WGCH 1490AM Interview with Dr. Sarah Lambert

April 29, 2021

Information

April 22, 2021: Dr. Sarah Lambert appeared on WGCH 1490AM (Fairfield County, CT/Westchester County, NY) talked about pediatric urology with Tony Savino on his weekly radio segment, 'Spotlight on Medicine.'

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00:14It is 9021 AM 1490 FM
00:17105.5 WGCH NWG ch.com
00:19Anywhere I'm Tony Savino.
00:21Thursday morning means it's time
00:23for Spotlight on medicine topic.
00:25This morning on spotlight
00:27pediatric urology at Yale,
00:29New Haven Children's Hospital's
00:31pediatric specialty center in Greenwich.
00:33My guest is doctor Sarah Lambert.
00:36Pediatric urologist with jel medicine.
00:37They are located at 500 W Putnam
00:40Ave and the number is 877-925-3637.
00:42Doctor Lambert went to Columbia University
00:44College of Physicians and Surgeons
00:46served her internship and residency
00:48at New York Presbyterian Hospital,
00:50the Cornell Campus,
00:51and Fellowship at Children's
00:52Hospital in Philadelphia.
00:53Good morning, Doctor Lambert.
00:55Welcome. How are you today?
00:57I am very well Tony.
00:58Thank you so much for
01:00having me with you. Sure well to
01:03start off with.
01:04Tell us about your specialty and
01:06the Yale New Haven Children's
01:08Hospital Specialty Center.
01:09In Greenwich, what type of
01:11medical conditions do you treat
01:13and what's the age range of
01:14patients you see?
01:15My pleasure as pediatric urologist.
01:17We treat children with abnormalities
01:19of the genital urinary tract,
01:21so that includes the kidneys, the bladder,
01:23the ***** the testes, the prostate.
01:26Some of the conditions we treat our related
01:28to abnormal prenatal development and we
01:30actually meet these families before the
01:32children are born when their prenatal
01:34ultrasounds demonstrate some concerns,
01:36other children develop issues in childhood
01:38or in adolescence or even as young adults,
01:40and we meet them at that
01:42point in their development.
01:43We evaluate children with life threatening
01:45conditions such as cancer or renal failure,
01:48but we also see children with conditions
01:50that affect their quality of life.
01:52These include bed wetting or
01:53daytime urinary incontinence.
01:54You know that's really affecting
01:56them in their school work.
01:57Or at home with their families.
01:59Alright, so it's it's it's it's a
02:01pretty wide range of things that
02:03you have issues that you address
02:05correct? It is the team here at the
02:07Yale New Haven Pediatric Urology Center
02:09in Greenwich Cares for children with a
02:11tremendous breath of congenital as well
02:13as functional anomalies of the urogenital
02:15tract and our overall goal is to keep
02:17children healthy as they develop and grow.
02:20So depending on the issue we can
02:22guide management of these children,
02:23either medically or surgically,
02:25or sometimes both.
02:26Medically, we manage issues such as.
02:28Neurogenic bladder,
02:28which means the nerves to the
02:30bladder don't function well.
02:31Sometimes there's also nerves to
02:33the bowel that don't function well,
02:35and these children need help to allow
02:37their bladders to store urine and also
02:39to empty here in safely we see it
02:42children with recurrent urinary tract
02:43infections and as I stated before,
02:45daytime or nighttime wedding at
02:47our site were able to offer onsite
02:49eurologic testing in our state of
02:51the art facility so we can diagnose
02:54disorders of the bladder and lower
02:55urinary tract.
02:56We offer biofeedback therapy which
02:58is really pelvic floor.
02:59Therapy for children.
03:00I sort of describe it as playing a
03:03video game with the muscles of your
03:05bottom and the children are usually
03:07very engaged and it's a really helpful
03:10way to manage some lower urinary
03:12tract conditions without requiring any
03:14medication or surgical interventions.
03:15Well, how common are
03:17all these conditions? Quite common,
03:18so when we think of children with,
03:21let's say, undescended testes that didn't
03:23descend into the scrotum at birth,
03:25that really represents 3% of
03:27children when they're born and by
03:29age one that's 1% of children.
03:31So while some of these children will
03:33allow the testes to descend spontaneously,
03:36other children require surgical intervention.
03:37That's a fairly common issue
03:39we see boys with hypospadias.
