Pediatrics in Practice provides interviews with pediatric subspecialists on timely, relevant content for physicians and providers who care for children.
Disclaimer: these podcasts are NOT CME-eligible. To get CME credits, please listen to Pediatrics in Practice: A CME Podcast.
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Comfort Promise
Melanie Cole and Amanda D. Deacy
Amanda Deacy PhD discusses comfort promise. She shares the concept of Comfort Promise and a quality improvement (QI) project she's leading in GI to assess gaps in documentation of the pain prevention bundle in order to better measure its uptake and success rate.
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Beta-lactam Antibiotic Allergies
Melanie Cole and Amol V. Purandare
While approximately 10% of US adults and children claim a penicillin allergy, only 1/20 with a reported allergy are truly allergic. Additionally, 80% of patients with IgE mediated penicillin allergy lose sensitivity after 10 years.
It is important to clarify and de-label patients to ensure they receive standard of care, avoid other adverse drug reactions and have a lowered risk of clinical failure. This practice also results in cost savings.
Amol Purandare, MD explains the de-labeling process in place at Children's Mercy and how to gain insight into what to prescribe to a patient with a penicillin allergy. -
Addressing Anxiety and Depression in Teens
Melanie Cole and Shayla Sullivant
Dr. Shayla Sullivant shares warning signs of anxiety and depression in teens, how to talk to your teen about their feelings, and when you should seek professional help.
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Bellyaches, Bowels and Barfs
Michael Smith and John Rosen
The most common reasons that children are seen by pediatric gastroenterologists relate to their bellyaches, bowels, and barfs. A simple approach to these disorders can guide general practitioners to help families find relief from these distressing symptoms.Dr. John Rosen explains when you might want to take your child to see a pediatric gastroenterologist, what to expect at an appointment, and treatments to common GI issues.
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Acute Evaluation of Sports injuries and What to Do in the Office
Michael Smith and Donna M. Pacicca
Sports related injuries are on the rise with increasing child and adolescent participation. Many training programs do not cover how to evaluate and treat these patients in the subacute setting.
Listen as Donna Pacicca, MD, Orthopedic Surgeon and Sports Medicine specialist with the Sports Medicine Center at Children’s Mercy Kansas City, discusses evidence-based best practices for pediatric patients with sports related musculoskeletal injuries. Dr. Pacicca will discuss how to take a good history for sports-related injuries, key parts of the physical examination, how to best use imaging, and basics of treatment for upper and lower extremity injuries. -
Dysmenorrhea
Michael Smith and Julie Strickland
Dysmenorrhea is the most common gyencologic complaint in adolescent females, affecting more than half of this population. Julie Strickland, MD, Section Chief of Pediatric and Adolescent Gynecology at Children's Mercy, discusses causes, diagnoses and treatment of this painful condition.
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What and When to Refer to Pediatric and Adolescent Gynecology
Michael Smith and Julie Strickland
Female reproductive health is critical in growing girls and young women. Julie Strickland, MD, Section Chief of Pediatric and Adolescent Gynecology, joins us for this episode of Pediatrics in Practice to talk about the need for pediatric and adolescent gynecologists, the conditions they treat and when to refer.
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Pediatric Enuresis
Michael Smith and Judith Sebestyen VanSickle
Enuresis or bedwetting is a common childhood problem, affecting 5 to 7 million children in the United States each year. By age 7, about 5-10 percent of all children are still wet at night. While 15 percent of kids will outgrow bedwetting without intervention every year, waiting and watching to see what happens could delay children getting dry at night. Listen as Judith VanSickle, MD, Pediatric Nephrologist, discusses causes, diagnosis and treatment of enuresis.
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Pediatric Uveitis
Michael Smith and Ashley M. Cooper
So you think rheumatology is all about joint pain? Think again. Rheumatologists treat a wide array of autoimmune conditions affecting nearly every part of the body- even the eyes. Uveitis is an inflammatory eye condition that can be caused by infection, underlying autoimmune diseases such as juvenile arthritis or sarcoidosis, or as an idiopathic disease. Untreated it can lead to cataracts, glaucoma and even blindness. Listen as Ashely Cooper, MD, pediatric rheumatologist, discusses childhood uveitis and how Children's Mercy Kansas City is improving care for kids with chronic uveitis.
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Lean In: Addressing Teen Suicide Risk When Nobody Trained You For This
Michael Smith and Shayla Sullivant
Dr. Shayla Sullivant discusses warning signs of suicide in teens, and how address it with patients.
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Influenza, Test or Treat?
Michael Smith and Jennifer Goldman
Every year, influenza causes many people to become ill. All children 6 months and age and older should receive a yearly flu vaccine. Vaccination remains the best way to prevent influenza. Symptoms of influenza include abrupt onset of fever, myalgias, headache, nonproductive cough, sore throat and runny nose. Fever and cough are the two most common symptoms. When presented with these symptoms, providers are faced with the question to test and confirm the diagnosis of influenza or to initiate influenza treatment.
Jennifer Goldman, MD, Infectious Diseases specialist at Children's Mercy, discusses the role of influenza testing in clinical care and the risks and benefits of oseltamivir use. -
Developmental Screening: Navigating the Pediatrician Visits
Michael Smith, Cy Nadler, and Sarah Nyp
The AAP recommends conducting general developmental screening at 9, 18, and 30 months, or whenever a concern is expressed. In addition, autism-specific screening is recommended at ages 18 and 24 months of age. When families arrive for their child's well-visits, how can each pediatrician be sure the right screening is taking place to identify any developmental delays quickly and effectively? Hear from Cy Nadler, Phd, and Sarah Nyp, MD, as they discuss the screening process and how to navigate the world of developmental delays and disabilities.
