Category Archives: Pediatrics

Pediatrics

Fauci to Pediatricians: You Have a ‘Reservoir of Trust’ With the Public – Medpage Today

WASHINGTON -- Anthony Fauci, MD, former director of the National Institute of Allergy and Infectious Diseases, reminded pediatricians gathered here for their annual meeting that they play a key role in public health.

While there's been concern about an erosion of trust in science, Fauci said, the "reservoir of trust that you as pediatricians have built every day increases our chance to realize the full potential of what we have to offer our children, our young adults, and in fact everyone throughout the world."

Mostly, that's "proven vaccines and medicines that we already have to keep our people healthy, as well as the anticipation of the promise of the development of new medical tools in the future," said Fauci, who spoke during the Monday plenary session at the American Academy of Pediatrics (AAP) annual meeting here.

Fauci was at the meeting to receive an Honorary Fellow designation, which, according to the AAP, "represents the highest distinction and expression of gratitude by the Academy."

Sandy Chung, MD, president of the AAP, presented Fauci with the honorary designation, noting that "pediatricians are no strangers to the vast misinformation and disinformation that became increasingly prevalent during the last few years. And we're so grateful for Dr. Fauci's steadfast leadership, guiding our nation's response in that especially trying time."

Fauci, who is also the former White House chief medical advisor to the Biden administration, said he was "truly humbled and honored" to accept the honorary fellowship.

"When I was first contacted about whether I'd be willing to come here to receive this, my thought was, 'are you kidding -- of course,' for a number of reasons," he continued.

"One, for the great deal of respect that I have for, not only your organization, but for the entire field of pediatrics, but also to take this opportunity -- which I don't get to do often in a venue such as this -- to really sincerely thank you for what you have done throughout your entire careers as pediatricians," Fauci said. "But particularly, you've been the shining light over the last 3 years -- 3 years, 9 months, and 42 days, but who's counting -- of the COVID outbreak."

Following Fauci's remarks, the plenary session featured presentations on issues currently affecting pediatric practice, including the pediatric mental health crisis and the legal landscape of abortion.

Joan Jeung, MD, MPH, of the University of California San Francisco, detailed how relationships can be leveraged to address a national emergency in child and adolescent mental health.

"Children exposed to four or more ACEs [adverse childhood experiences] have roughly double the odds of being diagnosed with asthma, five times the odds of being diagnosed with ADHD, about four times the odds of facing teen pregnancy or depression, and 32 times the odds of having any learning or behavior problem," Jeung said. "But we are in this because we know that adversity is not destiny."

"The scientific literature around what promotes resilience in children shows us that the children who go on to do well have had at least one stable and committed caring parent or other adult caregiver in their lives," she noted. "Relationships are so important that we can think of them as a vital sign. Just as we measure heart rate, blood pressure, height, and weight because they tell us important things about the state of that child's health and trajectory that they're on, we should also look at the state of caregiving relationships around the child."

This involves partnering with patients and their caregivers, and creating a plan together, she explained, as well as having empathy and using listening as an intervention.

In the last presentation, Katie Watson, JD, of Northwestern University Feinberg School of Medicine in Chicago, noted that 12% of abortion patients are 19 years old or younger, while 59% are mothers. "Many moms and kids in your office have needed, or will need, an abortion," she said.

So, what can pediatricians do?

"Well, first of all, maximize flourishing within the laws," Watson said. "And what that means, of course, is doubling down on health education or contraceptive access, and then when ... unwanted pregnancies occur, focus on counseling and referrals."

"And then also, I urge you to work towards changing the law to maximize family flourishing," she added. "We don't agree on abortion, that's okay. But in your role as healthcare providers focusing on the ethics of access."

Jennifer Henderson joined MedPage Today as an enterprise and investigative writer in Jan. 2021. She has covered the healthcare industry in NYC, life sciences and the business of law, among other areas.

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Fauci to Pediatricians: You Have a 'Reservoir of Trust' With the Public - Medpage Today

Pediatrics

Lee Health Reminds the Southwest Florida Community that … – South Florida Hospital News

October 24, 2023 As children and teenagers gear up for fall sports, Lee Health wants to remind the Southwest Florida community that pediatric electrocardiograms (EKG) are an easy and painless test to measure the electrical activity of childrens and teenagers hearts.

