The PedSpace Urology & VUR Podcast

Der PedSpace-Podcast

Palette Life Sciences präsentiert Ihnen den PedSpace-Podcast mit nützlichen Informationen zur Kinderurologie, zum vesikoureteralen Reflux und den Best Practices für Deflux. Die Materialien in diesem Podcast basieren auf persönlichen Erfahrungen und Erkenntnissen des/der Referenten.

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1: Changes in Clinical Presentation and Renal Outcomes Among Children with fUTIs: Review
Aug 22, 2023 | Season: 5 | Episode: 1
Changes in Clinical Presentation and Renal Outcomes Among Children with fUTIs: Review

In this episode Dr. Ted Lee discusses his findings and thoughts based on recent studies that demonstrate trends of decreasing voiding cystourethrogram utilization rates and delayed vesicoureteral reflux diagnosis in some children. He explores the possibility that such delays could lead to more children sustaining repeated episodes of febrile urinary tract infection, and potential kidney injury, prior to diagnosis and treatment.Ted Lee, MD, MSc, provides care for children with pediatric urologic conditions while specializing care for those affected by exstrophy-epispadias complex and renal transplantation. Dr. Lee received his undergraduate degree from University of Notre Dame and medical degree from New York University School of Medicine. He completed his urologic residency training at the University of Michigan and pediatric fellowship training at Boston Children’s Hospital. Dr. Lee also completed the Harvard-wide Pediatric Health Services Research (HSR) Fellowship and obtained a Master’s degree in Computational Biology and Quantitative Genetics at the Harvard T.H. Chan School of Public Health. Read the article: https://pubmed.ncbi.nlm.nih.gov/33535798/

6: Implementing Holistic Surgical Training for Pediatric Urology
Jul 25, 2023 | Season: 4 | Episode: 6
Implementing Holistic Surgical Training for Pediatric Urology

In this episode, Dr. Max Maizels discusses the difference between holistic training and historical medical training and explains how to leverage online training, simulation models, and proctored clinical cases for more robust procedural training programs.Dr. Maizels has been on staff at Chicago Children’s Hospital since 1980. Over the years of clinical pediatric urology practice, he has incorporated creation of e-learning platforms to promote effectiveness in the operating room. Since 2010 he has researched to promote best practices for newborn circumcision. He is especially adept at performing such procedures when referred because of Pediatric Urological concerns. Dr. Maizels received his medical degree in 1973 from the University of California, Los Angeles School of Medicine. His postgraduate training included residency at Boston University Medical Center, Urology and Pediatric Urology at Northwestern University and Children’s Memorial Hospital. He currently sees patients at Ann & Robert H. Lurie Children's Hospital of Chicago.NeoCirc.org is an educational resource of circumcision concepts and methods for skill training which applies to pediatric specialists who perform neonatal circumcision.If you would like to enroll in additional simulation training please visit NeoCirc.org and enter your professional e-mail address, click submit, and complete the registration form. Read Dr. Maizels e-book on training here: A Guide to Make Applications for Holistic Surgical Practice: The Computer Enhanced Visual Learning (CEVL) Manual | SpringerLink

5: History of Endoscopic Therapies to Treat VUR
Feb 14, 2023 | Season: 4 | Episode: 5
History of Endoscopic Therapies to Treat VUR

In this episode, Dr. Prem Puri discusses how the advent of endoscopic therapy forever changed the treatment landscape for VUR in children.Professor Prem Puri is the Newman Clinical Research Professor at the University College Dublin School of Medicine and Consultant Paediatric Surgeon at the Beacon Hospital.  He is currently the Secretary of the International Board of Pediatric Surgical Research. He is Past President of the World Federation of Associations of Pediatric Surgeons (WOFAPS), and Past President of the European Pediatric Surgeons Association (EUPSA). He was the Editor-in-Chief of Pediatric Surgery International (2001-2021), and on the Editorial Board of several other journals. He was the Director of Research (1989-2009) and President (2009-2016) of the National Children’s Research Centre, Our Lady’s Children’s Hospital in Dublin, the single largest pediatric research institution in Ireland. 

Professor Puri is known internationally for his research into underlying mechanisms causing birth defects, and innovative treatments, which have benefited millions of children all over the world. His research on vesicoureteral reflux (VUR), the most common urological disorder in children has had a major worldwide impact on patient treatment, through the development of a 15-minute day care endoscopic procedure to replace a major open surgical procedure. As a direct result of his research, this endoscopic treatment has radically altered the management of VUR throughout the world. 

Professor Puri is one of the most cited pediatric surgical researchers in the world. His research work has been cited over 24,500 times in peer-reviewed articles with h-index of 77 and i10-index of 502. He has published 11 books and monographs, 147 chapters in textbooks and over 750 articles in peer-reviewed journals, including many in high impact factor journals, such as New Eng. J. Med, Lancet, British Medical Journal and Nature Genetics  

Between 1985 and 2019, Professor Puri trained 80 research fellows in basic science research at the National Children’s Research Centre in Dublin. All these research fellows were young pediatric surgeons/pediatric urologists from 18 countries, who spent 2-4 years in the laboratory. Many of them are now professors and heads of departments of pediatric surgery in various parts of the world.

He has been awarded many Honorary Fellowships, including the American Surgical Association (ASA), American Academy of Paediatrics, American Paediatric Surgical Association, Canadian Association of Pediatric Surgeons, Japanese Society of Pediatric Surgeons, and Argentinean, Austrian, Canadian, Czech, Croatian, Cuban, Indian, and South African pediatric surgical associations.

Professor Puri is a multi-award-winning researcher whose previous awards include People of the Year Award (Ireland), the prestigious Denis Browne Gold Medal by the British Association of Pediatric Surgeons, Rehbein Medal by the European Paediatric Surgeons Association, and Colles Medal by the Royal College of Surgeons in Ireland, for outstanding contribution to pediatric surgery. He has been a visiting professor to many leading universities all over the world and invited speaker at over 250 international scientific meetings. 

