Demystifying PANS/PANDAS Podcast

Nancy O'Hara MD

Welcome to the Demystifying PANS/PANDAS Podcast with Dr. Nancy O'Hara! Ever wondered why some kids experience sudden, life-altering behavioral changes? This podcast delves into PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Strep). Experts explore the triggers, symptoms, and innovative treatments for these autoimmune disorders, blending science and heartfelt guidance. From strep to Lyme, natural therapies, emotional support, and recovery stories—this is your guide to hope and healing.

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#68
Wednesday · 40 min
Why You Can't Spot Cerebral Folate Deficiency by Symptoms Alone
This episode is brought to you by ReligenDX: ReligenDX offers the Folate Receptor Antibody Test (FRAT), which detects autoantibodies that block folate transport to the brain. It provides critical insights for families and practitioners navigating conditions like PANS, PANDAS, and autism. To learn more, visit ⁠fratnow.com⁠ or ⁠religendx.com⁠. ----- A child who starts stuttering during a flare, or whose anxiety and OCD just won't settle, can leave a family wondering what is happening in the brain. Dr. Lindsey Wells is back on Demystifying PANS/PANDAS to share her newest research on folate receptor alpha autoantibodies, which can block folate from reaching the brain. This time, she studied children in her practice with vector-borne infections and found that symptoms alone couldn't tell us which children had the antibodies. We talk about why that makes testing worth doing, and how folinic acid differs from the folic acid found in most prenatal vitamins. - - - - - Dr. Lindsey Wells, ND, FMAPS, is a naturopathic physician in Trumbull, Connecticut, who cares for children with PANS/PANDAS, vector-borne infections, and autism. She is a Fellow of the Medical Academy of Pediatric Special Needs (MAPS). She has published research on folate receptor alpha autoantibodies in children with PANS/PANDAS and, most recently, in children with vector-borne disease. She lectures on cerebral folate deficiency for parents and practitioners and co-created Emephysis, a calcium folinate supplement, with Dr. Myriah Hinchey for families who cannot get a prescription. Website: lindseywellsnd.com Instagram: @lindseywellsnd - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com ⁠⁠https://drtalks.com/channel-growth/
S1 · E67
October 7 · 53 min
Why It Was Never Just Strep: Dr. Richard Horowitz On Neuroinflammation
Families tell me the same thing all the time. “I thought it was just strep.” Dr. Richard Horowitz arrived at the same place from the other direction, over 41 years in medicine and more than 13,000 tick-borne disease patients. His 16-point MSIDS model maps what he calls six rivers of inflammation running into one ocean, and he describes the way most medicine handles it as a patient walking in with sixteen nails in their foot while the doctor pulls out one and sends them home. On Demystifying PANS/PANDAS we walk through all sixteen, and through the free Lyme questionnaire I use in my own practice almost every day. Then he tells me about the Alzheimer's biomarker case study he has just had accepted for publication. Whatever you name the illness, it is inflammation in the brain, and the work is finding out where it is coming from. - - - - - About the Guest: Dr. Richard Horowitz, MD is a board-certified internist and medical director of the Hudson Valley Healing Arts Center. Over more than thirty years he has treated more than 13,000 tick-borne disease patients from around the world. He is a founding member and past president of ILADS and ILADEF, has trained hundreds of healthcare practitioners, has consulted for government agencies, and has published on both classical and integrative approaches to vector-borne disease and COVID. He developed the term multiple systemic infectious disease syndrome, or MSIDS, for the symptom complex arising from infections, inflammation and immune dysfunction. He is the author of Why Can't I Get Better? and How Can I Get Better?, and of Ending Chronic Illness, released October 13. He no longer prescribes directly, and now consults with and trains other physicians on complex cases. Read more about Ending Chronic Illness, released October 13, at cangetbetter.com. - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com ⁠https://drtalks.com/channel-growth/
#66
September 23 · 48 min
The Part Of PANS/PANDAS Nobody Has Been Measuring