An EKG records the electrical signal from the heart to check for different heart conditions, listens to the rhythm of the heartbeat, the size of the chambers of the heart and the amount of blood going to the heart muscle itself.

All children and teenagers benefit from getting an EKG that helps identify any potential problem that warrants a follow-up with a cardiac specialist, said pediatric cardiologist, Dr. Eric Eason. Preventive medicine and peace of mind can help save lives and enable our children and loved ones to live full and happy lives.

According to the Centers for Disease Control and Prevention (CDC), in 2010, one in 250 to one in 59 children and teenagers were living with a congenital heart defect in certain areas of the United States.

A couple of years ago, the American Academy of Pediatrics called for all children to be screened for conditions that can lead to cardiac arrest or death, regardless of their athletic status and particularly as they enter middle school or junior high school.

Ongoing specialty care helps people with heart defects live as normal and fulfilling a life as possible, especially when detects are found and established early.

Golisano Childrens Hospital of Southwest Florida offers free EKG testing to middle and high school-aged athletes. The free EKGs are available without an appointment. More information can be found by visiting https://www.leehealth.org/our-services/pediatric-cardiology/youth-heart-screening.

Marcella McIntyre took advantage of the free EKG when she brought her 17-year-old daughter in for a test.

My daughter had headaches and I brought her in for the free pediatric EKG. She plays soccer and I wanted to rule everything out and make sure she doesnt have anything to be concerned about when it comes to her heart, McIntyre said. It was easy and you dont need to make an appointment. We only waited about 10 minutes and it gave us both peace of mind. I think every child and teenage athlete should do it. Its good to know where you stand.

Lee Health also works with national organizations like Who We Play For to provide free EKG screenings for children and teenagers at various community events throughout the year.

If your child is presenting any of the below symptoms of a heart problem, consult your childs primary care physician or pediatric cardiologist:

For more information, please visit http://www.leehealth.org.

About Lee Health

Since the opening of the first hospital in 1916, Lee Health has been a health care leader in Southwest Florida, constantly evolving to meet the needs of the community. A non-profit, integrated health care services organization, Lee Health is committed to the well-being of every individual served, focused on healthy living and maintaining good health. Staffed by caring people, inspiring health, services are conveniently located throughout the community in four acute care hospitals, two specialty hospitals, outpatient centers, walk-in medical centers, primary care and specialty physician practices and other services across the continuum of care. Learn more at http://www.LeeHealth.org.

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Phoenix Childrens will train first responders for pediatric 911 calls – Arizona Big Media

In an effort to improve prehospital care of children facing medical emergencies, Phoenix Childrenswill host the EMS and Prehospital Care Conferenceon Oct. 30 at the Wild Horse Pass Resort, located at 5040 Wild Horse Pass Blvd. in Chandler.

Phoenix Childrens physician experts will headline the event, that will bring together nearly 1,000 first responders, doctors, nurses, allied health professionals and other medical providers from across Arizona.

Ranking Arizona: Top 10 hospitals for 2023

Every second counts in an emergency, especially when children are involved said Julie Augenstein, MD, emergency department physician and EMS Base Hospital medical director at Phoenix Childrens. We want to make sure first responders have access to the knowledge and tools they need to provide immediate life-saving care for Arizonas children, who come with different symptoms, ways of communicating and require different treatments than adults.

This is the fifth EMS conference Phoenix Childrens has produced. The health system prioritizes this training to ensure EMS partners can recognize pediatric-specific symptoms and know how to help stabilize Arizonas youngest patients. The goal is to ensure children arrive at the hospital in the best condition possible.

The day-long event will provide training in emergency care for infants and children experiencing trauma, heart issues, heat-related illnesses, sepsis, complications after a home birth and other serious and life-threatening emergencies. Emergency medical technicians, paramedics and nurses can earn up to six accredited pediatric continuing education hours.

The conference will also include an address by Shaughn Maxwell, a nationally acclaimed leader, speaker and writer about human factors, performance, leadership and community paramedicine. Maxwell has more than 30 years experience in fire service and currently oversees EMS and Community Paramedic Operations for more than 300 firefighters who respond to 30,000 calls annually in South Snohomish County in Washington.

