Children's Hospital Colorado

Charting Pediatrics: Our Pediatric Podcast

Blue background with white letters that say "Charting Pediatrics Presented by Children's Hospital Colorado".

Charting Pediatrics is a weekly podcast for pediatric healthcare providers. In this series, multidisciplinary specialists from Children’s Hospital Colorado examine the latest treatments for the most common complaints in pediatric medicine. Listen and subscribe on Spotify, iTunes, Google Podcasts and Google Play.

We are now in our second season, where our experts examine pediatric patient cases, clinical innovations and the nuanced art of pediatric medicine. Let us know if you have an idea for a future episode of Charting Pediatrics.

Meet our hosts

David Brumbaugh, MD, is the Associate Chief Medical Officer at Children's Colorado and a pediatric gastroenterologist. Dr. Brumbaugh's philosophy is to engage families and their pediatricians in establishing goals of care, keeping the child at the heart of every decision.

Alison Brent, MD, is the Medical Director of Children's Colorado's System of Care. Dr. Brent is interested in process and system improvement, as well as the integration and implementation of clinical care guidelines in the PCP office.

Dan Nicklas, MD, is a pediatrician clinician and educator, practicing at Children's Colorado with a focus on primary care. Dr. Nicklas is a member of the American Academy of Pediatrics and involved in graduate and undergraduate medical education and research.

Charting Pediatrics Nicklas Brent Brumbaugh.jpg

Contact our hosts with any questions, or to suggest a future topic.

Listen to our most recent episodes

Measles in Children (S2: E30)

March 19, 2019

Learn about measles presentation, symptoms, vaccinations and more.

Toxicity & the Most Common Pediatric Overdoses (S2:E29)

March 12, 2019

Exploring the most common overdose causes in children and prevention tactics.

 

Find all episodes below

A

A Case Study on Laryngomalacia in Infants and Children (S2:E11)

October 16, 2018

We discuss laryngomalacia causes, designing a long-term management plan for the patient and more on this episode.

A Case Study: Repeat Concussions in Teenagers and Sports Retirement Considerations (S2:E25)

February 12, 2019

Listen to tips on the issue of repeat concussion and care approaches for young athletes and their families.

Abnormal Head Growth and Shapes in Children (S2:E18)

December 11, 2018

Listen to Todd Hankinson, MD, as he discusses abnormal pediatric head growth and shape, treatment options and outcomes.

Acute Scrotum Pain Management in Children (S1:E8)

September 19, 2017

Discussing acute scrotum indications and how to refer and support patients.

Acute Seizure Management in Children (S1:E9)

September 26, 2017

Exploring seizure management in children from basic safety to rescue medications.

Addiction Prevention in Primary Care (S2:E15)

November 20, 2018

Listen in to better understand addiction prevention and opioid practices for children and teens.

ADHD Medication Management (S1:E15)

November 14, 2017

Our experts explore ADHD assessment and medication management.

An Integrative Approach to Pediatric Medicine (S2:E22)

January 22, 2019

Practical tips for incorporating an integrative care approach in your practice.

Autism Spectrum Disorder in Children (S1:E27)

March 13, 2018

Learn about the signs and symptoms of autism in children.

B

Back Pain Management in Pediatrics (S1:E11)

October 10, 2017

Discussing pack pain management in children and how back pain relates to scoliosis.

Breastfeeding Management and Support for Nursing Moms (S1:E10)

October 3, 2017

Discussing breastfeeding challenges and support for nursing mothers.

C

Care for Young Adolescent Mothers (S2:E16)

November 27, 2018

Hana Smith, MD, and Amy Emher, PsyD, discuss caring for the unique needs of young mothers in your pediatric practice.

Caring for Adolescents with Down Syndrome (S2:E4)

August 28, 2018

Learn about primary care for kids and adolescents with Down syndrome from Fran Hickey, MD.

CAR-T Cellular Therapy for the Treatment of Leukemia (S1:E33)

May 22, 2018

Terry Fry, MD, discusses cell therapy, side effects and more for the treatment of pediatric leukemia.

Child Sexual Abuse and Neglect (S2:E10)

October 9, 2018

Learn how to approach the delicate topic of child sexual abuse and neglect from our experts.

Common Pediatric Sleep Disorders in Children and Teens (S1:E30)

May 1, 2018

Learn about common pediatric sleep disorders in children and teens.

Critical Congenital Heart Disease in Neonates (S2:E21)

January 15, 2019

Listen in on this episode of the podcast Charting Pediatrics to learn more about critical congenital heart disease in newborns from our cardiology experts.

D

Diagnosis and Treatment of Ovarian Cysts (S2:E19)

December 18, 2018

Learn more about the diagnosis and treatment of ovarian cysts in kids in this episode of Charting Pediatrics.