03:41That is, the development of the
03:43***** is incomplete and that occurs
03:45in about 1 in 300 boys.
03:47Wow, I didn't realize are very common,
03:50and although they're not always discussed,
03:52we see them very frequently and
03:54are very familiar with them.
03:56I see, yeah,
03:57that's that's the thing.
03:58Are these things that parents?
04:00That might be hesitant to?
04:02Come forward with or are
04:03they open about coming in to
04:05help their children?
04:06I think most families are very
04:08open about coming into the
04:10to be helped and to be seen.
04:12Most parents are pretty concerned,
04:14especially in young children,
04:15and they're not always conditions
04:17given that they involve the
04:18urinary and genital tract that are
04:20discussed openly amongst friends
04:21and other people in the community.
04:23So I think it's really nice to
04:25be able to have a friendly,
04:28welcoming environment that's safe to discuss.
04:30Any concerns.
04:30I think that's especially important
04:32when we think about teenage boys.
04:34Sometimes develop testicular cancer.
04:36Testicular cancer is the most common
04:38cancer in boys between 15 and 35
04:40years of age for young adults as well,
04:43although it only represents 1% of cancers.
04:45Most men and boys palpate a
04:47lump in their tests themselves,
04:49so I think it's really important
04:51within families for them to have
04:53open discussions about these
04:55kinds of issues so teenage boys,
04:57for example,
04:58feel comfortable telling their parents
04:59that they're noticing something different,
05:01and they can bring them into
05:03tomorrow attention sooner.
05:07So that brings us kind of the next
05:09question is what should it when should
05:11a child see a pediatric urologist
05:13versus their pediatrician? So we
05:15had pediatric urologists are
05:16specialists in the field and were
05:18usually brought into the patients
05:20care team upon identification of an
05:22issue that's specific to urology,
05:24we see patients who have congenital
05:26abnormalities that are usually
05:27identified before birth or at birth,
05:29and patients offering are referred to us
05:31at that time by their obstetrician or
05:34their maternal fetal medicine doctor.
05:36In instances where the pediatrician
05:37identifies a new or developmental issue,
05:39such as an undescended testis or
05:41recurrent urinary tract infections,
05:42they typically refer to us for a
05:44management and then we collaborate
05:46with pediatricians in their families
05:47to manage bed wedding or to help
05:50children through potty training.
05:51In some circumstances,
05:52I would tell families never to
05:54hesitate to reach out to us.
05:56We have a fantastic team and our nurses
05:58in the pediatric urology Department
05:59here at the Yale Children's Hospital
06:02are really adept at discussing
06:03issues or concerns with parents,
06:05so it.
06:06Something that they're not sure if
06:07they should bring to our attention.
06:10That's an excellent resource to
06:11reach out and see if we should
06:13be involved in the care of
06:15their child so they don't
06:16necessarily need referral from
06:17the pediatrician to see you know
06:19some. Depending on their insurance,
06:21some families will need a referral
06:22to be seen by a specialist,
06:24and some patients can self refer.
06:26We're always happy to help
06:27families establish Karen,
06:28navigate any of the insurance
06:30concerns you know you mentioned.
06:31Testicular cancer is going
06:32to ask you about that,
06:34'cause that's that's pretty deadly, right?
06:36Because there's something almost
06:37like male breast cancer were.
06:38They really may not detect it
06:40till it's too late, right? Well,
06:43the good news in testicular cancer
06:45is that the outcomes are incredibly
06:47positive and the outcomes in children
06:49in prepubertal children especially
06:50are even better than adult men.
06:53So if we think of a young baby,
06:55say a 2 year old who develops a
06:58yolk SAC tumor, which is a type
07:00of germ cell tumor of the testis,
07:03the success rates,
07:04and overall survival rates are
07:05almost 100% are these are these
07:08conditions and we'll get
07:09into symptoms later on.
07:10But can a parent tell some of these things?
07:13Or is this something that
07:15really the doctor has to?
07:17Diagnosing and notice in a regular
07:19check of a child and infant,
07:21especially, you can't.
07:22You know, communicate a problem.
07:23That's an
07:24excellent question,
07:25because children really can't tell
07:27you that it hurts to your inner.
07:29Do they notice something different in
07:31their scrotum or their abdomen hurts?