4: Elevating Adolescent Care in Urology
Jul 26, 2022 | Season: 4 | Episode: 4
Elevating Adolescent Care in Urology

In this episode, Dr. Daniel Wood discusses the new emerging specialty of Adolescent Urology and common urological conditions affecting adolescent males and females.Dr. Daniel Wood is a Professor of Urology based at Children’s Hospital Colorado. He has previously worked at University College London Hospitals and was an honorary consultant at Great Ormond Street Hospital. His major interest and work is in adolescent and reconstructive urology – with an expertise in adult complex reconstruction, surgical aspects of bladder exstrophy, cloacal exstrophy, posterior urethral valves, disorders of sex development and neuropathic bladder.

He qualified from St. Bartholomew’s Medical College (London, UK) in 1994, completed a PhD, at UCL and completed his higher training at the Institute of Urology where he was first appointed as a consultant in 2008. He maintains an active research interest and is widely published, he is a senior editor of the Journal of Pediatric Urology and has been an invited speaker as visiting professor across the US and Europe and at many international meetings.

3: Finding Time for a Lifetime Commitment to Mission Work
Apr 21, 2022 | Season: 4 | Episode: 3
Finding Time for a Lifetime Commitment to Mission Work

In this episode, Dr. Timothy Bukowski and Valre Welch discuss the fulfilling work of volunteering with the World Pediatric Project to provide care to children in Belize.

Dr. Timothy Bukowski received his undergraduate degree in economics at Georgetown University and his medical degree from SUNY at Buffalo School of Medicine. He completed a urologic residency at Wayne State University, then completed a research fellowship in Pediatric Urology at the University of Cincinnati College of Medicine and a clinical fellowship in Pediatric Urology at the Children’s Hospital of Michigan. He currently serves as the Director of Pediatric Urology at WakeMed Children's Hospital in Raleigh, North Carolina. He is Board-certified in Pediatric Urology and has a special interest in complex reconstruction of the genito-urinary system, the correction of hypospadias and management of the bladder exstrophy patient.

Dr. Bukowski is a member of the American College of Surgeons, the Pediatric section of the American Academy of Pediatrics, the American Urological Association, and the Society of Pediatric Urology. He also serves as a Board member for the North Carolina Pediatric Society Foundation.

Valre Welch received her BSN from the University of Pittsburgh and her MSN from Loyal University of Chicago. She is a certified pediatric nurse practitioner in the division of Pediatric Urology & Department of Surgery at Children’s Hospital of Richmond at VCU Health System. Welch also serves as research coordinator for various research projects within the division of pediatric urology. She is a member of Society of Urological Nurses Associates, Pediatric Urology Nurse Specialists and the Virginia Council of Nurse Practitioners. 

2: Technology to Support the Transition of Adolescents to Adult Healthcare
Mar 15, 2022 | Season: 4 | Episode: 2
Technology to Support the Transition of Adolescents to Adult Healthcare

In this episode, Natalie Barganski, Pediatric Nurse Practitioner in Pediatric Urology, discusses how healthcare providers can use telehealth and personal digital medical files to instill confidence in adolescent patients as they make the transition to adult healthcare. Natalie Barganski is a pediatric nurse practitioner in pediatric urology at Children’s Physicians Services of South Texas, Driscoll Children’s Hospital, in Corpus Christi, Texas. Prior to this, she served as Pediatric Nurse Practitioner in Level II NICU at Driscoll Children’s, as well as Pediatric Nurse Practitioner in Pediatric Surgery at Driscoll Valley Physician’s Group. She also has experience as a Neonate ICU Nurse. 

Natalie received her B.S. in Nursing from Texas A&M University, and her M.S. in Nursing from the University of Texas Health Science Center. She also received her Doctor of Nursing Practice from Texas Tech University Health Science Center.

1: Making the Transition from Fellowship to Practice
Feb 09, 2022 | Season: 4 | Episode: 1
Making the Transition from Fellowship to Practice

In this episode, Dr. Bradley Morganstern discusses some of the surprises and lessons he has learned in transitioning from fellowship to practice.  

 Dr. Bradley A. Morganstern is the new Chief of Pediatric Urology at Augusta University. He brings a patient centered approach to the management of pediatric urologic conditions with an emphasis on providing compassionate care focused on his patients and their families. He is skilled at both open and minimally invasive surgery for all pediatric urologic conditions. He looks forward to using his training to extend the use of the robot at our institution for major reconstructive surgeries as well as for minimally invasive procedures including pyeloplasties, ureteral re-implantations, urachal repair and others. His research interests include Health Related Quality of Life issues and novel investigations in obtaining functional data from sonographic images in pediatric urology conditions. He is available for consultations and treatment of all general and complex pediatric urologic disorders.  Dr. Morganstern completed his training in general urology and a fellowship in pediatric urology at the Smith Institute for Urology in Long Island, NY, a division of Hofstra University School of Medicine under the direction of Drs. Louis R. Kavoussi and Lane S. Palmer. He attended Albert Einstein School of Medicine in New York and did an additional year of research at Sloan Kettering Cancer Center and Montefiore Hospital as well as earned a certificate in Public Health. He received an undergraduate Summa Cum Laude degree in communications from Boston University and completed premedical courses at Harvard University.

7: Using Simulator Models to Optimize Physician Training
Dec 20, 2021 | Season: 3 | Episode: 7
Using Simulator Models to Optimize Physician Training

In this episode, Dr. Katie Canalichio and Dr. Irina Stanasel discuss the benefits of simulator training in pediatric urology, their experience with the Deflux simulator model, and their role in its development.  Dr. Katie Canalichio completed her medical training and residency at the University of Texas Health Science Center at Houston. She completed a pediatric urology fellowship at Seattle Children’s Hospital, in which her final year she served as Acting Instructor in the Department of Urology at the University of Washington. Additionally, she is a graduate of Baylor University where she received her bachelor’s degree in biochemistry. Dr. Canalichio’s clinical interests include genitourinary reconstruction including hypospadias repair, spina bifida, and other complex urological conditions affecting children. She also performs minimally invasive and robotic surgery and treats pediatric stone disease.   Dr. Irina Stanasel is a pediatric urologist at Children’s Health℠ and an assistant professor in the Department of Urology at UT Southwestern Medical School. She provides care for children of all ages who have a variety of urologic disorders. Dr. Stanasel received her medical degree from Baylor College of Medicine in Houston, Texas and completed her residency in urology at Wake Forest University Baptist Medical Center. She completed a pediatric urology fellowship at Texas Children’s Hospital in Houston. Her specialties include fetal urology, bladder bowel dysfunction, complex hypospadias repair, prune belly syndrome and quality improvement in pediatric urology.

