Guest: Roy Sanders

Dr. Roy Sanders, author of How To Talk to Parents About Autism, speaks frankly with host Dr. Bill Rutenberg about his own family experience in learning of his son's autistic spectrum disorder. He discusses his family's journey and the dynamics involved in caring for a child with special needs. Dr. Sanders also talks about his professional work as director of psychiatric services at the Marcus Institute in Atlanta, an organization which works with children who have developmental disabilities.

Guest: Marlene Schwartz

Studies show that people who eat breakfast have better overall nutrition, improved cognitive functioning and are less likely to be overweight. What should we advise our pediatric patients to eat for breakfast? Up to 50% of school-aged children eat cereal for breakfast. How much nutritional value is present in cereal? How best can we advise parents on feeding their children? Dr. Marlene Schwartz, deputy director for the Rudd Center for Food Policy and Obesity at Yale University, describes her research into children's nutrition with host Dr. Leslie Lundt.

Guest: Bruce Komiske

As if finding treatments and cures for diseases and injuries of children was not a big enough of a challenge for researchers, try your hand at building a facility to meet tomorrow's needs for specialized pediatric care. Bruce Komiske, chief of hospital design and construction at the Ann and Robert H. Lurie Children's Hospital of Chicago, tells host Bruce Japsen about the complex and rewarding challenges involved in planning and building new pediatric facilities.

Guest: Jill Grimes

The Centers for Disease Control (CDC) has indicated that 19 million Americans — including one in four teenage girls — are infected with at least one sexually transmitted disease (STD). As physicians, we know that these diseases are far more common than most people think. But are we doing our best to educate our patients and provide appropriate screening measures? How can physicians work to debunk common public misconceptions about STDs? Dr. Jill Grimes, a practicing family physician in Austin, Texas, and author of Seductive Delusions: How Everyday People Catch STDs, addresses a series of erroneous beliefs about STDs and offers counsel on the most effective ways for physicians to help tackle this critical public health problem. Dr. Jennifer Shu hosts.

Guest: Ron Pollack

As the health reform law breaks down hurdles to medical care coverage until it is fully implemented in 2014, the nation's children will be among the first benefactors during the first year of the law's implementation. Ron Pollack, founding executive director of Families USA, a Washington-based advocacy group for healthcare consumers, tells host Bruce Japsen about the law's benefits for children, such as health insurers' inability to deny coverage to children with pre-existing medical conditions.

Guest: Jonathan Fanaroff

About 500,000 births in the US every year are pre-term, making premature delivery far from uncommon. And with the increasing survival of pre-term infants, parents and caretakers are having to make more difficult decisions then ever before. How are prenatal consultations beneficial, and when is the most appropriate time for physicians to have a prenatal discussion with parents? Dr. Jonathan Fanaroff, associate medical director of the Neonatal Intensive Care Unit at Rainbow Babies & Children's Hospital and director of the Rainbow Center for Pediatric Ethics in Cleveland, Ohio, suggests strategies for approaching this type of conversation with parents, and emphasizes the role of these discussions in strengthening the relationship and trust between physicians and parents. Dr. Maurice Pickard hosts.

Guest: Kimberly Comparetto

Alcohol, ecstacy and marijuana use has always been an issue for teens in the United States, but there are other alarming trends as well. More than five percent of 12 year-olds in this country say they have abused prescription drugs. As a medical professional on the front lines, how do you talk to teens and their parents if you suspect an addiction problem with your patients? Kimberly Comparetto, a psychiatric mental health NP who works in the adolescent in-patient unit of Spring Harbor Hospital in Westbrook, Maine, joins host Mimi Secor to talk about risk factors, warning signs, treatment options and ways to open the lines of communication between patients and parents who may have a child with an addiction problem.

Guest: Andrea Asnes

Although young patients and their families may present with troublesome behaviors or unrealistic expectations, it is the pediatric practitioner's responsibility to uphold the principles of professionalism and steer the doctor-patient encounter toward its best outcome. With this is mind, many practitioners may welcome the sound advice of Dr. Andrea Asnes, assistant professor of pediatrics at the Yale University School of Medicine, who joins host Dr. Cathleen Margolin to talk about strategies to successfully navigate the difficult pediatric encounter.

Guest: Christina Robohm

How does a PA handle the situation when a parent does not want to vaccinate their child? Christina Robohm, physician assistant and associate professor of pediatrics at the University of Colorado at Denver, tackles this growing issue with host Lisa Dandrea Lenell. The two discuss how PAs make sure parents receive accurate information in order to make an informed decision whether or not they want their children to receive vaccinations, the pros and cons of not vaccinating, and what it means for other children around them and the community at large. They also look at the controversy over vaccinations and autism.

Guest: Charles Mullighan

How does understanding the genetics of rare disease help us understand other pressing pediatric problems? Dr. Charles Mullighan is assistant member of the faculty, pathology department, St. Jude Children's Research Hospital. He joins Dr. Bruce Bloom to discuss the genetics of acute lymphoblastic leukemia.

Guest: Walter Lambert

Dr Shira Johnson interviews Dr. Walter Lambert, who has been the medical director of the Child Protection Team at University of Miami/Jackson Memorial Hospital since 1988. He has been honored by the Florida Bar Association for his many years of work as Protector of the Innocents.

Guest: Douglas Diekema

Although female genital mutilation and circumcision are banned in the US, these brutal procedures are still part of a ceremonial ritual for some cultures. This issue was brought to national attention in the US when a recent statement from the American Academy of Pediatrics suggested a pinprick or nicking procedure performed by pediatricians in this country might be an effective way to discourage families from traveling overseas for more disfiguring procedures. The statement was retracted soon after its release. Dr. Douglas Diekema, director of education for the Treuman Katz Center for Pediatric Bioethics, and professor in the division of bioethics, department of pediatrics at the University of Washington School of Medicine, discusses the original intent of this policy suggestion, and the greater issue of female genital mutilation and circumcision in the US and worldwide. How often do American pediatricians see girls who have had complications from these procedures? Dr. Maurice Pickard hosts.

Guest: Evelyn Resh

All parents want to make sure their teenage daughters are well-informed about issues related to sex, but how do advanced practice clinicians make sure teens are comfortable about their sexuality as they move into adulthood? Certified nurse midwife Evelyn Resh, director of women's health and sexuality counseling at Miraval Resorts, Tucson, Arizona, joins host Mimi Secor to talk about giving girls the knowledge and information they need to make healthy decisions about sex. They also discuss the impact that mothers have on their daughters' body image, and new sexual issues facing girls today.

Guest: Jennifer Christner

Patients requesting early prescription refills, reporting lost medication, and other deviations from a standard dosing regimen are certainly worth noting. Given the frequency with which we prescribe medications for ADD, ADHD and other illnesses to our young patients, these irregularities may serve as warning signs of a larger problem. Host Dr. Michael Benson discusses prescription stimulant abuse in children with Dr. Jennifer Christner, an adolescent medicine specialist and a clinical assistant professor in the department of pediatrics and communicable diseases at the University of Michigan Medical School.

Guest: Martin Myers

Patients are increasingly seeking accurate information about vaccine safety. Many reach out to friends and family and others scan media reports or search the Internet. But most patients still consider their primary care physician the main source for reliable information. Host Dr. Jennifer Shu welcomes Dr. Martin Myers, an internationally recognized vaccine expert and former director for the Department of Health and Human Service's National Vaccine Program Office. He is co-author of the book Do Vaccines Cause That?! A Guide for Evaluating Vaccine Safety Concerns. What are the most pertinent questions for our patients, and are you prepared with the answers?

Guest: Robert Van Howe

Considering what we know about the clinical benefits, medical risks and financial costs of neonatal circumcision, should we continue circumcising our newborn boys, or should we put it off until the infant is old enough to make the decision himself? The United States is one of the only developed countries where the majority of males undergo circumcision in the newborn period. While acknowledging some potential benefits of circumcision, most large medical organizations do not recommend routine neonatal circumcision, but neither do they actively oppose the practice. Dr. Robert Van Howe, clinical professor of pediatrics and human development at the Michigan State University College of Human Medicine in Marquette, Michigan, has written articles arguing against the utility of neonatal circumcision. He provides his perspective on this topic with host Dr. Jennifer Shu.

