Primary Care Perspectives Children’s Hospital of Philadelphia

How well do you know the stigmata of Marfan Syndrome, which are an important components of the pre-participation sports physical? Staci M. Kallish, DO, a clinical geneticist at Children's Hospital of Philadelphia reviews how the clinical diagnosis of Marfan Syndrome is made and tools that can be used in screening and diagnosis. Also, learn about the CHOP Cardiovascular Connective Tissue Disorders Clinic and how they can help in the evaluation and management of patients with connective tissue disorders. 

While many famous figures, including President Biden, have worked to decrease the stigma around stuttering, there are still significant psychosocial effects for many children who stutter. Joseph Donaher, PhD, CCC-SLP, a speech language pathologist at the Center for Childhood Communication at Children's Hospital of Philadelphia, teaches us about the natural history of stuttering, when to refer to a speech therapist or other clinician, and how we can help support the well-being of these children. This is an important listen for pediatricians, parents, and teachers!

How can lawyers and pediatricians work together to improve patient care? Osarugue Osah-Edoh and Andrew Yang, lawyers at Community Legal Services of Philadelphia and in the CHOP Medical Legal Partnership, educate us on how lawyers embedded in the healthcare setting support patients and their families with critical legal needs.

Inflammation, recurrent infections, fevers and rashes, and poor growth may all be ways that immune dysregulation presents in primary care patients. Edward Behrens, MD, Chief of the Division of Rheumatology at Children's Hospital of Philadelphia, discusses the Dysregulated Immune Response Team (DIRT) and their innovative approach to immune dysregulation management. Using a multidisciplinary team, precision medicine, collaborative research, and care coordination, the DIRT program is improving care for patients with rare diseases. 

Google searches for tongue tie, or ankyloglossia, have doubled in the past five years and the number of infants having frenotomies is also increasing. Helping us understand the tongue anatomy and sort out myths surrounding tongue ties is Adva Buzi, MD, an attending physician in the Division of Otolaryngology at Children's Hospital of Philadelphia. Together, we discuss diagnosis, indications for referral, potential benefits/risk of frenotomy, and the myths surrounding ankyloglossia. 

How is artificial intelligence (AI) already being used in pediatrics and how will we use it in the future? In this episode, Bimal Desai, MD, MBI, FAAP and Kevin Johnson, MD, MS, FAAP explain not only how we use AI currently, such as using an ambient scribe, but also how we can use AI in the future, including augmented imaging. We explore the benefits of AI for patient outcomes, concerns about data privacy, and anticipatory guidance for our patients.