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

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

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

When Bruises Don't Add Up: Recognizing Sentinel Injuries in Infants | Grand Rounds Episode Link for CME Credit Coming Soon! Join Host Holly Wayment and Daniel Reyes Ruiz, M.D., in this grand rounds episode of Pediatrics Now on sentinel injuries and infant bruising, emphasizing the importance of early recognition, common clinician biases, and the PEN‑4‑FACES framework for identifying high‑risk bruise locations in non‑mobile infants. It reviews case examples, common medical mimics (bleeding disorders, birthmarks, dermatologic conditions), recommended evaluation steps (imaging, skeletal survey, hematology workup), and when to consult child protection resources to ensure infant safety.

Spurs Team Orthopedic Surgeon Dr. Leah Brown on Concussions & Early TBI Identification Link for CME Credit Coming soon! In the wake of star Spurs player Victor Wembanyama's concussion, San Antonio Spurs Head Team Orthopaedic Surgeon Dr. Leah Brown joins Pediatrics Now Host Holly Wayment to discuss concussion recognition and early traumatic brain injury (TBI) identification. They talk about what happens medically in real time when a head injury is suspected and what pediatricians and frontline providers need to know to recognize and respond to concussion and early TBI. It also reviews practical tools like SCAT-6, stepwise return-to-learn before return-to-play, activity progression thresholds, when to escalate care or image, the limits of protective headgear, and the need to change sports culture to prioritize brain health.

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

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

Link for CME Credit Coming Soon! Holly Wayment welcomes grand rounds speaker  Dr. Maged Mina on chronic pediatric pain, presented by University Health’s Women’s and Children’s Hospital and UT Health San Antonio. Dr. Mina reviews his background in anesthesiology and pain management and his long-standing work with children. The episode covers recognition and diagnosis of chronic pediatric pain (>3 months), common presentations (headaches, recurrent abdominal pain, musculoskeletal pain, CRPS, cancer- and sickle cell–related pain), and the importance of a multidisciplinary approach focused on functional restoration. Physical therapy (including aquatic therapy), behavioral therapies, hypnosis, acupuncture, and virtual reality are emphasized alongside family collaboration and school reintegration. Pharmacologic and interventional options are presented as adjuncts: basic analgesics, gabapentinoids, tricyclics, melatonin, cautious opioid use when necessary, and procedures such as nerve blocks, epidural catheters, Botox, and emerging neuromodulation (peripheral nerve and dorsal root ganglion stimulation). Barriers such as cost, access, and the need for patience and team-based care are also highlighted.

Link for CME credit coming soon! This episode follows Lisa and Craig Wilkerson as they share their son Ryan’s sudden, severe decline from sudden-onset OCD-like symptoms to full disability caused by PANS/PANDAS, and the family’s multi-year struggle to get proper medical care. They describe repeated misdiagnoses, traumatic hospital experiences, and even CPS involvement, until Dr. Anthony Infante used specialized testing and prescribed IVIG immunotherapy. The treatment gradually restored Ryan’s sleep, hygiene, social life, and independence. Listeners and viewers will hear clinical pearls about listening to families, considering autoimmune causes for acute neuropsychiatric changes, and the role of multidisciplinary care and targeted immune testing and treatment.

Link for free CME Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101682 In this episode of Pediatrics Now, two experts present from the Advancing Cancer Research for Latinos conference on why children—especially Hispanic and Latino youth—are being left behind in pediatric cancer care. Adam De Smith, PhD, University of Southern California, reviews genetic and ancestral contributors to increased acute lymphoblastic leukemia (ALL) risk in Latino populations, highlighting IKZF1 and polygenic risk patterns, ancient origins of risk alleles, and ongoing efforts to expand genomic studies across Latin America. Jenny Ruiz, MD, University of Pittsburgh,  examines how language access and communication gaps affect pediatric cancer experiences and outcomes, presenting qualitative interviews and quantitative analyses showing higher acuity and ICU needs for Spanish-preferred patients, and calling for better interpreter services and multifaceted interventions.

