2015 - September Edition

Paula J. Whiteman, MD, FACEP, FAAP 
President, AAP-CA2
Representative, AAP-District IX CFMC
Welcome to the September edition of our monthly e-newsletter!
September is Childhood Cancer Awareness Month. Therefore, our feature article is a reflection on some of the many advances in pediatric oncology over the past 45 years written by my daughter's pediatric oncologist.

Age 7 - Diagnosed with Wilms Tumor
There are many things I remember about that day when we learned our daughter had cancer. Our 10 year old son happened to be with us. As we walked into the cancer center, I remember looking at the sign over the entrance. I quickly explained to him that while his sister had cancer, not everyone with cancer dies from it. It was a tough sell.

Surgery, chemotherapy, radiation -- these are not things that should be part of childhood. Fast forward nine years. Now, our yearly long term follow-up visits are more like social occasions. At our last encounter, I asked Dr. Hurvitz to reflect on the last decades of accomplishments in her field.

Next, we have the second article in the two-part series by Dr. Norman Lavin on short stature.

AAP-CA2 Vice President, Edward Curry, MD, FAAP, met with leadership from First 5 San Bernardino. Exciting opportunities are coming for San Bernardino pediatricians in the area of childhood literacy. 

We have an update on our Asthma CQN4 project.

As we prepare for the annual leadership forum, please consider submitting a resolution. Scroll down below for more information about that.

There are five events coming up, so be sure to look at the "Save The Date" section and RSVP accordingly.

Please feel free to get involved locally by contacting our  chapter 2 executive director.
As always, I welcome your comments and suggestions.


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

Please visit us on the web:  aapca2.org

Feature Articles

Carole Hughes Hurvitz, MD
Then and Now
Carole Hughes Hurvitz, MD

It is safe to say that when I was a fellow in pediatric hematology oncology most of the children with cancer and virtually all the children with leukemia died. We had chemotherapy then so they did not usually die immediately but lived a few months. However they eventually relapsed and died.
Now it is safe to say that almost all the children with leukemia, especially the commonest form, are cured and most live happy and successful lives.

Children with other cancers did not fare much better although children with Wilms tumor did quite well.     Read full article...   Bio.

Norman Lavin, MD, PhD, FACE, FAAP
Workup, Diagnosis, and Treatment of Short Stature
Part 2 of a two-part  series
Norman Lavin, MD, PhD, FACE, FAAP

One of the primary responsibilities of the general pediatrician is the identification of children with short stature and the determination of the possibility of an underlying cause. The primary responsibility of the pediatric endocrinologist is the identification of those children who have endocrine causes of growth failure. These include hypothyroidism, glucocorticoid excess, inborn errors of metabolism, or  pituitary abnormalities. In any case, prompt diagnosis may allow early initiation of corrective therapy and ideally catch-up growth and normalization of stature can occur before epiphyseal fusion develops . Read full article...   Bio.

You may also access part 1 of this article here

This article was originally published on the Los Angeles Pediatric Society website as part of their Specialist's Corner. It is now being re-published by request.

In The Community - San Bernardino County

Community Partnerships

AAP-CA2 Vice President, Edward Curry, MD, FAAP, and AAP-CA2 Executive Director, Tomás Torices, MD, visited the headquarter offices of First 5 San Bernardino on August 17th.

First 5 San Bernardino Executive Director, Karen E. Scott, presented several opportunities in which a partnership between the two organizations may help increase the number of children receiving benefits in San Bernardino County.

"The first five years are critical for brain development, and quality early childhood programs give economically disadvantaged kids the support they need to thrive. One way to fight the cycle of poverty is to focus on children's needs from birth to age 5 by supporting a comprehensive early learning plan for all California kids". Karen E. Scott

First 5 San Bernardino and the AAP-CA Chapter 2 are joining forces to offer childhood literacy programs to the children and families who need it most. Stay tuned for opportunities to be announced in October.

From left: Edward Curry, MD, FAAP - AAP-CA2 Vice President; Karen E. Scott, First 5 San Bernardino Executive Director, and Tomás Torices, MD, AAP-CA2 Executive Director

Karen E. Scott, in red, with Dr. Curry, and members of the First 5 San Bernardino team.
From left:  Scott McGrath,  Ann Calkins,  Mary Jaquish,  Karen Scott,  Edward Curry, MD,  Cindy Faulkner,  Ronnie Thomas, and  Debora Dickerson-Sims

General Pediatrics Opportunity
Pediatric Diagnostic Center

Job Type:  Permanent/Full Time
Start Date: Open 
Location:  Ventura, CA
Looking for a Pediatrician who enjoys the challenges of Specialty care along with the joy of 'Bread and Butter' Pediatrics within a clinic who creates a medical home for all of our patients. 
Job Description:  Full time Pediatrician to work 4-5 days a week.  Provide full time General Pediatric care to special needs and healthy children within a multidisciplinary specialty Pediatric Clinic.  The Pediatric Diagnostic Center is an FQHC satellite clinic affiliated with the Ventura County Medical Center.  We currently have 3 General Pediatricians and 1 PNP providing 8,500 primary care visits per year with a growing practice.  Our clinic includes the following Pediatric Specialties:
Pediatric Optometry
Cystic Fibrosis Team
Cleft Lip and Palate Team
Pediatric Ophthalmology
Pediatric Diabetes Team