Michelle Pinto is a nurse, and when her two children were diagnosed almost ten years ago her first reaction was a professional one: how is this not covered by insurance. That question took her to the Massachusetts State House in 2019 to testify, then into a coalition of parents, an advisory council, and a PhD. Her research is why I wanted her here. Most of what we know about these disorders follows the child. Michelle surveyed parents and caregivers, scoring family burden — a wider concept than caregiver burden: the parent who stopped working, the changed income, sibling fallout, stigma, and sheer uncertainty. Her survey filled faster than expected, and the open-ended questions surprised her. Every response had a real answer in it. She is planning a second paper on what families wrote when finally asked what they wished a provider knew. We talked about the Look. Foundation, where she serves as a board member and where her family received a healing grant before she ever volunteered. Michelle says the foundation has given more than five hundred thousand dollars in healing grants to date, close to one hundred thousand last year, covering what insurance does not: testing, supplements, appointments, sometimes parking. There are also village hours: open support calls where a parent can simply listen without speaking, and where, Michelle says, the most useful information passes along. Then, the advocacy. Massachusetts has had an insurance mandate since early 2021, and a Department of Public Health advisory council in its third year. Two further bills are pending: a prevalence study to count affected children statewide, and a screening bill, so a sudden change triggers a look for infection at the point of care. Michelle's argument there is the one I want providers to hear. You do not need to be an infectious disease specialist to recognize this, and the evidence favors catching it early, not years later. Her closing words are for the parents. If you feel a tug, follow it. Make the call that is hard to make. As she puts it, this illness makes you feel like you are not a good parent, and that is not true. I would add what I always say: it is treatable, it does exist, and it takes a village. This conversation is educational and is not medical advice. If you are worried about your child, talk to a clinician who can see them. - - - - - About the Guest: Michelle Pinto, PhD, MSN, RN, is a registered nurse, nurse researcher and clinical assistant professor at the University of Massachusetts Dartmouth. She recently defended her PhD dissertation, Perceived Family Burden in PANS/PANDAS: A Descriptive Correlational Study, which makes her one of very few researchers examining what these disorders do to families rather than to patients alone. She serves on the Board of Directors of the Look. Foundation, on the Massachusetts Department of Public Health PANS/PANDAS Advisory Council, and as a member of the Massachusetts Coalition for PANS/PANDAS Legislation, where she helped pass the state insurance mandate that took effect on January 1, 2021. Michelle is also the mother of two children who have lived with PANS/PANDAS, which is where all of this work started. - - - - - Social Handles: Look Foundation: lookfoundation.org - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/channel-growth/
#65
September 9 · 30 min
Sugar, Infections, and the Whole Child with Dr. Christine Saba
I always say it takes a village, and this conversation is a good example of what that village sounds like. I sat down with my dear friend and colleague Dr. Christine Saba at MAPS, and we ranged across a lot of ground, starting with the talk she gave on refined sugar as a genuine burden on children's health. Chris is a pharmacist and a pediatrician, so she sees the biology and the whole child at the same time, and she is wonderful at making the science practical, from choosing whole foods over refined ones to something as simple as slowing down and eating together instead of on the run. From there we went where this show always goes, to the children in front of us. Chris shared how she first came to understand that infections can sit underneath neuropsychiatric symptoms, and how her work with ILADS and MAPS has deepened her understanding of vector-borne illness and co-infections in kids. The theme we kept returning to is that it is never one single thing—it is the whole child and the whole system, and our job is to be detectives who look at all of it. If you are a parent in the thick of this, please hear the part that matters most: it is treatable, you are not alone, and we do not give up hope. We keep knocking until the right door opens. - - - - - About the Guest: Dr. Christine Saba, PharmD, MD, is both a pharmacist and a pediatrician, a combination that shapes how she thinks about children's health from the inside out. She serves on the boards of the International Lyme and Associated Diseases Society (ILADS), where she has worked to bring a pediatric lens to vector-borne illness, and she is a clinician within the MAPS community. Through her practice, Saba Integrative Medicine, she cares for complex children by looking at the whole picture: diet, environment, infection, and immune function, rather than any single trigger. Learn more about Dr. Christine Saba and her practice at sabaintegrativemedicine.com - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#64
August 26 · 31 min
Treating Anxiety Like a Poison: An ER Doctor's Approach to OCD