Constipation and Abdominal Pain: What To Do and When To Worry https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101548     This episode explains how to distinguish functional constipation from organic causes in children, outlines the key red flags that require further workup or referral, and reviews evidence-based management including clean-outs, maintenance with polyethylene glycol (Miralax), dietary guidance, and when imaging or tests are appropriate. Host Holly Wayment and Dr. Anandini Suri also discuss practical advice,  toilet-training guidance, how to ensure medication adherence, and nonpharmacologic strategies like breathing and exercise for functional abdominal pain.

Adolescent Relationships in the Digital Age: Violence, Risk, and Prevention Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101483 Dr. Jeff Temple presents findings from the long-running longitudinal study tracking youth relationships, dating violence, mental health, substance use, firearms, and sexting from adolescence into adulthood. The episode highlights key findings such as the high cumulative prevalence of bidirectional dating violence, links between parental IPV and later perpetration, and the association between childhood corporal punishment and future dating violence. The talk also covers sexting research showing harms mainly when non‑consensual or coerced, the addition of firearm measures after 2013, and the study’s strong retention and diverse sample. Dr. Temple discusses prevention, including the successful Fourth R relationship curriculum that reduced violence and long‑term depression, and the importance of continuing prevention into the 20s and across generations.

Imaging With Intention: Optimizing Care Through Collaboration in Diagnostic Radiology Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101474 Host and Executive Producer Holly Wayment and UT Health San Antonio's Department of Pediatrics bring us this  Grand Rounds episode with Desi Schiess, MD,  pediatric radiologist. This episode reviews evidence-based imaging choices, radiation considerations, and practical tips for ordering X‑ray, ultrasound, CT, MRI, fluoroscopy, and nuclear medicine in children. It includes case examples, a quiz, and guidance on when to consult a radiologist to ensure safe, effective pediatric imaging.

When to Worry: Neck Lumps, Bumps, and Enlarged Lymph Nodes in Kids Link for CME Credit: https://uthscsa.edu/medicine/education/cme/pediatrics-now-podcast In this episode of Pediatrics Now, Host Holly Wayment and Pediatric Oncologist Dr. Shafqat Shah discuss  how clinicians should evaluate new lumps, bumps, and enlarged lymph nodes in children, adolescents, and young adults.  Dr. Shah explains features that suggest reactive vs. malignant nodes, when to observe versus order imaging or labs, when to biopsy, and considerations about steroids, infections like cat scratch disease, and transitioning care for young adults. Dr. Shah's email address is: [email protected]

Stopping Bedwetting: Urology Insights from Dr. Tim Baumgardner Link for free CME credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101417 Dr. Tim Baumgardner discusses his pediatric urology practice at UT Health San Antonio, and University Health, focusing on nocturnal enuresis—its evaluation and treatment (behavioral strategies, alarms, and DDAVP)—and describes multidisciplinary care, transition urology, clinic locations, and humanitarian outreach to Honduras.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101401 In this episode Host Holly Wayment interviews Dr. Sarah Marucci and they discuss the gut-brain axis, common GI conditions (IBS, H. pylori, celiac),  diet, hormones, and mental health for women and children. Sarah reviews red flags for early cancer detection, screening options like colonoscopy and stool tests, and practical prevention tips—hydration, fiber, exercise, and open conversations about bowel habits.

Holly Wayment interviews Dr. Alice Gong about updated newborn screening guidelines, expanded blood tests (now 59–60), additions like lysosomal storage disorders and SMA, point-of-care screens (hearing and critical congenital heart disease), and newborn blood spot retention and consent policies. The episode covers testing timelines, follow-up coordination between hospitals and pediatricians, counseling families about results, special considerations for premature or critically ill infants, and emerging genomic approaches.

