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Energy Drinks and Heart Risk: What Parents Need to Know

A recent case involving the death of a teenage cheerleader has prompted a review of energy drinks and cardiovascular risks for children and adolescents. These drinks are increasingly popular, sold in school vending machines, and many high schools now offer coffee bars, giving teens easy access to high-caffeine beverages.

Host Holly Wayment talks to pediatric cardiologist Elaine Maldonado, who warns that high caffeine and stimulant intake can cause palpitations, fast heart rates, chest pain, and may worsen undiagnosed heart conditions. The American Academy of Pediatrics advises that children should not consume energy drinks, and parents are encouraged to promote sleep, hydration, regular meals, exercise, and to seek urgent care for persistent rapid heart rate or chest pain.

Season 5 Episode 4

Ensuring a Smooth Transition to Residency by leveraging the Transition to Residency Risk Index (TRRI)

Jon Courand, MD

 

EPISODE OVERVIEW:
Dr. Jon Courand joins Ripples: Physician Well-Being for this episode as a guest to talk about the Transition to Residency Risk Index, a screening instrument he and Dr. Dyurich helped develop to identify and then provide support and resources for those whose transition to residency training might be difficult or complicated. 

Season 5 of "Ripples" focuses on bringing your best self to residency training while avoiding common pitfalls.

ABOUT GUEST SPEAKER: 
Jon Courand, M.D., F.A.A.P. is a Professor and Vice Chair of Pediatrics and Assistant Dean for Well‑Being at UT San Antonio. A former Pediatric Critical Care physician and current Hospitalist, he directed the Pediatric Residency Program for 10 years. He leads wellness initiatives nationally, chairs the AAMC/CFAS Wellness Committee, co‑developed the TRRI tool, and created the Institutional Compassion Course. He received the 2022 Presidential Teaching Award.

Neurosurgery Update: Plagiocephaly vs. Craniosynostosis - When to Refer

FACULTY:
Izabela Tarasiewicz, MD, is a professor in the Department of Neurosurgery at UT Health San Antonio.

OVERVIEW:
Host Holly Wayment talks with pediatric neurosurgeon Dr. Izabela Tarasiewicz as she explains the difference between positional plagiocephaly (flat head) and craniosynostosis (premature suture fusion), and why early detection matters.

The episode covers the critical early treatment window (ideally by 3–4 months) to allow minimally invasive surgery, when helmet therapy is helpful, and why pediatricians should refer rather than order X-rays.

Practical takeaways: trust parental concern, refer early to a head-shape or craniofacial clinic, and know that prompt evaluation can prevent larger surgeries and improve developmental outcomes.

University Health Craniofacial Program

Claudia Galaviz, Cleft & Craniofacial Coordinator
Phone: (210)-743-1402
Referral Fax: (210)-358-8576
 

UT Health Cranial Remolding Program

Referrals can be sent to evaluate all head shape abnormalities
Phone:  (210) 450-9064
Fax: (210) 450-2150

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Speaker: Izabela Tarasiewicz, MD has disclosed she is a consultant for Aesculap, and Alafair. The relevant financial relationships noted for Dr. Tarasiewicz have been mitigated.

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 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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:
7/2/2026

EXPIRATION DATE:
8/31/2028

Not Just Food Poisoning: Salmonella in Infants Can Turn Deadly

FACULTY:
Joseph (J.B.) Cantey, MD is a professor in the Department of Pediatrics at UT San Antonio.

OVERVIEW:
Host Holly Wayment speaks with the first doctor to be double boarded in neonatology and infectious disease: Dr. J.B. Cantey, about salmonella in infants and children, emphasizing that salmonella gastroenteritis can quickly become invasive and life‑threatening in young babies. There's been a recent uptick in Salmonella cases in the San Antonio area.

The episode reviews why infants are more vulnerable, current testing practices (including molecular stool panels), the importance of blood cultures before antibiotics, red flags for invasive disease, and typical treatment options.

Practical prevention and management tips are highlighted: hand hygiene, safe food preparation, caution with animal exposures, hydration strategies, and when to seek urgent care or consult pediatric infectious disease.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Joseph (J.B.) Cantey, 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.

