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December 5, 2025

Pediatrician Shares What Parents of Neurodiverse Kids Must Know About ER Visits & Gut Health

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If you've ever felt dismissed during a doctor's visit, struggled to explain your child's symptoms clearly, or wondered if that "stomach ache" is anxiety or something more serious—this conversation is for you.

In this episode of The Parenting Cipher Podcast, host Genie Dawkins sits down with Dr. Timothy McKnight, a retired pediatrician with decades of experience in pediatric emergency medicine and hospital care. Dr. McKnight now serves as Executive Director of Cleveland State University's Pathways to Practice program, dedicated to increasing diversity in healthcare.

Together, they unpack critical strategies every parent—especially those raising neurodiverse children—needs to navigate the medical system with confidence, clarity, and courage.


image of a black male pediatrician talking to a black mother and child in a doctors office.

Why Mother's Intuition Should Never Be Ignored

Dr. McKnight opens with a powerful message that validates what many parents already feel deep in their gut:

"I always listen to that mother's intuition. I've seen a lot of doctors get burned by dismissing it."

He shares stories from his years in the ER where mothers brought their children in multiple times, insisting something was wrong—only to discover serious conditions like meningitis. One parent drove through Rock Creek Park with the windows down, temporarily lowering her son's fever, which led doctors to dismiss her concerns. She returned three times in one night before her child was properly diagnosed.

The Reality for Black and Minority Families

Genie adds a critical layer to this conversation: the bias many Black families face when seeking medical care. She recounts taking her son to the ER, visibly in pain and needing a wheelchair, only to be met with skepticism and dismissiveness.

"Sometimes I feel like because of my color, you're not taking me seriously. You're not taking my child seriously."

This is why advocacy isn't optional—it's essential. And Dr. McKnight offers practical tools to help parents show up prepared and empowered.


How to Prepare for Doctor Visits: Document, Document, Document

One of the most actionable takeaways from this episode? Start keeping a health journal for your child.

Dr. McKnight's Must-Have Medical Toolkit:

Stock your medicine cabinet: Motrin, Tylenol, and a functioning thermometer
Keep a symptom diary: Use a notebook or voice notes on your phone
Track key details:

  • When symptoms started
  • Changes in behavior, appetite, or sleep
  • Urination patterns
  • Pain levels and descriptions
  • Temperature readings with timestamps

Why This Matters:

When you walk into an appointment or ER with documented details, you're no longer relying on memory under stress. You have data—and data demands to be taken seriously.

Dr. McKnight explains:

"80% of the time, you can get the diagnosis based on history before you even touch the patient. You need to get the story right."

By arriving prepared, you help the doctor see the full picture and avoid having to repeat your story to multiple providers.

A black pediatrician talking to a mother with a short bob and child reviewing a checklist

The Gut-Brain Connection: Why Gut Health Matters for Neurodiverse Kids

A major theme in this episode is the often-overlooked connection between gut health and neurodiversity, particularly for children with autism, ADHD, anxiety, and sensory processing challenges.

The Problem:

Many neurodiverse children are picky eaters due to sensory sensitivities. This can lead to:

  • Nutritional deficiencies (low iron, calcium, fiber)
  • Chronic constipation
  • Increased anxiety and behavioral dysregulation
  • Physical pain that manifests as stomach aches or refusal to eat

Genie shares her own experience: her son, who has autism and sensory processing disorder, ended up in the ER with severe stomach pain. The doctors initially dismissed it as constipation, but she knew it was more. The pain was real—and debilitating.

The Solution: Probiotics, Fiber, and Routine

Dr. McKnight introduces his line of pediatric wellness products at McKnightMD.com, specifically designed to address these gaps:

  • Probiotics: Support gut health, especially when children are on antibiotics or have sensitive digestive systems
  • Fiber gummies: Help with constipation and improve overall digestion (without the sugar overload parents worry about)
  • Multivitamins: Fill nutritional gaps for picky eaters
  • Sleep support: Contains melatonin to help with bedtime struggles

Addressing the "Sugar in Gummies" Concern

Genie asks a question many parents have: Aren't gummies bad because of the sugar?