Holly Wayment and the Department of Pediatrics at UT Health San Antonio bring you this episode featuring Dr. Eric Horvitz from Microsoft, who explores the history, recent breakthroughs, and future directions of AI in medicine. He discusses advances from early expert systems to modern generative, multimodal, and agentic AI, and practical applications like diagnostic orchestration and tumor board support. Dr. Horvitz highlights trends such as scale, real-time reasoning, cross-modality models, and human-AI collaboration, and emphasizes challenges around reliability, integration, ethics, and regulation while arguing for thoughtful adoption to improve healthcare outcomes.

link for CME credit coming soon! Host Holly Wayment speaks with Dr. Deena Sutter about rising H3N2 influenza activity, a partial vaccine mismatch, and what pediatricians and families should do as cases climb. They discuss vaccine effectiveness, when to test and treat, masking and infection control, and specific guidance to protect babies too young to be vaccinated. The episode also covers a local pertussis outbreak, the role of vaccination gaps, and practical communication tips for clinicians to counsel vaccine-hesitant parents.

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101339 Dr. Ian Mitchell joins Holly Wayment to review pectus excavatum and carinatum: how they present, typical ages of detection, and practical screening tips for pediatricians. The episode summarizes evaluation steps including when to order CT with Haller index, echocardiography, and pulmonary testing, and compares treatment options—bracing and vacuum bell therapy, Nuss and Ravitch procedures—plus timing (ideal repair ~14–15 years) and perioperative care. Listeners also hear about pain management advances (erector spinae blocks, cryoanalgesia), outcomes, psychosocial effects, adult considerations, and the Fresh Start program offering free reconstructive surgeries for eligible families.

Link for CME Credit  https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101136 Goat Milk Formula: New U.S. Approval — What Pediatricians Need to Know In this episode of Pediatrics Now with Host Holly Wayment, Dr. Cynthia Blanco discusses the recent FDA approval of goat milk–based infant formula in the U.S., how it compares to cow’s milk formula, and what pediatricians should know about nutrient composition, allergy management, and clinical scenarios. She reviews evidence on tolerability, digestibility, and common misconceptions, emphasizes the importance of breastfeeding, and offers practical counseling strategies for families considering goat milk formula.

When Neurology & Psychiatry Overlap, More on Tics and Tourette's. Plus PANDAS/PANS Link for CME Credit Coming Soon! Dr. Sheldon Gross and host Holly Wayment,  talk about more about evaluation and management of tics and Tourette's syndrome, plus when psychiatry and neurology in general overlap. The episode also covers related conditions—PANDAS/PANS, autoimmune encephalitis, functional neurological disorders, and seizures—highlighting collaboration between specialties and offering reassurance about prognosis for most children.

Tics, Twitches and Tourette's: When to Worry and What to Do Link for CME Credit Coming Soon Host Holly Wayment talks with Dr. Sheldon Gross about how to tell tics from twitches, common causes and triggers (stress, stimulants, sleep), and simple first steps families and pediatricians can take to reduce symptoms without medication. They review Tourette’s criteria, behavioral approaches like CBIT, medication options (guanfacine, clonidine, antipsychotics, topiramate), red flags for seizures or other neurological causes, and the overlap between neurological and psychiatric conditions.

Link for CME credit coming soon! Dr. Avinash Boddapati joins Pediatrics Now and builds on the wonderful talk by Dr. Mario Fierro in part one, to explain more about what we know—and don’t—about the causes of autism, highlighting that autism is multifactorial and involves genetics, brain biology, and environmental influences. He covers early red flags, genetic risk and testing, maternal and prenatal factors, common misconceptions (including vaccines), and promising research directions like gene–environment interactions and epigenetics. Key takeaways for pediatric clinicians: counsel families without blame, prioritize early identification and intervention, and weigh risks and benefits when discussing exposures during pregnancy.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101120   Host Holly Wayment and the Department of Pediatrics bring us a recent grand rounds talk by Dr. Mario Fierro where he reviews how autism is defined under DSM‑5, explains core diagnostic areas (social/communication deficits and restricted/repetitive behaviors), and emphasizes age‑based interpretation and the spectrum of severity. He covers screening (M‑CHAT), standardized assessments (ADOS, CARS), common comorbidities and risk factors (genetics, prematurity, congenital conditions), and practical considerations for clinicians and families. He also discusses treatment options—speech/OT, ABA, FDA‑approved medications for symptoms—reviews alternative therapies and controversies (including leucovorin research and vaccine myths), and offers pragmatic advice on when to refer and focus on functional communication.