07:33So parents are usually the best at
07:35identifying changes because they're
07:37with their children every day,
07:38and they're very attuned to them.
07:40I would say when patients or parents
07:42change their children's diapers
07:44is oftentimes when they notice,
07:46for example, a testicular tumor
07:47because they realize that.
07:49The one side of the scrotum is
07:51getting larger or feels harder,
07:52and usually it's the parents who
07:54brings this to their pediatricians
07:55attention and then who reached out to
07:57us and involve us in the care.
07:59You know? I mean there were
08:01three cases of blood in stool.
08:03That type of thing we want
08:05babies is that common.
08:06We do see we see less babies
08:08with blood in the stool,
08:09but there are causes in children
08:11and it can be food intolerance or
08:13allergies or sometimes things more
08:14serious like intussusception that
08:15requires urgent treatment and that's
08:17where we involve our colleagues in.
08:19Pediatric general surgery and
08:21pediatric gastro enterology.
08:22One of the great things about
08:25our specialty center here in
08:27Greenwich is that we have over
08:2910 pediatric subspecialties so
08:31we have a pediatric surgeon and
08:34three pediatric gastroenterologist
08:36who come to our office here.
08:38We have pulmonologist and
08:40cardiologist and allergist,
08:41an endocrinologist and hematologists
08:43and oncologists an orthopedist,
08:45and I'm I'm missing some for sure,
08:48including E&T So the nice thing about
08:50working in this environment is that
08:52across the Hall is somebody who can help.
08:55So if I'm seeing a patient and say,
08:57you know,
08:58I think this is a general surgery concern,
09:00or I need to speak with the general surgeon,
09:03I can reach out to Doctor Solomon,
09:05who can be right there and available to
09:07assess the patient and their family,
09:09which is really reassuring,
09:10I think,
09:11to families and pediatricians
09:12that we have that capability.
09:13Alright, we're just getting started
09:15with doctor Doctor Sarah Lambert,
09:16pediatric urologist, Jel, medicine.
09:17We're talking about
09:18pediatric urology at Yale,
09:19New Haven Children's hospitals,
09:21Pediatric Specialty Center in Greenwich.
09:22They're located at 500 W
09:24Putnam Ave here in town.
09:26This is spotlighted medicine and
09:28AM 14 ninety FM 105.5 WGCH WG
09:30ch.com Anywhere I'm Tony Savino.
09:32We'll be back with more after this.
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10:37It's
10:37912 here on AM 14 Ninety FM 105.5 WGCH
10:40NWG ch.com anywhere I'm Tony Savino.
10:43This is spotlight on medicine
10:45next weekend Spotlight.
10:47We closed out the month of April
10:50with allergies versus COVID-19
10:51and my guest is family Internist
10:54and I believe one of the first
10:56to get the Corona virus vaccine.
10:58Doctor Pallom with Northeast Medical
11:00Group that's next Thursday, April 29th.
11:03Spotlight in medicine here on
11:05AM 14 Ninety FM 105.5 WGCH.
11:07And WGH com anywhere topic this
11:09morning on Spotlight.
11:10Pediatric urology at Yale,
11:12New Haven Children's Hospitals
11:14Pediatric Specialty Center
11:15in Greenwich my guest doctor.
11:16Sarah Lambert pediatric urologist
11:18at Yale Medicine and Doctor Lambert.
11:20Let's talk about signs and symptoms
11:22commonly seen in a urinary system disorder.
11:25What are they?
11:27So we see various signs and symptoms,
11:30but one of the most common is
11:33recurrent urinary tract infections.
11:35Kids often present with pain with urination,
11:38urinary frequency, urgency,
11:39and sometimes accidents as well.
11:41Some of these children present
11:43with fever or without fever.
11:46Some children have blood in their urine.
11:49And others have issues
11:51with their urinary stream.
11:52Some feel like they have incomplete
11:54emptying if the infection
11:56extends to their kidneys,
11:57they can have side pain,
11:59flank pain or vomiting.
12:01Now you mentioned bed wetting up what,
12:04what? What is that? That's something
12:06that's a physical condition then.
12:09It is so we see a lot of children with what
12:12we call nocturnal enuresis or bed wedding.
12:15It can run in families and it's quite common.
12:18Approximately 20% of 6 year olds have
12:20bed wetting so I like to tell these
12:23families when they come in to see us
12:25that there's other children in their
12:27kids classes who have similar symptoms.
