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This podcast is for general informational and educational purposes only and is not to be considered as medical advice for any particular patient. Clinicians must rely on their own informed clinical judgment in making recommendations to their patients. ©2016 by Children's Hospital of Philadelphia, all rights reserved.
 
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show series
 
Sleep-disordered breathing, including snoring and sleep apnea, affects up to 17 percent of youth, and the AAP recommends screening for it at every visit. Ariel Williamson, PhD, DBSM, psychologist, and Ignacio Tapia, MD, attending pulmonologist, of the Sleep Center at Children’s Hospital of Philadelphia, provide a review of high-risk populations for…
 
A team discusses a CHOP program called Picture This, in which colorful and interactive murals are used in primary care exam rooms to encourage parent-child interaction and facilitate care. Danielle Erkoboni, MD, primary care pediatrician, CHOP Care Network, Melanie Hoynoski, CCLS, STRS, child life specialist at CHOP, and Steve Wilmot, MSW, Associat…
 
Did you know that if a new mom is suffering from postpartum depression, the chances are high that the new dad or partner may be struggling as well? David Levine, MD, pediatrician and board member, Postpartum Support International, discusses perinatal mood and anxiety disorders (PMADs) in dads, partners, and adoptive parents. Among the topics: preva…
 
As children and teenagers return to summer activities and school sports, particularly after the pandemic down-time, injuries, including fractures, are on the rise. Brendan Williams, MD, attending pediatric orthopaedic surgeon, Sports Medicine and Performance Center, Children’s Hospital of Philadelphia, discusses: physical exam findings that raise s…
 
Acne is one of the most common skin conditions, affecting about 80% of all teens. While some teens will only experience mild symptoms, others may develop scarring, hyperpigmentation and negative psychosocial effects. Amanda Shepard-Hayes, MD, an Attending Pediatrician specializing in dermatology at Children’s Hospital of Philadelphia, discusses the…
 
Did you know that the pincers of head lice are perfectly suited to the caliber of children’s hair? And they need a blood-meal every 24 hours to survive? If you hate lice – and love puns – tune in for this discussion with Albert Yan, MD, pediatric dermatologist, Children’s Hospital of Philadelphia. He reviews: the epidemiology of lice, including why…
 
At what age should pediatricians worry if a patient hasn’t had their first period? How can they help patients manage chronic period pain? What is “period poverty” and how can doctors help? Shelby Davies, MD, a fellow in the Division of Adolescent Medicine, Children’s Hospital of Philadelphia, discusses a variety of period-related topics, including:…
 
Colleen Lukens, PhD, psychologist, and Sherri Cohen, MD, MPH, medical director, the Pediatric Feeding and Swallowing Center, Children’s Hospital of Philadelphia, discuss how their multidisciplinary clinic would manage this case, and review: some underlying causes for feeding disorders; common reasons for referral to the center; when an additional r…
 
Approximately 15% of school-age children and adolescents in the U.S. are thought to have an emotional or behavioral disorder, and nearly two-thirds receive no formal mental health care. Pediatricians are increasingly being called on to screen for and treat mental health problems. Billie Samantha Schwartz, PhD, a Psychologist in the Department of Ch…
 
Parents often have questions about organic foods and environmental toxins such as BPA and phthalates. This conversation will help provide answers. Leonardo Trasande, MD, MPP, Jim G. Hendricks, MD, Professor of Pediatrics, Department of Pediatrics, NYU Grossman School of Medicine, and author of “Sicker, Fatter, Poorer: The Urgent Threat of Hormone-d…
 
In celebration of the 100th episode of the Primary Care Perspectives podcast, Dr. Katie Lockwood welcomes a special guest, author Jessica Lahey, to discuss her most recent book, “The Addiction Inoculation: Raising Healthy Kids in a Culture of Dependence.” Lahey, whose perspective is informed by her own recovery from alcohol addiction and her experi…
 
A baby who can’t sit up by 7 months of age. A "clumsy" child who struggles with tasks such as riding a bike. A teenager experiencing dizziness 2-3 months after concussion. What do these patients have in common? They may benefit from assessment for a vestibular disorder. Robert O’Reilly, MD, attending physician, Division of Otolaryngology, and direc…
 