Drs. Ruby Patel and Rajdeep Pooni present Grand Rounds using a 12-year-old case to illustrate pediatric systemic lupus erythematosus and class IV lupus nephritis, covering presentation, biopsy findings, and pathology. The talk explains diagnostic criteria and typical lab features. They summarize current management including 2024 ACR guidance on induction therapies (steroids, mycophenolate, cyclophosphamide, and biologics), monitoring for complications and medication side effects, vaccination precautions for immunocompromised patients, and the pediatrician’s role in long-term coordination of care.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101115 Host and Executive Producer Holly Wayment interviews Jacklynn Ware , MPH, CHES about Project YES, a free anonymous online mental health program that’s back, redesigned and improved for 13–17-year-olds to offer short, teen-focused modules to boost mood, reframe negative thoughts, and provide safety resources. And, yes, that includes an adorable video of a porcupine chomping on a pumpkin. The episode explains who can benefit, how the program is youth-informed and evidence-based, and how it can be used immediately as a low-pressure, much needed resource.

Seizures in Kids — Practical Diagnosis, Treatments, and When to Refer https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101013   Host Holly Wayment brings us this wonderful grand rounds talk for the general pediatrician by pediatric neurologist Dr. Natasha Varughese, where she reviews childhood epilepsy syndromes (ages ~3–15), covering self-limited epilepsies, focal and generalized epilepsies, and developmental epileptic encephalopathies. Key diagnostic tools include EEG, MRI, and genetic testing; prognosis varies widely by syndrome. The talk highlights practical management: appropriate antiseizure medications (and which to avoid), indications for ketogenic diet, when to consider surgery or neuromodulation (VNS, RNS), and warning signs for referral to neurology or epilepsy specialists.

Toxicology Pearls Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100932 Host Holly Wayment talks to the  Poison Center's Robert S. Miller about common pediatric toxic exposures — acetaminophen, ibuprofen, THC edibles, nicotine pouches (Zyn), and kratom — and offers practical advice for clinicians and parents. Learn why calling the Poison Center (1-800-222-1222) helps with case documentation, reassurance, disposition planning, and when to use antidotes like acetylcysteine. Emphasis on prevention (lockboxes, safe storage), recognizing occult acetaminophen ingestions, symptomatic management, and differences between children and adults.

Link for CME Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100931 Mosquitoes, Fleas & Outbreaks — Pediatric ID Updates with Dr. Deena Sutter Host Holly Wayment interviews pediatric infectious disease specialist Dr. Deena Sutter chikungunya outbreak in China, flea‑borne typhus in South Texas, and a rise in hand‑foot‑and‑mouth cases. The episode covers transmission, clinical signs, prevention tips (mosquito control, repellents, pet flea prevention), travel vaccine guidance, and practical advice for pediatric practitioners on diagnosis and management.

