PODCAST · health
Pedia Pain Focus
by Dr. Anjana Kundu
Hosted by Dr. Anjana Kundu, it's the 1st podcast dedicated to pediatric pain, providing education and tools for all healthcare professionals dealing with children's pain issues. If you're a pediatric healthcare provider, this one is for YOU! The podcast brings you renowned experts from the field of pediatric pain, healthcare technology and business, policy makers, healthcare advocates and more to share their innovations, expertise, and experience in the field.
Episodes
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#92. Is Physical Therapy, The Panacea of Chronic Pain?
Have you ever had any of your patients say that they don't think physical therapy helps their pain? Or that the physical therapy made their pain worse? It would certainly not surprise me, if you said yes. And in that case, this is definitely is the episode you want to listen to carefully. And if...
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#91. Mental Health and Pediatric Pain; Chicken or the Egg?
Pain and mental illnesses coexist, often more than any of other illnesses. Both of them have a profound effect on a child's child's quality of life, individually. Now imagine the magnitude of impact when they co-exist. In this episode, Dr. Anjana Kundu, with guest speaker Dr. Mirabelle Mattar, a...
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#90. Can We Prevent Pain from Becoming Chronic?
Acute pain may be a protective and adaptive phenomenon, but chronic pain is nothing but damaging and a burden in every way possible and for all involved directly or indirectly. So how do we reduce or can we reduce burden? Join me in this episode to learn the factors that contribute to chronicity…
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#89. The Pain of Being a Redhead
Did you know that redheads can tolerate more spicy foods than those with dark hair? This is supported by biology and genetics. Ask any anesthesiologist or a dentist and they'll tell you - often with a sigh, I might add - that taking care of redhead is can be challenging! The issue of pain...
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#88. Pharmacovigilance to Evaluate Efficacy and Net Clinical Benefit in Pediatric Pain Medicine
Pediatric pain management is fraught with reasons that make it feel like we are operating blindfolded. Many treatments are used without clear indications or evidence specifically in this population. What if you had a way to study what you do in pediatric pain management, while you do it, would…
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87. Shifting the Paradigm in Pediatric Pain Medicine
How is it that when 1 in 3 school age children reports chronic or recurrent pain, yet we fail to ensure that there is adequate help available for these children? That our system ensure at least basic level of pain medicine training for healthcare professionals? These are a few of the questions we...
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#86. Essential Elements of a Successful Patient Encounter
Time pressure in today's healthcare visits is a reality. Increasingly there is more emphasis on value and efficiency in clinical care delivery. Meanwhile changing factors in healthcare delivery with shorter visit times, increasing amounts of required documentation for compliance, and the…
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#85. Pain Amongst Children with Autism Spectrum Disorder
How does one reconcile the facts that DSM diagnostic criteria for Autism Spectrum Disorder includes pain insensitivity and a high pain threshold, while these children report that their clothes feel like sand paper and their fingers while shampooing feel like sharp metal? Join me in this episode…
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#84. Post-Concussive Headache and Symptom Management in Children
In this episode, Blake Windsor, MD a pediatrician with a subspecialty in training for pediatric pain medicine, and a board certified headache specialist discusses post concussive headaches and unique challenges it poses. Headache is the most common post traumatic or post concussive symptom. Even...
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#83. Reengineering Pediatric Perioperative Care for Optimal Outcomes
This conversation with Marjorie Gloff, MD and Renee Robinson, DNP, APRN makes me convinced that the expression "Preparation is half the battle won" must have been coined with the idea of perioperative medicine and perioperative surgical home (PSH) in mind! They are the co-directors of the Center...
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#82. Chronic Pediatric Pain in 2021: US Pain Foundation Report
Chronic pain is often overlooked, and when it comes to children, it is even more so. The continued neglect of children's pain affects the ability to truly evaluate the extent of the problem and challenges these kids and their families face. The United States Pain Foundation, a pain advocacy...
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#81. How to Choose the Right Pain Treatments?
