Article: https://www.contemporarypediatrics.com/view/redefining-type-1-diabetes-early-identification-staging-and-clinical-implications-for-pediatric-care

Table: https://thepediatriclounge.com/screening-to-prevent-dka

Petiete Trial: https://link.springer.com/article/10.1007/s00125-025-06586-1#Sec5

Prevent Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2308743

Screening Summit: https://medschool.cuanschutz.edu/barbara-davis-center-for-diabetes/news-profdev/conferences-events/8th-childhood-diabetes-prevention-symposium---november-10th-11th--2025

In this episode, Herb Bravo is joined by Dr. Andrew Cagel, a pediatric endocrinologist, and Dr. Dan Feiten, a pediatrician , to discuss groundbreaking advancements in Type 1 Diabetes (T1D) care. The episode delves into their recent publication, 'Redefining Type 1 Diabetes: Early Identification, Staging, and Clinical Implications of Pediatric Care,' highlighting the critical importance of early detection and intervention. The guests emphasize the urgent need for universal screening.

00:00 Introduction to the Pediatric Lounge
00:45 Meet the Guests: Dr. Andrew Cagel and Dr. Dan Fen
01:08 Redefining Type 1 Diabetes
01:36 Personal Stories and Experiences
01:52 The Importance of Early Detection
04:40 Advancements in Type 1 Diabetes Treatment
13:55 The Role of EHR and AI in Pediatric Care
19:13 Future Directions and Guidelines
29:06 Pivotal Study in Pediatric Diabetes
30:45 The Protect Trial: Slowing Disease Progression
33:19 Challenges in Screening and Implementation
37:46 The Role of Pediatricians and Influencers
43:03 Advocacy and Future Directions
56:22 Conclusion and Final Thoughts

A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between. The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Setting Goals for 2026 in Pediatric Private Practices

In this episode of The Pediatric Lounge, Dr. Bravo and Dr. Click and Clack (George and Herb), discuss the importance of setting intentional goals for pediatric private practices as they approach 2026. They cover topics such as the integration of technology, operational efficiencies, and the importance of clinical quality goals. The conversation also touches on managing practice finances, patient satisfaction, and navigating the challenges of maintaining a successful independent practice in a rapidly changing healthcare landscape. Additionally, the episode explores the emotional toll of recent societal events and the need for positive language and mindset shifts in the medical community.

00:00 Introduction to The Pediatric Lounge
00:27 Setting Goals for 2026 in Pediatric Practice
00:43 The Multifaceted Role of Pediatricians
01:26 Addressing Burnout and Intentional Goal Setting
01:52 End of Year Reflections and Optimism
03:55 The Importance of Setting Practice Goals
05:43 Challenges in Implementing Clinical Goals
06:46 Navigating New Medical Practices and Products
22:23 The Impact of Private Equity and Hospital Systems
31:28 Adapting to Changes in Medical Guidelines
36:50 Real-Life Case: Early Diabetes Detection
37:42 Challenges in Pediatric Diabetes Screening
39:47 Physician Burnout and Job Satisfaction
43:47 Operational Efficiencies in Medical Practice
54:38 Financial and Business Goals for Pediatric Practices
01:04:06 Top 10 Goals for Pediatric Practices
01:08:00 Final Takeaways and New Year Wishes

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Transforming T1D Care: Innovations, Early Detection, and Empowered Pediatric Practice

Article: https://www.contemporarypediatrics.com/view/redefining-type-1-diabetes-early-identification-staging-and-clinical-implications-for-pediatric-care

Therapy: https://www.contemporarypediatrics.com/view/novel-therapies-for-type-1-diabetes

Table: https://thepediatriclounge.com/screening-to-prevent-dka

Petiete Trial: https://link.springer.com/article/10.1007/s00125-025-06586-1#Sec5

Prevent Trial: https://www.nejm.org/doi/full/10.1056/NEJMoa2308743

Screening Summit : https://medschool.cuanschutz.edu/barbara-davis-center-for-diabetes/news-profdev/conferences-events/8th-childhood-diabetes-prevention-symposium---november-10th-11th--2025

In this episode of The Pediatric Lounge, host Herb Bravo is joined by Dr. Andrew Cagel, a pediatric endocrinologist, and Dr. Dan Feiten, a pediatrician and Chief Medical Officer of Office Practicum, to discuss groundbreaking advancements in Type 1 Diabetes (T1D) care. The episode delves into their recent publication, 'Redefining Type 1 Diabetes: Early Identification, Staging, and Clinical Implications of Pediatric Care,' highlighting the critical importance of early detection and intervention. The guests emphasize the urgent need for universal screening.