Dr. McKnight's response is refreshingly practical:

"You're worried about one gummy? Let's talk about that bowl of cereal, that soda, that Capri Sun. Come on."

The point? Don't let perfection be the enemy of good. A fiber gummy with a small amount of sugar is far better than a child suffering from chronic constipation or vitamin deficiency.


Practical Advocacy Tips: What to Say and When to Push Back

1. Come Prepared to Tell the Right Story

Bring your symptom log. Be specific. Use timelines. Example:

  • "Starting Monday at 3 PM, he began complaining of stomach pain. By Tuesday morning, he refused breakfast—which is unusual. Wednesday, he had a fever of 101.5°F at 7 AM and 102.3°F at 2 PM."

2. Ask Questions Without Apologizing

If something doesn't make sense, ask for clarification. You're not being difficult—you're being responsible.

3. Trust Your Instincts, Even When Doctors Don't

If you feel something is wrong, keep advocating. Seek a second opinion if needed. Don't leave until your concerns are addressed.

4. Find a Doctor Who Listens

As one of Dr. McKnight's patients said:

"I have two doctors: my regular pediatrician and Dr. McKnight—my acute care doctor."

It's okay to have multiple trusted providers. Find someone who respects your voice.


Why Representation in Healthcare Matters

Dr. McKnight shares a deeply personal story about growing up as the youngest of nine children in a family of high achievers. His father, a 1945 graduate of Howard Medical School, practiced medicine at a time when Black doctors couldn't touch white patients and were barred from many hospitals.

Today, Dr. McKnight is a second-generation physician—and he's helping create pathways for the next generation.

The Pathways to Practice Program

Through Cleveland State University's Pathways to Practice, Dr. McKnight works to increase representation of underrepresented minorities in medicine. The program:

  • Focuses on urban health and healthcare disparities
  • Partners with five medical schools, including an HBCU (Morgan State)
  • Provides wraparound support services and reserved seats for students who meet academic benchmarks
  • Now expanding to dental and pharmacy school pathways

Why This Matters for Your Child

When children see doctors who look like them, trust increases—and so does the quality of care. Representation isn't just symbolic; it's life-saving.

"We only make up 5% of practicing doctors. In dentistry, it's even worse—3.8%."

Programs like Pathways to Practice are working to change that.


Understanding Urban Health and Healthcare Disparities

Dr. McKnight defines urban health as addressing the systemic barriers that prevent equitable healthcare access, particularly in Black and Brown communities:

  • Lack of transportation
  • Food deserts
  • Inability to afford medications
  • No access to consistent primary care
  • Historical mistrust of the medical system (rooted in events like the Tuskegee experiments)

The Impact of COVID-19

The pandemic exposed these disparities in stark terms. Black and Brown communities had:

  • Higher infection rates
  • More severe outcomes
  • Less access to testing and vaccines
  • Deeper mistrust due to misinformation and historical trauma

Dr. McKnight's sister, a healthcare professional, died of advanced-stage cancer because she didn't have insurance as an independent contractor. Had the Affordable Care Act existed earlier, she might still be alive.

"Healthcare disparities are real. I've lived it. I've seen it. And it's something we have to get better at."


