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Is the true heart of pediatrics found in the connection between practitioner and family?
In this powerful episode of Pediatric Meltdown, Dr. Lia Gaggino sits down with physician, educator, and hand-in-hand parenting advocate Dr. Pam Oatis, who brings decades of primary care and hospital experience to the forefront. Together, they explore how listening, humility, and authentic relationships transform patient outcomes far beyond medical treatments alone.
From the challenges of working in high-need communities to navigating tense family moments and exploring ethics in end-of-life care, this episode delves into the artistry that makes pediatric medicine so uniquely soul-filling. If you’ve ever questioned whether technical skill is enough—or wondered what truly heals—this conversation will invite you to see the science of medicine through the eyes of connection and compassion. Don’t miss the life-changing insights you’ll carry into every patient encounter.
Be sure to catch the special announcement in the Takeaways.
[0:01 - 07:59] Leaning Into Pediatrics: Beginnings, Inspiration, and Learning From Families
Understand why primary care pediatrics is infinitely rewarding—not just for the broad medical knowledge it demands, but for the lifelong learning about people, relationships, and cultures it provides.Learn the importance of setting parents at ease through open-ended questions and authentic appreciation, establishing trust and safety from the very first visit.Explore how humility and willingness to learn from families reveal the limitations of one-size-fits-all approaches and fuel long-term, mutually respectful relationships.Hear personal stories illustrating the deep impact of simple listening skills, such as appreciating each parent and seeing profound transformation in both relationships and care outcomes.[08:00 -16:40] The Power of Listening and Cultural Humility in Pediatric Care
Uncover how being attuned to parents’ fears and self-doubt allows physicians to connect deeply, providing reassurance and support that transcends medical advice.Examine situations where cultural differences and past experiences inform parenting approaches, challenging providers to pause, listen, and reflect rather than judge.Appreciate how open, honest dialogue about discipline and race can lead to decades-long partnerships founded on mutual respect and understanding.Acknowledge that the wisdom and resilience of families, when honored, can lead to better outcomes than following protocols alone.[16:41 - 26:01] Human Connection: Biology, Society, and the Foundation of Care
Investigate the deep human need for connection, acknowledging our social wiring and the essential role that physical and emotional closeness play from birth through adulthood.Discover why the medical “team sport” approach leads to improved outcomes—not just for children, but for providers and families navigating medical complexity together.Identify the under-recognized burdens society places on parents and why framing parental challenges as cultural rather than personal failures empower families.Explore how respect, dignity, and honest collaboration form the backbone of effective care—and why accurate patient histories and trusting relationships matter as much as diagnostics.[26:02 - 07:59] From Touch to Teamwork: Bioethics, Palliative Care, and Listening Partnerships
Learn how physical touch is not just diagnostic, but profoundly healing, fostering trust and well-being in children and families.Understand the evolution of bioethics and palliative care as disciplines built on listening, respect, and honoring families’ definitions of meaning and... -
Are you curious about what really happens behind the microphones of a successful pediatric podcast—and the unconventional journeys that brought an incredible team together?
In this special milestone episode of Pediatric Meltdown, host Lia brings her entire production and strategy team on-air for an unfiltered, dynamic conversation. Discover the circuitous career paths that shaped a jazz singer-turned-podcast producer, a teacher turned ADHD coach and social media strategist, and a web developer with a nomadic spirit.
Uncover the highs, lows, and learning curves of building a polished show from the inside out—including struggles with self-promotion, harnessing social media, and the mounting pressures (and joys) of creative collaboration.
If you've ever wondered what it takes to sustain a podcast for (close to) 250 episodes, or you’re searching for inspiration to pivot in your own career, this story of grit and reinvention will leave you rethinking what’s possible.
[00:02 - 10:04] How the Team Came Together & Podcast OriginsThe show’s launch was serendipitous, sparked by a leap of faith rather than a long-held ambition to podcast.Early challenges with off-shore podcast management led to seeking more control and expertise locally.The pivotal connection to a new producer happened via networking with Adam Schaeuble of Podcast Business School.The team shares first impressions and mutual support, setting the collaborative tone for the episode.
[10:05 - 15:57 ] Creative Pivots, Building Skills, and Making MediaTeam members discuss how their entertainment, teaching, and customer service backgrounds unexpectedly prepared them for podcasting and digital media.D.R.’s “Mouthy Broad Media”company name was inspired by a personal family story, blending creativity with homage.The learning curve of audio, websites, and social strategy is highlighted as an ongoing, shared challenge.The importance of curiosity, open-mindedness, and adapting to unexpected opportunities is emphasized.
[15:58 - 34:30 ] The Rewards and Hurdles of Content Creation & PromotionSocial media emerges as both an essential tool for growth and the greatest challenge for the host, who dislikes self-promotion.Each team member brings different comfort levels and tactics for tackling visibility and audience engagement.Discussion of burnout, professional transitions, and how the pandemic prompted new career directions.Strategies for supporting each other (and listeners) through ADHD, workflow experimentation, and honest dialogue about what works (or doesn’t).
[34:31 - 43:14 ] Leveraging Team Strengths: Services, Resources & Lessons for ListenersThe team shares their current services: web design, social media strategy, podcast production, ADHD coaching, and consulting.Emphasis on collaboration (“it’s all right here”)—listeners are encouraged to reach out for services or to get started themselves.Honest reflections on the tricky pursuit of monetization and the value of creative fulfillment.Recommendations for further learning, including Colleen Cullinan’s ADHD series and Peter Jensen’s adult ADHD episode.
[43:15 - 48:49] Dr. G’s TakeAwaysResources Mentioned in the Episode:
D.R. Fay - MouthyBroadMedia.com
Margaret Faucella -
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Saknas det avsnitt?
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How do we help kids and teens when social media is fueling a resurgence of body image issues and eating disorders? In this special conversation, Lia’s daughter, Julia Parzyck shares her personal and professional journey navigating the tumultuous landscape of body acceptance in a world obsessed with appearance. The episode explores the influence of social media platforms, like TikTok and Instagram, and the impact they have on pediatric mental health and body positivity. Listeners will discover practical parenting strategies rooted in empathy, compassion, and my own past mistakes. Body acceptance is an ongoing journey, not a destination. Are we ready to support the next generation in building resilience against the ever-present pressures of body image issues?
[00:01 - 06:22] The Shifting Landscape of Body Image and Social MediaExplores how diet culture and body expectations have worsened for teenagers in the age of TikTok and “skinny talk,” surpassing early 2000s pressures.The proliferation of pro-eating disorder content, now openly accessible through social media, and how it’s masked as harmless tips.Contrasts curated body-positive environments with the harsher realities faced by today’s youth on unchecked platforms.Highlights the rise of the “skinny talk” hashtag/movement and its troubling normalization of disordered behaviors and comparison.
