The Cribsiders

In this episode, Dr. Vincent Mukkada (Cincinnati) joins us to demystify eosinophilic esophagitis (EoE). Together, we explore how to take a good history in children in whom EoE is suspected, treatment strategies, and innovations for ongoing monitoring. Whether you’re managing the initial diagnosis or ongoing care for these patients, the conversation won’t get stuck thanks to an episode full of helpful information for you!

In this chat, Dr. Tracy A. Wilkinson, an assistant professor of pediatrics specializing in adolescent reproductive health, dives into empowering general pediatricians to discuss contraception with young patients. She emphasizes the importance of starting these conversations early and uncovering what adolescents already know. Dr. Wilkinson addresses common myths, reproductive coercion, and tailors counseling based on patient priorities. She also highlights the importance of confidentiality and the need to include all genders in reproductive health discussions.

Dive into the world of dermatology as the hosts tackle tinea with practical culture tips and antifungal choices. Uncover the nuances of atopic dermatitis, from defining criteria to practical care, including emollients and advanced treatments. Learn the ins and outs of managing acne, including classifications by age and first-line topical treatments. The discussion also highlights the importance of accessibility in acne care and the complexities around isotretinoin. It's a rapid-fire review of essential dermatological pearls!

This week we take a closer look at Retinopathy of Prematurity (ROP) -  from screening and staging to treatment and long-term outcomes. Join us as we shine some light on this sight-saving topic with insights from Dr. Nimesh Patel - Assistant Professor of Ophthalmology at Harvard Medical School and the director of Pediatric Vitreoretinal Surgery at Boston Children’s Hospital. You won’t believe your eyes at how much there is to see in the world of ROP care!

Kim Schamel, medical director of the Newborn Assessment Nursery at Washington University/St. Louis Children’s Hospital, walks us through newborn nursery 101! She gives pointers for the newborn physical exam, counseling strategies for safe sleep, gives us a framework for evaluating neonatal weight loss, and so much more. From the golden hour to the discharge talk and everything in between, she reminds us that when it comes to healthy babies, just feed them, love them, and don’t shake them! 

Dr. Emmanuel Alalade, a pediatric anesthesiologist at Children's Healthcare of Atlanta, dives deep into the world of pediatric pain management. He shares strategies for assessing pain in children, discussing observational cues and effective pain scales. Dr. Alalade emphasizes the importance of multimodal approaches, combining medications like acetaminophen and ibuprofen, while also outlining non-pharmacologic techniques such as distraction and VR. He addresses the racial disparities in pain treatment and advocates for informed, compassionate care for young patients.

Dr. Basil Williams, a combined ocular oncologist and vitreoretinal disease specialist at Bascom Palmer Eye Institute, shares invaluable insights on Retinoblastoma. He discusses the role of smartphones in early detection through white reflex, emphasizing that leukocoria should always be treated as Retinoblastoma until proven otherwise. The conversation also highlights recent advancements in genetic testing and AI diagnostics, as well as the importance of regular screening. Dr. Williams stresses the need for urgent intervention and effective communication with families to ensure better outcomes.

What does Long COVID really look like in kids and teens? In this episode, we’re joined by Dr. Peter Rowe from Johns Hopkins to unpack the recognition, diagnosis and treatment of Long COVID in pediatric settings. From hallmark symptoms like post-exertional malaise and brain fog, to risk factors, disparities, and treatment strategies, Dr. Rowe shares practical insights to help clinicians better recognize and care for young people living with Long COVID.

Dr. Rida Hasan, a pediatric hematologist and transfusion medicine expert from the University of Washington, shares her invaluable insights into the fascinating world of pediatric transfusions. She discusses why Type & Screen tests have a short expiration and unpacks the complexities of massive transfusion protocols in critical care. Rida also dives into the specifics of blood testing, the importance of donor demographics, and innovative practices that enhance patient safety. Join her as she navigates the challenges and joys of transfusion medicine!

Dr. Michelle Starr, a pediatric nephrologist at Indiana University, dives into the intricacies of renal tubular acidosis (RTA). She discusses distinguishing between RTA types and shares vital diagnostic clues specific to pediatric care. The conversation covers the impact of high-chloride IV fluids, urine gap measurements, and the significance of electrolyte levels in treatment. With clinical anecdotes and case studies, Dr. Starr emphasizes the importance of collaboration with nephrologists for effective management of RTA in children, enhancing understanding of acid-base balance.