Podcasts about Neonatology

This week we speak with Professor Vladimiro Vida of U. Padua about a recent ECHSA large scale study assessing surgical outcomes of newborn cardiac surgery in Europe. What trends have become apparent in the past 10 years and why are outcomes generally better overall in this complex patient group? Why have outcomes for single ventricle surgery not improved as much as other newborn surgeries? Is there a relationship between center volume and outcomes? What interventions might result in improvements in outcomes of Norwood palliation? Dr. Vida provides his insights this week. https://doi.org/10.1016/j.athoracsur.2024.07.023

Send us a textIn this episode, I had the pleasure of speaking with Dr Erin Von Klien, who is now a third year Neonatology fellow at Monroe Carell Children's Hospital/Vanderbilt University, Nashville. Erin described her research project on exploring association between caregiver employment decisions and having a preterm infant. Erin describes her project which was also recently published in JAMA pediatrics (Preterm Birth and Caregiver Employment Decisions | Reproductive Health | JAMA Pediatrics | JAMA Network) where she investigated the impact of prematurity in parental employment decisions. She describes how she got interested in this impactful topic and how she found her mentor. She is a 2024 recipient of the AAP Marshall Klaus Award in Health Services Research and a participant in the Vanderbilt Patient/ Practice Outcomes Research in Effectiveness and Systems Science (PROgRESS) T32 Program. In this episode she describes her experience in grant writing and winning the AAP Marshall Klaus award. She also provides valuable advice to incoming fellows who are interested in the physician scientist pathway in health services research. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

This episode covers sudden infant death syndrome.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/sids/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers congenital conditions arising in pregnancy.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/conditionsarisinginpregnancy/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers neonatal abstinence syndrome.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/nas/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers necrotising enterocolitis.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/nec/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

This episode covers bronchopulmonary dysplasia.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/bronchopulmonarydysplasia/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers respiratory distress syndrome.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/rds/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers retinopathy of prematurity.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/rop/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers apnoea of prematurity.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/apnoea/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers prematurity.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/prematurity/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers neonatal jaundice.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/jaundice/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers hypoxic-ischaemic encephalopathy.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/hie/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers neonatal sepsis.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/neonatalsepsis/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers birth injuries.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/birthinjuries/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers newborn examination.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/newbornexam/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers normal care after birth.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/normalcareafterbirth/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers newborn resuscitation.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/newbornresuscitation/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

This episode covers neonatal physiology.Written notes can be found at https://zerotofinals.com/paediatrics/neonatology/neonatalphysiology/Questions can be found at https://members.zerotofinals.com/Books can be found at https://zerotofinals.com/books/The audio in the episode was expertly edited by Harry Watchman.