[06:23 - 11:39]Owning Softness: From Childhood Stories to Social AdvocacyJulia redefines “softness” as a source of strength, both in body and emotions, coining the phrase “soft body baddie” for her community.Childhood anecdotes—ranging from fashion flair to forming the hilariously named "labia band"—remind listeners of the roots of self-expression.Explores how embracing personal quirks and struggles, like anxiety and neurodivergence, leads to greater empathy in work with children and coaching.Reflects on how family dynamics and navigating outspoken personalities shape resilience, communication, and mutual growth.
[11:40 -19:47]Healing, Boundaries, and Building a Modern IdentityDiscusses the transformative impact of family therapy, learning emotional independence, and accepting that parents can’t always “fix” pain.Julia’s journey through heartbreak (a called-off wedding) reveals the non-linear, ongoing process of healing and redefining self-worth.Explores the leap of faith required to pursue a career in body-positive coaching and online content, with all its uncertainties.Highlights the value of embracing risk, letting go of the need to “do it all over,” and recognizing how adversity can fuel growth and new purpose.
[19:48 - 29:22] Compassion, Societal Pressures, and Looking ForwardShares insights on how political landscapes influence fashion, body ideals, and the subtle ways women are controlled through image and expectation.Resist setting rigid future goals, focus instead on finding joy, balance, and meaning in work and life, post-trauma.Stresses that body image work is lifelong, and that society will likely never “fix” its obsessions—progress is about grace, not perfection.Leaves listeners with the message that taking up space, nurturing empathy, and living for personal fulfillment, not external approval, is an act of quiet revolution.
[29:23 - 35:21] Dr. G’s TakeAwaysConnect with Julia Parzyck
Instagram: Fit Fat and All That
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Have you ever considered that victims of human trafficking might be walking into your clinic, hidden in plain sight, longing for someone to notice their silent signals?
In this episode of Pediatric Meltdown, host Dr. Lia Gaggino sits down with Dr. Dena Nazer , a leading child abuse pediatrician, to dispel widespread myths and expose the heartbreaking realities of child trafficking. They dive deeply into what human trafficking truly looks like, why language and empathy shape outcomes, and how pediatricians can recognize and respond to red flags—even when victims don’t or can’t ask for help. If you’ve ever wondered how to protect the most vulnerable or questioned your own role in advocacy, this conversation mixes expertise and actionable strategies you can use today.
Don’t miss this essential episode—sometimes the most critical intervention is simply being prepared to see what others overlook.
[00:00 - 06:25] Beyond Kidnapping: The Everyday Reality of Child TraffickingMedia Myths: trafficking is not always dramatic kidnappings—many victims are exploited by someone they know, sometimes in their own homes.Defining human trafficking per US federal law: for children under 18, any commercial sexual act (anything exchanged for perceived value) is trafficking, regardless of force, fraud, or coercion.Labor trafficking in children does require proof of force, fraud, or coercion, unlike sex trafficking.Children cannot legally consent to commercial sexual acts, a fact often misunderstood by practitioners.
[06:26 - 18:33] Recognizing Vulnerability: Victims, Prevalence, and Persistent MythsAll children, regardless of socioeconomic status or geography, can be victimized; not just those from impoverished or unstable backgrounds.Adolescents are particularly vulnerable due to developmental, social, and neurological factors—especially girls, though all genders are at risk.The covert nature and underreporting of trafficking, with true prevalence grossly underestimated—actual victims far exceed documented cases.Practitioners should avoid assumptions about victim profiles and recognize that trafficking does not discriminate by background or location.
[18:34 -24:41] Language, Reporting, and the Power of EmpathyThere is an impact of language, advocating against terms like "prostitute" or "modern day slavery," as they distort public perception and can harm survivors.There are nuanced preferences between “victim” and “survivor,” emphasizing respect for self-identification.Addresses mandated reporting: outlines state-by-state differences, reminds clinicians to know their local laws, and suggests erring on the side of caution when in doubt.Discusses the complexities of reporting and intervention with 18+ patients, promoting support over “rescue,” and collaboration over dictating solutions.
[24:42 - 47:58] Identification, Patient Support, and Multi-Agency CollaborationRed flags in clinical settings: domineering non-parental adults accompanying children, delayed care-seeking, lack of address knowledge, repeated STIs, or signs of fear and withdrawal.Ways to build trust and elicit disclosures: prioritize safety, establish boundaries about reporting, and use risk-factor-based screening questions.Trauma-informed care—responding with empathy, validation, and minimal dramatization—to avoid re-traumatizing patients.Connect with local Child Advocacy Centers and understanding local resources and procedures before a crisis arises.
[47:59 - 59:59] Dr. G’s TakeAwaysAdditional Resources Mentioned -
Can medication truly transform the landscape of pediatric mental health, or are we oversimplifying the complexities of growing minds?
In this episode of Pediatric Meltdown, Dr. Lia Gaggino welcomes Dr. Jess Pierce, a hospital-based child psychiatrist whose expertise bridges the worlds of pediatrics and mental health, especially for children in rural areas. Unraveling the fascinating history of psychopharmacology and delving into the mechanisms of action for the antidepressants, this episode offers a roadmap for pediatricians navigating the maze of SSRIs, SNRIs, risks like serotonin syndrome, and difficult conversations about side effects. The nuances matter and Dr. Pierce guides us skillfully.
Discover why family history, patient buy-in, and transparent communications are pivotal to successful treatment—and why prescribing for young people demands a delicate blend of science, art, and empathy. This conversation will change the way you see—and approach—medication and the treatment of kids' mental health.
[00:08:51] Exploring Pediatric Psychopharmacology’s RootsTracing the unexpected origins of antidepressants, including how tuberculosis and hypertension treatments led to modern psychopharmacologyThe monoamine hypothesis: understanding the neurotransmitter focus in early depression treatmentsThe move beyond serotonin, dopamine, and norepinephrine: new research on neurobiology, neurogenesis, and stress responseProzac’s arrival and its impact in reshaping the treatment landscape for pediatric mental health
[08:52- 18:06 ] SSRIs in Practice: Similarities, Differences, and SelectionAll SSRIs share rapid absorption, high protein binding, and similar side effect profiles—but key differences can matterImportant reasons to avoid Paxil and to use Lexapro over Celexa, particularly due to side effect burdensNuanced considerations: matching specific SSRIs to individual patient needs, such as Prozac’s activating profile for low-energy depressionPractical dosing strategies: the art of balancing “start low and go slow” with the urgency to help suffering children
[18:07- 27:59] Navigating Risks, Side Effects, and Patient MonitoringThe truth behind the Black Box Warning: clarifying risks of suicidal ideation vs. the dangers of untreated depressionWhy regular, open conversations with families about medication side effects—especially sexual side effects in teens—build trust and adherenceRecognizing and managing serotonin syndrome: how to spot symptoms and when emergency intervention is neededIdentifying high-risk drug interactions, including situations with migraine or neurology medications
[28:00-45:19 ] From SNRIs to the Five-Step Prescribing Approach and BeyondHow SNRIs differ from SSRIs in action, side effects, and indication—especially in pain syndromes or where activating effects are desiredThe use of Wellbutrin as an alternative with fewer sexual side effects, and cautions for seizure-prone populationsStrategic guidelines: the five-step approach to medication choice, considering patient history, family response, symptoms, buy-in, and comorbiditiesCritical cautions with genetic testing and the limitations of using these results to guide first-line medication choices
[45:20-1:00:00] Dr Lia’s TakeAways
Resources Mentioned:Dr. Pierce’s PPT on Pediatric Psychopharmacology Hello! Here's the link to the slides: Psychopharm... -
Are you struggling to support young patients—and maybe even yourself—with the emotional aftermath of our “new normal”?