12:29Because again, this isn't something
12:31that's always discussed in some children
12:33feel badly or or unhappy about this.
12:35So to normalize the condition I think is
12:37very helpful to the child and the family.
12:40And the good news is,
12:42many children with nocturnal
12:43enuresis are able to be dry with
12:46just behavioral intervention.
12:47So we can talk about shifting
12:49their fluids to the morning,
12:51treating their Constipation,
12:52limiting their fluids 2 hours before bed,
12:55trying to avoid before bed
12:57and regularly during the day.
12:59And oftentimes with these interventions,
13:01children are dry and don't need any
13:04medication and don't have to worry
13:06about about being wet overnight
13:08on school trips or sleepaway camp.
13:10Or other activities that they
13:12want to participate.
13:13Yeah,
13:13I mean that that that we're
13:14talking about things that maybe
13:16people are afraid to come forward.
13:17That that would be one,
13:19wouldn't it exactly.
13:19So a lot of children don't want to
13:22discuss that or or feeling embarrassed,
13:23and it can be difficult for families
13:25if there's wet sheets overnight.
13:26Or you know that require extra
13:28laundering and longer time in
13:29the morning before school,
13:31so it can really be stressful.
13:32Although it's not life threatening,
13:33it really impacts the quality of life
13:35for these children and their families.
13:37But what do you tell
13:38parents though? I mean,
13:39you can't go yelling at the kids.
13:41You're right, I mean, how do you?
13:44How do you? How do you
13:46advise them on how to deal with it?
13:48Of course, most definitely not.
13:50So children are not
13:51deliberately wedding overnight.
13:52This is a developmental connection
13:54between their bladder and their brain,
13:56so our interventions are behavioral
13:58in nature to maximize their
13:59ability to be dry overnight.
14:01We also have the bed wetting alarm which
14:04connects the sensation of needing to avoid
14:07and the need to wake up and this can.
14:10Secure bed wetting in about 80%
14:12of patients again without any
14:13intervention or medication which
14:14is nice and some children.
14:15We do need to use medication and
14:17it's nice to have a large toolbox.
14:19I tell parents you always want to
14:21have lots of tools in your toolbox
14:23and hopefully not need all of them.
14:25So the good news is that we do
14:27have lots of tools in our toolbox
14:29to treat not turn it on
14:31your resource for bed wetting.
14:33A lot of the issues we've talked
14:34about here are these specific
14:36to children necessarily.
14:37Do they grow out of the quote,
14:39unquote, grow out of them as they?
14:41As they grow older,
14:42kind of take us through that if
14:44you could. Most children will outgrow
14:46nocturnal enuresis and oftentimes children
14:48will outgrow on their own daytime wedding.
14:50Potty training is very different for each
14:52child and some children potty trained
14:54very quickly and other children have
14:56some relapses or take a longer course.
14:58It's important to realize that most children
15:01going through this process is very normal,
15:03even though it can be trying
15:05or frustrating to parents.
15:07It is important to also realize
15:09that there are some children who
15:11are having difficulty potty training
15:12because of an underlying condition,
15:14so it's our job is pediatric urologist to
15:17recognize children who are going through
15:19the normal struggles of potty training
15:20versus children who really need help.
15:22So some children have an undiagnosed tethered
15:25spinal cord which impacts the ability
15:27of their bladder to empty and for them
15:30to control their bladder or to store urine.
15:32Other children can have structural
15:34abnormalities of the urinary tract,
15:35where a kidney instead of draining
15:37normally into the bladder is draining
15:39into the urethra or into the prostate,
15:42and is causing difficulties with
15:43urinary tract infections or continents.
15:45Other children,
15:46especially boys,
15:46can have a blockage within the *****
15:49that makes it difficult to potty train,
15:51and that's called posterior regional valves,
15:53which is dangerous to their bladder
15:55and their kidneys.
15:56Some of those boys can go into
15:58kidney failure,
15:59so it's really important that
16:01we can differentiate children.
16:02With normal potty training from
16:04children who have potentially a,
16:06you know a serious underlying condition,
16:08a
16:09lot of the things we've talked about and.
16:12Seem seem to be boys, but what problems
16:15are in kind of a specific to girls?
16:19So specific to girls,
16:20girls have a higher risk of urinary
16:22tract infections than boys.
