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Radio Rounds

122 episodes - English - Latest episode: about 3 years ago - ★★★★ - 7 ratings

Radio Rounds is a free podcast series for healthcare professionals featuring Washington University pediatric specialists. Each 10-minute podcast focuses on topics relevant to pediatricians and health care providers caring for children.

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Episodes

Aquapheresis Therapy: Treatment for Renal Failure in Newborns

June 14, 2021 05:00 - 10.7 MB

At one time, newborns with diseased or absent kidneys had few options other than adult-sized dialysis machines. Today, aquapheresis therapy is a treatment option to provide renal support for neonates. In 2020, St. Louis Children’s Hospital began using aquapheresis therapy to care for babies with congenital or acquired renal disorders, one of few centers in the country to offer this advanced treatment. Dr. Eileen Ciccia, Washington University pediatric nephrologist at St. Louis Children’s ...

Clubfoot: Diagnosis, Treatment and Outcomes

March 09, 2021 06:00 - 11.1 MB

About one baby in every 1,000 in the United States is born with clubfoot, a congenital foot deformity where the foot points downward with toes turned inward and the foot bottom twisted inward. Clubfoot is one of the most common congenital foot deformities. Almost half of babies diagnosed with clubfoot have bilateral clubfoot where both feet have the deformity. Treatment options have evolved through the years and, with early intervention, children with clubfoot have high rates of correction....

Navigating COVID-19 and the Vaccine in Pregnant and Breastfeeding Women

February 16, 2021 06:00 - 25 MB

While the coronavirus pandemic spread across the world, information about the impact of COVID-19 and pregnant and breastfeeding women was continuously evolving. And now, with the development of a COVID-19 vaccine, there are many new questions and considerations for Ob/Gyns and healthcare providers to address as they continue to counsel their patients. Jeannie Kelly, MD, MS, Washington University maternal-fetal medicine specialist at the Women & Infants Center, a partnership among Barnes-Jew...

Pediatric Obesity and the Healthy Start Clinic

January 19, 2021 06:00 - 23.1 MB

Childhood obesity is a significant problem across our country, leading to serious long-term health issues for those at risk. According to the Centers for Disease Control, for children and adolescents aged 2 - 19 years, the prevalence of obesity was 18.5% and affected about 13.7 million children and adolescents. Programs designed to support and treat childhood obesity and Laurie Sax, dietitian in the Pediatric Gastroenterology Hepatology and Nutrition Department at St. Louis Children’s Hospi...

New Clinic Cares for MIS-C Patients

January 13, 2021 06:00 - 26.1 MB

Multisystem Inflammatory Syndrome (MIS-C) is a rare but serious complication associated with COVID-19. First recognized in April 2020, MIS-C has now been diagnosed in more than 1288 children across the country as of December 4, 2020 according to the CDC. The syndrome can affect multiple organs, including the heart. The MIS-C Clinic at St. Louis Children’s Hospital was established as a collaborative clinic between Cardiology and Rheumatology to specifically care for children experiencing thi...

Pediatric Toxicology and Lead Clinic

January 05, 2021 06:00 - 21.3 MB

From the accidental ingestion of grandma’s blood pressure medication to novel drug exposures in adolescents, the Washington University toxicology service cared for many patients at the bedside in 2020. Although many patients with an acute ingestion may require referral to a healthcare facility, there are many toxic exposures including exposure to lead which can be effectively managed in the outpatient setting in the majority of cases. To better treat kids with a toxic exposure, Washington Uni...

Helpful Apps for Busy Physicians

December 29, 2020 06:00 - 18.1 MB

As mobile technology advances, many health care providers are relying on smartphone apps to help manage their busy schedules. Dr. Tosin Adeyanju joins the show to talk about the best apps for managing evidence-based medicine updates, finding and utilizing point-of-care resources, managing pediatric emergencies and apps that help families access medical information and manage their health.

