The Cribsiders

Join us for an insightful conversation with board-certified allergist Dr. Jessica MacDougall (OHSU). In this episode, we dive deep into the world of seasonal, food, and drug allergies. Learn when you can diagnose and treat seasonal allergies, which foods to introduce early, and how to manage the common but confusing amoxicillin rash. Plus, discover key takeaways like why intranasal treatments are the first line for seasonal allergies and why Epinephrine Autoinjector two-packs should always stay together.

Dr. Matthew Blessing, a craniofacial pediatrician at Seattle Children's Hospital, shares his expertise on cleft lip and palate. He discusses the challenges faced by primary care practitioners, particularly with time constraints and managing complex cases. The conversation includes insights on effective feeding strategies for infants and the importance of early specialist consultations. Dr. Blessing also highlights socioeconomic disparities in cleft care and the vital role of a collaborative approach to ensure comprehensive treatment for affected families.

Dive into the intriguing world of pediatric endocrine disorders, highlighting key insights on short stature and puberty. Discover how to assess children’s growth with growth charts and pinpoint essential causes of short stature. The podcast also unpacks Tanner staging, exploring the stages of puberty and the challenges of its disorders. Additionally, it sheds light on congenital hypothyroidism, emphasizing the importance of timely screening and treatment in infants. Blend education with lively discussions on entertainment picks, making learning both fun and engaging!

Dr. Colleen Brennan, an academic neonatologist at Washington University, shares her expertise on the critical first hours of a newborn’s life. She discusses recognizing respiratory distress, effective resuscitation techniques, and the challenges of neonatal transitions. Insights into the management of neonatal blood glucose levels are provided, along with the importance of monitoring oxygen after birth. She also reflects on balancing a medical career with motherhood, emphasizing the need for self-kindness in both personal and professional realms.

Dr. Chris Horvat, a pediatric sepsis expert from Pittsburgh, dives into the complexities of diagnosing and treating pediatric sepsis. He discusses the urgency of timely antibiotic administration and the nuances of fluid resuscitation strategies. The conversation also touches on the controversial role of vitamin C in treatment and explores emerging therapies like corticosteroids. Horvat emphasizes the use of the innovative Phoenix criteria to track patient progress and the need to address health disparities, particularly among non-English-speaking families.

Dr. Chris Horvat, a pediatric intensivist and informaticist at UPMC Children's Hospital, joins the discussion on pediatric sepsis and the innovative Phoenix criteria. The conversation dives into the complexities of individualized treatment for pediatric patients, sharing insights from real-life cases. Dr. Horvat emphasizes the critical importance of early recognition of sepsis, particularly in emergency care. They also explore the evolving definitions of sepsis, highlighting the new point-based system that improves diagnostic precision.

Does thinking about myocarditis make your chest hurt? In this episode, we have a fantastic heart-to-heart with Dr. Jessica Laks (Heart Failure and Transplant at Johns Hopkins All Children’s Hospital). Together, we dive into the complexities of myocarditis - how to recognize the signs, how to triage patients, and what tests to order. Sit back, relax, and keep an open heart as she drops the heart facts about myocarditis.

Dr. Scott Hadland, Chief of Adolescent Medicine at Mass General for Children and a Harvard professor, dives deep into the opioid crisis affecting teens. He highlights the staggering statistic of adolescent overdoses and shares practical tools for addressing Opioid Use Disorder (OUD). The discussion emphasizes the importance of routine screenings and harm reduction strategies, particularly amid the fentanyl crisis. He also addresses barriers to prescribing buprenorphine and the need for compassionate conversations, equipping families with vital knowledge to navigate these challenges.

Dr. Hannah Keppler, a pediatrician in the Bronx and co-director of the Family Weight Management Program, shares her expertise on managing patients with Down Syndrome. She discusses the multidisciplinary approach needed for initial evaluations of newborns with Trisomy 21. Listeners will learn about vital screening tests, the misconception around routine X-rays for atlantoaxial instability, and the importance of early interventions. The conversation also touches on addressing racial inequalities in healthcare access for children with developmental delays.

Crossover Round 2! The Cribsiders reunite Pediatrics On Call hosts, Dr. David Hill and Dr. Joanna Parga-Belinkie, to recap the AAP 2024 conference plenaries. Join us as we discuss pediatricians as heroes, the importance of early literacy, how to approach social media and youth mental health, congenital syphilis, and health policies.