In this compelling episode of Pediatric Meltdown, Dr. Colleen Cullinan returns to unpack the reality of pediatric depression in a world rocked by uncertainty. Discover why traditional approaches, like focusing solely on symptoms, may actually miss the bigger picture when kids are faced with unprecedented stress. Learn how changing the narrative, adopting techniques such as Acceptance and Commitment Therapy (ACT), and making small, values-driven changes can help children—and parents—find hope, function, and connection again. This episode isn’t just about treating depression; it’s about transforming how we relate to struggle and building resilience against the tide of ongoing adversity.
Tune in for real stories, actionable tools, and a refreshing reminder: even the heaviest feelings can be given a name, a shape, and ultimately, a little less power.
[00:00 - 08:40] The Impact: Symptom Overload, and Functional ImpairmentThe pandemic has significantly amplified youth mental health issues, leading to increased rates and severity of pediatric depression and anxiety.Symptom checklists like the PHQ-9 now reveal almost universal distress—so much so that a "normal" score is rare.Chronic uncertainty and prolonged stress (for both kids and adults) exacerbate feelings of hopelessness, helplessness, and irritability.The primary care challenge: shifting from symptom identification to understanding the real-life impact on activities, relationships, and overall well-being.
[08:41 - 28:29] Rethinking Depression in Pediatrics: Connection, and Therapy ApproachesConnection—not just checking PHQ-9 scores—is a critical protective factor for youth mental health and should be the heart of clinical encounters.Traditional Cognitive Behavioral Therapy (CBT) and newer Acceptance and Commitment Therapy (ACT) are compared — with ACT focusing on accepting thoughts and changing relationships with them, not just “fixing” or disputing them.Dr. Cullinan explains how ACT techniques, including physicalizing and naming despair, help kids distance from and better manage their feelings.The “beach ball” metaphor illustrates how fighting negative thoughts can cause you to miss life’s joys—and how letting them coexist with living can restore function and hope.
[28:30 -58:59] Strategies: Playful Experiments, Values-Based Goals, Motivational ToolsPractical examples include using humor, metaphor, and even quick physical challenges (like the “lemon” exercise) to help kids gain distance from distressing thoughts.Naming depressive feelings or thoughts (e.g., “pathetic,” “Bob”) can help externalize and reduce their influence, making them easier to talk about and manage.Motivational Interviewing is highlighted as a powerful tool—but only if it genuinely centers each child’s unique values and interests, not the provider’s agenda.Avoidance, not just the presence of sadness or fear, is flagged as the true engine of suffering; the focus shifts to acceptance and gentle behavioral activation.
[59:00-1:06:47] Building Resilience: Safety, Nurture, New Frames, and Practical PearlsChildren’s beliefs and “frames” about themselves and the world are shaped by repeated messages—caregivers can help reframe these with new, nurturing narratives.Safe, stable, nurturing relationships offer the strongest protection and resilience against depression and trauma, as explored through frameworks like toxic stress and child transformation health.Providers can make meaningful impact in just minutes with new language, metaphors, and reframing exercises—even in a busy primary care setting.
[1:06:48 -... -
Have you ever wondered why anxiety in children can look and feel so physical—and what we as pediatricians, parents, or caregivers can do about it?
We’re visiting a fan favorite from Episode #26 of Pediatric Meltdown, Dr. Lia Gaggino sits down with Dr. Colleen Cullinan, a leading pediatric psychologist, to dissect the powerful 3 B’s approach: Brain, Body, and Behavior. Together, they reveal eye-opening truths about integrated behavioral health, the ways anxiety manifests in kids, and practical, actionable strategies for managing emotional meltdowns in real-time. This is not just about recognizing anxiety—it's about transforming how we support kids inside and outside the exam room. If you want to empower families, level up your clinical skills, and make a tangible difference, don’t miss this conversation.
This episode could change the way you think about pediatric care—forever.
[00:00 - 11:35] Integrated Care Foundations: Building Partnerships in Pediatric PracticeIntegrated behavioral health bridges the gap between physical and mental health, creating seamless care experiences for families.Primary care is often the first—and sometimes only—entry point for children facing emotional or behavioral challenges.Partnerships between pediatricians and behavioral health providers increase accessibility, reduce stigma, and foster earlier intervention.The synergy and trust between pediatricians and psychology professionals leads to holistic, effective patient care.
[11:36 - 15:49] The Role of Primary Care in Managing Anxiety and Emotional HealthPrimary care providers serve as trusted anchors, introducing mental health as an essential component of overall health.Familiarity with a child's history allows pediatricians to recognize subtle behavior changes and collaborate meaningfully with behavioral specialists.Normalizing physical symptoms of anxiety (like stomachaches and headaches) helps bridge conversations from medical to emotional concerns.Educating families on the inseparability of physical and emotional health empowers them to seek support without shame.
[15:50 - 28:55] Anxiety Explained: The 3 B’s and Practical Strategies for KidsThe "3 B’s": Brain, Body, and Behavior, are interlinked—anxiety in the brain triggers body sensations, which guide behavior, often leading to avoidance.Psychoeducation is key: Emphasizing to families and youth that everyone experiences anxiety validates their feelings and reduces shame.Simple, actionable distress tolerance tools—breathing exercises, grounding techniques (like the “five senses” method), and focusing attention—can be taught in minutes during a regular visit.Providers can help children recognize “worry thoughts” and redirect their response before anxiety spirals into withdrawal or meltdown.
[28:56 - 49:20] When to Escalate: Distress Tolerance, Prevention, and Team-Based SolutionsDistress tolerance techniques can bridge the gap until a child can access specialized behavioral care—or be sufficient for milder cases.Functional impairment is the marker for when anxiety moves from “manageable” to requiring traditional CBT or higher-level intervention.Exposure therapy explained: At its core, CBT for anxiety involves identifying fears and encouraging gradual, manageable exposure to them, with improvement through repetition.Advocacy for integrated behavioral health, resource sharing, and ongoing partnerships with community therapists are essential for sustainable, high-impact child mental health care.
