2016 - March Edition
Paula J. Whiteman, MD, FACEP, FAAP 
President, AAP-CA2
Representative, AAP-District IX CFMC
 
Welcome to the March edition of our monthly e-Newsletter.

FEATURE ARTICLE
Our feature article is Moans, Groans, and Kidney Stones! by Dechu Puliyanda, MD, FAAP.
Dr. Puliyanda is Director of Pediatric Nephrology and Transplant Immunology at Cedars-Sinai Medical Center.  
 
AAP-CA LEGISLATIVE DAY
Monday is our annual Legislative day, also know as "Leg Day", for AAP-CA, which refers to our California District IX. The District IX leadership, along with our State Government Affairs(SGA) representatives, will visit our various state representatives to discuss and advance our AAP agenda. 

AAP ANNUAL LEADERSHIP FORUM
Next week is the AAP Annual Leadership Forum(ALF), which will be held near the National AAP headquarters in Schaumburg, Illinois, where our resolutions will be discussed, debated, and voted on. The adopted resolutions are prioritized. The top 10 resolutions are sent to the AAP Board of Directors.
An updated chapter video highlighting our chapter's member value was submitted to the AAP ALF chapter video contest.

We will report back on these March activities in next month's April newsletter.

REACH OUT AND READ Please see the article below detailing the AAP-CA2 partnership with First 5 San Bernardino in conjunction with the Reach Out and Read (ROAR) program. 
 
COMMUNITY EVENTS
You will find the details and photos from our recent Town Hall event in Woodland Hills, hosted by Member-At-Large Ken Saul, MD, FAAP. Please see the photos below, including specific details from this informative event.
 
Our next Town Hall, generously sponsored by Children's Hospital Los Angeles (CHLA) will be held at the Bistro Garden in Studio City on May 18, hosted by Member-At-Large Daniel Bruckner, MD.

Member-At-Large, Cori Cross,MD, FAAP, presented her obesity prevention curriculum to a group of teen moms at an East Los Angeles high school. Look for those highlights below.
 
UPCOMING CONFERENCE - April 16
Please check your mailboxes for our brochure advertising our 27th Annual Southern California Postgraduate Conference: Advances In Pediatrics 2016, which will once again be held at the Universal Sheraton on April 16, 2016. The early bird pricing is through March 13, 2016. If you haven't received the brochure yet via snail mail, then please click here for on-line access.

Alisa Dennis, Ph.D., Licensed Clinical Psychologist and Mindfulness Consultant, will provide an optional, complimentary pre-conference non-CME session entitled, "Mindfulness in the Morning." She will begin the session with simple tai chi warm-up exercises followed by a guided mindfulness meditation and closing with Q&A. We encourage you to attend this valuable pre-conference session. Mindfulness meditation can be a helpful tool when trying to calm an anxious child or adolescent before a potentially painful procedure.

Please see below for some pre-test questions from the MOC assessment to give you insight into our speaker's lectures.

Just like last year, we will have an attendee raffle during our 27th Annual Southern California Postgraduate Conference: Advances In Pediatrics 2016.
Thank you to ICON SHOES for their generous raffle item donation of their Mid-Size Tote w/ Adjustable Straps, covered with decorative art from Paul Klee's "Aunt & Child." Scroll below to see the image.

Please see our link to our donor wall, as well as our Member Spotlight page, highlighting videos of some of our members. Thank you to our latest donor, Dr. Heide Woo. Dr. Woo won 1/2 off her year's chapter membership in last year's conference raffle. Dr. Woo chose instead to donate her winnings back to the AAP-CA2. Thank you Dr. Woo.

As always, I welcome your comments and suggestions.

 
Sincerely,

Paula Whiteman, MD, FACEP, FAAP
President, AAP-CA2
Representative, AAP-District IX CFMC

Please visit us on the web: aapca2.org

Feature Article
Moans, Groans, and Kidney Stones!
Dechu Puliyanda, MD
Dechu Puliyanda, MD

Kidney stones once thought to be a problem seen mainly in adults, is becoming increasing prevalent in children.  In 2007, Vandervoort K reported a 5-fold increase in the incidence of pediatric urolithiasis in the past decade. Hospital records show a 1 in 1,000 to 1 in 7,600 hospital discharges, a rate that is 2-4% that of adults. This is largely thought to be the result of changing lifestyles and dietary habits of children. 