Scott Antoine and I have been telling each other for years that we are brother and sister from another mother, because when it comes to anxiety and OCD in our children we tend to see the same thing. What he brought to the Medical Academy of Pediatrics and Special Needs this year was a framework I had not heard put quite this way. He trained in toxicology. In the emergency department, a poisoning gets three responses: get the patient away from the substance, support while it clears, and where one exists, give the antidote. He applies all three to anxiety, and adds a fourth, which is preventing the next exposure. Most of this conversation is about reframing, which is not the same as talking a child out of a feeling. Scott is not trying to remove anxiety. He is changing what it means. There is the woman who could not tolerate a mask and reworked it into a scuba regulator. There is the eighth grader whose bullying registered as more damaging than a later assault, because, as he puts it, the brain decides for us what counts. And there is the moment he tells a child with OCD that neither three washes nor a thousand is the right answer, so the child gets to choose. Scott had OCD himself at sixteen, and he says the thing every child in that room needs to hear: your brain is not broken. Then it gets personal for both of us. He goes to the basement when it rains to check for mold. I spent four sleepless nights running through infections when my son told me something was not right, and it turned out to be a girl. We name it as what it is, and we talk about the work of not putting our own fear onto our children. If you are in a support group that has told you every sniffle means the wall is coming down, that has not been our experience. It is treatable. It does exist. And it takes a village. This conversation is for education only and is not medical advice. Any supplement, device or technique discussed should be reviewed with your child's own clinician before you try it. - - - - - About the Guest: Dr. Scott Antoine, DO, FACEP, ABOIM, IFMCP, is triple board certified in emergency medicine, integrative holistic medicine, and metabolic nutritional medicine. He trained in toxicology during his emergency medicine residency and spent years in the emergency department before moving into integrative practice. He now practices at the Center for Fully Functional Health in Carmel, Indiana, and is one half of The PANDAS Docs. He is the author of The Comprehensive Physicians' Guide to the Management of PANS and PANDAS and co-created an online course for parents who cannot get to him in person. He is also a PANS/PANDAS parent himself. - - - - - Social Handles: Website: thepandasdocs.com Instagram: @thepandasdocs - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by [DrTalks.com](http://drtalks.com/) https://drtalks.com/podcast-service/
#63
August 12 · 46 min
The Tick-Borne Infections Hiding Behind Your Child's PANS/PANDAS
In this episode, I wanted to demystify something that gets missed far too often: the role that tick-borne and vector-borne infections can play in a child's PANS or PANDAS. Dr. Casey Kelley and I talk through why most families never remember a tick bite, and how other carriers like fleas, lice, mosquitoes, and pets mean a clean history does not rule infection out. We walk through the symptom patterns that may raise a flag, the honest limits of testing (antibody tests can read falsely negative in the sickest kids), and why she sometimes weighs empiric, clinician-guided treatment by asking a simple question: what would we do differently with the result? She shares how she treats children like small adults with kid-sized doses, opens detox pathways before antimicrobials to ease reactions, and leans on foundations most parents can start with: sleep, anti-inflammatory food, nervous-system and vagal support, Epsom baths, and time. This is not a quick fix, and I never want a parent to leave feeling more afraid. Dr. Kelley's own reminder stayed with me: create joy, even if it's just being silly and dancing in the kitchen. That counts. It is treatable. It does exist. And it takes a village. - - - - - About the Guest: Dr. Casey Kelley is the founder and medical director of Case Integrative Health in Chicago, where she practices integrative and functional medicine with a focus on complex chronic illness, including tick-borne and vector-borne disease. She earned her medical degree at The Ohio State University College of Medicine, has been a member of the Institute for Functional Medicine for more than 15 years, and is a former board member of ILADS. She also teaches clinicians and patients through her Groundwork for Healing course. - - - - - Social Handles: Website: https://caseintegrativehealth.com Groundwork for Healing: https://healwithcase.com - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our listeners on ⁠⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠⁠, and ⁠⁠⁠⁠⁠⁠⁠⁠⁠iHeart Radio⁠⁠⁠⁠⁠⁠⁠⁠⁠. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#62
July 29 · 34 min
Why Chasing One Toxin Rarely Fixes a Complex Kid
