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NF-1: Early Detection, Coping Strategies, and Comprehensive Care

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Health Information for the busy parent in 10 minutes or less.

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Follow us wherever you get your podcasts!

The Latest Health News from Pediatrics Now  in Small Bites for Parents.

OVERVIEW:
In this enlightening episode of 'Pediatrics Now', distinguished healthcare experts join us to delve deep into the intricate aspects of Neurofibromatosis Type 1 (NF1), a genetic condition affecting 1 in 3,000 children. We navigate through complex topics such as early detection, robust diagnosis, intricate neurological exams, and the impactful role of keen observation in identifying unspoken symptoms in children.

Our discussion explores the prevalent manifestations of NF1 from birth, the consequential implications if undiagnosed, and the integral part played by genetic counselors. The experts shed light on a multitude of associated conditions ranging from benign nerve tumors to more severe cases and how early detection can significantly improve the patient's quality of life.

Moreover, we delve into how social and developmental challenges can coincide with NF1, creating unique obstacles for children. Despite these challenges, personalized treatments and a multi-disciplinary approach can enhance the management of this disorder, reiterating the importance of a medical home.

The episode takes a closer look at the physical and psychosocial impacts of NF1 on patients and their families. It features constructive discussions around the complex nature and variability of NF1 manifestations, the importance of understanding family history, and the latest treatments available.

We wrap up the episode by discussing the crucial role of the Texas NF Medical Symposium and the professionals involved in addressing these complexities. Lastly, the experts share personal coping mechanisms outside of their professional sphere, emphasizing the importance of avoiding compassion fatigue and advocating for child patients. Unravel the challenging world of NF1 with us in this comprehensive episode of 'Pediatrics Now'.

Rachel's foccacia bread recipe.  Email address for NF1 inquiries: (wyattr1@uthscsa.edu).

Staying Ahead of Headaches-Headache Help

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Our episodes include fresh content and also grand rounds. Episodes are eligible for free CME, MOC and ethics credit, depending on the content.

Follow us wherever you get your podcasts! Click on the link to fill out your certificate for free credit! No need to register!

Email us with questions and suggested episode ideas: wayment@uthscsa.edu

FACULTY:

Asra Akbar, MD, new member of the pediatric neurology team at University of Texas Health Science Center.

OVERVIEW:

In an enlightening episode of “Pediatrics Now”, Host and Executive Producer Holly Wayment welcomes Dr. Asra Akbar. The insightful discussion covers the much-encountered issue of headaches in children, giving a detailed overview of triggers, treatments, and preventative 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 like brain tumors, seizures, or meningitis, and the importance of immediate medical attention and imaging. Furthermore, we look into successful treatments and medications such as beta blockers, Topamax, and Botox, alongside alternative methods like acupuncture and lifestyle modifications.

Join us as we explore the complexities of modern lifestyle, particularly the impacts of social media on children's mental health and how it relates to pediatric migraines. In this episode, you will gain a wealth of information on identifying and managing pediatric headaches, thereby improving your child's quality of life.

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.

The episode becomes even more captivating as Dr. Akbar opens up on her life as a medical practitioner, her global travels, and her passion for cooking fresh and nutritious meals. Turn in for an honest and informative discussion on pediatric migraines and a rare peek into the life and wisdom of a dedicated pediatric neurologist.

DISCLOSURES:

Asra Akbar, 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)

Trauma-Informed Care in a Practice Setting – Grand Rounds Episode with MOC and Ethics Credit

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Our episodes include fresh content and also grand rounds. Episodes are eligible for free CME, MOC and ethics credit, depending on the content.

Follow us wherever you get your podcasts! Click on the link to fill out your certificate for free credit! No need to register!

Email us with questions and suggested episode ideas: wayment@uthscsa.edu

FACULTY:

Nancy Kellogg, MD, has been a faculty member at University of Texas Health Science Center since 1988 and is currently Professor and Division Chief on Child Abuse in the Department of Pediatrics. 

OVERVIEW:

Pediatrics Now Host and Executive Producer Holly Wayment brings you a presentation from Nancy Kellogg, MD, on trauma-informed care in a practice setting. Dr. Kellogg will discuss experiences that may trigger stress responses from children, as well as demonstrate how to recognize and respond to children and caregivers that have experienced trauma, understand how trauma-informed principles can be implemented in a practice setting, and how to employ strategies to mitigate secondary trauma in a practice setting.

DISCLOSURES:

Nancy Kellogg, 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 0.75 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™ (0.75)
Non-Physician Participation Credit (0.75)
Texas Medical Board of Ethics Credit (0.75)
MOC 2 credit (0.75)

An Update on Allergy Prevention, Immunotherapy, and Immune Deficiency

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Our episodes include fresh content and also grand rounds. Episodes are eligible for free CME, MOC and ethics credit, depending on the content.

Follow us wherever you get your podcasts! Click on the link to fill out your certificate for free credit! No need to register!

Email us with questions and suggested episode ideas: wayment@uthscsa.edu

FACULTY:

Ed Brooks, MD is 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.

OVERVIEW:

In this episode of Pediatrics Now, host Holly Wayment dives 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 that would benefit healthcare professionals and general listeners seeking awareness.

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)

Bone Health, Fractures, and Updates on Treatments for Bone Disorders

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Our episodes include fresh content and also grand rounds. Episodes are eligible for free CME, MOC and ethics credit, depending on the content.