16:24Girls have a higher risk
16:26of vesicle ureteral reflux,
16:27which is where when the bladder
16:29empties some of the urine goes
16:31back up to the kidneys instead of
16:33all out into the diaper or into
16:36the toilet and that can predispose
16:37children to kidney infections
16:39if they get a bladder infection.
16:41So those are more common conditions in girls.
16:43Girls can have abnormalities in
16:45the development of the ******
16:47and difficulty with draining the
16:48****** or the uterus. And we see.
16:51Children with those conditions we
16:53see boys and girls with variations
16:56in ****** development.
16:57And who have concerns about how their
17:00ovaries or testes or gonads have developed?
17:03So we see we see those girls as
17:05well and bed wetting in daytime or
17:08nighttime wedding is, you know,
17:09is common in both boys and girls.
17:12We see children with kidney stones,
17:14which effects both boys and girls and
17:16blockages in the kidneys or in the ureters.
17:20Speaking with Doctor Sarah Lambert,
17:22pediatric urologist, Jel,
17:23Medicine we're talking
17:24pediatric urology at Yale.
17:26New Haven Children's Hospital's
17:27pediatric specialty center in Greenwich.
17:29This is spotlight on medicine
17:31on AM 14 Ninety FM, 105.5 WGCH,
17:34and WG ch.com Anywhere and Doctor Lambert.
17:36What advice would you offer
17:38parents who suspect their child
17:40has a urologic problem? I would
17:43encourage parents to be open
17:44and honest about their concerns
17:46with their pediatricians.
17:47We're always happy to
17:49evaluate and provide input.
17:51The families and pediatricians,
17:52and as I stated before,
17:53it's always important for families to
17:55openly discuss concerns with their
17:57children and especially for those
17:58teenage boys who might be nervous.
18:00Discussing some of these issues
18:02or concerns with their parents.
18:03It's really important to
18:04encourage them to be honest,
18:06because an open conversation
18:07is helpful in identifying
18:09issues in a timely manner.
18:10Right
18:10and open, honest.
18:11I guess about all issues.
18:13Like you said right exactly now.
18:15If you're if you wish something
18:16with some of your logic problems,
18:18are these things that are
18:20going to be treated and then?
18:22Children as they grow up into adults
18:24don't have to worry about anymore or
18:27they chronic as one of the things
18:29I love about our specialty,
18:31we have such a variation in disease
18:33processes, so many of our conditions
18:35we can identify and treat and those
18:38children will go on to live happy,
18:40healthy lives and grow and develop
18:42entirely normally so we can see children
18:45with a hernia or an undescended testis.
18:47And the vast majority of those
18:49children will have one operation
18:51and will not need to see us.
18:53Back until there are significantly older,
18:56we don't see boys undescended
18:58testes until they're about 13 to
19:01discuss self testicular exams.
19:03Where we remind them the importance
19:05of examining the testes themselves,
19:06because boys with undescended testes
19:08have a higher risk of testicular cancer,
19:10and boys with hernias typically
19:12after their follow up appointments,
19:13we don't need to see them back as
19:16a success rate of the surgery is so
19:18high that they go on it and don't
19:21need to come back to see us.
19:23We can also treat patients with
19:25bed wetting who resolve and don't
19:27need to see us back.
19:28We see children with abnormalities of the
19:31***** that were able to address incorrect an.
19:33And they don't need to return to
19:35our office and then we have other
19:38children with complex congenital
19:39abnormalities that require lifetime care,
19:42and those children we follow into adulthood,
19:44because,
19:44really is pediatric urologist.
19:46We have the most experience with
19:48children with these conditions and
19:50young adults and we really want these
19:53young adults to to go into adulthood,
19:55understanding their conditions
19:56and how to manage their own
19:58bodies. Alright,
19:59I guess times spotlighted medicine.
20:01Doctor Sarah Lambert,
20:02pediatric urologist, Yale medicine.
20:03Pediatric urology at Yale.
20:05New Haven Children's hospitals
20:06pediatric specialty Center in Greenwich,
20:08at 500 W Putnam Ave that's our topic today.
20:11We're going to take a break.
20:14Come back with more on spotlighting
20:16medicine here on AM 14 Ninety FM
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21:23923 here on AM 14 Ninety FM
21:26105.5 WGCH WG ch.com Anywhere,
21:28I'm Tony Savino. This is spotlight
21:30on medicine right after spotlight.