[49:21- 53:34] Dr. Lia’s... -
Are pediatricians prepared for the mental health crisis that’s impacting so many of our children today?
In this episode of Pediatric Meltdown, host Dr. Lia Gaggino sits down with nationally recognized child psychiatrist and podcast host Dr. Elise Fallucco to uncover the urgent realities facing pediatric practice. From understanding why a simple podcast name change can transform the reach of critical mental health education, to exploring the real-world, stepwise journey pediatricians navigate when facing complex child anxiety and medication management, this episode is a masterclass in practical empowerment. Listeners will discover actionable strategies for burnout, the evolving landscape of pediatric mental health treatment, and authentic stories of resilience, support, and resourcefulness. The stakes have never been higher—and the need to equip pediatric clinicians with the right knowledge and mindset is more critical than ever.
Don’t miss this invigorating roadmap for providing exceptional care in panicked times.
[00:02 - 05:46] Branding, Access, and Reaching Pediatric CliniciansPediatric mental health education is increasingly being disseminated beyond in-person local trainings, leveraging digital platforms like podcasts to amplify access and reach.Clear, descriptive branding ensures the right clinicians can find mental health resources at the exact moment they need support in practice.The main driver in choosing content is what pediatricians most urgently seek: practical, actionable advice about managing medications for anxiety and ADHD.Making specialized knowledge accessible via on-demand, digestible podcast episodes empowers clinicians to feel less isolated and more competent.
[05:47 - 13:30] The Ongoing Challenge of Anxiety, Burnout, and Self-CareAnxiety has emerged as the most common and burdensome mental health concern for children, exacerbated by societal stress and recent global events.Differentiating normal anxiety from clinical anxiety is crucial: functional impairment and life disruption are key markers for escalated intervention.Coping strategies for clinicians are vital; the “three pillars” are staying busy with purposeful activity, reaffirming personal/professional mission, and prioritizing self-care.Peer connection, exercise, and carving out time for meaningful relationships are highlighted as essential personal de-stressors.
[13:31 - 25:00] Building Skill, Facing Complexity, and the Realities of CarePediatricians experience a four-stage progression from fear and avoidance to high-confidence care in managing pediatric mental health—each with unique challenges and rewards.Access limitations to child psychiatry have forced primary care clinicians to expand their skillsets and comfort zones, often out of necessity.Collaborative consultation programs, like psychiatric access hotlines, accelerate learning, build confidence, and foster an environment where sharing expertise is normalized.Developing fluency with diagnoses and medication management leads to more effective and streamlined care; “herd immunity” and practice culture shifts increase collective capacity.
[25:01 - 36:05] Pain Points, Solutions, and Sustaining Progress in Pediatric Mental HealthBarriers to therapy—including logistics, family skepticism, and stigma—limit effective care, even as access improves; motivational interviewing is a partial solution but not a panacea.Integrated behavioral health models and school-based clinics offer promising solutions by reducing friction and meeting children and families where they are.Time constraints and misaligned incentives remain top frustrations; procedures are often reimbursed more than complex mental health care, despite the latter’s intensity and impact.Empathy,... -
Can one person truly make a difference in the complex world of pediatric healthcare?
In this episode of Pediatric Meltdown, host Dr. Lia Gaggino explores how primary care pediatricians can step up amidst the chaos in Washington DC and stand as the trusted advocates children need. While Lia prepares for the pediatric academic society PAS in Honolulu, she is wrestling with the disastrous current health policy challenges and calls for local action. Lia pleads with her peers to organize and cause “good trouble”. This episode underscores that our most vulnerable population — children — deserves the unwavering dedication of empowered and informed advocates.
In pursuit of crafting a brighter future for children's health, will you rise to meet the challenge?
[00:00:04 - 00:01:21] Preparing for Change and Connection
Pediatric Meltdown is dedicated to children's mental health and emotional well-being.Dr. Lia Gaggino shares her passion for facilitating thoughtful conversations with experts.New and creative medical approaches are thriving and contributing to community upliftment.Enjoying family time and Hawaii's scenic beauty is part of Lia’s plan to recharge.[00:01:21 - 00:04:19] The Chaos in D.C. - A Call to Action
The state of national politics is concerning, described as a "dumpster fire."Staying informed plays a crucial role despite the overwhelming current events.Balancing leisure with staying critically aware of policy changes affecting pediatrics.Connecting with pediatric colleagues to brainstorm actionable steps.[00:04:19 - 00:08:39] Advocacy for Children’s Needs
Emphasizing the trust placed in pediatricians and the responsibility that comes with it.Safe health practices are under threat from misinformation spreading rapidly.Vital programs and advisory committees crucial for child safety are being dismantled.Highlighting the unnecessary and detrimental effects of defunding health initiatives.[00:08:39 - 00:12:39] Empower Your Voice and Community
Highlighting real stories as powerful tools for advocacy.Breaking down scientific data into relatable family narratives aids understanding.Demystifying Medicaid's role as crucial support for countless families.Urging listeners to take definitive action, whether through social media or community forums.Resources Mentioned:
AAP Advocacy Guide Member log-in required to access
On Tyranny Timothy Snyder
AAP MMR Vaccine Information
AAP Medicaid State Fact Sheets
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Tweetable Quotes:
"We've witnessed chaos, unprecedented and relentless. The landscape of Washington DC is reflective of a larger societal unrest, a crucible that now must forge strength and
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Are you feeling overwhelmed by the world's chaos and seeking hope amidst uncertainty?
In this moving episode of Pediatric Meltdown, host Dr. Lia welcomes Dr. Robert Saul to discuss the powerful principles guiding his commitment to advocacy and change. Dr. Saul introduces the transformative 12 words that have anchored his life's work and how these principles can propel communities forward. Together, they examine the impact of truth, trust, and the little-known role of the communal aspect in tackling societal issues. As Dr. Saul passionately delves into historical and modern-day examples of lying within power structures and challenges us to confront uncomfortable truths. Discover where the true power of change lies and how understanding our roles can lead to actionable advocacy.
This episode isn't just a conversation—it's a call to action for those yearning to make a difference.
