The Pediatric Lounge, Where Pediatric Physicians Come to Share Their Stories and Success

Rural Pediatrics: A Conversation with Dr. Eric Tyler

In this episode of The Pediatric Lounge, hosts George and Herb welcome Dr. Eric Tyler, a seasoned pediatrician with over 40 years of experience in rural Alabama. Dr. Tyler shares his journey into pediatrics, inspired by his childhood experiences and his work ethic instilled by his farming upbringing. He discusses the unique challenges and rewards of practicing pediatrics in a rural setting, addressing the impact of adverse childhood experiences and the importance of community engagement. Dr. Tyler emphasizes the need for systemic changes in healthcare funding and education to better support rural pediatricians and their patients. He also shares innovative community initiatives aimed at improving children's health and well-being, including a meditation program for local schools and telehealth services for mental health. The conversation underscores the importance of rethinking dogma in medical practice to better meet the needs of underserved populations.

00:00 Introduction to The Pediatric Lounge
00:28 Meet Dr. Eric Tyler: A Rural Pediatrician
01:22 Dr. Tyler's Journey into Medicine
01:34 Life on the Farm and Early Influences
03:03 Medical Training and Early Career
04:34 Challenges and Rewards of Rural Pediatrics
15:09 Community Engagement and Initiatives
24:24 HPV Vaccination Success
24:41 Challenges of Accessing Specialists
25:16 Project Echo and Telehealth Services
27:22 Medicaid and Healthcare System Issues
36:38 Adverse Childhood Experiences
41:22 The Importance of Community and Family
50:00 Loneliness and Mental Health
53:09 Reflections on Rural Medicine

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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: Embracing Kindness and Resilience with Dr. Seth Kaplan

In this episode of The Pediatric Lounge, hosts interview Dr. Seth Kaplan, a seasoned pediatrician with a holistic approach to child healthcare. Dr. Kaplan shares his inspiring journey from facing health challenges as a child to becoming an advocate for children's mental health in Texas. He talks about the profound impact of his recent battle with lymphoma on his approach to life and medical practice, emphasizing the importance of kindness, community, and self-care. Dr. Kaplan also discusses his extensive involvement in organized medicine, policy-making, and his contributions during the COVID-19 pandemic. The episode underscores the critical need for comprehensive insurance and thoughtful practice management for healthcare providers.

00:00 Introduction to The Pediatric Lounge
00:43 Heartfelt Condolences and Reflections
03:03 Introducing Dr. Seth Kaplan
04:43 Dr. Kaplan's Journey to Pediatrics
06:04 Life in Texas vs. New York
09:54 Involvement in Organized Medicine
15:06 Challenges and Wins During the Pandemic
21:15 National Level Contributions and Policies
38:47 Advocacy in Pediatric Care
39:16 Community Homes for Adults Incorporated (CHAI)
41:22 Personal Story of Change Management
41:32 Cancer Diagnosis and Treatment Journey
49:22 Lessons from the Cancer Experience
53:04 Importance of Disability Insurance
59:29 Faith, Meditation, and Kindness Post-Cancer
01:08:47 Final Thoughts and Gratitude

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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.

We sit down with three distinguished endocrinologists—Dr. Kashif Latif, Dr. Michael James Haller, and Dr. Kevin Kaiserman—to discuss the last 100 years of innovation in diabetes treatment, from starvation diets to modern insulin therapy.  In this episode, we discuss FDA and non-FDA-approved interventions in medical science. Please do not rely on this podcast for medical advice or as a guide for prescribing. The following were mentioned on the podcast, and you should be aware of their side effects and complete indications as prescribed by the FDA.

As with any treatment, it’s important to understand the potential adverse reactions with TZIELD. Throughout the TN-10 Study, greater incidences of cytokine release syndrome, serious infections, hypersensitivity reactions, and serum sickness, lymphopenia, and neutropenia were reported in TZIELD-treated patients vs placebo-treated patients. Most common adverse reactions (>10%) were lymphopenia, rash, leukopenia, and headache. These are not all the adverse reactions reported with TZIELD. Please see full Important Safety Information and Prescribing Information.