Did you know that congenital cytomegalovirus (cCMV) is the most common congenital viral infection in newborns and a leading cause of non-genetic hearing loss? Despite its prevalence, awareness and screening for cCMV remain inconsistent across healthcare systems. In this episode, we dive into the critical importance of cCMV screening, early diagnosis, and intervention. Join our expert guests Dr. Ingrid Camelo and Dr. John Noel as they discuss: The impact of cCMV on neonatal and long-term health outcomes Best practices for screening and diagnostic methods The role of early intervention, including antiviral therapy How advocacy efforts are shaping the future of universal screening policies Tune in to stay informed on how pediatricians and healthcare providers can play a vital role in improving outcomes for infants affected by cCMV. Special thanks to Dr. James Grubbs for peer reviewing this episode. CME Credit (requires free sign up): Link Coming Soon! References:  American Academy of Pediatrics. A targeted approach for congenital cytomegalovirus. Available at: https://publications.aap.org/pediatrics/article/139/2/e20162128/60211/A-Targeted-Approach-for-Congenital-Cytomegalovirus. Accessed August 13, 2024. Chiopris G, Veronese P, Cusenza F, Procaccianti M, Perrone S, Daccò V, Colombo C, Esposito S. Congenital cytomegalovirus infection: update on diagnosis and treatment. Microorganisms. 2020 Oct 1;8(10):1516. doi: 10.3390/microorganisms8101516. PMID: 33019752; PMCID: PMC7599523. Gantt S. Newborn cytomegalovirus screening: is this the new standard? Curr Opin Otolaryngol Head Neck Surg. 2023 Dec 1;31(6):382-387. doi: 10.1097/MOO.0000000000000925. Epub 2023 Oct 11. PMID: 37820202. Minnesota Department of Health. Minnesota implements universal newborn screening for cytomegalovirus. Available at: https://www.health.state.mn.us/news/pressrel/2023/ccmv020823.html. Accessed August 13, 2024. National CMV Foundation. Advocacy: universal newborn CMV screening. Available at: https://www.nationalcmv.org/about-us/advocacy#:~:text=Minnesota%20was%20the%20first%20state%20to%20enact%20universal%20newborn%20CMV%20screening. Accessed August 13, 2024. New York State Department of Health. Newborn screening for cytomegalovirus. Available at: https://www.health.ny.gov/press/releases/2023/2023-09-29_newborn_screening.htm#:~:text=ALBANY%2C%20N.Y.,all%20babies%20for%20the%20virus. Accessed August 13, 2024. UpToDate. Congenital cytomegalovirus (CMV) infection: clinical features and diagnosis. Available at: https://www.uptodate.com/contents/congenital-cytomegalovirus-ccmv-infection-clinical-features-and-diagnosis?search=cmv%20screening&source=search_result&selectedTitle=1%7E28&usage_type=default&display_rank=1#H92269684. Accessed August 13, 2024. UpToDate. Congenital cytomegalovirus (CMV) infection: management and outcome. Available at: https://www.uptodate.com/contents/congenital-cytomegalovirus-ccmv-infection-management-and-outcome?search=congenital%20cmv&source=search_result&selectedTitle=2%7E66&usage_type=default&display_rank=2. Accessed August 13, 2024. UpToDate. Ganciclovir and valganciclovir: an overview. Available at: https://www.uptodate.com/contents/ganciclovir-and-valganciclovir-an-overview?search=ganciclovir&source=search_result&selectedTitle=2%7E80&usage_type=default&display_rank=1#H6. Accessed August 13, 2024. University of Texas Medical Branch. Neonatology manual: infectious diseases. Available at: https://www.utmb.edu/pedi_ed/NeonatologyManual/InfectiousDiseases/InfectiousDiseases3.html#:~:text=may%20be%20required.-,Cytomegalovirus,Clinical%20findings. Accessed August 13, 2024. National Center for Biotechnology Information. Cytomegalovirus (CMV) infection. Available at: https://www.ncbi.nlm.nih.gov/books/NBK541003/. Accessed August 13, 2024.                                                                                                             

This week marks the final episode of our Neonatology series on The Virtual Curbside! Don't miss the opportunity to hear listener questions answered by neonatology experts. Join host Paul Wirkus, MD, FAAP, and special guest Tara DuPont, MD, for an engaging and informative discussion as they wrap up this outstanding series. Have a question? Email questions@vcurb.com. Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Send us a textIn this episode, I had the pleasure of speaking with Dr Kelsey Kirkman who is now a third year Neonatology fellow at Texas Children's Hospital. Kelsey shared with us her primary fellow project on creating a debrief tool for residents following critical events in the NICU. She describes in depth about how she came up with this idea and how she found her mentor to help support and navigate her medical education interest.  We talked about medical education theories and how to perform a thematic analysis. We talk about her challenges in implementing her project and how she tackled them. We also discussed how she took her medical education research to the next level by pursuing a Masters in Medical education through UT Houston. She shared insights on how she balanced fellowship training with her masters. Kelsey also shared her lessons learnt from her experience and provided some of the resources that helped her understand medical education better. Kelsey hopes to have a medical career in a leadership role, leading a training program, and applying her knowledge in medical education in improving neonatology subspeciality training.  As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

You can text us here with any comments, questions, or thoughts!In this encore episode, Kemi welcomes Dr. Tamorah Lewis, a neonatologist and pediatric clinical pharmacologist, to discuss the intricate dance of motherhood and career. Together, they explore the challenges and triumphs of being high-achieving women of color in academia.   Join Kemi and Dr. Lewis as they candidly reflect on their personal journeys, the evolving definition of success in motherhood, the vital role of supportive partnerships and the intentional steps we can take to empower our children.  Highlights from this episode: Embracing Imperfections in Motherhood The Importance of Self-Worth and Identity Navigating Career and Family Dynamics The Role of Support Systems in Parenting Redefining Success as a Working Mother  Loved this convo? Please go find Dr. Lewis on X (fka Twitter) @TamorahLewisMD and show her some love!  More about Dr. Tamorah Lewis, MD, PhD - Dr. Tamorah is a physician scientist and the Division Head for Clinical Pharmacology and Toxicology at SickKids. In this role, her goal is to advance the hospital-wide vision for Precision Child Health and collaborate with multiple clinical Divisions to research and implement precision therapeutics. She will provide clinical care in the Level IV NICU at SickKids. Prior to this new role, Lewis was at Children's Mercy Kansas City in the Divisions of Neonatology and Pediatric Clinical Pharmacology for seven years. She worked as an attending in the Level IV NICU and led translational / clinical research in neonatal pharmacology.  If you'd like to learn more foundational career navigation concepts for women of color in academic medicine and public health, sign up for our KD Coaching Foundations Series: www.kemidoll.com/foundations.  REMINDER: Your Unapologetic Career Podcast now releases episode every other week! Can't wait that long? Be sure you are signed up for our newsletter (above) where there are NEW issues every month! 

