Grand Rounds Video – Bone Fragility in Children: Diagnosis and Treatment of Pediatric Osteoporosis

Threats to bone health are increasingly a pediatric concern. Genetic or acquired disorders can compromise the expected gains in bone quantity and quality, and lead to osteoporosis early in life. Recurrent fractures in otherwise healthy youth may also be an indication of underlying bone fragility.

In this grand rounds video presentation, Dr. Laura Bachrach, professor of pediatrics, division of endocrinology, Lucile Packard Children’s Hospital, Stanford University School of Medicine, briefly reviews recent advances in the diagnosis and treatment of pediatric osteoporosis. Common clinical scenarios are also discussed to underscore current practice and ongoing controversies in the pediatric bone field.

View upcoming continuing medical education and grand rounds presentations.

View previous grand rounds videos.

In the Spotlight: Peter Yu, M.D.

Peter Yu, M.D. A new pediatric surgeon with unique expertise in fetal surgery has joined CHOC Children’s Specialists Pediatric Surgery. Dr. Peter Yu specializes in the full spectrum of pediatric surgery, including neonatal, thoracic, and hernia surgery, and has quickly become an integral part of the surgery team.

“I’m extremely happy to be at CHOC,” Dr. Yu says. “There is so much talent and potential here, as well as a pioneering spirit and willingness to undertake big things.”

He is working closely with Dr. David Gibbs, division chief, pediatric surgery, CHOC Children’s Specialists, and Dr. Mustafa Kabeer, pediatric surgeon, CHOC Children’s Specialists, to launch a multi-disciplinary fetal surgery program at CHOC in the near future.

This highly complex surgery was uncharted territory about 30 years ago, Dr. Yu says. Many advances have been made in the field since, including new techniques that have allowed for the in utero surgical intervention of previously unsurvivable conditions. With special training from The Children’s Hospital of Philadelphia, one of the pioneering institutions in fetal surgery, Dr. Yu is determined to bring that level of expert care to CHOC and add to his team’s scope of services.

Among his goals, he hopes to help his team enhance the trauma program, advance CHOC’s minimally invasive surgery program, and increase CHOC’s national reputation through quality patient care and innovative research.

A passion for pediatric surgery

Dr. Yu followed in his older brother’s footsteps to become a doctor and attended Stanford University for his undergraduate studies. He graduated from the medical school at University of Missouri School of Medicine, where he fell in love with the culture and technical aspects of surgery, as well as the potential to make sick patients better quickly.

“I realized that the best surgeons were kind, dedicated, hard-working and team players – traits that I really value. When I discovered pediatric surgery, I felt it was a perfect fit for me, as it allows me to take care of children with an incredibly broad spectrum of pathology through surgical excellence,” he says.

Dr. Yu completed his general surgery residency at University of California, San Diego, followed by a surgical critical care fellowship at Boston Children’s Hospital and a pediatric surgery fellowship at The Children’s Hospital of Philadelphia. Additionally, he is board certified in general surgery, pediatric surgery and surgical critical care, and is currently working on a master of public health degree from Johns Hopkins Bloomberg School of Public Health.

This dedicated physician is interested in outcomes research to better understand the end results of specific health care practices and interventions.

“We presently live in an era where massive amounts of data are available at the click of a few buttons. The roadblock for many physicians is that we often don’t know how to access this data or organize it,” Dr. Yu explains. “My goal, along with my partner, Dr. Yigit Guner, as well as the division of pediatric general and thoracic surgery at CHOC, is to build an outcomes research center. This center will help all CHOC physicians access healthcare data and turn it into something meaningful so that we can provide the highest quality of clinical care to our patients, and do so in a financially sustainable manner.”

Dr. Yu has given numerous national presentations at meetings such as the American College of Surgeons Clinical Congress and the Association for Academic Surgery and Society of University Surgeons Academic Surgical Congress. He is a member of several organizations, including the American Pediatric Surgical Association and Society of Critical Care Medicine.

In his spare time, he enjoys spending time with his wife and three children. He also enjoys surfing, basketball and competitive swimming on a local U.S. Masters swim team.

To get in contact with Dr. Yu or to refer a patient, please call 714-364-4050.

CHOC Children’s Grand Rounds Video: Hypotonia in an Infant – A Case Review

In this CHOC Children’s grand rounds video presentation, Dr. Jenna Timboe, third-year pediatric resident at CHOC/UCI, highlights a case of a 4-month-old presenting with hypotonia, also known as “rag doll” syndrome.  Dr. Timboe explains how to evaluate an infant with hypotonia and how to differentiate between various etiologies.

In addition, she reviews the history of botulism and associated risk factors.  She also provides an overview of the diagnostic evaluation of botulism and explains who to contact if botulism is suspected.  Lastly, she reviews treatment and expected prognosis.

Understanding how to appropriately diagnose and treat botulism can impact the duration of the illness and the need for ICU support.

CHOC is proud to offer continuing medical education and grand rounds on topics of interest to medical and allied professionals.

View previous grand rounds videos.

CHOC Physician Engagement Survey Starts April 25

MP9004486371-300x200The 2016 Physician Engagement Survey will begin April 25, 2016 and conclude May 23, 2016 for both campuses – CHOC Children’s Hospital and CHOC Children’s at Mission Hospital. Don’t miss this opportunity to provide us with your valuable input, which will allow CHOC to further strengthen and improve our programs and services, to better serve you and our children.

For those who participated last year, thank you for your feedback which helped place CHOC within the 96th national percentile!

In just a few weeks you will receive information on the survey from both CHOC and Press Ganey.  Should you have any questions, please feel free to contact Leslie Castelo, director, business development at CHOC, at 714-509-4329 or


In recognition of Doctors’ Day, we would like to take the opportunity to recognize our physicians for their dedication to the children we serve. Each day they offer hope and healing through their compassionate and world-class care.

A luncheon, themed “CHOC Docs Lift Us Up,” will be held on:

April 8, 2016

11:30 a.m. to 2 p.m.

CHOC Children’s Hospital

1201 W. La Veta Ave., Orange, Ca 92868

Bill Holmes Tower, second floor outdoor patio

Recognition ceremony begins promptly at noon.

Please note: If you need a professional head shot, there will be a photographer available on site to take photos.

Please RSVP by March 25 at, or call Cristen Frost, in business development at CHOC, at 714-509-4807.

A luncheon at Mission Hospital will be held on:

March 30, 2016

11:30 a.m. to 2 p.m.

Mission Hospital

27700 Medical Center Rd., Mission Viejo, Ca  92691

Tent outside tower 2

No RSVP is required.