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Contenido proporcionado por Children's Hospital of Philadelphia. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Children's Hospital of Philadelphia o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
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Know What You See with Brian Lowery
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In this episode, comedian and tea enthusiast Jesse Appell of Jesse's Teahouse takes us on a journey from studying Chinese comedy to building an online tea business. He shares how navigating different cultures shaped his perspective on laughter, authenticity, and community. From mastering traditional Chinese cross-talk comedy to reinventing himself after a life-changing move, Jesse and host Brian Lowery discuss adaptation and the unexpected paths that bring meaning to our lives. For more on Jesse, visit jessesteahouse.com and for more on Brian and the podcast go to brianloweryphd.com.…
Primary Care Perspectives: Counseling for Pre-Diabetes - Episode 157
Manage episode 383593074 series 2332133
Contenido proporcionado por Children's Hospital of Philadelphia. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Children's Hospital of Philadelphia o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
Unlike diabetes, the first line of treatment for prediabetes isn’t medication — but rather lifestyle modifications. Rachana D. Shah, MD, MsTR, Medical Director of the Healthy Weight Program at Children’s Hospital of Philadelphia, reminds primary care physicians about therapeutic options, reviews the American Academy of Pediatrics’ most recent screening guidelines, highlights the risk factors of prediabetes plus how to manage it; and more.
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159 episodios
Manage episode 383593074 series 2332133
Contenido proporcionado por Children's Hospital of Philadelphia. Todo el contenido del podcast, incluidos episodios, gráficos y descripciones de podcast, lo carga y proporciona directamente Children's Hospital of Philadelphia o su socio de plataforma de podcast. Si cree que alguien está utilizando su trabajo protegido por derechos de autor sin su permiso, puede seguir el proceso descrito aquí https://es.player.fm/legal.
Unlike diabetes, the first line of treatment for prediabetes isn’t medication — but rather lifestyle modifications. Rachana D. Shah, MD, MsTR, Medical Director of the Healthy Weight Program at Children’s Hospital of Philadelphia, reminds primary care physicians about therapeutic options, reviews the American Academy of Pediatrics’ most recent screening guidelines, highlights the risk factors of prediabetes plus how to manage it; and more.
…
continue reading
159 episodios
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Primary Care Perspectives: Podcast for Pediatricians
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With their diverse work experience and unique skill sets, advanced practice providers (APPs) are able to contribute to not only the wellbeing of patients but also that of other providers. Bridget Sullivan Garmisa, MSN, MS, CRNP, RD, nurse practitioner at Children’s Hospital of Philadelphia, shares her perspective as an APP and gives insight into clinician well-being and burnout, including the varying degrees of burnout among different roles, driving factors like workplace inequality, as well as ways to spark joy in the workplace; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
As the fourth most abundant mineral in the body, magnesium is essential for regulating many bodily functions. But as a supplement — especially over the counter — it could do more harm than good. Neil Patel, PharmD, BCOP, Director of Retail and Specialty Pharmacy and Investigational Drug Service at Children's Hospital of Philadelphia, reviews different formulations and potential contraindications, and shares dosing considerations and general guidelines for treating pediatric constipation and migraine management; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
Unlike diabetes, the first line of treatment for prediabetes isn’t medication — but rather lifestyle modifications. Rachana D. Shah, MD, MsTR, Medical Director of the Healthy Weight Program at Children’s Hospital of Philadelphia, reminds primary care physicians about therapeutic options, reviews the American Academy of Pediatrics’ most recent screening guidelines, highlights the risk factors of prediabetes plus how to manage it; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
“To fast or not to fast?” When it comes to cholesterol screening, that is the question. Rachel Shustak, MD, and Jordy Martino, MSN, CRNP, an attending cardiologist and a nurse practitioner with the Lipid Heart Clinic at Children's Hospital of Philadelphia, respectively, provide answers to that age-old question plus non-pharmacologic approaches proven to lower cholesterol levels; and more. By taking the ideal screening ages, lifestyle changes and diet recommendations from the American Academy of Pediatrics (AAP) and translating them into real, practical tips for reducing the risk of cardiovascular disease, they help to settle a longstanding debate among primary care physicians.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
If there’s one lesson the COVID pandemic taught us, it is that public health lives on a local level — and in order to learn from the community, we must listen to the individual. Angela K. Shen, ScD, MPH, Visiting Research Scientist at the Vaccine Education Center at Children’s Hospital of Philadelphia, addresses growing concerns over vaccines and how physicians can help not only ease the worries of parents but also rebuild trust amidst the spread of misinformation; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
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For the first time, a preventative medicine is available to protect infants and high-risk toddlers from respiratory syncytial virus (RSV). Lori Handy, MD, MSCE, attending physician in the Division of Infectious Diseases at Children's Hospital of Philadelphia, details the science behind the monoclonal antibody, nirsevimab (Beyfortus) and its importance, safety and efficacy, side effects, administration and proven benefits, such as a decrease in morbidity, as shown by clinical trials; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
It’s hard to call an opioid overdose an accident when it happens to a young child — at home and under supervision. Some fatal poisonings are deliberate or even malicious. But such is the opioid epidemic. Christopher E. Gaw, MD, MBE, assistant professor at Nationwide Children’s Hospital, shares the latest findings from his recent study on fatal poisonings among young children. His findings include common themes, risk factors and demographic characteristics among victims; the shift from prescription to synthetic opioids; and as a result, how the emergency department has had to adapt to better counsel families on childproofing and preventing accidental ingestions; examples of community involvement and intervention; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