Clinic team also includes Pediatric Psychiatry, Licensed Family and Marriage Therapists, and Licensed Social Worker.  
About Ventura:  Located along the Beautiful Central Coast.  Has a population of 106,000 people.  30 minutes from Santa Barbara and 1 hour from Downtown Los Angeles, but still has the great feeling of a beach town with great weather.  Rated by Men's Journal as one of the 10 best places to live in the United States.
Contact Information:
Sun Moon Lee -  sun.lee@ventura.org
Kay Urban -  kay.urban@ventura.org

The Summer in Review
The summer has gone fast, and much took place during the months of June, July, and August.

In June, we featured two articles: One on Pediatric Research in Office Settings, submitted by Heide Woo, MD, FAAP, and an article on Pediatric Cardiac Arrest After Electrocution. The latter was submitted by our Chapter President, Paula Whiteman, MD, FACEP, FAAP, and is a real case of a 9 year old who had an outstanding recovery following a nearly devastating electrical injury.  Read more
Damodara Rajasekhar, MD, FAAP
Chris Harris, MD, FAAP
Chris Harris, MD, FAAP, (on left) asthma expert for our CQN4 Asthma Collaborative, was appointed by the AAP to the Committee on Pediatric Workforce.

AAP-CA2 Area Representative for San Bernardino County (High Desert), Damodara Rajasekhar, MD, FAAP, (on right) was appointed the position of Secretary of the San Bernardino County Medical Society (SBCMS).

Three Santa Barbara County High School students were announced as recipients of the Annual High School Medicine-Biological Sciences Scholarship Program.

In July, we featured an article on Liquid Nicotine: Fatal Poison and Easy Access Makes this an Issue Pediatricians Must Address, submitted by AAP-CA2 Member-At-Large Cori Cross, MD, FAAP.   Read more

AAP-CA2 Executive Director Tomás Torices, MD, met at the American Lung Association headquarters office in Los Angeles with U. S. Environmental Protection Agency (EPA) Administrator, Gina McCarthy and local leaders, to discuss the current air quality issues in our State, and to hear  Gina McCarthy's advocacy efforts for common-sense strategies to protect public health and the environment.

Daniel Bruckner, MD, FAAP
Touraj Shafai, MD, FAAP
AAP-CA2 Member-At-Large Daniel Bruckner, MD, FAAP (on left), was appointment as Vice Chairman of  Pediatrics, at Providence Tarzana Medical Center.

Touraj Shafai, MD, FAAP (on right), received an award from the California Legislature for his appointment to the Advisory Committee of Riverside County Children and Families Commission.
California Governor Brown signed SB 277, eliminating personal belief exemptions for school and child care in California.

The Southern California Medical Museum celebrated its Grand Opening on the first floor of Western University of Health Sciences' Nursing Science Center, 350 S. Garey Ave. in Pomona, CA. - the only museum in Southern California dedicated to the collection and preservation of medical artifacts and the recording of the history of medicine in Southern California and the West. http://www.socalmedicalmuseum.org

AAP-CA CEO, Kris Calvin, held a Book Signing/Meet the Author event at Vroman's Bookstore, in Pasadena.

AAP-CA2 Vice President and Chair of the Scholarships Committee, Edward Curry, MD, FAAP, hosted a dinner/awards ceremony in Santa Barbara to honor the three recipients of the 2015 Medicine-Biological Sciences Scholarships. Pictured with Dr. Curry below, from left, Yvette Elsie Rivera Rojas, Jonathan Cleek, and Elizabeth Smith.


Those wishing to make contributions to the chapter may do so by sending a check made out to: 
AAP-CA Chapter 2 mailing it to: AAP-CA2, P.O. Box 94127, Pasadena, CA  91109 . You may also specify in the memo line a particular project to which you would like to contribute, for example, the High School Scholarship Fund, the Resident Research Award Fund, or the S. Michael Marcy Memorial Fund.

In August, we featured an article on The Circumcision Decision - What does the "Benefits Outweigh the Risks" really mean?, submitted by Andrew L. Freedman, MD, FAAP Read more.

We also featured the first of a two-part series,  Why Evaluate Short Stature? Perhaps to Save a Life ! (A Clinical Perspective), submitted by Norman Lavin, MD, PhD, FACE, FAAP. Read more .

At the 2015 Joint District Meeting, in Chicago, AAP-CA2 received the Chapter of Excellence Award for a year of exceptional accomplishments.

CQN4 Asthma QI Project - Update

Eleven practices continue participating in the  AAP-CA2 Chapter Quality Network Asthma Phase 4 Project. 

The project is currently in its third phase (action period 3) with a focus on p atient/family self management support (with an emphasis on Motivational Inte rviewing),  Spirometry, and s trategies for project sustainability to continue providing optimal asthma care after the project ends in December. 

