This trailblazer episode features Children’s Minnesota’s new president and CEO, Dr. Emily Chapman. Notably, Dr. Chapman is the first woman to be president and CEO in our organization’s 100-year history. Listen to her journey from child life specialist to pediatrician to executive physician leader, including lessons she has learned along the way and the inspiring vision she has for the future of pediatrics and kids health.  

Shared decision-making in pediatrics requires partnering with families and helping them align their values with the medical facts. Having an understanding of these values can help clinicians partner with parents and align towards a treatment plan that is best for the child. On this episode of A Question of Ethics, Dr. Wolfe talks cultural consultant and expert Shaman Tou Ger "Billy" Lor to discuss how Hmong culture and spirituality influence family medical decisions.

When a child faces a life threatening illness or injury, we often assume that they have "recovered" when they leave the ICU, the hospital or graduate from follow up. For many kids and families, however, the traumatic stress of an ICU stay or a life threatening illness or injury lingers, with families often searching for help and answers in how to best support their child. Joining us on this episode is Jen Aspengren, founder and CEO of Alongside Network, an organization that works directly with families to validate, connect and support them as they adjust to life after the hospital.

Talking about disability in clinical encounters with parents, families, and patients can be very challenging. Decision-making around benefits and burdens of interventions and how they impact what future life for a child might be like inherently includes discussions of disability. However, it is easy for these conversations to view disability as something wholly negative, making it feel, or even it becoming, subject to many types of value distinctions. This can be a difficult space to navigate, especially for pediatric clinicians supporting families in informed decision making. We talk with bioethicist Jaime Konerman-Sease about the nuances of talking about disability, quality of life, and suffering, and how we can talk about disability with our patients and families.

Join James Burroughs as he sits down with Dr. Joseph L. Wright, Chief Health Equity Officer and Senior Vice President at the American Academy of Pediatrics. In this episode, they delve into the significance of providing equitable care, the journey towards achieving equity in clinical guidance, and the empowerment of learners in the healthcare field.

This episode's Trailblazer is Dr. Marc Goreilck, President and CEO of Children's Minnesota since 2017, who will be retiring this summer. His career has been marked by a legacy of public health advocacy, innovative pediatric leadership and unwavering committment to equitable and inclusive healthcare for all children. Listen to how he lead through a pandemic and racial justice protests in Mpls, and why advocacy has been such a central part of his work.

There is a lot of mis and dis information out there around gender affirming care for youth. This is both fueled by and leads to a general misunderstand about the basic ethical considerations present similar to other aspects of clinical care. On this episode of A Question of Ethics, Dr. Wolfe talks with the head of Children's Gender Clinic to discuss the ethical considerations around gender affirming care for youth.

Evaluation of a child with edema can be stress-inducing given the differential diagnoses invoked including nephrotic syndrome, liver disease, and heart failure. Determining the cause involves dusting off some principles of physics. Protein, namely albumin, hangs onto water to maintain intravascular osmotic pressure. Not having enough protein causes leakage into surrounding tissues to create characteristic puffiness, begging the question: are we losing protein or not making enough? If protein and osmosis are not the primary drivers, we must also consider capillary hydrostatic pressure as we see with the engorged vessels of heart disease or the retention of fluids with chronic kidney disease. This case investigates a toddler with an initial complaint of periorbital edema and abdominal distention to frame an approach to edema in pediatrics.

Measles is back, with the largest outbreak in this country in 30 years. Two children have died and several people have been hospitalized by the extremely contagious disease that was once considered eliminated, but has surged again as vaccine hesitancy has spread. As public health funds are cut across the country and misinformation about measles and vaccines permeate our highest public health positions, Patsy Stinchfield, APRN and infection prevention expert joins us to discuss the situation.

In this episode, Dr. Courtney Herring talks with Dr. Nadia Maccabee-Ryaboy about cannabinoid hyperemesis syndrome (CHS), a malevolent downstream condition related to cannabis use being seen in a growing uptrend of adolescent emergency department visits and hospital admissions. Listen in on the discussion that circles around clinical practice guidelines addressing how best to identify, manage, and support patients with CHS as public policy and public health collide. 

