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Seizures in Kids - Practical Diagnosis, Treatments, and When to Refer

FACULTY:
Natasha Varughese, MD, is board certified in Neurology with a specialization in Child Neurology and Epilepsy.

OVERVIEW:
Pediatrics Now host Holly Wayment brings us this grand rounds talk for the general pediatrician by pediatric neurologist Dr. Natasha Varughese, where she reviews childhood epilepsy syndromes (ages ~3–15), covering self-limited epilepsies, focal and generalized epilepsies, and developmental epileptic encephalopathies. Key diagnostic tools include EEG, MRI, and genetic testing; prognosis varies widely by syndrome.

The talk highlights practical management: appropriate antiseizure medications (and which to avoid), indications for ketogenic diet, when to consider surgery or neuromodulation (VNS, RNS), and warning signs for referral to neurology or epilepsy specialists.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Natasha Varughese, 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 1.00 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 1.00 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 purpose 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:
9/22/2025

EXPIRATION DATE:
8/31/2028

Toxicology Pearls

FACULTY:
Robert S. Miller, PharmD, is an Intermediate Specialist in Poison Information with the South Texas Poison Center with Department of Emergency Medicine at UT Health San Antonio.

OVERVIEW:
Pediatrics Now host Holly Wayment talks to the Poison Center's Robert S. Miller about common pediatric toxic exposures — acetaminophen, ibuprofen, THC edibles, nicotine pouches (Zyn), and kratom — and offers practical advice for clinicians and parents. Learn why calling the Poison Center (1-800-222-1222) helps with case documentation, reassurance, disposition planning, and when to use antidotes like acetylcysteine. Emphasis on prevention (lockboxes, safe storage), recognizing occult acetaminophen ingestions, symptomatic management, and differences between children and adults.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Robert S. Miller, PharmD 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 0.50 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:
9/15/2025

EXPIRATION DATE:
8/31/2028

Mosquitoes, Fleas & Outbreak: ID Update with Deena Sutter, MD

FACULTY:
Deena Sutter, MD, is a pediatric infectious disease specialist with UT Health San Antonio.

OVERVIEW:
Pediatrics Now, host Holly Wayment interviews pediatric infectious disease specialist Dr. Deena Sutter about the chikungunya surge in China, flea‑borne typhus in South Texas, and a rise in hand‑foot‑and‑mouth cases.

The episode covers transmission, clinical signs, prevention tips (mosquito control, repellents, pet flea prevention), travel vaccine guidance, and practical advice for pediatric practitioners on diagnosis and management. 

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.

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:
9/12/2025

EXPIRATION DATE:
8/31/2028

Treating Pain in Medically Fragile Children

FACULTY:
Rachel Vandermeer, MD, is a board-certified pediatrician with Dell Children's in Austin, Texas, 

OVERVIEW:

In this episode of Pediatrics Now, Rachel Vandermeer, MD, reviews pain assessment and treatment for children with medical fragility, focusing on altered pain pathways, common pain sources, and the need for multimodal, individualized plans.

Practical recommendations include careful opioid use, gabapentinoids, clonidine for dysautonomia, prevention strategies around procedures, bowel regimens, and close outpatient follow-up to manage chronic neuro-agitation safely.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Speaker: Rachel Vandermeer, 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 1.00 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 1.00 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 purpose 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:
9/12/2025

EXPIRATION DATE:
8/31/2028

Fleas, Ticks and Mosquitos what parents need to know

Join Host Holly Wayment and UT Health San Antonio and University Health's Infectious disease specialist Dr. Deena Sutter.   They discuss recent Chikungunya outbreaks, how mosquito-borne viruses (chikungunya, dengue, Zika) spread, and who is most at risk. Dr. Sutter explains symptoms—especially Chikungunya’s debilitating joint pain—and severe outcomes for newborns and the elderly.

Dr. Sutter reviews practical prevention: remove standing water, use EPA‑approved repellents (DEET or picaridin) appropriately, wear long sleeves when needed, keep screens and air conditioning, and maintain flea prevention for pets to avoid flea‑borne typhus. She also advises when to see a doctor for fever, rash, or concerning exposures.

Meet your host:

Holly Wayment
Holly Wayment,
Host and Executive Producer, Pediatrics NOW

 

 

Bipolar Disorder: Update on Diagnosis and Treatment 

FACULTY:
Melissa Delbello, MD, MS is a Professor of Psychiatry and Pediatrics and Dr. Stanley and Mickey Kaplan Chair of Psychiatry and Behavioral Neurosciences at the University of Cincinnati College of Medicine (UCCOM).

OVERVIEW:
Pediatrics Now, hosted by Holly Wayment and the Department of Pediatrics, brings you this grand rounds talk by Melissa Delbello, MD, MS, a Professor of Psychiatry and Pediatrics. Dr. Delbello delves into the complex topic of bipolar disorder in children. The presentation covers critical aspects of the disorder, including diagnostic criteria, neurobiological insights, and treatment strategies. Listeners will gain an understanding of the phenomenology of bipolar disorder, how to differentiate between manic, hypomanic, and depressive episodes, and the significance of early intervention.

The episode also explores the impact of bipolar disorder on children, emphasizing the importance of accurate diagnosis and the challenges posed by the DSM-5 criteria. Discussion highlights include the role of family history, the high rates of comorbidity with ADHD, and the specific challenges in treating pediatric patients. Treatment options are outlined, with a focus on FDA-approved medications for different phases of bipolar disorder and non-pharmacological interventions. The conversation extends to the adverse effects of antipsychotics and the use of metformin for weight management in children on medication. Throughout the episode, the critical importance of family involvement and therapy is emphasized, providing a holistic view of managing this complex condition in young patients.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Melissa Delbello, MD, MS has no financial relationships with ineligible companies to disclose.