I recorded this one with Dr. Eric Gordon and Dr. Nafysa Parpia at the MAPS conference, right after the two of them gave an incredible lecture on the toxic world we live in, and it is exactly the kind of conversation I wish more families could hear when they feel stuck. So often the search is for the single toxin, the one test, the one thing to remove, and together they gently take that apart. Their view is that it is the total load that matters: a child’s genes, their gut, their nutrient status, and their environment, all interacting. I learn in pictures, and the one that stayed with me is the reminder to go back through the door, not the window, meaning support the body before you try to pull anything out of it. Dr. Gordon takes us through some of the toxicants that get overlooked, aluminum in particular, and why inflammation, the cell danger response, and “root compensations” mean removing a root cause is rarely the whole story. Dr. Parpia walks us through testing wisely, screening before provoking, reading blood versus urine, and checking methylation and minerals before any detox, and both of them keep coming back to why complex chronic illness is an “N of one,” different in every child. None of this is a quick fix, and they are honest that it takes time and does not help everyone. But there is real hope in treating the whole child instead of chasing one number, and that is the note I want families to leave on. It is treatable, it does exist, and it takes a village. Be present, be hopeful. - - - - - About the Guest: Dr. Eric Gordon is the founder and medical director of Gordon Medical, where he focuses on complex chronic illness, patients dealing with persistent infections, toxic exposures, and the kind of layered, hard-to-untangle presentations that other clinics often cannot place. Patients come to him from across the country and beyond. His work centers on treating the whole person rather than a single lab value, supporting the body’s own capacity to detox and heal rather than forcing it. Dr. Nafysa Parpia is the Director of Naturopathic Medicine at Gordon Medical, where she specializes in tick-borne illness, ME/CFS, mold and mycotoxin illness, mast cell activation, environmental toxicity, and the complex chronic conditions rooted in immune dysregulation and persistent infection that often don’t respond to standard protocols. A graduate of Bastyr University and a board member of the International Society for Environmentally Acquired Illness (ISEAI), she is known for a careful, sequenced approach to detoxification, testing thoughtfully and supporting the body’s foundations, nutrients, gut, and detox pathways, before trying to clear anything. Together, she and Dr. Gordon treat each patient as an “N of one.” Websites: https://gordonmedical.com; https://www.gordonmedicalforum.com - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our listeners on ⁠⁠⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠⁠⁠, and ⁠⁠⁠⁠⁠⁠⁠⁠iHeart Radio⁠⁠⁠⁠⁠⁠⁠⁠. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#61
July 15 · 45 min
What Most Doctors Miss About Keto for Autism and PANS
In this episode, I talk with my longtime friend and colleague Dr. Julie Buckley about something she has been refining for years: a dairy-free ketogenic diet for children with autism, PANS/PANDAS, and seizures. Julie explains why dropping dairy matters so much. Because plant-based, medium-chain fats are far more ketogenic than animal fat, she can keep the ratio low enough that her daughter still enjoys nectarines, tomatoes, and cucumbers at nearly every meal. We talk about how those medium-chain fats feed the mitochondria directly, why that matters for the brain, and how a food-first approach may ease the need for supplements or medications that sometimes leave our children more anxious or agitated. We also open up a newer conversation about peptides, and Julie shares the early, carefully tracked observations from her practice. Woven through all of it is a theme I care about deeply: food as nourishment and connection, not restriction. Julie's stories about getting children into the kitchen, and about her own daughter's wisdom and humor, are a reminder that this work is about supporting the whole child and the whole family. It is treatable, it does exist, and it takes a village. - - - - - About the Guest: Dr. Julie Buckley is a pediatrician and functional medicine physician in Ponte Vedra Beach, Florida, where her practice, Pediatric Partners of Ponte Vedra, cares for children of all ages. A graduate of the University of Miami School of Medicine and the Jackson Memorial Hospital pediatric residency, she became one of the first pediatricians in the world to complete the Institute for Functional Medicine's certification in 2016. Her work grew out of her own family. She turned to functional, root-cause medicine after her daughter regressed into autism at age four, and deepened it after her own breast cancer diagnosis in 2009. She is the author of Healing Our Autistic Children, an international speaker on autism and related disorders, and the founder of the HealthyUNow Foundation, a nonprofit building educational, therapeutic, and residential support for individuals and families affected by autism. - - - - - Social Handles: Website: https://pppvonline.com Foundation: https://healthyunow.org LinkedIn: https://linkedin.com/in/julie-buckley-b24944102 - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our listeners on ⁠⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠⁠, and ⁠⁠⁠⁠⁠⁠iHeart Radio⁠⁠⁠⁠⁠⁠. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#60
