Learn about single ventricle physiology and more with Dr. Mike Fahey, chief of pediatric cardiology at the University of Massachusetts and director of their pediatric residency program. We discuss how congestive heart failure presents in children, various forms of congenital heart disease, and how to approach these patients when they present to the hospital for non-cardiac complaints. 

Gender affirming care-- time to refer your patient? Think again! Primary care pediatrician, Professor of Pediatrics at Brown Medicine, and Gender and Sexuality expert Dr. Michelle Forcier MD, MPH introduces us to practicing a patient-centered consent-based model of gender affirming care in the primary care setting. Dr. Forcier teaches us how to use a developmental model of gender identity for all of our patients, how clinics can create a safe and supportive environment,  breaks down the variety of social, legal, medical, and surgical options that can be a part of gender affirmation, and how to support families in loving and supporting their kids and adolescents.

Need to close a major “gap” in your Diabetic Ketoacidosis knowledge? Look no further than our conversation with diabetes expert and repeat guest, Dr. Hussein Abdullatif, a dedicated multiple-award-winning clinician-educator at UAB. Join us as Dr. Abdullatif walks us through the diagnosis, management, and social implications surrounding DKA. 

If you’re looking to bring your clinical game to the next level, look no further than this next episode where we’ll discuss three huge areas of medical overuse. By the end of the episode, you’ll know pneumonia, cellulitis, blood cultures, and more than you’d ever expect about constipation. We welcome Drs. Leonard Feldman and Carrie Herzke back to the podcast, both TWDFNR authors, to explore and educate us on these topics. Listen along here, and follow us @TheCribsiders on #MedTwitter!

We’re ear with a new episode with on acute otitis media joined by guest Dr. Eric Baum, a pediatric otolaryngologist in Connecticut. In this episode, we discuss important physical exam findings used to diagnose acute otitis media, as well as the role of pneumatic otoscopy in performing ear exams. Dr. Baum also tells us about treatment options for acute otitis media, how ear tubes work and when they are indicated, and complications to watch out for. Listen in to hear the latest on acute otitis media!

The MS4 producers takeover The Cribsiders for a recap of our favorite clinical pearls from Season 1!

Jump into pediatric mild traumatic brain injury with our guest, Dr. Angela Lumba Brown, a pediatric emergency medicine physician and Associate Professor of Emergency Medicine, Pediatrics, and Neurosurgery at Stanford University. In this episode, we talk about the diagnosis of mild traumatic brain injury, when to get neuroimaging for head trauma, and the five concussion subtypes.  We also discuss how you can support your patients in their recovery to get them back to their daily activities and what disparities exist in head trauma. Join us to have your mind blown with this fascinating topic. 

In this episode, we cover the full spectrum from febrile seizures all the way to status epilepticus with Dr. John Gaitanis, a pediatric neurologist who specializes in care for children with epilepsy. Dr. Gaitanis teaches us what to look out for on neurologic exam, how to counsel families about safety precautions, and the differential diagnosis for seizure-like activity in infants and children. We also discuss the exciting future of epilepsy treatment.

Answer all your burning questions (and your patients’ burning questions) about the different COVID-19 vaccines currently authorized in the US. Infectious diseases / HIV expert, Dr Monica Gandhi @MonicaGandhi9 (UCSF) joins us to cover: the Pfizer-BioNTech and Moderna novel mRNA vaccine mechanisms, trial data, and practicalities of who should receive them.  We discuss data around the Oxford-AstraZeneca adenovirus vaccine, which is authorized in the UK and India, and may be available in the US later this year.  Feel confident recommending COVID-19 vaccines to your patients!

Did you know that NOWS is the new NAS? Learn more about the new AAP Clinical Report on Neonatal Opioid Withdrawal Syndrome with lead author Dr. Stephen Patrick. Dr. Patrick is the Director of the Vanderbilt Center for Child Health Policy, an Associate Professor of Pediatrics and Health Policy, and an attending neonatologist at Monroe Carol Jr. Children’s Hospital at Vanderbilt. In this episode, he teaches us about the approach to treating withdrawal in infants, the importance of keeping moms and babies together, and the need for destigmatizing addiction in healthcare. 

• 7:48 Case from Kashlak Children’s
• 8:38 Definition of neonatal opioid withdrawal syndrome 
• 9:48 Clinical Presentation of NOWS
• 11:30 Scoring Systems
• 14:34 Importance of diagnosing NOWS
• 15:16 Opioid Crisis and Epidemiology
• 16:35 Risk Factors for developing NOWS
• 19:16 The role of structural racism and social determinants of health
• 21:05 Stigma of addiction
• 23:10 Building a therapeutic relationship
• 25:32 Breastfeeding
• 26:40 Toxicology testing
• 29:16 Structural racism 
• 30:14 Non-pharmacologic management
• 31:58 Pharmacologic Management
• 35:16 Clinical course 
• 37:40 Treatment and taper plan
• 40:20 Discharge planning
• 43:20 Outpatient Follow up
• 44:26 AAP Clinical Report Changes
• 46:46 Advocacy and Policy
• 47:14 Buprenorphine 
• 50:18 Outro