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Common Kidney Conundrums
Michael Smith and Darcy Weidemann
Enuresis, hematuria and proteinuria are common pediatric kidney disorders, but the when do these problems warrant a referral to a pediatric nephrologist? What red flag symptoms require more urgent consultation and evaluation? New specialty-specific guidelines from the "Choosing Wisely" campaign were just released for pediatric nephrology in an effort to educate about unnecessary medical tests, treatments and procedures. In this podcast, Darcy Weidemann, MD, pediatric nephrologist at Children's Mercy Kansas City, discusses evaluation and management options primary care providers should consider prior to subspecialty referral.
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Positive Antinuclear Antibody: What Now?
Michael Smith and Ashley M. Cooper
“Positive ANA” is one of the most common reasons for referral to the pediatric rheumatology clinic. The antinuclear antibody (ANA) is often mistakenly considered a good screening test for rheumatic disease.
Dr. Ashley Cooper, Interim Division Director of Pediatric Rheumatology, discusses what it means when a child has a positive anti-nuclear antibody test, when ANA should be checked, and how to talk about the test results with the family. -
Common Orthopedic Conditions and How to Treat Them
Michael Smith and Polly Wimer
Orthopedic conditions can cause pain and dysfunction, causing aches and pains in bones and joints. Mobility and activity may be limited by these conditions.
Polly Wimer, CPNP, APRN discusses common orthopedic conditions and their treatment. -
The Opioid-Pain Nexus: Current Opioid Use and Safety
Michael Smith and Daniel L. Millspaugh
Although there has been less emphasis on responsible prescribing of opioids in children, with newly developed legal and regulatory efforts focused almost exclusively on adults, it remains important for pediatric providers to be aware of the heightened risk for substance misuse in adolescents, and the appropriate use of opioids in a pediatric population.
In this podcast, Daniel Millspaugh, MD, anesthesiologist and Director of the Comprehensive Pain Management and Opioid Stewardship programs at Children's Mercy Kansas City, discusses the current opioid-related public health emergency, as well as the evolving regulatory and agency response, and appropriate actions by medical providers. -
Primary Care for Pediatric Cancer Survivors
Michael Smith and Joy M. Fulbright
As pediatric cancer survival rates continue to improve, we are faced with a new set of health challenges in caring for these survivors.
Joy Fulbright, MD, Director of the Survive and Thrive program at Children’s Mercy Kansas City, discusses health concerns after cancer treatment, what primary care providers need to know, and the need for yearly screenings addressing medical and psychosocial issue. -
Previously Untreated Patients with Hemophilia Matter
Michael Smith and Shannon Carpenter
As regional hemophilia treatment center, Children's Mercy follows more than 900 patients with bleeding disorders. Listen as Shannon Carpenter, MD, pediatric hematologist/oncologist and director of the Hemophilia Treatment Center at Children's Mercy Kansas City, discusses hemophilia A and B in children, current treatments and promising new research studies and options on the horizon, such as the PUPS Matter cohort study.
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Kids and Kidney Stones
Michael Smith and Uri Alon
Kidney stones in children have been on the rise for more than a decade, mostly due to hypercalciuria and hypocitraturia.
Join us as Uri Alon, MD, Director of the Bone and Mineral Disorders Clinic at Children’s Mercy Kansas City, discusses what is behind the increasing incidence of kidney stones, and medical and non-pharmacological interventions to prevent new stones and inhibit the growth of existing ones. -
Pediatric Sleep Apnea
Michael Smith and Zarmina Ehsan
Obstructive sleep apnea is a common but serious condition that inhibits healthy, restful sleep and may lead to learning, behavior and physical health issues in children.
Zarmina Ehsan, MD discusses obstructive sleep apnea in infants and children, why it’s necessary to conduct a sleep study to diagnose the condition and how to treat and manage the condition. -
Bacterial Infection in Neonates and Young Infants
Michael Smith and Russell McCulloh
Infants under 90 days old with fever can present a diagnostic dilemma.
Join us as Russell McCulloh, MD discusses unresolved issues and common conundrums faced by front-line clinicians in the evaluation of neonatal fever, recent literature on laboratory testing for infants with fever, and potential management strategies for febrile infants. -
Evaluation and Management of Infants of Diabetic Mothers
Michael Smith and Jessica Brunkhorst
The prevalence of gestational diabetes is increasing due to increasing rates of obesity. Gestational diabetes increases the chances of adverse outcomes for both the mother and infant.
In this Pediatrics in Practice podcast Jessica Brunkhorst, MD, neonatologist, reviews fetal anomalies and conditions associated with maternal diabetes, describes initial evaluation and management for infants of a diabetic mother, and discusses current recommendations regarding the management of hypoglycemia. -
Marijuana and Adolescents: Truths and Consequences
Michael Smith and William P. Adelman
Numerous states have legalized or are considering legalization of marijuana. The AAP recently published an evidence-based position paper and clinical report on marijuana, including medical use.
In this podcast, Dr. William Adelman, chief of Adolescent Medicine at Children’s Mercy, discusses why adolescents are uniquely vulnerable to the neurotoxic effects of marijuana, the impact of legalization, and why physicians should unequivocally recommend pediatric and adolescent patients never use marijuana. -
The Importance of FAST Action for Infant and Pediatric Stroke
Michael Smith and Mukta Sharma
Strokes in newborns are as common as in adults. Recognition and early intervention is critical to minimizing the damage. Children’s Mercy is one of fewer than 10 pediatric stroke centers nationally, and the region’s first and only dedicated pediatric stroke center offering comprehensive, individualized treatment protocols for children.
In this podcast Mukta Sharma, MD, pediatric hematologist/oncologists, discusses the warnings signs and causes of stroke and how early intervention affect the rest of a child’s life.