Diagnosis of Henoch-Schonlein Purpura in Children (S2:E12)

October 23, 2018

Henoch-Schonlein purpura (HSP) diagnosis and management discussion from our pediatric rheumatology and nephrology experts.

Discussing Firearm Safety in Primary Care Office (S2:E1)

August 7, 2018

Learn how to have a conversation with children and their families regarding firearm safety in the home.

F

Food Allergies: Diagnosis and Hot Topics (S1:E16)

November 21, 2017

A discussion of the hot topics in food-related allergies.

Food Allergy Immunotherapy and Pediatric Patients (S2:E27)

February 26, 2019

On this episode of the podcast Charting Pediatrics, we discuss emerging research in immune desensitization and other advances in food allergy therapy.

H

Hip Pain in Children: Diagnosis and Management (S1:E28)

March 20, 2018

Learn more about diagnosing and managing hip pain in pediatric patients.

I

Infant Feeding and Swallowing Problems (S2:E6)

September 11, 2018

In this episode of Charting Pediatrics, we explore feeding and swallowing problems in babies with Laura Pickler, MD, and Nancy Creskoff Maune.

International Adoption Medicine (S1:E18)

December 8, 2017

Experts discuss medical support for families adopting internationally.

M

Management of Headaches and Migraines in Children (S1:E14)

October 31, 2017

Advice on managing migraines and headaches in children.

Managing Atopic Eczema in Children (S2:E17)

December 4, 2018

Lori Prok, MD, and Julieann Tibbetts, PNP, discuss common presentations, causes and treatment of atopic eczema in kids.

Managing Congenital Heart Disease in Young Adults (S2:E26)

February 19, 2019

Ongoing management of congenital heart disease in children and young adults.

Marijuana as Medicine (S2:E14)

November 13, 2018

Learn about the current state of medical marijuana in pediatric medicine.

Measles in Children (S2: E30)

March 19, 2019

Learn about measles presentation, symptoms, vaccinations and more.

N

Neck Mass Diagnosis and Management for Pediatricians (S1:E31)

May 8, 2018

Learn about neck masses diagnosis and management in children from Melissa Scholes, MD.

Neonatal Jaundice and Bilirubin Levels in Newborns (S1:E21)

December 26, 2017

Exploring risk factors, patient-centered care and more relating to neonatal jaundice.

Nocturnal Enuresis and Bedwetting (S1:E32)

May 17, 2018

Tips for the treatment and management of nocturnal enuresis and involuntary urination in kids.

Noisy Breathing in Pediatric Patients (S1:E20)

December 19, 2017

A discussion of the causes, presentations and treatments of noisy breathing in children.

Non-IgE Mediated Food Allergies in Children (S1:E17)

November 28, 2017

Discussing non-IgE related food allergies.

O

Overcoming HPV Vaccination Hesitancy (S2:E28)

March 5, 2019

On this episode of the podcast Charting Pediatrics, we discuss low HPV vaccination rates among adolescents and overcoming vaccination hesitancy in parents.

P

Pain Management in Children (S2:E24)

February 5, 2019

Discussing pain management in children from assessment to multimodal therapy.

Pediatric Bariatric Surgery (S1:E22)

January 16, 2018

Listen in to a discussion on the available options for adolescent bariatric surgery with Thomas Inge, MD.

Pediatric Celiac Disease Diagnosis and Management (S1:E29)

March 27, 2018

Edwin Liu, MD, discusses celiac disease symptoms, diagnosis and more.

Physician Maintenance of Certification (MOC) Program (S2:E2)

August 14, 2018

Learn about the MOC program and other quality improvement projects Children's Colorado participates in to deliver the best patient treatments.

Primary Care and Hypoplastic Left Heart Syndrome (HLHS) (S2:E3)

August 21, 2018

Learn about prognosis and treatment in the primary care setting for children with hypoplastic left heart syndrome (HLHS).

S

Safe Sleep Tips for Babies (S2:E13)

November 6, 2018

Tips for helping new moms create a safe sleep environment, including SIDs prevention, co-sleeping and more.

School Anxiety and Refusal in Children (S1:E25)

February 20, 2018

School anxiety and refusal insights, advice and tools.

Scoliosis Diagnosis and Management (S2:E9)

October 2, 2018

Learn about the three primary types of scoliosis from Mark Erickson, MD.

STDs in Teens: Testing and Treatment (S2:E7)

September 18, 2018

Learn about preventing and treating sexually transmitted disease in teens.

T

Teen E-Cigarette Use and the Vaping Epidemic (S2:E23)

January 29, 2019

Learn more about e-cigarettes, teen vaping, and how to talk about the issue with patients and families.