Guests: Paul Checchia, L. Kate Mitchell

Recent changes to Red Book guidelines [Ref. 1] for respiratory syncytial virus (RSV) may restrict eligibility for RSV prophylaxis with Synagis® (palivizumab) for some infants at high risk for severe RSV disease. RSV is a common, seasonal virus that can result in severe lower respiratory tract infection in certain high-risk infants, especially those born prematurely. [Ref. 2] In this program, Dr. Paul Checchia speaks with attorney Kate Mitchell about her firsthand experience representing high-risk infants in appealing insurers' decisions for prescribed RSV prophylaxis based on these new guidelines.

The views expressed during this segment are those of the guests and do not necessarily reflect the official policy or position of MedImmune.

Important Safety Information

Synagis® (palivizumab) is indicated for the prevention of serious lower respiratory tract disease caused by respiratory syncytial virus (RSV) in pediatric patients at high risk of RSV disease and is administered by intramuscular injection. Safety and efficacy were established in infants with bronchopulmonary dysplasia (BPD), infants with a history of premature birth (≤35 weeks gestational age), and children with hemodynamically significant congenital heart disease (CHD). Synagis has been used in more than one million children in the U.S. since its introduction in 1998. The first dose of Synagis should be administered prior to commencement of the RSV season. Patients, including those who develop an RSV infection, should continue to receive monthly doses throughout the season.

Synagis should not be used in pediatric patients with a history of severe prior reaction to Synagis or its components. Cases of anaphylaxis were reported following re-exposure to Synagis and severe acute hypersensitivity reactions have also been reported on initial exposure or re-exposure. If a severe hypersensitivity reaction occurs, therapy with Synagis should be permanently discontinued. If milder hypersensitivity reactions occur, caution should be used on re-administration of Synagis. In post-marketing reports, cases of severe thrombocytopenia (platelet count <50,000/microliter) have been reported.

In clinical trials, the most common adverse events occurring at least 1% more frequently in Synagis-treated patients than controls were upper respiratory infection, otitis media, fever, and rhinitis. Cyanosis and arrhythmia were seen in children with CHD. There have also been post-marketing reports of injection site reactions.

Please see accompanying full prescribing information here or visit www.synagis.com.

For more information, click here.

References:
1. American Academy of Pediatrics. Respiratory Syncytial Virus (RSV). In: Pickering LK, ed. Red Book 2009: Report of the Committee on Infectious Diseases. 28th ed. Elk Grove Village, IL. American Academy of Pediatrics; 2009:560-569. Available at: http://aapredbook.aappublications.org/cgi/content/full/2009/1/3.110. Accessed March 16, 2010.

2. Centers for Disease Control and Prevention. Respiratory Syncytial Virus Infection (RSV). Available at: http://www.cdc.gov/rsv/index.html. Accessed April 20, 2010.

Guest: David P. Skoner

***THIS PROGRAM HAS EXPIRED- 06/01/2010*****

Over 6 million children are affected by asthma in the United States, making it one of the most common chronic diseases of childhood. This program will focus on the use of practice guidelines in patient management, the importance of individualized therapy, and approaches to improving adherence and treatment effectiveness.

This large randomized trial with a 2-by-2 factorial design compared with a lower target range of oxygen saturation (85 to 89%) with a higher target range (91 to 95%) in extremely preterm infants.

Also, the Images in Clinical Medicine are described.

This article is from the issue dated May 27, 2010. In this part of a randomized, 2-by-2 factorial trial involving extremely preterm infants, use of intubation and surfactant treatment (within 1 hour after birth) was compared with initiation of continuous positive airway pressure (CPAP) in the delivery room and subsequent use of a protocol-driven limited ventilation strategy.

Guests: Paul Checchia, Wlliam P. Hitchcock

Respiratory syncytial virus, or RSV, is a common, seasonal virus that affects almost all children by the age of two [Ref.1,2] and is especially serious for premature babies because of their underdeveloped lungs and immature immune systems.[Ref. 3,4] Two expert clinicians experienced with severe RSV disease in infants will discuss the importance of protecting high-risk infants from severe RSV disease, and the role of professional guidelines in determining practice and drug reimbursement policies for RSV prophylaxis.

Important Safety Information

What is Synagis® (palivizumab)?
Synagis is a prescription medication that is used to help prevent a serious lung disease caused by respiratory syncytial virus (RSV) in infants and children at high risk for severe lung disease from RSV. Over one million children have been given Synagis. It is given as a shot, usually in the thigh muscle, each month during the RSV season. Children who develop an RSV infection while receiving Synagis should continue the monthly dosing schedule throughout the season.

Who should not receive Synagis?
Synagis should not be used in children who have ever had a severe allergic reaction to Synagis or its ingredients. Signs and symptoms of a severe allergic reaction could include: itchy rash; difficulty breathing; difficulty swallowing; swelling of the face; bluish color of the skin; muscle weakness or floppiness; and/or unresponsiveness. If your child has any of these signs or symptoms of a severe allergic reaction after getting Synagis, be sure to tell your child's healthcare provider or get medical help right away.

What are the side effects with Synagis?
Possible, serious side effects include severe allergic reaction which may occur after any dose of Synagis. Unusual bruising and/or groups of tiny red spots on the skin have also been reported.

Common side effects of Synagis include fever, cold-like symptoms (upper respiratory tract infection), including runny nose and ear infection, and rash. Other possible side effects include skin reactions around the area where the shot was given (like redness, swelling, warmth or discomfort). In children born with certain heart problems, other possible side effects include bluish color of the skin and abnormal heart rhythms.

These are not all the possible side effects of Synagis. Tell your child's healthcare provider about any side effect that bothers your child or that does not go away.

Please click here for full prescribing information, including patient information.

For more information, click here.

References:
1. Holberg CJ, Wright AJ, Martinez FD, et al. Risk factors for respiratory syncytial virus-associated lower respiratory illness in the first year of life. Am J Epidemiol. 1991; 133:1135-1151
2. Glezen WP, Taber LH, Frank AL, et al. Risk of primary infection and reinfection with respiratory syncytial virus. Am J Dis Child. 1986;140:543-546.3.
3. Yeung CY, Hobbs JR. Serum-gamma-G-globulin levels in normal premature, post-mature and "small for dates" newborn babies. Lancet.1968;7557:1167-1170.
4. Langston C, Kida K, Reed M et al. Human lung growth in late gestation and in the neonate. Am Rev Respir Dis. 1984;129:607-613.

This article is from the issue dated February 18, 2010. Training community-based birth attendants in rural communities in developing countries in the Essential Newborn Care program (routine care and resuscitation) was not associated with a reduction in the rate of neonatal death in the 7 days after birth, but the rate of stillbirth was significantly reduced. In a subsequentcluster-randomized trial, training in the Neonatal Resuscitation Program (more advanced resuscitation training) did not significantly reduce rates of neonatal death or stillbirth.

This article is from the issue dated February 11, 2010. This study examined body-mass index, glucose tolerance, blood pressure, and cholesterol levels in American Indian children without diabetes who were then followed to adulthood. Obesity, glucose intolerance, and hypertension in childhood were strongly associated with premature death from endogenous causes, whereas hypercholesterolemia was not.

Also, Edward W. Gregg, PhD, writes an accompanying editorial.

In this case record, from the issue dated January 28, 2010, a 4.5-month-old boy was seen in the pediatric neurology clinic of this hospital because of developmental delay and irritability.

Guest: Sten Vermund

Past research tells us that many young lesbian, gay, bisexual and transgender patients are at higher risk for health problems, such as depression, substance abuse, and sexually transmitted diseases. We're also learning that the response of the young person's family can trigger or worsen these conditions. Dr. Sten Vermund, professor of pediatrics, medicine, obstetrics and gynecology, and preventive medicine at Vanderbilt University School of Medicine, joins host Dr. Jennifer Shu to explore how physicians can work with families and patients to create a healthy dynamic as patients begin to express their sexual orientation and gender identity.