Pediatric Heart Center Telemedicine Program

December 19, 2020 06:00 - 13.9 MB

Technological advancements in telemedicine have paved the way for safe, secure, face-to-face pediatric cardiology visits in the comfort and convenience of a patient’s home. The St. Louis Children’s and Washington University Heart Center offers telemedicine visits for pediatric heart patients, from infant to young adults. Washington University Physician Assistant, Lisa Roelle, joins us to discuss when and how to use this service, and what patients can expect.

After Hours Convenient Care: COVID Update

October 01, 2020 05:00 - 18 MB

St. Louis Children’s After Hours offers convenient medical care for children’s illnesses and injuries when their pediatrician’s office is closed. During the COVID-19 pandemic, After Hours has made changes to their processes and services to ensure the safety of patients, families and staff while still delivering kid-focused care. Learn more from Beth Schickler about the changes made and how they are working with pediatricians to care for their patients.

Specialized Care for Severe Asthma

September 22, 2020 05:00 - 22.2 MB

Asthma is one of the most common chronic diseases in children. According to the Asthma and Allergy Foundation, more than 6.2 million children under age 18 have asthma. For many, asthma is manageable through quick-relief and long-term controller medications. For some children, however, asthma is severe and requires additional care and treatment. Lila Kertz, Clinical Director of the Severe Asthma Clinic at St. Louis Children’s, joins the show to talk more about the prevalence of severe asthma,...

Multisystem Inflammatory Syndrome in Children (MIS-C)

May 21, 2020 09:00 - 14.6 MB

Early reports of a multi-system inflammatory disorder in children with COVID-19 began in April 2020 in the United Kingdom. Since then, cases have appeared throughout the United States including our region. Known as “Multisystem Inflammatory Syndrome in Children (MIS-C)”, the illness is characterized by prolonged fever, inflammation in the body and involvement of one or more organ systems. In this episode, Dr. Alexis Elward, Chief Medical Officer at St. Louis Children’s Hospital and Washingto...

Virtual Pediatric Respiratory ED Visits

May 06, 2020 05:00 - 10.5 MB

The COVID-19 pandemic has changed the way many of us are delivering care to our pediatric population. In an effort to keep patients, families and caregivers safe from possible exposure to the virus, St. Louis Children's Hospital is now offering virtual ED visits for pediatric patients who are experiencing respiratory symptoms. Dr. Lozovatsky joins the show to talk about this new service and how your patients can access the service.

Chronic Kidney Disease

February 26, 2020 06:00 - 17.5 MB

Chronic kidney disease (CKD) refers to the kidney’s progressive inability to perform its functions such as removing waste and toxins, regulating vitamins and minerals, releasing hormones and vitamins that regulate the level of red blood cells, help control blood pressure and regulate the amount of certain nutrients. When this happens, a child becomes sick and the risk for kidney damage becomes higher. Dr. Eileen Ciccia joins the show to discuss chronic kidney disease and when to refer to a s...

Debunking the Myths About Transkids

February 20, 2020 06:00 - 10.1 MB

While transgender people have experienced growing visibility and acceptance in recent years, there’s still considerable confusion about even the most basic facts about trans people, gender identity and gender expression. What does it mean to be transgender versus transsexual? Are kids too young to know the difference? Are kids just “confused” or are they just suffering from psychological issues? The implications of such myths can further deny equitable opportunities to children who identify a...

Tuberculosis in Childhood

February 11, 2020 14:00 - 9.26 MB

Tuberculosis is the top infectious disease worldwide, with an estimated 1.1 million new cases in children reported in 2018. While rates of tuberculosis remain low in the US, children are at high risk of developing disease if infected. Dr. Rachel Orscheln joins the show to discuss global trends in TB, and appropriate screening strategies that can detect TB in those who are infected, and reduce false positives in those at low risk.

Social Media: The Good, The Bad, And What Do We Tell Our Teens

February 05, 2020 06:00 - 15.6 MB

While recent studies suggest prolonged social media use can lead to anxiety and depression among teens, other studies show these platforms can have a positive effect on personal creative expression, peer connection and digital literacy. The pros and cons of social media usage are significant, so what do we tell our teens? Dr. Mary Fournier joins the show to weigh the good and the bad when it comes to social media use among teens.

