Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner

Salmonella: A Medical Emergency in Babies + Updates on Hantavirus, Ebola & the Next Flu Pandemic

Not Just Food Poisoning: Salmonella in Young Infants Can Turn Deadly
Link for CME credit coming soon!
Host Holly Wayment speaks with the first doctor to be double boarded in neonatology and infectious disease: Dr. J.B. Cantey about salmonella in infants and children, emphasizing that salmonella gastroenteritis can quickly become invasive and life‑threatening in young babies.  There's been a recent uptick in Salmonella cases in the San Antonio area.
The episode reviews why infants are more vulnerable, current testing practices (including molecular stool panels), the importance of blood cultures before antibiotics, red flags for invasive disease, and typical treatment options.
Practical prevention and management tips are highlighted: hand hygiene, safe food preparation, caution with animal exposures, hydration strategies, and when to seek urgent care or consult pediatric infectious disease.

"Let the Babies Eat: Revolutionizing Infant Feeding and Allergy Prevention"

Let Babies Eat: New Guidelines to Prevent Food Allergies
FACULTY:David Stukus, MD is a Professor of Clinical Pediatrics and the Director of the Food Allergy Treatment Center at Nationwide Children’s Hospital and the Ohio State University College of Medicine.
 
OVERVIEW:
In this grand rounds episode of Pediatrics Now, host Holly Wayment brings us cutting-edge approaches to infant food introduction and allergy prevention, featuring Nationwide Children's Hospital's Dr. David Stukus .
 
Dr. Stukus delves into the history of infant feeding guidelines, the evolving scientific evidence, and practical strategies for pediatric practitioners.
Listeners will gain insights into the confusion caused by changing guidelines, the landmark LEAP trial's impact on peanut allergy prevention, and the importance of introducing allergenic foods early, based on evidence rather than outdated practices. The episode provides evidence-based recommendations to support parents, addressing common misconceptions and fears about food allergies.
 
Join the discussion to better understand the relationship between eczema and food allergies, how to effectively reassure and guide families during clinics, and strategies to help pediatric patients achieve diverse diets that minimize allergy risks. Learn how pediatricians play a crucial role in educating families and preventing unnecessary dietary restrictions that can lead to food allergies. This episode is a must-listen for any healthcare professional looking to navigate the complexities of infant nutrition and allergy prevention with clarity and confidence.
 
OVERALL LEARNING OBJECTIVE:Increased awareness and education for pediatric providers
DISCLOSURE TO LEARNERS:
David Stukus, MD has disclosed he is a researcher for DBV Technologies and was a consultant to ARS Pharmaceutical and Genentech. The relevant financial relationships noted for Dr. Stukus have been mitigated.
 
The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.
The UT Health Science Center San Antonio and Deepak Kamat, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
CONTINUING MEDICAL EDUCATION STATEMENTS:The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.
CERTIFICATE OF ATTENDANCE:Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance.Credit may be obtained upon successful completion of the activity’s evaluation.RELEASE DATE:2/5/2025
EXPIRATION DATE:8/31/2027
 
 
 
 

Grand Rounds: Heavy Menstrual Bleeding in Pediatric and Adolescent & Young Adult (AYA) Patients — A Pediatric Hematology Perspective

Pediatric Grand Rounds: Heavy Menstrual Bleeding in Pediatric and Adolescent & Young Adult (AYA) Patients — A Pediatric Hematology Perspective
Speaker: Victoria E. Lehrmann, MD
Holly Wayment presents a Pediatrics Now Grand Rounds on evaluating heavy menstrual bleeding in adolescents: defining normal vs abnormal bleeding, recognizing red flags for inherited bleeding disorders, and reviewing common hematologic causes such as von Willebrand disease, platelet dysfunction, and hemophilia/carrier states.
The episode covers practical diagnostic tools (ISTH-BAT, PBAC), initial labs (pregnancy test, CBC, PT/PTT, fibrinogen, ferritin, and VWD testing), and interpretation caveats, plus acute and long-term management strategies (stabilization, hormonal therapy, tranexamic acid, iron repletion, IUDs) and the importance of multidisciplinary care.

Andes Hantavirus, Murine Typhus & Salmonella: Pediatric Infectious Disease Update

American passengers exposed to the rare Andes strain of hantavirus during a recent cruise are being monitored after one passenger tested positive, prompting renewed discussion about transmission risk, incubation periods, and practical guidance for clinicians. U.S. health officials are currently monitoring more than 40 people after possible exposure, though no confirmed U.S. cases have been reported.
In this episode, pediatric infectious disease specialist Dr. Deena Sutter discusses what pediatricians should know about the evolving hantavirus story, including the rare potential for person-to-person spread associated with the Andes strain, current public health concerns, and how to counsel families without creating unnecessary alarm.
The conversation also explores infectious disease issues pediatricians are currently seeing in South Texas, including murine typhus, flea-borne illness, and a recent salmonella uptick in San Antonio.
CME credit coming soon.