This week, adjusting age for milestones for NICU graduates will be discussed with host Paul Wirkus, MD, FAAP, and Tara DuPont, MD.Have a question? Email questions@vcurb.com. Your questions will be answered next week.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Guest: Dr. Jess Daigle Physician & Postpartum Expert Founder/CEO of Mom & Me MD NICU Mom   CEU objectives for this episode: Describe at least one specific technique that NICU professionals can use to manage their emotions and maintain a supportive demeanor when working with families of NICU babies List four practical strategies NICU professionals can implement to support families during medical procedures or to alleviate stressful situations Explain two or more methods for assessing the unique needs of NICU families as they navigate the NICU stay and prepare for discharge This episode is eligible for CEUs. Visit https://handtohold.org/resources/podcasts/nicu-heroes/ to complete the questionnaire. It is the sole responsibility of the individual to verify if this credit is valid and eligible for use in your State and/or for your discipline for licensure or certification renewal.  

Join us this week for the conversation about monitoring growth with NICU graduates with host Paul Wirkus, MD, FAAP, and Tara DuPont, MD.Have a question? Email questions@vcurb.com. Your questions will be answered next week.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This month, Tara DuPont, MD, and host Paul Wirkus, MD, FAAP, will discuss neonatology. In week one, they will discuss the importance of communication between the NICU and providers. Have a question? Email questions@vcurb.com. Your questions will be answered next week.Want more information about Common Problems in Pediatrics, June 3-4, 2025? Register now. For more information about available credit, visit vCurb.com.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Send us a textIn this episode, I had the pleasure of speaking with Dr Ilana Levene, who is now a Neonatology subspeciality trainee at Oxford, England. Ilana has done some fantastic work on exploring the important topic of human milk expression. She described her randomized control trial in using relaxing techniques to facilitate human milk expression in the NICU. She shared the challenges that she had in conducting her RCT. We also talked about RCTs with negative results and how negative results are also important in conducting research. Ilana has now created a website with printables for parents and staff in the NICU on human milk expression. This can be assessed for free here : http://www.hifn.org/printable . Ilana also shared her interest in perinatal equity and shared details on her project Spectrum which involves gathering photos of the lactating breast conditions/chest from people with a wide spectrum of skincolours. These will be provided as a free educational image library. Currently she is chairing a priority setting partnership for LGBTQIA+ perinatal care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this week's episode, Daphna hosts a powerful roundtable featuring Drs. Kerri Machut, Milenka Cuevas-Guaman, Emily Miller, Christine Bishop, and Christiane Dammann—leaders of a national effort to improve neonatology staffing. Together, they share insights from their recently developed recommendations, created through a Delphi consensus process and supported by a strategic grant from the AAP Section on Neonatal-Perinatal Medicine. These evidence-informed guidelines aim to promote safer, more sustainable, and more transparent staffing models in NICUs across the country. The team discusses key themes including defining clinical FTEs in hours per year, ensuring flexible scheduling, protecting time for scholarly and administrative work, and how to advocate for systemic change. Notably, these landmark recommendations have been accepted for publication in the journal Pediatrics and will be available online in May 2025. Listeners will also learn about an upcoming toolkit designed to help individuals and institutions apply these recommendations in practice. Whether you're a practicing neonatologist, a trainee, or in a leadership role, this conversation offers timely solutions to address burnout, support workforce well-being, and ultimately improve care for the smallest and sickest patients. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Los artículos que se tratan en el episodio de hoy están listados aquí:Charpak N, Rivera CL-, Hernandez JT. KMC and Brain Development: A Plea for Starting KMC as Early as Possible and as Long as Possible. Journal of Neonatology. 2024;38(2):191-201. doi:10.1177/0973217924123547Pallás-Alonso C, Montealegre A, Hernández-Aguilar MT, Muñoz-Amat B, Collados-Gómez L, Jiménez-Fernández L, et al. XIII International Conference on Kangaroo Mother Care – Different opinions, experiences and related KMC issues: Good practices, stabilisation concept, nutrition and basic respiratory support. Acta Paediatr. 2023; 112: 2478–2485. https://doi.org/10.1111/apa.16960 Bienvenidos a La Incubadora: una conversación sobre neonatología y medicina basada en evidencia. Nuestros episodios ofrecen la dosis ideal (en mg/kg) de los más recientes avances para el neonato y para las increíbles personas que forman parte de la medicina neonatal. Soy tu host, Maria Flores Cordova, MD. Este podcast está presentado por los médicos neonatólogos Dani de Luis Rosell, Elena Itriago, Carolina Michel y Juliana Castellanos. No dudes en enviarnos preguntas, comentarios o sugerencias a nuestro correo electrónico: nicupodcast@gmail.comSíguenos en nuestras redes:Twitter: @incubadorapodInstagram: @laincubadorapodcast Creado originalmente por Ben Courchia MD y Daphna Yasova Barbeau MD http://www.the-incubator.org

