https://swiy.co/WhatAreYourThoughts

Welcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health, behaviors, and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, I brought in my very own daughter, Julia Parzyck. She works in the eating disorder recovery space and has recovered from an eating disorder, herself.

Let’s dive into Julia’s story of how society impacts the mental health of patients suffering from eating disorders because of the BMI metric that tells them they are unhealthy or obese and how tough it is to have conversations and educating people more about food.

[00:01 - 04:52] Opening Segment

● I introduce and welcome my guest and daughter, Julia, to the show

● Julia talks about her eating disorder recovery journey

○ She grew up in a family with body image issues

○ She got bullied because of her weight

○ She went to a therapist to help her with her eating disorder recovery

[04:53 - 14:10] Children and Eating Disorders

● Julia talks about the turning point of why she decided to recover from her eating disorder

● Pediatricians goal with monitoring children's growth

○ How we try to prevent kids from having eating disorders

● Julia shares her BMI issues

○ According to BMI, she was considered unhealthy and obese

○ Navigating her eating disorder in a healthier way

● Julia weighs in on the mental aspect of patients with eating disorders

○ Eating healthy and exercising more is not very helpful advice

○ Living in a Fatphobic society

○ Having the right resources and education of what should their kids eat or not

○ Being compassionate in dealing with these patients

[14:11 - 22:48] Talking about weight and BMI

● Julia weighs in on doctors dealing with kids' nutrition

○ BMI is not a measure of health

● Having tough conversations with patients

○ Listening to patients

○ Dealing with families with a history of obesity

● Feeding children the right information about food

○ Educate yourself so you can guide your kids

○ Children getting bad information online

● Julia talks about intuitive eating

○ Emotional response to eating certain foods that are considered as "Good" or "Bad"

○ Society told us that being healthy means you have to be thin

[22:49 - 30:07] Taking The Right Approach

● Having a team to have conversations and educate people about food

○ Adding on things instead of taking them out

■ The next time you eat a burger, have some salad with it.

● Telling people they shouldn't have certain kinds of food in their homes

○ Do I have to be a certain weight in order to have these conversations?

[30:07 - 34:51] Closing Segment

● Julia's...

https://cutt.ly/WhatAreYourThoughts

Hello and welcome to the Pediatric Meltdown Podcast, the podcast for busy pediatricians who want to better understand emotional health and behaviors and gain the skills and knowledge to help them thrive. I’m your hostess Dr. Lia Gaggino, and I’d like you to come on this journey with me to hear from leading experts in the field as well as other parents to become the best health care practitioners and parents/guardians we can be, in a way that feels less like a lecture and more like a conversation over dinner. We need all the help we can get to take care of our kids, and I believe that the more we learn the better this world will become.

[00:01 - 01:05] Opening Segment

• Introduction for the podcast
• Created with pediatricians in mind but hope parents and other professionals will listen in as well

[01:06 - 06:30] Why Pediatric Meltdown?

• Imagine and put yourself in the place of children who can’t get through their struggles and their parents who don’t know how to help them
• I’ve learned that these are unmet needs that are expected to be handled
• The responsibility is on primary care
• You will hear from professionals and parents alike
• I want to share my passion and their voices
• These won’t be lectures but conversations with friends
• I will be linking resources form these conversations
• The goal is inspiration
• See one, Do one, Teach one
• Let’s work together to help children thrive

[06:31 - 8:36] Closing Segment

• I’d like to hear from you
• I know how hard it can be
• Thank you for joining me
• Please give me your input and reach out to me
• Links below
• Closing

Tweetable Quotes:

“Imagine a conversation with a parent of a fifteen year old who doesn’t know what to do with their son who’s using drugs, or maybe it’s a six year old who’s throwing chairs at school, or a thirteen year old who overdosed after a bad argument with his dad, a foster child who can’t sleep at night, or one of your patients on the autism spectrum who wants to have friends but just can't figure out the social queues and so on. Imagine these kids’ meltdowns just dripping into puddles and the meltdowns parents have and, well, maybe even our own.” - Dr. Lia Gaggino

“We need hope, we need ideas, we need each other, to ensure that children thrive.” - Dr. Lia Gaggino

“When you listen I hope you will find a pearl, maybe a spark of excitement or creativity to help others out of dark places.” - Dr. Lia Gaggino

If you’d like to connect with me, you can find me at LinkedIn, Facebook, and Twitter or email me at gagginol@yahoo.com to let me know your thoughts and what you would like to hear in upcoming episodes. To learn more about me visit https://www.medicalbhs.com/

LOVE WHAT YOU HEARD? Leave us a 5-star review so we can continue to provide you with great content. Share this episode and help people know more about children’s health and well-being.

https://swiy.co/WhatAreYourThoughts

Welcome to Pediatric Meltdown, the podcast for busy pediatricians who want to better understand children's emotional health, behaviors, and gain the skills and knowledge to help them thrive. I am your host, Lia Gaggino. In this episode, I had the honor of speaking with Dr. Moira Szilagyi. Dr. Szilagyi is regarded as one of the leading experts on the health of children in foster and kinship care and has served as chair of multiple AAP groups over the last 25 years leading the development of health care standards for children and teens in out of home care.

Let’s dive into Dr. Szilgayi's incredible story of how important it is to know the Three R’s and be a catalyst for change in the child welfare field, as well as to have trauma-informed focus as you learn, grow and impart skills to your fellow workers and the parents of your patients.

[00:01 - 11:08] Opening Segment

• Introducing today's guest, Dr. Moira Szilagyi, and her achievements
• Dr. Szilagyi talks about how she got into her career
• Medical school at 28
• Realized she wanted to work with high risk kids
• Began working in Foster Care
• “These kids deserve better”
• Dr. Szilagyi tells a story of the one patient that inspired her to work in this field
• She realized the foster kinship care needed higher standards and better systems. And that there wasn’t literature on the subject or training.
• Begins to work on a task force
• Charged with making different models of care
• Centralized care
• Opening 24/7
• Run like a regular practice

[11:09 - 25:52] Trauma Informed Focus

• Dr. Szilagyi tells a story of handling a child victim of fetal alcohol syndrome
• Dr. Szilagyi now mentors many young people as an academic pediatrician
• Remain open and find your passion
• Children in Kinship Care became Dr. Szilagyi’s passion
• Realizing these kids are coming in with so much grief and loss
• Most return into family
• Some disappear
• Lifelong trauma
• Dr. Szilagyi talks about their grant with AAP funding
• Dr. Szilagyi talks about the kids in her foster care
• You need the skill to actualize love
• The kids can’t think they are going to be abandoned again even though the foster parent can’t promise a permanent home
• They need to know they always have a home in the heart of the foster parent

[25:53 - 36:15] The System of Foster and Kinship Care

• Dr. Szilagyi talks about her time in Rochester
• Developmental path of psychology literature
• Learning what children need to thrive
• The Adverse Childhood Experience
• Found problems leading to obesity back from childhood
• Divided into 10 issues
• The importance of healthy attachments from a young age
• Early Brain Development: AQA GCSE
• Harvard Developing Child
• Children exposed to a chaotic environment adapt to living in such conditions
• Knowing that you have to stay with the child THROUGH their trigger response

[36:16 - 46:53] Advice for the Busy Pediatrician and Parent

• Dr. Szilagyi talks about the needed skills of the pediatrician
• “What happened to you”
• Give tools to the children and the...