Gender-Neutral Pronouns: What They Mean and How to Use Them

January 16, 2020 06:00 - 9.34 MB

Past societal norms and formal education taught us that pronoun usage had rules based on a binary male/female and singular/plural framework. However, this framework often leads to misgendering people whose identity is nonbinary, including members of the transgender, genderqueer and gender nonconforming communities. Modern society now calls for updating the previously taught and accepted grammatical framework to be considerate of the intersections between gender, race, class and other complex ...

Advancements in Pediatric Urologic Surgery

December 05, 2019 06:00 - 15.5 MB

The urology specialists at St. Louis Children's Hospital perform some of the most technologically advanced procedures when treating children, and is one of only a few pediatric facilities in the country—and the only one in the St. Louis region—to offer robotic surgery for children needing urologic procedures. In most of these cases, the children experience less pain, heal faster and benefit from stronger restoration than with the standard open surgical techniques. Dr. Vricella joins the show...

How to Manage the Itchy, Painful Effects of Infantile Eczema

November 12, 2019 06:00 - 21.5 MB

Infantile Eczema (atopic dermatitis) can show up as dry, scaly patches on a baby's skin, often during their first few months. Babies can get the condition virtually anywhere on their bodies, but most often, it affects their cheeks, chin and joints of their arms and legs. While most babies outgrow atopic dermatitis, it is oftentimes itchy and painful. Dr. Elizabeth Nieman joins the show today to discuss how pediatricians can help parents keep this condition under control, and at what point a...

New Study Aims to Evaluate Penicillin Allergies in Kids

October 28, 2019 13:00 - 11.5 MB

For children with a history of penicillin allergy, new evidence suggests a vast majority of kids could be “de-labeled” after undergoing a risk assessment and oral challenge in the pediatric emergency room. George Hoganson, MD, a Washington University emergency medicine fellow at St. Louis Children’s Hospital, is collaborating on a two-year, multi-center study to test children described as penicillin allergic, but who very likely do not have a true penicillin allergy in the St. Louis Children'...

Continuum of Care Provided by the St. Louis Children’s and Washington University Heart Center

October 21, 2019 13:00 - 19.7 MB

Pediatric cardiologists at the St. Louis Children’s and Washington University Heart Center care for more children with heart disease than any other center in the region. With extensive experience treating children with common to complex heart issues, from cardiac surgeries and cardiac catheterizations to heart monitoring, our heart specialists are the region’s go-to heart program for second opinions and referrals for advanced pediatric heart care. Dr. Caroline Lee joins the show to discuss h...

Opioid Epidemic Update

October 14, 2019 13:00 - 10.9 MB

Devastating consequences of the opioid epidemic include increases in opioid misuse and related overdoses, as well as the rising incidence of newborns experiencing withdrawal syndrome due to opioid use and abuse during pregnancy. According to the Centers for Disease Control, more than 130 people in America-- or one person every 11 minutes-- dies everyday due to accidental misuse of these drugs. Dr. AuBuchon joins the show to discuss this serious national crisis, and what pediatricians and ot...

Spike In Lung Disease Cases Shines Light On The Dangers Of Vaping

October 09, 2019 13:00 - 14.6 MB

The Centers for Disease Control recently linked a current lung disease outbreak to electronic cigarettes (e-cigarettes) and vape devices. These devices have rapidly become the most common tobacco products used by teens, driven in large part by marketing and advertising by e-cigarette companies that market the products’ convenience of use and flavor variety. Now, however, the use of these unregulated products is landing many kids in the emergency rooms of hospitals across the country with seri...

Neurorehabilitation Program at St. Louis Children’s Hospital

September 25, 2019 13:00 - 15.1 MB

The neurorehabilitation program at St. Louis Children’s Hospital is designed to address the needs of children and adolescents who have suffered severe injury or illness. In-patient rehabilitation is available for children age 6 months and older whose illness or injury has resulted in impaired physical, cognitive or communication skills. Michael Noetzel, MD, Washington University pediatric neurologist at St. Louis Children’s Hospital, joins the show to discuss how the neurorehabilitation prog...