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When thinking about physical therapy, babies may not necessarily come to mind. But in the case of congenital muscular torticollis patients, PT can have a profound impact on their motor development into early childhood. Meredith Caverow, PT, DPT, and Kristen Kouvel, PT, DPT, PCS, physical therapists at Children’s Hospital of Philadelphia, offer primary care pediatricians the top three takeaways from their new clinical pathway: how to detect and distinguish between the three main types of torticollis, including common physical exam findings as well as anomalies to look out for, and why that distinction is important; when to consider referrals for further evaluation by a physical therapist and what parents can do with their child at home for an early as possible resolution.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
Snuffles, Hutchinson teeth and saber shins — what do these things all have in common? They are symptoms of syphilis. Also known as the “great mimicker,” syphilis can present itself in many ways. Ericka Hayes, MD, attending physician in the Division of Infectious Diseases at Children's Hospital of Philadelphia, addresses the growing problem of congenital syphilis and the rising rates of transmission from mother to child; describes the common symptoms at birth or in early infancy as found in the newborn nursery and at early newborn checkups, including the classic syphilis rash and its variations; stresses the importance of universal STI screening for teens in prevention; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
Through no fault of their own, ADHD medications often bear the misconception of being ineffective — or worse, unsafe — yet they are the first line of treatment used by many physicians, including primary care pediatricians. Katrina A. Fletcher, MD, attending psychiatrist in the Department of Child and Adolescent Psychiatry and Behavioral Sciences at Children's Hospital of Philadelphia, provides a broad overview of ADHD medications, including the highs and lows of varying treatments, from increased productivity to loss of appetite; the trial and error in determining the correct dosing; adjuncts such as behavioral interventions; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
Did you know that in the late 19th and early 20th centuries, there were “milk stations” that provided supervision of infant feeding and growth? The roots of pediatric care can be traced back to those early days, and there have been considerable changes since. With no signs of slowing down, pediatric care continues to evolve at a rapid pace. Katie K. Lockwood, MD, MEd, a pediatrician and holder of a Distinguished Endowed Chair in the Department of Pediatrics at Children's Hospital of Philadelphia, and Alex Fiks, MD, MSCE, a pediatrician, academic investigator, and the Director of both Clinical Futures (Research Center of Emphasis) and the Possibilities Project: Innovation at CHOP, review the present, past and future state of pediatric primary care, which includes the pros and cons of the electronic health record (EHR) and its evolution; the innovation of clinical decision support tools and its effect on patient outcomes; pediatric career outlooks, including expected labor shortages; and more while also offering supporting evidence and advice to trainees.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
Have you heard that babies can’t get sinusitis because they don’t have sinuses? Not true! Mark Rizzi, MD, attending physician in the Division of Otolaryngology (ENT) at Children’s Hospital of Philadelphia, provides a useful review for primary care, including: an overview of sinus formation by age; allergic rhinitis and other pre-disposing factors; how to decide if a routine URI has become sinusitis and antibiotics are warranted (you don’t necessarily need to wait 10 days); neti pots, nasal steroids and other adjuvant treatments; complications to look out for, including unremitting headache for intracranial spread; prevention tips; when to refer to ENT or the ER; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
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Somatic symptoms are real; we all experience them. One Canadian study found that somatic complaints account for more than 25% of all primary care visits. Samuel Neher, MD, pediatric hospitalist at the Children’s Hospital of Philadelphia, introduces a new clinical pathway for Somatic Symptom and Related Disorder (SSRD) that suggests a standard of care for these symptoms. Goals are to build empathetic rapport with patients and families; encourage somatic symptom treatment alongside diagnostic testing; and promote strong communication and collaboration among the interdisciplinary care team.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
1 Primary Care Perspectives: Considerations in Caring for Children in Foster Care - Episode 146 24:01
Each year in the U.S., more than 400,000 children are in foster care. Jennifer Keim, MD, MPH, primary care pediatrician at the Nicholas and Athena Karabots Pediatric Care Center of Children’s Hospital of Philadelphia, provides a review of important considerations in primary care for these vulnerable children, including: explanations of common terms, such as medical foster homes, resource parents, respite care, and more; the significance of placement instability and a trauma-informed approach to care; resources such as CHOP’s Fostering Care Program for outpatient assessment, and CASA volunteers; consent and confidentiality issues and how to sort through them; defining permanency, aging out and other outcomes and a review of national and local statistics; and more.…
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Primary Care Perspectives: Podcast for Pediatricians
![Primary Care Perspectives: Podcast for Pediatricians podcast artwork](/static/images/64pixel.png)
CHOP has a new primary care clinical pathway for the diagnostic evaluation of development delay and intellectual disability. Its co-authors, Elana Huang, MD, primary care pediatrician, CHOP Care Network, and Hana Alharbi, MBBS, MS, pediatric geneticist, University of Tabuk, Saudi Arabia (who did a fellowship at CHOP), review the pathway and how it might help a primary care practitioner, including information about: testing tiers; limits of newborn screening panels; non-genetic test recommendations; which subspecialties to refer to for certain symptoms; recommendations for next steps when encountering recognizable syndromes; and more.…
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