AFREZZA can cause serious side effects, including: Sudden lung problems (bronchospasms). In a study, some AFREZZA-treated patients with asthma, whose asthma medication was temporarily withheld, experienced sudden lung problems. Do not use AFREZZA if you have long-term (chronic) lung problems such as asthma or chronic obstructive pulmonary disease (COPD). Before starting AFREZZA, consult your healthcare clinician.

Inhale Study Link 

01:25 Early Screening and Universal Screening

02:18 Dr. Latif's Journey into Endocrinology

04:22 Dr. Haller's Path to Pediatric Endocrinology

05:09 Dr. Kaiserman's Career in Diabetes Care

05:54 The Importance of EHR in Diabetes Management

08:21 Project ECHO: Extending Community Health Outcomes

15:39 The Evolution of Insulin Therapy

24:22 Revolutionizing Diabetes Care with Inhaled Insulin

28:19 Refrigeration and Stability of Insulin

28:43 Human Insulin and Genetic Engineering

30:04 Inhaled Insulin vs. Insulin Pumps

31:33 Inhaled Insulin for Type 2 Diabetics

32:28 Challenges in Managing Type 1 Diabetes

36:23 Preventing and Delaying Insulin Dependency

38:53 The Importance of Early Screening

50:14 Future of Type 1 Diabetes 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.

Starting an Independent Pediatric Practice Amidst Challenges: Dr. Scott Wissman's Journey

In this episode of The Pediatric Lounge, hosts George and Herb discuss with Dr. Scott Wissman his experience starting his own independent pediatric practice in Montgomery County, Maryland. Dr. Wissman shares insights into his choice of pediatrics, his international experiences, and the challenges and rewards of building a practice from the ground up, particularly during the COVID-19 pandemic. The conversation covers topics such as planning the practice's layout, staff management, and the importance of personalized care. Additionally, Dr. Wissman highlights the significance of cultural competence and behavioral health in pediatric care. He also discusses how independent practices can offer a balanced, patient-centric approach compared to larger corporate practices.

00:00 Welcome to The Pediatric Lounge
00:41 Introducing Dr. Scott Weissman
01:54 Dr. Weissman's Journey to Pediatrics
04:43 Experiences in Latin America
07:33 Starting an Independent Practice
12:23 Building a Unique Pediatric Practice
16:01 The Importance of Relationships in Pediatrics
17:35 Lessons from Mentors and Colleagues
22:41 Challenges and Successes in Practice Management
29:47 Job Search Challenges and Strategies
30:46 Special Interests in Pediatrics
31:31 Behavioral Health and Special Needs
33:06 Journey to an MPH
34:49 Applying MPH Skills in Practice
36:14 Cultural Challenges in Pediatric Care
41:06 Diabetes Screening and Management
49:26 The Value of Independent Practice
53:42 Conclusion and Final Thoughts

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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 Pediatric Practice: Insights from Dr. Robert Wiskind

In this episode of The Pediatric Lounge podcast, hosts welcome Dr. Robert Wiskind, a seasoned pediatrician with decades of experience in Georgia. Dr. Wiskind shares his journey from medical school at Emory to establishing Peachtree Park Pediatrics and navigating the complexities of independent pediatric practice. The discussion covers the evolution of his practice, from its unique exam room system to growing into a larger facility. Dr. Wiskind emphasizes the value of involving in organized medicine through roles like the Georgia Chapter of the American Academy of Pediatrics, and his contributions to creating the Children’s Care Network, a clinically integrated network. Additionally, the episode touches on the challenges and future of independent pediatric practices, the benefits of clinical integration, and the importance of adapting to ongoing changes in medicine. The conversation also delves into balancing patient care with administrative duties, and the collaborative efforts required to sustain and improve pediatric healthcare standards.

00:00 Introduction to The Pediatric Lounge
00:36 Meet Dr. Robert Wiskiind
01:23 Dr. Wiskiind's Journey in Pediatrics
03:07 Peachtree Park Pediatrics: A Legacy
04:25 The Evolution of the Practice
05:12 Partnership Dynamics and Growth
08:39 The Children's Care Network
13:04 Challenges and Successes in Pediatric Care
22:43 The Importance of Organized Medicine
29:08 Balancing Parental Expectations and Medical Judgment
31:52 Challenges of Setting Up a Collaborative Network
32:48 Financial Strategies and Physician Involvement
34:49 Future of Independent Practice
38:32 Role and Structure of Pediatric Committees
43:13 Complexities in Healthcare Policies and Payments
48:41 High Costs of Advanced Medical Treatments
54:13 Socioeconomic Disparities in Healthcare
58:01 Personal Reflections on Career Choices
01:00:12 Conclusion and Final Thoughts

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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.