Guest Suggestion Form: ⁠⁠https://forms.gle/bnaeY3FpoFU9ZjA47⁠⁠Disclaimer: This video is intended solely for educational purposes and opinions shared by the guest are her personal views. We do not intent to defame or harm any person/ brand/ product/ country/ profession mentioned in the video. Our goal is to provide information to help audience make informed choices.Follow Our Whatsapp Channel: ⁠⁠https://whatsapp.com/channel/0029VaokF5x0bIdi3Qn9ef2J⁠⁠Subscribe To Our Other YouTube Channels:-⁠⁠https://www.youtube.com/@rajshamaniclips⁠⁠⁠⁠https://www.youtube.com/@RajShamani.Shorts⁠⁠Timestamps (00:00) - Introduction(02:30) - Common Misunderstandings About Baby Skin & Doctors' Roles(03:03) - Common Skin Problems in Babies(04:55) - Can You Change a Baby's Skin Tone?(07:02) - Are Natural Baby Products Genuine or a Scam?(09:17) - Best Baby Oils: Mustard Oil vs. Coconut Oil(10:33) - The Right Way to Massage Your Baby(12:54) - Benefits of Massaging Your Baby(14:00) - Best Ingredients for Baby Massage Oils(14:42) - Is Mudan Important for Babies?(16:18) - Using Milk & Ghee for Fairness and Softness(19:20) - Ingredients to Avoid in Baby Skincare Products(22:53) - Baby Skincare Routine & Sunscreen(24:06) - How to Protect Your Baby from the Sun(24:46) - Do Babies Need Soap?(26:25) - What Are Natural Barriers & How Do They Affect Baby Skin?(28:32) - Ideal Skincare for Babies(30:24) - Best Cleansers for Babies(32:26) - When Should Newborns Be Exposed to the Outside World?(33:10) - Should You Kiss a Newborn?(34:28) - Differences Between Adult Skin & Baby Skin(35:38) - Can Adults Use Baby Products? (38:09) - Risks of Using Talcum Powder(39:33) - Skin Infections in Premature Babies(41:21) - Winter Skincare Tips(43:09) - Common Skin Allergies in Babies(44:28) - Are Mosquito Repellents Safe for Babies?(45:06) - Foods That Can Cause Allergies in Babies(47:07) - Can You Use Wet Wipes on Babies?(48:05) - Best Diapers & Diaper Alternatives(50:32) - Diaper Rashes in Babies(52:24) - Can You Use Antiseptic Products for Baby Wounds?(54:33) - Message to Parents About Baby Skin Care(55:26) - Behind the Scenes(55:51) - OutroIn this first episode of our special series with sensitive skin expert Cetaphil, we have Dr. Arpit Gupta, a gold medalist in MD Pediatrics and Neonatology with specialized training from Boston and USA, as our guest. He shares essential baby skincare knowledge every parent needs.Dr. Gupta identifies common mistakes parents make: leaving oil in hair too long, causing crusts, applying substances like ubtan, and using harsh massage techniques. He debunks myths about skin tone and provides practical guidance on safe oils. The doctor warns against talc powders and shares the ideal skincare routine for babies.Learn why adults increasingly use baby products, get winter skincare tips, and discover when babies can safely go outside. Dr. Gupta offers reassurance about premature babies and practical advice for everyday care. Subscribe for more such episodes!To Know More,Follow Raj Shamani On ⤵︎Instagram @RajShamani⁠⁠ https://www.instagram.com/rajshamani/⁠⁠Twitter @RajShamani⁠ ⁠https://twitter.com/rajshamani⁠⁠Facebook @ShamaniRaj ⁠⁠https://www.facebook.com/shamaniraj⁠⁠LinkedIn - Raj Shamani ⁠⁠https://www.linkedin.com/in/rajshamani/⁠⁠#podcast #figuringout #rajshamani