Ergonomics is the science of fitting a given environment to a person, to limit exposure to physical stressors that could lead to discomfort or injury. Ian Leahy, PT, DPT, a physical therapist with the Sports Medicine and Performance Center at Children’s Hospital of Philadelphia, discusses: the basics of a good home set-up; whether to recommend a st…
 
Matthew Elias, MD, attending cardiologist, Children’s Hospital of Philadelphia, discusses COVID-19’s impact on the heart and how it affects outpatient care for children who have recovered. Includes: a refresher on clinical symptoms of myocarditis, which vary by age and can be subtle; review of EKG findings with myocarditis (again, tricky); other ca…
 
Fifteen million children are exposed to intimate partner violence (IPV) in the U.S. every year, with 50% of those exposures severe. This podcast offers perspective from Kalena Brown, an advocate and mother whose primary care pediatrician helped her and her three children safely leave a domestic violence situation; Ashlee Lynn Murray, MD, MPH, atten…
 
Kerri Heckert, MS, RD, LDN, CEDRD-S, clinical dietitian, and Eleanor Benner, PsyD, psychologist, of the Eating Disorder Assessment and Treatment Program at Children’s Hospital of Philadelphia (CHOP), discuss the most recent (and more inclusive) diagnostic criteria for anorexia and bulimia; the relatively new diagnosis ARFID (Avoidant Restrictive Fo…
 
In this episode, Arunjot Singh, MD, MPH, attending physician and Co-Director of the Center for Celiac Disease at Children’s Hospital of Philadelphia (CHOP), talks about when and how to start celiac screenings, genetic links to other autoimmune diseases, common presentations of celiac disease in a primary care setting, understanding IgG levels, role…
 
In this episode, we explore the ethical considerations around the development and distribution of SARS-CoV-2 vaccines with Chris Feudtner, MD, PhD, MPH, Director of Research for the Justin Michael Ingerman Center for Palliative Care and Endowed Chair in Medical Ethics at CHOP. He discusses how are advisory groups are deciding who will receive prior…
 
In this episode, Katie Lockwood, MD, sits down with a panel of experts to talk about CHOP’s clinical pathway for the management of challenging behaviors in children. Vicky Scheid, MD, Pediatrician, Melanie Hoynoski, Child Life Specialist, and Julie Ginsburg, MSN, CPNP-PC, AE-C, Ambulatory Nursing Practice Specialist, share strategies to support and…
 
Autism effects as many as 1 in 54 children. In this episode, we focus on alternative treatments. Amanda Bennett, MD, MPH, developmental pediatrician and clinical chair of the Autism Integrated Care Program at Children’s Hospital of Philadelphia, talks about why families look to integrative medicine for treatment of autism, and dives into the safety…
 
Dr. Irene Mathieu is an academic pediatrician, writer, educator and public health researcher focused on teaching health equity through the medical humanities. In this episode, she defines narrative medicine and discusses the role of poetry as a narrative medicine tool. She also explores how narrative medicine impacts medical education, particularly…
 
Jonathan Spergel, MD, PhD, Chief of Allergy Program at CHOP, covers the top 9 most common food allergens, current recommendations for when and how to safely introduce potential food allergens, when to refer to an allergist for testing, when different tests (skin, IgE or RAST testing) are indicated, outgrowing allergies, and exciting research underw…
 
Rob sans Matt discusses managing return to school and day care for ill children during the pandemic AND a possible answer to the burning pediatric question of why kids seem to be much more immune than adults. We shamelessly promote the upcoming all virtual pediatric ROY Warren seminar Wednesday, November 11. Hope to see you there and give you a liv…
 
Poisoning is the number one cause of death due to injury in the U.S. In this episode, Kevin Osterhoudt, MD, Medical Director of CHOP’s Poison Control Center, talks about common poison exposures in children, unexpected poisons, the use of naloxone for opioid overdose, identifying toxidromes, advice for pediatricians counseling parents to protect chi…
 