Actionable Takeaways: What You Can Do Today

For Your Child's Health:

📝 Start a health journal (notebook or voice notes)
🩺 Stock your medicine cabinet with basics: Motrin, Tylenol, thermometer
🦠 Consider probiotics and fiber if your child has GI issues or picky eating
🛌 Try melatonin-based sleep support if bedtime is a nightly battle
🗣️ Practice telling your child's story clearly and confidently

For Medical Appointments:

✅ Write down questions before you go
✅ Bring your symptom log
✅ Ask for clarification when needed
✅ Don't leave until your concerns are addressed
✅ Seek a second opinion if you feel dismissed

For Long-Term Advocacy:

🎓 Talk to your children about careers in STEM and healthcare
🏥 Seek out diverse healthcare providers when possible
💬 Share your experiences to help other parents navigate the system
📢 Support programs like Pathways to Practice that increase representation


Resources Mentioned in This Episode

🔗 McKnightMD.com – Pediatric wellness supplements including probiotics, fiber, multivitamins, and sleep support
🔗 Cleveland State University's Pathways to Practice Program – Supporting underrepresented minorities in medicine
🔗 Federally Qualified Health Centers (FQHCs) – Affordable, accessible healthcare for underserved communities
🔗 Free Symptom Tracker Template – Download from The Parenting Cipher
🔗 IEP and Medical Advocacy Toolkit – Available at The Parenting Cipher


Memorable Quotes from This Episode

💬 "I always listen to that mother's intuition. I've seen a lot of doctors get burned by dismissing it." — Dr. Timothy McKnight

💬 "Sometimes I feel like because of my color, you're not taking me seriously. You're not taking my child seriously." — Genie Dawkins

💬 "80% of the time, you can get the diagnosis based on history before you even touch the patient." — Dr. Timothy McKnight

💬 "You're worried about one gummy? Let's talk about that bowl of cereal, that soda, that Capri Sun." — Dr. Timothy McKnight

💬 "Representation matters. When our kids see doctors who look like them, they know they can dream bigger." — Genie Dawkins

💬 "Healthcare disparities are real. I've lived it. I've seen it. It's something we have to get better at." — Dr. Timothy McKnight


About the Speakers

Genie Dawkins

Host of The Parenting Cipher Podcast, special education advocate, and mom to two neurodiverse sons. Genie helps families decode complex systems—from IEPs to medical advocacy—and find peace and power in the process.

Connect with Genie:
🎙️ The Parenting Cipher Podcast
📧 Email: info@theparentingcipher.com
📱 Instagram/Social: @theparentingcipher

Dr. Timothy McKnight

Retired pediatrician, pediatric ER physician, and medical equity advocate. Dr. McKnight spent 15–20 years as a pediatric hospitalist and now serves as Executive Director of Cleveland State University's Pathways to Practice Program, working to uplift underrepresented minorities into medicine. He's also the founder of McKnightMD, a line of pediatric wellness products.

Connect with Dr. McKnight:
🌐 McKnightMD.com
🎓 Cleveland State Pathways to Practice
📱 Instagram/TikTok: @mcknightmd


Listen to the Full Episode

🎧 Listen on Apple Podcasts
🎧 Listen on Spotify


Join the Conversation

Did this episode resonate with you?
💬 Drop a comment below and share your biggest takeaway
📩 Email us your medical advocacy stories—we'd love to feature them
📲 Tag us on Instagram using #ParentingCipher and share how you're advocating for your child's health


Download Your Free Advocacy Tools

📥 Free Symptom Tracker for Doctor Visits
📥 Medical Advocacy Letter Templates
📥 IEP Meeting Prep Checklist


Related Episodes You Might Like

🎙️ Episode Title: Navigating IEP Meetings with Confidence
🎙️ Episode Title: Understanding Sensory Processing Disorder


Final Thoughts

Advocating for your child's health isn't about being confrontational—it's about being prepared, persistent, and trusting your parental instincts. Whether you're navigating an ER visit, managing chronic GI issues, or simply trying to get your pediatrician to listen, your voice matters.

As Dr. McKnight reminds us: "You have to listen to that intuition."

And as Genie powerfully adds: "Your advocacy—even without all the medical terms—can be life-saving."

You know your child best. Trust that. Document it. Speak up. And never stop fighting for the care they deserve.


👉 Ready to take action? Download our free resources and share this post with a parent who needs to hear this message today.

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