Primary Care Perspectives

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 promote proactive management of behavior safety needs of patients with the goal of improving care experiences for patients, families and staff. Topics include support resources, planning and preparation, de-escalation techniques, biopsychosocial pain management strategies and more. Published December 2020. 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. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

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 and efficacy of some common integrative approaches, such as gluten-free diets, equine therapy, vitamin supplements, music therapy, social skills training, melatonin, CBD and more. Published November 2020. 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. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

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 looking at outcomes such as empathy, tolerance for ambiguity, and burnout, as well as how narrative medicine frames how we teach medical students and residents about health equity, power differentials and more. Published November 2020. 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. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

Dr. Jonathan Spergel, Chief of Allergy Program at CHOP, dives deep into managing food allergies in children. He highlights the top nine food allergens and shares insights on safely introducing potential allergens to young ones. The conversation covers when to seek allergy testing and the significance of different tests. Additionally, Dr. Spergel discusses exciting advancements in immunotherapy and strategies to help children outgrow these allergies, offering hope and practical advice for families navigating this complex landscape.

Kevin Osterhoudt, an attending physician at CHOP and director of the Poison Control Center, sheds light on the staggering issue of poisoning, the leading cause of injury-related deaths in the U.S. He discusses common exposures in children and the alarming rise of opioid overdoses, stressing the critical role of naloxone. Osterhoudt also addresses the hidden dangers of household items and social media challenges. With insights on snake bites in Pennsylvania and safe hand sanitizer use during the pandemic, he emphasizes the importance of vigilance and prevention.

Lori B. Feldman-Winter, an internationally-recognized expert in breastfeeding education, shares her wealth of knowledge on breastfeeding guidelines. She discusses the profound health benefits of exclusive breastfeeding, especially in the first six months. The conversation covers crucial contraindications to breastfeeding, such as certain maternal health conditions. Feldman-Winter also emphasizes strategies for managing conditions like hyperbilirubinemia in newborns and highlights the vital role pediatricians play in supporting breastfeeding mothers effectively.

Why are there so many children in cities like Philadelphia that aren’t proficient readers? 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 disparities in their practice and at a policy level, early literacy programs available to families, and much more. Published September 2020. 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. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

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 nutrition as part of a patient’s healthcare goals; how culinary medicine is being deployed at Children’s Hospital of Philadelphia; practical tips for pediatricians to use in their practice, and more. Published August 2020. 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. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

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 convalescent plasma, vaccines, school considerations, preventative care, and more. Published August 2020. 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. ©2020 by Children's Hospital of Philadelphia, all rights reserved.

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, causes, medications, current studies and more. Published July 2020. 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. ©2020 by Children's Hospital of Philadelphia, all rights reserved.