00:00 Introduction to the Pediatric Lounge
00:45 Meet the Guests: Dr. Andrew Cagel and Dr. Dan Fen
01:08 Redefining Type 1 Diabetes
01:36 Personal Stories and Experiences
01:52 The Importance of Early Detection
04:40 Advancements in Type 1 Diabetes Treatment
13:55 The Role of EHR and AI in Pediatric Care
19:13 Future Directions and Guidelines
29:06 Pivotal Study in Pediatric Diabetes
30:45 The Protect Trial: Slowing Disease Progression
33:19 Challenges in Screening and Implementation
37:46 The Role of Pediatricians and Influencers
43:03 Advocacy and Future Directions
56:22 Conclusion and Final Thoughts

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

The Pediatric Lounge: Setting Goals and Improving Practice with Dr. Cliff James

In this episode of The Pediatric Lounge, hosts George and Dr. Bravo are joined by Dr. Cliff James to discuss setting goals for 2026 in the pediatric practice. Dr. James, an experienced pediatrician and author, shares insights on change management and implementation, building a profitable practice, and the importance of having structured systems and clear goals. He also discusses his personal journey through health challenges and divorce, and how it has influenced his work. The conversation covers topics such as creating a marketing strategy, subscription-based care models, and the importance of mentoring young physicians. Dr. James emphasizes the need for continuous improvement, setting achievable goals, and investing in oneself for long-term success.

00:00 Introduction to The Pediatric Lounge
00:44 Meet Dr. Cliff James: Goals for 2026
02:15 Dr. James' Personal Journey and Professional Mission
04:22 Challenges and Realities in Pediatric Practice
05:34 Financial Success in Pediatrics
07:57 The Importance of Mentorship and Practice Culture
14:33 Setting and Achieving Goals
27:17 The Value of Business Education and Mentorship
29:04 Implementing Effective Business Strategies
39:17 The Role of Competition and Innovation in Pediatrics
44:37 Setting Goals and Managing Patients
45:03 Balancing Quality of Life and Business
45:43 Patient Selection and Practice Management
47:57 The Importance of Long-Term Patient Relationships
50:17 Innovative Approaches to Pediatric Care
51:04 Challenges and Successes in Autism Treatment
52:34 The Business Side of Pediatric Practice
01:00:01 Concierge and Subscription Models in Pediatrics
01:12:38 Marketing Strategies for Pediatric Practices
01:16:41 Top 10 Goals for Next Year
01:20:10 Final Thoughts and Advice

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Gratitude and Reflection in Pediatrics: Thanksgiving 2025

In this special episode recorded on the Tuesday before Thanksgiving 2025, hosts Dr. Rogu and Dr. Bravo discuss what they're thankful for within the field of pediatrics. 

Celebrating milestones such as 50,000 podcast downloads and robust support from their medical community, they reflect on the importance of friendships, the dedication of colleagues, and the significance of mentoring the next generation of physicians. They also explore the challenges and changes in healthcare, including the impact of private equity on medical practices and the evolution of technology in medical record-keeping. The episode concludes with heartfelt gratitude for family, friends, and listeners.

00:00 Introduction and Thanksgiving Special
00:11 Gratitude in Pediatrics
00:39 Podcast Milestones and Community Support
01:41 Friendship and Podcast Beginnings
03:38 Challenges in Pediatric Practice
05:33 Healthcare System Critiques
15:16 Medicaid and Pediatric Care
17:01 Diabetes Screening and AAP Resolutions
22:12 COVID-19 and Pediatric Admissions: A Comparative Analysis
23:18 The Role of Social Media in Public Health Debates
23:34 Focus on Effective Interventions in Pediatrics
24:23 Collaboration in Pediatric EHR Systems
26:34 The Future of AI in Healthcare
27:30 Challenges and Benefits of EHR Systems
36:46 Gratitude and Reflections on Medical Practice
44:03 Concluding Thoughts and Thanksgiving Wishes

Support the show

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Innovative Approaches to Pediatric Neurodevelopmental Screening

In this episode of The Pediatric Lounge, the hosts interview Dr. Susan Gunduz, an independent pediatrician and founder of Northport Pediatrics. Dr. Gunduz discusses her innovative program, 'Sound Wise for Kids,' which is designed to identify developmental delays in children aged three to nine through interactive assessments. She elaborates on the importance of early detection and intervention for developmental challenges and shares her vision of digitizing the program to make it scalable and accessible to a wider audience. The conversation also touches upon the barriers to early intervention, the use of AI in medicine, and the future of personalized care in pediatrics. The discussion highlights the need for pediatricians to lead the way in developmental health and education to ensure children's successful academic and personal development.

