Bowel Sounds: The Pediatric GI Podcast

In this episode, hosts Drs. Temara Hajjat and Jason Silverman debrief Dr. Sandeep Gupta on his NASPGHAN Research Year in Review talk. Dr. Gupta is a Professor of Pediatrics at the University of Alabama Birmingham and the North American Editor of JPGN and JPGN Reports.  Learning Objectives:Review impactful clinical research papers in eosinophilic gastrointestinal disorders, celiac disease, and inflammatory bowel disease from 2024Review impactful clinical research papers in hepatology from 2024 Review impactful clinical research papers in nutrition and obesity medicine from 2024Links: Dr. Sandeep Gupta's slides - please refer to these slides for more information on papers mentioned in this episodeDevelopment of Fibro-PeN, a clinical prediction model for moderate-to-severe fibrosis in children with nonalcoholic fatty liver disease. CHALF Score: A Novel Tool to Rapidly Risk Stratify Children in Need of Liver Transplant Evaluation Druing Acute Liver FailureSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

We're kicking off Season 6 of our little podcast with a very special guest -- the one and only Margaret Stallings, Executive Director of NASPGHAN!  With her upcoming retirement, we ask her to look back on her time with our beloved society and tell us about how she started working for NASPGHAN, the friendships she has made along the way, what it has been like working with so many of the pioneers in our field, and what makes our society special.From all of NASPGHAN, thank you Margaret for everything you have done to build our society into what it is today.See you all at #NASPGHAN24 in Hollywood, Florida!Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Temara Hajjat and Peter Lu  talk to Dr. Marisa Stahl about the benefits, value, and controversy of mass screening for celiac disease and Type 1 Diabetes of children from 1-17 years old regardless of their symptoms.  Dr. Stahl is a pediatric gastroenterologist and an Assistant Professor at the University of Colorado School of Medicine.  Learning Objectives:Understanding the value of mass screening of children for celiac disease and type 1 diabetes.Understand the interpretation of the ASK study https://www.askhealth.org/.Recognize the approach of Islet Autoantibody testing for kids with celiac disease.References:ASK study results:  Mass Screening for Celiac Disease: The Autoimmunity Screening for Kids Study. 1 year outcomes for the ASK study: One-Year Outcomes Among Children Identified With Celiac Disease Through a Mass Screening ProgramFor patients interested in participating in ASK, here is the link: https://www.askhealth.org/for-parents (at-home and lab kits are available, so screening can be done anywhere in the United States).For providers wanting more information on islet autoimmunity and type 1 diabetes screening: https://www.asktheexperts.org/for-providersThe upcoming Celiac Disease Screening Symposium:  Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Lusine Ambartsumyan about caring for children with refractory functional constipation. We discuss the evaluation and treatment of both children and infants with constipation that continues despite usual treatment with education, behavioral strategies, and stool softeners/laxatives.Dr. Ambartsumyan is a pediatric gastroenterologist and Director of Gastrointestinal Motility at Seattle Children's as well as Associate Professor at the University of Washington School of Medicine.  She is an internationally-recognized expert on pediatric constipation.Learning Objectives:Understand the importance of and proper technique for the physical examination of a child or infant with refractory constipation.Understand the indications for anorectal and colonic manometry testing in children with refractory constipation.Recognize the treatment options available for refractory constipation in children.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this special JPGN episode, hosts Drs. Jason Silverman and Jennifer Lee talk to Dr. Nicola Jones about the newly released Updated joint ESPGHAN/NASPGHAN guidelines for management of Helicobacter pylori infection in children and adolescents.  Dr. Jones is a Senior Scientist in the Cell Biology Program, a staff physician in the Division of Gastroenterology, Hepatology and Nutrition at SickKids and a Professor of Paediatrics and Physiology at the University of Toronto. Her research focuses on understanding the mechanisms responsible for gastrointestinal inflammatory diseases including Helicobacter pylori and inflammatory bowel disease. Learning Objectives:Understand the indications and recommended methods for testing for  H pylori in children and adolescents.Outline the recommendations for treatment regimens and follow-up testing for the eradication of H pylori in children and adolescents. Understand where the new guidelines differ from previous guidance.Links:- Updated guidelines (open access!)Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this special Bowel Sounds and Nutrition Pearls collaboration episode, hosts Dr. Jennifer Lee and clinical dietitian Jennifer Smith talk to Dr. Jennie David about body image children with GI disorders.   