6: How to Communicate Difficult News to Caregivers
Oct 26, 2021 | Season: 3 | Episode: 6
How to Communicate Difficult News to Caregivers

In this episode of The PedSpace, Dr. Dominic Frimberger discusses tips for delivering difficult diagnoses to caregivers.

 Dr. Frimberger is board-certified by the American Board of Urology. He is a Professor in the Department of Urology at the University of Oklahoma Health Sciences Center and the Chief of Pediatric Urology at the Children’s Hospital of Oklahoma.

Dr. Frimberger received his medical degree from the University of Wurzburg in Germany and completed his urology residency in a combined program through the Department of Urology of the Ludwig- Maximilians University in Munich, Germany and the Brady Urological Institute at the Johns Hopkins Hospital in Baltimore. He went on to complete a fellowship in Pediatric Urology at the Johns Hopkins Hospital and afterwards came to Oklahoma where he has been practicing for the last 15 years. 

Dr. Frimberger serves on the Board of the American Academy of Pediatric Urology and is a member of several national and international Societies for Pediatric Urology. He has a general pediatric urology practice and specializes in neonates and children with severe congenital urologic birth defects such as hypospadias, bladder reflux (VUR), hydronephrosis, spina bifida, DSD, bladder exstrophy and cloacal anomalies. He established the first program for robotic surgery in Pediatric Urology here in Oklahoma and is a skilled reconstructive and minimal invasive surgeon. 

5: The Early History of Endoscopic Treatment and the Story of Deflux
Sep 30, 2021 | Season: 3 | Episode: 5
The Early History of Endoscopic Treatment and the Story of Deflux

In this episode, Dr. Goran Läckgren discusses the early days of research and discovery with endoscopic treatment and what he has learned over three decades of study. 

Dr. Goran Läckgren is a Professor of Pediatric Urology at the University of Uppsala, Sweden. He has worked in the department of Pediatric Surgery at University Children’s Hospital of Uppsala as head for the section of Pediatric Urology from 1986 to 2009 and is currently a Consultant Pediatric Urologist.

He has published numerous peer-reviewed papers and book chapters in Pediatric Urology: Morphological and Endocrinological research on the human undescended testis (Thesis); In Pediatric Oncology: Neuroblastoma (biochemical markers); Wilms’ Tumour (angiogenesis); Enuresis and Bladder dysfunction; Vesicoureteral reflux (particularly endoscopic treatment); as well as experimental and clinical studies on Deflux, particularly continuing F-U studies of children with VUR.  

Dr. Läckgren has been a visiting professor and lecturer in more than 40 countries all over the world in the last 30 years and is a member of several national and international medical societies. He is an elected member of the Society for Pediatric Urology Surgeons (SPUS) since 1997, an international member of the American Association of Genito Urinary Surgeons (AAGUS) since 2005, the founding member of the Swedish Enuresis Academy (SEA) since 1993, and a member of the board of The European Society for Pediatric Urology (ESPU). He was also Treasurer from 2008 to 2010 and President from 2012 to 2014. He was elected Honorary Member of the ESPU in 2015. 

4: The Benefits of Having a Pediatrician Partner in Your Practice
Aug 26, 2021 | Season: 3 | Episode: 4
The Benefits of Having a Pediatrician Partner in Your Practice

In this episode, Dr. Leslie Hsieh discusses benefits of the unique pediatrician and pediatric urologist working relationship within their clinic. This business model has increased collaboration between physicians and created an optimal environment for patient care.

 Dr. Leslie Hsieh is a board-certified pediatrician and works in the 2-B-Dry Program, where she treats children with bladder and bowel dysfunction.

Patients are seen for various conditions, including daytime wetting, nocturnal enuresis, urinary frequency, urinary urgency, giggle or stress incontinence, dysuria, post-void dribbling, recurring urinary tract infections and encopresis. Dr. Hsieh employs a variety of treatment modalities, including tibial nerve stimulation, urodynamics, EMG uroflowmetry, biofeedback, counseling and medications when needed.

Prior to working at Rady Children's, Dr. Hsieh practiced as a general pediatrician for eight years in San Diego and Washington, D.C. She earned her medical degree from the University of Vermont College of Medicine and completed her pediatric residency and internship at Georgetown University in Washington, D.C.

3: Understanding Quality Measures
Jul 15, 2021 | Season: 3 | Episode: 3
Understanding Quality Measures

Quality is the framework used to systematically improve patient care. Quality improvement seeks to standardize processes and structure to reduce variation in care, achieve predictable results, and improve outcomes for patients, healthcare systems and organizations.In this episode, Beverly Kirchner and J.D. Buchert discuss the foundations of quality metrics in healthcare, in both inpatient and outpatient settings. Beverly Kirchner is the Founder, Chief Compliance Officer, and Chief Operating Officer at SurgeryDirect, a healthcare company focused on the advancement of ambulatory surgical care. She is also the Owner and Chairman of the Board of Directors at Genesee Associates, an Ambulatory Surgical Center and surgical hospital development and consulting company. She holds a BSN, RN, CNOR and CASC.J.D. Buchert is a Quality Specialist and Nurse Researcher for the Surgical and Trauma division at Parkland Health and Hospital System in Dallas, Texas. He holds a B.S. in Registered Nursing from West Coast University, a master’s degree in Family Practice Nursing from South University and a MSN in Quality, Safety & Compliance from Southern New Hampshire University.

