Gut Instincts: The Pediatric Microbiome

Inside every one of us is a complex, evolving ecosystem influencing everything from immunity to inflammation to long-term health. This is known as our gut microbiome. The choices made early on, such as how babies are born, fed and treated, can have lasting effects. In this episode, we explore the pediatric gut microbiome: what builds it, what disrupts it and why it matters more than some may think. We're joined by gastroenterology experts Jaime Belkind-Gerson, MD, and Edwin DeZoeten, MD. Dr. Belkind-Gerson is the Director of the Neurogastroenterology program at Children's Colorado. Dr. DeZoeten is the Director of the Pediatric Inflammatory Bowel Disease Center. They are also professors at the University of Colorado School of Medicine. Some highlights from this episode include: What influences the gut microbiome at an early age How diet influences the overall health of the microbiome  The connection between the brain and the gut  Separating fact versus fiction in probiotics  For more information on Children's Colorado, visit: childrenscolorado.org. 

Every pediatric visit tells two stories. One is about the child in front of us: their growth, symptoms and milestones. The other belongs to the parent beside them, often unspoken but deeply felt. In this episode, we're talking about parental wellbeing and why it belongs at the center of pediatric care. From chronic stress and mental health challenges to resilience and support systems, a caregiver's experience doesn't stay in the background but rather shapes a child's biology, behavior and long-term health. To discuss this important topic, we are joined by Mona Amin, DO. She is a board-certified pediatrician, a mom of two and the founder of the incredible podcast PedsDocTalk, a globally recognized platform reaching over 1.5 million people.  Some highlights from this episode include: Why a parent's mental health impacts child health and development  The role the pediatrician can play in identifying parental struggles  Common misconceptions about parental mental health  Healthy boundaries between sharing details and privacy  For more information on Children's Colorado, visit: childrenscolorado.org. 

A tired teen who struggles to get out of bed or a child whose growth is falling behind expectations, are familiar clinical problems, each with a differential diagnosis. Thyroid disorders are often on the differential for many common symptoms we see, yet thyroid disease rarely walks into the office announcing itself. Instead, thyroid disorders can hide in plain sight, disguised as other diagnoses such as anxiety, depression, ADHD, delayed puberty, constipation or "just teenage hormones." In this episode, we've diving into the physiology, the pitfalls and the practical decisions behind pediatric thyroid care. Because when we understand the thyroid, we can protect long-term health. Maggie Chan, MD, is an endocrinologist at Children's Hospital Colorado, as well as an associate professor at the University of Colorado School of Medicine. Some highlights from this episode include: Most common thyroid disorders in children  How to differentiate between mental health symptoms versus thyroid symptoms  When to screen and what labs to test for  Three practical takeaways to utilize in clinic  For more information on Children's Colorado, visit: childrenscolorado.org. 

Anatomy doesn't work in silos. For example, the airway affects feeding. Feeding affects growth. Reflux affects the lungs. Suddenly, one child has three subspecialists and one very full calendar. Aerodigestive medicine lives in that overlap, and while multidisciplinary teams bring powerful expertise, primary care providers are co-managing these patients. They are fielding the "is this normal" calls. They are tracking growth, advocating for these patients and helping families make sense of recommendations. In this episode, we talked to two experts about what meaningful co-management looks like, Emily DeBoer, MD, and Todd Wine, MD. Dr. DeBoer specializes in pulmonology at Children's Colorado and is a professor at the University of Colorado School of Medicine. Dr. Wine specializes in otolaryngology and is an associate professor.  Some highlights from this episode include: Which patients benefit from multidisciplinary aerodigestive care versus traditional single-specialty referrals  How respiratory diagnoses impact patients  How primary care clinicians can support patients  Overview of aerodigestive programs across the country  For more information on Children's Colorado, visit: childrenscolorado.org. 

Something is shifting in medicine, and it's hitting pediatrics hard. Fewer students are choosing to become pediatricians. Who will care for the next generation of kids and how will they do it? This episode isn't just another conversation. It's a call to action. From technology shaping tomorrow's doctors to strengthening the pediatric pipeline, we will explore how the next generation is redefining the future of pediatrics. The journey to becoming a pediatrician is full of discovery, challenge and purpose. In this episode, we are joined by two future pediatricians sharing their own journeys to help us understand the bigger picture. Hannah Bullock, MD, is a resident, and Sarah Martin is a medical student at the University of Colorado School of Medicine. Some highlights from this episode include: The biggest barriers to choosing pediatrics Why they picked pediatrics How pediatricians can reframe how students see the field Hope for the future of pediatrics For more information on Children's Colorado, visit: childrenscolorado.org. 