Phoenix Childrens is a communications hub for pediatric emergencies, providing guidance to EMTs, paramedics and firefighters in the field regardless of whether the patients final destination is Phoenix Childrens or another hospital.

The Phoenix Childrens Hospital Thomas Campus Emergency Department is an Advanced Life Support (ALS) Base Hospital verified by the Arizona Department of Health Services specifically for pediatrics. Phoenix Childrens is the only childrens hospital inArizonato earn this accreditation.

The health system has pediatric emergency departments at Phoenix Childrens Hospital Thomas Campus and the new Phoenix Childrens Avondale Campus, which opened in July 2023. Phoenix Childrens will further expand its number of pediatric emergency departments in 2024 with the openings of Phoenix Childrens Hospital Arrowhead Campus and Phoenix Childrens Hospital East Valley Campus.

The EMS and Prehospital Care Conference will also feature an exhibitor hall with vendors who provide services to first responders. This years exhibitors include Maricopa Ambulance, Banner Air, Native Air, Guardian Air, Gila River EMS, Gila River Health Care, Grand Canyon University, Blueline AZ Homes brokered by My Home Group, Ruiz Team at Prime Lending, Academy of Emergency Arts and many others.

First responders are encouraged to register in advance for the conference at https://ems.phoenixchildrens.org/.

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Pediatrics

Pediatrics Office Plans Move To Hindman Road – ButlerRadio.com – Butler, PA – butlerradio.com

A local medical provider is planning to build a new and larger facility in Butler Township.

The Butler Township Planning Commission has recommended conditional approval to a land development proposal made by Quick Care Medical for a vacant lot along Hindman Road.

Owners would like to construct a single-story, over 5,000-square foot building for use by a pediatrics practice. The business is currently located in Moraine Pointe Plaza, but has outgrown that space. The new building will also have room for a family practice and a day spa. Some questions about stormwater management remain to be answered.

This proposal will next move on for a vote at the Butler Township Commissioners meeting later this month. If given final approval, work could begin as soon as all necessary permits have been received.

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Pediatrics

Health officials address spike in pediatric brain abscess cases, still considered ‘rare’ – News3LV

Health officials address spike in pediatric brain abscess cases, still considered 'rare'

Cases of pediatric brain abscesses increased nearly threefold in 2022, according to the Southern Nevada Health District (SNHD).

On average, Clark County would have approximately five cases a year, but that number jumped to 18 last year. The sharp increase triggered a Centers for Disease Control (CDC) investigation and public health advisory from the SNHD.

Dr. Taryn Bragg is the only pediatric neurosurgeon in the state of Nevada. Because of that distinction, she was the first to treat all of the patients and noticed a pattern emerge. She recalled the CDC had been investigating similar increases in other states and asked them to investigate in Southern Nevada as well.

The findings were presented last Thursday at the CDC's Epidemic Intelligence Service Conference, as first reported by CNN.

"This is not the typical cold. This is not 'I have a mild headache. I have a low-grade fever. I might have some drainage from my nose.' This is severe symptoms, severe headache, lethargy, seizures, weakness, they may have even noticed swelling in the face or in the eyes," said Dr. Bragg. "And so these are things that are not subtle, you're not going to miss it."

Dr. Bragg said it was easy to detect an increase once she had eleven cases in a four or five-month period beginning Spring 2022. She wanted pediatric providers across Nevada to know about this increase so that they might consider imaging or increasing treatment for children who were showing symptoms of sinus or ear infections.

Dean Marc J Kahn with the Kirk Kerkorian School of Medicine in Las Vegas said the increase to 18 cases meant it's still a rare occurrence, but that it warranted some scrutiny.

"The case numbers are small. We don't know why we've seen this spike in cases, although they have gone down over the past several weeks, two months," said Dr. Kahn. "For parents, I think this is an unusual event. I think that, again, we want our kids to be vaccinated, and up to date on vaccinations. We want our kids to eat healthy, and we want them to be healthy."

Brain abscesses occur when bacteria or fungi that circulate in the blood get to the brain, causing an infection in the brain, Kahn said. When that happens, inflammatory cells fight the infection and create a walled off cavity (an abscess), which contains dead immune cells, frequently called pus.

