• Understanding and Managing School Refusal in Children
    Sep 27 2024

    Music.

    Pediatrics Now is brought to you by the Department of Pediatrics at the University of Texas Health Science Center at San Antonio and University Health's new Women's and Children's Hospital. Today, I'm bringing you a talk about school refusal from an expert in pediatric psychiatry. This talk is by Dr. Thomas Matthews, a pediatric psychiatrist with over 20 years of experience. He received his medical degree in 1997 from the University of Texas Health Science Center at San Antonio and completed his internship, clinical fellowship, and residency there as well. He is currently the medical director of Clarity Outpatient Psychiatry.

    Let's listen in.

    Dr. Matthews discusses the importance of understanding learning performance, social interaction, and emotional well-being in children. He highlights the different learning styles and the importance of finding the right learning environment to prevent anxiety. He also explores the impact of COVID-19 on children's anxiety levels, particularly the need for social interaction and the challenges faced by introverted children.

    Dr. Matthews explains the concept of school refusal, its signs, and common triggers such as transitions, bullying, and changes in family dynamics. He shares insights on how to identify specific school situations that cause anxiety and the importance of addressing these issues holistically.

    He also provides practical tips on gradually increasing school attendance, managing reward-based school refusal, and the role of parents and schools in supporting children with anxiety. Additionally, Dr. Matthews emphasizes the need for a multifactorial approach to treatment, including therapy, family support, and, in some cases, medication.

    The episode concludes with a discussion on the role of pediatricians in supporting families and the benefits of the T-Chat program for addressing school refusal.

    We hope you've enjoyed this episode of Pediatrics Now. Click on the link for free credit if you're a practitioner. You can also email us with questions or episode ideas. That address is pediatricsnow at U-T-H-S-C-S-A dot E-D-U. We release a new episode every Friday. I'm Holly Wayment. I hope you can join us for our next episode.

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    51 mins
  • Ear Infections Part Two: Otitis Externa
    Sep 20 2024

    Ear Infections Part Two: Otitis Externa

    CME Link:

    https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097898

    Welcome to "Pediatrics Now" brought to you by the Department of Pediatrics, with host and executive producer. Holly Wayment. In this episode, we delve into Otitis Externa with expert insights from Dr. Erica Sher and Dr. Nadine Haykal , pediatric ENT specialists from University Health and the University of Texas Health Science Center at San Antonio.

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    24 mins
  • Ear Infections Part One: Otitis Media
    Sep 14 2024

    Ear Infections Part One: Otitis Media

    Episode 2: Ear Infections

    https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097856

    FACULTY: Erica Sher, MD is an Assistant Professor in the Department of Otolaryngology at UT Health San Antonio.

    Nadine Haykal, MD is an Assistant Professor with the Department of Otolaryngology at the University of Texas Health Science Center in San Antonio.

    OVERVIEW: In this episode, host Holly Wayment from UT Health San Antonio's Department of Pediatrics is joined by Dr. Erica Sher and Dr. Nadine Haykal, pediatric ENT specialists with University Health , to delve into the complexities of diagnosing and treating pediatric ear infections. Our experts share their journeys into pediatric ENT, highlight the importance of compassionate care, and provide practical advice for managing ear infections. They discuss the challenges of diagnosing ear infections, the appropriate use of antibiotics, and the criteria for referring patients to specialists. This episode also covers guidelines for treatment, the role of tympanometry, and the importance of distinguishing between otitis media and eustachian tube dysfunction.

    Here are some guidelines.

    OVERALL LEARNING OBJECTIVE: Increased awareness and education for pediatric providers

    DISCLOSURE TO LEARNERS: Erica Sher, MD and Nadine Haykal, MD have 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 1.00 AMA PRA Category 1 Credits™.

    Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    CERTIFICATE OF ATTENDANCE: Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance. Credit may be obtained upon successful completion of the activity’s evaluation. RELEASE DATE: 9/13/2024

    EXPIRATION DATE: 8/31/2027

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    39 mins
  • Good Bugs Gone Bad: The Microbiome in Health and Disease
    Sep 6 2024
    Good Bugs Gone Bad: The Microbiome in Health and Disease Link for MOC Credit:

    https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097795

    FACULTY: David Haslam, MD is a Professor of Pediatrics in the Division of Infectious Diseases at Cincinnati Children’s Hospital. This podcast is brought to you by the Department of Pediatrics at UT Health San Antonio. Join Holly Wayment on this grand rounds episode of Pediatrics Now with Dr. David Haslam, a distinguished professor of pediatrics specializing in infectious diseases at Cincinnati Children's Hospital. Dr. Haslam delves into the intricate relationship between the microbiome and pediatric health, emphasizing how antibiotic prescribing practices can disrupt the microbiome and increase the risk of infections. He shares groundbreaking research on the role of the microbiome in childhood diseases, the impact of antibiotics on microbial diversity, and the potential for microbial sequencing to improve antibiotic stewardship. This episode is packed with valuable insights for pediatric practitioners aiming to enhance antibiotic knowledge and stewardship.
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    1 hr and 5 mins
  • Epilepsy Update
    Aug 30 2024

    Epilepsy Update

    https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097704

    Welcome to the latest episode of Pediatrics Now, brought to you by the Department of Pediatrics. This week, we're honored to have Dr. Daniel Lapid, a distinguished new member of the neurology team at the University of Texas Health Science Center. Dr. Lapid shares how his role as a pediatric neurologist and father has shaped his approach to patient care.