2: Preparing Caregivers for Recovery after Surgical Intervention for VUR
Jun 14, 2021 | Season: 3 | Episode: 2
Preparing Caregivers for Recovery after Surgical Intervention for VUR

In this episode, Dr. Aaron Bayne discusses the results of a study he conducted entitled “Parental Perception of Bladder Spasms and Hematuria After Surgery for VUR: A Prospective Multicenter Study.” He explains how the data from the study now informs his patient counseling.To read the abstract, click here: https://pubmed.ncbi.nlm.nih.gov/32423705/Dr. Bayne has a special interest and training in pediatric minimally invasive surgery and has advanced training in minimally invasive reconstruction of the urinary tract. He is also part of the pediatric robotic surgery unit at OHSU. He has research interests in minimally invasive surgery, health disparities in treatment of urologic disease, fetal urinary tract anomalies and in advancing non-invasive methods for evaluation of childhood urologic conditions. He has expertise in all areas of pediatric urology and has published a number of book chapters and articles on various topics in pediatric urology.

In his spare time, Dr. Bayne enjoys spending time with his wife and two children. He also enjoys running, swimming, hiking, skiing, rock climbing, singing and reading.

1: Community Acquired Antibiotic Resistance
May 17, 2021 | Season: 3 | Episode: 1
Community Acquired Antibiotic Resistance

In this episode, Dr. Elizabeth Race discusses the prevalence of drug resistant bacteria in our community especially as it relates to complicated UTI in children with VUR. 

Elizabeth Race, MD, MPH is an Infectious Disease specialist in Dallas, Texas. She completed fellowships in Infectious Diseases & HIV Medicine at the Harvard Infectious Diseases Training Program. She received a Masters Degree from the Harvard School of Public Health. Dr. Race spent the next 12 years in academic medicine at the University of Texas Southwestern Medical Center at Dallas, where she attained the rank of Associate Professor. Dr. Race left academic medicine & currently practices Infectious Diseases in a community hospital setting in Dallas. Dr. Race’s interests include antimicrobial resistance, Community-Acquired MRSA, parasitology & opportunistic infections of immunocompromised persons. She is board-certified in Internal Medicine and Infectious Diseases.

6: Work-Related Musculoskeletal Injuries in Pediatric Urology
Apr 26, 2021 | Season: 2 | Episode: 6
Work-Related Musculoskeletal Injuries in Pediatric Urology

In this episode, Dr. Shahira Khoury and Dr. Tony Khoury discuss the most common musculoskeletal injuries for pediatric urologists and provide ergonomic techniques and exercises for maintaining good posture.

Dr. Shahira Khoury specializes in Physical Medicine and Rehabilitation (PMR). After many years in a busy multidisciplinary practice in Toronto, Canada, she moved to California. Ever Since joining the University of California Irvine in 2009, she has managed non-surgical Orthopedic patients in the Orthopedic Clinic in Orange, the Pain Clinic in Irvine, and UCI Tustin Ortho/PMR Clinic. 

Dr. Khoury manages all Musculoskeletal conditions as well as spine disorders including cervical and lumbar radiculopathy, spinal stenosis, degenerative disc disease, facet arthritis, and myofascial pain. Her goal is to enhance patients' performance, by tailoring their treatment plan to optimize their non-surgical management including soft tissue, trigger points and joint injections, structured exercises, coordinating their care with various allied health care professionals and overseeing their progress.

 Dr. Tony Khoury specializes in the medical and surgical management of complex pediatric urology anomalies, including reconstructive surgery for incontinence, genital anomalies, renal transplantation, and oncology. Dr. Khoury is the Chief of Pediatric Urology at both Children's Hospital Orange County and UC Irvine Medical Center.

5: Urinary Tract Infections in Children
Apr 05, 2021 | Season: 2 | Episode: 5
Urinary Tract Infections in Children

In this episode, Dr.  Adam Rensing discusses the prevalence of urinary tract infections, how to diagnose them and when a patient should be referred to a pediatric urologist.Dr. Adam Rensing is a Board-Certified Urologist and is an Assistant Professor of Pediatric Urology at the University of Oklahoma. He completed his medical degree and urologic surgical training at Washington University in St. Louis. Additionally, he completed a fellowship in pediatric urology at Riley Hospital for Children at Indiana University. Dr. Rensing cares for children with all urologic conditions. He has a special interest in minimally invasive, robot-assisted surgery and reconstruction for the neuropathic bladder. He sees patients both at the OU Children’s Hospital Medical Center and at the OU Physicians Edmond clinic. Dr. Rensing is a member of the American Urological Association and the Society for Pediatric Urology.

4: Starting a Pediatric Urology Practice
Mar 22, 2021 | Season: 2 | Episode: 4
Starting a Pediatric Urology Practice

In this episode of The PedSpace, Dr. Abd-El-Rahman Abd-El-Barr, more commonly known as “Dr. A.R.”, shares his experience starting a new pediatric urology practice. He discusses how he chose the specialty of pediatric urology, his experience practicing at a community hospital, challenges faced coming out of fellowship, and his advice for young physicians coming out of training.Dr. Abd-El-Rahman Abd-El-Barr is a pediatric urologist at Golisano Children's Hospital of Southwest Florida. He earned his medical degree from Saint Louis University School of Medicine, St. Louis and completed a General Surgery internship and Urologic Surgery Residency at Vattikuti Urology Institute, Henry Ford Hospital. Dr. A.R. completed his Pediatric Urology Fellowship at Miami Children’s Health System, Jackson Memorial Hospital. 

Dr. A.R.'s clinical interests include minimally invasive and robotic surgery, treatment of conditions related to spina bifida, abnormalities of the genitourinary system, treatment of urinary stone disease, circumcision and phimosis.

3: Building Relationships with Your Community Pediatricians
Mar 08, 2021 | Season: 2 | Episode: 3
Building Relationships with Your Community Pediatricians

In this episode of The PedSpace, Dr. Dominic Frimberger shares his recommendations for establishing a good rapport with your referral community.

Dr. Frimberger is board-certified by the American Board of Urology. He is a Professor in the Department of Urology at the University of Oklahoma Health Sciences Center and the Chief of Pediatric Urology at the Children’s Hospital of Oklahoma.

Dr. Frimberger received his medical degree from the University of Wurzburg in Germany and completed his urology residency in a combined program through the Department of Urology of the Ludwig- Maximilians University in Munich, Germany and the Brady Urological Institute at the Johns Hopkins Hospital in Baltimore. He went on to complete a fellowship in Pediatric Urology at the Johns Hopkins Hospital and afterwards came to Oklahoma where he has been practicing for the last 15 years. 