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:
6/23/2026

EXPIRATION DATE:
8/31/2028

When Periods Become a Red Flag: Recognizing Bleeding Disorders in Adolescents

FACULTY:
Victoria Lehrmann, MD practiced as a general pediatrician in both private practice and pediatric urgent care settings for two years before returning to fellowship training in Pediatric Hematology/Oncology in San Antonio. She will complete her fellowship in June and is excited to join the UT Health faculty in August.

OVERVIEW:
Holly Wayment presents a Pediatrics Grand Rounds on evaluating heavy menstrual bleeding in adolescents by Dr. Victoria Lehrmann: defining normal vs abnormal bleeding, recognizing red flags for inherited bleeding disorders, and reviewing common hematologic causes such as von Willebrand disease, platelet dysfunction, and hemophilia/carrier states.

The episode covers practical diagnostic tools (ISTH-BAT, PBAC), initial labs (pregnancy test, CBC, PT/PTT, fibrinogen, ferritin, and VWD testing), and interpretation caveats, plus acute and long-term management strategies (stabilization, hormonal therapy, tranexamic acid, iron repletion, IUDs) and the importance of multidisciplinary care.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Victoria Lehrmann, 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.

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:
6/23/2026

EXPIRATION DATE:
8/31/2028

Andes Hantavirus, Murine Typhus & Salmonella: Pediatric Infectious Disease Update

FACULTY:
Deena Sutter, MD, Colonel (retired), United States Air Force, joined the faculty after retiring from the Air Force in December 2020, after 21 years of service.

OVERVIEW:
American passengers exposed to the rare Andes strain of hantavirus during a recent cruise are being monitored after one passenger tested positive, prompting renewed discussion about transmission risk, incubation periods, and practical guidance for clinicians. U.S. health officials are currently monitoring more than 40 people after possible exposure, though no confirmed U.S. cases have been reported.

In this episode, host Holly Wayment and pediatric infectious disease specialist Dr. Deena Sutter discuss what pediatricians should know about the evolving hantavirus story, including the rare potential for person-to-person spread associated with the Andes strain, current public health concerns, and how to counsel families without creating unnecessary alarm.

The conversation also explores infectious disease issues pediatricians are currently seeing in South Texas, including murine typhus, flea-borne illness, and a recent salmonella uptick in San Antonio.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Deena Sutter, 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.

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:
6/23/2026

EXPIRATION DATE:
8/31/2028

Season 5 Episode 3

The Hidden Mindsets that follow Physicians into Residency with Stuart Slavin, MD, MEd

Stuart Slavin, MD, MEd

 

EPISODE OVERVIEW:
Stuart Slavin, MD, MEd, joins Ripples: Physician Well-Being podcast to explore the hidden mindsets that follow medical students as they prepare to transition into residency.

Season 5 of "Ripples" focuses on bringing your best self to residency training while avoiding common pitfalls.

ABOUT GUEST SPEAKER: 
Stuart Slavin, MD, MEd is the ACGME’s vice president for well-being. A graduate of Saint Louis University School of Medicine, Dr. Slavin completed his residency in pediatrics at the University of California, Los Angeles (UCLA) and then served as a faculty member there for 17 years. While at UCLA, Dr. Slavin held several leadership positions in education, serving as pediatric residency program director, pediatric clerkship director, co-founder and co-chair of the UCLA Doctoring course, and co-chair of the medical school Curriculum Management Committee. 

Dr. Slavin returned to Saint Louis University as Associate Dean for Curriculum in 2004. While there, he led efforts to improve the mental health of medical students that produced dramatic decreases in rates of depression and anxiety in pre-clerkship students. He joined the ACGME in 2018 as a senior scholar for well-being and has helped to lead efforts to improve the mental health of residents, fellows, faculty members, and staff across the US. In addition to his work in graduate medical education, Dr. Slavin is engaged in research focusing on mental health of high school, college, and medical students.

Concussion Care: what does the Spurs team orthopedic surgeon want you to know?

This episode host Holly Wayment interviews spurs orthopaedic surgeon Leah Brown and she explains how to recognize and initially assess concussions in youth, including common early signs such as headache, mental fog, nausea, and light or noise sensitivity, and reminds listeners that concussions can happen during play, biking, and everyday activities.

It stresses the importance of not returning to play while symptomatic to avoid a dangerous second hit, lists red flags that require emergency care, and urges parents, coaches, and providers to trust medical guidance and prioritize brain health over performance.

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 UT San Antonio.

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

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

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