Link for free credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100930 In this episode, Rachel Vandermeer, MD, reviews pain assessment and treatment for children with medical fragility, focusing on altered pain pathways, common pain sources, and the need for multimodal, individualized plans. Practical recommendations include careful opioid use, gabapentinoids, clonidine for dysautonomia, prevention strategies around procedures, bowel regimens, and close outpatient follow-up to manage chronic neuro-agitation safely.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100244 Pediatrics Now, hosted by Holly Wayment and the Department of Pediatrics, brings you this grand rounds talk by: Melissa Delbello, MD, MS is a Professor of Psychiatry and Pediatrics and Dr. Stanley and Mickey Kaplan Chair of Psychiatry and Behavioral Neurosciences at the University of Cincinnati College of Medicine (UCCOM).   OVERVIEW: Bipolar Disorder in Youth: An Update on Diagnosis and Treatment   Dr. Dellbello delves into the complex topic of bipolar disorder in children. The presentation covers critical aspects of the disorder, including diagnostic criteria, neurobiological insights, and treatment strategies. Listeners will gain an understanding of the phenomenology of bipolar disorder, how to differentiate between manic, hypomanic, and depressive episodes, and the significance of early intervention. The episode also explores the impact of bipolar disorder on children, emphasizing the importance of accurate diagnosis and the challenges posed by the DSM-5 criteria. Discussion highlights include the role of family history, the high rates of comorbidity with ADHD, and the specific challenges in treating pediatric patients. Treatment options are outlined, with a focus on FDA-approved medications for different phases of bipolar disorder and non-pharmacological interventions. The conversation extends to the adverse effects of antipsychotics and the use of metformin for weight management in children on medication. Throughout the episode, the critical importance of family involvement and therapy is emphasized, providing a holistic view of managing this complex condition in young patients.

Like for MOC Credit Coming Soon Welcome to another insightful episode of Grand Rounds, brought to you by the Department of Pediatrics at UT Health San Antonio and University Health's Women's and Children's Hospital and host Holly Wayment. In today's episode, we delve into pediatric concussions with Dr. Mayur Patel, a seasoned neurologist with a specialty in brain injury medicine. Dr. Patel shares his expertise on the diagnosis and management of mild traumatic brain injuries (TBI) in children, often synonymous with concussions. He discusses the differentiation between mild, moderate, and severe TBIs, highlighting that children generally recover faster than adults. Dr. Patel emphasizes recognizing symptoms like persistent headaches, sleep disturbances, and cognitive impairments, as well as the role pre-existing conditions play in recovery duration. Explore the emerging research on biomarkers for concussions and innovative approaches to treat symptoms, including the importance of sleep hygiene and targeted therapies like amitriptyline. This episode is a must-listen for understanding the complexities of pediatric concussion management in the outpatient setting. Plus, get insights into sports-related concussion and the evolving landscape of concussion assessment.

Link for CME Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10100071 This enlightening episode of Pediatrics Now features an in-depth conversation with Dr. Karen Bluth, an associate professor emerita from the University of North Carolina and a pioneering author on self-compassion for teens. Host Holly Wayment explores with Dr. Bluth the transformative power of self-compassion in helping teens cope with anxiety, depression, and stress. Dr. Bluth shares her insights and decades of experience in the field, emphasizing the critical importance of teaching teens resilience and self-kindness. The discussion delves into the challenges faced by today's youth and practical strategies for clinicians and parents to support adolescents in becoming their own advocates for well-being. Additionally, the conversation covers the utility of Dr. Bluth's books and courses designed to instill mindfulness and self-compassion skills for teens facing everyday stressors and emotional struggles. Clinicians will gain valuable understanding of how cultivating self-compassion can lead to improved mental health and academic outcomes for teenagers. Tune in to discover how both teens and adults can benefit from embracing these principles to enhance their quality of life.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10099822   Host Holly Wayment brings us this grand rounds talk episode where this professor delves into the transformative role of artificial intelligence in healthcare, with a special focus on pediatric care. Explore the latest advancements in AI algorithms and their significant impact on reducing treatment costs and enhancing patient diagnosis. Discover the pioneering projects by Matrix, including AI chatbots for trauma research and dynamic algorithms for real-time adaptability. Gain insights into how AI technology is being integrated into medical workflows, from predicting the spread of diseases like COVID-19 to addressing the complex challenges of multimodal data integration for comprehensive patient care. Uncover AI's potential in improving decision-making processes, ensuring data security, and personalizing patient communication. Join us as we discuss the exciting possibilities and ongoing challenges in deploying AI for healthcare, emphasizing the importance of human-AI collaboration in achieving reliable and fair outcomes. Whether you're a medical novice or an AI expert, this episode provides valuable perspectives on the evolving landscape of medical technology.