Guest Lori B. Feldman-Winter, MD, MPH, is internationally-recognized for her work related to breastfeeding education programs and nutrition policy, and serves as Chair of the American Academy of Pediatrics (AAP) Section on Breastfeeding. She joins us to talk about all things breastfeeding, including benefits, contraindications, jaundice, managing h…
 
Danielle Erkoboni, MD, a pediatrician at CHOP’s Care Network location in Norristown, and Trude Haecker, MD, Medical Director of Global patient Services and Reach Out and Read, talk about the complex factors that impact literacy skills, long-term impact related to lack of literacy or low proficiency in reading, how pediatricians can address these di…
 
Maria R. Mascarenhas, MBBS, Director of Integrative Health, and Tracey F. Jubelirer, MD, Integrative Oncology Medical Director, talk about what culinary medicine is and how it is different than nutrition; how it can be used to provide evidence-based nutrition guidance, translating research into practical advice for patients; how to use food and nut…
 
Kathleen E. Sullivan, MD, PhD, Chief of the Division of Allergy and Immunology at Children’s Hospital of Philadelphia, sits down to discuss the risk of COVID-19 in children who are immunocompromised. She talks about early findings from international research about how COVID-19 impacts patients with different immunodeficiencies, the role of convales…
 
Pamela Pojomovsky McDonnell, MD, a pediatric neurologist with the Division of Neurology at Children’s Hospital of Philadelphia, defines tics and tic disorders. Topics covered include distinctive features of a tic, typical presentation of tics seen in primary care, common questions from parents, when to refer to neurology, Tourette’s syndrome, cause…
 
Naomi Brown, MD, and Matthew Grady, MD, pediatric sports medicine specialists in the Division of Orthopaedics at Children’s Hospital of Philadelphia (CHOP), talk about factors for a safe return to youth sports after coronavirus shutdowns, strategies teams can use to mitigate risk, and what to do in case of COVID-19 symptoms or exposures. They also …
 
When is a child just flexible, and when do we say they’re hypermobile? Staci Kallish, DO, a clinical geneticist in the Division of Human Genetics at Children’s Hospital of Philadelphia, talks about hypermobility, covering topics such as red flags for joint hypermobility, what systemic symptoms might indicate a potential inherited connective tissue …
 
With fewer children seeking care due to physical distancing, the early detection of pediatric cancers is being impacted. Julie Stern, MD, Director of Outreach Services for the Division of Oncology at Children’s Hospital of Philadelphia, discusses how children with cancer may present differently during the COVID-19 pandemic and how pediatricians can…
 
Parenting challenges faced in typical times are heightened by the COVID-19 pandemic, and both parents and children may be feeling stressed. In this episode, Emily DePaul, MPH, MAC, and Linda McWhorter, PhD, talk about positive parenting during a pandemic and the PriCARE Parenting Program, which focuses on providing a toolbox of parenting techniques…
 
This episode’s guests Flaura Winston, MD, PhD, Founder and Scientific Director of the Center for Injury Research and Prevention, and Daria Ferro, MD, a pediatric hospitalist, discuss all things related to innovation and quality improvement, particularly during the times of a pandemic. They talk about the “innovation ecosystem” at Children’s Hospita…
 
In the age of COVID-19, many families are wanting to leave the hospital as soon as possible after delivering a new baby. But is it the right thing to do? Joanna Parga-Belinkie, MD, attending neonatologist at Children’s Hospital of Philadelphia, talks about the many factors that must be considered for the health and safety of both mothers and newbor…
 
Child abuse is unfortunately very common, and in the setting of a pandemic like COVID-19, the risk is elevated. Cindy Christian, MD, talks about the factors that increase the risk for abuse during a pandemic, such as heightened stressors facing families and the fact that children are not visible to those who often recognize and report abuse, like t…
 
Preterm birth results in multiple challenges, both short term in newborn intensive care units, and long term in the neurodevelopmental outcomes of these babies. Gretchen Lawhon, PhD, RN, CBC, FAAN, a clinical nurse scientist at Abington-Jefferson Health’s Division of Neonatology, discusses how scientific advances continue to inform how we care for …
 
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