This podcast delves into body image, connecting it to weight stigma and its impact on patients of all genders, especially those with pediatric GI conditions. It examines how social media influences body image and offers tips for discussing these concerns neutrally in clinical settings. The episode also provides practical advice for navigating sensitive topics like weight and eating disorders.Dr. Jennie David is a pediatric psychologist who specializes in Inflammatory Bowel Disease at Nationwide Children’s Hospital. Her clinical work and research centers on body image, medical decision-making, and perioperative IBD care. Learning Objectives: Understand the Concept of Body Image and Its Impact  Identify the Influence of Social Media and chronic GI diseases on Body Image  Develop Strategies for Discussing Body Image in Clinical Settings Links:Strings, S. (2019). Fearing the Black body: The racial origins of fat phobia. New York University Press Kite, L., & Kite, L. (2020). More than a body: Your body is an instrument, not an ornament. Houghton Mifflin Harcourt. David JG et al. Assessing the prevalence of and risk factors for disordered eating attitudes and behaviors in adolescents with inflammatory bowel disease. Inflam Bowel Dis. 2022;28(1):143-145.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Kara Margolis about caring for autistic children with GI disorders. We discuss the relationship between autism and the GI tract, how GI disorders can present differently in autistic children, and ways to improve our clinical care for autistic children with GI disorders.Dr. Margolis is a pediatric gastroenterologist at NYU Langone Health, Associate Professor at the NYU Grossman School of Medicine, and Director of the NYU Pain Research Center. She is one of the leading physician scientists in the study of children with disorders of gut-brain interaction and their relationship with autism spectrum disorder.Learning Objectives:Recognize the relationship between autism spectrum disorder and the gastrointestinal tract.Understand ways to improve our clinical care for autistic children with GI disorders.Understand the current evidence (or lack of) for probiotic supplements and dietary treatment for autistic children with GI disorders.Links:Hung, L. Y., & Margolis, K. G. (2024). Autism spectrum disorders and the gastrointestinal tract: insights into mechanisms and clinical relevance. Nature reviews. Gastroenterology & hepatology, 21(3), 142–163.Buie, T., & Margolis, K. (2024). Considerations for treating autistic individuals in gastroenterology clinics. The lancet. Gastroenterology & hepatology, 9(8), 684–686.Colliderscope Podcast Episode: Kara Margolis on the Importance of Kindness in the LabSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Dr. Jose Garza speaks to Drs. Temara Hajjat and Jason Silverman on how to manage bloating and belching in pediatric patients.Dr. Garza is a pediatric gastroenterologist who specializes in neurogastroenterology and motility at GI Care for Kids. Dr. Garza is an adjunct assistant professor in the Department of Pediatrics at Emory University School of Medicine. He also serves as medical director of the neurogastroenterology and motility program at Children’s Healthcare of Atlanta, as well as co-medical director of its gastroenterology, hepatology and nutrition program.Learning objectivesReview the causes of bloating and belching in childrenDiscuss the management strategies of bloating and belching in children Review the pathophysiology of bloating and belching and was to prevent itSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In a special bonus episode of Bowel Sounds, hosts Dr. Peter Lu and Dr. Jason Silverman talk to the two candidates for the current election for NASPGHAN President-Elect, Dr. Jeannie Huang and Dr. Maria Oliva-Hemker.  Instead of our usual format of reviewing a medical topic, we ask them to talk a little about themselves, the role NASPGHAN has played in their careers, and their vision for the future of NASPGHAN.If you are a part of NASPGHAN, don't forget to vote!Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

Are you emotionally intelligent? In this new episode Drs. Temara Hajjat and Jason Silverman sit down with Dr. Brian McFerron to review what emotional intelligence is, and how it applies to medical training, healthcare practitioners and everyone as individuals. We also discuss ways to improve and resources to consider.Dr. McFerron is the Director of the Fellowship Training Program for the Division of Pediatric Gastroenterology, Hepatology and Nutrition at Indiana University School of Medicine/Riley Hospital for Children. Dr. McFerron has clinical interest in pancreatic diseases and has been involved in clinical research involving acute recurrent and chronic pancreatitis, collaborating with colleagues nationally within the INSPPIRE consortium. He was awarded the NASPGHAN Terri Li Young Educator Award in 2022. Learning objectivesReview the components of emotional intelligence and how gaps in these components may presentDiscuss the importance of emotional intelligence in a variety of professional and personal domainsReview strategies for improving dimensions of emotional intelligence Episode linksLearning the Lasso WayHow to Use Emotional Intelligence as a Career CatalystAssessment of Medical Students' Emotional Intelligence Emotional Intelligence and Academic Performance in First and Final Year Medical StudentsThe Best Leaders Aren't Afraid to be Vulnerable (HBR)The Power of Vulnerability (TED Talk by Brené Brown)Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Ruba Abdelhadi about enteral nutrition and feeding tubes.Dr. Abdelhadi is a pediatric