find the latest guidelines for acne management from the Journal of the American Academy of Dermatology here. For more information on Children's Colorado, visit: childrenscolorado.org.

Asking questions about mental health is not easy. What's even harder is asking those questions well. But here's the truth: community providers are uniquely positioned to spot the early warning signs of mental health struggles, including suicide risk. In fact, youth who attempt or die by suicide are far more likely to have contact with their PCP compared to a mental health provider in the months leading up to the event. Are providers identifying kids at risk? Are they asking the right questions in ways that open the door to real answers? In this episode, we confront this critical reality in front of a live audience. We are bringing practical tools to the hands of providers in our community. The way providers screen for emotional and mental health challenges can mean the difference between silence and survival.

This episode was recorded in front of a live audience as our first community podcast experience. Stay tuned as we announce more opportunities like this across the region. This episode was cosponsored by The Liv Project: a nonprofit organization determined to take the conversation about youth mental health out of the shadows. For this episode, we have three incredible experts. Honey Beuf is the Co-Founder of The Liv Project, Liv's Mother, as well as an educator and advocate. She was on the podcast previously to share the story behind their documentary 'My Sister Liv.' You can listen to that episode here. Susan Caso, MA LPC, is the Mental Health Advisor for The Liv Project, as well as a licensed therapist and author. Gina Herrmann, MD, is a pediatrician with Arvada Pediatric Associates.

Some highlights from this episode include:

• How specific word choices or ways to phrase a question can make a huge difference in creating a safe space for children
• Ways primary care providers can support families of children experiencing suicidal thoughts
• Steps PCP offices can take to implement helpful mental health support processes
• Understanding the support systems that exist in communities around the globe

For more information on Children's Colorado, visit: childrenscolorado.org.

Migraines aren't just 'bad headaches,' and they don't always present with pain. Every migraine is different, and they can present with a wide range of symptoms from dizzy spells to abdominal pain. In this episode, we aim to bring clarity to the complexity of migraines, exploring the latest research, clinical signs and possible interventions.

Marcy Yonker, MD, Director of the Pediatric Headache Program at Children's Colorado joins us for this episode. Dr. Yonker is the Francescon Endowed Chair in Headache and a Professor of Pediatrics at the University of CO School of Medicine.

Some highlights from this episode include:

• What to do before referring
• How to support students with migraines in schools
• Lifestyle interventions compared to medications
• Treatments for migraine

For more information on Children's Colorado, visit: childrenscolorado.org.