Tune in for highlights from the conference floor, at the most recent American Academy of Pediatrics National Conference and Exhibition. This year's meeting took place October 17th through the 20th, 2009, in Washington, DC.

Guest: Patricia Donahoe

How does one go about crafting a pioneering medical career in practice as well as in research? Joining host Dr. Martin Samuels to discuss these themes in her own career is Dr. Patricia Donahoe, director of Massachusetts General Hospital's pediatric surgical research laboratories and chief emerita of pediatric surgical services.

Guest: Bernard Cohen

Hemangiomas are common in infants, and often appear within the first few weeks of life. Although many infant hemangiomas are unsightly but regress after a few months, others can be large and disfiguring. Until recently, there have been no ideal treatment options, but there has been recent success using propranolol to treat infant hemangiomas. Host Dr. Michael Greenberg explores this exciting new treatment with Dr. Buddy Cohen, professor of dermatology and pediatrics at Johns Hopkins University School of Medicine.

Guest: David Pearce

Mucopolysaccharidosis I, or MPS I, often presents initially as a child's failure to thrive, and is a diagnosis with devastating effects. How is new research able to help children with this lysosomal storage disorder? Host Dr. Bruce Bloom talks with Dr. David A. Pearce, director of the Sanford Children's Health Research Center in Sioux Falls, South Dakota, about advances in research into treatment options, including enzyme replacement therapy, for MPS I.

Don't miss these other programs on MPS I, with host Dr. Bruce Bloom:

Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations

Immune System Irregularities in Lysosomal Storage Disorders

Long Term Efficacy and Safety of Laronidase for MPS I

Guest: Andrea Asnes

Practical advice about how to successfully deal with difficult encounters with pediatric patients and their familes is offered by pediatrician Dr. Andrea Asnes, assistant professor of pediatrics at the Yale University School of Medicine, when she joins host Dr. Cathleen Margolin on the Clinician's Roundtable. Tune in for insights and techniques you can use in your practice.

Guest: Stephen P. Spielberg

Many medicines on the market recommended for treatment of chronic conditions, even in pediatrics, are not formulated in a way that provides safe, effective delivery to children. Dr. Stephen P. Spielberg, professor of pediatrics and of pharmacology and toxicology at Dartmouth Medical School, and principal investigator for the Institute for Pediatric Innovation's (IPI's) Pediatric Pharmaceutical Reformulation Project, joins host Dr. Bill Rutenberg. Dr. Spielberg tells us that, while pharmacists will often reformulate per doctor specification, they don't have adequate information on stability and absorption, leaving a lot of room for error. Join us to learn more about how the IPI is working to resolve this problem.

Guest: Paul Ehrmann

The general public and medical community alike face a difficult question on childhood obesity: are we witnessing the development of a supersized generation of children? Could this generation even fail to outlive their parents? Dr. Paul Ehrmann, a family practice physician and award-winning community activist, argues that this potential outcome is a reality. Host Dr. Mary Leuchars overviews Dr. Ehrmann's leading efforts with the novel Children's Health Initiative Programs (CHIPs) to counter national trends toward 'Generation XL' at the community level.

Guest: Emil Kakkis

Host Dr. Bruce Bloom welcomes Dr. Emil Kakkis, an advisor at BioMarin Pharmaceutical Inc. and author of numerous published articles on mucopolysaccharidosis I, or MPS I, to discuss current treatment options. They discuss the benefits and risks of enzyme replacement therapy with laronidase.

Don't miss these other programs on MPS I, with host Dr. Bruce Bloom:

Challenges in Management of MPS I

Immune System Irregularities in Lysosomal Storage Disorders

Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations

Guest: David Pearce

How is the immune system involved in lysosomal storage disorders, including juvenile Batten disease, Niemann-Pick type C disease and Krabbe disease? Host Dr. Bruce Bloom welcomes Dr. David A. Pearce, director of the Sanford Children's Health Research Center in Sioux Falls, South Dakota, to discuss research into the immune response in these patients.

Don't miss these other programs on MPS I, with host Dr. Bruce Bloom:

Challenges in Management of MPS I

Musculoskeletal Aspects of MPS I: Diagnosis and Management Considerations

Long Term Efficacy and Safety of Laronidase for MPS I

Guest: Anna Penn

Dr. Anna Penn, assistant professor of pediatrics at Stanford University School of Medicine, uses mouse models to study premature brain development, manipulating both hormone levels and individual genes in isolation. Insights gained from a mouse model may eventually be tested on larger animals and ultimately, on humans. Join host Dr. Bill Rutenberg to learn about some of the most recent insights from Dr. Penn's investigations into the impact of estrogen and oxygen on premature brain development. 

Guest: Jennifer Christner

With over 500 new brands of energy drinks introduced in 2006 alone, and the busy schedules of today's children, are we reaching an intervention point with stimulants in our child patients? Dr. Jennifer Christner, an adolescent medicine specialist and clinical assistant professor in the department of pediatrics and communicable diseases at the University of Michigan Medical School explores the statistics, including anecdotes from her own practice, with host Dr. Michael Benson. Listen in as Dr. Christner evaluates the acceptable level of caffeine in children, the comparison between coffee and energy drinks, and insightful correlations between stimulant abuse and destructive behavior.

Guest: Martin Myers

As new information becomes available about vaccine safety, physicians may find it difficult to stay current on the latest evidence. Dr. Martin Myers, an internationally recognized vaccine expert and former director for the Department of Health and Human Service's National Vaccine Program Office, has spent considerable time evaluating this dilemma. His book, Do Vaccines Cause That?! A Guide for Evaluating Vaccine Safety Concerns, published in partnership with the National Network for Immunization Information, is the product of this work. Dr. Myers discusses this publication, which provides physicians and patients with clear and concise, science-based information about vaccines and vaccine safety, as well as ideas for improving our communication with patients, with host Dr. Jennifer Shu.

Guest: Lori Feldman-Winter

Mothers in the United States have the lowest rates of breastfeeding in the developed world. What are the immediate and lasting benefits of breastfeeding for infants and their nursing mothers? How does breast milk compare to formula, in terms of the baby's nutrition and long-term growth development? Host Dr. Jennifer Shu welcomes Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, New Jersey, and an executive committee member of the American Academy of Pediatrics section on breastfeeding.

Guest: Gregory Pastores

What are the musculoskeletal signs and symptoms in children with MPS I? How can we test for MPS I? And how does the disease present in patients as they grow up? Dr. Gregory M. Pastores, associate professor of neurology and pediatrics at the New York University School of Medicine in New York, and director of the neurogenetics laboratory in the department of neurology at NYU, explores with host Dr. Bruce Bloom the diagnostic challenges and management considerations to be reviewed when treating MPS I patients.

Don't miss these other programs on MPS I, with host Dr. Bruce Bloom:

Challenges in Management of MPS I

Immune System Irregularities in Lysosomal Storage Disorders

Long Term Efficacy and Safety of Laronidase for MPS I

Guest: Stefan J. Friedrichsdorf

Dr. Stefan Friedrichsdorf, medical director of pain and palliative care at Children's Hospitals and Clinics of Minnesota, speaks about pain and symptom management for children. She covers the need to train experts in this area, as well as the integration of non-pharmacological treatment. Dr. Maurice Pickard hosts this discussion that includes the identification of barriers that have slowed progress in pediatric palliative care. And how can we approach discussions with our young patients about spirituality, grieving and medical decisions?

Guest: Andrea Asnes

How can clinicians be prepared during a difficult pediatric encounter to create a favorable outcome? Dr. Andrea Asnes, assistant professor of pediatrics at the Yale University School of Medicine, talks with host Dr. Cathleen Margolin about how to handle difficult clinical encounters.