Send us a textIn this episode, I had the pleasure of speaking with Dr Shayla Percy, who is now a third year Neonatology fellow UPMC Children's Hospital of Pittsburgh. Shayla described her QI project and the steps she took with her team to improve detection and management of metabolic disease of prematurity. She talked about the team work and the support from her mentors that set her up for a successful project. We also talked about some of the challenges that she experienced and how she tackled it. Shayla completed QI courses during the fellowship and also won the AAP young investigator award for her project. Shayla shared her experience presenting her work at AAP and provided insights to future incoming fellows who might be interested in a similar research pathway.  As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Guest: Dr. Bob White Neonatologist Director of the Regional Newborn Program, Beacon Health System Adjunct Professor, University of Notre Dame   CEU objectives for this episode: Name two design elements that were the norm for NICUs 30 years ago. List two ways in which redesigned NICUs are helping improve outcomes of neonates. Explain how NICU design standards are developed. This episode is eligible for CEUs. Visit https://handtohold.org/resources/podcasts/nicu-heroes/ to complete the questionnaire. It is the sole responsibility of the individual to verify if this credit is valid and eligible for use in your State and/or for your discipline for licensure or certification renewal.  

This week we delve into the world of cardiovascular surgery and general cardiology when we review a recent report from UVA on the topic of feeding around the time of neonatal heart surgery. Does preoperative oral feeding improve the chances for 'tube-free' enteral feeds at discharge after heart surgery in small infants? Why might oral feedings improve the chances of discharge oral feedings? How should clinicians think about the known benefits of early CHD surgery for some CHD lesions with the benefits of oral feedings? Dr. Aseel Dabbagh of Children's Mercy Hospital in Kansas City shares her insights into these and other questions. DOI: 10.1007/s00246-024-03750-z

Send us a textIn this special episode of The Incubator Podcast, done in collaboration with the California Association of Neonatologists for the upcoming Cool Topics in Neonatology conference, Ben and Daphna welcome Dr. Robin Steinhorn, a leader in neonatal medicine, alongside Dr. Denise Suttner. Dr. Steinhorn, the keynote speaker for Cool Topics 2025, shares insights from her storied career, reflecting on the highs, lows, and lessons that have shaped her journey. From groundbreaking research in nitric oxide therapy to leadership in neonatology, she offers a candid discussion on navigating challenges, fostering collaboration, and embracing opportunities beyond predefined career paths.The conversation also delves into pressing issues in pediatrics, including workforce shortages in subspecialties, gender disparities in medicine, and innovative workplace policies supporting women and families in healthcare. Dr. Steinhorn's wisdom extends to mentorship, career adaptability, and the future of neonatal care.Additionally, Dr. Suttner provides an exciting preview of Cool Topics 2025, highlighting discussions on neonatal legal challenges, probiotic use, and emerging fentanyl-related neonatal conditions.Listeners can register for Cool Topics (March 5-7, 2025, in San Diego) using code INCUBATOR for a $50 discount. Tune in for an inspiring episode packed with leadership, innovation, and the future of neonatology! As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textWelcome to the debut episode of Rupa's Fellows Friday, a new series on The Incubator podcast, hosted by Dr. Srirupa Gopal. This series celebrates the incredible research and passion of neonatology fellows from around the globe. Our first guest, Dr. Amee Amin, a third-year neonatology fellow at Texas Children's Hospital (TCH), shares her inspiring journey and groundbreaking work in global health.Dr. Amin discusses her diverse background—born in Kenya, raised in Tanzania, and trained in India, the UK, and the US—and how it shaped her dedication to improving neonatal care in low-resource settings. She highlights her recent project: developing and implementing a low-cost continuous respiratory rate monitor designed for use in neonatal intensive care units in low- and middle-income countries. This innovative device, created in collaboration with Rice University, uses sensors to measure respiratory rates accurately and affordably, empowering healthcare providers with vital tools in resource-constrained settings.The conversation also delves into the challenges of conducting global health research during fellowship, the importance of mentorship, and Dr. Amin's transformative experiences working in Malawi and presenting at the Tiny Feet Big Steps conference in Tanzania. This inspiring episode highlights the power of passion, collaboration, and innovation in neonatology. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Los artículos que se tratan en el episodio de hoy están listados aquí:Charpak N, Rivera CL-, Hernandez JT. KMC and Brain Development: A Plea for Starting KMC as Early as Possible and as Long as Possible. Journal of Neonatology. 2024;38(2):191-201. doi:10.1177/0973217924123547Pallás-Alonso C, Montealegre A, Hernández-Aguilar MT, Muñoz-Amat B, Collados-Gómez L, Jiménez-Fernández L, et al. XIII International Conference on Kangaroo Mother Care – Different opinions, experiences and related KMC issues: Good practices, stabilisation concept, nutrition and basic respiratory support. Acta Paediatr. 2023; 112: 2478–2485. https://doi.org/10.1111/apa.16960Bienvenidos a La Incubadora: una conversación sobre neonatología y medicina basada en evidencia. Nuestros episodios ofrecen la dosis ideal (en mg/kg) de los más recientes avances para el neonato y para las increíbles personas que forman parte de la medicina neonatal.Soy tu host, Maria Flores Cordova, MD.Este podcast está presentado por los médicos neonatólogos Dani de Luis Rosell, Elena Itriago, Carolina Michel y Juliana Castellanos.No dudes en enviarnos preguntas, comentarios o sugerencias a nuestro correo electrónico: nicupodcast@gmail.comSíguenos en nuestras redes:Twitter: @incubadorapodInstagram: @laincubadorapodcastCreado originalmente por Ben Courchia MD y Daphna Yasova Barbeau MD http://www.the-incubator.org Bienvenidos a La Incubadora: una conversación sobre neonatología y medicina basada en evidencia. Nuestros episodios ofrecen la dosis ideal (en mg/kg) de los más recientes avances para el neonato y para las increíbles personas que forman parte de la medicina neonatal. Soy tu host, Maria Flores Cordova, MD. Este podcast está presentado por los médicos neonatólogos Dani de Luis Rosell, Elena Itriago, Carolina Michel y Juliana Castellanos. No dudes en enviarnos preguntas, comentarios o sugerencias a nuestro correo electrónico: nicupodcast@gmail.comSíguenos en nuestras redes:Twitter: @incubadorapodInstagram: @laincubadorapodcast Creado originalmente por Ben Courchia MD y Daphna Yasova Barbeau MD http://www.the-incubator.org

