To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing
Post-Election, Doctors See Kids Suffering Trump-Related Anxiety
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Doctors Debate Post Partum Depression Testing","publishDate":1520240430,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Lawmakers will begin debate next month on a bill that would require doctors to screen new moms for mental health problems – once while they’re pregnant and again, after giving birth.\u003c/p>\n\u003cp>But a lot of doctors don’t like the idea. Many obstetricians and pediatricians are afraid to screen new moms for depression and anxiety.\u003c/p>\n\u003cp>“What are you going to do with those people who screen positive?” said Laura Sirott, an OB/GYN who practices in Pasadena. “Some providers have nowhere to send them.”\u003c/p>\n\u003cp>Of women who screen positive for postpartum depression, 78 percent don’t get mental health treatment, according to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618720/\" target=\"_blank\" rel=\"noopener\">2015 study review\u003c/a> published in the journal \u003cem>Obstetrics & Gynecology\u003c/em>. Dr. Sirott’s patients have told her the range of reasons why they don’t take her up on a referral to a psychologist.\u003c/p>\n\u003cp>“Oh, they don’t take my insurance. Or my insurance pays for three visits. I can’t take time off of work to go to those visits. It’s a three-month wait to get in to that person,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And, it’s hard to find a psychiatrist who is trained in the complexities of prescribing medications to pregnant or breastfeeding women, and who is willing to treat them, especially in rural areas.\u003c/p>\n\u003cp>“So it’s very frustrating to ask patients about a problem and then not have any way to solve that problem,” Sirott said.\u003c/p>\n\u003cp>But moms are frustrated, too. After the baby comes, no one asks about them anymore. Wendy Root Askew struggled for years to get pregnant, and when she finally did, her anxiety got worse. She couldn’t stop worrying that something would go wrong.\u003c/p>\n\u003cp>“And then after I had my son, I would have these dreams where someone would come to the door and they would say ‘Well, you know, we’re just going to wait two weeks to see if you get to keep your baby or not,’” she said. “And it really impacted my ability to bond with him.”\u003c/p>\n\u003cp>She likes the bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2193\" target=\"_blank\" rel=\"noopener\">AB 2193\u003c/a>, because it goes beyond mandated screening. It requires health insurance companies to set up case management programs to help moms find a therapist, and to connect obstetricians or pediatricians with a psychiatric expert.\u003c/p>\n\u003cp>“Just like we have case management programs for patients who have diabetes or sleep issues or back pain, a case management program requires the insurance company to take some ownership of making sure their patients are getting the treatment they need to be healthy,” said Root Askew, who is now advocating for the bill on behalf of the group \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener\">2020 Mom\u003c/a>.\u003c/p>\n\u003cp>Health insurance companies haven’t taken a position on the legislation. It’s unclear how much it will cost them to comply, because some already have infrastructure in place for case management programs and some don’t. But there is consensus among insurers and health advocates that such programs save money in the long run.\u003c/p>\n\u003cp>“The sooner that you can get good treatment for a mom, the less expensive that condition will be to manage over the course of the woman’s life and over the course of that child’s life,” Root Askew said.\u003c/p>\n\u003cp>Doctors still have their objections. Under the bill, they could be disciplined for not screening. And screening takes time. Sometimes a doctor asks a mom how she’s sleeping, and she’s in tears for the next 30 minutes.\u003c/p>\n\u003cp>The health care system, and the incentives, aren’t set up for this, said Dr. Sirott.\u003c/p>\n\u003cp>“Currently, I get six dollars for screening a patient,” she said. “By the time I put it on a piece of paper and print it, it’s not worth it.”\u003c/p>\n\u003cp>And it’s not clear it’s worth it to the patients either. Four other states – Illinois, Massachusetts, New Jersey, and West Virginia – have tried mandated screening, and it made no difference in patient outcomes, according to \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201300505?code=ps-site\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in \u003cem>Psychiatric Services\u003c/em> in 2015.