Charting Pediatrics

• Immunity in Action

  One of humanity’s frailties is our tendency to view the world through the lens of what we’ve seen, lived through or experienced firsthand. That’s not to say we ignore things that happened in the past, but we may not give historical events equal weight or importance when compared to current events. In medicine, it’s important for us to recognize the vaccine preventable diseases we combatted in the past and apply those lessons to the future. In this episode, we reflect on the improvements and discuss how vaccine technology has improved global child heath over the last century. Many current doctors have never treated some of these diseases firsthand but our three experts for this episode have. Drs. Jim Todd and Mimi Glode worked for decades at Children’s Hospital Colorado in infectious diseases. Dr. Todd is professor emeritus, and Dr. Glode is professor emerita at the University of Colorado School of Medicine. Dr. Todd directed our department of epidemiology, and Dr. Glode directed our pediatrics residency program. Our third guest, Dr. Edwin Asturias, specializes in infectious diseases and is a professor of pediatrics. He helps direct our global health programs, has led many international vaccine research projects and currently serves as voting member of the advisory committee on immunization practices (ACIP). Some highlights from this episode include:  Their experiences treating patients with infections, such as chicken pox, meningitis and measles  Navigating current vaccine skepticism across the healthcare landscape  The changing attitudes of parents to toward pediatric vaccines over time   Learning how this history can help inform current infectious diseases  For more information on Children’s Colorado, visit: childrenscolorado.org. 

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• Advocating for Equitable Care

  Every child has an individual healthcare experience, but for marginalized communities like migrant families, they face some unique challenges in our healthcare system. From dealing with trauma to navigating a language barrier, working to get the right care can be complicated. At this year’s annual Children’s Hospital Colorado podcast live event, Charting Pediatrics took a close look at this topic. In this episode you will learn about acute clinical challenges, resource constraints, social needs, moral distress, impact on staff, child health policy, combating misinformation and more. Steven Federico, MD, the Chief Government and Community Affairs Officer at Denver Health joined us for this special episode. His passion for improved and equitable healthcare is fueled by his experiences as a pediatrician and primary care physician at Denver Health, where he has worked since 2002. In his past role as medical director, he oversaw three community health centers and 19 school-based clinics that provide comprehensive physical and mental health care to 70,000 children across Denver. His advocacy work focuses on eliminating barriers to adequate health coverage and healthcare.   Some highlights from this episode include:  The strains hospital and primary care settings have experienced with the 2024 surge in international migration to the United States  Effective strategies to deliver the best care for migrant children  Ways the medical community can prepare for and adapt to the possibility that patients and families may face deportation  Understanding the opportunities that exist to provide optimal care in different healthcare settings  For more information on Children’s Colorado, visit: childrenscolorado.org. 

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• The Evolution of Pediatric ENT

  Advances in technology, medical knowledge and the establishment of pediatric tracheary care institutions have helped revolutionize pediatric otolaryngology. For specialists in this field, watching the growth unfold has been an exciting adventure they’ve experienced firsthand while working on the frontlines. From genetic testing to targeted therapy and new procedures, the options are now vast compared to ten years ago. In this episode, we will explore the evolution of pediatric otolaryngology and what the future holds. Kenny Chan, MD, specializes in pediatric otolaryngology at Children’s Hospital Colorado. He is a previous section head for this division at the hospital, and although he retired from clinical practice in June 2024, he remains professor emeritus at the University of Colorado School of Medicine. Some highlights from this episode include:  The biggest enhancements in otolaryngology and how they’ve helped improve outcomes. Communication and collaboration with community providers to ensure kids are getting the best possible ENT care. What the future holds for this section of medicine. For more information on Children’s Colorado, visit: childrenscolorado.org. 

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• When the Air Gets Thin

  Picture this: You travel to the mountains, excited to take on your next big adventure, only to find yourself breathless, your stomach is churning and in the morning your head is throbbing. It’s altitude sickness, otherwise known as acute mountain sickness. Here in Colorado, our mountain doctors experience this regularly, but patients don’t always realize why they’re experiencing these symptoms. In this episode, we dive into mountain myths, sleeping at altitude and how to combat this diagnosis. In this episode we are joined by a community pediatrician who treats altitude sickness on a regular basis. Christine Ebert-Santos, MD, is a pediatrician at Ebert Family Clinic in Frisco, CO. Her practice sits at 9,026 feet above sea level. She is also a clinical professor of pediatrics at the University of Colorado School of Medicine. Some highlights from this episode include:  Common symptoms of altitude sickness and how to manage them  Understanding why only certain people experience the reaction, while others remain unaffected   Debunking popular mountain myths  How high altitude can impact sleep  The role of pediatricians in educating patients about altitude sickness, even at sea level For more information on Children’s Colorado, visit: childrenscolorado.org. 

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• Disparities in Organ Transplant

  Every year, thousands of people are added to organ transplant waiting lists, but not all patients have equal access to the life-saving procedures they desperately need. As transplant programs around the world continue to expand and improve, it’s important for healthcare providers to consider potential disparities in care, all while working hard to create an even playing field for patients. Socioeconomic status, geography, wait times and access are just a few of the factors to keep in mind. Children’s Hospital Colorado is one of the top transplant programs for kids, with some of the best outcomes in the nation. In this episode, we welcome specialists from our heart, kidney and liver transplant programs. Pediatric cardiologist Melanie Everitt, MD, is the Director of Pediatric Heart Transplant. Margret Bock, MD, is the Medical Director of Kidney Transplant and specializes in pediatric nephrology. Amy Feldman, MD, is the Program Director of the Liver Transplant Fellowship, the Medical Director for the Liver Transplant Center, and she specializes in pediatric gastroenterology. All three of our experts also teach at the University of Colorado School of Medicine. Some highlights from this episode include:  The current landscape of solid organ transplant in the United States and how the waitlists work  Why some children have better access to these life-saving treatments than others  How primary care providers can identify potential barriers ensure their patients have the best chance at receiving a transplant  The evolution of live-donor liver transplant and how it’s changing opportunities in pediatrics   For more information on Children’s Colorado, visit: childrenscolorado.org. 

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