Send us a textIn this episode of The Incubator Podcast, hosts Ben and Daphna welcome Dr. Cami Martin, a renowned expert in neonatal nutrition. Dr. Martin shares her insights on the evolving landscape of neonatal nutritional care, highlighting the critical role of early nutrition in shaping long-term outcomes for preterm infants. With a wealth of experience in clinical research and bedside practice, Dr. Martin delves into the latest evidence-based strategies to optimize growth and development in the NICU, addressing key challenges faced by neonatal care teams.Throughout the conversation, Dr. Martin discusses practical approaches to individualized nutrition plans, the importance of fortification strategies, and the potential of emerging innovations in the field. She also provides valuable guidance on how clinicians can implement best practices to support the unique nutritional needs of vulnerable newborns.Whether you're a seasoned neonatal professional or new to the field, this episode offers invaluable perspectives on advancing neonatal care through tailored nutritional interventions. Tune in to gain practical takeaways and explore the future of neonatal nutrition with one of the leading voices in the field. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this week's Journal Club, Ben and Daphna discuss six impactful studies shaping neonatal care. The conversation opens with a retrospective study exploring the timeline and factors influencing liberation from respiratory support in infants with severe bronchopulmonary dysplasia (BPD), offering valuable insights for parental counseling and care planning. A survey on enteral nutrition practices in U.S. NICUs highlights variability in feeding protocols and fortification strategies, with an encouraging trend toward donor milk use.The hosts then delve into a study on anti-seizure medication protocols, showing how structured pathways can significantly reduce the number of infants discharged on these medications. A European survey on anemia of prematurity reveals wide variations in iron supplementation and erythropoietin use, emphasizing the need for standardized practices. They also review a commentary on the evolving design of NICUs, which warns against sensory deprivation and advocates for balancing protective and nurturing environments.Finally, the discussion turns to a Spanish study on bemiparin, a low molecular weight heparin for neonatal thrombosis. While safe, the treatment faces challenges in achieving full thrombus resolution, highlighting the complexities of managing neonatal clotting disorders. Packed with insights and updates, this episode is a must-listen for neonatal professionals. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

This week we review a recent report that asks the question, 'Do all infants who present with SVT require preventive anti-arrhythmic medical therapy?' Who might be a candidate for not using an anti-arrhythmia medication in infancy? What sort of parental education is needed to potentially not use medicine and how do patients not treated compare to those who were treated with anti-arrhythmics in regards to re-admission or presentation to the emergency department or development of tachycardia induced cardiomyopathy? How should parents assess their infants for SVT at home? How long should infants be monitored prior to discharge to home after a single uncomplicated episode of SVT? We speak with Assistant Professor of Pediatrics at Washington University and the first author of this week's work, Dr. Anthony Pompa. DOI: 10.1007/s00246-023-03263-1