Treatment of pain is challenging to say the least. For one it is difficult to understand the complexity of the pain experience. This episode explains the components of nociception and the pain experience. It also examines the targets for pain control and thus provides comprehensive framework for...
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#80. Stop Treating Pain Like a Symptom!
Pain isn't simply a symptom of another disease or a result of another noxious or traumatic event. It's an independent entity in itself in majority of the situations. It's time we stopped approaching it with the Cartesian model framework. Join me in this episode to learn about how and when a pain...
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#79. Pain Amongst Neonates, Infants and Young Children
There's no better way to kick off September as the Pain Awareness Month than bringing you a conversation with Dr. Kanwaljeet S. Anand, whose research took the medical world by storm, even risking his license, as he sought out to answer the question of; what if we give children anesthesia and...
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#78. Remodeling Pediatric Pain Management in the Emergency Rooms
When the gold standard for pain assessment is verbal report, children's pain assessment and management requires specific knowledge and understanding. Children at these important stages of growth create key memories-- and the last thing we need is a whole generation of children that associate...
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#77. Impact of Pediatric Pain Rehabilitation Program Part 2
Chronic pain in children can be a really serious condition and many of them may have a long journey to get where they need to be! Says Julia Wager, PhD, an accomplished pediatric pain psychologist and head of research department, at the German Paediatric Pain Center, Children's and Adolescents'...
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#76. Impact of Pediatric Pain Rehabilitation Program Part 1
In society and healthcare, people understand that kids with cancer do suffer pain, but people did not understand that children without an obvious somatic condition could suffer pain that really need treatment; says Julia Wager, PhD, an accomplished pediatric pain psychologist and head of research...
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#75. Role of the Gut-Brain Axis in Pediatric Pain
Research in the past decade has demonstrated a complex, bidirectional communication between the central nervous system and the enteric nervous system; the Gut-Brain Axis (GBA). This knowledge has provided much more clarity on many of the chronic pain conditions which previously had been…
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#74. Asset or Liability? What you Need to Know about Herbs for Pediatric Pain Management
Dr. Dhanu Sant, an integrative pediatrician and trained herbal and plant medicine specialist returns to discuss herbs for pain management to stress management, to their role as adaptogens and beyond. She discusses safe use of herbs for a variety of health conditions but specifically for pain...
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#73. Nutrition, Supplements and Pediatric Pain
Ask Ashley Koff, RD, what she recommends as a healthy diet. Her answer? It's always personal. When it comes to pediatric pain management, nutrition is both challenging and essential for our patients. And the idea of nutrition can be overwhelming, and contradictory, for healthcare professionals as...
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#72. Real vs. Fake: The Look of Pain!
What does pain look like? In today's episode, I discuss different ways in which our biases and experiences can often overshadow the experience of the patient, impact clinician-patient encounters and the importance of context in every situation. Is there a specific look to pain? Have you ever...
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#71 Acupuncture Rocks for Managing Pediatric Pain and Beyond with Clara Cohen!
Dr. Clara Cohen experienced the magic of acupuncture from a young age when she was able to recover from scoliosis related pain as a child. She initially worked as a personal trainer, but felt a strong desire to help her clients in an even more impactful way. That's when she discovered…
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#70. Smoothing the Wrinkles of Pediatric Migraine and Botox
We all know of Botox use to reduce signs of aging. Approved in 2010 to treat migraines in adults, it's now also being explored (as an off-label treatment) for management of pediatric migraines. In this episode, Dr. Shalini Shah, MD, MBA, the Vice-Chair for the Department of Anesthesiology &...
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#69. Changing the Culture of Pediatric Pain at Institutional Level
Pediatric pain has been left on the back burner for decades now-- where many clinicians 30 years ago thought that infants did not feel pain. With the progress made, both in pain management and technology, it's about time that we call institutions to shift the culture, so we can work towards…
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#68 Advances in Management of Sickle Cell Disease
pain is the most common and devastating symptom of Sickle Cell Disease. Despite the slow and elusive developement of therapeutic intervention in Sickle cell disease that would halt the vasocclusive crisis and the related pain, last few decades have brought about good progress with successful...