\u003c/p>\n\u003cp>Even with California’s extra requirements on insurance companies to facilitate care, women could still face high co-pays or limits on therapy sessions. Or, they’re so overwhelmed caring for a newborn, they never leave the house.\u003c/p>\n\u003cp>What does seem to work, according to the study, is when nurses or mental health providers visit new moms at home.\u003c/p>\n\u003cp>“Despite abundant good will, there is no evidence that state policies are addressing this great need,” the study authors wrote.\u003c/p>\n\u003cp>But supporters of the proposed bill say doctors need to start somewhere. Screening is the first step in recognizing the full scope of the problem, said Mountain View psychiatrist \u003ca href=\"https://www.elcaminohospital.org/doctors/nirmaljit-dhami\" target=\"_blank\" rel=\"noopener\">Nirmaljit Dhami\u003c/a>, adding that women should be screened on an ongoing basis throughout pregnancy and for a year after birth, not just once or twice as the bill requires.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I often tell doctors that if you don't know that somebody is suicidal it doesn't mean that their suicidality will go away,” she said. “If you don't ask, the risk is the same.”\u003c/p>\n\n","blocks":[],"excerpt":"A proposed bill would require doctors to screen new moms for depression, and require health insurers to help them get care.","status":"publish","parent":0,"modified":1521474114,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":891},"headData":{"title":"To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing | KQED","description":"A proposed bill would require doctors to screen new moms for depression, and require health insurers to help them get care.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing","datePublished":"2018-03-05T09:00:30.000Z","dateModified":"2018-03-19T15:41:54.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"362850 https://ww2.kqed.org/stateofhealth/?p=362850","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/03/05/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing/","disqusTitle":"To Screen or Not to Screen? Doctors Debate Post Partum Depression Testing","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2018/03/MandatedPostPartumScreeningDembosky.mp3","path":"/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lawmakers will begin debate next month on a bill that would require doctors to screen new moms for mental health problems – once while they’re pregnant and again, after giving birth.\u003c/p>\n\u003cp>But a lot of doctors don’t like the idea. Many obstetricians and pediatricians are afraid to screen new moms for depression and anxiety.\u003c/p>\n\u003cp>“What are you going to do with those people who screen positive?” said Laura Sirott, an OB/GYN who practices in Pasadena. “Some providers have nowhere to send them.”\u003c/p>\n\u003cp>Of women who screen positive for postpartum depression, 78 percent don’t get mental health treatment, according to a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4618720/\" target=\"_blank\" rel=\"noopener\">2015 study review\u003c/a> published in the journal \u003cem>Obstetrics & Gynecology\u003c/em>. Dr. Sirott’s patients have told her the range of reasons why they don’t take her up on a referral to a psychologist.\u003c/p>\n\u003cp>“Oh, they don’t take my insurance. Or my insurance pays for three visits. I can’t take time off of work to go to those visits. It’s a three-month wait to get in to that person,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And, it’s hard to find a psychiatrist who is trained in the complexities of prescribing medications to pregnant or breastfeeding women, and who is willing to treat them, especially in rural areas.\u003c/p>\n\u003cp>“So it’s very frustrating to ask patients about a problem and then not have any way to solve that problem,” Sirott said.\u003c/p>\n\u003cp>But moms are frustrated, too. After the baby comes, no one asks about them anymore. Wendy Root Askew struggled for years to get pregnant, and when she finally did, her anxiety got worse. She couldn’t stop worrying that something would go wrong.\u003c/p>\n\u003cp>“And then after I had my son, I would have these dreams where someone would come to the door and they would say ‘Well, you know, we’re just going to wait two weeks to see if you get to keep your baby or not,’” she said. “And it really impacted my ability to bond with him.”