In this episode of Nutrition Pearls: the Pediatric GI Nutrition Podcast, co-hosts Megan Murphy and Bailey Koch speak with Cuyler Romeo, MOT, OTR/L, SCFES, IBCLC. Cuyler is an Occupational Therapist and Pediatric Feeding Specialist serving as Feeding Matters’ Director of Strategic Initiatives and practicing as a NICU Feeding Specialist at Banner University Medical Center-Tucson. She holds a specialty certification in Feeding, Eating and Swallowing (SCFES) and is an internationally certified lactation counselor (IBCLC). She works to advance the system of care for pediatric feeding disorder and all who struggle to eat through the identification and execution of strategic projects and consensus actions. Cuyler also works with the feeding community at large by facilitating AOTA’s Mealtime Occupations: Feeding, Eating, and Swallowing Community of Practice and by serving as a member of the National Perinatal Association’s Developmental Work Group for Guideline Dissemination.

Resources:
Feeding Matters Website Links: 
When to Refer (Infant & Child PFD Signs & Symptoms): www.feedingmatters.org/toolkit/when-to-refer-rack-card

ICFQ 6 Question Screener for Professionals: feedingmatters.org/toolkit/icfq-6-question-screener-for-professionals

Feeding Matters Infant and Child Feeding Questionnaire (for parents/caregivers): questionnaire.feedingmatters.org 

It’s Not Picky Eating: itsnotpickyeating.org

Estrem, H. Pederson, J., Dodrill, P., Romeo, C., Thompson, K., Thomas, J. J., Zucker, N., Noel, R., Zickgraf, H., Menzel, J., Lukens, C., Goday, P., MacLaughlin, S., & Sharp, W. G. (in-press). A US-Based Consensus on Diagnostic Overlap and Distinction for Pediatric Feeding Disorder and Avoidant/Restrictive Food Intake Disorder. International Journal of Eating Disorders. DOI: 10.1002/eat.24349

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

[email protected]

In this episode of Nutrition Pearls: the Podcast, co-hosts Bailey Koch and Nikki Misner speak with Rashelle Berry on nasogastric feeding tube placement and weaning enteral nutrition. Rashelle has been working at Children’s Healthcare of Atlanta for over 16 years as a dietitian in the Marcus Autism Center’s feeding program. She previously served as the nutrition manager of the intensive feeding program. Currently, Rashelle’s clinical work is focused on infants and children with pediatric feeding disorders in both the outpatient clinical and rehab settings. She is especially passionate about weaning children from tube feedings. Rashelle also serves on the Georgia Board of Examiners for Licensed Dietitians and as a site reviewer for the Accreditation Council for Education in Nutrition and Dietetics.

Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.

Resources:

Academy Quality Management Committee. Academy of Nutrition and Dietetics: Revised 2017 Scope of Practice for the Registered Dietitian Nutritionist. J Acad Nutr Diet. 2018;118(1):141-165. doi:10.1016/j.jand.2017.10.002

Corrigan ML, Bobo E, Rollins C, Mogensen KM. Academy of Nutrition and Dietetics and American Society for Parenteral and Enteral Nutrition: Revised 2021 standards of practice and standards of professional performance for registered dietitian nutritionists (competent, proficient, and expert) in nutrition support. Nutr Clin Pract. 2021;36(6):1126-1143. doi:10.1002/ncp.10774

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals
[email protected]

Episode 25 - Bonus Episode - Debriefing the NASPGHAN/APGNN/CPNP Annual Meeting - Post Conference Takeaways

In this bonus episode of Nutrition Pearls: the Podcast, hosts Jen Smith and Nikki Misner discuss highlights from the 2024 NASPGHAN/APGNN/CPNP annual meeting held in Hollywood, Florida.  
Nikki will now be a co-host of Nutrition Pearls as we wish Melissa Talley the best of luck with her future endeavors.

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

[email protected]

Episode 24 - Liz King - Navigating Nutrition with Short Bowel Syndrome

In this episode of Nutrition Pearls: the Podcast, co-hosts Melissa Talley and Nikki Misner speak with Liz King about nutrition management in the short bowel syndrome pediatric patient population. Liz King is a Registered Dietitian and board-certified nutrition support clinician at UPMC Children's Hospital of Pittsburgh. Liz received her BS in Nutrition from Auburn University and went on to complete her MS in Nutrition and dietetic internship at the University of Pittsburgh. For the past 9 years, she has been the dietitian for the Intestinal Care and Rehabilitation Center (ICARE), which was the first established comprehensive,  multidisciplinary intestinal failure center caring for patients with complicated intestinal disorders. She also works with the liver and small bowel transplant department at UPMC Children's, overseeing the nutritional needs of patients undergoing transplant. Liz's nutritional interests include chronic TPN management and babies starting solids.

Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.

Resources:

Walia et al.  The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position on the Role of the Registered Dietitian Nutritionist in the Care of the Pediatric Patient With Chronic Gastrointestinal Diseases. J Pediatr Gastroenterol Nutr. 2023;76(3):390-399.

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

[email protected]

Episode 23 - Bonus Episode - Nicole Martin and Tegan Medico - Pre-Conference Chat- Sneak Peak of the 2024 CPNP Annual Meeting 

In this bonus episode of Nutrition Pearls: the Podcast, Jen Smith and Bailey Koch host dietitians Nicole Martin and Tegan Medico.  Nicole is a pediatric registered dietitian at Children's Wisconsin and has been practicing in the GI clinic there for 10 years. Her areas of interest include celiac disease and eosinophilic disorders. She has been involved with CPNP for 8 years, and has previously served as the CPNP media chair and is currently the CPNP president elect.  Tegan has been at the University of Virginia Health for the past 11 years and has worked in a variety of roles: intensive care, gastroenterology, nephrology, transplant, and home health. She now serves the Division of Pediatric Gastroenterology, Hepatology and Nutrition and the Pediatric Liver Transplant program, and she is coordinator for an elective in pediatric nutrition for UVa’s School of Medicine.   Tegan is the current Program Chair for CPNP.  During this episode Nicole and Tegan discuss the exciting presentations and other dietitian related activities planned for the upcoming NASPGHAN/APGNN/CPNP meeting.  

Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.

2024_Annual_Meeting_Landing_Page (naspghan.org)

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

[email protected]

Episode 22 - Jennie David PsycD - Body Image, Weight Stigma, and Pediatric GI

In this special Bowel Sounds and Nutrition Pearls collaboration episode, hosts Dr. Jennifer Lee and clinical dietitian Jennifer Smith talk to Dr. Jennie David about body image children with GI disorders.   This podcast delves into body image, connecting it to weight stigma and its impact on patients of all genders, especially those with pediatric GI conditions. It examines how social media influences body image and offers tips for discussing these concerns neutrally in clinical settings. The episode also provides practical advice for navigating sensitive topics like weight and eating disorders.

Dr. Jennie David is an attending pediatric psychologist who specializes in Inflammatory Bowel Disease at Nationwide Children’s Hospital. Her clinical work and research centers on body image, medical decision-making, and perioperative IBD care. Dr. David completed her undergraduate degree at Boston University and her PhD at Drexel University, and then completed her integrated behavioral health residency at A.I. duPont Children’s Hospital/Nemours in Delaware and her clinical research GI psychology fellowship at Nationwide Children’s Hospital. Dr. David is on NASPGHAN’s IBD Committee and serves in various roles with the ImproveCareNow Learning Health Network including on the Board of Directors, co-leading the Social Work and Psychology group, the Research Committee, and the Health Equity Committee. 

Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.

Resources: 

https://www.improvecarenow.org/assessing_weight_stigma_in_pediatric_ibd_medical_providers_survey

Strings, S. (2019). Fearing the Black body: The racial origins of fat phobia. New York University Press

Kite, L., & Kite, L. (2020). More than a body: Your body is an instrument, not an ornament. Houghton Mifflin Harcourt.

David JG et al. Assessing the prevalence of and risk factors for disordered eating attitudes and behaviors in adolescents with inflammatory bowel disease. Inflam Bowel Dis. 2022;28(1):143-145.

Produced by Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

[email protected]

In this episode of Nutrition Pearls: the Podcast, co-hosts Bailey Koch and Melissa Talley speak with Alyson Lawrence, about common TPN questions, controversies, and topics that the GI dietitian would commonly see. Alyson Lawrence, RD, CNSC is a neonatal dietitian at CHOC Children’s Hospital in Orange, CA. She completed her dietetic internship through Cal Poly Pomona followed by her pediatric residency at CHOC Children’s. Alyson has worked in a wide variety of pediatric areas, ranging from pediatric intensive care to her current role in the neonatal intensive care unit. She has a special interest in neonatal patients with short bowel syndrome and intestinal failure. Alyson is involved in many research projects and committees within her institution focused on enhancing knowledge and improving patient care. She also is an active member of ASPEN, serving as an author for the GI section of the Neonatal Newsletter and is a content creator for the Dietitians in Nutrition Support YouTube Channel.

Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.

Produced by: Corey Irwin 

NASPGHAN - Council for Pediatric Nutrition Professionals

[email protected]

Resources: 

Gramlich L, Ireton-Jones C, Miles JM, Morrison M, Pontes-Arruda A. Essential Fatty Acid Requirements and Intravenous Lipid Emulsions. JPEN J Parenter Enteral Nutr. 2019;43(6):697-707. doi:10.1002/jpen.1537 

Faienza MF, D'Amato E, Natale MP, et al. Metabolic Bone Disease of Prematurity: Diagnosis and Management. Front Pediatr. 2019;7:143. Published 2019 Apr 12. doi:10.3389/fped.2019.00143)

Domellöf M, Szitanyi P, Simchowitz V, Franz A, Mimouni F; ESPGHAN/ESPEN/ESPR/CSPEN working group on pediatric parenteral nutrition. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Iron and trace minerals. Clin Nutr. 2018;37(6 Pt B):2354-2359. doi:10.1016/j.clnu.2018.06.949

Jochum F, Moltu SJ, Senterre T, et al. ESPGHAN/ESPEN/ESPR/CSPEN guidelines on pediatric parenteral nutrition: Fluid and electrolytes. Clin Nutr. 2018;37(6 Pt B):2344-2353. doi:10.1016/j.clnu.2018.06.948

Owen HJ, Gonyon TM, Green JD, et al. Calcium/Phosphate Solubility Curves for Premasol and Trophamine Pediatric Parenteral Nutrition Formulations. J Pediatr Pharmacol Ther. 2019;24(1):45-52. doi:10.5863/1551-6776-24.1.45

PN Dosing 1-Sheet-Nov 2020-FINAL.pdf (nutritioncare.org)

 ASPEN | ASPEN Parenteral Nutrition (PN) Order Writing Course (nutritioncare.org)

Episode 20 - Kate Samela - Dietitian Care Coordinator - RD in a Unique Role

In this episode of Nutrition Pearls: the Podcast, co-hosts Jen Smith and Bailey Koch speak with Kate Samela MS, RD, CD-N, CSP about her role as the Care Coordinator for the Intestinal Rehab program at Connecticut Children’s Medical Center in the Division of Gastroenterology, Hepatology, and Nutrition. Kate also provides counseling to pediatric patients and families in outpatient GI clinic on a wide variety of GI disorders; Before moving back to her home state of CT, she has worked at large teaching hospitals including Mount Sinai, NYU , and CHOA. Kate has been a co- author on several textbook chapters, published manuscripts, and has been invited to speak nationally and internationally on topics including Picky Eating, Intestinal Rehabilitation and transplant, and telemedicine. Kate published her first book on feeding toddlers entitled Give Peas a Chance: The Fool-Proof Guide to Picky Eating in 2013.  She lives in CT with her husband, 2 kids (part-time!), and her mutt VV. 

Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.

Resources:

Walia et al.  The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Position on the Role of the Registered Dietitian Nutritionist in the Care of the Pediatric Patient With Chronic Gastrointestinal Diseases. J Pediatr Gastroenterol Nutr. 2023;76(3):390-399.

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

[email protected]

Episode 19 - Stacey Beer - Nutrition in Liver Disease and Liver Transplant.

In this episode of Nutrition Pearls: the Podcast, co-hosts Megan Murphy and Jen Smith speak with Michelle Yavelow about nutrition in CF.  Michelle Yavelow completed her bachelors of science, post-bac, combined masters of science, and dietetic internship at the University of Florida. She then went on to complete the pediatric dietitian residency program at the Children's Hospital of Orange County (CHOC).  She is now a pediatric dietitian with the University of South Florida Pediatric Gastroenterology Hepatology and Nutrition department. She is also the Pediatric Pulmonary Cystic Fibrosis dietitian. Her work in CF began back in undergrad volunteering with Streetlight at UF. She then completed the maternal child and health bureau nutrition traineeship at the pediatric pulmonary center at UF. She worked part time at the CF center at CHOC and is now in a 50/50 split position where she gets to work half time as the peds CF dietitian and half time as the Peds Gi dietitian. 

Nutrition Pearls is supported by an educational grant from Reckitt Mead Johnson Nutrition.

Produced by: Corey Irwin

NASPGHAN - Council for Pediatric Nutrition Professionals

[email protected]  

References: 

Cystic Fibrosis Foundation