
Hosted by Children's Hospital Colorado · EN

A child's future begins long before the first words, first steps or even the first smile. In the span of just 1,000 days, billions of neural connections are formed, and the foundation for lifelong health, learning, and resilience quietly takes shape. Pediatricians understand the critical nature of early development, and they translate that message to parents, helping guide, nurture, recognize risk and shape outcomes that can last decades. To explore this fascinating time in a child's life, we are joined by two experts. Caroline Dias, MD, PhD, and Annie Helms, MD, both specialize in developmental and behavioral pediatrics here at Children's Hospital Colorado and are assistant professors at the University of Colorado School of Medicine. Dr. Helms also leads the BLOSSOM Clinic at Children's Colorado. Some highlights from this episode include: How small things can have the biggest impact in these 1000 days The importance of supportive caregivers The balance of nature versus nurture Easing parent's minds that they aren't "doing enough" For more information on Children's Colorado, visit: childrenscolorado.org.

The human spine is designed to support, balance and adapt through a lifetime of growth. But what happens when that growth starts to bend in an unexpected direction? Scoliosis often emerges during periods of rapid development, turning what should be a normal growth spurt into a race against progression. The challenge isn't just finding the curve. It's predicting what that curve will do next. To explore the latest in scoliosis care, we are joined by Mark Erickson, MD. He specializes in orthopedic surgery and is the Medical Director of the spine center at Children's Hospital Colorado. He is a professor at the University of Colorado School of Medicine as well as the fellowship director of pediatric orthopedic surgery. Some highlights from this episode include: How and when scoliosis most commonly presents in children What pediatricians can look for during a routine exam Particular red flags in the history or physical exam that should cause concern How pediatricians should determine who needs imaging For more information on Children's Colorado, visit: childrenscolorado.org.

When most people hear the word "discipline", they think consequences, punishments or stopping bad behavior in the moment. But what if we've been thinking about discipline too narrowly? We are reframing discipline in toddlers through a completely different lens. One rooted in connection, development and emotional regulation. Because toddler "misbehavior" isn't usually about manipulation or defiance. More often, it's communication. To help us create developmentally appropriate expectations, we are joined by two experts. Julia Palozzi, PsyD, specializes in child psychology here at Children's Hospital Colorado and is an instructor at the University of Colorado School of Medicine. Alyson Hatten, MS, is a Licensed Professional Counselor, specializing in child counseling as well as infant and early childhood mental health. She also is an assistant professor. Some highlights from this episode include: Reframing what children can't do into what they can do Why allowing emotional dysregulation is critical to a child's development Setting developmentally appropriate expectations Discipline strategies and how pediatricians can guide families to utilize them For more information on Children's Colorado, visit: childrenscolorado.org.

It's one of the most unsettling calls a pediatrician can get: a baby who turned blue, stopped breathing or suddenly went limp, only to appear completely normal moments later. Welcome to the clinical gray zone of BRUE (Brief Resolved Unexplained Event). It sits at the intersection of alarm and ambiguity, where the history is often dramatic, but your clinical exam is reassuring. We are going to go beyond the definition and into real-life decisions that you have to make on the phone and in the office. From risk stratification to avoiding unnecessary testing, we break down what actually matters in the moment and what doesn't. This episode was recorded during a live podcast event in Colorado Springs with Michael DiStefano, MD, and Jamie Hug, DO. Dr. DiStefano is the Chief Medical Officer of Children's Hospital Colorado, Colorado Springs, and a pediatric emergency medicine physician. Dr. Hug is a pediatrician in Southern Colorado at the Children's Clinic of Pueblo. Some highlights from this episode include: What is considered a BRUE When to refer to the emergency department How pediatricians can reassure families and validate their experiences Why history is so critical to the exam For more information on Children's Colorado, visit: childrenscolorado.org.

For many families, water represents joy, summer afternoons, swimming lessons, beach vacations, backyard pools and time spent together. But in pediatrics, we also know that water can become dangerous in seconds, often quietly and without warning. Drowning remains one of the leading causes of preventable death in children, and recent updates from the American Academy of Pediatrics reinforce that prevention must be layered, proactive and tailored. In this episode, we explore how pediatricians can support drowning prevention, because some of the most important work in pediatrics happens long before an emergency occurs. We are joined by Jason Woods, MD. He specializes in emergency medicine at Children's Hospital Colorado and is the Associate Program Director of the Pediatric Emergency Medicine Fellowship Program at the University of Colorado School of Medicine. He is also an associate professor. Some highlights from this episode include: The AAP guidelines and toolkit details about drowning prevention Why the definition of drowning has changed and why that matters How drowning prevention is layered The role of the pediatrician in feeling confident to counsel families on this topic For more information on Children's Colorado, visit: childrenscolorado.org.