Dr. Bragg was involved in all of the surgeries needed to treat the children with abscesses. She said it can be a lengthy process with up to six surgeries, some of which require portions of the skull to be temporarily removed for brain swelling. All of the children either fully recovered or are near full recovery, she said.

Dean Kahn from the UNLV Medical School called it a fortunate and unfortunate situation since Las Vegas and Nevada are lagging in pediatric care without a freestanding children's hospital, as outlined in a News 3 special report.

"One thing that a freestanding children's hospital brings to a community is the wide spectrum of specialists and subspecialists in pediatrics, including a pediatric neurosurgeon," said Kahn. "Unfortunately, we only have one pediatric neurosurgeon for our entire community. Fortunately, she was able to see the patients that we're talking about. But this really does underscore the need for a freestanding children's hospital in our community."

So far, the CDC investigation has not determined the exact cause for the rise in brain abscesses both in Nevada and elsewhere, but there are some theories. Since it's a respiratory illness, COVID infections were considered, but a majority of the patients did not have COVID.

Another consideration is something called "immunity debt," where children didn't build up typical immunities due to social distancing during the pandemic.

"We still don't have a clear answer for what might have potentially caused that within our county," said Dr. Jessica Penney, CDC Epidemic Intelligence Service (EIS) Officer. "But we hope by bringing this to everyone's awareness, we'll be able to continue to work with our local state and federal partners to continue monitoring and research."

Health officials also want to stress that the brain abscesses aren't contagious.

"So the big question that's come up, 'Well, is it the masks? Or 'Should we still be wearing masks?'" said Bragg. "This isn't something that's sitting next to their best friend on the school bus on the way home that they're going to be at risk for developing a sinus infection."

Dr. Bragg said parents do need to keep an eye on their children and take them to the hospital or a doctor should extreme symptoms present themselves.

According to the SNHD health advisory, the median time from symptoms to hospitalization reported was 7.5 days.

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Health officials address spike in pediatric brain abscess cases, still considered 'rare' - News3LV

Pediatrics

American Academy of Pediatrics Names First Chief Health Equity … – American Academy of Pediatrics

Dr. Joseph L. Wright to lead the AAP Equity Agenda and implement a national strategy to promote health equity for all children

ITASCA, IL Joseph L. Wright, MD, MPH, FAAP has been hired by the American Academy of Pediatrics (AAP) to lead and advance the organizations Equity Agenda. He will oversee and implement the Academys national strategy to promote and achieve health equity for all children, as well as efforts for the Academy to become an equitable, diverse and inclusive organization.

Dr. Wright is the first person to serve in the role of Chief Health Equity Officer at AAP. In this role, he will provide strategic guidance to the AAP Board of Directors, the CEO and AAP leadership on all health equity, diversity, and inclusion efforts, integrating clinical, public health and societal perspectives and approaches to improve health and health care disparities.

The AAP has already greatly benefited from Dr. Wrights leadership in many areas, and we are incredibly pleased to now have the opportunity to bring him on board to lead our national equity agenda, said Mark Del Monte, JD, CEO/Executive Vice President of the AAP. This work is crucial and Dr. Wright brings a breadth and depth of knowledge, experience and wisdom that will help AAP make a meaningful impact in the lives of children and families.

Dr. Wright is a former member of the AAP Board of Directors and previous chair of the AAP Board Committee on Equity. His AAP leadership roles have also included chairing the AAP Committee on Pediatric Emergency Medicine and the AAP Task Force on Addressing Bias and Discrimination. Dr. Wright has been recognized by the Academy for his long-standing leadership as recipient of two career achievement awards for distinguished contributions to the disciplines of injury prevention and emergency medicine, and last year was recipient of the inaugural AAP Equity, Diversity, and Inclusion Excellence Award.