[00:00 - 05:09] The Art of Medicine and the Value of ListeningDiscussing the importance of comprehensive clinical encounters beyond quick checkupsStressing that empathy and genuine presence build deeper connections in healthcareHighlighting the responsibility to offer hope and guidance, not merely prescriptionsSuggesting that professionals and caregivers must pause to recalibrate when stress levels rise
[05:10 - 12:31] Accepting Responsibility: “I Am the Problem, I Am the Solution”Exploring the idea that acknowledging our collective part in societal problems is the first stepUnderlining the distinction between culpability and willingness to engage in solutionsDiscussing how seeing oneself as part of the issue spurs commitment to meaningful actionReminding listeners that we are interconnected in every community concern
[12:32 -31:06] Truth, Trust, and Social FabricDefining trust as the “currency” of relationships and community lifeArguing that telling the truth consistently is essential for building and preserving trustNoting that children thrive when caregivers, professionals, and policymakers work together with integritySuggesting that widespread misinformation undermines the health and wellbeing of communities
[31:07 - 42:06] Looking Ahead: Ongoing Work and HopeEncouraging continued involvement in committees, local boards, and mentorship rolesHighlighting the drive to create community programs focused on healing and trauma-informed carePlanning future projects that address truth, trust, science, diversity, and civilityEnding with an affirmation that sustained efforts at all levels can foster a more promising future
[42:07 - 55:46] Dr. G’s TakeAwaysAdditional Resources Mentionedhttps://mychildrenschildren.com/my-childrens-children-name/https://mychildrenschildren.com/better-is-good-incremental-steps-forward/Power S. The Education of an Idealist: A Memoir. Dey St. 2019; 580 pp. (p. 282)Snyder T. On Freedom. Crown, New York; 2024. 345 pp.https://mychildrenschildren.com/infant-mental-health-part-i/ -
Have you ever wondered how pediatricians balance autonomy, mentorship, and the pressing demands of modern healthcare?
In this episode of “Pediatric Meltdown,” host Dr. Lia Gaggino welcomes Dr. Chris Peltier, MD, FAAP, who describes the rewards and hurdles of serving children through private practice, collaborative initiatives, and academic roles. He underscores the power of supportive peer networks to tackle shifting hospital structures, financial complexities, and the mental health needs of growing populations. His reflections reveal how advocacy, teaching, and flexibility can sustain a genuine passion for pediatrics.
Will these strategies ensure a vibrant future for the next generation of caregivers?
[00:00 - 22:18] Autonomy and Private vs. Hospital-Owned PracticesShifts toward hospital system acquisitions reduce physician independence.Succession planning gaps leave practices vulnerable to buyouts or closures.Administrative decisions can feel distant from day-to-day patient care.Becoming an employed physician can alleviate the stress of business management.
[22:19 - 37:04] Collective Approaches to Independent Practice SuccessCollaborating across independent practices can reduce expenses, such as vaccine costs.Sharing vendors and resources fosters a supportive rather than competitive environment.Group quality improvement projects tackle issues like asthma or anxiety in children.Large networks can negotiate better insurance contracts on behalf of multiple practices.
[37:05 -51:42] Preceptor Support and Compensation StrategiesIntrinsic motivation—such as the joy of mentoring—often drives physicians to teach.Efficient time management (e.g., scribing during patient visits) enables bedside teaching.Chapters and national organizations collaborate to advocate for preceptor stipends.Small but meaningful policy changes (like state tax incentives) can bolster teaching efforts.
[51:43 - 1:07:43] Local Chapters and Advocacy for Child Health InitiativesMental health screenings, including suicide risk assessments, become embedded in well visits.Working with community partners and even firearm ownership groups promotes harm reduction.Coordinated action with lawmakers helps defend programs that protect vulnerable populations.Sharing successful programs across state lines broadens the reach of proven solutions.
[1:07:44 - 1:19:52] Dr. G’s TakeAwaysContacting Dr.Peltier
FaceBook:: https://www.facebook.com/cpeltier007
X:@cpeltier007
INstagram:: https://www.instagram.com/cpeltier007/
Additional Resources MentionedThe Pediatric Management Institute https://pediatricsupport.com
AAP Section on Administration and Practice Management SOAPM
AAP Council on Community Pediatrics COCP
AAP Advocacy...
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What does it really take to guide a teenager toward independence in an ever-changing world?
From managing IEPs and beginning transition planning at 14 to fostering self-awareness and skills for adult life, the journey is layered with challenges and growth. Parents like today’s guest, Natasha Robertson grapple with teaching social media safety, addressing emotional needs, and balancing day-to-day struggles with long-term goals. The process is both exhausting and inspiring, requiring patience, persistence, and firm advocacy. While the tools like coaching, therapies, and community support help, the weight often falls on families to navigate complex systems, such as educational frameworks and disability services. For teens, building independence means developing judgment, learning routines, and understanding boundaries in a digital age. For parents, like Natasha, it means preparing them for emotional, financial, and social self-reliance while ensuring basic skills are mastered.
Are we as a society truly equipping these families and teens with the tools they need, or are we still leaving them to figure it out in isolation?
[00:00 - 08:34] Evolving Services and Self-AdvocacyRealizing that past trial-and-error with therapies informs current decisionsThe child’s ability to describe symptoms (e.g., stomach pain, insomnia) guides interventionsEmphasizing the shift from purely parent-led advocacy to incorporating the teen’s direct feedbackPreparing for ongoing changes in support needs as the child advances academically and socially
[08:35 - 15:47] Navigating the Teen YearsAddressing the impact of puberty and hormonal shifts on behaviorConsidering new social interactions and the need for structured supportImplementing coaching strategies for everyday routines (e.g., chores, picking out clothes)Recognizing that independent living skills build gradually through guided practice
[15:48 -28:40] Managing Digital BoundariesEstablishing phone usage restrictions (e.g., set times) to protect against late-night browsingFinding monitoring tools (apps that flag concerning words) to balance privacy and safetyRealizing that direct honesty about monitoring builds trust with teensCoaching the teen on responsible online communication and the risks of oversharing personal data
[28:41 - 53:19] Caregiver Self-Care and ResilienceCarving out small daily moments for personal relaxation (e.g., a movie break or foot soak)Relieving stress by connecting regularly with supportive friendsObserving that the teen’s increased coping skills allow the caregiver to pause before interveningTrusting the cumulative impact of years of therapies and interventions
[53:20 - 1:01:50] Dr. G’s TakeAwaysContact Natasha Robertson
Additional Resources MentionedCommunity Living Supports: Services that assist with daily living skills and social engagement.
Individualized Education Program (IEP) & Transition Planning: Formal educational plans that outline services and future goals for adolescents.
Career-Connect Programs: Local agencies or initiatives that help teens explore job training, résumé building, and employment opportunities.
Book: A teen parenting guide by Dr. Ken Ginsburg, titled Congrats, You’re Having a Teen, referenced for positive perspectives on adolescence. -
Have you ever wondered what happens when children's healthcare programs like Medicaid and CHIP face cuts?