July 1 · 55 min
A Smarter Way to Approach Vaccines in Neurodivergent Kids
What if the most important vaccine question is not yes or no—but which child, which timing, and under what conditions? In this episode of Demystifying PANS/PANDAS, Dr. Nancy O'Hara speaks with Dr. Ari Calhoun about immune activation, genetic susceptibility, microglial signaling, and why some children may be more vulnerable to neuroimmune responses when vaccines are given during sensitive developmental windows or periods of higher inflammatory load. They explore how vaccine reactions may be shaped by immune pathway differences, maternal and early life antecedents, microbiome health, family history, and total immune burden. Dr. Calhoun also explains practical ways to reduce risk through informed consent, schedule adjustments, spacing, brand selection, and targeted nutritional and anti-inflammatory support—offering families a more individualized path that moves beyond fear and toward thoughtful, child-centered care. - - - - - About the Guest: Dr. Ari Calhoun, FMAPS is a naturopathic doctor and the founder of Wholesome Brain Medicine, where she specializes in the treatment and prevention of neurodevelopmental and pediatric neuropsychiatric conditions. Her work spans autism, ADHD, PANS/PANDAS, anxiety, OCD, tics, mood disorders, and other brain-based conditions, with a focus on how the immune system, metabolism, genetics, and the environment shape neurodevelopment and long-term mental health. She is widely known for her thoughtful, science-based work in vaccine risk assessment and individualized immune support, helping families navigate complex vaccination decisions while protecting neurodevelopment and supporting resilience. Her clinical approach begins as early as preconception and extends through pregnancy, childhood, and adolescence. - - - - - Social Handles: Website: https://wholesomebrainmedicine.com/ Instagram: https://www.instagram.com/dr.aricalhoun/ LinkTree: https://linktr.ee/dr.aricalhoun - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our listeners on ⁠⁠⁠⁠⁠Spotify⁠⁠⁠⁠⁠, ⁠⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠⁠, and ⁠⁠⁠⁠⁠iHeart Radio⁠⁠⁠⁠⁠. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#59
June 17 · 46 min
When Screen Time Starts Looking Like Addiction
What if the real problem is not just screen time, but what constant digital stimulation is doing to a child's brain, mood, and ability to cope? In this episode of Demystifying PANS/PANDAS, We speak with Dr. Koichi Tanji about the sharp rise in recreational screen use, how to tell the difference between overuse and addiction, and why chronic gaming, social media, and online stimulation can impair attention, increase anxiety, and erode real-world connection. We explore how screen dependence can show up as irritability, boredom intolerance, poor boundaries, social withdrawal, sleep disruption, and loss of motivation, along with why these patterns can be especially complicated in neurodivergent children or kids with deeper physiological stress. Koichi also explains how families can begin reducing screen dependence through awareness, structure, replacement activities, and individualized support rather than shame or oversimplified rules alone. - - - - - About the Guest: Dr. Koichi Tanji ND, LMHC, FMAPS is a clinician and counselor who works closely with children and families navigating screen dependence, behavioral dysregulation, anxiety, and neurodivergence. He is known for helping parents understand how chronic recreational screen use can affect the developing brain, emotional regulation, motivation, and social functioning in the digital era. Drawing from both clinical experience and research, Koichi brings a practical and compassionate lens to the conversation around gaming, social media, and digital overstimulation. His work focuses on helping families build awareness, restore boundaries, and support children in reconnecting with healthier rhythms, relationships, and coping strategies. - - - - - Social Handles: Instagram: https://www.instagram.com/be_better_with_koichi/ Email: dr.koichitanji@gmail.com - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our listeners on ⁠⁠⁠⁠Spotify⁠⁠⁠⁠, ⁠⁠⁠⁠Apple Podcasts⁠⁠⁠⁠, and ⁠⁠⁠⁠iHeart Radio⁠⁠⁠⁠. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#58
June 3 · 49 min
When Neurodevelopmental Symptoms Start in the Womb