Dr. Frimberger serves on the Board of the American Academy of Pediatric Urology and is a member of several national and international Societies for Pediatric Urology. He has a general pediatric urology practice and specializes in neonates and children with severe congenital urologic birth defects such as hypospadias, bladder reflux (VUR), hydronephrosis, spina bifida, DSD, bladder exstrophy and cloacal anomalies. He established the first program for robotic surgery in Pediatric Urology here in Oklahoma and is a skilled reconstructive and minimal invasive surgeon. 

2: Using the VUR Index for Reflux Management
Feb 22, 2021 | Season: 2 | Episode: 2
Using the VUR Index for Reflux Management

In this episode of The PedSpace, Dr. Angela Arlen discusses the history of the VUR Index, the four studies that validated it, and how to clinically use the index.

Dr. Arlen is a board-certified pediatric urologist at Yale Medicine and Assistant Professor of Urology at Yale School of Medicine. She earned her medical degree from The University of Iowa Carver College of Medicine and completed her pediatric urology internship and residency at University of Iowa Hospitals & Clinics. Dr. Arlen completed her pediatric urology fellowship at Emory University/Children’s Healthcare of Atlanta in 2014.   Stay tuned for the upcoming VUR Index Webinar featuring Dr. Arlen.

1: Constipation and its Relationship to Bladder Anatomy and VUR
Feb 08, 2021 | Season: 2 | Episode: 1
Constipation and its Relationship to Bladder Anatomy and VUR

In this episode of The PedSpace, Dr. Steve Hodges discusses how to properly diagnose and treat children who turn their rectum from a sensing and emptying organ to a storage organ and its effect on the pelvic floor and bladder function.

Dr. Hodges is a board-certified pediatric urologist and professor of pediatric urology at Wake Forest University School of Medicine in Winston-Salem, North Carolina. Dr. Hodges earned his Bachelor of Arts degree from Duke University and his medical degree from Wake Forest School of Medicine. He completed his pediatric internship and residency at North Carolina Baptist Hospital. Dr. Hodges completed his fellowship at Children’s Hospital of San Francisco.   Dr. Hodges’ website and Facebook page called Bedwetting and Accidents serve as resources for parents, medical professionals and therapists. He has authored a peer-reviewed paper on his methods for treating constipation in the treatment of children with lower urinary tract symptoms.   Visit Dr. Hodges’ website

14: Treatment Options for VUR
Dec 07, 2020 | Season: 1 | Episode: 14
Treatment Options for VUR

In this extended episode and Season 1 finale of The PedSpace, Dr. Elias Wehbi discusses the different treatment options for VUR. These options include antibiotics therapies, endoscopic treatment, open reimplantation and robotic open reimplantation. Dr. Wehbi weighs the advantages and disadvantages of each treatment.

An expert in the field of urology, Dr. Elias Wehbi’s clinical interests include complex reconstruction, urologic malignancies, renal transplantation and minimally invasive treatment for pediatric urology. In Canada, he helped perform the first laparoendoscopic single site (scarless) urologic surgeries for children.

An internationally-recognized urologist, Dr. Wehbi has published numerous publications in peer-reviewed journals, given presentations at national and international meetings, and received several awards for his novel clinical research. He has been an invited speaker and lecturer at various residency training programs.

Dr. Wehbi is board certified in urology. Prior to joining CHOC Children’s, Dr. Wehbi received his Royal College certification and medical doctorate at the University of Toronto. He completed his residency training in urology at the University Health Network in Toronto, and conducted his fellowship in pediatric urology at the Hospital for Sick Children in Toronto, Ontario.

Dr. Wehbi has an interest in international health, and has completed more than a dozen medical missions to Central America; service that has been recognized by his predecessors with humanitarian and patient care awards.

13: Neonatal Circumcision: Care After Cut
Nov 23, 2020 | Season: 1 | Episode: 13
Neonatal Circumcision: Care After Cut

This episode is the last of a 3-part series focused on neonatal circumcision. The series will span suitability for circumcision, where to cut and what constitutes adequate after-care.  

In this episode, Dr. Walid Farhat speaks with Clinical Associate Professor and Newborn Hospitalist Dr. Nicole Baumann-Blackmore and Pediatric Urologist Dr. Emily Blum about care after circumcision. They discuss best practices for educating caregivers about post-circumcision care and explain a physical therapy technique that is shared with caregivers to aid in the healing process.  

To view the NeoCirc platform, please visit NeoCirc.org Field 1 - Login: Enter your email Field 2 - Hospital: Select "Palette - Podcast add on" from the dropdown menu

 

Walid A. Farhat Chief of Pediatric Urology and Board-Certified Pediatric UrologistUniversity of WisconsinMadison, WI  

Dr. Farhat is a professor and the chief of pediatric urology at the University of Wisconsin, American family Children’s Hospital, Madison. Dr. Farhat clinical expertise is in minimally invasive surgery and various common pediatric urological procedures. He has particular interest in the interface between engineers and surgeons on methods and strategies to enhance and improve surgical education, simulation models and skills acquisition. Dr Farhat’s research currently focuses on surgical outcomes with emphasis on the cost effectiveness of different surgical approaches. 

 

 

Nicole Baumann-BlackmoreClinical Associate Professor and Newborn HospitalistMadison, WI

Nicole Baumann-Blackmore, MD, FAAP, IBCLC is a clinical associate professor at the University of Wisconsin and practicing Newborn Hospitalist at UnityPoint Health-Meriter Hospital in Madison, Wisconsin.  She attended medical school at the University of Wisconsin School of Medicine and Public Health, graduating in 2005.  She then completed her residency at UW in 2008 and has been a practicing pediatrician in Madison since 2009. She lives in Middleton, WI, with her husband and three children.

 

Dr. Emily BlumBoard-Certified Pediatric UrologistAtlanta, GA 

Dr. Blum graduated cum laude from Bowdoin College with special honors in Biology and was elected to Phi Beta Kappa. She received her medical doctorate from Boston University where she graduated cum laude and was elected to Alpha Omega Alpha. While completing her residency at Beaumont Hospital in Royal Oak, Michigan, Dr. Blum spent a significant amount of time working on urban farming community development campaigns in Detroit. Her community work lead to a nomination for the AAMC Resident Physician Community Service Award during her chief year.