00:00 Introduction to The Pediatric Lounge
00:43 Meet Dr. Susan Gunn: Pediatrician and Innovator
03:01 The Journey to Pediatric Medicine
03:57 Identifying Developmental Delays
05:09 Interactive Assessments in Pediatric Care
07:14 Challenges and Innovations in Early Intervention
08:09 The Role of Technology in Pediatric Assessments
14:42 Barriers to Early Intervention Services
25:36 The Importance of Pediatric Development
28:11 The Future of Pediatric Care and Education
31:55 Addressing Childhood Obesity
32:26 The Importance of Early Education
34:10 Challenges in Academic Medicine
35:27 Funding and Innovation in Pediatrics
41:10 Silicon Valley and Medical Technology
45:16 The Future of Predictive Medicine
48:24 AI in Medical Documentation
58:49 Closing Remarks and Final Thoughts

Support the show

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Navigating Social Media and Pediatric Care: Insights from Dr. Darria Long

In this episode of The Pediatric Lounge, hosts Dr. Rogu and Dr. Bravo welcome Dr. Darria Long, an emergency room physician and social media communicator with a background from Yale and Harvard. 

The discussion explores the crucial role of social media in communicating with parents about pediatric health as we approach 2025. Dr. Darria explains her journey from TV to social media, emphasizing the significance of meeting parents where they are online and the challenges of conveying evidence-based information amidst misinformation. She shares insights on how pediatricians can utilize social media without succumbing to the pressure of becoming 'influencers'. 

She emphasizes the importance of being a trusted voice in an era of information overload. The episode also addresses ethical and legal considerations for physicians online and provides practical advice for those embarking on their digital content creation journey.

00:00 Welcome to The Pediatric Lounge
00:34 Introducing Dr. Darria
00:56 The Impact of Social Media on Parenting
01:49 Dr. Darria Journey into Media
03:23 Experiences with Dr. Oz
04:38 Challenges of Misinformation
06:12 Navigating Social Media as a Physician
10:27 The Role of Social Media in Modern Pediatrics
13:23 Creating and Sharing Medical Content
22:17 Handling Misinformation in the ER
25:36 Emergency Medicine Simplified
26:01 Dealing with Difficult Parents
26:50 Social Media as a Teaching Tool
27:27 Legal and Ethical Considerations Online
30:52 Balancing Clinical Work and Online Presence
31:21 Founding No Panic Parenting
33:59 Collaborations and Content Creation
39:24 Advice for New Physicians on Social Media
44:07 The Future of Social Media in Medicine
46:31 Closing Thoughts and Contact Information

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

PathologistIn this episode of The Pediatric Lounge podcast, listeners are invited behind the doors of the Physician's Lounge to delve into the profound discussions amongst doctors. Hosting an in-depth conversation, the episode highlights an invitation to the Eighth Symposium on General Population Screening for Type 1 Diabetes. Special guest Dr. Eric Wargotz shares fascinating aspects of his multifaceted career spanning medicine, law, and the arts, including a touching narrative about how he met his wife and his ongoing philanthropic efforts with Wigs for Kids. Additionally, he discusses AI in healthcare, his perspective on medical leadership roles, issues within the medical payment system, and his involvement in the judicial system. The episode concludes with a book recommendation for pediatricians and a hopeful reflection on peace in the Middle East.