Meet Trish Lollo, New President of St. Louis Children's Hospital

September 12, 2019 12:00 - 7.69 MB

Earlier this month, St. Louis Children's Hospital welcomed Trish Lollo, former president of Barnes-Jewish West County Hospital, as its new president. Listen as Trish gives a glimpse into the journey that led her to St Louis, and her vision for St. Louis Children's Hospital.

New Advancements in Pediatric Cochlear Implantation

August 27, 2019 13:00 - 17.3 MB

Traditionally, cochlear implants are only provided to children with severe-to-profound hearing loss in both ears. At St. Louis Children’s Hospital, the cochlear implant program is one of the only in the area—and one of few in the nation—providing cochlear implants to children with single-sided deafness. Bernadette Rakszawski, pediatric audiologist at St. Louis Children’s Hospital, joins the show to discuss how her team is leading the way in assessing the impact of single-sided deafness, as ...

Kyphosis in the Pediatric Patient

August 20, 2019 13:00 - 11.5 MB

A normal spine, when viewed from behind appears straight. However, a spine affected by kyphosis shows evidence of a forward curvature of the vertebrae in the upper back area, giving the child an abnormally rounded or "humpback" appearance. Children whose curvature exceeds a limited range of variation - curving forward in a “C” shape- will require medical attention and may be diagnosed with kyphosis. Together with scoliosis, another type of curvature, this condition comprises a significant pro...

Children's Therapy Services Now Available Near Progress West Hospital

August 13, 2019 13:00 - 8.37 MB

The St. Louis Children’s Hospital Department of Therapy Services provides occupational, physical and speech therapy within an individualized state-of-the-art model of care in conjunction with world class physicians and medical practices. As a highly trained pediatric team with an international reputation for excellence, the staff tailors therapy to each child's developmental stage and individual needs for the most effective results. Now, pediatricians, patients and families have the convenien...

Pediatric Sleep Center Expands to Meet Demands of Growing Patient Population

August 06, 2019 13:00 - 10.7 MB

Good sleep is essential to a child's health and well-being, but not all kids get the recommended amount that their bodies need. For issues that require care from a specialist, the Sleep Center at St. Louis Children’s Hospital, accredited by the American Academy of Sleep Medicine, meets the highest possible standards for comprehensive sleep care for newborns to young adults. Dr. James Kemp explains how our newly-expanded sleep lab is designed just for kids and is fully equipped with the late...

Young Athlete Center Offers Sports Safety Series to Help Reduce Injury Risk

July 23, 2019 13:00 - 13 MB

As kids continue to focus on one sport early on and playing it year-round, sometimes on multiple teams at once, overuse injuries have increased dramatically over the past decade. Tom McGowan discusses how The Washington University and St. Louis Children's Young Athlete Center has developed a series of interactive injury prevention and educational programs designed to improve the overall health of young athletes.

Cannabinoid Use in Pediatrics, Part 3: FAQs From Parents and How to Address Them

July 16, 2019 13:00 - 13.4 MB

In the final segment of this 3-part series on Cannabinoid Use in Pediatrics, Dr. Jennifer Griffith discusses addressing parents’ concerns and other frequently asked questions about the use of cannabinoids for childhood conditions or illnesses.

Cannabinoid Use in Pediatrics, Part 2: The Epilepsy Case Study

July 09, 2019 13:00 - 18.7 MB

In Part 2 of our 3 part series on Cannabinoid Use in Pediatrics, Dr. Jennifer Griffith, a Washington University Pediatric neurologist at St. Louis Children’s Hospital discusses the case study that started the national conversation over the use of cannabinoids to treat pediatric epilepsy patients, and the clinical trials that were conducted as a result.

Cannabinoid Use in Pediatrics, Part 1: What is CBD?

July 02, 2019 13:00 - 20.8 MB

Although marijuana and its derivatives are currently Schedule 1 substances per the federal Controlled Substances Act (CSA), many states have relaxed their legislation to allow use. In this 3 part series on Cannabinoid Use in Pediatrics, Jennifer Griffith, MD, PhD discusses how more recently, the use of cannabidiol (CBD) products in pediatrics has sparked additional debate, and pediatric providers have started encountering patients experimenting with these products in their daily practice, n...

