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Valley Children's Voice

Author: Valley Children's Healthcare

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Valley Children’s Voice, the Valley Children’s podcast for healthcare professionals, speak with pediatric healthcare experts to discuss topics that directly affect children in Central California
20 Episodes
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As pediatricians, we all want what is best for our patients, but are we considering if our decisions are providing high-value care? Hospitalists Dr. Jolie Limon and Dr. Nicole Webb lead a conversation with Dr. Shea Osburn and discuss what is high-quality care, examples of low-value care, and how to teach this concept to learners.
California's Central Valley is approximately 65% Hispanic, but the Valley's physician population doesn't reflect that. How do we help bridge that gap?  Dr. Michael Galvez shares his story of becoming a physician, and joins Dr. Jolie Limon and  Dr. Nicole Webb to discuss why diversity, equity and inclusion is so important in medicine.   
If you've listened to previous episodes of Valley Children's Voice, you'll recognize our hosts, Dr. Jolie Limon and Dr. Nicole Webb. Both Dr. Limon and Dr. Webb serve in leadership roles within Valley Children's Healthcare, but their journey wasn't easy. In this episode, they discuss their own experiences as women in healthcare, the importance of mentorship and the lessons they learned along the way.
This month, we're discussing Somatic Symptom Disorder. Valley Children's hospitalist and Valley Children's Voice host Dr. Nicole Webb meets with pediatric neurologist Dr. Steven Ehrreich and pediatric psychologist Dr. Amanda Suplee to discuss the signs of psychogenic nonepileptic seizures and how to discuss this diagnoses with families. 
We can agree mental health is an important topic to discuss with patients, but how do we start this conversation? And what do we do when a patient, or their families, isn't open to the conversation?In this episode of Valley Children's Voice, Dr. Nicole Webb speaks with Valley Children's Pediatric Psychologist Dr. Yvette Segura and Valley Children's resident Dr. Pritha Dewanjee on their experiences discussing mental health with patients, and best ways to approach mental health conversations.Looking for resources to provide patients and families? 360me is a mental health initiative launched by Valley Children's Healthcare to help families, schools and communities safeguard our children’s physical and mental health. Learn more at valleychildrens.org/360me.
Safe sleep might seem like a well-understood topic, but we continue to see sleep related deaths. Why is that, and how can we as medical professionals best have important conversations on safe sleep with families?In today's episode, Dr. Nicole Webb discusses with Alyssa Webb, neonatal outreach and project coordinator, and Kristina Pasma, Valley Children's trauma nurse liaison and Safe Kids Central California coalition coordinator, what we see here in the Central Valley and how to best discuss safe sleep to families, as well as peers.**This episode discusses some Safe Sleep resources for families. Here are links to the mentioned resources:Safe Kids: safekids.orgCribs for Kids: cribsforkids.orgAmerican Academy of Pediatrics: aap.org/en/patient-care/safe-sleep
When a child comes in experiencing significant weight loss, nutritional deficiency or a lack of interest in food, they may be diagnosed with an eating disorder like anorexia nervosa. However, these symptoms overlap with a newer DSM-5 diagnosis: Avoidant Restrictive Food Intake Disorder (ARFID). Children with ARFID go beyond the phases of a picky eater and while they display similar signs of other eating disorders, there are tell-tale differences, including no evidence of negative thoughts on the child’s body or a desire to lose weight.Valley Children’s VP of Academic Affairs and board certified in pediatric hospital medicine Dr. Jolie Limon hosts pediatric gastroenterologist Dr. Karla Au Yeung and pediatric psychologist Dr. Amanda Suplee in this episode of Valley Children’s Voice. Listen in as they discuss ARFID, how it differs from other eating disorders and the physical and psychological symptoms and risks.
Children who experience Adverse Childhood Experiences, or ACEs, are more likely to suffer from physical and emotional challenges during childhood, and into their adult life. In part two of this discussion, pediatric hospitalist Dr. Jolie Limon meets with complex care pediatrician Dr. Carmela Sosa, Valley Children’s Chief Resident and pediatrician Dr. Keenia Tappin, and Valley Children’s Child Advocacy Coordinator Jerica Ramos discuss the importance for screening for, and the impacts of, ACEs.
Children who experience Adverse Childhood Experiences, or ACEs, are more likely to suffer from physical and emotional challenges during childhood, and into their adult life. But what are ACEs and how do physicians screen for them? In the first part of this two-part discussion, pediatric hospitalist Dr. Jolie Limon meets with complex care pediatrician Dr. Carmela Sosa, Valley Children’s Chief Resident and pediatrician Dr. Keenia Tappin, and Valley Children’s Child Advocacy Coordinator Jerica Ramos to dive into the general understanding of ACEs, how and why one should screen and the impacts of these experiences. 
During the holiday season, you might find yourself stressed, overwhelmed and anxious. You are not alone, and during times like this, it’s more important than ever to consider the importance of taking care of your whole self.This month, host Dr. Nicole Webb chats with Dr. Merideth Wirstiuk, pediatric psychologist, and Dr. Kimberly Robertello, physician development specialist, on how they acknowledge their own wellness as physicians and parents, ways our own pediatric healthcare network focuses on wellbeing, and tips on focusing on you and your child’s whole self.  Valley Children’s blog, At The Heart, is a blog for parents and families. Dr. Merideth Wirstiuk recently authored a post on how it’s okay if it’s not the “most wonderful time of the year.” This blog post can be found here.
Let's Talk About Poop