What if the patient you're least worried about is the one most at risk? In pediatrics, we're trained to look for red flags such as low weight, failing growth curves and visible signs of malnutrition. But atypical anorexia challenges that instinct. These patients may sit comfortably on the growth chart, or even above it, while experiencing the same dangerous behaviors and medical instability as those with classic anorexia. In this episode, we rethink what we've been taught to look for. We explore how atypical anorexia presents, why it's so often missed and what it takes to recognize the warning signs hiding beneath the surface. To discuss this important topic, we are joined by Kimberly Sheffield, PhD. She is an eating disorders psychologist at Children's Hospital Colorado, as well as the clinical director of PMHI day programs, and the associate training director for psychology training. Some highlights from this episode include: The differences between atypical anorexia and low weight anorexia How pediatricians can make sure these kids are properly identified The impact of behavior on their actions How parents or family members involvement can make a difference For more information on Children's Colorado, visit: childrenscolorado.org.

Heart murmurs are one of the most common findings in pediatric practice, but determining which ones warrant further evaluation can be challenging. While many murmurs are innocent, others may signal underlying structural heart disease and require timely referral and management. In this episode, we discuss how pediatricians can approach the evaluation of heart murmurs, including key features of the child's history and physical exam that help distinguish benign murmurs from those that may be pathologic. We also explore how factors can influence what you hear through your stethoscope. Joining us is Christopher Rausch, MD, pediatric cardiologist and Director of the Cardiac Developmental Outcomes Program at Children's Hospital Colorado. He is also a professor at the University of Colorado School of Medicine. Dr. Rausch shares practical insights to help pediatricians feel more confident in evaluating murmurs, identifying red flags, and knowing when referral is appropriate. Some highlights from this episode include: How to differentiate the sound of a murmur The biggest differences between a murmur during the first few days of life and as a teenager How common it is for children to experience a murmur during their developmental years Counseling families and deciphering fact versus fear For more information on Children's Colorado, visit: childrenscolorado.org.

Ebola has a way of cutting through the noise of the news cycle. Its name alone can shift conversations in exam rooms and on living room couches. But what's circulating in headlines is not always what's circulating in reality. For pediatricians, that gap matters. In this episode, we break down what's actually happening right now with Ebola, what is known about current risk and how clinicians can respond when families arrive with urgent questions shaped more by media than by medicine. To guide us through the science, we are joined by Sam Dominguez, MD, PhD. He is the Medical Director of the Clinical Microbiology Laboratory, as well as the Associate Medical Director of Infection Control and Prevention at Children's Hospital Colorado. He is a professor at the University of Colorado School of Medicine. Some highlights from this episode include: The current status of Ebola in Africa How difficult it is to contract Ebola The role of the pediatrician in screening patients who are traveling from other countries How pediatricians can ease minds while also promoting the facts For more information on Children's Colorado, visit: childrenscolorado.org.

There's a moment in a pediatrician's day that doesn't show up on the schedule. It's the bruise that doesn't quite match the story, or the awkward pause after a parent answers a question just a little too quickly or the child who won't make eye contact or let go of your sleeve. In these moments, pediatricians become more than clinicians. They become interpreters, advocates and sometimes the only line of protection. To help us understand the latest on child abuse, we are joined by Denise Abdoo, PhD, CPNP. Dr. Abdoo is a pediatric nurse practitioner who specializes in child abuse and neglect. She is also an associate professor at the University of Colorado School of Medicine. Some highlights from this episode include: What's changed in treating child abuse over the last decade The impact of social media on child abuse The most easily missed signs in a pediatric visit Recent changes in laws, reporting and expectations For more information on Children's Colorado, visit: childrenscolorado.org.

When a rare disease suddenly dominates headlines, questions spread quickly and so does anxiety. Over the past few weeks, hantavirus has re-entered the national conversation, leaving many families wondering how concerned they should be. For pediatricians, moments like this can be challenging as they balance public concern with clinical reality, and help families navigate information that is often incomplete, alarming or misleading. In this episode, we take a closer look at hantavirus through an evidence-based pediatric lens including what it is, how transmission occurs, who is truly at risk and what clinicians should know when these questions inevitably enter the exam room. To create clarity, we are joined by Samuel Dominguez, MD, PhD and Justin Searns, MD. Dr. Dominguez is the Medical Director of the Clinical Microbiology Laboratory, as well as the Associate Medical Director of Infection Control and Prevention at Children's Hospital Colorado. Dr. Searns specializes in pediatric infectious diseases and hospital medicine. Both of these experts teach at the University of Colorado School of Medicine. Some highlights from this episode include: Differentiating the types of hantaviruses based on rodent and region Outlining the current status of the cruise ship outbreak Tips and tricks for talking with worried families The potential impact on patients Below are some helpful resources related to hantavirus: Hantavirus Pulmonary Syndrome: CDC "Super-Spreaders" and Person-to-Person Transmission on Andes Virus in Argentina: The New England Journal of Medicine For more information on Children's Colorado, visit: childrenscolorado.org.