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#67 Yoga in Pain Management: A Powerful Tool for Physical and Mental Well-being!
Yoga is much more than just a physical exercise. It's an ancient mind and body based practice that involves self-paced physical movement, meditation, and breathing techniques. Practicing Yoga can change your and your patient's life in ways you never imagined! An array of incredible benefits from...
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#66 Priorities in Pediatric Pain Management
Many factors contribute to children's pain being under estimated, under-recognized and inadequately treated. Kathryn Birnie, PhD shares her work identifying the top priorities essential for improvement in pediatric pain management. Join me in this episode as she shares her patient-oriented…
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#65 Creativity in Pediatric Pain Management
Did you know that he pediatric pain patients rate feeling of isolation as the absolute worst thing, even above their pain? Georgia Weston, MSW, endured years of isolation as a teen, suffering through her chronic pain alone, feeling not being believed. Now, she's the Executive Director of Creative...
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#64. Prevention and Management of Procedural and Needle Pain and Anxiety Among Children
Every child inevitably would experience pain in the course of their life, but if not addresses appropriately, these experiences can have long-lasting and detrimental effects which carry into adulthood. What's even more remarkable is that healthcare experiences including what we do as part of...
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#63. Integrative Pediatric Pain Management with Dr. Lonnie Zeltzer
Chronic pain is the result of dynamic interactions between psychological, biological, and social factors. In this episode, Dr. Lonnie Zeltzer, a veteran and pioneer of the best practices in pediatric pain medicine talks about the approaches you can take in assessing and treating complex chronic...
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#62. Metaphors for Better Pediatric Pain Management
Metaphors have long been used to explain complicated and unfamiliar subjects. Use of metaphors, especially in pain management lends itself naturally to improved understanding, patient empowerment, treatment engagement and ultimately better outcomes. In this episode, I review the concept of...
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#61 Getting Out of Your Own Way to Success
Have you ever judged yourself even before letting anyone else even have a glimpse at your capabilities? Or talked yourself out of something that later you've felt you could've or should have done. You're not alone! As you'll hear Asha Padmanabhan, MD, FASA discuss how even the most accomplished...
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#60 Influence of Sleep on Peri-operative Pain Among Children
Dr. Jennifer Rabbitts, MD a Board certified pediatric anesthesiologist and prolific pain researcher studies pain and health outcomes including the influence of sleep and other factors on pain outcomes in the short and long term. Sleep and pain have a bidirectional relationship, but it appears…
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#59. The Power and Perils of Social Media for Healthcare Professionals
Today most of us conduct major chunks of our lives digitally and social media has now become a major tool for people to consume news, health information and even create community and connections. For us as physicians and Healthcare Professionals, this tool can connect us with peers from around…
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#58. ERAS-Enhanced Recovery (but not just)After Surgery Enhances the Entire Patient Care Experience
The highest goal in healthcare is to provide high-quality care, safe and effective care for our patients that facilitates the best possible outcomes be it after their surgery or any other part of their healthcare journey. Pain and its management is one of the top determinants of quality of care,...
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#57 Coaching for Healthcare Professionals: Fad or Necessity?
Sink or swim or trial and error may be acceptable strategies in some situations, but they are hardly applicable when considering a much needed radical transformation in culture of health and wellness. Instead what we need to adopt is what many other fields have clearly relied upon for going from...
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#56. Making Pediatric Pain Matter: Delivering Transformative Action
Frequent does not mean trivial and simple does not mean easy! Says Dr. Chris Eccleston, PhD, director Center for Pain and Research at the University of Bath. A primary goal of medicine is to relieve pain and suffering. Sadly though, this is poorly achieved, especially when it comes to pediatric...
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#55 Understanding Pediatric Neuropathic Pain
Neuropathic pain, especially in children can be extremely challenging to recognize and treat. Dr. Alyssa Lebel MD, a dually trained pediatric neurologist and pain physician, provides a step by step explanation of neuropathic pain across the pediatric age groups and provides practical tools for…
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#54. Schooling Kids During the COVID-19 Pandemic.