What if a child's neuroinflammation began long before the first symptoms appeared? In this episode of Demystifying PANS/PANDAS, Dr. Somer DelSignore joins us to speak about congenital vector-borne infections and how in utero exposure to pathogens and maternal immune activation may influence brain development, immune programming, and later neuropsychiatric or developmental challenges. They explore why pregnancy timing matters, which early signs may raise suspicion, why negative testing does not always rule out transmission, and how hidden infectious burdens can sit beneath labels like PANS, autism, or autoimmune encephalopathy. Dr. DelSignore also shares the thinking behind her RESET Protocol and why lasting recovery often requires addressing inflammation, infections, gut health, toxins, detoxification, and nervous system support together. - - - - - About the Guest: Dr. Somer DelSignore, DNP, BC-PNP, FMAPS, ILADS, FAAOT is a board-certified child and adolescent provider known for her expertise in diagnosing and managing complex chronic illness in children. She is the CEO and founder of Hudson Valley Integrative Health and has developed the RESET Protocol, a root-cause framework designed to address immune dysfunction systematically. She is a fellow at MAPS and AAOT, a member of ILADS, and has deep experience in autoimmune and neuroimmune conditions, along with the psychiatric manifestations of infectious disease, especially tick-borne infections. Dr. DelSignore earned her Master of Nursing Practice from the University of Pennsylvania and her Doctor of Nursing Practice from SUNY Upstate Medical University, and completed residencies at CHOP, Penn State, and Children's Health in Dallas. - - - - - Hopewell is a family-owned pharmacy which has been in existence since 1987. You can call them at 800-792-6670, email them at info@hopewellrx.com or visit them online at www.hopewellrx.com. Hopewell Pharmacy: Your partner in integrative wellness. Other Links for the Guest: Website: https://hudsonvalleyintegrativehealth.com/ LinkedIn: https://www.linkedin.com/in/somerdelsignorekidslyme/ - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our listeners on ⁠⁠⁠Spotify⁠⁠⁠, ⁠⁠⁠Apple Podcasts⁠⁠⁠, and ⁠⁠⁠iHeart Radio⁠⁠⁠. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#57
May 20 · 53 min
How Parents Can Stop Feeding the Worry Loop
Sometimes the behaviors families rush to fix are actually part of a larger anxiety loop happening inside the home. In this episode of Demystifying PANS/PANDAS, Dr. Nancy O’Hara speaks with Dr. Sarah Bren about why therapy can be such a powerful and flexible tool for anxious children, and how the SPACE model helps parents shift patterns that may be unintentionally maintaining symptoms. They discuss the difference between reducing anxiety and building tolerance for it, why reassurance and accommodations can keep children dependent on rescue, and how supportive statements help kids feel both safe and capable. Dr. Bren also explains how this work applies not only to anxiety and OCD, but also to emotional dysregulation, sibling dynamics, and family systems where one or both parents feel stuck in opposite roles. - - - - - About the Guest: Dr. Sarah Bren is a clinical psychologist, mom of two, and the co-founder and clinical director of Upshur Bren Psychology Group in Pelham, New York. She has dedicated her career to translating the science of attachment into simple, real-life strategies that support children's development while also protecting parental mental health. She is also the host of the parenting podcast Securely Attached, a top-ranked show focused on pregnancy, toddlerhood, adolescence, and everything in between. Through her clinical work, parenting resources, and integrative therapeutic approach, Dr. Bren helps families navigate anxiety, attachment, and emotional challenges with clarity, compassion, and practical tools. - - - - - 🎧 Securely Attached Podcast Helping parents navigate the emotional side of raising children, this show blends psychology, attachment theory, and practical strategies to foster resilience and connection. Each episode offers grounded insights that empower families to build stronger bonds and nurture healthy development. Listen on Spotify Listen on Apple Podcasts Websites: https://upshurbren.com/, https://drsarahbren.com/ - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our listeners on ⁠⁠Spotify⁠⁠, ⁠⁠Apple Podcasts⁠⁠, and ⁠⁠iHeart Radio⁠⁠. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#56
May 6 · 59 min
Bartonella and PANS: What Clinicians and Families Need to Know
What if Bartonella is part of the reason some children with PANS remain stuck in cycles of rage, confusion, sleep disruption, and chronic neuropsychiatric symptoms? In this episode of Demystifying PANS/PANDAS, we speak with Dr. Ed Breitschwerdt about why Bartonella deserves much more attention in the PANS world—and why the term 'vector-borne disease' is often more accurate than simply saying Lyme. We discuss the broad range of vectors that may transmit Bartonella, why symptom overlap makes diagnosis difficult, the significance of striae-like skin lesions, and why standard tests often miss infection. Dr. Breitschwerdt also explains how Bartonella can persist in tissues, why triple-draw and molecular testing may improve detection, and why chronic infection, inflammation, and immune dysfunction need a much bigger research response. - - - - - About the Guest: Dr. Ed Breitschwerdt, DVM, DACVIM, PhD is a professor of medicine at North Carolina State University College of Veterinary Medicine, a professor at Duke University, and co-founder of Galaxy Diagnostics. He is a leading expert in Bartonella and vector-borne infectious diseases, with decades of research spanning both animal and human health. A veterinary internist and infectious disease researcher, Dr. Breitschwerdt has authored hundreds of peer-reviewed publications and