21:32It is the Doug Stephen taking you
21:35through to the Debbie Niagara show at
21:3811:00 o'clock this morning by guest
21:40this morning on a spotlight is a doctor,
21:43Sarah Lambert, pediatric urologist,
21:45Yale Medicine, Yale,
21:46New Haven children's hospitals
21:48pediatric specialty center in
21:49Greenwich located at 500 W Putnam Ave.
21:52Here in Greenwich the number 877-925-3637
21:55and Doctor Lambert do you, uh,
21:58collaborate with other specialties.
22:01We have frequent collaboration
22:03with nephrology, endocrinology,
22:04general surgery, gastro enterology,
22:06genetics and other specialties as well.
22:08We have multidisciplinary
22:10clinics with nephrology and
22:12gastroenterology here at our 500.
22:14W Putnam Pediatric Specialty
22:16Center in Greenwich.
22:18This allows us to see children,
22:20for example with congenital abnormalities
22:22of the kidney and urinary track.
22:24Who were Cryer?
22:25Both medical kidney evaluation
22:26from the nephrology team,
22:28and possibly surgical kidney evaluation
22:30from the urology team so these patients
22:32would be able to see both myself
22:34and Doctor Karina from nephrology.
22:37In addition,
22:37we have radiology in our
22:39office on the 1st floor,
22:41many days of the week that allows
22:43children to have their imaging
22:45studies performed and see both
22:47specialists the same time.
22:49Which is really helpful for parents
22:51to understand our plan moving
22:53forward an for myself and my
22:55colleagues to communicate directly
22:57with each other and their families.
23:00It's a really nice service to be
23:02able to provide with in Greenwich,
23:05which usually requires transfer or
23:07travel to a tertiary care center.
23:10Yeah,
23:10I
23:10mean you were mentioning before
23:12about problems with the spine,
23:14possibly impacting the urinary tract, right?
23:17So that that's neurology I suppose, right?
23:20Exactly exactly we collaborate
23:22with neurologist who also come
23:24here to the specialty center
23:26in Greenwich, an neurosurgeons.
23:28If these children need a surgical
23:30intervention, do are when do a pediatric
23:33urology cases require surgery?
23:36That's a great question.
23:38First and foremost,
23:39since we haven't discussed this topic,
23:41I would like to talk about
23:42testicular torsion, which is a
23:44spontaneous twisting of the testicle.
23:46I believe it's important for
23:47parents of boys and young men to
23:50know what the warning signs are,
23:51as this is a time sensitive
23:53issue that requires emergency
23:54medical and surgical attention.
23:56The signs of testicular torsion are sudden,
23:58severe testicular pain associated
23:59with swelling redness,
24:00and can be accompanied by abdominal
24:02pain or vomiting in these boys and
24:04his children should be evaluated
24:06in the emergency room immediately.
24:08As secure as a surgical intervention
24:10to detur sore untwist the testicle.
24:13So that's an important sign or
24:15symptom for families to be aware of,
24:18and pediatricians are readily
24:19aware of this condition.
24:21We treat these boys at Greenwich
24:23Hospital and also in New Haven,
24:26and we've established a
24:27door to Detorsion protocol,
24:29which allows us to rapidly assess
24:31these boys and determine who is
24:34at high risk and who we believe
24:36has a twisted testicle.
24:38And get them to the operating
24:40room within two hours.
24:42Alright, is that a common
24:44common condition? It
24:45is quite common and there are
24:47other conditions that mimic torsion
24:49of the testicle, which can be
24:51torsion of the appendix testicle,
24:53which Luckily is not dangerous
24:55to the testicle at all,
24:57but still requires urgent evaluation
24:58to determine and distinguish testicular
25:00torsion from torsion of the appendix,
25:02testis or or a non-surgical
25:04concern within the testes.
25:05So I encourage these families
25:07to be seen, and these
25:09are things that are.
25:10Are they hereditary at all,
25:12or there's something that? At birth.
25:15So they're not hereditary.
25:17Some people believe there's an anatomical.
25:21Association with the attachment
25:22of the spermatic cord or the
25:24blood vessels to the testicle.
25:26And if that's a wide or narrow connection
25:28and whether or not the testicle
25:30is more or less likely to twist,
25:32this condition can occur in newborns as well,
25:35which is an emergency.