In this episode of Pediatric Meltdown, Dr. Lia Gaggino emphasizes the urgent need to stand up for kids, who are disproportionately impacted by shifts in policy and funding. She highlights the power of sharing real-life stories and forging unexpected partnerships to protect essential resources. Advocacy takes perseverance and creativity, as complacency only enables political and social obstacles to harm children. Pediatricians and other advocates must unite, use their voices effectively, and push for healthier, safer lives for all kids.
So now the only question is….. Will you help safeguard the well-being of the next generation?
[00:00 - 05:07] Advocacy Conference Insights for Child HealthA large percentage of children rely on public insurance programs, underscoring the high stakes of legislative decisions.Some decision-makers do not fully grasp the consequences of cutting critical services.Hope fuels long-term efforts and energizes those championing children’s well-being.An “advocacy wave,” highlights the need for a strong, collective push for change.
[05:07 - 12:32] Medicaid Challenges and Coverage GapsPublic health emergency rollbacks led to reductions in child enrollment due to procedural missteps.Many children lost insurance coverage not because of ineligibility, but because of bureaucratic hurdles.70% of youth are deemed unfit for certain national service due to physical or mental health issues.Call to safeguard essential child services (such as preventive care and immunizations) from budget cuts
[12:32 - 21:07] Immunization and Food Security ConcernsRenewed challenges to routine childhood vaccinations, with instances of preventable diseases appearing again.Politicians downplaying vaccines, prompting greater vigilance in safeguarding public health.Proposals to cut school meal provisions, raising ethical questions about denying basic nutrition to children.Caring for children’s fundamental needs (like food and healthcare) should not be up for debate.
[21:07 - end] The Urgent Call to Protect Future GenerationsRejecting indifference and uniting for children’s rights and well-being.Communities where basic resources, such as clean air, safe neighborhoods, and equitable opportunities, are universal.Use every possible platform—professional and community-based—to champion the needs of children.Final rallying cry to stay focused, gather supportive voices, and take concrete steps to safeguard the next generation.Connect with Dr. Gaggino
website at www.lifeaftercorporatepodcast.com LinkedIn; https://www.linkedin.com/groups/12656341/
Resources mentioned in the show:
AAP Advocacy Guide: Located at aap.org/advocacyguide (helpful for step-by-step approaches to policy engagement).Store It Safe Program: https://ohioaap.org/storeitsafe A collaborative initiative addressing firearm... -
Could coaching be the key to overcoming burnout and moral injury that plagues the medical profession?
In this episode of Pediatric Meltdown, Dr. Lia Gaggino welcomes back Dr. Adrienne Mann and Dr. Tyra Fainstad, pioneers in physician well-being research, as they unpack the results from their studies on the impact of group coaching on physicians. Drs. Mann and Fainstad share their journey from a "cute little study" to a groundbreaking national program that offers a lifeline to medical students, residents, and faculty. As they study the struggles and triumphs of physicians battling burnout, moral injury, and self-compassion deficits, they reveal a whole new approach to healing and growth.
Hear how their innovative program is providing solace to thousands and lighting a path to flourishing in medicine.
[00:05 - 01:17] Transforming Physician Wellness through Coaching
Explore the origins of a simple idea during the pandemic that blossomed into a renowned coaching programUnderstand how pivoting to online platforms expanded their coaching reach significantly beyond initial expectationsDiscover the importance of addressing burnout, moral injury, and imposter syndrome in healthcare professionalsLearn about the innovative group coaching model and its profound impacts versus traditional one-on-one methods[01:18 - 03:54] Impactful Outcomes of Group Coaching
Recognize the need for a targeted approach focusing initially on women due to higher burnout representationEvaluate the coaching methodology's evolution from novice trials to thousands of residents in randomized control settingsAppreciate insights into baseline distress levels and how these reveal prevailing systemic issuesAnalyze how group coaching effectively elevated self-compassion, reduced moral injury, and tackled burnout[03:55 - 06:06] Inclusivity and Institutional Partnerships
Grasp the expanding scope to now include men and diverse genders, enhancing coaching accessibilityReveal the collaboration with institutions to democratize coaching, offering programs at low costs per participantExamine how privacy and anonymity are maintained to encourage participation without stigmaRecognize the structural evolution from restricted groups to open participation for trainees at all career stages[06:07 - 8:52] The Future Direction of Physician Coaching Programs
Investigate the ongoing research into why and how coaching uniquely benefits medical professionalsThe potential restructuring of medical leadership to address autonomy and eradicate systemic burnoutAppreciate the continuous refinement and adaptation of the coaching model based on participant feedbackFact-check how empirical evidence supports the coaching method's resilience against challenges posed by modern healthcare[48:51-32:50] Dr. Lia’s TakeAways
Connect with Dr. Adrienne Mann
Instagram: @amw1983
Connect with Dr. Tyra Fainstad
Instagram: @Tyraindenver
Resources Mentioned in the Episode
Better Together Coaching https://bettertogetherphysiciancoaching.com/
-Major updates: You can see our website here for research and peer-reviewed evidence updates.
Of high interest is our most
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Are today's youth the missing voice in mental health advocacy?
In this episode of Pediatric Meltdown, host Dr. Lia Gaggino invites passionate mental health advocate Ria Babaria to talk about the unique struggles and strengths of today's youth. In her journey from high school advocate to college policy specialist, Ria emphasizes the need for youth representation in mental health decisions. She discusses the Youth Power Project's initiatives, access to mental health resources, and the importance of bridging societal and systemic gaps. From personal challenges to state-wide advocacy, Ria highlights the transformative power of youth voices in policy-making. Join us as we explore the potential changes when youth are given a platform to be heard.
The future of mental health is their future— but are we ready to listen?
[00:05 -15:21] The Birth of Youth Advocacy
The significance of amplifying youth voices in education and policy through advocacy organizationsImportance of bridging education gaps and providing resources for low-income and vulnerable youthEmpowering youth to assert confidence and influence in advocacy spacesThe transformative impact of including diverse backgrounds in policy discussions[15:12 -22:22] Mental Health Advocacy and Cultural Challenges
Addressing mental health struggles within POC households and breaking cultural taboosThe importance of emotion integration for personal growth and social interactionsBuilding confidence to engage in mental health advocacy at a young ageShaping policy through lived experiences and peer discussions[22:23 -38:50] Expanding the Youth Power Project Reach
The national evolution from initial state-focused youth groups to broader advocacy at YPPStrategizing for impactful health reform through youth collaboration and legislative workNavigating peer-to-peer networks to bolster the youth advocacy movementTailoring mental health and educational policies around authentic youth voices[38:51-48:50] Enhancing Access and System Reforms
Addressing consistency and discrepancies in mental health resource access nationwideInnovative strategies to demystify access and eliminate stigma around mental health supportStrengthening first aid mental health training to improve communication and supportDeveloping legislative frameworks to integrate youth insights within mental health policy48:51-32:50] Dr. Lia’s TakeAways
Connect with Ria [email protected]
Resources Mentioned:
PHQ-9 Screening Tool for Depression:PHQ-9 QuestionnaireYouth Power Project Website:Youth Power ProjectMental Health First Aid Training:Mental Health First AidYouth Power Project
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Have you ever wondered what to do when traditional treatments for chronic pain in children don’t seem to help?