In this episode of Equity Actions, James Burroughs engages in a compelling conversation with Yinka Ajose, Senior Director of Clinical Operations, and Tonya Montesinos, Senior Director of Clinical Practice. Together, they explore the importance of advocating for equitable roles among staff, providing essential resources to patients and families, and gaining a deeper understanding of community needs.

On today's "Specialty Spotlight With Siva", Siva welcomed Dr. Steven Goudy, President Elect of the American Cleft Palate and Craniofacial Association. He is a passionate advocate for patients and families navigating the challenges of cleft and craniofacial conditions and in this episode they explore his insights into cleft and craniofacial care and his vision for advancing advocacy and improving outcomes for these patients. This conversation is especially relevant for parents and providers who play a crucial role in supporting children and families affected by visible differences.

On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings.

On this "Outside Hospitalist" segment, Dr. Gabi Hester speaks with guest Dr. Courtney Herring, Pediatric Hospitalist, about evidence-based care of acute respiratory illnesses and nuances to consider in differently resourced settings. 

Pediatric clinicians have obligations to their patients and law enforcement. But it can be challenging to figure out how to navigate situations where these obligations conflict or where there is uncertainty about the right thing to do. This has increased with recent exectuive branch agendas. Dr. Alyssa Burgart is the Associate Director of Pediatric Bioethics at the Stanford Center for Biomedical Ethics, Medical Director of Ethics for the Stanford Medicine Children’s Health, and writes about ethics and culture in her substack Poppies & Propofol. She joins Dr. Wolfe to discuss the ethics of interacting with law enforcement, speficially immigration and customs enforcement (ICE).

We are blessed to have a very international patient population at our clinic in Minneapolis, helped by the Twin Cities reputation as a safe and supportive place for immigrants, refugees and asylees. With roots abroad, many of our families frequently travel home, where infectious disease exposures carry a unique profile compared to that of the U.S. It is therefore not surprising that having a returning traveler with fever, especially when ill appearing, can be a stressful trip down infectious disease memory lane. Today’s episode will explore fever in a returning traveler and tools to narrow your differential during these encounters.

On this episode of Equity Actions, we dive into an inspiring conversation as James Burroughs welcomes Tikki Brown, the Commissioner for the Minnesota Department of Children, Youth, and Families. Listen in as the two converse on Tikki’s background, her journey into human services, and taking on her new role as a Commissioner. James and Tikki explore her remarkable journey into human services, her strategic vision for building a diverse leadership team, and the critical importance of addressing disparities among youth and families in Minnesota.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-equity-and-inclusion-suite-championing-equity-for-our-children-and-families-1-24-25/

On today's episode EBC, Courtney sits down with pediatric gastroenterologist, Dr. Ramalingam Arumugam, to discuss a lurking danger in our own homes.With approximately 3500 button battery ingestions per year, it is the 4th leading cause for calls to poison control centers in the United States.With high risk of morbidity and and an escalating risk of severe morbidity and mortality due to the increased use of larger and more powerful button batteries, we'll explore past the natural history and reivew what federal regulations are being proposed and/or activated to protect our most vulnerable consumers....children.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-evidence-based-charm-button-batteries-tiny-shiny-dangerous-1-10-25/

"Conscience-based objection' is a term that has been around a long time. Since the pandemic and a number of political and legal efforts in the nation, the term has been employed more frequently. But what is a conscience-based objection? What are the ethical considerations around when and how one might have a claim of concience? What is required of a clinician when it might impact a patient's right to access care? What is required of a leader or employer? We talk with legal bieothicist Thaddeus Pope to disucss issues around conscience-based objections in healthcare.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-i-object-ethical-and-practical-considerations-around-conscience-based-objections-1-3-25/

On this episode, we navigate the overwhelming world of teens and screens with Erin Walsh, co-founder of the Spark and Stitch Institute and formerly with the National Institute on Media and the Family. Join us as we tackle social media, setting limits, the bottomless pit of YouTube and how pediatric clinicians can advise patients and parents toward healthier relationships with the screens in their lives.
View the transcript here:
https://www.childrensmn.org/for-health-professionals/talking-pediatrics-podcast/talking-pediatrics-navigating-screens-with-tweens-and-teens-12-13-24/