helped redefine Bartonella as a cause of persistent infection, neurologic disease, and neuropsychiatric illness. His work emphasizes the need for more sensitive diagnostics and expanded research into chronic infection and immune dysfunction. - - - - - Social Handles: Website: https://www.galaxydx.com/; https://cvm.ncsu.edu/people/ebbreits/ Facebook: https://www.facebook.com/galaxydx Instagram: https://www.instagram.com/galaxydiagnostics/ LinkedIn: https://www.linkedin.com/company/galaxy-diagnostics-inc-/ YouTube: https://www.youtube.com/@GalaxyDiagnosticsVideos Explore A Blind Spot on Autism — a powerful resource that challenges misconceptions and brings clarity to the autism journey. Learn more today at ablindspotonautism.com. - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join our listeners on ⁠Spotify⁠, ⁠Apple Podcasts⁠, and ⁠iHeart Radio⁠. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#55
April 22 · 53 min
Mouth Breathing Is a Red Flag Parents Shouldn’t Ignore
What if sleep, feeding struggles, and behavioral changes all traced back to how a child breathes? In this episode of Demystifying PANS/PANDAS, Dr. Nancy O’Hara speaks with pediatric occupational therapist Bri Kurcsak about why airway health, tongue function, and sleep quality are often the missing pieces in children struggling with regulation, eating, and recovery. - - - - - About the Guest: Bri Kurcsak, MS, OTR/L, is a pediatric occupational therapist with over 19 years of clinical experience and advanced training in infant and child feeding, pediatric pelvic floor therapy, sensory-motor development, and wellness related to nutrition and sleep. She is the founder and lead clinician of Flourish Carolina, a pediatric private practice in Charlotte, North Carolina, where she provides integrative, whole-child care for children and families. Bri lectures nationally for organizations including MAPS and TACA and is deeply committed to interdisciplinary education and collaboration. She has served as adjunct faculty and continues teaching future occupational therapists while helping providers and families better understand the critical role of airway, sleep, and feeding in pediatric healing. - - - - - Social Handles: Website: https://www.flourishcarolinaot.com/ Instagram: https://www.instagram.com/curious_fork/ - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Available on Spotify, Apple Podcasts, and iHeart Radio. - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#54
April 8 · 47 min
Gut Metabolites and the Brain: What Autism Research Is Revealing
The biggest driver of brain symptoms might be what’s happening in the gut. In this episode of Demystifying PANS/PANDAS, we are joined by Dr. James Adams to talk about microbial metabolites, hidden yeast and bacterial issues in autism, a new urine-based metabolite test, and why microbiota transplant therapy may improve mood, sleep, and behavior by restoring microbial balance. - - - - - About the Guest: Dr. James Adams is a professor at Arizona State University and a leader in its autism research program, with decades of work focused on identifying biological contributors to autism and advancing evidence-based interventions. His path into the field began after his daughter was diagnosed with severe autism and intellectual disability, motivating his pursuit of research aimed at understanding root causes rather than managing symptoms alone. His research explores gut dysbiosis, yeast and bacterial overgrowth, microbial metabolites, and microbiota transplant therapy, with ongoing efforts to develop practical diagnostic tools and refine treatment approaches through clinical studies. - - - - - Social Handles: Website: http://www.adamsautismresearch.com/ - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#53
March 25 · 57 min
Inside a PANS Flare: A Child Explains What It Feels Like
What if the behaviors everyone sees aren't choices at all, but signs of a brain under siege? In this episode of Demystifying PANS/PANDAS, Dr. Nancy O'Hara speaks with ten-year-old Aiden and his mother about living through PANS, the loss of control it brings, and what helped them finally find clarity, compassion, and a path forward. - - - - - About the Guest: Aiden is a ten-year-old living with PANS who courageously shares his personal experience to raise awareness and understanding. After years of misdiagnosis, Aiden is now participating in a research study involving IVIG therapy and continues to navigate recovery with insight far beyond his years. Outside of his health journey, Aiden is the founder of Bottle Caps Are Cool, a business creating NFC-enabled bottle cap charms, with a portion of proceeds supporting people experiencing homelessness. He is passionate about helping others, spreading awareness, and reminding adults that behavior is not always a choice. Website: https://www.bottlecapsarecool.com/ Facebook: https://www.facebook.com/profile.php?id=61556882294755 Instagram: https://www.instagram.com/tap_caps/ LinkedIn: https://www.linkedin.com/in/aiden-newman-852a4340/ - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#52
March 11 · 57 min
Is Your Home Affecting Your Child's Brain?