In this episode of Pediatric Meltdown, Dr. Lia Gaggino chats with Dr. Lonnie Zeltzer and Kim Poston Miller about innovative ways to address pediatric chronic pain. They discuss CHYP (Creative Healing for Youth in Pain), an organization offering hope to families through a creative, holistic approach to healing. Kim shares her personal story of supporting her son Grant’s remarkable recovery, showing how creativity can play a powerful role in pain management.
Tune in to learn how these approaches are opening new doors for children and families. Could creativity be the missing piece in chronic pain care?
[00:02 - 08:46] From Suffering to Hope – Introduction to CHYP
Kim talks about her personal journey as an advocate for CHYP, and the pivotal role creative arts played in her child's recovery.Unpack the story behind Dr. Zeltzer’s influence in reshaping pediatric pain management.Learn about the resourcefulness of a mother navigating her child's illness in a segmented medical landscape.Understand CHYP’s role as a free, accessible solution to complex chronic pain issues for any child worldwide.[08:47 - 14:53] Kim’s Inspiring Journey: Transforming Tragedy into Triumph
See the power of combining modern medicine with creative healing arts.Examine the interconnected struggles of family members often overlooked in medical treatments.Discover how social engagement became a lifeline for healing and improved quality of life.Find out how a mother's intuition and creative willingness conquered skepticism in professional medical advice.[14:54 - 23:30] The Creative System: Dr.Zeltzer's Vision and CHYP’s Foundation
Explore Dr.Zeltzer's 30-year journey of treating kids with chronic pain and the birth of the CHYP initiative.Appreciate the need for an online platform providing holistic, no-cost care to children globally.Grasp the significance of the biopsychosocial model in comprehending pediatric pain.Understand the empowerment and education process for both children and parents under the CHYP program.[23:31 - 54:36] Creating Magic: Camp as a Vessel for Change and Connection
Highlight the access to interactive platforms and workshops designed to enhance creative healing for youth.Recognize the significance of larger social networks in managing pain through shared lived experiences.Celebrate the impactful break-through of barriers, from timidity to friends on social platforms.Appreciate CHYP’s strategic growth with events uniquely catering to different age brackets for maximal impact.
[54:37 - 1:00:53] Dr. Lia’s TakeawaysConnect with Lonnie Zeltzer
https://linktr.ee/mychyp
https://www.instagram.com/my_chyp/
https://www.linkedin.com/company/creative-healing-for-youth-in-pain/
https://www.facebook.com/creativehealingforyouthinpain
Connect with Kimberly Miller
LI Kimberly Miller, MBA
FB
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Did you know that nearly twenty-five percent of adolescents suffer from chronic pain, and for some, it’s severe enough to impact daily life?
In this episode of Pediatric Meltdown, Dr. Lia Gaggino and guest Dr. Lonnie Zeltzer talk about the complexity of chronic pain in children and adolescents—a subject often misunderstood and inadequately addressed in pediatric medicine. Through personal anecdotes and expert insights, Dr. Zeltzer shares her journey from a curiosity about adolescent medicine to specializing in pediatric chronic pain using modern pain science. This conversation not only unravels the preconceived beliefs surrounding chronic pain but also offers potential pathways and methods to manage and reframe the experience of pain in young individuals.
The episode is an eye-opener for anyone seeking to understand and support children grappling with chronic pain.
[00:00 - 17:02] Prevalence and Challenges of Pediatric Chronic PainChronic pain affects 15–30% of adolescents globally, with 15% experiencing severe impairment. 70% of adolescents with untreated chronic pain develop adult chronic pain. Pediatricians often lack training in modern chronic pain management concepts. Subspecialists frequently struggle to address chronic pain after ruling out organic causes.
[17:02 - 27:55] Neurobiological and Psychosocial Factors Chronic pain correlates with limbic system hyperactivity and prefrontal cortex underdevelopment in adolescents. Neurodiverse individuals may experience heightened sensory sensitivity, amplifying pain perception. Hypnotherapy and cognitive behavioral therapy (CBT) retrain pain-related neural pathways. POTS (postural orthostatic tachycardia syndrome) reflects autonomic nervous system dysregulation linked to chronic pain.
[27:56 - 21:06] Gastrointestinal and Autonomic Dysregulation Irritable bowel syndrome (IBS) stems from brain-gut axis dysfunction, not structural gastrointestinal issues. Autonomic dysregulation in POTS requires salt intake, hydration, and compression garments for management. Acupuncture and acupressure offer nonpharmacologic relief, particularly for needle-tolerant patients. Abdominal pain often involves muscular tension, addressed through targeted physical therapy.
[21:07 - 48:48 ] Practical Clinical Interventions Brief in-office mindfulness exercises (e.g., guided breathing) provide immediate stress relief. Motivational interviewing helps adolescents identify achievable goals, like gradual physical activity. Parent-child dyads benefit from joint mindfulness apps (e.g., Insight Timer) to reduce household stress. The "five golden minutes" of non-directed play or connection improve emotional regulation.
[48:49 - 54:23] Dr. Lia’s TakeawaysConnect with Lonnie Zeltzer
https://linktr.ee/mychyp
https://www.instagram.com/my_chyp/
https://www.linkedin.com/company/creative-healing-for-youth-in-pain/
https://www.facebook.com/creativehealingforyouthinpain
Resources mentioned in the...
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Could a simple cash transfer program hold the key to reducing child poverty?
In this episode of Pediatric Meltdown, host Dr. Lia Gaggino chats with pediatrician and advocate, Dr. Brittney Tayler, about an innovative program called Rx Kids. Together, they explore how cash transfers can improve child health and well-being, especially in communities facing deep poverty. Dr. Tayler shares her firsthand experience in Flint, Michigan, detailing the transformation she's witnessed through the Rx Kids program. From addressing housing issues to boosting educational outcomes, this episode uncovers the impact that a single initiative can have.
Connect with the importance of advocacy and how one person can drive significant change, leaving a lasting impression on the entire community.
[00:00 - 05:07] From Pediatrics to Advocacy: Dr. Tayler's JourneyFind out how an accidental advocacy led to Dr. Tayler’s increased involvement in health policy.Understand the significance of Dr. Tayler’s meeting with a senator, and the impact it had on health legislation.Learn about the challenges of navigating advocacy as a medical professional.Appreciate the support Dr. Tayler received from experienced mentors to sharpen her advocacy skills.