Guest: Young-Shin Kim

Bullying is well known to cause physical and mental harm to victims. But new evidence tells us that bullying can have psychopathologic effects on both bullies and their targets, ranging from anxiety and depression, to suicidal thoughts and attempts. Dr. Young-Shin Kim, assistant professor of child and adolescent psychiatry at the Yale University School of Medicine, addresses these issues, as well as the impact of bullying on witnesses and bystanders, the long-term effects of bullying on the perpetrator and their victim, and the emerging problem of cyber-bullying. What can physicians do to prevent, identify, and treat the wide range of concerns linked to this all-too-common interaction? Dr. Jennifer Shu hosts.

Guest: Christine Ren

When does surgery become the best option for treating obese adolescents? Dr. Christine Ren, founder and director of the New York University (NYU) Program for Surgical Weight Loss and assistant professor of surgery at NYU School of Medicine, addresses this question and identifies target patients for whom surgery is recommended. She also discusses both physical and psychosocial outcomes for adolescents undergoing weight loss procedures, as well as important post-op nutritional complications clinicians should anticipate. Hosted by Dr. Mary Leuchars.

Guest: Susan Weisberg

Dr. Janucz Korczak (1878-1942) was a Polish-Jewish pediatrician who had revolutionary ideas about humanism for children, and was one of the first proponents of children's rights. He established the first progressive orphanages in Poland, and wrote numerous books on child psychology, including How to Love a Child and the Child's Right to Respect. Pediatrician Dr. Susan Weisberg describes how Dr. Korczak has inspired her life's work, and tells the story of Dr. Korczak's tragic but noble Holocaust death. Dr. Michael Greenberg hosts.

Guest: Mark Schuster

Despite access to the nation's first paid family leave program, many parents of chronically ill children in California do not take advantage of this allotted time off; indeed, the majority of eligible families say they are unaware of the program. As other states weigh similar legislation, how can we help inform families nationwide about programs intended to balance workplace demands with the often unexpected medical needs of their children? Dr. Mark Schuster, the William Berenberg Professor of Pediatrics at Harvard Medical School and chief of general pediatrics at Children's Hospital Boston, discusses how physicians can play a key role in raising awareness for this program that cold ease the burden on families of chronically ill children. Dr. Jennifer Shu hosts.

Guest: Thomas Newman

More than half of normal newborns have clinical jaundice within the first week of life. The proportion is even higher among premature infants. Left untreated, hyperbilirubinemia can damage the central nervous system. After more than 50 years using phototherapy to treat jaundice, how has this treatment affected our young patients' neurodevelopmental outcomes? Dr. Thomas Newman, professor of epidemiology, biostatistics and pediatrics at the University of California, San Francisco School of Medicine, joins host Dr. Jennifer Shu to discuss the possible neurodevelopmental risks linked to phototherapy, as well as other potential troubles that could be related to these interventions.

Guest: Craig Montell

At Johns Hopkins University, researchers are gaining new insights into the pediatric brain-damaging disorder mucolipidosis type IV. Through research with fruit flies, investigators are getting closer to a treatment for this disorder, for which there is currently no available treatment. Host Dr. Leslie Lundt talks with Dr. Craig Montell, professor in the departments of chemistry and neuroscience at the Johns Hopkins School of Medicine.

Guest: Peter Scheidt

From the air our children breathe to the food they eat, to where and how they live, the environments in which they grow affect their development and lifelong health. The National Children’s Study, undertaken by the National Institute of Child Health and Development (NICHD), is a large longitudinal investigation of these environmental influences, tracking participants from birth through early adulthood. Dr. Peter Scheidt, medical officer and co-director of the National Children’s Study at the NICHD, explains how the findings might impact patient care and offers an estimate of when we can expect to see the first significant results. If you have patients who may be interested in participating, how can you refer them for enrollment? Dr. Jennifer Shu hosts.

Guest: Peter Scheidt

The National Children’s Study will follow the health and development of more than 100,000 children across the United States, starting from before birth until age 21. What do you need to know about this ambitious federally financed project? Dr. Peter Scheidt, medical officer and co-director of the National Children’s Study at the National Institute of Child Health and Human Development, provides the details on this large-scale project: what are its main goals, how is it organized, and what factors will the study examine? Dr. Jennifer Shu hosts.

Guest: Lori Feldman-Winter

Although breast milk is widely considered to be the best nutrition for infants, research tells us that breastfed babies may be at elevated risk for vitamin D deficiency, anemia, and tooth decay. What other health considerations may be associated with breastfeeding? Can we definitively say that breast milk is still the best option for infants? Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, N.J., and an Executive Committee member of the American Academy of Pediatrics section on breastfeeding, shares her expertise with host Dr. Jennifer Shu.

Guest: Jayne Ness

What are the signs and symptoms that differentiate Acute Disseminated Encephalomyelitis (ADEM) from Multiple Sclerosis in children? Our guest, Dr. Jayne Ness, talks with host Dr. Bill Rutenberg about the advantages of differentiating these diseases early so that treatment can begin. She also discusses the benefits of early treatment for children with MS.

Guest: Raymond Scalettar

So just how can the medical community prevent and reduce underage drinking? Is it even a doctor's responsibility? Dr. Raymond Scalettar, a former Chairman of the American Medical Association and an adviser to the Distilled Spirits Council, tells the Chicago Tribune's Bruce Japsen about what physicians may encounter and how they can help in dealing with adolescents with drinking problems.

Guest: Gregory Zimet

Vaccines seem to always provoke controversy.  Perhaps none so much as the HPV vaccine.  Dr. Gregory D. Zimet, professor of pediatrics and clinical psychology at Indiana University School of Medicine, joins host Dr. Leslie Lundt to discuss the obstacles that may interfere with widespread acceptance of the HPV vaccine.

Guest: Don Wilson

Host Dr. Larry Kaskel welcomes Dr. Don Wilson, professor and chair of pediatrics at the Texas A&M Health Sciences Center College of Medicine, to offer his counsel on the latest guidelines for pediatric cholesterol management. Why was this the time to revise previous recommendations? How do risk factors specific to the pediatric population interface with decisions on lifestyle adjustments, diet restrictions and medication advice for your young patients?

Guest: Paul Stricker

Is the child uncoordinated and not likely to be good at baseball?  Or, might he just be developmentally unable to evaluate a moving object coming at him and catch it in mid air? Our guest, Dr. Paul Stricker, board certified in both pediatrics and sports medicine and author of the recent book, Sports Success RX tells host Dr. Bill Rutenberg that a combination of physical, emotional and chemical milestones will indicate if a child has the ability to be successful at a particular sport or activity. Pediatricians can help make parents aware of these milestones and use them to guide their children towards positive sport experiences.

Guest: Lori Feldman-Winter

Despite ambitious recommendations that new mothers breastfeed their infants for at least one year after birth, very few mothers meet this objective. Knowing there are barriers to breastfeeding--social, economic, and beyond--how can we help mothers get past these difficulties, where possible? Further, how can we allay the guilt many mothers feel when they're unable to breastfeed? For answers, host Dr. Jennifer Shu talks with Dr. Lori Feldman-Winter, associate professor of pediatrics at the University of Medicine and Dentistry of New Jersey, division head of adolescent medicine at Cooper University Hospital in Camden, N.J., and an Executive Committee member of the American Academy of Pediatrics section on breastfeeding.

Guest: Walter Lambert

Dr. Walter Lambert, medical director since 1988 of the Child Protection Team at University of Miami/Jackson Memorial Hospital, is interviewed by host Dr. Shira Johnson. Dr. Lambert was honored in 2007 with the Florida Bar Association's Medal of Honor Award for his work with children who have suffered physical abuse.

Guest: Jayne Ness

Dr. Jayne Ness speaks with host Dr. Bill Rutenberg about the many symptoms of demylinating disorders, exploring the different diseases causing these symptoms. Join us for this informative discussion.

Guest: Beth Ann Malow

Insomnia is a common sleep concern in children with autism spectrum disorders. As these children often have a complex array of other conditions, hypnotic use can be problematic. Is melatonin a reasonable alternative? Dr. Beth Malow joins host Dr. Leslie Lundt to discuss her research in this area.