Send us a textIn this engaging Journal Club episode, Ben and Daphna return to explore the latest research in neonatology. They begin with a pivotal clinical report from Pediatrics on updated algorithms for newborn screening of critical congenital heart disease (CCHD), highlighting simplified protocols and their significant impact on infant mortality. The discussion delves into screening challenges in the NICU, high-altitude settings, and for out-of-hospital births.Next, they discuss the CordSafe study from Australia, a phase 1 trial on the safety of autologous cord blood-derived cell administration for extremely preterm infants, aimed at reducing brain injuries like IVH. Daphna explains the rigorous methodology and promising early findings.Ben then reviews the STAT trial, which evaluates whether primary anastomosis offers better outcomes than stoma formation in NEC surgery. The results show significant reductions in TPN duration and intestinal complications with primary anastomosis.The hosts also discuss trends in PDA management and their surprising association with increased rates of BPD over the past decade, along with insights into evolving diagnostic and therapeutic practices.Finally, they analyze a Spanish study on elective extubation during skin-to-skin care, finding it to be a feasible and safe practice, potentially enhancing neonatal and parental outcomes.Don't miss next week's exciting interview with Dr. Keith Barrington! As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Get Dr. Mina's Ultimate (Affordable) Skincare Guide here. Get Dr. Mina's free PDF on How to create Healthy Skin Habits here. Think skincare is just what actives you use and procedures you have done? Nope! Actually more impactful than that is how you take care of your body as a whole- yep, think mind, body and soul! Whether it's exercise, eating right, or just keeping a positive outlook, we forget that balance and consistency—not extremes—are what really make a difference in the long run. Tune into this week's podcast with Dr. Ali Novitsky where she discusses how food and exercise shape our health, which diet and workouts work best for midlife women, and the diet myths we need to leave behind. Plus, she shares her top 3 tips for optimal health.  Key Takeaways: - Taking care of your body is essential for skin health. - 10 minutes of exercise can be effective. - Quality of exercise is more important than quantity. - Women face challenges in gaining muscle as they age. - Resistance training can be achieved through various forms of exercise. - Prioritizing protein intake is crucial for muscle maintenance. - Added sugars are often hidden in processed foods. - Carbohydrates are not inherently bad; it's about the type. - Balance and moderation are key in nutrition. - Making the next best decision is vital for health. Gut health is supported by prebiotics and mindful eating. - Modeling positive body image is crucial for children. - Moderation in alcohol consumption can lead to weight loss. - Mocktails can be a healthy alternative to alcoholic drinks. - Strength training can be effective with just 10 minutes, three times a week. - Cardio should be enjoyable, not a weight loss strategy. - Aim for at least 5,000 steps a day for health benefits. - Creatine can be beneficial for women, especially in midlife. - GLP-1 agonists can help those with metabolic dysfunction. - Mindset is essential in achieving health goals. Dr. Ali Novitsky is the visionary CEO and founder of The FIT Collective™ (www.thefitcollective.com), where her passion for health and wellness shines brightly. With triple board certifications in Obesity Medicine, Pediatrics, and Neonatology, she brings a wealth of knowledge as a Certified Master Coach, Nutrition and Fitness Trainer & Strategist, International Speaker, and host of the podcast “Metabolism, Muscles, & Mindset.”  Ali earned her medical degree from Temple University School of Medicine and honed her skills through a Pediatric residency and Neonatal Fellowship at Thomas Jefferson/AI duPont Hospital for Children. She is a master certified coach and her mission revolves around empowering women physicians to unlock their unique potential through straightforward, science-backed strategies for optimal health.  Ali's innovative CME coaching programs, tailored for women physicians, are constantly evolving, featuring offerings like Beginner & Advanced Strength Training,Transform® (72-CME Credits), Nutrition Training for Healthcare Providers (48-CME Credits), and Optimal GLP-1 Weight Loss. Additionally, through her trademarked nutrition program, Mindful Macros®, she merges an intuitive and gentle approach to nutrition, driving her clients toward outstanding health outcomes.  When she's not creating, Ali cherishes time with her 2 daughters and husband Mark, a Board Certified Psychiatrist and co-founder of The FIT Collective™, as they combine their expertise in neuroscience to help others achieve lasting health transformations. Website: https://www.thefitcollective.com Instagram: @alinovitskymd Tik tok: Ali Novitsky MD Facebook: Ali Novitsky MD Follow Dr. Mina here:-  https://instagram.com/drminaskin https://www.facebook.com/drminaskin https://www.youtube.com/@drminaskin https://www.linkedin.com/in/drminaskin/ For more great skin care tips, subscribe to The Skin Real Podcast or visit www.theskinreal.com Baucom & Mina Derm Surgery, LLC Website- https://www.atlantadermsurgery.com/ Email - scheduling@atlantadermsurgery.com Contact - (404) 844-0496 Instagram - https://www.instagram.com/baucomminamd/ Thanks for listening! The content of this podcast is for entertainment, educational, and informational purposes and does not constitute formal medical advice.