The Pediatric Lounge: Insights into Pediatric Urgent Care with Dr. Amanda Montalbano

In this episode of The Pediatric Lounge podcast, Dr. Amanda Montalbano, a general pediatrician with extensive experience in pediatric urgent care, joins the conversation. The discussion covers a range of topics including the importance of implementation sciences in medicine, the challenges of training new doctors in urgent care, and the intricacies of managing pediatric urgent care units. Dr. Montalbano also shares her personal journey with her son's Type 1 diabetes diagnosis, highlighting the importance of early screening and intervention. Additional topics include the structure and functioning of pediatric urgent care centers in Kansas City, and the collaboration between general practitioners and urgent care practitioners.

00:00 Introduction to The Pediatric Lounge
00:35 Meet Dr. Amanda Montalbano
01:44 Choosing Pediatrics: Dr. Montalbano's Journey
03:11 Pediatric Urgent Care: Training and Challenges
06:27 Pediatrics in Kansas City
10:26 Urgent Care Operations and Models
25:34 Research and Data in Pediatric Urgent Care
39:33 Discovering Implementation Science
40:42 The Importance of Measuring Change
42:15 Understanding Resistance to New Technologies
43:24 The Five Whys Technique
46:19 Challenges with AI Scribes
57:34 Advocating for Early Type 1 Diabetes Screening
01:09:06 A Personal Story of Type 1 Diabetes
01:17:56 Concluding Thoughts and Reflections

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.

Behavioral Health Integration in Pediatric Care with Dr. Nelson Branco

In this episode of The Pediatric Lounge, hosts George and Herb are joined by Dr. Nelson Branco, a general pediatrician with a strong commitment to behavioral health and community care, to discuss the future of healthcare and the integration of behavioral health into pediatric medical homes. Dr. Branco shares his journey in pediatrics, his experience working with underserved populations, and the steps his practice took to integrate behavioral health services. The conversation covers the challenges and benefits of behavioral health integration, the importance of collaboration with therapists and psychiatrists, and strategies for managing financial sustainability. The episode also delves into the impact of mental health on pediatricians' burnout and the evolving role of pediatric care in addressing behavioral health concerns.

00:00 Introduction to The Pediatric Lounge
00:36 Meet Dr. Nelson Branco
01:16 Dr. Bronco's Journey to Pediatrics
03:00 Behavioral Health Integration in Pediatrics
03:54 Building a Behavioral Health Team
05:32 Challenges and Realities of Behavioral Health
07:26 Innovative Solutions and Collaborations
10:17 The Evolution of Pediatric Care
25:24 Pharmacology and Changing Practices
28:56 Training and Preparedness for Physicians
29:39 Virginia Mental Access Program and Project Echo
30:34 Challenges in Child Psychiatry
31:21 Primary Care Mental Health Experience
36:49 Operations and Management in Pediatric Practices
42:16 Behavioral Health Integration and Financial Sustainability
45:11 Burnout and Mental Health in Pediatricians
52:51 Historical Perspective on Pediatric Practice
55:18 Preventative Behavioral Health and Conclusion

Dr. Branco has kindly shared his folder on Mental Health in Pediatrics, which is an incredible resource: https://bit.ly/BHIshared.

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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.

Enhancing Pediatric Practice Efficiency with Call Centers and Virtual Assistants featuring Dr. Igor Trogan

In this episode of The Pediatric Lounge, hosts George and Herb welcome frequent guest Dr. Igor Trogan to discuss the implementation and benefits of call centers and virtual medical assistants in pediatric practice. Dr. Trogan shares insights on the necessity of call centers due to front desk inefficiencies, the logistics of setting up a call center, and the advantages of using virtual assistants from abroad. They delve into the impact on scheduling, patient care, and overall practice management. The conversation also highlights the technology used, the renaming of call centers to 'patient care centers' to avoid blame, and the importance of preserving the human element in pediatric care. Dr. Trogan emphasizes the need for a step-by-step approach to integrate these changes smoothly into any practice.