What if healing didn't start with another treatment, but with the space your family walks into every day? In this episode of Demystifying PANS/PANDAS, Dr. Nancy O'Hara speaks with designer and author Stephen Saint-Onge about how home environments influence stress, regulation, sensory overwhelm, and emotional recovery for both parents and children. - - - - - About the Guest: Stephen Saint-Onge is an internationally recognized designer, author, and speaker featured on Oprah, NBC, CNN, BBC, and in publications such as Better Homes and Gardens and House Beautiful. He is the author of No Place Like Home, focused on practical, attainable design for real families. With over two decades of experience, Stephen now helps families understand how their environments influence stress, energy, and well-being. Through coaching, media, and his podcast, Driven By Design Studio, he empowers people to create calmer, more supportive spaces using simple, accessible design changes. - - - - - Social Handles: Website: https://www.saint-onge.com/ Instagram: https://www.instagram.com/stephensaintonge/ LinkedIn: https://www.linkedin.com/in/stephensaintonge/ - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#51
February 25 · 49 min
From Reassurance to Recognition: When Symptoms Mean More
The most powerful tool in pediatric care may not be a test or a treatment… but presence. In this episode of Demystifying PANS/PANDAS, Dr. Larry Rosen shares how curiosity, listening, and relationship-centered care change outcomes for children with complex neuroimmune conditions, including PANS/PANDAS. - - - - - About the Guest: Dr. Lawrence Rosen is an integrative pediatrician and founder of the Whole Child Center, where he has supported children and families through relationship-centered care. He is a co-author of Treatment Alternatives for Children and has been a leading voice in integrating mind-body medicine into primary pediatric practice. He serves as an associate professor of pediatrics at Hackensack Meridian School of Medicine, where he teaches humanism and mindfulness in medicine. Dr. Rosen is a founding member and former chair of the American Academy of Pediatrics Section on Integrative Medicine and a recipient of the AAP Pioneer in Integrative Medicine Award. - - - - - Lawrence Rosen, MD Website: https://wholechildcenter.org/ Instagram: https://www.instagram.com/drlarryrosen/ LinkedIn: https://www.linkedin.com/in/lawrence-rosen-3747b41b8/ - - - - - Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - - - - - PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com https://drtalks.com/podcast-service/
#50
February 11 · 53 min
When a Common Fever Drug Changes Brain Development
What if one of the most commonly used childhood medications carries risks that medicine has failed to fully confront? In this episode of Demystifying PANS/PANDAS, I speak with Dr. William Parker about decades of research connecting acetaminophen exposure, susceptibility, and neurodevelopment, and why timing, metabolism, and immune stress matter more than most studies acknowledge. One overlooked moment may explain far more about autism risk than decades of debate. On this episode of Demystifying PANS/PANDAS, I speak with Dr. William Parker about why acetaminophen exposure around the time of birth has emerged as a consistent trigger in susceptible children, and how metabolism, oxidative stress, and timing intersect in ways mainstream research often fails to address. We explore toxicology data, animal studies, cord blood findings, regressive autism patterns, and why adjusting out susceptibility leads to misleading conclusions. The conversation also examines fever suppression, immune stress, and how broader immune tolerance research helps explain why certain children are more vulnerable than others. Dr. William Parker is a biochemist and immunologist with nearly three decades of research experience in microbiology, neurodevelopment, and immune function. His work has focused on how environmental exposures interact with susceptibility to shape long-term health outcomes. He is widely known for his research on acetaminophen and neurodevelopment, the role of oxidative stress in autism spectrum disorder, and the function of the human appendix as a reservoir for beneficial gut bacteria. His work has been published in multiple peer-reviewed journals and continues to influence conversations around immune tolerance, inflammation, and pediatric care. Dr. William Parker Website: preventautism.org Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/
#49
January 28 · 50 min
When the Right Dose Changes Everything
In this episode of Demystifying PANS/PANDAS, I talk with TruDOSE leaders Tapley Holland and Elena Herning about how precision-dosed platelet therapy works to modulate immune dysfunction, calm neuroinflammation, and support healing in children and adults with complex conditions like autism and PANS/PANDAS. When healing finally starts working, it doesn’t always look comfortable at first. In this episode of Demystifying PANS/PANDAS, Tapley Holland and Elena Herning join us to explore TruDOSE, an IV therapy using a patient’s own platelets, precisely dosed and retested to stimulate repair and immune balance rather than suppress symptoms. They explain why the body doesn’t recognize diagnoses, only dysfunction, and how TruDOSE works systemically to modulate inflammation, immune signaling, and repair pathways. The conversation also dives into emerging research, early microbiome findings, real-world outcomes in autism and PANS/PANDAS, and why understanding why a therapy doesn’t work is just as important as celebrating when it does. Tapley Holland and Elena Herning are the leaders behind TruDOSE, a precision-based IV platelet therapy focused on immune modulation and systemic repair. Their work centers on using a patient’s own platelets, carefully tested and retested for dose accuracy, to support healing across complex inflammatory, neurological, and immune-driven conditions. Together, they are advancing TruDOSE through provider education and multiple IRB-backed research initiatives, including studies in autism, PANS/PANDAS, microbiome health, sports medicine, women’s health, and more, driven by a mission to better understand why therapies work, and sometimes don’t. Tapley Holland and Elena Herning Website: https://trudose.com Nancy O’Hara, MD, MPH, FAAP, FMAPS Website: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ PODCAST Thank you for listening. Please subscribe and share. This podcast is produced by DrTalks.com ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

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