Teen Suicide: Risk Factors, Screening and Prevention (S1:E24)

February 13, 2018

Listen in on our discussion of risk factors, screening and prevention of teen.

Telephone Triage in Pediatric Primary Care (S2:E8)

September 25, 2018

Learn about telephone triage in a pediatric setting from expert Bart Schmitt, MD.

Top 10 Most Common Pediatric Rheumatology Diagnoses (S1:E19)

December 15, 2017

Discussion of the 10 most common pediatric rheumatology diagnoses.

Toxicity & the Most Common Pediatric Overdoses (S2:E29)

March 12, 2019

Exploring the most common overdose causes in children and prevention tactics.

Transgender Medicine and Caring for Gender Diverse Patients (S2:E5)

September 4, 2018

Listen to pediatric experts discuss caring for transgender and gender nonconforming patients on this episode of Charting Pediatrics.

Treating Bronchiolitis in Children (S1:E23)

January 30, 2018

Monica Federico, MD, discusses classic bronchiolitis presentations and treatment in this episode.

Treatment and Diagnosis of Pediatric Trigger Thumb (S2:E20)

January 8, 2019

Sarah Sibbel, MD, Director of the Pediatric Hand and Upper Extremity Program, discusses pediatric trigger thumb diagnosis and treatment.

U

Understanding Physician Burnout (S1:E26)

February 27, 2018

Learn how to reduce the stigma of physician burnout.

V

Vaccinations and Motivational Interviewing (S1:E12)

October 17, 2017

Exploring vaccine safety and motivational interviewing for talking to parents.

Vascular Malformations in Pediatric Primary Care (S1:E13)

October 24, 2017

A discussion of the most common pediatric vascular anomalies in primary care.

Additional season one episodes

In this episode, Amy Brooks-Kayal, MD, discusses acute seizure management. The conversation includes the importance of gathering a detailed history of a seizure event, identifying provocations of a seizure and options for anti-seizure and rescue medications.

Dr. Brooks-Kayal is the Chief of the Pediatric Neurology, Co-Director of the Translational Epilepsy Research Program and past president of the American Epilepsy Society.

In this episode:

  • Responding to a patient's first seizure
  • Importance of a detailed history of a seizure event
  • Identifying provocations of a seizure
  • Neurological examination
  • Focal onset versus a generalized seizure
  • Chances of seizure reoccurrence
  • Anti-seizure and rescue medications
  • Managing the anxiety of families
  • Basic seizure safety
  • Current research into pediatric epilepsy

In this episode, Duncan Wilcox, MD, talks about acute scrotum management. The conversation includes the most common indications of acute scrotum and how to differentiate an incarcerated hernia and a hydroceles scrotal trauma.

Dr. Wilcox is the Chair of Pediatric Urology and interim Surgeon-in-Chief at Children's Colorado. He is also a professor of surgery at the University of Colorado School of Medicine.

In this episode:

  • The most common indications of acute scrotum
  • The role trauma plays in acute scrotum
  • How to treat testicular torsion and urgent treatment
  • Differentiating an incarcerated hernia and a hydroceles scrotal trauma
  • Why an incarcerated hernia needs to be treated rapidly
  • The three groups of acute scrotum patients
  • Long-term outcome for patients living with one testicle

In this episode, Robert Kramer, MD, talks about the dangers of kids and adolescents swallowing common household toys and a recent case involving ingested fidget spinner parts. Dr. Kramer is a pediatric gastroenterologist at Children's Colorado.

In this episode:

  • Recent cases of patients ingesting fidget spinner parts
  • Dangers of ingesting button batteries and other small components
  • Why magnets represent a special threat for kids
  • Age groups impacted by incidental ingestion of objects
  • Batteries ingested into the gastrointestinal tract and how to manage them
  • Types of injuries that can occur beyond damage to the blood vessels
  • The importance of getting the battery out as soon as possible after ingestion

In this episode, Eliza Buyers, MD, talks about reproductive health in teenagers. Dr. Buyers is a pediatric and adolescent gynecologist at Children's Colorado and a senior instructor of obstetrics and gynecology at the University of Colorado School of Medicine.

In this episode:

  • How to talk to teens and their parents about reproductive health
  • Implementing a universal screening approach in your practice
  • Dealing with push back from parents
  • Setting up one-on-one time with adolescent patients
  • Misconceptions about teens and their reproductive health
  • Long-acting reversible contraceptive (LARC) methods
  • Non-contraceptive benefits of LARC
  • Importance of hormonal therapy
  • Reversing long-term hormonal care and contraception
  • Talking to teens about screening for sexually transmitted diseases
  • When to send a patient to a specialist

In this episode, Johannes von Alvensleben, MD, pediatric cardiologist and electrophysiologist at Children's Hospital Colorado and assistant professor of pediatrics at the University of Colorado School of Medicine, talks about heart arrhythmias. He discusses some of the most common heart arrhythmias in the primary care setting, including identifiable characteristics and treatments.

