A teenager came through a full cardiac workup and the cardiologist saw nothing wrong. Everyone else in the room saw a kid who was depressed.
🗓️ THE CONFERENCE THEY WANT YOU AT
CNOC's 14th Annual Scientific Sessions run September 16 to 18, 2026 at the Chase Center on the Riverfront in Wilmington, Delaware, hosted by Nemours Children's Hospital. Virtual attendance is free for patients and families, and in-person is just $50. Register under the "People with CHD and Family Member" category. Drezden is presenting "Neuro What? Living Inside the Outcomes" on Friday, September 18. Have something these researchers should hear? Send it to [email protected] or @theCHDpodcast and it goes into the talk.
📺 CHAPTERS
00:00 The Part of CHD Nobody Prepped You For
01:37 Andrea: Twelve Years in the PICU, Then a Pivot
02:15 Tom: A Heart Doctor Who Ended Up Studying Brains
04:17 The Huddle That Changed Everything
06:39 What a Neurodevelopmental Coordinator Actually Does All Day
13:54 So What Is CNOC, Exactly?
21:22 Collaboration Instead of Rankings
24:48 Past Keeping Kids Alive, Now What?
26:15 The 13-Year-Old Who Should Have Been Seen at Nine Months
27:11 Fixed Heart, Unfixed Everything Else
27:45 Ten Cardiologists and a Diagnosis I Didn't Know I Had
31:44 Why Adult Patients Belong in the Room
33:28 Why Parents Don't Hear What Doctors Tell Them
38:48 Heart and Brain, Explained Without the Jargon
41:47 Parent Mental Health Is Part of the Care Plan
46:53 Delaware in September, and a Free Virtual Seat
48:15 What CHD Means to Them Now
52:11 Get Your Story Into the Room
👤 ABOUT THIS EPISODE
Dr. Tom Miller is a pediatric cardiologist and division director at MaineHealth who built the University of Utah's Heart Center Neurodevelopmental Program from the ground up. Andrea Smith, RN, BSN, spent over a decade as a pediatric ICU nurse before taking over that same program as its coordinator. Together they co-chair CNOC's Programs and Meetings Committee.
Cardiac neurodevelopment is a young field — the first scientific statement came out in 2012 — born because the math changed: for decades the job was keeping infants alive, and now those kids reach adulthood with open questions about school, focus, sleep, anxiety, and executive function. Then it gets personal: Drezden went through roughly ten cardiologists before finding adult congenital care in his twenties, never connecting the ADHD, the sleep, or the traumatic stress to his heart. If you were ever told your heart was fixed and quietly wondered why everything else felt harder than it should, this conversation gives that a name.
⭐ SESSIONS PICKED FOR PATIENTS AND FAMILIES
Picked by CNOC's patient and family advisers — no scientific background needed. Your lived experience is the qualification.
Wed, Sept 16
8:00 AM | Advocacy in Action Workshop — the best place for patients and families to show up
1:30 PM | Laying the Foundation: communication, bonding, and family mental health
3:22 PM | Rapid Debate on ADHD treatment in CHD
Thu, Sept 17
9:07 AM | Connecting Communities: community-led research in adult CHD mental health
2:15 PM | Breakouts: CN3 Think Tank, Research, and Clinical Value
4:30 PM | Free evening event at the Nemours Estate
Fri, Sept 18
8:30 AM | Federal Bridges with Senator Chris Coons, and Advocacy in Action with Scott Leezer of Every 100th Heart
10:30 AM | The Educational Span: school, homebound, and hospital schooling
3:20 PM | Neuro-Optimization in Older Cardiac Patients, featuring Drezden's talk
Kids are welcome; parents can come and go as needed.
🔗 RESOURCES
CNOC: https://cardiacneuro.org
Registration: https://www2.cardiacneuro.org/forms/registration/2026ann_register.iphtml
Adult Congenital Heart Association: https://www.achaheart.org
❤️ CONNECT
Website: https://onepercentheart.com
Instagram: @theCHDpodcast
Email: [email protected]
Nothing in this episode constitutes medical advice. These are personal experiences and stories.