Symptoms
In young children the symptoms are largely non-specific with irritability and excessive crying, fever, nausea and vomiting. Some children can present with hematuria, ... Read more    Bio 

In The Community
February 24, 2015 - Town Hall/Dinner Meeting - Woodland Hills

AAP-CA2 pediatricians met for a Town Hall meeting hosted by Member-At-Large Ken Saul, MD, FAAP.   Guest speaker E. Robert Wassman, MD, FAAP, FACMMG, presented on the use of genetic testing in children with intellectual and developmental milestone delays. With 60 in attendance, this event took place at Maggiano's, in Woodland Hills.



Fit to Play & Learn
Cori Cross, MD, FAAP
On Tuesday, March 1st, AAP-CA2 Member-At-Large and Co-Founder of the Fit To Play and Learn program, Cori Cross, MD,FAAP, gave a talk to a group of teen moms at Ramona Opportunity High School. Ramona High is a public, alternative, all-girls school in East Los Angeles. For over five decades, the school caters exclusively to dropouts, stragglers and struggling teenage moms.

"All the girls in this group are still in high school and raising children, from newborns to 5 years of age. The teens had between 1-4 children each. They were a wonderful audience, very attentive with lots of questions. Their interest and desire to make sure they were doing all that they could for their children was evident and illustrated the need to teach moms early about good nutrition and healthy lifestyle choices." Cori Cross, MD, FAAP


CDC Updates & LAHAN Alerts
CDC Influenza News and Highlights
Influenza-like-illness levels remain above the national baseline, and there are now 33 states reporting widespread flu activity. CDC reports this season's vaccine is offering significant protection against circulating viruses this season. CDC recommends an annual flu vaccine for everyone 6 months of age and older.  Click to view full report 

Join the CDC
The Centers for Disease Control and Prevention (CDC) is happy to offer a free email subscription service, which allows CDC.gov users to receive alerts by e-mail when new information is available. With a subscription profile, you get the updated information on the items of interest to you automatically without having to return to the Web site and check for changes. Click to Subscribe


Zika Virus Infection Update #3 - Revised Instructions for Zika Testing and Reporting in Los Angeles County - March 3, 2016  Click to view

Join LAHAN
To receive communications from the Health Alert Network, Sign-up here.
It takes less than two minutes to sign up. 

Visit the LAHAN website.

Opportunity for San Bernardino Pediatricians

First 5 San Bernardino - Reach Out And Read

First 5 San Bernardino committed an investment of $250,000 to support San Bernardino County pediatric practices in making reading "doctor-recommended". In partnership with American Academy of Pediatrics, Chapter 2, First 5 San Bernardino held an outreach event that netted the interest of 17 pediatricians willing to improve outcomes for children's early literacy levels by implementing Reach Out and Read in their practices - distributing books to children and valuable information to parents.  One of those interested pediatricians, hailing from the city of Big Bear, has successfully completed registration for their Reach Out and Read site, just two months since the campaign announcement in November 2015. That practice has received their inaugural order of free books from Scholastic, Inc. and is prepared to Reach Out and Read with children and families in the mountain region.

 Get Started with Reach Out and Read in 6 Easy Steps
  1. Inquire  - Contact Ruth Ann Martinez at (909) 386-7706 (RuthAnn.Martinez@cfc.sbcounty.gov) or complete this Interest Form 
  2. Apply -  Register to become a Reach Out and Read provider with Reach Out and Read at http://www.reachoutandread.org to receive training and information on the program
  3. Order - Place an order for books that suits your patient demographic ranging from bilingual, age and other considerations. 
  4. Store - Consider the location of storing and inventory of books at your practice. 
  5. Distribute - There are several ways you can Reach Out and Read, ranging from prescribing a book to creating a reading room. 
  6. Report - Inform the national Reach Out and ReadŽ headquarters of your activities with a low-hassle report only twice a year. Check out what is asked on the report by clicking here.
 