In this episode:

  • Palpitations and syncope (commonly known as fainting) as symptoms for heart arrhythmia
  • Characteristics of common heart arrhythmias
  • Supraventricular tachycardia (SVT) in an infant versus a young child
  • Differences in children with syncope
  • Inherited heart arrhythmia syndromes
  • Importance of obtaining an electrocardiogram (ECG)
  • Co-morbidities in children that can impact diagnosis with arrhythmias
  • Drug-related arrhythmias in older children
  • Treatment options for heart arrhythmias in young children
  • The success rate of ablation for arrhythmia

The host of this podcast is Dr. David Brumbaugh, pediatric gastroenterologist and Associate Chief Medical Officer at Children's Colorado. In this episode, Joel Friedlander, MD, pediatric gastroenterologist at Children's Colorado, addresses the management of constipation and the effects of leaving it untreated, especially in young children.

In this episode, Dr. Friedlander discusses:

  • Addressing constipation and uncomfortable stools early
  • Potential long-term complications associated with constipation
  • Two key components to focus on in the physical examination
  • Miralax, a common used laxative for the treatment of constipation
  • The use of lactulose for young children
  • Categorizing medications for constipation
  • Different medications with different adverse effects
  • Steps to behavioral modification
  • Constipation split between organic and functional
  • Why medication to treat constipation won't work without a change in behavior

The host of this episode is Dr. Alison Brent, pediatric emergency medicine physician at Children's Colorado. In this podcast, Bill Anderson, MD, co-director of the multidisciplinary Asthma Program at Children's Colorado and assistant professor of pediatrics at the University of Colorado School of Medicine, talks about asthma. He discusses challenges in the management of asthma, the effect of asthma on pediatric patients and treatment options now available.

In this episode, Dr. Anderson discusses:

  • Common challenges for managing asthma in pediatric patients
  • Factors that come into play when choosing controller medications
  • Why steroids are better suited for atopic patients
  • Teaching patients and families how to use a spacer
  • How co-morbidities affect children with asthma
  • The impact that psychosocial factors have on asthma
  • Working with social workers to help families overcome hurdles
  • Latest treatment options for treating pediatric asthma
  • Overcoming the adherence barrier using technology
  • Natural medications available to pediatric asthma patients
  • Advice for people with dog allergies

The host of this episode is Dr. Alison Brent, pediatric emergency medicine physician at Children's Colorado. In this episode, Julie Wilson, MD, co-director of the Concussion Program at Children's Colorado and assistant professor of orthopedics at the University of Colorado School of Medicine, discusses pediatric concussions in sports. She also talks about the concussion recovery process, working with parents and coaches to return young athletes to play and the classroom, comorbidities that impact concussion recovery, and more.

In this episode, Dr. Wilson discusses:

  • The signs and symptoms of a concussion in a young or adolescent patient
  • Why grading scales for concussions no longer exist
  • Comorbidities that can impact concussion recovery
  • How long a patient needs to rest after a concussion
  • Current guidelines on concussions in sports
  • "Return to play" concussion protocol is and why it's important
  • How to address parent concerns in a treatment plan
  • The correlation between concussion rates and sports
  • How the primary care provider can address the whole patient as they treat for a concussion
  • Red flags in concussion treatment
  • How many concussions are too many
  • Latest treatment options for concussion management

See our clinical care guidelines from Children's Hospital Colorado - for concussion (.pdf).

The host of this podcast is Dr. David Brumbaugh, pediatric gastroenterologist at Children's Colorado. In this episode, Daniel Searing, MD, Professor of pediatrics and allergies at Children's Colorado, talks about seasonal allergies and pollen. He discusses the effects of pollen, how to treat and alleviate allergies, and more.

In this episode, Dr. Searing discusses:

  • Pollen and how it affects allergies
  • Why cottonwood trees are a big pollinator, especially in the springtime
  • Why rain and humidity shut down pollen levels
  • Why Colorado's climate makes people more susceptible to allergies
  • How allergy symptoms will vary from year to year
  • The importance of monitoring the quantitative level of pollen in the environment
  • How physicians should manage the initial approach to a child with allergy symptoms
  • Key features to look out for
  • Why treating pollen allergies with persistent treatment is more effective
  • What role the prescription drug Montelukast plays in treating allergic rhinitis
  • What you can do to help prevent pollen from spreading
  • Which medicines and therapies can help alleviate allergies
  • When to see a doctor for seasonal allergies
  • The approach of an immunotherapy treatment plan and the two phases of a typical treatment schedule
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