00:00 Introduction to The Pediatric Lounge Podcast
00:28 Upcoming Symposium on Type 1 Diabetes Screening
02:15 Welcoming Dr. Eric Wargotz
03:15 Dr. Eric Wargotz's Personal Story
04:11 Dr. Wargotz's Career and Contributions
12:16 The Role of a Pathologist and Challenges in Medicine
21:30 Innovations in Cancer Screening
25:42 Healthcare Spending and Prioritization
26:15 AI in Medicine: Definitions and Concerns
27:28 AI in Medical Practice: Real-World Experiences
28:25 Vaccine Predictive Engines: Challenges and Issues
29:53 AI and Standard of Care: A Conversation with Congressman Jay Ober
34:28 The Emotional Toll of Pediatric Oncology
36:47 Wigs for Kids: A Personal Commitment
39:21 MedChi: Leadership and Vision
42:13 Scope of Practice and Legislative Challenges
43:59 Middle East Peace: Optimism and Reflections
48:12 Book Recommendation: When Breath Becomes Air
51:07 Conclusion and Farewell

The opinions expressed by Dr. Wargotz are solely his own and do not represent the views, policies, or positions of MedChi, the Orphan Court, George Washington School of Medicine, Doctors Hospital, or any other affiliated institutions. The information provided is for general informational purposes only and should not be relied upon as medical advice. Patients should always consult their own physician for advice and treatment.

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

In this episode of The Pediatric Lounge, hosts Dr. Bravo and George discuss various topics ranging from significant healthcare events to internal policy challenges. They highlight important conferences such as the 8th Symposium on General Population Screening for Type 1 Diabetes at the Barbara Davis Center for Diabetes and the PMI conference in New Orleans. The central discussion focuses on recent changes in A CIP decisions, especially those related to vaccine recommendations and public health policies. The episode features guest experts like Dr. John Caine and Kristen Struble, who provide their insights on the implications of these policies for pediatric practice. The dialogue touches on the challenges of maintaining public trust, shared decision-making in vaccinations, and the impact of political interference in medical guidelines.

00:00 Introduction to The Pediatric Lounge Podcast
00:39 Upcoming Events and Symposiums
02:38 Discussion on ACIP Decisions and Impact
03:29 COVID-19 Vaccine Policies and Controversies
09:13 Critique of Public Health Administration
13:53 Debate on Vaccine Recommendations and Practices
30:08 The Role of Big Pharma in Medicine
40:39 Thimerosal in Vaccines: A Historical Perspective
43:52 Debating the Opposition to Multi-Dose Vials
45:03 Concerns Over Hepatitis B Vaccination at Birth
49:29 The Role of Politics in Vaccine Recommendations
56:48 Challenges in Communicating Vaccine Information
59:20 Shared Decision Making in COVID-19 Vaccination
01:07:02 The Impact of Anti-Vaccine Movements
01:12:44 The Importance of Trust in Medical Practice
01:21:46 Concluding Thoughts and Reflections

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Reflections on 50 Years in Pediatrics: An Interview with Dr. Dan Levy

In this episode of The Pediatric Lounge podcast, hosts George and Herb sit down with Dr. Dan Levy, a seasoned pediatrician with 50 years of experience. Dr. Levy discusses his journey through medical school at the University of Rochester, residency at the Children's Hospital of Philadelphia, and his extensive career caring for children in Owings Mills, Maryland. He shares insights on the evolution of medical training, the importance of compassionate, community-focused care, and the challenges of running a pediatric practice. The conversation delves into the shifts in medical education, the pressures of modern healthcare, and the timeless values that endure in pediatric care. Dr. Levy also emphasizes the significance of cultural competence, the impact of mentorship, and the need for continuous learning and adaptation. The episode concludes with a discussion on the future of pediatrics and Dr. Levy's advice for aspiring pediatricians.

00:00 Introduction to The Pediatric Lounge
00:36 Meet Dr. Dan Levy
01:25 Early Life and Inspiration
03:16 Medical School Reflections
05:25 Changes in Medicine Over the Years
06:32 The Importance of Knowing Your Patients
07:30 Challenges in Modern Medicine
09:12 The Role of Technology in Healthcare
10:05 The Future of Pediatrics
21:17 The Value of Integrative Medicine
39:09 The Importance of Literacy and Education
44:03 The Value of Pediatricians
44:40 Balancing Safety and Politics in Pediatric Care
47:43 Training and Early Career Challenges
51:24 Business Skills in Medicine
55:01 Medicaid and Practice Sustainability
01:02:14 Advocacy and Professional Organizations
01:10:34 Technology and Efficiency in Healthcare
01:12:58 Final Reflections and Advice

Support the show

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.