#neonatology

[heardatmedschool]

“There’s nothing nicer than the sound of vigorous crying after an emergency C-section.”

[obakanosandoitchi]

paeds rotation is nearly coming to an end 🥹 I only hope internal medicine is not too hard on me.

[tmedic]

#training day 2

: intubating neonates - the cuteness of Miller laryngoscope for neonates has a very high rate ! ❣️😂

[ahopefulbromantic]

I met the apostles after the Resurrection.

They are sad, lost, and i cannot figure out why. Wasn't it all tetelestai? Shouldn't they be the happiest they can be?... I see John gripping his new Mother's sleeve like a child, watching her back as if he's terrified to lose her even for a moment. I see James awkwardly hanging around them. I see Peter, his cheeks marred with tearmarks.

They all look to him, unsure. He's no less lost than the rest. "I'm going fishing" he finally says. He leaves "whoever wants to join me go ahead" unsaid, he knows they will anyway.

They return to their homes to change and get their tools. Not all of them. There are whispers behind me. "I don't have a home anymore," I hear. "I left everything to follow Him." There are soft, sad murmurs, there are sighs and pats on the back, finally there are several footsteps, fading away together.

I come to Peter. I call him Peter, the Rock, and that's how he knows. He's sitting on the floor in his room, crying, alone. "I betrayed Him..." It's so painful to see him like that. "He loves you." "I know, that's the problem! He loved me! He still loves me and I betrayed Him!" he wails. Then he slowly raises his head and looks to the distance.

"I should've been the one to hang myself."

My heart breaks in half.

"No... No, no Peter, no...!" I hug him tight. He weeps in my arms for a long while, after which he wipes his nose and gets up, shakily. "You're right. I gotta occupy myself with something."

He comes out to see a group of his brothers with nets, rods, and other fishing gear. His nose is red, his eyes swollen, his chin trembling. No one finds it surprising.

"Why are you all sad? Didn't He resurrect?" I ask one of them when we're finally on a boat. There's only gentle rocking and water splashing. No one else talks. No one smiles. No one enjoys it.

"He did," he says. "He came back from the dead and He's God and we are not worthy of Him. We haven't seen Him for a while."

"But didn't He say you were to meet in Galilee?"

"He did. But we've been here for a couple of days already and He hasn't come to us. What if..." He looks me in the eye. His voice is shaking. "What if He doesn't want to see us anymore? What if because of our betrayal and our sins He turned His back on us? That's what we deserve, isn't it."

I remember my neonatology classes. The nurse told us how 3-day-old children wouldn't stop crying after having been so quiet before. Their mothers wouldn't know what to do, scared something was wrong. But the moment the nurse takes the child in their arms, just like magic the baby calms down instantly. The reason for that was quite simple. Being born is the greatest shock a human ever has to endure. So naturally, for the first few days babies have to recover from it - that's why they are so calm, they're exhausted. After they gain some energy, they get anxious. See, this little human for their whole short life has been surrounded by their mom - they could hear her heartbeat, hear her muffled voice, share her nutrients, and be completely embraced by her body every moment. But after getting born they would suddenly have to spend time apart from her. They didn't know whether she would return so they would start crying, thinking she abandoned them when she was just a few feet away, loving them with all her heart.

It's in that moment that I realize: the apostles are the 3-days-old babies. And though my heart breaks for them, it can't help giggle a little inside simultaneously. For in my mind's eye i can see how in just an hour or so Peter, quiet, sad, mindlessly operating the net, this very Peter will be jumping with joy, crying laughing (no break from the tears for him), running around, screaming:

"He forgave me! People, you hear that?! HE FORGAVE ME!!!!"

[dr-scarlette-witch]

10.05.2024

Completing 10 days of NICU posting. 10/10 can tell that I have only 20% idea of whatever is going on. Feels like more of an internship rather than a residency here.

