Cumberland Conversations

Cumberland Pediatric Foundation

Cumberland Pediatric Foundation’s podcast, “Cumberland Conversations”, brings together pediatric experts, clinic leaders, and community partners to explore the issues shaping child health across Tennessee. Each episode offers practical insights, real-world strategies, and inspiring conversations designed to support pediatric practices, strengthen care delivery, and uplift the wellbeing of children and families. The focus stays on solutions that help practices strengthen operations, support their care teams, navigate changing polices, and improve outcomes for the families they serve. Whether you’re part of a small rural clinic or a large pediatric group, this podcast gives you useful ideas, timely updates, and stories from the field to help you deliver the best possible care to kids. Join us as we learn, share, and grow together.  

Episodes

  1. 4d ago

    Journal Club | Asthma, Wheezing & Alpha-Gal: What the Evidence Says with Dr. Len Bacharier

    How should emerging evidence change the way we approach common allergy and asthma concerns in pediatric practice? In this episode of Cumberland Conversations Journal Club, we examine new research addressing three practical questions in pediatric allergy and respiratory care: whether children with mild asthma benefit from anti-inflammatory rescue therapy, whether antibiotics improve outcomes in young children with recurrent wheezing, and how clinicians should interpret testing for alpha-gal syndrome. We begin with a discussion of emerging evidence supporting the use of an inhaled corticosteroid alongside a rapid-acting bronchodilator as rescue therapy for children with mild asthma. The conversation explores how this approach may reduce exacerbations and systemic steroid use while offering an alternative to traditional albuterol-only rescue treatment. We then turn to antibiotic use in young children with recurrent wheezing, reviewing evidence that reducing detectable bacteria does not necessarily translate into improved respiratory symptoms. The discussion highlights the importance of connecting microbiologic findings with meaningful clinical outcomes when considering antibiotic treatment. Finally, we explore alpha-gal syndrome, a tick-associated allergy characterized by delayed reactions to mammalian meat and other products containing alpha-gal. Particular attention is given to appropriate testing and diagnosis, including why a positive antibody result alone does not establish clinical disease and how testing without a compatible history can lead to unnecessary dietary restrictions. Together, these studies highlight the importance of translating new evidence thoughtfully into practice—using clinical outcomes, patient history, and appropriate diagnostic interpretation to guide treatment decisions. Articles discussed in this episode include:  Azithromycin for Preschoolers with Wheezing in the Emergency Department Alpha-gal Immunoglobulin E Seroprevalence Among Blood Donors — 10 States, 2024–2025 Budesonide–formoterol versus salbutamol as reliever therapy in children with mild asthma (CARE): a 52-week, open-label, multicentre, superiority, randomised controlled trial

  2. Jul 22

    Practice Management Minute | Drive-thru Flu Clinics with Lucinda Vazquez, RN

    Drive-through flu clinics can be an effective way to improve vaccine access while minimizing disruption to daily practice operations—but success depends on thoughtful planning and execution. In this episode of The Practice Management Minute, Jessica Ray sits down with pediatric practice manager, Lucinda Vazquez, RN of Heritage Medical Associates (Heritage East), to discuss the operational strategies behind a successful drive-through flu clinic. From selecting the right location and forecasting vaccine inventory to designing patient flow, assigning staff roles, maintaining cold-chain integrity, and documenting vaccinations efficiently, this conversation offers practical guidance for practices considering or refining their own events. Whether you're planning your first drive-through clinic or looking to improve an existing model, this episode provides real-world lessons and proven approaches to help your team deliver a safe, efficient, and positive vaccination experience.  Key Takeaways Successful drive-through clinics start with thoughtful planning. Choosing the right location, understanding patient demand, and preparing well in advance set the foundation for a smooth event.Clear staff roles keep the clinic running efficiently. Defining responsibilities for check-in, documentation, vaccine administration, and supply management helps maintain patient flow and reduces bottlenecks.Efficiency should never come at the expense of safety. Strong documentation processes, proper vaccine storage and handling, patient verification, and established safety protocols are critical throughout the event.Every clinic is an opportunity to improve the next one. Reviewing what worked, identifying challenges, and refining workflows each year helps create a more efficient and successful vaccination program over time.