[05:07 - 12:32] Understanding Poverty's Impact on Child HealthExplore the key aspects of poverty affecting child health, including housing and food security.Recognize the critical role of parents' stress levels in influencing children's well-being.Explore the widespread effects of poverty on all domains of health and life.Analyze how poverty can deeply affect educational outcomes and opportunities for children.
[12:32 - 21:07] Rx Kids: Transforming Communities Through Direct Cash TransfersThe transition from expanded child tax credit to the creation of Rx Kids.Discover the pivotal role of expanded child tax credits in reducing child poverty during the pandemic.How small studies and data informed the large-scale development of Rx Kids.Discover the impactful results seen so far in communities participating in direct cash transfer programs.
[21:07 - 30:21] Pioneering Change and Empowering CommunitiesUnderstand why Flint, Michigan, became the perfect place to pilot the Rx Kids program.Uncover the logistical aspects and eligibility criteria of the Rx Kids cash transfer program.The importance of dignity, trust, and community-wide benefits in program implementation.Future aspirations: how Rx Kids aims to expand and sustain its impact in Flint and beyond.[30:22 - 35:21] TakeAways
Connect with Dr. Brittney Tayler
Facebook – https://www.facebook.com/RxKidsUS
Instagram - https://www.instagram.com/rxkidsus/
LinkedIn - https://www.linkedin.com/company/rx-kids/
Resources mentioned in the show:
https://rxkids.org/about/communities/flint/
Chevy in the Hole by Kelsey Ronan https://www.amazon.com/Chevy-Hole-Novel-Kelsey-Ronan/dp/125080390X
Luke Shaefer PhD -
Ever wonder how the current chaotic world and the state of healthcare are affecting our children, the most vulnerable members of society and those of us who care for them?
Listen to this episode as Lia shares her angst and hope with the complexities of a world facing climate disasters, political strife, physician burnout, and a dwindling trust in science. This solo episode is a self-reflection about building the courage, commitment, and resilience required to safeguard children's health in these turbulent times.
As Lia recounts her own experiences during the pandemic and advocates for unwavering integrity in pediatric care, she challenges listeners to reflect on their role to protect the wellbeing of ALL children.. This episode is a call to action—will you answer it?
[00:05- 04:27] Insights on Pediatric Practice
The rigorous process of policy creation and revision within the American Academy of Pediatrics (AAP).Importance of adhering to evidence-based practices and adapting policies based on scientific discoveries.The challenges pediatricians face, including making life-and-death decisions.Commitment to upholding the Hippocratic Oath despite mounting difficulties.[04:28 -11:54] Challenges in Pediatric Healthcare
Long hours, difficult on-call shifts, and emotionally taxing decisions faced by pediatricians.Inequities in healthcare access, especially for marginalized children.Disinformation surrounding vaccines and its impact on parental decisions.Concerns over administrators dictating healthcare delivery without medical expertise.[11:55 - 17:58] Challenges in Pediatric Healthcare
The exhaustion and disheartenment experienced by pediatricians.Unfair contracts, financial pressures, and charting demands that intrude on family time.Pediatricians' dedication despite overwhelming demands, driven by a sense of calling.The public's misconceptions about pediatricians' financial motivations regarding vaccines.[17:59 - 22:30] Call to Action and Advocacy
A rallying message for pediatricians to support one another and remain resilient.Reinforcement of the commitment to doing what is best for children.The importance of unity and collective efforts to address healthcare challenges.Encouragement to engage with future episodes featuring interesting guests.
Resources Mentioned in the EpisodeWebsite: PediatricMeltdown.comAAP (American Academy of Pediatrics): Highlighted as a trusted source for pediatric guidelines.Dr. Anthony Fauci: Mentioned as a prominent figure in guiding healthcare during the COVID-19 pandemic.https://pediatricmeltdown.com/episodes
120 ADHD: Part 4 Executive Function
119 ADHD Part 3: Executive Function
109 ADHD Symptoms: Executive Functions Part II
ADHD: Strategies for Boosting Executive Function
Tweetable Quotes:
"To my pediatric colleagues, we cannot be intimidated. We cannot be afraid. We have to lean into each other and have each other's backs."... Dr. Lia Gaggino on the power of solidarity
"Despite the insanity of misinformation, hyperbole, and conspiracy theories, he prevailed even when he and his family were threatened and continue to be threatened."...Dr. Lia Gaggino on what Dr. Fauci had to...
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Raising Good Citizens Through Conscious Parenting
What does it take to raise thoughtful citizens and build stronger communities while navigating the challenges of parenting, aging, and personal growth?
In this episode, Dr. Robert Saul], an author and pediatrician, shares his insights from his career dedicated to advocating for children, families, and communities. Dr. Saul discusses his journey of writing books that cater to parents, children, and physicians, including one described as "Goodnight Moon with a message," using vivid illustrations and meaningful text to engage families. Through relatable examples like managing tantrums, school avoidance, and making tough decisions as both parents and children of aging parents, Dr. Saul emphasizes the importance of fostering responsibility and kindness. Drawing wisdom from the "5 M's" of mentoring, mediating, mobilizing, monitoring, and motivating, Dr. Saul inspires listeners to embrace their roles as sages and positive influences.
Will this be the conversation that reshapes the way you see parenting and citizenship?
[00:05- 11:27] Foundations of Conscious Parenting
Key realization: “I am the problem, I am the solution, I am the resource.”The role of community engagement in addressing societal issues like teenage pregnancy and disengagement.Introduction to the “Five Steps to Community Improvement.”Impact of Columbine (1999) and its role in inspiring advocacy and writing.[11:28 -20:54] Overcoming Adverse Childhood Experiences (ACEs)
The significance of nurturing, safe, and stable relationships (SSNRs).Introduction to SSNRs as a buffer against toxic stress.Role of parents in creating environments that foster resilience in children.Emphasis on pediatricians' responsibility to guide and support parents.[20:55 - 35:58] The Parental Awareness Threshold (PAT)
Concept of being "above the line" (curious and open) vs. "below the line" (closed and defensive).Strategies for managing stress and frustration as a parent: pause, assess, choose.Frameworks for addressing challenges like tantrums and teenage rebellion.Balancing empathy with practical parenting techniques.[35:59 - 46:30] Advocacy and Community Engagement
Role of pediatricians in supporting families facing poverty, domestic violence, or instability.The importance of advocacy for systemic changes to improve family support.Encouraging involvement in organizations like the American Academy of Pediatrics (AAP).The significance of professional networks for mutual support and advocacy.Connect with Dr. Saul:
https://mychildrenschildren.com/ to learn more.
Resources mentioned in the show:
Books
My Children’s ChildrenThinking DevelopmentallyConscious ParentingBowling AloneConscious Leadership - Visa fler
