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

Cases, updates, and discussions for the busy pediatric practitioner brought to you by UT Health San Antonio Host and author Holly Wayment.

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Episodes

6 days ago

Episode 35: Melatonin Wake Up Call
Link for CME credit
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095855
 
FACULTY:
Karen Hentschel-Franks, DO is an associate professor in Pediatrics-Neurology at UT Health San Antonio.
 
OVERVIEW:
Pediatrics Now host an executive producer, Holly Wayment and sleep expert Dr. Karen Hentschel-Franks discuss growing concerns over the use of melatonin in children and the importance of sleep hygiene.
Dr. Franks, a recognized expert in the pediatric and sleep medicine field, underscores the need for educating children and parents about the potential dangers, emphasizing possible side effects such as headaches, dizziness, and irritability. Furthermore, she warns about the lack of regulatory control over melatonin, pushing for awareness in selecting only those products with a USP verified mark as a last resort.
The discussion delves into the uncharted territories of melatonin’s long-term effects. Reinforcing the mantra of patient-centric care, Dr. Franks suggests thorough patient evaluation and implementing sleep hygiene, along with behavioral interventions, before resorting to sleep aids like melatonin.
She lays out practical sleep hygiene strategies, including limiting screen time before bedtime, maintaining consistent routines, and addressing medical concerns related to sleep. You'll also learn about innovative techniques Dr. Franks uses to cultivate effective sleep routines in her patients, such as imagination exercises and positive reassurances.
Dr. Franks encourages a holistic approach to children’s sleep problems, highlighting the importance of addressing potential behavioral and environmental factors over relying on supplements.
You will not only learn about the nuances of sleep but also gain intriguing insights into maintaining work-life equilibrium in a demanding field like sleep medicine. Explore Dr. Franks' favorite relaxation activities and get a sneak peek into her clinic's day-to-day activities!
Wrapping up the conversation is an inspiring quote from Christopher Robin that embodies the spirit of strength and resilience. Tune in for an exceptional blend of science, wisdom, and charm centered around better sleep health.

Friday May 10, 2024

Child Neglect: Signs, Symptoms and What to Do
Link for MOC Credit:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095849
The Center for Miracles
In this powerful episode, Pediatrics Now Host Holly Wayment brings us a grand rounds talk by the University of Texas Health Science Center's Dr. Mary Ann Alvarez-Griffis, a child abuse fellow.  She sheds light on the critical issue of child neglect. Providing an in-depth analysis based on National Child Abuse and Neglect Data System (NCANDS) statistics, she challenges common misconceptions and highlights potential outcomes for children exposed to neglect.
The talk emphasizes the recurrent nature of neglect, its equal severity as physical abuse, and its long-term consequences on a child's peer relations, academic performance, and problem-solving skills. Special attention is given to children with special needs, who account for a significant percentage of child maltreatment fatalities.
Drawing from her rich experience in pediatric care and community education, Dr. Alvarez-Griffis unravels the devastating impact of neglect on children's growth, cognitive development, social skills and emotional wellbeing. Notably, she underscores poverty and insufficient social support as major risk factors, presenting a comprehensive exploration of neglect statistics.
The episode underscores the urgency of recognizing signs of physical neglect, fostering open, non-judgmental communication with caregivers, and effectively addressing potential issues. With detailed case studies, the discussion centers on the importance of thorough investigations and interventions. The significance of growth charts in identifying risk factors and possible neglect signs are also discussed.
Dr. Alvarez-Griffiths shines a spotlight on the severe consequences of medical neglect and emphasizes the need for a consistent medical regimen for children dealing with chronic conditions. The implications of neglectful behaviors, such as untimely medical care and poor home management of serious injuries, are explored in depth.
In conclusion, healthcare providers are urged to proactively leverage detailed examinations, thorough documentation, and persistent patient education to prevent child neglect and support affected families. This episode serves as a comprehensive guide, unpacking the intricate realities of child neglect, and proffering effective strategies for prevention and intervention.
Dr. Alvarez Griffis has dual undergraduate degrees of Pre-medical Biology and Political Science from University of Texas-Pan American (now UTRGV). She attended medical school at William Carey College of Osteopathic Medicine prior to completing her Pediatric Residency at UT Health Science Center in San Antonio where she continued to peruse a fellowship in Child Abuse Pediatrics. During fellowship training Dr. Alvarez Griffis has provided community education regarding child maltreatment to various audiences from pediatric residents to SAPD. She recently participated in updating the AAP Point of Care Quick Reference section on Physical Abuse and Neglect. She is a member of the Child Abuse and Neglect Committee of the Texas Pediatric Society and is also a member of the Council on Child Abuse and Neglect. Her fellows research project focuses on the importance of obtaining head circumferences in infants to prevent missed abusive head trauma.
Financial Disclosures: Mary Ann Alvarez Griffis, DO has no financial relationships with ineligible companies to disclose.
The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for