gastroenterologist at Children's Mercy in Kansas City, MO where she is the Director of Nutrition Support Program. She is a Professor of Pediatrics at the University of Missouri-Kansas City School of Medicine.Learning Objectives:Define enteral nutrition and patient populations who may benefit from enteral nutrition therapy.Understand the types, use cases, and complications of enteral feeding tubes.Review troubleshooting and treating common clinical scenarios related to feeding tube such as redness and leakingSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Tanaz Danialifar about diagnosing and treating disaccharidase deficiencies in children, including lactase deficiency and congenital sucrase-isomaltase deficiency (CSID). Dr. Danialifar is a pediatric gastroenterologist at Children's Hospital Los Angeles, where she is Associate Director of their Gastroenterology Fellowship Program, and an Assistant Professor at the Keck School of Medicine of USC.Learning Objectives:Recognize aspects of a child's clinical presentation that would raise concern for a disaccharidase deficiency.Understand the roles of the various diagnostic tests available for disaccharidase deficiencies.Understand the treatment and prognosis of disaccharidase deficiencies in children.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Temara Hajjat and Peter Lu talk to Dr. Arun Singh about some of the challenges we face when caring for children with celiac disease. Dr. Singh is Co-Director and Research Program Director of the Center for Celiac Disease at the Children's Hospital of Philadelphia and an Assistant Professor in the Perelman School of Medicine at the University of Pennsylvania.Learning Objectives:Understand the latest gluten challenge recommendations to help facilitate celiac disease diagnosis.Recognize the differences between various celiac serologies.Recognize resources available to children diagnosed with celiac disease and their families.References:Gluten Challenge: Singh A, et al. A Clinician's Guide to Gluten Challenge. J Pediatr Gastroenterol Nutr. 2023 Dec 1;77(6):698-702. SAGE Guidelines: https://celiac.org/schoolmanagementplan/College Toolkit: https://www.beyondceliac.org/living-with-celiac-disease/school/info-for-college-students/https://www.beyondceliac.org/wp-content/uploads/2020/08/College-Toolkit.pdfSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode,  hosts Drs. Temara Hajjat and Peter Lu talk to Dr. Maria Oliva-Hemker about diagnosing and managing Clostridioides difficile (C. diff) in children who have inflammatory bowel disease (IBD). Dr. Oliva-Hemker is the Director of the Division of Pediatric Gastroenterology, Hepatology, and Nutrition and the Stermer Family Professor for Pediatric IBD at the Johns Hopkins University School of Medicine. She is also the Vice Dean for Faculty and the Mary Wallace Stanton Professor for Faculty Affairs. Learning Objectives:Learn how to diagnose Clostridioides difficile, particularly when there is concern about a new IBD diagnosis.Learn how to manage C. diff infection in a patient with known IBD.Learn how to manage recurrent and refractory C. diff infection in a patient with IBD.Link: Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA)AGA Clinical Practice Guideline on Fecal Microbiota–Based Therapies for Select Gastrointestinal DiseasesACG Clinical Guidelines: Prevention, Diagnosis, and Treatment of Clostridioides difficile InfectionsSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Jason Silverman and Temara Hajjat talk to Drs. Michael Narkewicz and Zachary Sellers about screening, evaluation and management of children with cystic fibrosis with hepatobiliary involvement and advanced CF liver disease. We review the new consensus recommendations paper published in the May issue of Hepatology (open access link below).  Dr. Narkewicz is a pediatric gastroenterologist and transplant hepatologist at Children’s Hospital Colorado and professor of pediatrics at the University of Colorado with a strong clinical and research interest in cystic fibrosis and in particular on liver disease in cystic fibrosis who has presented and published extensively in this area over his career.Dr. Sellers is a pediatric gastroenterologist, Adjunct professor and physician-scientist at Stanford with clinical interests in the GI manifestations of cystic fibrosis and pancreatitis in children who has worked with the INSPPIRE consortium and has presented and published widely on CF and liver disease in CF.Learning objectives:Define cystic fibrosis with hepatobiliary involvement (CFHBI) and advanced cystic fibrosis liver disease (aCFLD)Outline recommendations for screening and evaluation for patients with CF and liver involvementOutline the recommendations for management of patients with CF and liver involvementPapers discussed in this episode (both are open access!:Cystic fibrosis screening, evaluation, and management of hepatobiliary disease consensus recommendationsTowards a Standardized Classification of the Hepatobiliary Manifestations in Cystic Fibrosis (CFHBI): A Joint ESPGHAN/NASPGHAN Position PaperSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Jason Silverman about how social media can be used in pediatric gastroenterology for patient care, research, medical education, and professional development. Dr. Silverman is an Associate Professor in the Division of Pediatric Gastroenterology and Nutrition at Stollery Children's Hospital, where