Talking Pediatrics

Evaluation of a child with edema can be stress-inducing given the differential diagnoses invoked including nephrotic syndrome, liver disease, and heart failure. Determining the cause involves dusting off some principles of physics. Protein, namely albumin, hangs onto water to maintain intravascular osmotic pressure. Not having enough protein causes leakage into surrounding tissues to create characteristic puffiness, begging the question: are we losing protein or not making enough? If protein and osmosis are not the primary drivers, we must also consider capillary hydrostatic pressure as we see with the engorged vessels of heart disease or the retention of fluids with chronic kidney disease. This case investigates a toddler with an initial complaint of periorbital edema and abdominal distention to frame an approach to edema in pediatrics.

Measles is back, with the largest outbreak in this country in 30 years. Two children have died and several people have been hospitalized by the extremely contagious disease that was once considered eliminated, but has surged again as vaccine hesitancy has spread. As public health funds are cut across the country and misinformation about measles and vaccines permeate our highest public health positions, Patsy Stinchfield, MS, CPNP, measles expert, joins us to discuss the situation.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-back-with-a-vengeance-measles-2025-5-23-25/

In this episode, Dr. Courtney Herring talks with Dr. Nadia Maccabee-Ryaboy about cannabinoid hyperemesis syndrome (CHS), a malevolent downstream condition related to cannabis use being seen in a growing uptrend of adolescent emergency department visits and hospital admissions. Listen in on the discussion that circles around clinical practice guidelines addressing how best to identify, manage, and support patients with CHS as public policy and public health collide. 
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-evidence-based-charm-purging-the-haze-cannabinoid-hyperemesis-syndrome-5-9-25/

In this episode of Equity Actions, James Burroughs engages in a compelling conversation with Yinka Ajose, Senior Director of Clinical Operations, and Tonya Montesinos, Senior Director of Clinical Practice. Together, they explore the importance of advocating for equitable roles among staff, providing essential resources to patients and families, and gaining a deeper understanding of community needs.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-equitable-healthcare-for-all-addressing-disparities-and-driving-change-4-25-25/

On today's "Specialty Spotlight With Siva", Siva welcomed Dr. Steven Goudy, President Elect of the American Cleft Palate and Craniofacial Association. He is a passionate advocate for patients and families navigating the challenges of cleft and craniofacial conditions and in this episode they explore his insights into cleft and craniofacial care and his vision for advancing advocacy and improving outcomes for these patients. This conversation is especially relevant for parents and providers who play a crucial role in supporting children and families affected by visible differences.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-specialty-spotlight-with-siva-beyond-the-smile-4-11-25/

On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-the-outside-hospitalist-dont-hold-your-breath-acute-respiratory-illnesses-part-two-3-28-25/

On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-the-outside-hospitalist-dont-hold-your-breath-acute-respiratory-illnesses-part-one-3-7-25/

Pediatric clinicians have obligations to their patients and law enforcement. But it can be challenging to figure out how to navigate situations where these obligations conflict or where there is uncertainty about the right thing to do. This has increased with recent exectuive branch agendas. Dr. Alyssa Burgart is the Associate Director of Pediatric Bioethics at the Stanford Center for Biomedical Ethics, Medical Director of Ethics for the Stanford Medicine Children’s Health, and writes about ethics and culture in her substack Poppies & Propofol. She joins Dr. Wolfe to discuss the ethics of interacting with law enforcement, speficially immigration and customs enforcement (ICE).
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-a-question-of-ethics-ethics-of-interacting-with-ice-2-14-25/

We are blessed to have a very international patient population at our clinic in Minneapolis, helped by the Twin Cities reputation as a safe and supportive place for immigrants, refugees and asylees. With roots abroad, many of our families frequently travel home, where infectious disease exposures carry a unique profile compared to that of the U.S. It is therefore not surprising that having a returning traveler with fever, especially when ill appearing, can be a stressful trip down infectious disease memory lane. Today’s episode will explore fever in a returning traveler and tools to narrow your differential during these encounters.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-crack-the-case-fever-in-a-returning-traveler-2-7-25/

On this episode of Equity Actions, we dive into an inspiring conversation as James Burroughs welcomes Tikki Brown, the Commissioner for the Minnesota Department of Children, Youth, and Families. Listen in as the two converse on Tikki’s background, her journey into human services, and taking on her new role as a Commissioner. James and Tikki explore her remarkable journey into human services, her strategic vision for building a diverse leadership team, and the critical importance of addressing disparities among youth and families in Minnesota.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-equity-and-inclusion-suite-championing-equity-for-our-children-and-families-1-24-25/