Navigating Communication in Pediatrics and Public Health Policy Challenges

In this episode of The Pediatric Lounge, the hosts discuss the recent passing of Resolution 29 at the Leadership Conference, emphasizing its significance in preventing 11,000 cases of diabetic ketoacidosis (DKA) through finger-prick testing. The show also delves into upcoming pediatric conferences and events, with special mention of notable guests. The main discussion focuses on effective communication strategies in pediatric care, especially in the context of public health policy and vaccine advocacy. Dr. David Hill joins the conversation, sharing insights on the importance of transparent and empathetic communication with patients and the challenges posed by misinformation and political influences in public health.

00:00 Welcome to The Pediatric Lounge
00:28 Exciting News from the Leadership Conference
01:43 Upcoming Events and Conferences

MIAAP 75TH ANNUAL CONFERENCE

03:12 Introducing Dr. David Hill
03:27 The Importance of Effective Communication
04:56 Personal Stories and Reflections
16:46 The Power of Storytelling in Medicine
18:43 The Role of Pediatricians in Public Health
19:05 Challenges in Medical Messaging
33:08 The Importance of Vaccination Messaging
35:21 Challenges in Communicating Vaccine Benefits
35:59 Flu Vaccine Efficacy and Public Perception
36:21 Impact of Misinformation and AI on Vaccine Decisions
37:24 Understanding Vaccine Effectiveness
39:08 The Need for Better Flu Vaccines
45:17 Political Influence on Public Health Policy
49:33 Balancing Science, Politics, and Public Health
01:00:01 Effective Communication Strategies in Pediatrics
01:02:21 Conclusion and Final Thoughts

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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

Advocacy, Community, and Preventive Health: Insights from Dr. Jose Cucalon Calderon

In this episode of The Pediatric Lounge, listeners are introduced to Dr. Jose Cucalon Calderon, a dedicated pediatrician with extensive experience in clinical practice and academic roles. Dr. Calderon shares his journey from Ecuador to the USA, his experiences in rural Alabama, and his current work at Renown Children's Hospital and the University of Nevada, Reno School of Medicine. The discussion covers significant topics, including the importance of preventive health, community investment, advocacy, and the challenges faced by underserved populations. Dr. Calderon highlights the critical role of pediatricians as community organizers and advocates for better healthcare policies while emphasizing the need for inclusive healthcare for all children.

00:00 Introduction to the Pediatric Lounge
00:44 Exciting News from the Leadership Conference
01:59 Upcoming Events and Conferences

Michigan AAP Chapter

03:27 Meet Dr. Jose Cucalon Calderon
04:47 Dr. Jose's Journey to Pediatrics
06:57 Life and Medical Training in Ecuador
10:50 Transition to the United States
19:40 Residency and Practice in Alabama
21:57 Challenges and Cultural Insights
26:52 Lessons from Dr. Tyler
34:22 Healthcare Systems and Population Health
47:34 Cultural Differences in Alcohol Consumption
48:50 Concerns About Criminalizing Teen Substance Use
49:57 Transition to University and Academic Medicine
54:42 Challenges in Treating Youth Nicotine Addiction
01:00:04 Involvement with the National Hispanic Medical Association
01:05:37 Healthcare Access and Policy Advocacy
01:19:52 Community Investment and Pediatric Health
01:32:32 The Role of Pediatricians as Community Organizers
01:33:09 Conclusion and Podcast Information

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SOCIAL Media Pages ===============================
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

In this episode of The Pediatric Lounge podcast, Dr. Richard Fry and Dr. James Riellly discuss innovative treatments in autism care. Dr. Fry, an expert in pediatric neurodevelopmental medicine, emphasizes the role of folate, mitochondrial dysfunction, and autoantibodies in autism. Dr. Riley shares clinical anecdotes attesting to these benefits and underscores the importance of comprehensive care, including diet and sleep.

00:00 Introduction to the Pediatric Lounge Podcast 00:38 Meet the Guests: Dr. Richard Fry and Dr. James Riley 02:48 Dr. Fry's Journey into Pediatric Neurology and Autism 04:57 Discovering the Folate Connection in Autism
09:14 Dr. Riley's Path to Nutrition and Autism Care 12:11 The Role of Folate in Neurodevelopmental Disorders 16:48 Challenges and Solutions in Autism Treatment 19:44 Understanding the Complexities of Autism and Nutrition
29:57 The Importance of Comprehensive Medical Evaluation in Autism
31:41 Complexities of Pediatric Neurology 33:06 Approaches to Nonverbal Children 33:50 Folinic Acid and Autism 35:37 Success Stories with Leucovorin
39:13 Challenges in Pediatric Practice 45:54 Empowering Parents and Pediatricians
51:59 Concluding Thoughts and Reflections

Neurobiological Rationale and Effects on the Brain

Leucovorin is a reduced form of folate that bypasses the folate receptor alpha, the primary transporter of folate across the blood-brain barrier. In ASD, a high prevalence of FRAA (up to 75%) has been documented, leading to impaired cerebral folate transport and subsequent deficiency despite normal serum folate levels.[1][2] Leucovorin utilizes the reduced folate carrier to restore central nervous system folate levels, thereby addressing a key pathophysiological mechanism in a subset of children with ASD.[1][2]

1. Treatment of Folate Metabolism Abnormalities in Autism Spectrum Disorder. Frye RE, Rossignol DA, Scahill L, et al. Seminars in Pediatric Neurology. 2020;35:100835. doi:10.1016/j.spen.2020.100835.
2. Efficacy of Oral Folinic Acid Supplementation in Children With Autism Spectrum Disorder: A Randomized Double-Blind, Placebo-Controlled Trial. Panda PK, Sharawat IK, Saha S, et al. European Journal of Pediatrics. 2024;183(11):4827-4835. doi:10.1007/s00431-024-05762-6.

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
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SOCIAL Media Pages ===============================
📝 - Substack
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👥 - FACEBOOK
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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.