A parent walks into the exam room, but they're not alone. They've brought TikTok, Instagram, a comment section, a conspiracy thread and a viral video with 12 million views. Welcome to modern pediatrics. In this live recording, we're diving into the digital ecosystem that's shaping how families think, worry and decide. Social media isn't just background noise anymore — it's co-parenting with us. Sometimes it's loud. Sometimes it's supportive, and other times, it's just plain reckless. We are exploring how misinformation spreads faster than measles, why fear goes viral and how pediatricians can reclaim their role as trusted guides in a scroll-first world. This isn't about fighting the internet. It's about learning how to practice medicine inside it. Mona Amin, DO, traveled from Florida to be our guest for this live event. She is a board-certified pediatrician, mom of two and founder of the incredible podcast The PedsDocTalk. That podcast is part of her globally recognized platform reaching over 2 million people with evidence-based guidance, actionable tips and relatable insights on child health, development and parenting.  Some highlights from this episode include: The current landscape of parenting with social media How social media has influenced how parents understand, and misunderstand, health information  Biggest mistakes pediatricians make when responding to parents who bring in a TikTok video or influencer advice to their appointment  How pediatricians can better connect with families and validate their concerns, without support misinformation  The future of pediatric communication in a digital-first world For more information on Children's Colorado, visit: childrenscolorado.org. 

Bullying doesn't always look like bruises and broken lunch trays. Sometimes it looks like a kid who suddenly "hates" school or a teen who's glued to their phone but never smiling. Other times, it's a patient who keeps showing up to clinic with vague symptoms like headaches, nausea and no clear diagnosis. In pediatrics, we're trained to look for patterns in data such as growth charts and lab results. But some of the most crucial patterns show up in silence, withdrawal and fear. In this episode about bullying, we are going to examine how it's changed, how it hides and why it's a health issue, not just a school problem. Lauren Henry, PhD, is a psychologist at Children's Hospital Colorado, as well as an assistant professor at the University of Colorado School of Medicine. Some highlights from this episode include: How to screen for bullying in your clinic  Best ways to talk to parents and patients about bullying  The impact of bullying on mental health for children  Understanding the signs of bullying   For more information on Children's Colorado, visit: childrenscolorado.org. 

The first 24 hours of a newborn's life are not just clinical — they are electric. They're where physiology meets fear and policy meets instinct, revealing just how resilient and vulnerable babies can be. In this episode, we're unpacking what happens on that first day from the golden hour and early feeding behaviors to delayed bathing and recommended care. Anna Ruman, MD, specializes in pediatrics at Children's Hospital Colorado. She is also an assistant professor at the University of Colorado School of Medicine. Christine Gold, MD, specializes in pediatric hospital medicine and is an associate professor. Some highlights from this episode include: Feeding behaviors in the first 24 hours  How pediatricians can support families before birth  Recommendations for newborn care, including medications  Helpful tips for pediatric newborn support  For more information on Children's Colorado, visit: childrenscolorado.org. 

In pediatrics, we often meet families during their most vulnerable moments such as illness, transition, fear and change. While pediatricians are trained to diagnose and manage disease, some of the most powerful interventions we offer don't come in a prescription bottle. They are found in the relationships we help build, strengthen and protect. In this episode, we're exploring how trauma, attachment and the family system are key to understanding patients. Benjamin Perks works for the United Nations in New York on human rights and child development and protection. He is a senior fellow at the Jubilee Centre at the University of Birmingham in the UK and an associate member of the department of social policy and innovation at the university of oxford. He is also the author of the book titled "Trauma Proof." Susan Caso is a licensed therapist, speaker and author. She serves as a board member and advisory for The Liv Project. She is the author of the book "The Parent-Teen Connection: How to Build Lifelong Family Relationships."  Some highlights from this episode include: What's driving disconnection between parents and teens   How trauma shows up in family relationships  How emotional safety in the home acts as a form of prevention  Trauma-informed shifts providers can make to improve trust and engagement  For more information on Children's Colorado, visit: childrenscolorado.org. 

Adolescence is full of firsts. Big questions about bodies, safety and choices rise to the surface. Contraception can feel intimidating for teens and complex for pediatricians. However, it's also a powerful touchpoint to shape safety, confidence and long-term health. In this episode, we're unpacking the role pediatricians play in guiding teens through reproductive care, where pediatricians can transform a potentially awkward moment into an opportunity for empowerment.    For this discussion, we're joined by Tricia Huguelet, MD. She is the section chief of the Division of Pediatric and Adolescent Gynecology at Children's Hospital Colorado. In addition to being a professor at the University of Colorado School of Medicine, she is the program director for the Pediatric and Adolescent Gynecology Fellowship, and co-director of the Young Women Bleeding Disorders Program.  Some highlights from this episode include: When pediatricians should feel confident to prescribe contraception  How to handle consent and confidentiality  What methods would be best for each patient  Most common barriers to access  For more information on Children's Colorado, visit: childrenscolorado.org.