Guest: Heidi Feldman

"White matter of the brain is particularly more susceptible to injury after a premature delivery," explains Dr. Heidi Feldman, professor of developmental and behavioral medicine at Stanford University School of Medicine. Dr. Feldman and host Dr. Bill Rutenberg discuss neurodevelopmental recovery in preemies, as well as children with other brain damage. Can we capitalize on other healthy areas of the brain to make up for deficiencies from underdeveloped or injured areas of the brain?

Guest: Rosalie Greenberg

There is hope for children with bipolar disorder, says Dr. Rosalie Greenberg, assistant professor of clinical psychiatry at Columbia University School of Physicians and Surgeons, and author of the book, Bipolar Kids: Helping Your Child Find Calm in the Mood Storm. Dr. Greenberg joins host Dr. Michael Greenberg to discuss diagnosis, misdiagnosis, and genetics of the disorder, along with treatment options and potential outcomes.

Guest: Harry Keyserling

A single vaccine is now available for immunization against diphtheria, tetanus, pertussis, polio, and Haemophilus influenzae type b. As we consider offering this to our pediatric patients, what are the vaccine's unique challenges and benefits? How does this combination vaccine compare with other options for immunization? Host Dr. Jennifer Shu examines these questions and more with Dr. Harry Keyserling, professor of pediatrics in the division of infectious diseases at Emory University School of Medicine.

Guest: Robert C. Fifer

Dr. Robert C. Fifer, associate professor and director of audiology and speech-language pathology at Mailman Center for Child Development, in the department of pediatrics at University of Miami School of Medicine, talks with host Dr. Bruce Bloom about what physicians need to know about speech and language development. What are other likely causes of slow development? When should chronic otitus media be a concern?

Guest: Randal Betz

Is surgery the best treatment for scoliosis? What are the risks? What are the alternatives? Join Host Mark Nolan Hill and his guest, Dr. Randal Betz of Shriners Hospital for Children, in a discussion about alternative treatments for scoliosis.

Guest: Beth Tarini

Hear Dr. Beth A. Tarini, clinical lecturer in the Child Health Evaluation and Research Unit at the University of Michigan's C.S. Mott Children's Hospital in Ann Arbor, Michigan, as she discusses with host Susan Dolan the past, present and future of newborn screening.

Guest: Richard Rosenfeld

Dr. Richard Rosenfeld, professor of otolaryngology at the State University of New York Health Sciences Center, joins host Dr. Bill Rutenberg for an in-depth discussion of the current guidelines for the management of sinusitis. Dr. Rosenfeld discusses current criteria for evidence-based diagnosis and recommended treatment.

Guest: Anna Penn

While medical advances have significantly increased our ability to give life to pre-term infants, more cognitive disabilities and disadvantages are present when these children reach school age. Is the deficit is due to early separation from the mother, or possibly our post-delivery treatments? Dr. Anna Penn, assistant professor of pediatrics at Stanford University School of Medicine, and a neonatologist at Packard Children's Hospital, talks with host Dr. Bill Rutenberg about her current research in this area. Dr. Penn specifically addresses how hormone levels impact the brain development of preemies.

Guest: Andrea Asnes

A patient's palpable anger during a clinical visit can create uniquely challenging situations for the clinician. Whether or not the emotions are justified, how can a practitioner keep their cool and diffuse the tension? Even when proper medicine is practiced, are there certain situations where apologizing is the most effective course of action? Dr. Andrea Asnes, practicing pediatrician and assistant professor of pediatrics at Yale University School of Medicine, joins host Dr. Cathleen Margolin to share practical advice for managing anger during clinical visits.

Guest: Harry Keyserling

Physicians administering rotavirus vaccines to infants now have the choice of two distinct immunizations. How do the two vaccines differ? How effective are these immunizations in preventing rotavirus gastroenteritis infections? How can we decide what to offer our patients? Dr. Harry Keyserling, professor of pediatrics in the division of infectious diseases at Emory University School of Medicine, lays out the details of the new vaccines with host Dr. Jennifer Shu.

Guest: Brian Carter

Dr. Brian Carter, professor of pediatrics in the division of neonatology at Vanderbilt's Children's Hospital in Nashville, Tennessee, discusses the special care newborn with host Susan Dolan.

Guest: John Bissler

Dr. John Bissler, professor of pediatrics at the Cincinnati Children's Hospital Medical Center, in the division of nephrology and hypertension, discusses tuberous sclerosis, its prevalence, and the potential for non-surgical treatment with host Dr. Gary Kohn.

Guest: Thomas E. Eissenberg

We recognize that tobacco use kills millions of people around the world each year, but most of the available research focuses on cigarette smoking. The scope of tobacco use extends well beyond cigarettes, and includes an upswing in hookah, or water pipe, smoking, which many young people believe is less harmful than other forms of tobacco use. What do we know about the growing popularity of hookah smoking? What can we do to educate our young patients about the dangers of this form of tobacco use? Dr. Thomas Eissenberg, associate professor of psychology at Virginia Commonwealth University and an expert in the behavioral pharmacology of drugs of abuse, joins host Dr. Leslie Lundt to discuss his research on waterpipe smoking.

Guest: Jane Newburger

It's the leading cause of acquired heart disease in children. But pediatricians often face an arduous challenge when trying to confirm a diagnosis of Kawasaki disease. Dr. Jane Newburger, professor of pediatrics at Harvard Medical School and a nationally recognized expert in Kawasaki disease, discusses current clinical criteria for the disease and the protocol for diagnosing borderline cases with host Dr. Bill Rutenberg. Dr. Newburger also outlines the most effective treatment options for Kawasaki disease.

Guest: Catherine McNeal

Dr. Larry Kaskel welcomes Dr. Catherine McNeal to Lipid Luminations. Dr. McNeal is an Associate Professor of Pediatrics and Associate Professor of Internal Medicine at The Texas A&M Health Science Center, College Station, Texas. Dr. McNeal will discuss the features of metabolic syndrome in children and adolescents and why early intervention is so important. She will also talk about the problem in diagnosing the metabolic syndrome in youth based on the dynamic changes in the parameters associated with growth and maturation.

Guest: Jatinder Bhatia

Although breast milk is the ideal source of nutrition for children under 12 months, most babies receive infant formula at some point during the first year. With dozens of formulas on the market, making a choice can be confusing for parents and for physicians as well. Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical College of Georgia, and a member of the American Academy of Pediatrics Committee on Nutrition, lends his expert insight on choosing an infant formula. What are the latest recommendations regarding infant formulas? How should physicians decide what formula is best for a patient? Dr. Jennifer Shu hosts.

Guest: Heidi Feldman

Much is invested to bring premature infants to the point of hospital discharge. However, there is an extreme drop-off in services after the infant is released from the hospital. This is a very important area for preventative healthcares and should be conceptualized as a chronic condition says our guest, Dr. Heidi Feldman, professor of developmental and behavioral medicine at Stanford University School of Medicine Lucile Packard Children's Hospital.  She and host Dr. Bill Rutenberg discuss interventions often required to help a pre-mature infant to reach its developmental age. How much intervention is necessary?  Do socioeconomics play a role in which children are most likely to catch up sooner? Why do kids who get the most services often have the greatest delay? Join us to learn more.

Guest: Stefan J. Friedrichsdorf

Dr. Stefan Friedrichsdorf, medical director of the Pain and Palliative Care Program at Children's Hospitals and Clinics of Minnesota, discusses a range of topics within the field of pediatric palliative care. In contrast to the expected standard of care for adults, many children with life-limiting and terminal diseases receive inferior treatment in this area. Given that a child's condition may last well into adulthood, effective programs embrace physical, emotional, social and spiritual elements, with a focus on enhancing the child's quality of life and providing support for their family. Dr. Maurice Pickard hosts.

Guest: Sarah de Ferranti

The American Academy of Pediatrics Report on Lipid Screening and Cardiovascular Health in Childhood, published in July 2008, triggered extensive discussion and debate among pediatricians. Dr. Sarah de Ferranti, director of the Preventive Cardiology Clinic at the Children's Hospital in Boston, shares her interpretation of the report and its recommendations with host Dr. Bill Rutenberg. How concerned should we be about the scarcity of long-term data on statin use among pediatric patients? What do we know about statins and puberty? Will the future bring non-invasive ways to assess the cardiovascular status of a child? Join us to learn more.