New Program "Bridges" the Rehabilitation Gap for Young Athletes

June 24, 2019 13:00 - 9.98 MB

Many young athletes are unprepared to fully participate in sports without risk of injury. Paul Jenkins PT, MSPT, OCS shares that whether an athlete has decreased strength following an injury, has had surgery, or just lacks optimal strength and coordination, the Washington University and St. Louis Children's Hospital Young Athlete Center Bridge Program is designed to "bridge" the gap between where a young athlete currently is, and where they want to be.

Fetal Surgery for Spina Bifida (Myelomeningocele)

June 18, 2019 13:00 - 14.6 MB

Fetal surgery for myelomeningocele, the most severe form of spina bifida, is an extremely delicate surgical procedure where fetal surgeons open the uterus and close the opening in the baby's back while they are still in the womb. Fetal spina bifida surgery is shown to offer significantly better results than traditional repair after birth. Because spinal cord damage is progressive during gestation, prenatal repair of myelomeningocele may prevent further damage. Mothers carrying a baby with my...

St. Louis Children’s and Washington University Pediatric Orthopedic Locations and Services

June 11, 2019 13:00 - 18.2 MB

The pediatric orthopedic program at St. Louis Children’s is one of the largest in the Midwest, caring for nearly 30,000 pediatric patients each year. Staying at the forefront of this care means adapting to differing methods by which patients and families receive our services. Consequently, Washington University Physicians and St. Louis Children’s Hospital are continuously improving and creating new access points to meet the changing needs of our orthopedic patients. From therapy and surgica...

Treating Children With Congenital Scoliosis

June 04, 2019 13:00 - 10.8 MB

Congenital scoliosis is a sideways curvature of the spine that is caused by a defect that was present at birth. It occurs in only 1 in 10,000 newborns and is much less common than the type of scoliosis that begins in adolescence. Even though congenital scoliosis is present at birth, it is sometimes impossible to see any spine problems until a child reaches adolescence. Dr. Gupta joins the show to explain more about congenital scoliosis and when to refer to a specialist.

Fetal Surgery for Twin-to-Twin Transfusion Syndrome

May 28, 2019 11:00 - 11.2 MB

Twin-twin transfusion syndrome (TTTS) is a rare, serious condition that can occur in pregnancies when identical twins share a placenta. Abnormal blood vessel connections form in the placenta and allow blood to flow unevenly between the babies. One twin ? called the donor – becomes dehydrated; and the other ? called the recipient ? develops high blood pressure and produces too much urine and over fills the amniotic sac. Without treatment, this condition can be fatal for both twins. Dr. Bebbi...

CARE (Clinic for Acceptance, Recovery and Empowerment) in Pregnancy

May 16, 2019 13:00 - 16.7 MB

CARE (Clinic for Acceptance, Recovery, and Empowerment) in pregnancy is one of only two programs in St. Louis that offer prenatal care, substance abuse treatment and extended postpartum support for pregnant women facing the challenges of an opioid use disorder. Hayley Friedman, MD and Jeannie Kelly, MD, discuss how personalized treatment plans help support the well being of mother and child not just during pregnancy, but for at least one full year postpartum.

Washington University Pediatric Multispecialty Centers Continue to Open in Community

May 07, 2019 13:00 - 8.59 MB

As St. Louis Children’s Hospital and Washington University pediatricians continue to expand pediatric services within our communities, patients and families are now provided with even more options to access the expertise of Washington University pediatric doctors. Mark Lowe, MD, PhD discusses the recent openings of two multispecialty center locations in Arnold, Mo, and Shiloh, Il.

Palliative Care in the Pediatric Population

April 23, 2019 13:00 - 13.3 MB

Palliative care is often misunderstood. Oftentimes palliative care is associated with end-of-life (hospice) care or “giving up.” In reality, palliative care together with curative treatment is appropriate for any stage of illness. Joan Rosenbaum, MD , part of the Pediatric Advanced Care Team (PACT) at St. Louis Children’s Hospital, is here to share how PACT offers an additional layer of support by specialists to provide relief from the symptoms, pain and psycho-social, emotional and spiritu...