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 1.00 AMA PRA Category 1 Credits™.

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 1.00 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 purpose 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:
8/12/2025

EXPIRATION DATE:
8/31/2027

Navigating Pediatric Concussions with Dr. Mayer Patel 

FACULTY:
Mayur Patel, MD is a board-certified Neurologist and Brain Injury Medicine Physician who is currently a professor of Neurology at the University of Texas Health Science Center at San Antonio (UTHSCSA). 

OVERVIEW:
Welcome to another insightful episode of Grand Rounds, brought to you by the Department of Pediatrics at UT Health San Antonio, University Health's Women's and Children's Hospital and host Holly Wayment.  In today's episode, we delve into pediatric concussions with Dr. Mayur Patel, a seasoned neurologist with a specialty in brain injury medicine. Dr. Patel shares his expertise on the diagnosis and management of mild traumatic brain injuries (TBI) in children, often synonymous with concussions. He discusses the differentiation between mild, moderate, and severe TBIs, highlighting that children generally recover faster than adults. Dr. Patel emphasizes recognizing symptoms like persistent headaches, sleep disturbances, and cognitive impairments, as well as the role pre-existing conditions play in recovery duration.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:
Mayur Patel, MD, has no financial relationships with ineligible companies to disclose. 

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™.

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 .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 purpose 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:
8/5/2025

EXPIRATION DATE:
8/31/2027

The Power of Teaching Self-Compassion to Teens

FACULTY:
Karen Bluth, PhD is an associate professor emerita from the University of North Carolina and a pioneering author on self-compassion for teens.

OVERVIEW:
This enlightening episode of Pediatrics Now, host Holly Wayment explores with Dr. Karen Bluth the transformative power of self-compassion in helping teens cope with anxiety, depression, and stress.

Dr. Bluth shares her insights and decades of experience in the field, emphasizing the critical importance of teaching teens resilience and self-kindness. The discussion delves into the challenges faced by today's youth and practical strategies for clinicians and parents to support adolescents in becoming their own advocates for well-being. Additionally, the conversation covers the utility of Dr. Bluth's books and courses designed to instill mindfulness and self-compassion skills for teens facing everyday stressors and emotional struggles.

Clinicians will gain valuable understanding of how cultivating self-compassion can lead to improved mental health and academic outcomes for teenagers. Tune in to discover how both teens and adults can benefit from embracing these principles to enhance their quality of life.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Karen Bluth, PhD, has no financial relationships with ineligible companies to disclose.

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™.

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:
8/4/2025

EXPIRATION DATE:
8/31/2027

How to Teach Self-Compassion to Teenagers

Join Holly Wayment on Pediatrics Now as she delves into the transformative power of self-compassion with expert Dr. Karen Bluth. Discover how self-compassion can help teens combat anxiety, depression, and stress, fostering resilience and emotional well-being. Dr. Bluth shares insights from her extensive experience, and practical tools for parents and educators to support teens, emphasizing the importance of mindfulness, common humanity, and self-kindness. This episode highlights resources available for those looking to explore self-compassion further, making it a vital listen for anyone involved in teen development.

Meet your host:

Holly Wayment
Holly Wayment,
Host and Executive Producer, Pediatrics NOW

 

 

Revolutionizing Pediatric Care with AI-Grand Rounds Talk

FACULTY:
Dhiressha Kudithipudi, MS, PhD is Robert F. McDermott Endowed Chair in Engineering, Professor in Electrical and Computer Engineering /Computer Science and founding director of the MATRIX AI Consortium at the University of Texas San Antonio.

OVERVIEW:
In this episode of "Pediatrics Now," host Holly Wayment brings us this Grands Rounds talk episode with Dr. Dhireesha Kudithipudi as she delves into the transformative role of AI in healthcare, with a specific focus on pediatric care. Discover how advanced algorithms and AI models are making significant strides in reducing treatment costs, enhancing diagnostic accuracy, and improving overall patient care. Through various projects, such as trauma data analysis and AI-driven dashboards for COVID-19 mobility patterns, we explore the cutting-edge developments that are reshaping the healthcare landscape.

The discussion also highlights the challenges and opportunities in integrating AI within clinical workflows, the importance of data reliability, and the potential of AI to learn continually for better adaptability in unforeseen medical scenarios.

Furthermore, the episode touches on innovative tools like MedGamma for medical diagnosis and highlights ongoing research projects aimed at secure data handling and real-time patient monitoring, all while emphasizing the collaborative role of human expertise in refining AI technologies for optimal healthcare outcomes.

OVERALL LEARNING OBJECTIVE:
Increased awareness and education for pediatric providers

DISCLOSURE TO LEARNERS:

Dhireesha Kudithipudi, MS, PhD, has no financial relationships with ineligible companies to disclose.

The Pediatric Grand Rounds Planning Committee (Deepak Kamat, MD, PhD, Steven Seidner, MD, Daniel Ranch, MD and Elizabeth Hanson, MD) has no financial relationships with ineligible companies to disclose.

The UT Health Science Center San Antonio and Deepak Kamat, 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 UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity up to a maximum of 0.75 AMA PRA Category 1 Credits™.

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 purpose 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:
7/22/2025

EXPIRATION DATE:
8/31/2027

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