Friday May 03, 2024

A Crash Course in Concussions
CME Credit link:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095827
 
Join us for an enlightening episode featuring Dr. Kenneth Nwosa, a distinguished sports medicine specialist, and head doctor for the University of Texas at San Antonio (UTSA) Athletics. Dr. Nwosa shares his journey into sports medicine and provides rich insights from his diverse experience treating a wide range of patients. This episode comprehensively covers crucial aspects of concussions in contact sports, with Dr. Nwosa presenting data, highlighting common symptoms, and underlining the importance of recognition and adherence to sports-specific protocol.
Dr. Nwosa also shares his diagnosis strategy and the crucial role history-taking plays in accurate diagnosis. He emphasizes the significance of routine baseline screenings for concussion management and offers advice on effective utilization of online resources for cognitive function assessments. This episode especially equips pediatric practitioners with critical knowledge about red flags of head injuries requiring immediate evaluation. The emphasis is also on the need for an on-site athletic trainer in sports institutions for immediate attention to injuries and better communication among parents, coaches, and medical professionals.
The conversation goes beyond concussions, shedding light on the pressures faced by young athletes, the dangers of sports specialization, and the benefits of participating in varied sports. Dr. Nwosa promotes a balanced approach to children's sports experience, focusing on educating about bodily development and injury prevention rather than stressing professional anticipation. As a sports medicine specialist, Dr. Ken highlights the importance of comprehensive neuro exams for monitoring brain health post-concussion and offers practical tips on rest, recovery, and supplement use.
Listen in for Dr. Ken's unique take on balancing a demanding career in sports medicine with fatherhood. As a bonus, Dr. Ken shares his favourite Bible quote that motivates him to embrace discipline and determination, both in his practice and personal life.
To send a patient to Dr. Ken, we'll have referral information coming soon, listed here.

Staying Ahead of Headaches

Friday Apr 26, 2024

Friday Apr 26, 2024

Staying Ahead of Headaches
Link for CME Credit:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095792
 'Pediatrics Now',  welcomes Dr. Azra Akbar, a new member of our pediatric neurology team.  Our insightful discussion covers the much-encountered issue of headaches in children, giving a detailed overview of triggers, treatments and preventive methods for migraines. Dr. Akbar's personal experiences with migraines and her passion for the subject benefits us greatly in this discussion.
We delve into different migraine triggers and how they manifest in various symptoms. As a pediatric neurologist, Dr. Akbar also advises on when certain warning signs could indicate serious conditions.  Furthermore, we look into successful treatments and medications such as beta blockers, Topamax, and Botox, alongside alternative methods such as acupuncture and lifestyle modifications.
Dr. Akbar shares her empathetic approach to patient care and self-care, derived from her personal migraine experiences and her journey in the medical field. We also touch on the significance of balancing a healthy diet, the risk of medication overuse, the importance of good sleep patterns, and the crucial role of parental collaboration in managing children's health.

Friday Apr 19, 2024

Episode 31: Trauma-Informed Care in a Practice Setting
Link for MOC or Ethics Credit
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095774
Welcome to an enlightening episode of Pediatrics Now, hosted by Holly Wayment, a pediatric health professional at UT Health San Antonio's Department of Pediatrics. This episode deep dives into the critical topic of trauma-informed care in pediatric practice, a revolutionary approach that has been endorsed by the American Academy of Pediatrics. Navigate your way through the toxic stress responses caused by various traumatic experiences in children and learn how to effectively recognize and respond to trauma in your pediatric healthcare settings.
Host and Executive Producer Holly Wayment brings us this fascinating grand rounds talk by Dr. Nancy  Kellogg, who has more than thirty years of experience fighting child abuse and helping children.  A faculty member at UTHealth San Antonio since 1988 and Professor and Division Chief of Child Abuse in the Department of Pediatrics, she was the first Medical Director of the Christus Santa Rosa Center for Miracles which opened in May 2006, and was the former Medical Director for ChildSafe and CHRISTUS Childrens Sexual Assault Nurse Examiner Program. Dr. Kellogg was the first Program Director for the Child Abuse fellowship, which was one of the first programs to become accredited in the country. Dr. Kellogg has published over 135 articles and book chapters and has been an invited speaker at numerous local, regional, national, and international conferences. She was the Chair of the Texas Pediatric Society Committee on Child Abuse for 10 years and served on the American Academy of Pediatrics Committee on Child Abuse and Neglect for 6 years. In September 2006, the American Board of Pediatrics approved Child Abuse as a new subspecialty in pediatrics, and Dr. Kellogg was appointed as the Medical Editor for the sub-board; she served 17 years in this role and continues to write board questions as a volunteer. Dr. Kellogg has received several honors and awards for teaching, clinical excellence, social work, leadership, and humanism.
Financial Disclosures: Nancy Kellogg, MD has no financial relationships with ineligible companies to disclose.
The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for which he is a co-principal investigator.
Credits:AMA PRA Category 1 Credits™ (1.00 hour)Non-Physician Participation Credit (1.00 hour)MOC-2 credit (1.00 hour)
Target Audience:Pediatric Doctors and ProvidersFaculty, residents, health care providers; medical students and trainees.
Accreditation:The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation:The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.
 