When Breath Became My Backbone: A Surgeon’s Story of Mindfulness, Acceptance, and Gratitude

Host Holly Wayment brings us Houston spine surgeon Rex Marco who, after a terrible cycling accident , faced  life-changing paralysis to recovery through mindfulness, the RAIN method, and radical acceptance.   He describes what happened to him and how in one moment everything can change. His work now explores how compassion, mindfulness, and vulnerability can reshape how we live, lead, and heal.
In 2019, Dr. Marco sustained a C3–4 fracture-dislocation in a cycling accident, resulting in C2 quadriplegia. Today, he serves as the Chief Medical Ambassador for the Christopher & Dana Reeve Foundation, advocating for research, cure, and improved quality of life for individuals living with spinal cord injury. He is also a certified mindfulness meditation teacher and is passionate about integrating resilience, presence, and emotional healing into medicine, leadership, and life. He's known for creative and transformative teaching and shares that his most profound transformation came through recovery, where he confronted longstanding patterns in how he related to himself and others. 
This episode explores how he says acceptance, gratitude, and recovery programs transformed his leadership, clinical practice, and family life, offering actionable tools for cultivating presence and emotional safety.
Dr. Rex Marco is an internationally recognized orthopedic spine and musculoskeletal oncology surgeon whose career has centered on caring for patients with complex spinal disorders and tumors. He completed his undergraduate studies at UC Irvine and conducted research at the National Institutes of Health through the Howard Hughes Medical Institute before earning his medical degree from the UCLA School of Medicine. He went on to complete surgical training at Virginia Mason Medical Center, orthopedic residency at UC Davis, and dual fellowships in musculoskeletal oncology at Memorial Sloan Kettering Cancer Center and reconstructive spine surgery at Rush University.
Dr. Marco has held leadership roles at MD Anderson Cancer Center, Texas Children’s Hospital, Houston Methodist Hospital, and UTHealth Houston, where he serves as Spine Fellowship Director.
 

Spurs Orthopaedic Surgeon Leah Brown on Recognizing, Ruling Out, and Returning: Concussion Care for Young Athletes

Recognize, Rule Out, and Return: Concussion Care for Young Athletes
Link for CME Credit Coming Soon!
Host Holly Wayment and Spurs Team orthopedic surgeon Leah Brown discuss how to recognize and assess suspected concussions in youth — the early signs (headache, mental fog, nausea, photophobia), the importance of identifying mechanism, and when to seek advanced care.
It reviews practical tools like the Child SCAT-6/SCAT-6, updated management (avoid prolonged complete rest), stepwise return-to-learning before return-to-play, activity tolerance rules, red flags requiring emergency evaluation, and the need to prevent a dangerous second hit.

When Bruises Don't Add Up: Recognizing Sentinel Injuries in Infants | Grand Rounds Episode

Episode 21: When Bruises Don't Add Up: Recognizing Sentinel Injuries in Infants
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101808
 
 
 
When Bruises Don’t Add Up: Recognizing Sentinel Injuries in Infants
FACULTY:Daniel E. Reyes-Ruiz, MD, FAAP is a Child Abuse Pediatrics fellow at the Center for Miracles.
 
OVERVIEW:
Join Host Holly Wayment and Daniel Reyes Ruiz, M.D., in this grand rounds episode of Pediatrics Now on sentinel injuries and infant bruising, emphasizing the importance of early recognition, common clinician biases, and the PEN‑4‑FACES framework for identifying high‑risk bruise locations in non‑mobile infants.
 
It reviews case examples, common medical mimics (bleeding disorders, birthmarks, dermatologic conditions), recommended evaluation steps (imaging, skeletal survey, hematology workup), and when to consult child protection resources to ensure infant safety.
 
OVERALL LEARNING OBJECTIVE:Increased awareness and education for pediatric providers
 
DISCLOSURE TO LEARNERS:
Speaker: Daniel E. Reyes-Ruiz, MD, FAAP has no financial relationships with ineligible companies to disclose.
 
The Pediatrics Now Podcast Planning Committee members: Steven Seidner, MD, and Holly Wayment have no financial relationships with ineligible companies to disclose.
 