Dr. Blum continued her training as the A. Barry Belman Pediatric Urology Fellow at Children’s National Medical Center in Washington, D.C. During the research year of the 2-year fellowship program, she was also awarded the Joseph E Robert (JER), Jr. Fellowship for Pediatric Surgical Innovations. Dr. Blum’s research projects focused on utilizing artificial intelligence to assist in analyzing radiographic studies. She won top honors at the JER Academic Symposium both years.

She continues to pursue her interest in medical device innovations, particularly in bridging the gap between research and commercialization to improve patient care. Dr. Blum is a member of the research faculty at Georgia Tech and serves as a Medical Affairs Liaison for the Global Center for Medical Innovations.

In addition to general pediatric urology, Dr. Blum’s special surgical interests are in hypospadias and congenital hydronephrosis.

12: Neonatal Circumcision: Where Do I Cut?
Nov 09, 2020 | Season: 1 | Episode: 12
Neonatal Circumcision: Where Do I Cut?

This episode is the second of a 3-part series focused on neonatal circumcision. The series will span suitability for circumcision, where to cut and what constitutes adequate after-care.  

In this episode, Dr. Edwin Smith speaks with Newborn Hospitalist Dr. Elizabeth Goetz and Pediatrician in Chief and Hospitalist Dr. Mike Steiner about their approach to newborn circumcision and their experiences with the NeoCirc learning module for circumcision. They discuss whether standardization is necessary, how to determine landmarks, and usability of the module.   To view the NeoCirc platform, please visit NeoCirc.org Field 1 - Login: Enter your email Field 2 - Hospital: Select "Palette - Podcast add on" from the dropdown menu   

Edwin Smith, M.D., F.A.A.P, F.A.C.S.Associate Clinical Professor Pediatric Urologist Atlanta, GA

Dr. Edwin Smith is a board-certified urologist specializing in the practice of pediatric urology. He has been involved in resident teaching throughout his career and is a Clinical Associate Professor of Urology at Emory University School of Medicine. At Children’s Hospital of Atlanta, he has enjoyed involvement in medical staff affairs serving on committees and in leadership roles that emphasize patient safety and quality of care.    

 Elizabeth Goetz, M.D. Newborn Hospitalist Madison, WI  Elizabeth Goetz is a Newborn Hospitalist at the University of Wisconsin Madison. Interests include medical student and resident education, circumcision, breastfeeding, and Neonatal Abstinence Syndrome.    

  Mike Steiner, M.D. Pediatrician in Chief and Hospitalist University of North Carolina and UNC Children’s HospitalMichael Steiner, MD, MPH is a general pediatrician and hospitalist at the University of North Carolina and UNC Children’s Hospital. He serves as the Pediatrician in Chief and Vice Chair of Clinical Affairs and Division Chief of General Pediatrics and Adolescent Medicine. He performs circumcision in the newborn nursery and in an outpatient hospital clinic.

11: Suitability for Neonatal Circumcision: May I Cut?
Oct 26, 2020 | Season: 1 | Episode: 11
Suitability for Neonatal Circumcision: May I Cut?

This episode marks the start of a new 3-part series focused on neonatal circumcision. The series will span suitability for circumcision, where to cut and what constitutes adequate after-care. In the first episode, Dr. Max Maizels interviews specialists in Pediatrics (Dr. Chloe Salzmann) and Neonatology  (Dr. Paola Fliman) about their approaches to “May I Cut” as practiced before and after viewing the NeoCirc e-learning module. NeoCirc.org  was created by pediatric urologists, Dr. Max Maizels, Dr. Walid Farhat, Dr. Edwin Smith and Dr. Emily Blum, as a new approach to reduce adverse outcomes of neonatal circumcision. They believe such adverse outcomes stem from  inconsistencies in procedure practices between providers, between institutions and across hospital networks. Consequently, they created NeoCirc.org to be an educational resource of circumcision concepts and methods for skill training which applies to pediatric specialists who perform neonatal circumcision.To view the NeoCirc platform, please visit NeoCirc.orgField 1 - Login: Enter your emailField 2 - Hospital: Select "Palette - Podcast add on" from the dropdown menu Max Maizels, M.D.Professor of Urology, Northwestern University Feinberg School of Medicine AttendingLurie Children’s Hospital Chicago, IL

Max has been on staff at Chicago Children’s Hospital since 1980. Over the years of clinical pediatric urology practice, he has incorporated creation of e-learning platforms to promote effectiveness in the operating room. Since 2010 he has researched to promote best practices for newborn circumcision. He is especially adept at performing such procedures when referred because of Pediatric Urological concerns. Max received his medical degree in 1973 from the University of California, Los Angeles School of Medicine. His postgraduate training included residency at Boston University Medical Center, Urology and Pediatric Urology at Northwestern University and Children’s Memorial Hospital. He currently sees patients at Ann & Robert H. Lurie Children's Hospital of Chicago.Paola Fliman, M.D.Attending NeonatologistNICU Medical Director SSM HospitalMadison, WI

Paola has been a practicing clinical neonatologist at SSM Hospital in Madison, WI since 2005.  She has served as the NICU medical director at SSM and has been president of Neonatal Resources of Wisconsin since 2012. Paola has a special interest in pediatric and newborn policy and protocol development and quality improvement projects. She started performing neonatal circumcision approximately 5 years ago. Paola received her medical degree from the Ohio State University College of Medicine in 1999. She completed her pediatric internship and residency at Mott Children’s Hospital at the University of Michigan in Ann Arbor and completed a neonatal-perinatal fellowship at Children’s Memorial Hospital at Northwestern UniversityChloe Salzmann, MD, FAAPPediatric Hospitalist, Advocate Children's Hospital - Park Ridge

Chloe has been on staff as a pediatric hospitalist at Advocate Children's Hospital in Park Ridge, IL since 2018. She is involved in the development of the newborn nursery curriculum for pediatric and family medicine residents and is working to create more formal and standardized education on determining suitability for newborn circumcision and evaluating success of newborn circumcision in residency training. Chloe received her medical degree from Rush Medical College in Chicago, IL in 2011. She completed her pediatric residency training at the Medical University of South Carolina in Charleston, SC in 2014. She worked in pediatric primary care from 2014-2017 before joining Advocate Children's Hospital as a pediatric hospitalist.