 
 

Friday Apr 12, 2024

Updates on Allergy Prevention, Immunotherapy and Immune Deficiency
CME link:
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095739
Welcome to Pediatrics Now, your premier podcast for pioneering insights into child health care. In this episode, our host Holly Wayment taps into the wealth of knowledge belonging to Dr. Ed Brooks, an allergy expert with decades of experience. They delve deep into the world of allergies in children, focusing on prevention and management strategies and highlighting the influences of environmental factors and genetic predispositions.
Discussing our societal transition from rural to urban settings, the growing obsession with cleanliness, and our minimal exposure to environmental microorganisms, Dr. Brooks relates all these aspects with the abnormal immune responses noticed today. Interestingly, he also acquaints us with how owning pets at home and spending more time outdoors can lead children to develop superior immunity.
We also delve into dangerous chemicals present in our daily lives, with Dr. Brooks advising the reduction of potent cleaning agents and pesticides. Meanwhile, he signifies the need for exposure to natural environments and warns against the potential hazards of harmful external contaminants entering our homes.
As the episode continues, we discuss practical challenges connected to immunotherapy. Dr. Brooks talks about his son's success story in treating severe cat allergies with sublingual drops while emphasizing the risk of non-standardized extracts leading to inconsistency in allergy shots or drops' potency levels. We also discover some intriguing research findings tied to the immune-boosting benefits for individuals frequently exposed to their allergens.
In the final segment, we venture into the realm of immune deficiencies, with Dr. Brooks explaining the severity of immune deficiencies and their potential treatments. We wrap the episode with a review of the progress in identifying and managing immune deficiencies with the help of genetic testing advancements.
This episode provides an abundance of essential information and expert insights on allergies and immunology that would benefit healthcare professionals and general listeners seeking awareness.
In this episode, we dive into an engaging conversation with Dr. Ed Brooks, a leading authority in Allergy, Immunology, and Infective Disease from the University of Texas Health Science Center. We explore rising pollen allergies, the impact of our surroundings on our immune responses, and the crucial role of early intervention in managing allergies. Dr. Brooks highlights climate change's onset on worsening spring allergy seasons and the significant role our homes, lifestyles, and cleanliness habits play in shaping our immunological responses.
Discussing our societal transition from rural to urban settings, the growing obsession with cleanliness, and our minimal exposure to environmental microorganisms, Dr. Brooks relates all these aspects with the abnormal immune responses noticed today. Interestingly, he also acquaints us with how owning pets at home and spending more time outdoors can lead children to develop superior immunity.
We also delve into dangerous chemicals present in our daily lives, with Dr. Brooks advising the reduction of potent cleaning agents and pesticides. Meanwhile, he signifies the need for exposure to natural environments and warns against the potential hazards of harmful external contaminants entering our homes.
As the episode continues, we discuss practical challenges connected to immunotherapy. Dr. Brooks talks about his son's success story in treating severe cat allergies with sublingual drops while emphasizing the risk of non-standardized extracts leading to inconsistency in allergy shots or drops' potency levels. We also discover some intriguing research findings tied to the immune-boosting benefits for individuals frequently exposed to their allergens.
In the final segment, we venture into the realm of immune deficiencies, with Dr. Brooks explaining the severity of immune deficiencies and their potential treatments. We wrap the episode with a review of the progress in identifying and managing immune deficiencies with the help of genetic testing advancements.
This episode provides an abundance of essential information and expert insights on allergies and immunology for pediatric practitioners.
 
