The Cribsiders

Gender affirming care-- time to refer your patient? Think again! Primary care pediatrician, Professor of Pediatrics at Brown Medicine, and Gender and Sexuality expert Dr. Michelle Forcier MD, MPH introduces us to practicing a patient-centered consent-based model of gender affirming care in the primary care setting. Dr. Forcier teaches us how to use a developmental model of gender identity for all of our patients, how clinics can create a safe and supportive environment,  breaks down the variety of social, legal, medical, and surgical options that can be a part of gender affirmation, and how to support families in loving and supporting their kids and adolescents.

Need to close a major “gap” in your Diabetic Ketoacidosis knowledge? Look no further than our conversation with diabetes expert and repeat guest, Dr. Hussein Abdullatif, a dedicated multiple-award-winning clinician-educator at UAB. Join us as Dr. Abdullatif walks us through the diagnosis, management, and social implications surrounding DKA. 

If you’re looking to bring your clinical game to the next level, look no further than this next episode where we’ll discuss three huge areas of medical overuse. By the end of the episode, you’ll know pneumonia, cellulitis, blood cultures, and more than you’d ever expect about constipation. We welcome Drs. Leonard Feldman and Carrie Herzke back to the podcast, both TWDFNR authors, to explore and educate us on these topics. Listen along here, and follow us @TheCribsiders on #MedTwitter!

We’re ear with a new episode with on acute otitis media joined by guest Dr. Eric Baum, a pediatric otolaryngologist in Connecticut. In this episode, we discuss important physical exam findings used to diagnose acute otitis media, as well as the role of pneumatic otoscopy in performing ear exams. Dr. Baum also tells us about treatment options for acute otitis media, how ear tubes work and when they are indicated, and complications to watch out for. Listen in to hear the latest on acute otitis media!

The MS4 producers takeover The Cribsiders for a recap of our favorite clinical pearls from Season 1!

Jump into pediatric mild traumatic brain injury with our guest, Dr. Angela Lumba Brown, a pediatric emergency medicine physician and Associate Professor of Emergency Medicine, Pediatrics, and Neurosurgery at Stanford University. In this episode, we talk about the diagnosis of mild traumatic brain injury, when to get neuroimaging for head trauma, and the five concussion subtypes.  We also discuss how you can support your patients in their recovery to get them back to their daily activities and what disparities exist in head trauma. Join us to have your mind blown with this fascinating topic. 

In this episode, we cover the full spectrum from febrile seizures all the way to status epilepticus with Dr. John Gaitanis, a pediatric neurologist who specializes in care for children with epilepsy. Dr. Gaitanis teaches us what to look out for on neurologic exam, how to counsel families about safety precautions, and the differential diagnosis for seizure-like activity in infants and children. We also discuss the exciting future of epilepsy treatment.

Answer all your burning questions (and your patients’ burning questions) about the different COVID-19 vaccines currently authorized in the US. Infectious diseases / HIV expert, Dr Monica Gandhi @MonicaGandhi9 (UCSF) joins us to cover: the Pfizer-BioNTech and Moderna novel mRNA vaccine mechanisms, trial data, and practicalities of who should receive them.  We discuss data around the Oxford-AstraZeneca adenovirus vaccine, which is authorized in the UK and India, and may be available in the US later this year.  Feel confident recommending COVID-19 vaccines to your patients!

Did you know that NOWS is the new NAS? Learn more about the new AAP Clinical Report on Neonatal Opioid Withdrawal Syndrome with lead author Dr. Stephen Patrick. Dr. Patrick is the Director of the Vanderbilt Center for Child Health Policy, an Associate Professor of Pediatrics and Health Policy, and an attending neonatologist at Monroe Carol Jr. Children’s Hospital at Vanderbilt. In this episode, he teaches us about the approach to treating withdrawal in infants, the importance of keeping moms and babies together, and the need for destigmatizing addiction in healthcare.    Time Stamps 7:48 Case from Kashlak Children’s 8:38 Definition of neonatal opioid withdrawal syndrome  9:48 Clinical Presentation of NOWS 11:30 Scoring Systems 14:34 Importance of diagnosing NOWS 15:16 Opioid Crisis and Epidemiology 16:35 Risk Factors for developing NOWS 19:16 The role of structural racism and social determinants of health 21:05 Stigma of addiction 23:10 Building a therapeutic relationship 25:32 Breastfeeding 26:40 Toxicology testing 29:16 Structural racism  30:14 Non-pharmacologic management 31:58 Pharmacologic Management 35:16 Clinical course  37:40 Treatment and taper plan 40:20 Discharge planning 43:20 Outpatient Follow up 44:26 AAP Clinical Report Changes 46:46 Advocacy and Policy 47:14 Buprenorphine  50:18 Outro

With a persistent fever, Kawasaki Disease must be on your differential, but have you not seen many cases or had difficulty with the diagnosis? Look no further, as we bring an expert to walk us through the diagnosis and management of KD! We discuss Kawasaki Disease with Dr. Adriana Tremoulet who is the assistant director of the Kawasaki Disease Research Center at the University of California, San Diego. She has led numerous Phase I through III trials regarding the management of KD, and she walks us through the diagnosis and management of this fascinating disease!