The University of Texas at San Antonio and Steven Seidner, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
CONTINUING MEDICAL EDUCATION STATEMENTS:The University of Texas at San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The University of Texas at San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purposes of granting ABP MOC credit.
CERTIFICATE OF ATTENDANCE:Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance.Credit may be obtained upon successful completion of the activity’s evaluation.RELEASE DATE:4/28/2026
EXPIRATION DATE:8/31/2028
 
 

Artemis II: From the Moon to Medicine — NASA’s AVATAR Experiment and Its Impact on Pediatric Care | Dr. Lisa Carnell

Bonus Episode:*Not Accredited for CME Credit*
In this episode Holly Wayment interviews Dr. Lisa Carnell, Director of NASA's Biological and Physical Sciences Division, about the AVATAR bone marrow organ-chip experiment that flew on Artemis II!  The team sent personalized microphysiological "organ chips" made from astronaut blood to study deep-space radiation effects and compare results directly to the crew.
They discuss how these small, high‑fidelity models can accelerate translational research for oncology and pediatric diseases, reduce animal testing, enable personalized treatments, and help protect astronaut health on long missions. The chips can model hematopoiesis, test therapies, and provide data on radiation and drug responses.
The amazing conversation also covers broader NASA science: growing plants in space, future lunar and Mars research, and the potential real‑world benefits of space-driven technology for healthcare on Earth. Pediatricians will learn about the incredible search and organ‑chip technology as a tool to personalize care and improve outcomes for children.

Resilience Under Fire: Lessons from War Correspondent Benjamin Hall

Host Holly Wayment and war correspondent Benjamin Hall discuss his New York Times bestselling books, his near-fatal injury while reporting in Ukraine, and the long recovery that followed. He shares how family, community, and inner strength drove his rehabilitation and inspired his children’s book about bravery and standing up for others.
Hall also offers practical advice for clinicians and families on communication, resilience, and supporting loved ones through trauma, and emphasizes the importance of taking action, staying connected, and finding hope.

Grand Rounds: When Kids Hurt: Modern Approaches to Chronic Pediatric Pain

Episode 22: Grand Rounds: When Kids Hurt: Modern Approaches to Chronic Pediatric Pain
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101807
 
 
Grand Rounds: When Kids Hurt: Modern Approaches to Chronic Pediatric Pain
FACULTY:Maged Mina, MD is board-certified in both anesthesiology and pain management. Dr. Mina has been practicing in San Antonio for the last 20+ years. In addition to pain management and anesthesiology, he has significant experience in teaching, as he currently serves as clinical Associate professor at UTHSCSA.
OVERVIEW:
Holly Wayment welcomes grand rounds speaker  Dr. Maged Mina and his presentation on chronic pediatric pain, presented by University Health’s Women’s and Children’s Hospital and UT Health San Antonio. Dr. Mina reviews his background in anesthesiology and pain management and his long-standing work with children.
The episode covers recognition and diagnosis of chronic pediatric pain (>3 months), common presentations (headaches, recurrent abdominal pain, musculoskeletal pain, CRPS, cancer- and sickle cell–related pain), and the importance of a multidisciplinary approach focused on functional restoration. Physical therapy (including aquatic therapy), behavioral therapies, hypnosis, acupuncture, and virtual reality are emphasized alongside family collaboration and school reintegration.
Pharmacologic and interventional options are presented as adjuncts: basic analgesics, gabapentinoids, tricyclics, melatonin, cautious opioid use when necessary, and procedures such as nerve blocks, epidural catheters, Botox, and emerging neuromodulation (peripheral nerve and dorsal root ganglion stimulation). Barriers such as cost, access, and the need for patience and team-based care are also highlighted.
OVERALL LEARNING OBJECTIVE:Increased awareness and education for pediatric providers
 
DISCLOSURE TO LEARNERS:
Speaker: Maged Mina, MD has no financial relationships with ineligible companies to disclose.
 
The Pediatrics Now Podcast Planning Committee members: Steven Seidner, MD, and Holly Wayment have no financial relationships with ineligible companies to disclose.
 
The University of Texas at San Antonio and Steven Seidner, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.
CONTINUING MEDICAL EDUCATION STATEMENTS:The University of Texas at San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The University of Texas at San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The presentation, Navigating the Path for Chronic Pediatric Pain, has been designated by the University of Texas at San Antonio for 0.75 credit of education in pain management and the prescription of opioids.
Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purposes of granting ABP MOC credit.
CERTIFICATE OF ATTENDANCE:Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance.Credit may be obtained upon successful completion of the activity’s evaluation.RELEASE DATE:5/6/2026
EXPIRATION DATE:8/31/2028