 
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 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
 
 
 

Saturday Apr 06, 2024

Bone Health, Fractures, and Updates on Treatments for Bone Disorders
 
CME Link:           https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095736
 
In this episode of "Pediatrics Now", expert pediatric endocrinologist, Dr. Nadia Merchant from Children's Health UT Southwestern, embarks on an enlightening journey into the fascinating world of bone health in children. She delves into significant bone diseases like rickets, calcium disorders, osteoporosis, and skeletal dysplasia. The episode features a balanced mix of medical insights and practical tips on maintaining bone health, specifically for children with disabilities and other chronic issues.
Incorporating themes of nutrition, physical activity, and optimized genetics, the podcast also tackles the sensitive issue of child physical abuse, emphasizing the implications of bone fractures. We also explore therapeutic interventions for inherited bone disorders such as X-linked hypophosphatemia, and the role of physical activity in building stronger bones.
This episode further discusses management approaches for bone health and takes a deeper dive into skeletal disorders and the world of treatments for metabolic bone disorders. Dr. Merchant concludes the episode with a Q&A session answering listener queries about premature births, DEXA scans, toddler fractures, and much more.
Join host Holly Wayment for an enlightening discussion that intertwines medical knowledge with practical advice to increase awareness and improve bone health in children.
 
Bone Health, Fractures, and Updates on Treatments for Bone Disorders
 
FACULTY:
Nadia Merchant, MD is a pediatric endocrinologist and geneticist at Children’s Heath/UT Southwestern Medical Center.
 
OVERVIEW:
In this podcast episode, Host Holly Wayment brings a talk from Dr. Nadia Merchant about bone health, fractures, and updates on treatments for bone disorders.
 
DISCLOSURES:
Nadia Merchant, MD has disclosed she was a consultant/advisor for Pfizer, BioMarin, and Ascendis. The relevant financial relationships noted for Dr. Merchant 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 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CREDITS:AMA PRA Category 1 Credits™ (1.00)Non-Physician Participation Credit (1.00)
MOC 2 credit (1.00)
 
 

Friday Mar 29, 2024

Episode 27: The New Asthma Guidelines: What Were They Thinking?
 
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095727
The New Asthma Guidelines: What Were They Thinking?
 
FACULTY:
Edward G. Brooks, MD serves on the National Asthma Education and Prevention Program, Expert Panel 4. He's the chief of UT Health San Antonio's Pediatric Immunology and Infectious Disease Division, and he sees patients at UT Health San Antonio's Adult and Pediatric Allergy Clinic on Medical Drive and at University Hospital. 
 
OVERVIEW:
On this episode of Pediatrics Now, host Holly Wayment interviews Dr. Ed Brooks, a pediatrician and allergist at UT Health San Antonio with 30 years of experience, who was on the national panel that set these guidelines.  Dr. Brooks is also division chief for allergy, immunology and infectious disease at the University of Texas Health Science Center.
 
DISCLOSURES:
Ed Brooks, MD has no financial relationships with ineligible companies to disclose.
 
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 0.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CREDITS:AMA PRA Category 1 Credits™ (0.50)Non-Physician Participation Credit (0.50)
 
In this insightful episode, Dr. Brooks shares advanced insights into the effective use of inhaled corticosteroids for intermittent yet severe symptoms, particularly during viral infections. He also introduces SMART therapy (Single Maintenance and Reliever Therapy) - a new approach to managing moderate persistent asthma. Understand the practical implications of these changes and expert tips on how to communicate them effectively to parents and children.
Gain a deeper understanding of the long-term side effects of corticosteroids and how these innovative guidelines could simplify care and reduce caregivers' stress. Don't miss out on the opportunity to earn free credits, including CME, MOC, or ethics credits, as you dive into this enlightening conversation.
 

Fighting Burnout

Saturday Mar 23, 2024

Saturday Mar 23, 2024

Fighting Burnout (For MOC Credit!)
CME Link:         https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095681
In this enlightening episode, we delve deep into the pressing issue of physician burnout with expert Dr. Will Border, Chief Physician Wellness Officer at Children's Healthcare of Atlanta and Professor of Pediatrics at Emory University School of Medicine. Highlighting the pervasive prevalence and potential perils of burnout in healthcare, Dr. Border considers it as a potential upcoming healthcare crisis.
Dr. Border and Host Holly Wayment provide an informed and compassionate discourse on the contributing factors to physician burnout like administrative burdens and high stress levels. He views it as a 'dynamic', rather than static state and proposes solutions that include open conversations, emotional support, and eradicating stigmatization to alleviate the problem.
Additionally, this episode exposes alarming disparities in burnout rates, particularly higher prevalence among women physicians and more pronounced instances after about a decade in the profession. Steering away from the debilitating pursuit for perfection, the healthcare industry's transformation and adoption of more accommodative work environments and self-compassionate approaches are underscored as potential remedies.
Preserving Self-compassion in Healthcare Service Delivery
In the midst of stress and burnout accompanying healthcare services, this episode emphasizes the necessity of self-compassion by practicing mindfulness, extending self-kindness and promoting common humanity. Drawing upon the teachings of self-compassion expert, Kristin  Neff from the University of Texas, this episode offers insightful inputs and tools for navigating the intricate emotional facades in healthcare delivery.
https://drlornabreen.org/
 