\u003c/p>\n\u003cp>She likes the bill, \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201720180AB2193\" target=\"_blank\" rel=\"noopener\">AB 2193\u003c/a>, because it goes beyond mandated screening. It requires health insurance companies to set up case management programs to help moms find a therapist, and to connect obstetricians or pediatricians with a psychiatric expert.\u003c/p>\n\u003cp>“Just like we have case management programs for patients who have diabetes or sleep issues or back pain, a case management program requires the insurance company to take some ownership of making sure their patients are getting the treatment they need to be healthy,” said Root Askew, who is now advocating for the bill on behalf of the group \u003ca href=\"https://www.2020mom.org/\" target=\"_blank\" rel=\"noopener\">2020 Mom\u003c/a>.\u003c/p>\n\u003cp>Health insurance companies haven’t taken a position on the legislation. It’s unclear how much it will cost them to comply, because some already have infrastructure in place for case management programs and some don’t. But there is consensus among insurers and health advocates that such programs save money in the long run.\u003c/p>\n\u003cp>“The sooner that you can get good treatment for a mom, the less expensive that condition will be to manage over the course of the woman’s life and over the course of that child’s life,” Root Askew said.\u003c/p>\n\u003cp>Doctors still have their objections. Under the bill, they could be disciplined for not screening. And screening takes time. Sometimes a doctor asks a mom how she’s sleeping, and she’s in tears for the next 30 minutes.\u003c/p>\n\u003cp>The health care system, and the incentives, aren’t set up for this, said Dr. Sirott.\u003c/p>\n\u003cp>“Currently, I get six dollars for screening a patient,” she said. “By the time I put it on a piece of paper and print it, it’s not worth it.”\u003c/p>\n\u003cp>And it’s not clear it’s worth it to the patients either. Four other states – Illinois, Massachusetts, New Jersey, and West Virginia – have tried mandated screening, and it made no difference in patient outcomes, according to \u003ca href=\"https://ps.psychiatryonline.org/doi/10.1176/appi.ps.201300505?code=ps-site\" target=\"_blank\" rel=\"noopener\">a study\u003c/a> published in \u003cem>Psychiatric Services\u003c/em> in 2015.\u003c/p>\n\u003cp>Even with California’s extra requirements on insurance companies to facilitate care, women could still face high co-pays or limits on therapy sessions. Or, they’re so overwhelmed caring for a newborn, they never leave the house.\u003c/p>\n\u003cp>What does seem to work, according to the study, is when nurses or mental health providers visit new moms at home.\u003c/p>\n\u003cp>“Despite abundant good will, there is no evidence that state policies are addressing this great need,” the study authors wrote.\u003c/p>\n\u003cp>But supporters of the proposed bill say doctors need to start somewhere. Screening is the first step in recognizing the full scope of the problem, said Mountain View psychiatrist \u003ca href=\"https://www.elcaminohospital.org/doctors/nirmaljit-dhami\" target=\"_blank\" rel=\"noopener\">Nirmaljit Dhami\u003c/a>, adding that women should be screened on an ongoing basis throughout pregnancy and for a year after birth, not just once or twice as the bill requires.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I often tell doctors that if you don't know that somebody is suicidal it doesn't mean that their suicidality will go away,” she said. “If you don't ask, the risk is the same.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/362850/to-screen-or-not-to-screen-doctors-debate-post-partum-depression-testing","authors":["3205"],"categories":["stateofhealth_2442","stateofhealth_3012","stateofhealth_14"],"tags":["stateofhealth_3067","stateofhealth_2582","stateofhealth_2947","stateofhealth_2808","stateofhealth_28","stateofhealth_3229","stateofhealth_3212","stateofhealth_68","stateofhealth_3230","stateofhealth_2519","stateofhealth_3228"],"featImg":"stateofhealth_362852","label":"stateofhealth"},"stateofhealth_317652":{"type":"posts","id":"stateofhealth_317652","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"317652","score":null,"sort":[1492615781000]},"guestAuthors":[],"slug":"pediatricians-see-more-trump-related-trauma-in-kids","title":"Post-Election, Doctors See Kids Suffering Trump-Related Anxiety","publishDate":1492615781,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Sixth grade started out fine for Mohammed, an 11-year-old Muslim boy who lives in East Oakland, until Donald Trump won the presidency.