The Cribsiders

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.

In this engaging conversation, Dr. Eileen Rayner, a pediatric otolaryngologist at Duke and leader of their Pediatric ENT Program, shares her expertise on laryngomalacia. She explains how to recognize its signs and the importance of scoping in diagnosis. The discussion highlights effective management strategies, including when surgical intervention may be necessary. Listeners will appreciate her insights on balancing a medical career with personal life and the critical techniques for assessing respiratory sounds in infants.

New pediatric interns share their heartfelt experiences and advice for navigating intern year. They discuss the emotional ups and downs of patient care, the significance of teamwork, and the role of innovative technology like digital stethoscopes in boosting diagnostic confidence. Practical tips for conducting effective examinations on children, pre-charting strategies, and managing relationships during residency are also highlighted. Plus, there’s a reminder to stay grounded by connecting with family and pursuing personal interests!

Pediatric urologist Carmen Tong, Director of Pediatric Robotic Surgery at Children's of Alabama, brings a wealth of knowledge about enuresis. She delves into the complexities of nighttime bedwetting and daytime urinary incontinence, emphasizing the importance of accurate diagnosis and emotional support for young patients. With insights on behavioral modifications, cognitive therapy, and innovative treatments like bed alarms and medications, Tong highlights evidence-based approaches to help families navigate these challenges while addressing social disparities in healthcare access.

Dr. William Bo Mitchell, an expert in pediatric hematology at CHAM Children's Hospital, dives into the complexities of Immune Thrombocytopenia (ITP). He discusses how to evaluate bleeding symptoms, shares a compelling patient story, and highlights the nuances of diagnosing ITP in children. Listeners learn about treatment options, from steroids to second-line therapies, and the importance of individualized care. With insights on triggers and the role of empathy in medicine, you'll feel empowered the next time you encounter bruising.

Join Dr. Ryan Rochat, an expert in pediatric infectious diseases, as he sheds light on congenital syphilis, often dubbed The Great Imitator. He discusses the increasing cases and the importance of screening pregnant individuals. Dr. Rochat shares insights from establishing a specialized clinic, emphasizing the challenges of managing this neglected disease. The conversation dives into accurate testing protocols, the enduring efficacy of penicillin treatment, and the striking disparities in incidence rates among communities, underscoring the urgent need for improved access to care.

Dive into hemophilia with three-peat guest Dr. Weyand, the Shematologist! In this episode, we break down the basics of hemophilia A and B, from inheritance and pathophysiology to the latest advancements in diagnosis and treatment. Factor in these practical tips for managing acute bleeding, counseling families, and navigating the complexities of prophylaxis—all while keeping kids safe and active. The pearls just kept flowing and flowing!

In this episode of The Cribsiders, we explore the world of Highly Sensitive Children with expert guest Dr. Caylin Riley, a pediatrician and newborn hospitalist. Dr. Riley breaks down what it means to be a highly sensitive child and offers practical strategies for supporting these kids at home and in clinical settings. We discuss how sensitivity can be a strength, how to recognize and respond to signs of overwhelm, and how to foster resilience. Tune in for a compassionate and insightful conversation that will leave you better equipped to care for the sensitive souls in your life.

Dr. Noé Romo, a pediatric hospitalist and expert in violence intervention, discusses the critical issue of firearm safety for children. He highlights the alarming rise in injuries post-COVID-19 and the need for compassionate, tailored screening in medical visits. Romo emphasizes the importance of safe storage practices and a multidisciplinary approach, involving community outreach workers and social services, to effectively mitigate risks. He also shares insights from his own career and the transformative power of community-based initiatives in promoting safety.

Brace yourself! This week, we’re learning about cerebral palsy from Dr. Matthew MacCarthy, who is both a pediatric physical medicine and rehabilitation (PM&R) specialist at Prisma Health in South Carolina AND a person with cerebral palsy. We’re talking NICU, Botox, and puberty, so get ready to stretch your knowledge with a thoughtful approach to CP diagnosis and management.