Dr. Wright is currently Chief Health Equity Officer of the 12-hospital, 30,000 employee University of Maryland Medical System. He previously served as tenured Professor and Chair of Pediatrics at the Howard University College of Medicine, and as Senior Vice President at the Children's National Hospital, both in Washington, DC. Dr. Wright is a board-certified pediatric emergency physician with scholarly interests that include injury prevention, prehospital pediatrics, and the needs of underserved communities. He has contributed more than 120 publications to the scientific literature, served more than 30 visiting professorships, and was a principal investigator of the NIH-funded DC-Baltimore Research Center on Child Health Disparities. Dr. Wright is an elected member of the Alpha Omega Alpha (medicine) and Delta Omega (public health) honor societies, the American Pediatric Society for which he co-chairs the Committee on Diversity, Inclusion and Equity, and is the 2023 recipient of the Terrapin Award the highest honor conferred by the University of Maryland School of Public Health.

Dr. Wright provides national leadership through advisory and governance service to several health and human service entities including the Association of American Medical Colleges, the March of Dimes, and Safe Kids Worldwide as well as having previously served as an Obama administration appointee to the Pediatric Advisory Committee of the Food and Drug Administration. Dr. Wright earned a B.A. from Wesleyan University in Middletown, CT, his M.D. from Rutgers New Jersey Medical School, and a Master of Public Health in Administrative Medicine and Management from George Washington University.

I am thrilled to join AAP and help to continue the transformative work of ensuring that children and families attain their highest level of health along the path to equity. said Dr. Wright.

Dr. Wright will continue to work with the AAP in a volunteer capacity until he officially assumes the role of Chief Health Equity Officer and Senior Vice President, Equity Initiatives, in September.

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The American Academy of Pediatrics is an organization of 67,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit http://www.aap.org or follow us on Twitter @AmerAcadPeds.

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Community trauma focus of Pediatrics Community Health and … – University at Buffalo

Physicians training in UBs pediatrics residency program provide care for children at local clinics and at John R. Oishei Childrens Hospital.

They also play key roles advocating for children and families through collaborations with a variety of community organizations. The work of these UB physicians and the organizations they work with will be highlighted at the Community Health and Advocacy Conference taking place from 7:45 a.m. to 1 p.m. May 5 in the atrium of the Jacobs School of Medicine and Biomedical Sciences at UB.

Hosted by the UB pediatrics residency program and the Department of Pediatrics, the event is in person, with a virtual option. Register at this link.

Nearly 100 people from community-based organizations will attend, including individuals from local school districts, community health centers, refugee services, education centers, restorative justice coalitions and many others.

The conference is an effort to create an environment where our pediatric attending physicians, trainees, medical students and other health care professionals can collaborate with community-based organizations around important community health topics, says Sarah J. Ventre, clinical assistant professor of pediatrics in the Jacobs School,physician with UBMD Pediatricsand lead conference organizer.

In light of the traumas our community has faced recently, we felt that trauma prevention was an important topic to focus on and to bring community members together with health care professionals in an interdisciplinary way.

The schedule:

8 to 9 a.m.: Christopher St. Vil, UB assistant professor of social work, will give the grand rounds address, All Hands on Deck: Implementing a Community Violence Intervention Ecosystem in Buffalo, N.Y., Grounded in a Multidisciplinary Approach.

St. Vil will discuss how people in various positions, from physicians to social workers to community members, can address trauma and trauma prevention. He will discuss evidence-based models, including local examples like Buffalo SNUG (Should Never Use Guns) and Buffalo Rising Against Violence (BRAVE).

9 to 10 a.m.: Pediatric residents will do poster presentations on their community health advocacy projects.Topics range from urban gardens, food insecurity, vaccine hesitancy among teens and how to educate providers and the public about child abuse to inspiring children in diverse populations to pursue medicine as a career and diaper equity, the issue around the fact that since there is no exclusive government assistance program to cover the cost of diapers, low-income families are sometimes forced to be more sparing in their use of diapers. That, in turn, creates health problems for the child.

10a.m. to noon: Breaking Down Silos: Finding an Approach to Trauma Prevention That Fits into Your Roles, a panel discussion facilitated by Whitney Mendel, research scientist, Roswell Park Comprehensive Cancer Center. Panelists include Sourav Sengupta, associate professor of psychiatry and pediatrics in the Jacobs School and director of training in adolescent and child psychiatry; Luanne Brown, executive director, Buffalo Prenatal Perinatal Network; and Mia Ayers-Gross, executive director, Most Valuable Parents.

An interactive workshop will follow the panel.