\u003c/p>\n\u003cp>\"After Trump got elected, everybody started treating me differently,\" he said. His classmates started criticizing Muslims, and calling him a “terrorist,” he said.\u003c/p>\n\u003cp>The boy, whose family wanted him to be identified only as “Mohammed” rather than his real name to protect his privacy, said he started getting depressed after the harassment and name-calling started. He said he began having physical symptoms of anxiety like chest pain and headaches. He even talked about killing himself.\u003c/p>\n\u003cp>\"After he got elected I felt different than I used to be feeling,” he said, hugging his knees to his chest as he sat on the edge of the couch at his family’s studio apartment in the Oakland hills. “I changed in a bad way.\"\u003c/p>\n\u003cp>The type of chest pain he felt, along with shortness of breath and other physical symptoms of anxiety, are complaints some Bay Area pediatricians said they're seeing more of in immigrant and Muslim populations, based on rhetoric set in motion by President Trump's administration.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"It felt like somebody was pushing something on me,\" Mohammed said in a quiet voice. \"It was like the bones in my chest were like going backward. It hurt a lot.\"\u003c/p>\n\u003cp>Dr. Gabriela Bronson-Castain, a pediatric psychologist in Oakland, said most of the kids she sees who are experiencing this fear have families who immigrated to the U.S. from Central America or families who are Muslim.\u003c/p>\n\u003cp>\"It is not uncommon within our assessments to hear somehow an inherent fear of the Trump administration,\" Bronson-Castain said. \"Very unsolicited -- you know and you're talking about sometimes 8, 9 and 10-year-old kids.\"\u003c/p>\n\u003cp>She said the first child she saw, the day after the election, was a boy who claimed to have a BB gun at his school because he was afraid of being deported. Really the kid was bluffing; he didn’t have a BB gun.\u003c/p>\n\u003cp>\"But he wanted everybody to know that he did in the event that somebody would try to take him away,\" Bronson-Castain said, referring to the child's fear of deportation or separation from his family.\u003c/p>\n\u003cp>Bronson-Castain said kids try to cope in one of two ways: \"They’ll act inward, which I think we see as maybe some kind of self-injury or more depressive symptoms; potential suicidality. Or we see them act outward, which is, 'I become aggressive. I bring that BB gun to school. I carry a knife in my bag just in case.' \"\u003c/p>\n\u003cp>Another pediatrician, Dr. Nooshin Razani, said she’s never seen symptoms so severe in response to politics. Discrimination is always painful, she said, but it’s worse when it comes from an authority figure.\u003c/p>\n\u003cp>\"It's one thing if you're 1 percent of the population. And everyone else is targeting you,\" the doctor said. \"It's another thing when the government of the most powerful country in the whole world is also on the side of everyone that's targeting you.\"\u003c/p>\n\u003cp>Razani herself said she feels nervous as an Iranian American. Iran is one of the countries targeted in both versions of Trump’s travel ban. She said having Iran called out like that by the administration actually helps her empathize.\u003c/p>\n\u003cp>\"There's a lot of moments where I am able to bond with my patients in a way that I've never been able to do before because we may all be on the list of seven,\" she said, referring to the list of seven countries included in Trump’s first travel ban.\u003c/p>\n\u003cp>\u003cstrong>Doctors Mobilize to Help Patients Deal With Trump-Era Anxiety\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>In response, pediatricians like Razani and Bronson-Castain are organizing. They're both part of a group of health professionals informally called #EveryoneBelongsHere. They recently gathered at a home in the Oakland hills.\u003c/p>\n\u003cfigure id=\"attachment_317718\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-317718\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg\" alt=\"(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. Congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children.\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children. \u003ccite>(Courtesy Jyothi Marbin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some were there to get politically active. Others came to talk about how best to help their immigrant patients. Dr. Noemi Spinazzi said she’s worried about Immigration and Customs Enforcement (ICE).