10: What is Physician Burnout?
Oct 12, 2020 | Season: 1 | Episode: 10
What is Physician Burnout?

In this episode of The PedSpace, Dr. Barry Duel discusses the issue of physician burnout. Dr. Duel explains the signs and causes of burnout, how it’s measured, and defines interventions for alleviation and prevention. 

Dr. Barry Duel is Director of Urology at SSM Cardinal Glennon Children's Hospital and Associate Professor of Surgery and Pediatrics at St. Louis University, where he is also the founding Program Director of the urology residency. Prior to that, he was a faculty pediatric urologist at Cedars-Sinai Medical Center in Los Angeles from 2008-2013, and an Associate Professor of Urology and Pediatrics at UC Irvine from 1998-2008. He is a Fellow of the American Academy of Pediatrics, American College of Surgeons and Society for Pediatric Urology. Dr. Duel received a BS in Biology from Cornell University and his MD from Harvard Medical School, where he also completed his urology training, followed by a fellowship at Children's Hospital of Michigan.

9: The Psychological Impact and Integrative Solutions to the Challenge of BBD in Families
Sep 28, 2020 | Season: 1 | Episode: 9
The Psychological Impact and Integrative Solutions to the Challenge of BBD in Families

This episode is the last of a four-part series focused on bladder and bowel dysfunction (BBD). The series offers insight into different health care providers’ perspectives on managing BBD and is a great tool for sharing with your pediatric nurses, referral base, and other pediatric colleagues.  In this episode of The PedSpace, child and family psychologist Dr. Don MacMannis discusses the psychological impact of bladder and bowel dysfunction and provides solutions to families of children with BBD. Dr. MacMannis outlines the psychosocial effects of BBD on children and shares applications of the latest brain research to family dynamics, as well as keys to healthy family interactions.  Don MacMannis, Ph.D. is a child and family psychologist and Clinical Director of the Family Therapy Institute of Santa Barbara. He has specialized in the treatment of children and families for fifty years. In addition to his Ph.D. in Clinical Psychology, he has a Master’s degree in School-Child Psychology from the University of Virginia and a Bachelor’s degree from Dartmouth. He recently won the title of “Best Family Therapist” in a poll taken by SBParent.com.

“Dr. Mac” is the co-author of two highly acclaimed books. How’s Your Family Really Doing?: 10 Keys to a Happy Loving Family, Who’s the Boss? The Win-Win Way to Parent Your Defiant Strong-Willed Child, and Parenting Spirited Strong-Willed Kids, that has been attended by over a thousand parents internationally.

Also specializing in creative projects for young children, he was music director, scriptwriter and songwriter for the PBS hit series, Jay Jay the Jet Plane. Dr. Mac’s Happy Kids Songs are a series of over fifty award-winning songs and activities that have been shown to help boost character, social and emotional learning.

8: Managing Bladder and Bowel Dysfunction in Children
Sep 14, 2020 | Season: 1 | Episode: 8
Managing Bladder and Bowel Dysfunction in Children

This episode is the third of a four-part series focused on bladder and bowel dysfunction (BBD). This series offers insight into different health care providers’ perspectives on managing BBD and is a great tool for sharing with your pediatric nurses, referral base, and other pediatric colleagues.

In this episode of The PedSpace, Pediatric Nurse Practitioner Shelly King discusses her pediatric urology clinic's approach to bladder and bowel dysfunction. She explains how patients are evaluated, diagnosed and treated and provides recommendations for parents who may be dealing with these issues in their own homes.

Shelly King is a pediatric nurse practitioner at Riley Hospital for Children at Indiana University.  She is the manager of the Urology Clinic and Children's Continence Center and has more than 30 years of experience in the field of pediatric urology.  

Her clinical expertise is in the care of neuropathic bladder, surgical reconstruction of the urinary tract, refractory bladder and bowel disorder, and sacral neuromodulation. King has served as an advisor to the Pediatric Urology Nurses Board, former Chair of the organization's section of the AAP and director of the urodynamic educational course for the Society of Urologic Nurses (SUNA). As adjunct faculty to IU School of Nursing, she lectures and precepts advanced practice nurses and nursing students. 

Many educational tools for parents and patients were developed by Ms. King. To her credit are multiple professional publications, lectures and awards. Her personal commitment is to continence and urinary health in children.   

7: The Role of Bladder and Bowel Dysfunction in VUR
Aug 31, 2020 | Season: 1 | Episode: 7
The Role of Bladder and Bowel Dysfunction in VUR

This episode is the second of a four-part series focused on bladder and bowel dysfunction (BBD). This series offers insight into different health care providers’ perspectives on managing BBD and is a great tool for sharing with your pediatric nurses, referral base, and other pediatric colleagues.

In this episode of The PedSpace, Dr. Steve Hodges examines the connection between bladder and bowel dysfunction (BBD) and vesicoureteral reflux and how constipation affects bladder function and BBD diagnosis and treatment.  Dr. Hodges is a board-certified pediatric urologist and professor of pediatric urology at Wake Forest University School of Medicine in Winston-Salem, North Carolina. Dr. Hodges earned his Bachelor of Arts degree from Duke University and his medical degree from Wake Forest School of Medicine. He completed his pediatric internship and residency at North Carolina Baptist Hospital. Dr. Hodges completed his fellowship at Children’s Hospital of San Francisco.  

 Dr. Hodges’ website and Facebook page called Bedwetting and Accidents serve as resources for parents, medical professionals and therapists. He has authored a peer-reviewed paper on his methods for treating constipation in the treatment of children with lower urinary tract symptoms.  Visit Dr. Hodges’ website

6: Bladder and Bowel Dysfunction from a Pediatrician's Point of View
Aug 17, 2020 | Season: 1 | Episode: 6
Bladder and Bowel Dysfunction from a Pediatrician's Point of View

This episode marks the start of a new, four-part series focused on bladder and bowel dysfunction (BBD). This series offers insight into different health care providers' perspectives on managing BBD, and is a great tool for sharing with your pediatric nurses, referral base, and other pediatric colleagues. 

