Primary Care Perspectives

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 offer advice for student-athletes as they seek to return to play, the importance of re-conditioning to prevent injury, and other advice for players, parents, and coaches to consider as they weigh pros and cons of getting back to sports. 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.

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 disorder, and how primary care providers can screen for features of potential syndromes. Published June 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.

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 optimize physical exams in telemedicine settings to screen for malignancies, common early presentations of a malignancy to watch for, what to include in initial lab workups, how to reassure parents it’s safe to seek care in this time and more. Published June 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.

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 to increase positive behavior and build a strong caregiver-child relationship. They offer advice and tools to help address some of the common concerns and challenges parents are facing during COVID-19. Published May 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.

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 Hospital of Philadelphia, where the goal is to efficiently, effectively, and safely address acute pain points in pediatric healthcare with sustainable, actionable solutions that can be widely shared -- especially important in a time when we need to get solutions out there safely but quickly. Published May 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.

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 newborns, key newborn screenings, the role primary care providers can play in monitoring infants who were discharged early, resources for new mothers, and more. Published April 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. Cindy Christian, a medical expert on child welfare, discusses the alarming rise in child abuse rates during the COVID-19 pandemic. She examines how reduced visibility of children to mandated reporters has led to an increase in unreported cases. The conversation delves into pediatricians' roles in identifying signs of abuse, specific injury patterns to watch for, and the importance of documenting concerns accurately. Dr. Christian also highlights the transformative role of telemedicine in monitoring and addressing these critical issues.

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 these vulnerable patients, with an emphasis on protecting a baby’s developing brain in the context of their specific behaviors, environment, and family unit. Published March 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.

Kevin Osterhoudt, MD, emergency medicine physician and Medical Director of the Poison Control Center at Children’s Hospital of Philadelphia, covers all things lead – common sources of lead exposure, long-term effects on children, screenings for blood lead levels, lead poisoning, and management of lead poisoning. Published March 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.

Pediatric cardiologist Shohba Natarajan, MD, talks about identifying and treating patients at risk for early cardiovascular disease. She identifies pediatric diagnoses that put a child at risk, what to look for in family history, and discusses the important role that primary care pediatricians play in cardiovascular disease screenings and identifying patients who may not otherwise be considered high risk. Published February 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.