Link for free CME Credit:  https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10099816 In this episode of Pediatrics Now, host and executive producer Holly Wayment welcomes back Dr. Ted Wu to explore the critical topic of sepsis in children. Dr. Wu, with 19 years of experience in pediatric critical care, discusses the intricacies of diagnosing and managing sepsis in neonates and infants, emphasizing the importance of early recognition and tailored treatment strategies. The episode delves into the latest research coming out of Cincinnati Children's Hospital, revealing groundbreaking techniques such as JEDI, which helps categorize sepsis patients based on genetic markers for more individualized care. Holly and Dr. Wu also touch upon real-life implications in pediatric practice, sharing essential warning signs of sepsis, particularly in viral seasons, and how general pediatricians can make critical interventions in the first hour of diagnosis. Listeners will gain valuable insights into the evolving landscape of sepsis treatment, including the role of antibiotics, fluid management, and the complex decisions pediatric practitioners face in urgent care settings. Tune in for a comprehensive discussion that balances medical knowledge with practical, on-the-ground advice for those encountering this life-threatening condition.

Link for CME Credit Coming soon In this episode of "Pediatrics Now," host Holly Wayment returns with Dr. Ted Wu to discuss the critical issue of unintentional injuries in children, focusing on drowning prevention. Dr. Wu emphasizes the importance of assigning a designated observer for children playing in water during summer to prevent drowning accidents, sharing insights from his extensive experience in pediatric critical care. Listeners will also learn about advancements in treating post-cardiac arrest in children, exploring the therapeutic use of hypothermia to improve neurological outcomes and the ongoing research in targeted temperature management. Additionally, this episode highlights the significant impact pediatric practitioners have in preventing such tragedies by offering anticipatory guidance to families. Tune in for essential tips on keeping kids safe and how pediatric practitioners are playing a crucial role in that.

link for CME credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098859 Join host Holly Wayment on "Pediatrics Now" as she delves into the latest COVID-19 vaccination recommendations for children with Dr. J.B. Cantey, a double-boarded expert in neonatology and infectious disease. Discover the importance of complete immunization using mRNA vaccines, the science behind crossover doses, and seasonal expectations for COVID and flu. In this insightful episode, Dr. Cantey addresses common parental concerns, emphasizing the necessity of childhood vaccines and the evolving landscape of COVID and flu risks. Practical advice and scientific recommendations make this episode a must-listen for pediatric practitioners navigating vaccine discussions with patients’ families.

Link for CME credit : https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098850 In this enlightening episode, a talk by: Avinash Boddapati, M.D.  Child and Adolescent Psychiatrist | Assistant Professor of Psychiatry  we dive into the intricacies of Autism Spectrum Disorder (ASD) according to the DSM-5, offering clarity on diagnostic criteria and differentiating ASD from other neurodevelopmental and social communication disorders. We explore the prevalence of ASD, its genetic and environmental risk factors, and dispel common myths, such as the debunked link between vaccines and autism. Discover the unique challenges individuals with ASD face in social communication, restrictive behaviors, and sensory sensitivities, accompanied by an examination of common comorbidities. The episode further addresses the significance of early diagnosis and intervention, discussing various screening tools and the benefits of catching ASD early on. We also outline an array of therapeutic approaches—from behavioral therapies like Applied Behavior Analysis (ABA) to pharmacological interventions for managing symptoms. Plus, engage with real-life case studies to illustrate ASD's diverse manifestations and the potential for tailored interventions. Join us as we untangle the complexities of ASD, fostering a better understanding of the spectrum and encouraging effective support strategies for individuals and their families.