Ventre explains that medical residents in pediatrics are required by the Accreditation Council for Graduate Medical Education to participate in advocacy, which serves to connect pediatricians closely to community organizations.

There may be gaps in care that our families and children are facing that we may not be able to address in 15 minutes in the office, so its our job to work in partnership with community organizations who can help address the systemic issues these families are facing, Ventre says.

And while it might seem that advocacy work is yet another task on top of the often-brutal schedule many pediatricians have, Ventre notes that advocacy work actually turns out to be a positive.

Doing advocacy has been shown to increase wellness and resilience for physicians, she says. It decreases burnout. When you are seeing the same issues over and over and you arent part of the solution, then you are running on a treadmill. But when you are part of the solution and part of fixing things, you feel, This is why I went into medicine.

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Pediatric Oral Immunotherapy Clinic launched | VUMC Reporter … – VUMC Reporter

by Christina Echegaray

Monroe Carell Jr. Childrens Hospital at Vanderbilt has launched a new pediatric Oral Immunotherapy Clinic, which offers a special therapy to peanut-allergic children to reduce risk of a harmful immune response in the event of accidental exposure to peanuts.

Led by Rachel Glick Robison, MD, associate professor of Pediatrics within the Division of Pediatric Allergy, Immunology and Pulmonology, the clinic is located within the Allergy Clinic at Vanderbilt Health One Hundred Oaks.

Around for nearly two decades, oral immunotherapy (OIT) involves a patient eating small, but increasing, amounts of their specific allergen daily over a period until reaching a maintenance level dose. The process is known as desensitization. The maintenance dose is lifelong and must be consumed daily for continued protection.

The most important thing I tell families is that this is not a curative therapy at this point. This is a way to give you a level of protection against accidently ingesting the allergen in your daily life. We know that if you tolerate the therapy amount, then you would tolerate small amounts of the allergen if you were accidentally exposed. They also still have to carry epinephrine injectors, said Robison.

Food allergies affect about 1 in 13 children in the United States. Within that group, about 2.5% of all children have a peanut allergy. That number has steadily risen since 2010, with one study showing that by 2017, there was an estimated 21% increase in peanut allergies in the U.S.

A food allergy is a medical condition in which exposure to certain foods triggers a harmful immune response, which can range from mild (itchiness, hives) to severe or life-threatening (difficulty breathing, throat tightening). The top eight most common food allergies are: peanuts, tree nuts, milk, egg, wheat, soybeans, shellfish and fish.

Each year, about 200,000 people require emergency medical care for allergic reactions to food, according to the organization Food Allergy Research & Education.

OIT, Robison says, offers families the chance to broaden their life activities a bit, lessening some of the apprehension of daily exposure to peanuts for fear of ending up in the emergency room.

If someone has been apprehensive to travel or eat at restaurants, this can provide some benefits for them. Ive also seen people who, as their child gets older and is approaching school age or college, have concerns about accidental ingestion. For those people who really want some protection against accidental ingestion, we know OIT therapy can help provide that.

But OIT isnt for everyone. Robison says she sits down with families for an extensive conversation about all the benefits as well as the risks. She also needs to understand if a child has any other allergic disorders and a familys lifestyle/habits to ensure compliance to the daily dosing regimen. Some people would rather practice avoidance and not have the daily responsibility.

The clinic currently uses the only FDA-approved OIT for peanut allergy, PALFORZIA, which is approved for children ages 4 to 17.

The first couple doses are given in the OIT Clinic under observation. Each level of dosing lasts about two weeks over about six months until the maintenance dose is reached. Currently, the maintenance dose is lifelong.

Robison, who arrived at Vanderbilt in February 2022, previously helped build a food allergy clinical trials program at Lurie Childrens Hospital of Chicago, and she hopes to help develop something similar at Monroe Carell as understanding and therapies for food allergies continues to evolve.

I do believe OIT will likely be done earlier with more regularity and in younger kids at diagnosis, she said. But OIT is not necessarily a perfect fit for every individual, so there is still a lot of room for other options and therapies that are hopefully coming down the pipeline soon.

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Pediatrics

Parents’ Awareness and Attitude Toward Pediatrics Eye Diseases in … – Cureus

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