Follow us wherever you get your podcasts! Click on the link to fill out your certificate for free credit! No need to register!

Email us with questions and suggested episode ideas: wayment@uthscsa.edu

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 0.75 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™ (0.75)
Non-Physician Participation Credit (0.75)

MOC 2 credit (0.75)

New Asthma Guidelines: with Dr. Ed Brooks

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Health Information for the busy parent in 10 minutes or less.

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Follow us wherever you get your podcasts!

The Latest Health News from Pediatrics Now  in Small Bites for Parents.

OVERVIEW:
 Welcome to Pediatrics Now for Parents. In this episode of Host Holly Wayment is joined by Dr. Ed Brooks, the Division Chief of Allergy, Immunology, and Infectious Disease at the University of Texas Health Science Center at San Antonio. With 30 years of experience in his field, Dr. Brooks revisits our show to discuss the updates to the national asthma guidelines.

He explains the significant change in the guidelines – the recommendation to use inhaled corticosteroids as needed during certain situations, such as during viral infections in children with intermittent but severe episodes of asthma. The update also includes a call for SMART (Single Maintenance And Reliever Therapy), which involves the use of a combination inhaler, like budesonide plus formaterol for people with moderate persistent asthma.

According to the new guidelines, individuals can utilize this combination up to eight puffs a day for children under 12, and up to 12 puffs a day for those older than 12. The data showed that the overall exposure to corticosteroids was less using SMART therapy, which signifies a significant reduction in hospitalizations or the need for oral corticosteroids.

Dr. Brooks also addressed concerns about medication shortages, advising that all inhaled steroids are about equal, and in instances of shortages, it would be safe to revert to a two-inhaler system. Join us for more insights on the updated asthma control guidelines. Talk to your pediatrician for more information.

The New Asthma Guidelines: What Were They Thinking?

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Our episodes include fresh content and also grand rounds. Episodes are eligible for free CME, MOC and ethics credit, depending on the content.

Follow us wherever you get your podcasts! Click on the link to fill out your certificate for free credit! No need to register!

Email us with questions and suggested episode ideas: wayment@uthscsa.edu

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)

Physician Burnout and Wellbeing: Lessons Learnt and New Horizons

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Our episodes include fresh content and also grand rounds. Episodes are eligible for free CME, MOC and ethics credit, depending on the content.

Follow us wherever you get your podcasts! Click on the link to fill out your certificate for free credit! No need to register!

Email us with questions and suggested episode ideas: wayment@uthscsa.edu

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 interviews Dr. Will Border, on physician burnout and wellbeing – lessons learnt and new horizons.

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 0.75 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™ (0.75)
Non-Physician Participation Credit (0.75)
MOC 2 credit (0.75)

Chronic Pain in Children with Neurological Impairment: A Multisource Framework

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Our episodes include fresh content and also grand rounds. Episodes are eligible for free CME, MOC and ethics credit, depending on the content.

Follow us wherever you get your podcasts! Click on the link to fill out your certificate for free credit! No need to register!

Email us with questions and suggested episode ideas: wayment@uthscsa.edu

FACULTY:

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.

OVERVIEW:

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.

DISCLOSURES:

Julie Hauer, MD, FAAP, FAAHPM 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.

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)
Pain Management Credit (1.00)
MOC 2 credit (1.00)

Measles Madness: 🤒A Discussion with Dr. J.B. Cantey

Holly Wayment, Physician Relations Spec - Sr Marketing, Comm & Media

Health Information for the busy parent in 10 minutes or less.

Host Holly Wayment, Physician Relations Specialist Sr., talks to leading pediatric experts in the field.

Follow us wherever you get your podcasts!

The Latest Health News from Pediatrics Now  in Small Bites for Parents.

OVERVIEW:
Welcome to Pediatrics Now for Parents. In this episode, Host Holly Wayment talks to  Dr. J.B. Cantey, a double board certified neonatologist and infectious disease expert with a Master's in public health. The measles outbreak across 15 states in the USA and its link to insufficient vaccination rates is the central topic of our discussion.

Dr. Cantey brings to light a crucial perspective, stating that the success of past vaccinations has led to a degree of out-of-sight, out-of-mind complacency. Diseases like polio, diphtheria, rubella, and measles, are now less of an immediate concern due to vaccination successes, which unfortunately leads to falling vaccination rates. However, failure to vaccinate children could potentially lead to the re-emergence of these diseases.

We also discuss the alarming decrease in contemporary vaccination rates and its causes, such as parent uncertainty, hesitation, and misinformation. Our focus then shifts to measles, as Dr. Cantey expounds the crucial role of the MMR (measles, mumps, rubella) vaccine and emphasizes the importance of vaccinating children, irrespective of their age. We explore the potential severity of measles and the life-threatening complications it could lead to if left untreated.

Toward the end of the podcast, we provide detailed guidance for parents who have kids that missed their vaccines. Dr. Cantey strongly recommends seeking trusted healthcare advice and, unless a child is an exception, vaccinating them ASAP before potential exposure to infectious diseases. We round off our discussion by addressing concerns about areas with low vaccination rates and their implications on preventing outbreaks like measles.

Search for our episode titled 'Got Vaccines' in this Pediatrics Now for Parents newsfeed for more insights into the importance of vaccination for your child's health.

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