COVID-19 led to closure of nearly all schools in the United States, affecting more than 55 million students. Efforts to continue children's education have been highly variable, ranging from remote learning, hybrid and modified in-person instructions. Return to school safely for children and staff...
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#53 Are You Making the Most of Your "Golden Half-Hour" With Your Pediatric Pain Patients?
Dr. Neil Schechter, MD, shares what the patients and families report as the most important and helpful elements during their pain care visit and what they desire from clinicians. Additionally, he shares the practical tips to engage patients and families and how to effectively provide feedback...
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#52 Managing Pain in Pediatric Rare Diseases
Rare diseases are...well rare, but pain and suffering associated with them is not! It requires early recognition or even preempting the pain inoder to prevent development of chronic an drefractory pain. In commemoration of the International Rare Diseases Day, I bring you an episode focused on...
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#51. Digital Interventions for Self Management of Pediatric Pain
Since the COVID-19 pandemic, use of digital technology in healthcare has become commonplace, but Dr. Tonya Palermo, PhD has spent more than 2 decades researching and developing digital interventions for management of children's pain. In this episode she discusses the origin and development of her...
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#50. Stepping Up Pain Care Efforts for the African American Patients
Up to 50 percent of medical professionals, like the lay people, believe there are biological differences between the Caucasian and African-American patients' bodies when it comes to pain perception. How much of that is truth and how much is myths and misconceptions is debunked in this episode. I...
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#49. Putting Pain Care Skills in Your Patients and Families' Hands
Treatment interventions based in psychology form the mainstay of pain management, particularly for children's pain. Yet, these may not receive the due priority and/or many not be easily accessible for patients and families. Use of psychological based treatments for pain may inadvertently create...
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#48. Making Best Pain Care Everywhere Achievable.
Appropriate and timely pain care, especially for children, is a necessity and every clinician's responsibility. Yet our training system fails to provide the clinicians with those necessary skills and tools. In this episode, Dr Tracy Harrison, MD from the Mayo Clinic, discusses the importance,...
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#47. Reliving or Relieving Children's Pain?
For most clinicians thinking about policy conjures up images of legislative or regulatory work that goes on "over there", but the truth is that our daily work is the very foundation of the policies. How we conduct the business of our daily work drives the quality, safety, evidence and ultimately...
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#46. Why This is the Right Time to Hone Your Pediatric Pain Care Skills!
Appropriate pain management is a key driver for both the patient's and healthcare professional's satisfaction. With the recent healthcare crisis and changes to how outcomes and patient satisfaction is evaluated, pain care skills have become paramount. Pediatric pain management impacts every...
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#45. Common Mistakes Healthcare Professionals Make Regarding Pediatric Pain
Undertreatment of children's pain is pervasive despite scientific advances, and national guidelines. Some of that is a result of common mistakes healthcare professional are making, often unknowingly. This episode explores the 5 of the most common and what I call the most nefarious but easy to...
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#44. Resounding Success in 2021: Set Sound Goals That Lead You to Inevitable Success!
Most people start the new year with new resolutions, but 80% of them fail by February. That's not to say that one shouldn't cross the threshold into the next year with some goals and intentions. On the contrary, that is exactly what one must do. However, like intenstions, goals too fail if not...
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Best of 2020
What an incredible year 2020 has been. We've seen the lowest of lows, "once in a life time" experiences and hardships. Yet there have been glimmers of positivity and progress all along and it seems to be concluding with the triumph of science and hope over a pandemic that had brought the world to...
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ABOUT THIS SHOW
Hosted by Dr. Anjana Kundu, it's the 1st podcast dedicated to pediatric pain, providing education and tools for all healthcare professionals dealing with children's pain issues. If you're a pediatric healthcare provider, this one is for YOU! The podcast brings you renowned experts from the field of pediatric pain, healthcare technology and business, policy makers, healthcare advocates and more to share their innovations, expertise, and experience in the field.
HOSTED BY
Dr. Anjana Kundu
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