Clinical Pearls

Personal perspectives from our expert faculty on current issues in pediatric clinical practice.

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- Michael J. Wilsey, Jr., MD
What does your recent research tell us about how pediatricians utilize specialized formulas for treatment of diagnosed or suspected cow’s milk protein allergy?

00:01:43

Topics: Allergy Development Allergy Prevention
- Michael J. Wilsey, Jr., MD
In infants with diagnosed or suspected cow’s milk protein allergy, how do the outcomes around symptom relief differ between extensively hydrolyzed formula and amino acid formulas?

00:01:08

Topics: Allergy Development Allergy Prevention
- Michael J. Wilsey, Jr., MD
What role does extensively hydrolyzed formula (EHF) containing Lactobacillus rhamnosus (LGG) have on symptoms of cow’s milk protein allergy in infants either diagnosed with or presenting with symptoms of CMPA?

00:02:38

Topics: Allergy Development Allergy Prevention
- Michael J. Wilsey, Jr., MD
How does an infant’s gut microbiome impact the potential for colic/fussiness or the potential for allergy development?

00:02:18

Topics: Allergy Development Allergy Prevention
- Michael J. Wilsey, Jr., MD
What can you share with us in regards to the role of various feeding options in short-term symptom relief and improvement in infants presenting with fussiness, colic, and symptoms of cow’s milk protein allergy?

00:02:11

Topics: Allergy Development Allergy Prevention
- Michael J. Wilsey, Jr., MD
What do you do in your practice when presented with a colicky baby? How do you tease out the various causes of fussiness and colic?

00:00:57

Topics: Allergy Development Allergy Prevention
- Fayez Ghishan, MD
What is the connection between the microbiome and the potential for allergy development? How might pre and probiotics modulate this development?

00:04:15

Topics: Allergy Development Allergy Prevention Microbiome
- Fayez Ghishan, MD
What is the difference between pre-biotics, probiotics, and post-biotics, and how do they influence the microbiome in the first 1000 days?

00:01:35

Topics: Allergy Prevention Microbiome
- Fayez Ghishan, MD
Tell us about the incidence of allergy in children and why it’s increasing in the Western World?

00:02:29

Topics: Allergy Development Allergy Prevention
- Fayez Ghishan, MD
Are the effects of MFGM short-term only, or is there evidence for a long-term benefit?

00:01:33

Topics: Brain Development and Cognition MFGM
- Fayez Ghishan, MD
Can you elaborate on the role of the various lipid components in MFGM and how they influence brain and cognitive development?

00:01:32

Topics: Brain Development and Cognition MFGM
- Fayez Ghishan, MD
Tell us about the bioactive lipids in MFGM. What role do they play in neurodevelopment?

00:01:26

Topics: Brain Development and Cognition MFGM
- Fayez Ghishan, MD
Tell us about the bioactive proteins in MFGM. What are the benefits and related clinical outcomes?

00:01:26

Topics: Brain Development and Cognition MFGM
- Fayez Ghishan, MD
What is MFGM and what are the most important structural components of this complex membrane?

00:01:11

Topics: Brain Development and Cognition MFGM
- Stanley A. Cohen, MD
- Benjamin D. Gold, MD
With ongoing issues of burnout, what can be done about it? What strategies or practices can you suggest for physicians in their day-to-day practice?

00:04:23

Topics: Physician Burnout
- Stanley A. Cohen, MD
- Benjamin D. Gold, MD
How do you address the issue of social media and its impact on misinformation in healthcare today and its ability to spread so quickly on a large scale?

Four Minutes

Topics: Physician Burnout
- Stanley A. Cohen, MD
- Benjamin D. Gold, MD
How do you address the influence of the insurance industry in how you take care of your patients?

00:05:32

Topics: Physician Burnout
- Stanley A. Cohen, MD
- Benjamin D. Gold, MD
There has been a focus on physician burnout since the pandemic. Do you think this burnout is a result of the pandemic or are there other specific causes?

00:02:27

Topics: Physician Burnout
- Stanley A. Cohen, MD
- Benjamin D. Gold, MD
What would you say are the root causes of burnout today and how do we address it?

00:05:18

Topics: Physician Burnout
- Stanley A. Cohen, MD
- Benjamin D. Gold, MD
The Shanafelt et al. 2022 survey showed that pediatricians were among the higher risk physician group for burnout. Can you share insights on why this is the case and what further research is needed to help combat burnout among pediatricians?

00:04:19

Topics: Physician Burnout
- Stanley A. Cohen, MD
- Benjamin D. Gold, MD
Can you share key findings and some of the insights from this important survey regarding physician burnout?

00:04:02

Topics: Physician Burnout
- Jonathan Malka, MD
Can you talk more about the importance of the microbiota as it relates to allergy development, and how we can promote a healthy and diverse microbiome?

00:01:12

Topics: Allergy Development Allergy Prevention Microbiome
- Jonathan Malka, MD
When it comes to allergy prevention strategies, is early allergen exposure enough? Are there other approaches that can help promote the ongoing tolerance of potential allergens?

00:00:49

Topics: Allergy Development Allergy Prevention
- Jonathan Malka, MD
What are the benefits of the early introduction of allergens? How does this influence the risk of allergy development?

00:01:20

Topics: Allergy Development Allergy Prevention
- John Colombo, PhD
What do the more advanced cognitive tests show related to how early exposure to DHA impacts later neurocognition? Does the timing and dose of DHA matter?

00:01:33

Topics: Brain Development and Cognition DHA
- John Colombo, PhD
What are the newer cognitive tests available that help us test more targeted aspects of cognition in school-aged children?

00:02:18

Topics: Brain Development and Cognition
- John Colombo, PhD
Could you address the variable findings, through study design, or specifically, what is being tested in older ages? And can you connect these DHA studies to longer-term childhood cognitive outcomes?

00:01:26

Topics: Brain Development and Cognition DHA
- John Colombo, PhD
Please share an overview of the history of DHA studies and outcomes related to cognitive function?

00:01:52

Topics: Brain Development and Cognition DHA
- John Colombo, PhD
What is omega-3 DHA and why is it important for brain development?

00:01:00

Topics: Brain Development and Cognition