Are you interested in improving early literacy with your patients? Contact Ruth Ann Martinez at First 5 San Bernardino for more information on how to get your practice involved to Reach Out and ReadŽ or visit the informational site for more details and information.


Sexual and Reproductive Health

California Family Health Council 
CFHC offers Sexual and Reproductive Health training opportunities. Please see below, or visit their website, CFHCLearning.org



Mar 17 + 18
Los Angeles


Family Planning Health Worker Certification Training
2-day certification training for health care staff and educators who want to provide high-quality contraceptive counseling or education. "This is a very complete and interactive program. I highly recommend it to anyone who counsels others or teaches about birth control, STDs and sexual health."

Register for a course near you or book a private training for a group
New Online
Courses  
Best Practices in Birth Control Education*
Review best practices in birth control education that clinic, school and community-based health educators can easily implement. Learn effective interactive teaching techniques to use when instructing others on the most effective methods, how to obtain them, and their health benefits. Includes free CEUs. Register Now!
 
Encouraging Family Communication About Healthy Sexuality*
On-going communication between parents and youth allows for more open and honest discussions about harm-reduction topics of STD, abuse and pregnancy prevention and a broader range of sexuality and relationship topics. This online course covers strategies for how educators can encourage family conversations about healthy sexuality. Includes free CEUs. Register Now!

*See other trainings in our new Course Catalog:
Recommended Courses for Sexuality + Health Educators and Teachers
 
On-Demand
Webinar
Emergency Contraception Update
Recent years have brought new EC products and important research findings. Stay up-to-date and learn the information on accessing EC over-the-counter, by prescription and online, plus the latest research on effectiveness and best practices for educating consumers. Watch Now!


CFHC will be participating as an exhibitor during our April 16th. pediatric conference. Be sure to visit their booth to discuss training opportunities directly with their representatives onsite.

Early Bird Registration Through March 13!
April 16, 2016 - The 27th Annual Southern California Postgraduate Pediatric Conference
Advances in Pediatrics 2016

The 2016 Advances in Pediatrics conference will take place again at the Sheraton Universal Hotel. Please see the full speaker line-up, their topics, and respective biographies. Save the date!



Begin the day with "Mindfulness in the Morning"

Alisa Dennis, Ph.D.
Please join us for a complimentary mindfulness session guided by licensed clinical psychologist, Dr. Alisa Dennis. Participants will be guided through a series of simple tai chi warm-up exercises  before practicing a 20-25 minute guided mindfulness meditation.  Time will be allowed at the end for a brief Q & A and  sharing of reflections about the practices.  The tai chi warm-up and gentle stretches are designed to increase awareness of and sensitivity to energy flow in the body, reduce tension, and rejuvenate the mind - body.  Tai chi has been shown to reduce stress, as well as increase strength, flexibility and balance. Read more.

This event is complimentary, however, pre-registration is required.


Meet The Professors

Infectious Diseases
The 2016 S. Michael Marcy Memorial Lecture speaker will feature Larry K. Pickering, MD. FAAP, FIDSA from the CDC.  
Medical/Legal
Carlo Reyes, MD, MS, Esq., FACEP, emergency medicine physician, pediatrician, and lawyer, will speak regarding Healthcare Risk ManagementRead Bio
Pediatric Urology
Andrew L. Freedman, MD, Director of Pediatric Urology at Cedars Sinai, will speak on pediatric urologic emergencies.         Read Bio. 











                   













QUESTION
A 6 year old boy presents with 2 day history of right testicular pain. It is very tender on palpation. There is a brisk cremasteric reflex. The scrotum is erythematous and mildly edematous. The exam of the testicle itself is difficult due to discomfort. There is no fever or dysuria.
 
The most valuable laboratory test would be...

