Radio Rounds

Moyamoya is a disease of abnormal blood vessels in the brain that can occur in children. It leads to narrowing and blood clot formation that prevents the brain from getting enough blood. Without treatment, Moyamoya can cause strokes or bleeding into the brain.

St. Louis Children's Hospital has a multidisciplinary team of pediatric neurosurgeons, neurologists, pediatricians, neuroradiologists, anesthesiologists, and physicians who work together to protect the brains and development of children with Moyamoya.

Joining the show to discuss the Moyamoya program at St. Louis Children's Hospital and when to refer, is Jennifer Strahle MD. She is a Washington University pediatric neurosurgeon at St. Louis Children's Hospital.

Short gut syndrome, also known as short bowel syndrome, occurs when the body does not properly absorb and digest food normally because a large length of the small intestine is missing or non-functional. This can be due to a birth defect or surgical removal.

People with short gut syndrome cannot absorb enough water, vitamins, and other nutrients from food to thrive and grow.

Here to discuss Short Bowel Syndrome and when to refer, is Brad Warner, MD. He is a Washington University pediatric general surgeon and surgeon-in-chief at St. Louis Children's Hospital.

Campus Renewal is a long-term project to transform the medical center through new construction and renovations, creating an environment and experience for patients and their families that matches the excellence in medical care they expect.

Joining the show to discuss the exciting hospital campus expansion at St. Louis Children’s Hospital, and how it will impact our referring physicians and the community, is F. Sessions Cole, MD. He is the director of newborn medicine and Chief Medical officer at St. Louis Children’s Hospital.

Learn more about campus renewal at http://www.bjcconstruction.org

Introducing St. Louis Children’s Hospital After Hours – providing medical care for illnesses and injuries by specially-trained pediatric providers. When most pediatrician offices are closed, After Hours offers a kid-focused and lower cost alternative to ERs and urgent care centers.

Listen in as Beth Schickler talks about how our newest offsite facility provides quality after-hours care with seamless follow up with the patient's primary care provider.

The anesthesiologists at St. Louis Children’s Hospital provide care for children of all ages. Our team includes board-certified pediatric anesthesiologists, certified nurse anesthetists, nurse practitioners and pediatric anesthesia fellows.

In the segment, Dr Thomas Cox discusses pediatric anesthesiology and the most common questions parents ask regarding anesthesia.

In this segment, Yumirle (Yumi) Turmelle, MD, joins the show to discuss the possible causes and treatment options for abnormal liver labs in children and when to refer to a specialist.

About one baby in every 1,000 in the United States is born with clubfoot. Almost half of those babies have bilateral clubfoot where both feet have the deformity. The wonderful news is that there is a non-surgical treatment that, with rare exceptions, can correct clubfoot and help children live normal lives.

Clubfoot requires a proper medical evaluation and will not resolve on its own.

In this segment, Dr. Matthew Dobbs joins the show to discuss treatment options for club foot available at St. Louis Children's Hospital and when to refer to a specialist.

In December 2012, SmartTots released its first Consensus Statement on the Use of Anesthetics and Sedatives in Children. Its purpose was to provide guidance to health care providers and parents with regard to research findings that suggest anesthetics may be harmful to the developing brain.

SmartTots has now updated the statement in light of recent research. The results of these research studies demonstrate that exposure to some anesthetics and sedatives can cause memory and learning difficulties and other harmful changes in the central nervous systems of some laboratory animals.

Studies in humans have been less clear, but some studies have suggested that there may also be adverse effects on behavior, learning and memory when children under 4 years of age have prolonged or repeated exposures to anesthesia and surgery.

To date, there is no direct evidence that anesthetics are unsafe for children but more research is needed.

Listen as Julie Drobish, MD discusses Anesthetic Neurotoxicity in Infants and Children.

We are heading into flu season, so it is time for pediatric offices to get prepared! Certain populations are at a higher risk of having serious flu-related complications, including pregnant women, children younger than 5 years old, children with chronic medical conditions and anyone who lives with any of the above mentioned populations.

In this important segment, Dr. Rachel Orscheln discusses this year's flu vaccine, the latest recommendations on the nasal spray and educating patients on the importance of getting the flu vaccination.

Childhood cancer survival is one of the greatest success stories of medicine in recent years. Since the 1970's, the cure rate and number of survivors has grown dramatically. As the number of survivors of childhood cancer continues to grow, so does knowledge of the late effects of cancer treatment.

More than two-thirds of young adult survivors of childhood cancer eventually experience at least one "late effect," with some survivors experiencing more. Late effects can occur in any organ or system of the body and vary from person to person.

In this segment, Bob Hayashi, MD., discusses late side effects of chemotherapy and when to refer to a specialist in this program at SLCH.