The image below depicts progress made in providing Optimal Asthma Care by a practice from February to present.
The entire collaborative has an accumulated data base of 2,845 patients, with data being analyzed for 741 encounters to date.

The second image is a partial report showing only nine of 17 metrics measured during each patient visit. The monthly totals are averaged and graphed. All data is entered by clinic staff directly into the National Asthma Registry, a service provided by the National AAP at no cost to CQN4 Asthma collaborative members. Accumulative data allows for improved population management.

Congratulations to the following practices for participating in this project:
Cesar Chavarria, MD, Inc.
Loma Linda University Health Care
Los Angeles Christian Health Center
Mandalay Bay Medical Group
Mission Pediatrics
Pediatric Diagnostic Center
Santa Paula West Pediatric Clinic
Sierra Vista Family Medical Clinic
Santa Barbara Asthma Consortium
Cottage Children's Hospital
Sansum Clinic -  Allergy/Pulmonology
Sansum Clinic - General Pediatrics 

AAP-CA2 would like to thank Providence Tarzana Medical Center for their continued support during CQN4 Asthma Learning Sessions 1 and 3.



Save The Dates!
September 10. Free Seminar in Ventura, CA. 

Ethics in Healthcare
DISNEYLAND, MEASLES & VACCINES: Should Parents Call The Shots?

Moderated by Dr. Jim Hornstein, CMHS Chair of the Bioethics Committee
Thursday, September 10, 2015
5:30 p.m. - 7:00 p.m.
Museum of Ventura County -  100 E. Main St., Ventura   CLICK TO LEARN MORE  or call (800)838-3006

Sept. 12 - Primary Care Sports Medicine Conference - StubHub Center in Carson, CA.

10 AM - 4:30 PM    -   Cost: $25    -   Click to print :  2015 Sports Medicine Conference flyer

Teresa Sheahan, DO, FAAP - AAP-CA2 Ventura County Area Representative
September 17 Town Hall Meeting with host Tere sa Sheahan, DO, FAAP
No cost.

Topic: Joint Presentation on Seasonal Allergic Rhinitis, and Maintenance Treatment of Asthma
Guest Lecturer: Lewis Kanter, MD
Location: Mastro's  Steakhouse, in Thousand Oaks
Time: 6:30 PM
Seating is limited so please RSVP by 9/14/2015
To RSVP, please follow this link and complete this online form.
Alternatively, you may RSVP by emailing Dr. Sheahan at Teresa.Sheahan@ventura.org

Ken Saul, MD, FAAP - AAP-CA2 Member-At-Large
October 28 - Town Hall Meeting with host Ken Saul, MD, FAAP
No cost.

Topic:  Infant Nutrition (New Feeding Guideliness and Formula Choices)
Speaker:  Dr. Stubbs
Location:  Maggiano's, Woodland Hills
Time:  6:30 PM
RSVP Required by emailing Dr. Saul at docksaul@aol.com

Cori Cross, MD, FAAP - AAP-CA2 Member-At-Large
December 2nd. - Town Hall Meeting with host Cori Cross, MD, FAAP
No cost.

Topic:  Identifying and Managing Patients at Risk for Life-Threatening Allergic Reactions
Speaker:  Jacob Offenberger, MD
Location:  Valentino, in Santa Monica.
Time:  6:30 PM


April 16, 2016

The 27th Annual Southern California Postgraduate Pediatric Conference

Advances in Pediatrics


At the Sheraton Universal Hotel


Dr. Pickering
Dr. Reyes

Please mark your calendars now for next year's conference on Saturday, April 16, 2016.


Next year, our S. Michael Marcy Memorial Lecture speaker 

will feature Larry K. Pickering, MD. FAAP from the CDC.


Carlo Reyes, MD, MS, Esq., FACEP, who is an emergency medicine physician, 

pediatrician, and lawyer, to speak regarding Healthcare Risk Management.

Resolutions Reminder for ALF


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

Submitting Resolutions - Process Update


Paula J. Whiteman, MD, FACEP, FAAP

President, AAP-CA2
Representative, AAP-District IX CFMC

If you are passionate about a particular idea or topic that you feel should be a priority for the National AAP, then please consider submitting a resolution.


Please see the Guidelines for Submitting Resolutions and the Writing and Submitting a Resolution - A step by step approach documents as well as a sample resolution template.


I have included two sample resolutions to assist you. One resolution was my #1 MJ resolution, which was a late resolution and thus has wording reflecting that. The other resolution on tap water went straight to the consent calendar at the Annual Leadership Forum (ALF), Which means it was felt to be a well written, concisely worded with clear intent as well as being a topic without controversy presented with adequate supporting background material.


Please feel free to contact the chapter, if you need to assistance with the process.


Submitted resolutions must have a sponsor for consideration at ALF.


While the resolution submission deadline for the National AAP is midnight CST on Dec. 1, 2015, in order to have time to refine any resolutions and meet internal deadlines for AAP-CA2  sponsorship and possibly, district (AAP-CA) sponsorship, please submit them to the chapter by October 1, 2015.


Please click the links below to access the corresponding documents:


Submitting Articles for Publication in Our Newsletter


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

Do you have any news you that 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.


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