Pediatrics Now: Cases Updates and Discussions for the Busy Pediatric Practitioner

UT Health San Antonio

Cases, updates, and discussions for the busy pediatric practitioner brought to you by UT Health San Antonio Host and author Holly Wayment.

  1. May 9 ·  Video

    When Breath Became My Backbone: A Surgeon’s Story of Mindfulness, Acceptance, and Gratitude

    Host Holly Wayment brings us Houston spine surgeon Rex Marco who, after a terrible cycling accident , faced  life-changing paralysis to recovery through mindfulness, the RAIN method, and radical acceptance.   He describes what happened to him and how in one moment everything can change. His work now explores how compassion, mindfulness, and vulnerability can reshape how we live, lead, and heal. In 2019, Dr. Marco sustained a C3–4 fracture-dislocation in a cycling accident, resulting in C2 quadriplegia. Today, he serves as the Chief Medical Ambassador for the Christopher & Dana Reeve Foundation, advocating for research, cure, and improved quality of life for individuals living with spinal cord injury. He is also a certified mindfulness meditation teacher and is passionate about integrating resilience, presence, and emotional healing into medicine, leadership, and life. He's known for creative and transformative teaching and shares that his most profound transformation came through recovery, where he confronted longstanding patterns in how he related to himself and others.  This episode explores how he says acceptance, gratitude, and recovery programs transformed his leadership, clinical practice, and family life, offering actionable tools for cultivating presence and emotional safety. Dr. Rex Marco is an internationally recognized orthopedic spine and musculoskeletal oncology surgeon whose career has centered on caring for patients with complex spinal disorders and tumors. He completed his undergraduate studies at UC Irvine and conducted research at the National Institutes of Health through the Howard Hughes Medical Institute before earning his medical degree from the UCLA School of Medicine. He went on to complete surgical training at Virginia Mason Medical Center, orthopedic residency at UC Davis, and dual fellowships in musculoskeletal oncology at Memorial Sloan Kettering Cancer Center and reconstructive spine surgery at Rush University. Dr. Marco has held leadership roles at MD Anderson Cancer Center, Texas Children’s Hospital, Houston Methodist Hospital, and UTHealth Houston, where he serves as Spine Fellowship Director.

    37 min
  2. May 4 ·  Video

    When Bruises Don't Add Up: Recognizing Sentinel Injuries in Infants | Grand Rounds Episode

    Episode 21: When Bruises Don't Add Up: Recognizing Sentinel Injuries in Infants https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101808       When Bruises Don’t Add Up: Recognizing Sentinel Injuries in Infants FACULTY: Daniel E. Reyes-Ruiz, MD, FAAP is a Child Abuse Pediatrics fellow at the Center for Miracles.   OVERVIEW: Join Host Holly Wayment and Daniel Reyes Ruiz, M.D., in this grand rounds episode of Pediatrics Now on sentinel injuries and infant bruising, emphasizing the importance of early recognition, common clinician biases, and the PEN‑4‑FACES framework for identifying high‑risk bruise locations in non‑mobile infants.   It reviews case examples, common medical mimics (bleeding disorders, birthmarks, dermatologic conditions), recommended evaluation steps (imaging, skeletal survey, hematology workup), and when to consult child protection resources to ensure infant safety.   OVERALL LEARNING OBJECTIVE: Increased awareness and education for pediatric providers   DISCLOSURE TO LEARNERS: Speaker: Daniel E. Reyes-Ruiz, MD, FAAP has no financial relationships with ineligible companies to disclose.   The Pediatrics Now Podcast Planning Committee members: Steven Seidner, MD, and Holly Wayment have no financial relationships with ineligible companies to disclose.   The University of Texas at San Antonio and Steven Seidner, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests. CONTINUING MEDICAL EDUCATION STATEMENTS: The University of Texas at San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Texas at San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purposes of granting ABP MOC credit. CERTIFICATE OF ATTENDANCE: Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance. Credit may be obtained upon successful completion of the activity’s evaluation. RELEASE DATE: 4/28/2026 EXPIRATION DATE: 8/31/2028

    42 min
  3. Mar 13 ·  Video

    Grand Rounds: When Kids Hurt: Modern Approaches to Chronic Pediatric Pain

    Episode 22: Grand Rounds: When Kids Hurt: Modern Approaches to Chronic Pediatric Pain https://cmetracker.net/UTHSCSA/Publisher?page=pubOpen#/getCertificate/10101807     Grand Rounds: When Kids Hurt: Modern Approaches to Chronic Pediatric Pain FACULTY: Maged Mina, MD is board-certified in both anesthesiology and pain management. Dr. Mina has been practicing in San Antonio for the last 20+ years. In addition to pain management and anesthesiology, he has significant experience in teaching, as he currently serves as clinical Associate professor at UTHSCSA. OVERVIEW: Holly Wayment welcomes grand rounds speaker  Dr. Maged Mina and his presentation on chronic pediatric pain, presented by University Health’s Women’s and Children’s Hospital and UT Health San Antonio. Dr. Mina reviews his background in anesthesiology and pain management and his long-standing work with children. The episode covers recognition and diagnosis of chronic pediatric pain (>3 months), common presentations (headaches, recurrent abdominal pain, musculoskeletal pain, CRPS, cancer- and sickle cell–related pain), and the importance of a multidisciplinary approach focused on functional restoration. Physical therapy (including aquatic therapy), behavioral therapies, hypnosis, acupuncture, and virtual reality are emphasized alongside family collaboration and school reintegration. Pharmacologic and interventional options are presented as adjuncts: basic analgesics, gabapentinoids, tricyclics, melatonin, cautious opioid use when necessary, and procedures such as nerve blocks, epidural catheters, Botox, and emerging neuromodulation (peripheral nerve and dorsal root ganglion stimulation). Barriers such as cost, access, and the need for patience and team-based care are also highlighted. OVERALL LEARNING OBJECTIVE: Increased awareness and education for pediatric providers   DISCLOSURE TO LEARNERS: Speaker: Maged Mina, MD has no financial relationships with ineligible companies to disclose.   The Pediatrics Now Podcast Planning Committee members: Steven Seidner, MD, and Holly Wayment have no financial relationships with ineligible companies to disclose.   The University of Texas at San Antonio and Steven Seidner, MD course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests. CONTINUING MEDICAL EDUCATION STATEMENTS: The University of Texas at San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Texas at San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The presentation, Navigating the Path for Chronic Pediatric Pain, has been designated by the University of Texas at San Antonio for 0.75 credit of education in pain management and the prescription of opioids. Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 0.75 MOC point in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purposes of granting ABP MOC credit. CERTIFICATE OF ATTENDANCE: Healthcare professionals will receive a certificate of attendance and are asked to consult with their licensing board for information on applicability and acceptance. Credit may be obtained upon successful completion of the activity’s evaluation. RELEASE DATE: 5/6/2026 EXPIRATION DATE: 8/31/2028

    42 min

Ratings & Reviews

4.7
out of 5
3 Ratings

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Cases, updates, and discussions for the busy pediatric practitioner brought to you by UT Health San Antonio Host and author Holly Wayment.

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