In this episode of The PedSpace, Dr. Dan Brennan discusses how his practice is dealing with the present environment, and his approach to bladder and bowel dysfunction (BBD) as a general pediatrician. Dr. Brennan describes when BBD usually presents and how a parent knows whether there is a true issue or a digression from potty training. He also shares some resources to help parents of children with BBD.

Dr. Brennan is an award-winning, board-certified pediatrician, lactation counselor, husband, and proud father of three boys in Santa Barbara, California. Dr. Brennan is an accomplished health care columnist, public speaker, and a medical reviewer for WebMD. He has been featured on the American Academy of Pediatrics website, HealthyChildren.org, multiple medical publications, newspapers, Internet parenting sites, local television, radio, and national parenting magazines including Parenting, Baby Talk, American Baby and Pregnancy. Dr. Brennan was a medical consultant for the hit USA television shows Burn Notice and Complications

In 2014, Dr. Brennan created Strive for 95, a community-based coalition to increase public awareness about the importance of vaccines and help rebuild community immunity levels to 95%. In 2002, he co-created CHAMP, a childhood nutrition, exercise, and education program. Dr. Brennan earned his Bachelor of Science degree from UCLA and his medical degree from Albany Medical College. He completed his pediatric internship and residency at Cedars-Sinai Medical Center and practices general pediatrics at Sansum Clinic in Santa Barbara. In his spare time, Dr. Brennan volunteers as the president of his local Little League and is an avid distance-runner, cyclist, community volunteer, and coach of his three sons’ soccer and Little League teams.

5: Tailoring the Management of VUR
Aug 03, 2020 | Season: 1 | Episode: 5
Tailoring the Management of VUR

In this episode of The PedSpace, Dr. Antoine Khoury will discuss the approach at CHOC Children's and UC Irvine Medical Center for tailoring the management of vesicoureteral reflux based on individualized risk for recurrent urinary tract infections and progression. 

Dr. Khoury specializes in the medical and surgical management of complex pediatric urology anomalies, including reconstructive surgery for incontinence, genital anomalies, renal transplantation and oncology. Dr. Khoury is the Chief of Pediatric Urology at both Children's Hospital Orange County and UC Irvine Medical Center.

Dedicated to clinical excellence, Dr. Khoury is board-certified in Urology. Prior to joining CHOC Children’s, Dr. Khoury received his medical degree at Ain Shams University in Cairo, Egypt, and completed his residency in urology at the University of Toronto. Dr. Khoury completed his clinical fellowship and a research fellowship in pediatric urology at The Hospital for Sick Children in Toronto, Canada, followed by a research fellowship at the University of Calgary where he focused on biomaterial-related infections.

4: Adverse Impact of Antibiotic Use on Growth in Children
Jul 20, 2020 | Season: 1 | Episode: 4
Adverse Impact of Antibiotic Use on Growth in Children

In this episode of The PedSpace, Dr. Christopher Cooper explains how gut microbiota plays an important role in many aspects of health, including weight. He describes how antibiotic usage can adversely impact the gut microbiota and challenges listeners to think carefully about the potential long-term side effects of antibiotics.Dr. Cooper's research focuses on the etiology, diagnosis and treatment of fetal genitourinary anomalies and pediatric bladder dysfunction. Over the last several decades, his research studies have concentrated on the decision making process for treating children with VUR. Dr. Cooper and his colleagues have developed several computational models to predict VUR outcome in order to provide more individualized management of patients with VUR.  

3: Improving the VUR Grading System
Jul 06, 2020 | Season: 1 | Episode: 3
Improving the VUR Grading System

In this episode of The PedSpace, Dr. Christopher Cooper explores the inherent flaws in the reflux grading system, which has long been the accepted keystone in determining vesicoureteral reflux (VUR) management. Dr. Cooper explains the limitations of the grading system proposes possible solutions.Dr. Cooper's research focuses on the etiology, diagnosis and treatment of fetal genitourinary anomalies and pediatric bladder dysfunction. Over the last several decades, his research studies have concentrated on the decision making process for treating children with VUR. Dr. Cooper and his colleagues have developed several computational models to predict VUR outcome in order to provide more individualized management of patients with VUR.  

2: Telemedicine and VUR
Jun 22, 2020 | Season: 1 | Episode: 2
Telemedicine and VUR

In this episode of the PedSpace, Dr. Aaron Martin discusses how telemedicine can be a vital tool for vesicoureteral reflux (VUR). In his practice he has seen a significant percentage of children with VUR who also have bladder and bowel dysfunction (BBD). With telemedicine now being used routinely, it is a valuable tool for enhancing treatment. This conversation dives deep into the benefits of telemedicine in enhancing patient care and increasing patient compliance for treatment protocol.Dr. Aaron Martin completed his urology residency at Mayo Clinic Arizona and pediatric urology fellowship at Children’s National in Washington, DC. He practices at Children’s Hospital New Orleans where he also serves as Telemedicine Medical Director. His research interests focus on the intersection of medicine, technology, and healthcare delivery with several projects involving telemedicine and surgical device innovation.

1: The Art of a Telemedicine Visit
Jun 19, 2020 | Season: 1 | Episode: 1
The Art of a Telemedicine Visit

In this episode of the PedSpace, Dr. Aaron Martin dives deep into the art of a telemedicine visit. Dr. Martin explains how to set the stage before your appointment: Hardware set-up, environment, background, and sound as well as how to maintain your professionalism while on camera with your patient. This insightful conversation will leave you with some helpful tips to make the most of your next telemedicine visit.Dr. Aaron Martin completed his urology residency at Mayo Clinic Arizona and pediatric urology fellowship at Children’s National in Washington, DC. He practices at Children’s Hospital New Orleans where he also serves as Telemedicine Medical Director. His research interests focus on the intersection of medicine, technology, and healthcare delivery with several projects involving telemedicine and surgical device innovation. 

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Hinweis: Deflux ist zur Behandlung des vesikoureteralen Reflux indiziert. Die vollständigen Verschreibungsinformationen für DEFLUX finden Sie hier .

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