Here’s the link for CME credit! https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098810 Host Holly Wayment brings us a grand rounds episode with Radhika B. Pillai, MD as she delves into the importance of bone health in children. With a strong foundation in cystic fibrosis research, Dr. Pillai explores critical pediatric concerns such as calcium growth, puberty disorders, diabetes, and obesity. In this episode, Dr. Pillai emphasizes the significance of bone health, highlighting its often-under appreciated role in pediatric care. She provides insights into the assessment and diagnosis of bone disorders, focusing on gathering comprehensive medical histories, conducting thorough examinations, and exploring the impacts of nutritional deficiencies. Through an engaging clinical case study, Dr. Pillai discusses diagnostic techniques, imaging methods, and laboratory tests vital for identifying conditions like vitamin D deficiency rickets. Her expertise illuminates the complex interplay of calcium and phosphate homeostasis, offering valuable perspectives on effective treatment strategies and the importance of early identification.

Link for CME Credit coming soon! Join host Holly Wayment for a grand rounds talk from Dr. Kang, a pediatrician and neonatal perinatal medicine fellow, as she delves into the world of alternative birth practices. This episode covers a range of topics including water immersion for labor, vaginal seeding, and umbilical non-severance, illustrating the growing interest in these  methods.  Dr. Kang provides an overview of the benefits and risks associated with each practice, offering insights into their prevalence and the existing medical recommendations. Understand the reasons behind the increasing popularity of these practices and their implications.  This episode provides a valuable perspective on contemporary birthing trends and highlights the importance of well-informed guidance for families exploring these options.

Link for CME Credit: https://uthscsa.edu/medicine/education/cme/pediatrics-now-podcast In this episode of Pediatrics Now, Dr. David Roberts, an Associate Professor of Psychiatry at UT Health San Antonio, returns to discuss with host Holly Wayment the impactful communication technique known as motivational interviewing. With a particular focus on engaging pediatricians and families, Dr. Roberts illustrates how this approach can facilitate open, trusting dialogues around challenging topics like vaccination and behavioral issues in children. He shares practical insights on fostering autonomy and understanding ambivalence in both parents and younger patients, ultimately aiming to support healthier choices through empathetic and skillful conversation. Join us to explore how motivational interviewing can transform interactions in pediatric practice.

link for free CME credit coming soon Join host Holly Wayment as she delves into the pressing issue of measles in Texas with Dr. Jason Bowling, a leading expert in infectious diseases. Dr. Bowling discusses where we are right now with measles, a disease that was previously declared eradicated due to vaccination, the impact on the community, and the critical role of vaccination in preventing further spread. Learn measles symptoms can mimic other viral infections, and the steps pediatricians can take to accurately diagnose and manage suspected cases. Dr. Bowling also shares insights on the importance of maintaining high vaccination rates to create a "firewall", highlighting the challenges of vaccination hesitancy and the measures needed to counter it. This episode is an essential listen for busy pediatric practitioners  in Texas, around the globe, and elsewhere in the US as they navigate the complexities of a measles resurgence. This episode includes advice about measles testing and isolation protocol.

https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098690 In this episode, host and executive producer Holly Wayment dives into  motivational interviewing (MI) with expert David Roberts, Ph.D.. Discover how this gold-standard counseling approach can dramatically improve treatment adherence for pediatric practitioners. Dr. Roberts, a seasoned psychiatrist and member of the Motivational Interviewing Network of Trainers, shares his extensive experience in training over 3,000 healthcare professionals in MI.  Roberts has a new, more flexible way for busy practitioners to learn MI. www.reflectivetraining.org Learn how to implement motivational interviewing in busy practice settings.  With insights from real-world cases, this episode is a must-listen for practitioners eager to enhance patient engagement and foster behavioral change. 

Link for Free CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098672 In this episode of Pediatrics Now, host Holly Wayment engages in a conversation with Matthew Anderson, Vice President of Customer Service at PayPal and Venmo. Together, they explore the transformative lessons that pediatric practitioners can learn from customer service practices in the corporate world. Discover how fostering professionalism and empathy among medical teams enhances patient relationships, and learn practical strategies for addressing sensitive topics such as financial discussions with grace. Anderson shares valuable insights on improving customer service in pediatrics, underscoring the power of incremental changes, relationship building, and transparent communication. Tune in for a thought-provoking discussion on creating a more patient-centered and harmonious pediatric practice.