Send us a textIn this episode of The Incubator Podcast's “Giants of Neonatology” series, hosts Ben Courchia and Daphna Barbeau welcome the renowned Professor Lex Doyle. With a career spanning over 40 years, Professor Doyle shares his journey through the transformative eras of neonatal care. He reflects on the evolution of neonatal practices, his pioneering role in the Victorian Infant Collaborative Study, and the critical importance of long-term follow-up research for preterm infants.Professor Doyle discusses his early experiences in neonatal care during a time of limited technology and evolving approaches. He highlights the significance of collaboration, mentorship, and multidisciplinary teamwork in advancing the field. The conversation delves into the challenges and successes of his groundbreaking studies, including research on family-centered care and long-term developmental outcomes.Listeners will gain valuable insights from Professor Doyle's reflections on the balance between clinical work and research, his dedication to improving neonatal outcomes, and his advice for young neonatologists navigating their careers. This episode offers an inspiring look at the profound impact of one of neonatology's most influential figures. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode, Ben and Daphna wrap up Hot Topics in Neonatology 2024 with Dr. Jay Greenspan, a leader in the conference's organizing committee. Dr. Greenspan reflects on key takeaways, including reevaluations of antenatal corticosteroids and furosemide use, the enduring importance of kangaroo care, and the value of international collaboration. He highlights the conference's legacy of fostering connections and driving neonatal science forward. This discussion celebrates the progress made and looks ahead to the future of Hot Topics and neonatology. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode, Ben and Daphna sit down with Dr. Jochen Profit, neonatologist at Lucile Packard Children's Hospital and professor at Stanford University, to discuss key takeaways from Hot Topics in Neonatology 2024. Dr. Profit shares insights from sessions on optimizing PEEP, innovative monitoring technologies like electrical impedance tomography, and the global approaches to extreme prematurity care. He also highlights the role of quality improvement in addressing health disparities, emphasizing the importance of equity-focused strategies in neonatal care. This conversation offers a comprehensive look at advancements shaping neonatology.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode, Ben and Daphna are joined by Dr. Nicolas Bamat, neonatologist at the Children's Hospital of Philadelphia and assistant professor at the University of Pennsylvania, to discuss his work on furosemide for established BPD. Dr. Bamat shares insights into the complexities of polypharmacy in neonates, emphasizing the need for developmental pharmacology and medication stewardship. He also highlights CHOP's evolving approach to furosemide use, focusing on intent and outcomes. Additionally, Dr. Bamat introduces the EBNEO Impact Article of the Year campaign, celebrating impactful neonatal research.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode, Ben and Daphna welcome Dr. Roger Soll, editor-in-chief of the Cochrane Neonatal Review Group, to discuss the legacy of Dr. Jerry Lucey and the evolution of Hot Topics in Neonatology. Dr. Soll reflects on the groundbreaking research and collaborations that emerged from the conference, including advancements in IVH, ROP, and surfactant therapy. He shares insights from the latest sessions, emphasizing the importance of developmental issues like feeding and follow-up care in preterm infants. This inspiring conversation highlights the value of collaboration and curiosity in neonatal research.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode, Ben and Daphna are joined by Dr. Eduardo Bancalari, a pioneer in neonatology, to reflect on his Gerald Lucy keynote address at Hot Topics in Neonatology titled BPD After 50 Years: Have We Made Progress? Dr. Bancalari explores the challenges in defining and managing bronchopulmonary dysplasia (BPD) amidst evolving neonatal care practices. He shares insights from his research on continuous respiratory monitoring and highlights the impact of advancements like high-flow nasal cannulas and the potential of artificial wombs. This conversation delves into the complexities of neonatal respiratory care and the future of viability in neonatology.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode, Ben and Daphna sit down with Dr. Reese H. Clark, research consultant and associate professor at Duke University, to discuss leveraging electronic medical records (EMRs) and big data to improve neonatal care. Dr. Clark highlights the transformative potential of EMR data for quality improvement, sharing insights from his pioneering work on neonatal conditions such as fungal sepsis and chronic lung disease. He emphasizes the importance of understanding data variability, consistency in practices, and the moral obligation to use data to enhance patient outcomes. This conversation underscores the power of data-driven care in neonatology.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!