\u003c/p>\n\u003cp>\"I was wondering if ICE would have any latitude to run any searches of our database using key words like 'immigrant' to kind of isolate those people who would be vulnerable,\" she asked.\u003c/p>\n\u003cp>A lawyer in the crowd explained it would be tough for ICE to force access to medical records.\u003c/p>\n\u003cp>Another doctor wondered whether putting cards with legal advice for immigrants in her waiting room would draw attention to her practice or endanger the people she sees?\u003c/p>\n\u003cp>Many in the group have been moved to action after seeing young patients -- patients like Mohammed -- who are suffering as they hear talk about potential changes to immigration and travel policies. Even if their parents try to shield them from the news, they still pick up on that tension, doctors said.\u003c/p>\n\u003cp>\u003cstrong>Parents Struggle to Help Their Kids Cope\u003cbr>\n\u003c/strong>\u003cbr>\nBack in East Oakland, Mohammed's mother said that their family left their home country of Yemen after she was attacked for working on women's rights. The family of four then fled to the U.S. and eventually got asylum.\u003c/p>\n\u003cp>\"I don't know what to do,\" she said. \"So should we leave here and go back to our country? My country is in war. So we’re rejected here and we can't go back to our country and I don't know about what the future is going to bring for us.\"\u003c/p>\n\u003cp>Mohammed said he doesn’t want to tell his teachers of his challenges with his classmates because he thinks that will make things worse, and he doesn’t want his parents to get involved because he said he wants to fix the problem by himself.\u003c/p>\n\u003cp>\"Not every Muslim is a terrorist,\" Mohammed said about being called one by classmates. \"Some are terrorists. But I’m not. … I didn’t do anything to you, so you shouldn’t call me a terrorist.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Mohammed said his chest pain has been getting better with medical treatment, and his first therapy session is scheduled this month.\u003c/p>\n\n","blocks":[],"excerpt":"Bay Area pediatricians are mobilizing to help kids from immigrant and Muslim populations with physical symptoms of anxiety.","status":"publish","parent":0,"modified":1492640848,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":29,"wordCount":1106},"headData":{"title":"Post-Election, Doctors See Kids Suffering Trump-Related Anxiety | KQED","description":"Bay Area pediatricians are mobilizing to help kids from immigrant and Muslim populations with physical symptoms of anxiety.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Post-Election, Doctors See Kids Suffering Trump-Related Anxiety","datePublished":"2017-04-19T15:29:41.000Z","dateModified":"2017-04-19T22:27:28.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"317652 https://ww2.kqed.org/stateofhealth/?p=317652","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/04/19/pediatricians-see-more-trump-related-trauma-in-kids/","disqusTitle":"Post-Election, Doctors See Kids Suffering Trump-Related Anxiety","audioUrl":"http://www.kqed.org/.stream/anon/radio/RDnews/2017/04/klivans20170419.mp3","path":"/stateofhealth/317652/pediatricians-see-more-trump-related-trauma-in-kids","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sixth grade started out fine for Mohammed, an 11-year-old Muslim boy who lives in East Oakland, until Donald Trump won the presidency.\u003c/p>\n\u003cp>\"After Trump got elected, everybody started treating me differently,\" he said. His classmates started criticizing Muslims, and calling him a “terrorist,” he said.\u003c/p>\n\u003cp>The boy, whose family wanted him to be identified only as “Mohammed” rather than his real name to protect his privacy, said he started getting depressed after the harassment and name-calling started. He said he began having physical symptoms of anxiety like chest pain and headaches. He even talked about killing himself.\u003c/p>\n\u003cp>\"After he got elected I felt different than I used to be feeling,” he said, hugging his knees to his chest as he sat on the edge of the couch at his family’s studio apartment in the Oakland hills. “I changed in a bad way.\"\u003c/p>\n\u003cp>The type of chest pain he felt, along with shortness of breath and other physical symptoms of anxiety, are complaints some Bay Area pediatricians said they're seeing more of in immigrant and Muslim populations, based on rhetoric set in motion by President Trump's administration.