Link for CME Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098640 Join host Holly Wayment on Pediatrics Now as she explores the intersection of medicine and customer service with Matthew Anderson, Vice President of Customer Service for PayPal and Venmo. Discover how principles from the corporate world can enhance patient care and communication in pediatric settings. Learn the significance of humanizing interactions and the critical components that can transform transactional activities into meaningful relationships. Matthew shares personal experiences and practical advice that empower practitioners and their medical teams.  Tune in and gain insights to revolutionize patient engagement and satisfaction.

Link for MOC Credit https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098633 Host and Executive Producer Holly Wayment brings us this insightful child abuse talk by Dr. Natalie Kissoon, as she shares crucial insights into recognizing child abuse in pediatric care. This episode dives deep into case-based discussions, focusing on common signs of abuse such as unexplained bruises, sentinel injuries, and abusive head trauma. Dr. Kissoon emphasizes the importance of a thorough medical evaluation and offers practical guidance for identifying hidden patterns of maltreatment.

Link for MOC Credit! https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098629 Join Host and Executive Producer Holly Wayment for this grand rounds episode for MOC credit.  We bring you a talk by Dr. Millind Pansare on FPIES, highlighting the crucial role of clinical awareness and research in combating this condition. Discover the clinical presentation, risk factors, and the significance of educational support for caregivers navigating this challenging syndrome. Join us for an informative session that seeks to empower medical professionals with knowledge about this critical pediatric health topic.

Link for CME Credit Coming Soon! Welcome to this episode of Pediatrics Now with Holly Wayment, brought to you by the Department of Pediatrics,0 as she discusses acne myths and truths with Dr. Emily Becker, the head of Pediatric Dermatology at University Health and UT Health San Antonio. Together, they delve into common misconceptions about dietary causes of acne, the importance of appropriate skincare, and effective treatment options available for adolescents. Dr. Becker shares insights from her extensive training and experience in dermatology, discussing how different types of milk can affect acne and offering practical advice on acne management, particularly for pediatricians handling cases without immediate access to dermatologists. Discover the journey of Dr. Becker from Texas to New York and back, her dedication to pediatric dermatology, and a sneak peek into her life outside medicine. Stay tuned for details on the latest dermatological treatments for conditions like eczema, alopecia areata, and some advice on avoiding harmful social media skincare trends.

Link for CME Credit: https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10098535 Join Holly Wayment on Pediatrics Now as she welcomes back Dr. Ed Brooks. In this episode, they dive into the best practices for managing tree pollen allergies, discussing the effectiveness of nasal steroids over antihistamines. Dr. Brooks also sheds light on the phenomenon of periodic fevers in children, explaining the auto-inflammatory conditions associated with such fevers and how to distinguish them from other illnesses. Explore various treatment options and the role of genetics in diseases like PFAPA and Mediterranean fever.

Link for CME Credit: https://uthscsa.edu/medicine/education/cme/pediatrics-now-podcast In this episode of Pediatrics Now, host Holly Wayment discusses Von Hippel-Lindau (VHL) Syndrome with leading experts Dr. Gail Tomlinson and Dr. Patricia Dahia from the University of Texas Health Science Center 's Department of Pediatrics and University Health.  This genetic disorder is characterized by the development of various tumors and cysts in different parts of the body, linked to mutations in the VHL gene. The conversation delves into the history and genetic mechanisms of VHL Syndrome, highlighting its rarity and complex nature. Dr. Tomlinson and Dr. Dahia provide insights into the symptoms, diagnosis, and the groundbreaking development of a new FDA-approved drug that offers hope for managing the disease's manifestations. Pediatric Practitioner Listeners will gain an understanding of how genetic research has transformed treatment options, moving towards precision medicine, and offering newfound hope for individuals with this challenging condition, and other conditions. Join us to explore the impact of precise genetic interventions and the ongoing research shaping the future of VHL Syndrome treatment. Additional sources for this episode include The New York Times and Wikipedia.