A Closer Look at the Importance of Ethics in Health Care

April 09, 2019 13:00 - 11.8 MB

Doing the right thing is often simple and clear. We find the medical problem and we do all we can to heal, to comfort, and make life better for our young patients and their families. But sometimes doing the right thing isn’t easy, simple or clear. In addition to medical questions, families and caregivers sometimes have moral or ethical issues. These come up when it is not clear what is "right" – the question is what should be done, not what can be done. Most of the time, even hard questions...

Motion Analysis Center for Gait Evaluation

April 02, 2019 13:00 - 9.75 MB

Motion analysis technology and expertise in interpreting findings and making recommendations are vital components in helping kids in need achieve the greatest mobility possible. Pooya Hosseinzadeh, MD discusses the newly-opened Motion Analysis Center at St. Louis Children's Hospital which aims to do just that-- and it's the only one in the St. Louis area.

Adolescent Bariatric Surgery Program at Children's

March 27, 2019 13:00 - 16.4 MB

Although many adolescents today are overweight, there are some teens whose extreme obesity causes serious medical complications, including Type 2 diabetes, high blood pressure and metabolic syndrome, just to name a few. These teens often are unable to lose weight through diet and exercise. However, not losing weight — and continuing to gain — is a dangerous path for them. Shaina Eckhouse, MD discusses The Adolescent Bariatric Surgery Program at Children's and how studies show that obese ado...

3D Spine Modeling for Spinal Deformities

March 20, 2019 13:00 - 9.83 MB

As 3D technology transforms health care and becomes more commonly used, St. Louis Children’s Hospital now has “in-house” 3D printing capabilities. Munish Gupta, MD, Washington University orthopedic spine surgeon, discusses this technology and how it has been life-changing for patients with spinal deformities.

New Concussion Recommendations for Kids

March 13, 2019 13:00 - 9.45 MB

Sport-related concussion is a “hot topic” in the media and in medicine. It is a common injury that is likely underreported by pediatric and adolescent athletes. Mark Halstead, MD, SLCH’s leading expert on concussions, discusses the AAP’s updated concussion recommendations to support children and teens engaging in light physical activity and returning to school as they recover. The report, revised for the first time in eight years, also advises against complete removal of electronic devices. ...

Spondylolysis in Children

February 26, 2019 14:00 - 10.5 MB

An increasing number of boys and girls are playing recreational and organized sports. As a result, there is a rise in the number of overuse injuries seen among children and adolescents. The majority of sports and overuse injuries are due to minor trauma involving soft tissue injuries--injuries that affect the bone, muscles, ligaments, and/or tendons. One such injury is Spondylolysis, or a pars defect, which is marked by back pain. Brian Kelly, MD discusses the ways in which Spondylolysis is...

What to Expect at the 2019 Spring Clinical Pediatric Update

February 13, 2019 14:00 - 7.31 MB

The 2019 Clinical Pediatric Update is designed to offer the primary care provider clinical approaches to problems common in pediatric and adolescent practice. Expect to explore current recommendations in adolescent medicine, urology, dermatology, endocrinology, allergy and pulmonary, psychiatry, orthopedics and genetics- all for CME credit. Joining the show is Dr. Brian Kelly. He's a Washington University pediatric orthopedic surgeon at St. Louis Children's Hospital, and is one of many confe...

STDs and Birth Control

January 17, 2019 14:00 - 13.3 MB

Mary Fournier, MD, MPH, discusses the current state of STDs and birth control in the millennial generation. She shares what has changed, any  new methods available and how pediatricians can help frame this conversation for parents and patients.

Exercise Physiology Lab at St. Louis Children's Hospital

January 03, 2019 14:00 - 13.8 MB

For children diagnosed with congenital heart disease, physical activities may come with limitations. The St. Louis Children’s and Washington University Heart Center combines the benefits of exercise with the expertise of pediatric cardiologists specializing in exercise physiology to aid children with heart disease. Dr. Orr joins the show to discuss exercise physiology services at St. Louis Children’s Hospital and when to refer to a specialist.