  3. Jun 10

    Journal Club | Vitamin K, Refusal-Related Consequences, and Transfusions with Dr. Shannon Walker

    What happens when personal beliefs, patient autonomy, and medical evidence collide? In this episode of CPF Journal Club, we welcome Dr. Shannon Walker, Assistant Professor of Pediatrics and Pathology, Microbiology and Immunology in Pediatric Hematology/Oncology at Vanderbilt University Medical Center, for a discussion on two emerging challenges facing healthcare providers: increasing refusal of evidence-based preventive interventions and growing requests for directed blood donations based on donor vaccination status. We begin by reviewing recent trends in Vitamin K refusal among newborns and the potentially serious consequences associated with declining this well-established preventive treatment. We then transition into a broader conversation about patient autonomy, trust in healthcare, and the role of evidence-based medicine as we examine the medical, ethical, and societal implications of directed blood donation requests. Together, we explore how clinicians can navigate difficult conversations when patient or parental preferences diverge from established scientific evidence, while balancing respect for individual choice with the responsibility to provide safe, effective care. Articles discussed in this episode include: Vitamin K Deficiency Bleeding After Refusal: A Sentinel Event in a Misinformation Era. Trends in Vitamin K Administration Among Infants.  Directed donations for unvaccinated blood: A departure from evidence-based medicine associated with clinical harm, resource waste, and oversight gaps in a two-year single-center series.  Recommended reading:  Legislating Medicine - Directed Donation and the Politics of Patient Choice.  Medical, Societal, and Ethical Considerations for Directed Blood Donation in 2025.  Requests for Directed Blood Donations.  Refusing blood transfusions from COVID-19-vaccinated donors: are we repeating history?  Parental Refusals of Blood Transfusions from COVID-19 Vaccinated Donors for Children Needing Cardiac Surgery.

  4. Apr 15

    Journal Club l Measles Antibodies, Aluminum Adjuvants, and Fluoride Exposure with Dr. Buddy Creech

    Join us this week on Cumberland Conversations for our first Journal Club episode where Dr. Robert Lillard, CPF’s Medical Director, and Dr. Buddy Creech, CPF’s Board Vice- President and Director of Vanderbilt’s Vaccine Research Program, break down and discuss three compelling articles shaping today’s conversations in healthcare. From key takeaways to real-world applications, they’ll dissect the research, challenge perspectives, and highlight what matters most for you and your practice. This week’s Journal Club includes discussion on the three following journal articles: · Long-term Dynamics of Measles Virus-Specific Neutralizing Antibodies in Children Vaccinated Before 12 Months of Age · The Role and Safety of Aluminum Adjuvants in Childhood Vaccines · Fluoride Exposure and Children’s IQ Scores: A Systematic Review and Meta-Analysis · Bonus Fluoride Article: Childhood fluoride exposure and cognition across the life course Want more information on fluoride? Check out this news article:  Fluoride in drinking water has no effect on IQ or brain function, long-term study shows If you have follow-up questions or comments based on the articles in this week’s journal club or have articles you would like Cumberland Conversations to review in future episodes, please email cpfnashville@gmail.com. Tune in, stay informed, and be part of the conversation! Don’t forget to subscribe so you never miss an episode!

About

Cumberland Pediatric Foundation’s podcast, “Cumberland Conversations”, brings together pediatric experts, clinic leaders, and community partners to explore the issues shaping child health across Tennessee. Each episode offers practical insights, real-world strategies, and inspiring conversations designed to support pediatric practices, strengthen care delivery, and uplift the wellbeing of children and families. The focus stays on solutions that help practices strengthen operations, support their care teams, navigate changing polices, and improve outcomes for the families they serve. Whether you’re part of a small rural clinic or a large pediatric group, this podcast gives you useful ideas, timely updates, and stories from the field to help you deliver the best possible care to kids. Join us as we learn, share, and grow together.  

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