[enigma-the-mysterious]

[ID: A neonate sleeping slightly sideways. One of her tiny pink hand is peeking out of the blanket and grasping my finger tightly. /end ID]

Neonatology is my favourite class. These cuties make all the stress worth it

[drsonnet]

10-11-2023 Northern Gaza:

“We had to leave the patients behind. In the ICU of Nasr Children’s Hospital, we had to leave the patients in their beds…We left surrounded by tanks. We couldn’t take any of the patients with us.”

#ICRC committed to transport these NICU babies to another hospital or any safe place upon evacuation of the Hospital. #ICRC left those children there to die in collaboration with IOF which made the hospital a military occupied place!

During the truce,...Parents returned to the hospital today to find their babies dead & decomposed in their cots.

27-11-2023

The Israeli military forced families to evacuate Al Nasr Hospital, leaving behind their premature babies in the intensive care unit. Israel refused to release the babies. The decomposed bodies of those babies have been found during this truce.

"Shocking scenes in this hospital, seeing babies which the Israeli soldiers refused to evacuate from this unit. According to eyewitness accounts, parents were forced to say goodbye, and leave their children to die in their beds in the intensive care unit in al Nasr Children's Hospital. To reiterate: the Israeli army forbid these children to be evacuated, or for anyone to help evacuate them from the hospital."

Source: Almashhad TV

‘Patients are dying’: What we know about Gaza hospitals under Israeli siege : They have now all stopped functioning. The al-Nasr Children’s Hospital and al-Rantisi Specialised Hospital for Children can no longer function without access to medical aid. They are also under Israeli fire. It remains unclear what has happened to the 30 children who remain at al-Nasr Hospital. (10-11-2023)

www.aljazeera.com

This is an urgent message: northern Gaza’s hospitals are in danger of imminent, full-scale Israeli military attacks. Please help us take action to protect them. 

Early Friday morning, the grounds of Shifa Hospital were targeted by an Israeli airstrike.  The Nasser Hospital has also been targeted. Attacks on Rantisi children’s hospital have caused fires, while bombardment around the Indonesian Hospital has reportedly injured displaced people sheltering in the grounds. 

These vital facilities are filled with medical staff treating thousands of wounded civilians. Meanwhile, tens of thousands of Palestinians are sheltering in the grounds, forced from their homes, hiding from Israeli bombs. 

Any attack on these hospitals would be devastating and lead to the deaths of countless innocent civilians, including children and medical staff. (map.org.uk)

10-11-2023

Gaza's hospitals are now in danger... - Medical Aid for Palestinians | Facebook

More thread on Twitter

Muath Hamed 🔻 on X: "ثريد 🔴جريمة إسرائيلية 1/7 في 10 نوفمبر أُخلي مستشفى النصر للأطفال تحت تهديد السلاح من إسرائيل، وقال مدير المستشفى للصحافة أنه تم إخلاء المرضى منه. أمس 27 نوفمبر وصل محمد بعلوشة مراسل قناة @almashhadmedia إلى المستشفى ليوثق مشهدا صادما،لجثث أطفال خدّج يخرج الدود منهم على الأسرة: https://t.co/AaiZWWjhKU" / X (twitter.com)

#محمد_بعلوشة #أطفال_غزة #مستشفى_النصر #المشهد

Doctors were forced to leave the babies behind in the hospital after they were reportedly given 30 minutes to evacuate the hospital by Israeli forces and leave patients.