Behavioral 
Alice Kuo, MD, PhD, FAAP, is Chief of Medicine-Pediatrics and Director of the Medicine-Pediatrics Comprehensive Care Center at UCLA.  Dr. Kuo will speak on autism, and the social determinants of health.  
Pediatric Sports Medicine
William M. Hohl, MD, FAAOS, of Cedars Sinai Medical Center, will speak on common
pediatric sport related injuries.
Pediatric Neurosurgery
Moise Danielpour, MD, FACS, Director of the Pediatric Neurosurgery Program at
Cedars-Sinai's Department of Neurosurgery, will speak on pediatric brain tumors.

QUESTION

An 11 year old right hand dominant pitcher complains of shoulder pain. The pain has been progressive, and he is now no longer able to pitch.  On physical examination, he is tender over the lateral aspect of the proximal humerus.  A radiograph of the shoulder shows widening of the right proximal humeral growth plate when compared to a radiograph of the left proximal humerus.   

 

 The correct diagnosis is...


AAP-CA2 would like to thank Icon Shoes for donating a wonderful item to be raffled during our
 upcoming pediatric conference. The Paul Klee "Aunt & Child" Mid-Sized Tote with adjustable straps will be one of several drawing opportunities.  

Paul Klee
(1879-1940)

Paul Klee was a painter born in Switzerland and is considered to be a German-Swiss. Movements in art that included expressionism, cubism and surrealism influenced his highly individual style. He was also a student of orientalism. Klee was a natural draftsman who experimented with and eventually got deep into color theory writing about it extensively. He and his colleague, the Russian painter Wassily Kandinsky, both taught at the German Bauhaus School of art, design and architecture. His works reflect his dry humor and his sometimes childlike perspective, his personal moods and beliefs, also his musicality.


Thank you, Icon, for your generosity!

Other Coming Events - Save the Dates!
March 29, 2016 - 33
rd Annual Conference on High Frequency Ventilation and Critical Care of Infants, Children & Adults

Location: Snowbird, Utah
When: March 29 - April 2, 2016
Registration details: click to view page
AAP-CA2 Contact: Mitchell Goldstein, MD, FAAP


Visit the Perinatal Advisory Council on Facebook
Daniel Bruckner, MD - Member At Large

May 18, 2016. - Town Hall, with host, Daniel Bruckner, MD - Sponsored by Children's Hospital Los Angeles (CHLA)

Topic: Orthopedics for the General Pediatrician
Speakers: Rachel Goldstein, MD, MPH  &  Curtis Vandenberg, MD
Location: Bistro Garden (
Time: 6:30 PM
RSVP: Please email the Chapter to save your seat. 




October, 2016 - October is "Talk with Your Kids" month

CFHC and CHLA pediatrician, Dr. Diane Tanaka, will be hosting a Town Hall/dinner in Los Angeles during the month of October on the topic of sexual and reproductive health in primary care, with a focus on STDs.  The session will include up-to-date treatment recommendations, and a component on medical billing. 

Session goal: For pediatricians seeing adolescents to become champions of reproductive care.
CME will be offered during this no-cost event. 


Submitting Articles for Publication in Our Newsletter


 

Have you written original clinical work you would like to share?

Do you have any news that you would like to publish in our newsletter?


AAP-CA2 invites you to submit your ideas, accomplishments, news, pictures...

For article submission guidelines, please click here.

If you are interested in advertising, please email the Chapter.

 

Charitable Donations
AAP-CA2 is a 501(c)(3) non-profit organization. Please consider a tax-deductible charitable donation to one of our many programs
  • The Medicine-Biological Sciences Scholarship Program, which awards scholarships to exceptional high school students each year.
  • The Committee on Service, Education, and Mentoring, which awards scholarships to pediatric residents for outstanding research projects. 
  • The S. Michael Marcy Memorial Lecture, which helps sponsor a portion of our annual Advances in Pediatrics Conference in his honor.

AAP-CA2 Video: We Are The AAP-CA Chapter 2

We Are The AAP California Chapter 2
We Are The AAP California Chapter 2



Thank you for your support
Sincerely,
AAP-CA2
PO Box 94127 Pasadena, CA 91109
(818) 422-9877
Please visit our website at http://aapca2.org/