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"It felt like somebody was pushing something on me,\" Mohammed said in a quiet voice. \"It was like the bones in my chest were like going backward. It hurt a lot.\"\u003c/p>\n\u003cp>Dr. Gabriela Bronson-Castain, a pediatric psychologist in Oakland, said most of the kids she sees who are experiencing this fear have families who immigrated to the U.S. from Central America or families who are Muslim.\u003c/p>\n\u003cp>\"It is not uncommon within our assessments to hear somehow an inherent fear of the Trump administration,\" Bronson-Castain said. \"Very unsolicited -- you know and you're talking about sometimes 8, 9 and 10-year-old kids.\"\u003c/p>\n\u003cp>She said the first child she saw, the day after the election, was a boy who claimed to have a BB gun at his school because he was afraid of being deported. Really the kid was bluffing; he didn’t have a BB gun.\u003c/p>\n\u003cp>\"But he wanted everybody to know that he did in the event that somebody would try to take him away,\" Bronson-Castain said, referring to the child's fear of deportation or separation from his family.\u003c/p>\n\u003cp>Bronson-Castain said kids try to cope in one of two ways: \"They’ll act inward, which I think we see as maybe some kind of self-injury or more depressive symptoms; potential suicidality. Or we see them act outward, which is, 'I become aggressive. I bring that BB gun to school. I carry a knife in my bag just in case.' \"\u003c/p>\n\u003cp>Another pediatrician, Dr. Nooshin Razani, said she’s never seen symptoms so severe in response to politics. Discrimination is always painful, she said, but it’s worse when it comes from an authority figure.\u003c/p>\n\u003cp>\"It's one thing if you're 1 percent of the population. And everyone else is targeting you,\" the doctor said. \"It's another thing when the government of the most powerful country in the whole world is also on the side of everyone that's targeting you.\"\u003c/p>\n\u003cp>Razani herself said she feels nervous as an Iranian American. Iran is one of the countries targeted in both versions of Trump’s travel ban. She said having Iran called out like that by the administration actually helps her empathize.\u003c/p>\n\u003cp>\"There's a lot of moments where I am able to bond with my patients in a way that I've never been able to do before because we may all be on the list of seven,\" she said, referring to the list of seven countries included in Trump’s first travel ban.\u003c/p>\n\u003cp>\u003cstrong>Doctors Mobilize to Help Patients Deal With Trump-Era Anxiety\u003cbr>\n\u003c/strong>\u003c/p>\n\u003cp>In response, pediatricians like Razani and Bronson-Castain are organizing. They're both part of a group of health professionals informally called #EveryoneBelongsHere. They recently gathered at a home in the Oakland hills.\u003c/p>\n\u003cfigure id=\"attachment_317718\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-317718\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg\" alt=\"(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. Congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children.\" width=\"800\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-800x450.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-160x90.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-768x432.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1020x574.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-1180x664.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-960x540.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-240x135.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-375x211.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/04/RS24954_Doctors-Lobbying-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">(From left to right) Doctors Jyothi Marbin, Abimbola Dairo, Emma Anselin, and Preeya Desai are getting politically active in response to President Trump's proposed health and immigration policies. They met with staff from U.S. congresswoman Barbara Lee's office to discuss their concerns about how immigration is affecting the health of Bay Area children. \u003ccite>(Courtesy Jyothi Marbin)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Some were there to get politically active. Others came to talk about how best to help their immigrant patients. Dr. Noemi Spinazzi said she’s worried about Immigration and Customs Enforcement (ICE).\u003c/p>\n\u003cp>\"I was wondering if ICE would have any latitude to run any searches of our database using key words like 'immigrant' to kind of isolate those people who would be vulnerable,\" she asked.