 
FACULTY:
William Border, MD, is a pediatric cardiologist, the Director of Noninvasive Cardiac Imaging at Children's Healthcare of Atlanta, and a professor of pediatrics in the Emory University school of medicine.
 
OVERVIEW:
On this episode of Pediatrics Now, host Holly Wayment talks with  William Border, MD, MPH about  physician burnout and wellbeing – lessons learned and new horizons. To view his grand rounds talk, click here.
 
DISCLOSURES:
William Border, MD has no financial relationships with ineligible companies to disclose.
 
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 1.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
CREDITS:AMA PRA Category 1 Credits™ (1.00)Non-Physician Participation Credit (1.00)
MOC 2 credit (1.00)
 
 

Friday Mar 15, 2024

**Link for MOC Credit
https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10095649
In this enlightening episode of Pediatrics Now, Host Holly Wayment introduces us to a founder of pediatric palliative care.  This talk, by renowned Harvard pediatrician, Dr. Julie Hauer, highlights the complex world of managing chronic pain in children with severe neurological impairment. Featuring real-life case studies, Dr. Hauer guides us through the intricacies of identifying and treating chronic pain in these specific pediatric cases and attempts to shed more light on the often underrepresented field of pediatric palliative care.
A substantial portion of the conversation revolves around the significance and interpretation of behavioral changes, and the importance of observations in diagnosing pain in neurologically impaired children. We delve into comprehensive screening methods and effective interventions that can contribute to helping the child attain a calmer state.
Steering the conversation beyond known problems, this episode introduces the concept of neuropain, a type of affliction where inflammation and injury of tissues can lead to pain, and discusses how to tackle associated chronic issues via a combination of pharmacological and complementary methods such as music and massage therapy.
Additionally, Dr. Hauer discusses the various tried and tested drugs and their uses for managing neuropathic pain in children, emphasizing the necessity of expertise in handling such medications. She also sheds light on indicators of escalation despite treatment, and shares possible countermeasures.
With a strong commitment to improving the lives of neurologically impaired children, this discussion emphasizes the dire need for an integrated, multipronged approach, taking into account all possible sources of pain, the role of various drugs, constant monitoring, communication with the family, and adjustment of treatments as necessary. This comprehensive episode serves as a much-needed guide to healthcare professionals who strive to provide the best care to this special pediatric population.
Presenter: Julie Hauer, MD, FAAP, FAAHPM
Overview:Chronic Pain in Children with Neurological Impairment: A Multisource Framework
Objectives:To increase awareness and education for pediatric providers
Julie Hauer, MD, FAAP, FAAHPM is faculty at Boston Children’s Hospital. Her clinical expertise is focused on the rare population of children with severe neurological impairment (SNI) who have multiple co-morbidities that impact health and quality of life, resulting in complex medical care and decision-making. Her expertise includes symptom treatment, including pain, feeding intolerance, and dyspnea during acute on chronic respiratory illness. Her work has included innovative symptom treatment protocols targeting the mechanisms of pain generation specific to this population. She has written a book on the medical and palliative care needs of such individuals, with a second book to be published by Oxford University Press.
Financial Disclosures: Julie Hauer, MD, FAAP, FAAHPM has no financial relationships with ineligible companies to disclosure.
The Pediatric Grand Rounds Planning Committee (Deepak Kamat MD, PhD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose. Planning Committee member Steven Seidner, MD has disclosed he receives funding from Draeger Medical for the Clinical Study to Evaluate the Safety and Effectiveness of the Infinity Acute Care System Workstation Neonatal Care Babylog VN500 Device in High-Frequency Oscillatory Ventilation (HFOV) Mode in Extremely Low Birth Weight (ELBW) Neonates for which he is a co-principal investigator.

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Host and Author Holly Wayment talks to experts about timely topics for pediatric practitioners for free credit that can include CME, MOC and ethics credit. Topics include compassion, up-to-date treatments,  how to connect with patients and how to fight burnout plus  have more empathy.

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Version: 20240320