Guest: David Teachey

Dr. David Teachey, a practicing pediatric hematologist-oncologist, laboratory and clinical researcher, and instructor in the department of pediatrics, division of oncology, at the Children’s Hospital of Philadelphia, explains to host Bruce Bloom his breakthrough research that will resolve symptoms for children saddled with the rare genetic disorder, Autoimmune Lymphoproliferative Syndrome.

Guest: Beth Tarini

Dr. Beth A. Tarini, clinical lecturer in the Child Health Evaluation and Research Unit at the University of Michigan C.S. Mott Children's Hospital in Ann Arbor, discusses the application of tandem mass spectrometry in newborn screening with host Susan Dolan.

Guest: Michael Shannon

Dr. Michael Shannon, pediatrician and toxicologist at Children's Hospital in Boston, outlines his pediatric lead poisoning research with host Susan Dolan.

Guest: Richard Rosenfeld

Dr. Richard Rosenfeld, professor of otolaryngology at the State University of New York Health Sciences Center, joins host Dr. Bill Rutenberg for an insightful discussion of the current care guidelines for pediatric otitis media. Dr. Rosenfeld addresses difficulty and necessity of accurate diagnosis in order to safely apply "watchful waiting" as first-line treatment. What do you do if the patient doesn't get better?

Guest: Paul Stricker

More and more children are presenting with overuse injuries. What is happening at the cellular level and how do their bodies repair? Dr. Paul Stricker, board certified in both pediatrics and sports medicine joins host Dr. Bill Rutenberg to discuss pediatric overuse injuries. They discuss the need for individual treatment and question the decision to order an MRI. Also, find out what guidelines can you offer patients to help avoid injuries.

Guest: Joseph Muenzer

Hunter syndrome is a rare but serious genetic disorder that inhibits the body’s ability to break down specific complex carbohydrates. What are the prinicipal symptoms that would lead a primary care physician to consider Hunter syndrome? Dr. Joseph Muenzer, professor of pediatrics and genetics at the University of North Carolina School of Medicine, and one of the world’s leading authorities in Hunter syndrome research, joins host Dr. Mark Nolan Hill to share his expertise.

Guests: Jatinder Bhatia, Darshak Sanghavi

It's the leading cause of death and morbidity in American adults, but the cardiovascular disease process may begin in childhood. A new clinical report from the American Academy of Pediatrics (AAP) recommends some children as young as age 8 should receive pharmacologic treatment for dyslipidemia. The recommendations have stirred considerable debate among pediatricians and others in the medical community.

Given the absence of long-term data to support the safety of prescribing statins, how was the decision made to go forward with these recommendations? What potential adverse effects from the medications should we be most concerned about? What are the most prudent alternatives to medicating children at risk for cardiovascular disease?

Host Dr. Jennifer Shu welcomes Dr. Jatinder Bhatia, professor and chair of neonatology at the Medical College of Georgia, and a member of the AAP Committee on Nutrition, and Dr. Darshak Sanghavi, a pediatric cardiologist and an assistant professor of pediatrics at the University of Massachusetts Medical School, for a candid discussion about the merits of the AAP recommendations.

Guest: Michael Shannon

Hear Dr. Michael Shannon, pediatrician and toxicologist at Children's Hospital Boston, in Boston, Massachusetts, as he discusses pediatric lead poisoning.

Guest: Roy Sanders

Is there a 'best practice' for sharing an undesirable diagnosis of autism with a child's parents? How do most parents feel? How can physicians be prepared to meet the immediate and long-term needs of parents? Join host Dr. Bill Rutenberg as he talks with Dr. Roy Sanders, psychiatrist, parent of an autistic child, and author of the book "How To Speak To Parents of Kids with Autism."

Guest: Vivian Faden

Using alcohol, the apparent drug of choice for adolescents in our society, is often considered a normative right of passage. In this segment, Dr. Vivian Faden, leader of the NIH National Institute on Alcohol Abuse and Alcoholism's Underage Drinking Initiative, talks with host Dr. Bill Rutenberg about the perceptions of alcohol for children in different age groups, and the predictability of future alcohol behavior. How can physicians effectively screen their patients for risks and warnings of possible abuse.

Guest: Arik Marcell

Dr. Arik Marcell of Johns Hopkins University discusses how best to guide and counsel the adolescent male during a health care visit.

Guest: Arik Marcell

Efforts to reduce unintended pregnancies and sexually transmitted diseases in adolescence would ideally target males as well as females. Yet we appear to fall short of consensus on how best to provide reproductive health services to males in young adulthood. Arik Marcell, MD, MPH, assistant professor in the departments of pediatrics and population, family and reproductive health at Johns Hopkins University, counsels with host Dr. Cathleen Margolin on tips for you and your patients.

Guest: Hugh Rienhoff

Dr. Michael Greenberg speaks with Dr. Hugh Rienhoff about www.mydaughtersdna.org, a website he created to help children with rare or difficult-to-diagnose genetic diseases find proper diagnoses and help.

Guest: Vivian Faden

What effects does underage drinking have on the brain of an adolescent and are these changes reversible? In this segment join Dr. Vivian Faden, Leader of the NIH NIAAA Underage Drinking Initiative talk about both external and internal consequences of underage drinking. Dr. Faden also presents her the NIAAA Five Point Plan to change underage drinking in our society and the important role that a Physician plays in helping to make change.

Guest: Joseph Muenzer

Previously, patients could only receive palliative care for symptoms associated with Hunter syndrome, a rare but serious genetic disorder that inhibits the body’s ability to break down specific complex carbohydrates. Now, a new enzyme therapy is making it possible to prevent Hunter syndrome manifestation, typically occurring as early as year two, which dramatically improves long-term quality of life. How quickly do patients show improvement with enzyme therapy? What are the most common side effects? Join host Dr. Mark Nolan Hill for an interesting conversation with Dr. Joseph Muenzer, professor of pediatrics and genetics at the University of North Carolina School of Medicine, and one of the world’s leading experts on Hunter syndrome.

Guest: Kathi Kemper

Are your patients asking you about alternative medicine approaches? Do you know enough to offer them answers or alternatives that may compliment a particular treatment? Join Pediatrician, Dr. Kathi Kemper talk with host Dr. Bill Rutenberg about resources and training programs available in alternative medicine and how you may consider incorporating alternative practice knowledge into your own practice.

Guests: John Fortney, Rachel Brown

Our guests today, Dr. John Fortney and Dr. Rachel Brown are part of a telehealth network which enables specialists from Nationwide Children’s Hospital to view and consult on distressed newborns being cared for in a more rural facility, Adena Regional Health Medical Center. In this segment Host Dr. Bill Rutenberg talks with Dr. Fortney and Dr. Brown about actual cases that have occurred using the telehealth system.

Guest: Kathi Kemper

What are the most practical applications of alternative and complimentary medicine that Pediatricians may want to incorporate in their practice? Pediatrician host, Dr. Bill Rutenberg learns from Pediatrician Kathi Kemper about Vitamin D, Probiotics, Seabands, and various foods that you may want to use to help your patients.

Guest: Joseph Muenzer

Hunter syndrome is a rare but serious genetic disorder that inhibits the body’s ability to break down specific complex carbohydrates. Initial onset symptoms include inguinal hernias, recurrent otitis, and the common cold, frequently manifesting concurrently as part of a multi-system failure sometime after the first year of life. Because many of these symptoms are common in infants, physicians often do not suspect Hunter syndrome, yet treatment for the disease is much more effective when administered early in its progression. How can we minimize the delay typically associated with diagnosis of Hunter syndrome? Dr. Joseph Muenzer, professor of pediatrics and genetics at the University of North Carolina School of Medicine, and one of the world’s leading authorities in Hunter syndrome research, joins host Dr. Mark Nolan Hill to share his expertise.