he is also the Program Director for the Pediatric Gastroenterology training program and co-lead for the CHildren's Intestinal Rehabilitation Program (CHIRP).He is also (of course) one of our podcast co-founders and hosts!Learning Objectives:Understand the need for pediatric gastroenterology providers to be active participants on social media and incorporate this participation in their patient education and advocacy efforts.Understand how individual researchers and academic journals can use social media to increase the impact of their peer-reviewed work on broader audiences and recognize that social media can be an important source of feedback, engagement, and cross-disciplinary interaction.Recognize that a strong societal social media presence will amplify the resources and messaging from our society for its members, our patients, and the public.Links:Silverman JA, Chugh A, Hollier JM, Martin N, Raghu VK, Rosas-Blum E, van Tilburg MAL, Venkataraman-Rao P, Venkatesh RD, Lu PL. Using social media for patient care, research, and professional development: A North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition position paper. J Pediatr Gastroenterol Nutr. 2024 Feb;78(2):414-427. doi: 10.1002/jpn3.12051.Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jennifer Lee talk to Dr. Michael Wilsey about the evaluation and management of esophageal strictures in children, including congenital strictures and those arising from eosinophilic esophagitis and caustic ingestions. Dr. Wilsey is an advanced endoscopist at Johns Hopkins All Children's Hospital in St. Petersburg, FL and is a Professor at the University of South Florida.Learning Objectives:Review the presentation, evaluation, and management of congenital esophageal strictures.Understand the diagnostic tools used in the evaluation of an esophageal stricture, including the utility of functional luminal imaging probe (FLIP) testing.Understand the treatment options used for esophageal strictures, including the different types of dilation and the role of steroid injections and stenting.Links:Laughrey M, Kidder M, Rivera D, Wilsey M, Karjoo S. Development of an esophageal stricture following paradichlorobenzene mothball ingestion. SAGE Open Med Case Rep. 2020 Nov 13;8:2050313X20974210. PMID: 33240502 Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode,  Temara Hajjat and Jenn Lee interview Dr. Matthew Giefer and Dr. Brad Pasternak. Drs. Giefer and Pasternak share their experience advocating for the approval of medications for their patients. The discussion also covers the challenges involved in medication approval, how to approach your local and state representatives, and lobbying in Washington, D.C.Dr. Giefer is a pediatric gastroenterologist at Ochsner Children’s in New Orleans, Louisiana, specializing in advanced endoscopy and pancreatology, and Dr. Pasternak is a pediatric gastroenterologist and the Medical Director of the IBD program at Phoenix Children's in Phoenix, Arizona. Learning Objectives:Understand how to advocate for medication approval after they are denied by the insurance. Understand the resources available to tackle prior authorizations and denials. Recognize the importance of advocating and speaking up against insurance denials. Support the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Temara Hajjat and Jason Silverman talk to Dr. Ruben Quiros-Tejeira about multivisceral transplantation in children, covering indications, complications and the importance of multidisciplinary team care in this population. Dr. Quiros-Tejeira is Chief of the Division of Gastroenterology, Hepatology and Nutrition, a Professor of Pediatrics and Surgery and Medical Director for Pediatric Liver and Intestinal Transplantation at University of Nebraska Medical College. Learning Objectives:Review the indications for multivisceral transplantation and isolated intestinal transplantation in children with intestinal failure.Understand the common and serious short and long-term complications of multivisceral transplantation.Discuss the vital role of the multidisciplinary team in providing optimal care in this complex population.Produced by: Jason SilvermanSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

In this episode, hosts Drs. Peter Lu and Jason Silverman talk to Dr. Samuel Nurko about using neuromodulator medications like tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs) for children with functional abdominal pain disorders, now known as pain-predominant disorders of gut-brain interaction (DGBIs).  We discuss the rationale behind using these types of medications and how we can explain this rationale to families.  We also discuss how to choose the right medication for each patient and differences between medications.Dr. Nurko is Director of the Center for Motility and Functional Gastrointestinal Disorders at Boston Children's Hospital and Professor of Pediatrics at Harvard Medical School.Learning Objectives:Understand the role of neuromodulator medications in the management of children with pain-predominant DGBIs.Understand the rationale behind using these types of medications and how to explain this rationale to families.Recognize differences between neuromodulator medications and how to choose the right medication based on the clinical scenario.Links:Boston.com article on Dr. Nurko and the film Miracles from HeavenSupport the showThis episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.