00:00 Introduction to The Pediatric Lounge
00:38 Meet Dr. Igor Trogan
01:11 The Need for a Patient Care Center
02:31 Setting Up the Patient Care Center
04:53 Virtual Medical Assistants
06:30 Call Center Operations
08:56 Handling Appointments and Records
15:48 Technology and Tools
27:43 Managing Remote Workers
34:58 Challenges with Traditional Medical Assistants
36:46 Advantages of Virtual Medical Assistants
38:08 Managing a Virtual Medical Assistant Team
39:56 The Role of Technology in Modern Practices
44:32 Maintaining Team Culture Remotely
50:16 Cost Savings with Virtual Medical Assistants
51:09 Future of AI in Medical Practices
54:36 The Importance of Human Touch in Pediatrics
01:02:25 Steps to Implementing Virtual Medical Assistants
01:05:15 Conclusion and Final Thoughts

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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 Art of Constructive Conversations in Pediatric Care with Sim Coutier

In this episode of The Pediatric Lounge, the hosts are joined by Sim Coutier from Kindred Skills to discuss the power and importance of constructive conversations in pediatric practice. Highlighting the nuances and challenges of effective communication, particularly in situations involving vaccine hesitancy and other crucial health decisions, Sim shares strategies for fostering trust and understanding through curiosity, active listening, and asking thoughtful questions. The conversation also covers the impact of the current socio-political climate on patient interactions and offers practical insights for developing more effective communication skills in clinical settings.

00:00 Introduction to The Pediatric Lounge
00:29 Editorial: The Importance of Constructive Conversations
00:37 Guest Introduction: Sim Coutier from Kindred
01:37 The Art of Constructive Conversations
02:02 Casual Catch-Up with Sim
03:49 Sim's Experience in Detroit and Medical Conferences
05:07 Sim's Daughter's Medical Journey
07:56 Defining Constructive Conversations
09:55 Challenges in Constructive Conversations
15:28 Handling Vaccine Hesitancy
32:35 Building Trust Through Curiosity
38:10 Transactional vs. Constructive Conversations
39:28 Flu Vaccine Conversations
39:39 Transactional Communication Issues
39:54 Leadership and Communication Failures
40:57 Escalating Conflicts in Pediatric Care
41:57 Fear and Assumptions in Medical Conversations
43:27 Constructive Conversations and Building Relationships
45:33 Challenges in Pediatric Consultations
48:53 Understanding and Addressing Parental Concerns
50:24 The Importance of Curiosity in Conversations
59:39 Practical Examples and Solutions
01:10:29 Final Thoughts and Summary

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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 Hiring Practices in Healthcare with Dr. Mike Neal

In this episode of The Pediatric Lounge, hosts George and Herb interview Dr. Mike Neal, co-founder of Lakeside Vision and creator of Build My Team, a system to improve employee hiring processes in healthcare. Dr. Neal shares his experiences and challenges with staff turnover and explains how he transitioned to hiring individuals based on traits, mindsets, learning speed, and strengths rather than experience alone. The discussion covers the importance of aligning hires with the practice's values and culture, the inefficacy of traditional resumes, and the utility of a systematic and detailed approach to identifying the right candidates. The podcast emphasizes the need for practices to understand their own values and culture to hire effectively.

00:00 Introduction to The Pediatric Lounge
00:26 Guest Introduction: Dr. Mike Neal
01:06 Hiring Philosophy: Identifying Diamonds in the Rough
03:04 Challenges in Medical Hiring
03:27 Systematic Hiring Process
03:45 Importance of Vision, Mission, and Values
04:06 Psychological Inventory in Hiring
05:22 Critique of Traditional Hiring Practices
07:37 Customizing Hiring to Fit Practice Needs
14:22 Automated Hiring Process
15:27 Balancing Work-Life Preferences
17:03 Real-World Examples and Practices
23:17 The Value of Access in Pediatric Practices
27:35 Understanding Practice Values and Culture
28:04 Detailed Candidate Assessment
29:19 Challenges of Being Detail-Oriented
34:13 Crisis Management in Medical Practices
41:45 Importance of Removing Poor Performers
50:11 Final Thoughts on Hiring Beyond the Resume

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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.