Guests: Jon Abramson, Lance Rodewald

While some vaccinations are a requirement for students to enter public school, there are many parents who object to the vaccinations for personal reasons. How should the government and doctors respond to these objectors to best protect the public health? Our guests Dr. Jon Abramson, Pediatric Infectious Disease Specialist and Dr. Lance Rodewald director of the Immunization Services Division at the CDC share with host Dr. Bill Rutenberg their feelings on vaccination exemptions and what doctors can do to help minimize the risk to the community at large.

Guest: Rick Goldstein

Dr. Rick Goldstein discusses the state of pediatric palliative care in America today, including the directions this emerging field is taking and the challenges practitioners face in terms of recognition and acceptance in the wider community.

Guests: John Fortney, Rachel Brown

Our guests today, Dr. John Fortney and Dr. Rachel Brown are part of a telehealth network which enables specialists from Nationwide Children’s Hospital to view and consult on distressed newborns being cared for in a more rural facility, Adena Regional Health Medical Center. Host Dr. Bill Rutenberg learns how the system was set up, how the doctors from both facilities interact and how the telehealth network has benefited the community.

Guest: Joseph Bocchini

More families are shunning immunizations, should they be allowed to? Join host, Dr. Bill Rutenberg for a great discussion with our guest Dr. Joseph Bocchini about the medical, ethical and legal issues related to vaccinations in our society.

Guest: Randal Betz

Host Mark Nolan Hill, MD interviews Dr. Randal Betz about the diagnosis, etiology and evaluation of children with scoliosis.

Guest: Rick Goldstein

Our guest Dr. Rick Goldstein was integral in AAP National Center of Medical Home Initiatives project to create a video about caring for terminally ill children. In this segment host, Dr. Bill Rutenberg helps us learn about the video project and what medical professionals should know about caring for terminally ill children.

Guest: Jayne Ness

Patients and Families in which a child has multiple sclerosis face many challenges in their daily lives. How can physicians support the family and their patient to cope with MS. Join Dr. Jayne Ness whose research focuses on Pediatric Demyelinating Disease, share her thoughts with host Dr. Bill Rutenberg.

Guest: Jayne Ness

Dr. Jayne Ness shares with host Dr. Bill Rutenberg the profile of a child diagonsed with Multiple Sclerosis, typically a disease identified previously only in adults. What does it look like in children and what should pediatricians and neurologists be looking for to identify MS?

Guest: Randal Betz

In this segment, host Mark Nolan Hill talks with Dr. Randal Betz about the Shriners Hospitals for Children, a network of 22 pediatric hospitals in the U.S., Canada and Mexico providing specialized care for orthopaedic conditions, burns, spinal cord injuries and cleft lip and palate.

Guest: David Teachey

Dr. David Teachey, a practicing pediatric hematologist-oncologist, a world class laboratory and clinical researcher and an Instructor in the Department of Pediatrics, Division of Oncology, at the Children’s Hospital of Philadelphia discusses his life as a physician scientist.

Guest: David Kaelber

Is pediatric hypertension under-diagonsed? A new study published in August takes aim at the issue and finds a new paradigm for retrospective studies.

Guest: Richard Moss

Our guest Dr. Rick Moss discuses with host, Dr. Bill Rutenberg current modes of diagnosis, including the genetic basis of CF. This is followed by a discussion of current and future treatments for cystic fibrosis, including lung transplantation, stem cell and gene therapies.

Guest: Jacqueline Pongracic

Children's Memorial Hospital is one of eight Medical Centers participating in this two year, double blind, placebo controlled study which is a phase four clinical trial of the IgE blocker Xolair. In this segment join host, Dr. Bill Rutenberg learn from co-investigator, Dr. Jacqueline Pongracic about the logistics of conducting the study.

Guest: David Teachey

Dr. David Teachey, a practicing pediatric hematologist-oncologist, a world class laboratory and clinical researcher and an Instructor in the Department of Pediatrics, Division of Oncology, at the Children’s Hospital of Philadelphia is discussing the research breakthrough in Autoimmune Lymphoproliferative Syndrome.

Guest: Jacqueline Pongracic

Our guest, Dr. Jacqueline Pongracic is the co-investigator of the Inner City Asthma Study sponsored by the NIH and Novartis Pharmaceuticals. In this segment, Dr. Pongracid speaks with host, Dr. Bill Rutenberg about the objectives of the study and the study protocol.

Guest: Randal Betz

How do treatments differ for children with spinal cord injuries compared to adults? Join host Dr. Mark Nolan Hill MD in an interview with orthopeadic surgeon Dr. Randal Betz discussing the latest treatments for children with spinal cord injuries.

Guest: David Kaelber

What we know. What we still need to know about pediatric hypertension. Is it under-diagnosed today?

Guest: Jon Abramson

How and why did the Pediatric Medical Device Act Pass? Why was a special act needed for children? What politics were involved in passing the Act? Join host and Pediatrician Bill Rutenberg interview our guest, Dr. Jon Abramson, Chair of the AAP Commitee on Pediatric Devices.

Guest: David Teachey

Dr. David Teachey, a practicing pediatric hematologist-oncologist, a world class laboratory and clinical researcher and an Instructor in the Department of Pediatrics, Division of Oncology, at the Children’s Hospital of Philadelphia discusses his new research repurposing pharmaceutical and botanical medicines for diseases like Lupus and ALPS.

Guest: William Thompson

In this segment host Bill Rutenberg questions William Thompson, Ph.D., lead author of the recent CDC Thimerosal study about some of the doubts critics of the study still have about the neuropsychological impacts of Thimerosal.

Guest: Arik Marcell

Dr. Arik Marcell of Johns Hopkins University discusses the health care needs of adolescent males, particularly addressing preventable behaviors.

Guest: Susan Lynch

Dr. Larry Kaskel is joined by Dr. Susan Lynch, a pediatric lipid specialist at the Cholesterol Treatment Center at Concord Hospital. Dr. Lynch is also the First Lady of New Hampshire and will discuss, among other things, the defintion of overweight and obesity in pediatrics, the inherent complications, and how we can advocate for healthier eating in our communities.

Guest: William Thompson

Does early thimerosal exposure have negative psychological outcomes? Dr. Bill Rutenberg talks with William Thompson, the Lead Author of a recent NEJM published study, Early Thimerosal Exposure and Neuropsychological Outcomes at 7 to 10 Years.

Guest: Matthew Nock

Dr. Matthew Nock discusses the motivation of parents to participate in psychological treatment for their children.

Guest: Larry Robbins

Adolescent headaches; they can be difficult to manage for any primary care practioner. When is it malingering, when is it the atypical presentation of another disease such as leukemia, and when it is recurrent, how do you treat it?

Guest: David Walsh

What do researchers know about the parts of the brain that are stimulated and impacted when a child is interacting with a video game? Join Dr. David Walsh in a discussion of video games and the brain.

Guest: Thomas Burns

Join Dr. Thomas Burns as he discusses cortical brain mapping prior to and outcomes following the neurological treatment for seizure disorders.

Guest: David Kaelber

Some recommendations based on the suprising findings of a recent study. Also, future research directions and the major role of medical informatics in retrospective research designs.

Guest: Julia Ortiz

Many pediatric practices are outsourcing their after-hours care. Should you? Join host and pediatrician, Dr. Bill Rutenberg as he interviews Julie Ortiz, RN and founder of Triage 4 Pediatrics, an on-call service for pediatricians.

Guest: Arik Marcell

Dr. Arik Marcell of Johns Hopkins University discusses how factors such as masculine beliefs, parent-teen communication, beliefs about physician's capabilities, and insurance status influence the health care use of adolescent males.

Guest: David Kaelber

A new study with some surpising findings and food for thought for primary care physicians. Big numbers and big opportunities.

Guest: Joseph Britto

What are the challenges in making accurate diagnosis in a pediatric intensive care unit. Join Host Larry Kaskel, interview Dr. Joseph Britto, founder of Isabel Systems discuss diagnosis decisions in a pediatric intensive care unit.

Guest: Allan Schore

Dr. Allan Schore, a member of the clinical faculty of the Department of Psychiatry and Biobehavioral Sciences at UCLA David Geffen School of Medicine and at the UCLA Center for Culture, Brain and Development discusses the stages of brain development from infancy through adolescence.