استشهـ.ـدوا جوعا وعطشا وبدون رعاية طبية.. العثور على جثث أطفال متحللة في #مستشفى_النصر بعد إجبار قوات الاحتلال الإسرائيلي طاقمه والمرضى على إخلائه تثير حالة من الصدمة والغضب على منصات التواصل

Update from #ICRC : They said they didn't show any commitment toward them! Situation was difficult. https://www.facebook.com/ICRCarabic/posts/pfbid0VRa5P6hXni2E3dgWWWq2G82Ma1AbYfARNpFipNS4877mczW2uLmdFwALjdMbuRM9l

[teachingrounds]

Let's talk about risk factors for neonatal jaundice, which is found in >80% of newborn babies and usually resolves in 1-2 weeks as the infant feeds and poops. However, a small percentage of babies develop hazardous hyperbilirubinemia (TSB≥30) --> brain damage from bilirubin crossing the blood-brain barrier (aka kernicterus). Visual assessment of significant jaundice does not reliably correlate with high total serum bilirubin levels! Therefore all newborns should be screened 24-48 hours after birth or before discharge, whichever is sooner. Both transcutaneous and serum bilirubin levels are reliable screening tools, although if a TcB is close to the treatment threshold, it should be checked with a TsB.

Source: https://publications.aap.org/pediatrics/article/150/3/e2022058859/188726/Clinical-Practice-Guideline-Revision-Management-of

Image: "Intensive phototherapy Our area has as a very high level of newborn jaundice, which is sometimes fatal. The treatment is phototherapy for less severe cases, exchange blood transfusion for the more serious ones. This special, intense blue phototherapy lamp (NeoBLUE) was donated by Natus Medical, Inc. with the assistance of Henk J. Vreman, Ph.D., at Stanford University Dept. of Pediatrics.  (ECWA Evangel Hospital, Jos, Nigeria)" ~California pediatrician Mike Blyth, Flickr, CC BY-NC-SA 2.0.

[medtechenthusiast]

neonate intubation

[subaquinhodecobra]

🏨

[cbirt]

Enhancing the Comprehensive Diagnosis of Neonatal Infectious Diseases Through Metagenomic Next-Generation Sequencing

Scientists from Xi’an Children’s Hospital have shown that metagenomic next-generation sequencing (mNGS) of cell-free DNA (cfDNA) and RNA may help detect trace infections from various bodily fluids and blood samples extracted from newborns. Researchers also performed a local polynomial regression fitting analysis, which revealed that the best time for detecting mNGS was 1 to 3 days following the initiation of antimicrobial medication. The study’s findings emphasize the value of mNGS in detecting causative DNA and RNA infections in infected neonates.

Newborns are frequently susceptible to infections, such as sepsis, meningitis, and pneumonia, which account for millions of infant deaths yearly. Apart from the mortality rates, adverse prognoses may arise in neurodevelopmental problems and long-term disability if timely treatment is not given. Pathogenic microorganisms causing such infections include a diverse group of bacteria, viruses, and fungi. Therefore, timely and valid pathogen identification and appropriate therapeutics are required to enhance prognoses. 

Continue Reading

[heardatmedschool]

Intern 1: My favorite antibiotic is ampicillin.

Intern 2: That’s so NICU of you.

[julieschulerart]

The New Baby. https://www.etsy.com/listing/1245682395

[nationwidechildrenshospital]

"As a music therapist, I love to help my patients and families achieve their fullest potential. Music has always been a big part of my life and now I use it to give back to a community that supported me through my own childhood cancer diagnosis."

Lelia Emery, Music Therapist, Neonatology

[dr-scarlette-witch]

Completed a month of NICU rotation. 2 more months for this year ahead. Learned a lot. Neonatology is still not my favourite field, but it is truly fascinating on knowing how different a neonate is physiologically. Neonatology is one field that reflects the humongous advancements that happened in the medical field wether be a premie weighing 600gms or. 3.6kg Meconium aspirated baby, modern medicine has truly come so far in terms of medical management.

[sriramakrishnahospital]

Understanding PPHN: A Rare Condition in Newborns

Did you know?💡

#PPHN affects about 1 in 1,250 infants, often seen in full-term or post-term newborns, especially after challenging deliveries. Early detection and care are crucial for better outcomes. Let's spread awareness about this condition and support infant health! 💙👶

Learn more>> www.sriramakrishnahospital.com