\u003c/p>\n\u003cp>A lawyer in the crowd explained it would be tough for ICE to force access to medical records.\u003c/p>\n\u003cp>Another doctor wondered whether putting cards with legal advice for immigrants in her waiting room would draw attention to her practice or endanger the people she sees?\u003c/p>\n\u003cp>Many in the group have been moved to action after seeing young patients -- patients like Mohammed -- who are suffering as they hear talk about potential changes to immigration and travel policies. Even if their parents try to shield them from the news, they still pick up on that tension, doctors said.\u003c/p>\n\u003cp>\u003cstrong>Parents Struggle to Help Their Kids Cope\u003cbr>\n\u003c/strong>\u003cbr>\nBack in East Oakland, Mohammed's mother said that their family left their home country of Yemen after she was attacked for working on women's rights. The family of four then fled to the U.S. and eventually got asylum.\u003c/p>\n\u003cp>\"I don't know what to do,\" she said. \"So should we leave here and go back to our country? My country is in war. So we’re rejected here and we can't go back to our country and I don't know about what the future is going to bring for us.\"\u003c/p>\n\u003cp>Mohammed said he doesn’t want to tell his teachers of his challenges with his classmates because he thinks that will make things worse, and he doesn’t want his parents to get involved because he said he wants to fix the problem by himself.\u003c/p>\n\u003cp>\"Not every Muslim is a terrorist,\" Mohammed said about being called one by classmates. \"Some are terrorists. But I’m not. … I didn’t do anything to you, so you shouldn’t call me a terrorist.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Mohammed said his chest pain has been getting better with medical treatment, and his first therapy session is scheduled this month.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/317652/pediatricians-see-more-trump-related-trauma-in-kids","authors":["8648"],"categories":["stateofhealth_3012"],"tags":["stateofhealth_3067","stateofhealth_3068","stateofhealth_2808","stateofhealth_68","stateofhealth_2519"],"featImg":"stateofhealth_319709","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. Plus, KQED’s Bianca Taylor brings you the local KQED news you need to know.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Consider-This-Podcast-Tile-703x703-1.jpg","imageAlt":"Consider This from NPR and KQED","officialWebsiteLink":"/podcasts/considerthis","meta":{"site":"news","source":"kqed","order":"7"},"link":"/podcasts/considerthis","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1503226625?mt=2&at=11l79Y&ct=nprdirectory","npr":"https://rpb3r.app.goo.gl/coronavirusdaily","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM1NS9wb2RjYXN0LnhtbA","spotify":"https://open.spotify.com/show/3Z6JdCS2d0eFEpXHKI6WqH"}},"forum":{"id":"forum","title":"Forum","tagline":"The conversation starts here","info":"KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.","airtime":"MON-FRI 9am-11am, 10pm-11pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED Forum with Mina Kim and Alexis Madrigal","officialWebsiteLink":"/forum","meta":{"site":"news","source":"kqed","order":"8"},"link":"/forum","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/kqeds-forum/id73329719","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz","npr":"https://www.npr.org/podcasts/432307980/forum","stitcher":"https://www.stitcher.com/podcast/kqedfm-kqeds-forum-podcast","rss":"https://feeds.megaphone.fm/KQINC9557381633"}},"freakonomics-radio":{"id":"freakonomics-radio","title":"Freakonomics Radio","info":"Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. 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No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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Updated Monday through Friday at about 3:30 p.m. PT.","airtime":"MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.marketplace.org/","meta":{"site":"news","source":"American Public Media"},"link":"/radio/program/marketplace","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/APM-Marketplace-p88/","rss":"https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"}},"mindshift":{"id":"mindshift","title":"MindShift","tagline":"A podcast about the future of learning and how we raise our kids","info":"The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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