Guest: Mary McGowan

Dr. Larry Kaskel welcomes Dr. Mary McGowan to Lipid Luminations. Dr. McGowan is Director of the Cholesterol Treatment Center at Concord Hospital and Member of the New Hampshire Childhood Obesity Expert Panel. They will be discussing Pediatric Dyslipidemia as secondary to genetics and obesity.

Guest: Monique Ernst

In this segment, Dr. Monique Ernst explains the structural changes that occur in the brain between the ages of 10-20 and how they impact the emotions, decisions and reasoning of an adolescent.

Guest: Thomas Burns

Are pediatric epilepsy patients good candidates for surgery? How are they evaluated? How are they prepared for surgery? What can be done if they are not surgical candidates? Join pediatric neuropsychologist Thomas Burns as he discusses these issues.

Guest: Jay Berkelhamer

Join host Dr. Bill Rutenberg interview President of the American Academy of Pediatrics for an update on their position on SCHIP

Guest: David Walsh

How can physicians take a role in offering guidelines to parents and children about video games and screen time? Join Dr. David Walsh in a discussion about the role of physicians and how they can make an impact.

Guest: Joanne Kurtzberg

In this segment, Dr. Joanne Kurtzberg discusses some of the many childhood diseases that umbilical cord blood has shown to successfully treat.

Guest: Dave Zook

Dave Zook, Public Policy Advisor for the Arthritis Foundation, discusses current legislation for the prevention and treatment of Arthritis.

Guest: David Walsh

Are video games addicting? Dr. David Walsh, President of the National Institute of Media and the Family discusses the properties of addiction and considers when and if video games are addicting and whether or not they can be treated like an addiction.

Guest: Margaret Bauman

Dr. Bauman addresses the interventional techniques that are used to work with autistic children.

Guest: David Walsh

How do video games impact the life of a child? According to Dr. David Walsh, President of the National Institute of Media and the Family and Spokesperson for the American Academy of Pediatrics Violence Campaign, there can be both good and bad effects. Learn why in this segment.

Guest: Todd Clements

Host Dr. Leslie Lundt welcomes Todd Clements, MD in a discussion about the neurobiology of adolescent development and how this informs psychiatric problems such as bipolar disorder.

Guest: Brenda Wong

Dr. Brenda Wong, Associate Professor of Pediatrics and Neurology and Director of the Neuromuscular Comprehensive Care Center at Cincinnati Children's Hospital Medical Center talks about the latest treatments and the economics of effectively treating children with chronic illness, with special focus on Duchenne Muscular Dystrophy.

Guest: Monique Ernst

Selecting peers over parents and taking risks without comparable rewards are typical teenage behaviors. In this segment Dr. Monique Ernst, explains how brain changes during adolescence are responsible for many of the typical teenage behaviors.

Guest: Jay Berkelhamer

In this segment, Dr. Berkelhamer, President of the American Academy of Pediatrics discusses the importance of a medical home for children. He talks about the new prevalence of the retail clinics and why they are compromising quality of care every child should receive.

Guest: Jay Berkelhamer

Flash Forward 10 years: How will the practice of pediatrics be different? In this segment, Dr. Berkelhamer, President of the American Academy of Pediatrics talks about the changing landscape of primary pediatric care and how lifestyle, disease and payers are changing the pediatric practice of medicine.

Guest: Jay Berkelhamer

In this segment Dr. Berkelhamer, President of the American Academy of Pediatrics outlines the top AAP priorities in regards to healthcare financing.

Guest: Michael Helmrath

Why have we not made more progress in solving the teen obesity epidemic? Dr. Helmrath shares with us our current medical understanding of teen obesity and where researchers and physicians need to be in order to come up with better solutions.

Guest: Michael Helmrath

How do you know if an obese teen is a good candidate for bariatric surgery? Dr. Helmrath shares his process for evaluating teens both medically and emotionally to determine if weight loss surgery is a good option for them. Dr. Helmrath also considers where we are at with alternative medical solutions.

Guest: Michael Helmrath

In this segment, Dr. Helmrath talks about the bariatric surgical options for obese teens. He addresses the various considerations in choosing a type of surgery, including the mechanics, costs, and expectations of the procedure.

Guest: Michael Helmrath

Dr. Helmrath shares his personal experience treating young patients after bariatric surgery. He describes the postoperative medical care, support groups and the outcomes of some of his patients.

Guest: Myron Genel

Why are some people short? Dr. Genel discusses the colloquial 'short stature.' He explains how growth is measured and monitored in children, addresses disorders that may cause low growth and explores growth hormone as a treatment for low growth.

Guest: Denise Dowd

Dr. Denise Dowd discusses the current state of pediatric emergency care in the U.S. and the Institute of Medicine's (IOM) goals for the future.

Guest: Larry Rosen

Dr. Larry Rosen discusses the role of holistic care in newborns and explains the benefits and differences from traditional care.

Guest: Meg Zeller

Dr. Zeller talks about the social, emotional and family functioning of treatment-seeking obese youth. In addition she addresses some of the many barriers to pediatric weight management.

Guest: Meg Zeller

How does life change for a teenager after undergoing bariatric surgery? Dr. Zeller addresses the teen's quality of life, the weight loss and the social and emotional challenges post-surgery.

Guest: Philip Shaw

Is it possible to look at a child's brain and predict the risk of Alzheimer's disease? Or to predict intelligence? Or psychiatric disorders? What secrets does the child's brain hold? Dr. Phillip Shaw of the National Institute of Mental Health discusses his remarkable findings on the growth and development of children's brains.

Guest: Margaret Bauman

Dr. Bauman discusses the spectrum of autism disorders and early identification of autism in children.

Guest: Margaret Bauman

Dr. Bauman addresses the costs incurred to treat autistic children and the support provided by the insurance companies.

Guest: Margaret Bauman

Dr. Bauman explores how a family adjusts when a child has been diagnosed with autism.

Guest: Gregory Berns

Dr. Gregory Berns discusses the use of functional MRI to better understand the teenage brain.

Guest: Norbert Weidner

Dr. Norbert Weidner, Associate professor of Clinical Anesthesia and Pediatrics and Medical Director of the Starshine Hospice at Cincinnati's Children's Hospital Medical Center, discusses the social and psychological concerns for boys with Duchenne Muscular Dystrophy.

Guest: Larry Rosen

Dr. Larry Rosen discusses the use of herbals, nutrition, manual therapy, and acupuncture as alternative therapies in pediatric medicine.

Guest: Larry Rosen

Dr. Larry Rosen discusses the use of clinical hypnosis in treating children.

Guests: John Kattwinkel, J. Randall Moorman

Drs. Kattwinkel and Moorman discuss serious infections in infants and how to quickly detect and treat the infections. Hosted by Paul Raeburn.

Guest: Elise Torczynski

Dr. Elise Torcynski, ophthalmic pathologist, and expert witness in over 20 SBS cases will discuss aspects of the syndrome itself as well as the retinal implications.

Guest: Steven Weinberg

Steven Weinberg, criminal defense attorney, speaks about the diagnosis of Shaken Baby Syndrome, other intervening factors and how the legal outcome of Shaken Baby cases are very much medically based.

Guest: Denise Dowd

Dr. Denise Dowd discusses the prevention of unintentional injuries in pediatric populations.

Guest: Denise Dowd

Dr. Denise Dowd discusses All-Terrain Vehicle (ATV)-related injuries and the recommendations of the American Academy of Pediatrics regarding ATV use by children.

Guest: Victor Strasburger

Dr. Strasburger identifies advertising trends in the media and the effect these trends ultimately have on children's health.

Guest: Victor Strasburger

Dr. Strasburger identifies advertising trends in the media and the effect these trends ultimately have on children's health.

Guest: Laura Schreibman

Dr. Schreibman discusses the prevalence and diagnostic techniques for identifying autistic patients.

Guest: Laura Schreibman

Dr. Schreibman discusses the pharmacologic and non-drug treatment options for achieving the best results with the autistic patient.