    In this episode, we dive deep into the advancements in pediatric epilepsy treatment, focusing on Responsive Neurostimulation (RNS) and its recent application in children. Dr. Lapid explains how this innovative device works, the conditions it treats, and its potential benefits for young patients with epilepsy.

    We also explore the crucial topic of infantile spasms, discussing their symptoms, diagnosis, and the importance of early intervention. Dr. Lapid provides valuable insights on the treatment options available, including the ketogenic diet, and shares a compelling case study to illustrate these points.

    Finally, we touch on the significance of strong patient-doctor communication and the impact of personal experiences on medical practice. Dr. Lapid's passion for neurology and dedication to improving patient outcomes shine through in this informative and engaging episode.

    Here’s more about Lennox-Gastaut syndrome.

    Don't miss this enlightening discussion on the latest developments in pediatric epilepsy care.

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    35 mins
  • The Future of Vaccines: An Interview with the Doctor Who Created the First Fully Humanized Immune Systems in Mice
    Aug 24 2024

    The Future of Vaccines: An Interview with the Doctor Who Created the First Fully Humanized Immune Systems in Mice

    Episode 49:

    https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097543

    Welcome to Pediatrics Now, hosted by Holly Wayment. In this episode, we are honored to have Dr. Paolo Casali from the University of Texas Health Science Center at San Antonio, a distinguished professor with groundbreaking research in immunology. Dr. Casali and his team have developed the first fully humanized immune system in mice, a monumental achievement that could revolutionize medicine for years to come.

    Dr. Casali explains the detailed process of creating these humanized mice, which involves grafting human hematopoietic stem cells into immunodeficient mice, resulting in a fully functional human immune system. He shares the significance of this breakthrough, including its potential impact on vaccine development, drug testing, and cancer therapies.

    Through engaging discussions, Dr. Casali highlights the challenges and triumphs of his research journey, offering listeners an inspiring glimpse into the future of medical science. Tune in to understand how these humanized mice can pave the way for better vaccines and targeted therapies, ultimately reducing the need for animal testing and advancing human health.

    Don't forget to click on the link in this podcast for a free credit that may include CME, MOC, or ethics credit, depending on our topic or podcast. For more information, visit our website at www.pediatricsnowpodcast.com.

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    45 mins
  • What's a "Leadiatrician?" And How to Become One
    Aug 16 2024

    What's a "Leadiatrician?" And How to Become One

    CME Credit Link:

    https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097110

    Join host Holly Wayment on this episode of Pediatrics Now, where she sits down with Dr. Lewis First, the Chief of Pediatrics at the University of Vermont and Chief Editor of the American Academy of Pediatrics journal, Pediatrics. Dr. First shares his passion for pediatrics, emphasizing the importance of caring, education, and community involvement in medical practice.

    Dr. First discusses the significance of maintaining the joy, the role of medical education in improving pediatric care, and the need for healthcare providers to stay connected with their communities. He highlights the concept of being a "leadiatrician" and shares practical tips for fostering a supportive and effective medical environment.

    Tune in to learn how to keep the inspiration alive in your practice, engage with your community, and ensure that every patient feels valued and cared for. Don't miss this insightful conversation that will leave you motivated to keep making a difference in the lives of children.

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    50 mins
  • Pediatric Surgery Update for Office-Based Pediatricians
    Aug 13 2024

    Link for free CME credit:

    https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10097109

    Welcome to Pediatrics Now, hosted by Holly Wayment, your go-to podcast for cases, updates, and discussions for the busy pediatric practitioner. Today's episode features a deep dive into pediatric surgery for office-based pediatricians with guest Dr. Ian Mitchell, Associate Professor of Surgery at UT Health San Antonio and Chief of Pediatric Surgery at University Hospital.

    The discussion covers essential updates in pediatric surgery, including the management of spontaneous pneumothorax, empyema, and umbilical hernias. Dr. Mitchell also introduces the PIRS technique for inguinal hernias and revolutionary treatments for pilonidal disease.

    Don't miss this insightful episode filled with the latest advancements in pediatric surgical care.

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    56 mins