Let's Talk About Poop

2021-12-0144:36

 As pediatricians, conversations and questions around a child being constipated are not uncommon. But what foods get a child to that point and when is constipation a red flag?In this episode, Dr. Nikki Webb speaks with Dr. Karla Au Yeung, pediatric gastroenterologist, about pediatric constipation, causes, prescriptions and when should one refer to a gastroenterologist.Interested in learning more?  Dr. Karla Au Yeung will be virtually presenting  at 12:15pm PST on  Wednesday, December 29 . Register for this CME lecture, Working Out the Ouchies! Abdominal Pain in Children, here.
Dogma: A belief held to be true by a group, that is put forth as authoritative without adequate grounds.As physicians, there are things we are taught and practice just because "that's the way it is." During this episode of Valley Children's Voice, Dr. Nicole Webb and Dr. Shea Osburn discuss various pediatric Dogmas and how having a questioning attitude can make you a better professional. 
When we look at the Central Valley a year into the COVID-19 pandemic, what are we seeing? Valley Children's pediatric hospitalist Dr. Nicole Webb met with pediatric infectious disease specialist  Dr. Karen Dahl, pediatric hospitalist Dr. Shea Osburn, and complex care pediatrician Dr. Carmela Sosa to discuss what we're seeing in the different areas of Valley Children's, including the impacts of COVID-19, vaccines, data and what we expect coming soon.
When common flu symptoms, such as fever, cough, chest pain and headaches, begin to last for multiple weeks or turn into something more serious, Central Valley families may start to hear the term “Valley fever” or “cocci.” California's Central Valley is a hotspot for Valley fever, but much is still being learned about this diagnosis. Hear from Dr. Fouzia Naeem and Dr. Vini Vijayan as they talk to Dr. Jolie Limon about what we see in the Central Valley about who is impacted by Valley Fever, the signs and treatments.
Genetic testing, genetic counseling and genetic referrals may seem overwhelming -- but often times working with a genetics team is much easier for a physician and patient than one may think. Hear Dr. Michael Galvez, pediatric plastic surgeon, talk with Dr. Richard Sidlow, pediatric geneticist, and Jason Carmichael, Valley Children's lead genetic counselor, as they explore the world of genetics.
Physicians work hard to provide their patients the best care possible, but is every test necessary for every patient? Choosing Wisely is an initiative of the American Board of Internal Medicine that promotes patient-physician conversations about unnecessary medical tests and procedures. In this episode, Dr. Nicole Webb is joined by Dr. Shea Osburn, pediatric hospitalist and Dr. Julieanna Sahouria, pediatric emergency physician. Listen as they discuss Choosing Wisely in the context of pediatrics and how unnecessary testing can actually be harmful to patients. 
Advocacy: What does it mean to be an advocate for pediatric patients, and how do we advocate for these children beyond the hospital walls?Dr. Nicole Webb, Pediatric Hospitalist and Chair of Valley Children's Education Committee speaks with Dr. Carmela Sosa, Medical Director of Valley Children's Primary Care Network and the Guilds Center for Community Health, on why it is important for physicians to use their voice to elevate the voices of others. Interested in learning more about advocating for children in your community? Join us on April 6 and April 7, 2021 for a two-day virtual symposium for pediatricians and other child health experts to collaborate and discuss health disparities and challenges faced by children and families in the Central Valley. Learn more at valleychildrens.org/advocacysymposium.
A 2-year-old comes into your clinic and has had a fever for nine days. What are the first steps? As a pediatrician, what do you do?In this episode, Dr. James Horspool, complex care pediatrician, and Dr. Vini Vijayan, infectious disease specialist, discuss with pediatric hospitalist Dr. Jolie Limon what each would do in this scenario, what the definition of a "fever of unknown origin" is, and each of their best practices. 
The COVID-19 global pandemic brought on a series of challenges -- including the impacts of social distancing. Three Valley Children's physicians chat about how precautions to keep themselves, their patients and their families safe required innovative ways to stay connected with others.
Located in the center of California, the Central Valley is a unique area where our communities and children are regularly impacted by healthcare disparities. But what are healthcare disparities exactly, and how has COVID-19 exacerbated these issues. Valley Children's Chief of Pediatrics and Pediatric Hospitalist, Dr. Jolie Limon, is joined by Dr. Carmela Sosa, Medical Director of Valley Children’s Primary Care Group and Guilds Center for Community Health, and Dr. Cristina Vargas, Valley Children’s Chief Resident, to discuss  what they have observed the impact of COVID-19 has been in relation to these healthcare disparities.
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