25:36And some of those patients require
25:38surgery in the first few days of life.
25:41And Doctor Lambert, what are the benefits?
25:44You know, we've talked about Yale,
25:46New Haven children's hospitals,
25:48pediatric specialty center here in Greenwich.
25:50So what are the benefits of
25:52collaborating with young New Haven?
25:54I like to think that having Yale Medicine
25:57in Greenwich is the equivalent of having
25:59an academic hospital right in the
26:02convenience of your own neighborhood.
26:04And we have multidisciplinary teams
26:06that include myself and other
26:08teams that don't include a urology.
26:10That all work collaboratively to
26:12provide care. For the whole patient,
26:14we have over 10 pediatric specialties
26:16in our 500 W Putnam's specialty center,
26:19and some children are able to be
26:21managed entirely in Greenwich and
26:23at Greenwich Hospital and for the
26:26majority of families and children.
26:28That's all that's necessary.
26:30We have fantastic pediatric anesthesia
26:32and pediatric nursing and a neonatal
26:34ICU at Greenwich Hospital.
26:36Other families enter our system,
26:38and although most of their care can be
26:41delivered here in Greenwich require.
26:43Higher level of care such as cardiac
26:46anesthesia or the pediatric cardiac ICU.
26:49In New Haven,
26:51so being associated with.
26:53That tertiary Children's Hospital,
26:55although it's not directly in Greenwich,
26:57it's really a benefit and most of
27:00your care can be delivered here
27:03in Greenwich for our children,
27:05with variations in ****** development,
27:08we have a complex DSD clinic up
27:11in New Haven that is staffed by
27:14social work and psychology.
27:17Genetics,
27:17endocrinology and urology and gynecology.
27:19So in one center you're able to see
27:21all of those specials for really
27:23rare and complex conditions that
27:26require a lot of thought as to how
27:28to treat these patients,
27:29what's best for the patient
27:31and their families,
27:32both his children as adults,
27:34and I guess,
27:35it's great
27:35that the bounce back bounce all
27:37over the place, right there?
27:39Said they're treated in one place exactly
27:41and we have myself and doctor
27:43good drawl from endocrinology.
27:45Who are right here in Greenwich?
27:47So although your initial visit
27:48maybe with our entire team.
27:50In New Haven, if we've established
27:52a care plan that everyone is
27:54happy with and comfortable with,
27:56then a lot of that care can
27:58return to Greenwich and we
28:00can see them collaboratively.
28:01We saw a young boy, young man.
28:03I should say he's 19 the other day here
28:07and we were able to to evaluate him.
28:09An man Jim here,
28:10which was really convenient
28:12for him and his family.
28:13Or we were talking off
28:15Air Doctor Lambert that
28:16you do go up to Yale, New Haven.
28:19How often are you up there?
28:22I'm up in Yale,
28:23New Haven Children's Hospital.
28:25Approximately once a month,
28:26and that's typically to operate an.
28:29Those operations are for
28:30children who will need an ICU
28:32stay after their operation,
28:34or who may need cardiac anesthesia
28:36for one of their procedures.
28:39Given a history of complex cardio,
28:41cardiac anomalies,
28:42or cardiac surgery.
28:44Well, Doctor Lambert want to thank
28:46you for your time this morning.
28:49Very interesting talking about this topic.
28:51Thanks for joining me this
28:53morning and spotlighted medicine.
28:55My absolute pleasure,
28:56doctor Sarah Lambert by guest on Spotlight
28:58and Medicine pediatric urologist,
29:00Yale Medicine at the Yale New
29:02Haven Children's Hospital,
29:03Pediatric Specialty Center in Greenwich.
29:05They're located at 500 W Putnam
29:07Ave in Greenwich and their
29:09phone number 877-925-3637.
29:11That does it for another edition
29:13of Spotlight on Medicine.
29:15And next week on Spotlight,
29:17it's allergies versus COVID-19.
29:18You have allergies.
29:19Do you have COVID-19?
29:21My guest is family internist,
29:23doctor Pallom Northeast Medical Group,
29:25that spotlight of Medicine
29:26next week here on AM 14 Ninety
29:29FM 105.5 WGCH and WG ch.com.
29:32Anywhere I'm Tony savino.
29:33Thanks for joining us.