The Incubator

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Dr. Benjamin Rattray is a newborn critical care physician in North Carolina where he serves as Associate Medical Director of Neonatal Intensive Care at the Cone Health Women’s and Children’s Center. He completed a pediatric residency and a neonatal-perinatal medicine fellowship at Duke University Medical Center, holds an MBA from LSU Shreveport, and is a Certified Physician Executive. He lives with his wife, three children, and a Golden Retriever in Greensboro, North Carolina.

He is the author of the book WHEN ALL BECOMES NEW: A DOCTOR'S STORIES OF LIFE, LOVE, AND LOSS.

Learn more at benjaminrattray.com.

Purchase Dr. Rattray's book on amazon @ https://amzn.to/3juLpfv

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As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. enjoy!

This podcast is proudly sponsored by Chiesi.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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 Fan Mail

As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. Papers discussed in today's episode are listed and timestamped below.

enjoy!
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02:12 - Health-Related Quality of Life from Adolescence to Adulthood Following Extremely Preterm Birth. https://www.jpeds.com/article/S0022-3476(21)00326-7/fulltext

12:45 - Low Birth Weight as an Early-Life Risk Factor for Adult Stroke Among Men. https://www.jpeds.com/article/S0022-3476(21)00632-6/fulltext

19:25 - Bloodstream Infections in Preterm Neonates and Mortality-Associated Risk Factors. https://www.jpeds.com/article/S0022-3476(21)00561-8/fulltext

31:01 - In‐Hospital Respiratory Viral Infections for Patients with Established BPD in the SARS‐CoV‐2 Era. https://onlinelibrary.wiley.com/doi/10.1002/ppul.25714

39:07 - Neighborhood Disadvantage and Early Respiratory Outcomes in Very Preterm Infants with Bronchopulmonary Dysplasia. https://www.jpeds.com/article/S0022-3476(21)00643-0/fulltext

47:57 - Family history of asthma influences outpatient respiratory outcomes in children with BPD. https://onlinelibrary.wiley.com/doi/10.1002/ppul.25603

50:23 - End-of-Life Care Related Distress in the PICU and NICU: A Cross-Sectional Survey in a German Tertiary Center. https://www.frontiersin.org/articles/10.3389/fped.2021.709649/full

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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!

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Dr. Jimmy Turner is a practicing anesthesiologist at Wake Forest. Dr. Turner hosts the physician philosopher podcast and blog where he take an uncurated and unapologetic look into physician life. He also cohosts the podcast Money meets medicine with Ryan Inman where they discuss finance topics that healthcare providers desperately need to know. He is also the author of the book The Physician Philosopher's Guide to Personal Finance. And finally, he is the founder of the alpha coaching experience which helps empower physicians who feel trapped in medicine and helps them practice medicine on their own terms.

https://thephysicianphilosopher.com
https://thephysicianphilosopher.com/podcasts/the-physician-philosopher/
https://thephysicianphilosopher.com/podcasts/money-meets-medicine/
https://coaching.thephysicianphilosopher.com/alpha-coaching-experience

____________________________________________________________________________________________________

As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. enjoy!

This podcast is proudly sponsored by Chiesi.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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 Fan Mail

As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd.

enjoy!

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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 Fan Mail

As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. Papers discussed in today's episode are listed and timestamped below.

enjoy!
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03:20 - Use of Antenatal Corticosteroids at 22 Weeks of Gestation. https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2021/09/use-of-antenatal-corticosteroids-at-22-weeks-of-gestation

09:40 - Parent Preferences for Transparency of Their Child’s Hospitalization Costs. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2784398

19:55 - Monitoring of carbon dioxide in ventilated neonates: a prospective observational study. https://fn.bmj.com/content/early/2021/08/02/archdischild-2021-322138 

31:00 - Medication Use in the Neonatal Intensive Care Unit and Changes from 2010-2018. https://www.jpeds.com/article/S0022-3476(21)00860-X/fulltext

37:50 - Early-Onset Sepsis Among Very Preterm Infants. https://pediatrics.aappublications.org/content/148/4/e2021052456

46:15 - Dexmedetomidine versus intermittent morphine for sedation of neonates with encephalopathy undergoing therapeutic hypothermia. https://www.nature.com/articles/s41372-021-00998-8

53:40 - Survival prediction modelling in extreme prematurity: are days important? https://www.nature.com/articles/s41372-021-01208-1

58:50 - Association of time of first corticosteroid treatment with bronchopulmonary dysplasia in preterm infants. https://onlinelibrary.wiley.com/doi/10.1002/ppul.25610

62:30 - Burnout and Perceptions of Stigma and Help-Seeking Behavior Among Pediatric Fellows. https://pediatrics.aappublications.org/content/148/4/e2021050393

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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 Fan Mail

Pr Minesh Khashu is a clinical leader reimagining healthcare with a focus on systemic wide transformation, continuous quality improvement and family centered care. Prof Khashu has held multiple hospital, regional and national leadership roles in neonatal and perinatal care. Professor Minesh Khashu is a neonatologist at University Hospitals Dorset. He is the founder of the special interest group NEC (SIGNEC; signec.org). He also works actively on advocating for fathers' involvement in the NICU, and to that end, collaborated on the development of the neonatal DadPad app.

https://signec.org
https://thedadpad.co.uk/neonatal/

Check out his NEC paper on the use of bowel US: https://pubmed.ncbi.nlm.nih.gov/32398270/

You can get in touch with Dr. Khashu via:
Twitter - @mkrettiwt
Email - [email protected]


_____________________________________________________________________________________________________

As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd.

enjoy!

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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 Fan Mail

As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. Papers discussed in today's episode are listed and timestamped below.

enjoy!

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04:10 - Qualitative indications for tracheostomy and chronic mechanical ventilation in patients with severe bronchopulmonary dysplasia. https://www.nature.com/articles/s41372-021-01165-9

15:40 - Association between Term Equivalent Brain MRI and 2 Year Outcomes in Extremely Preterm Infants: A Report from the PENUT Trial Cohort. https://jpeds.com/retrieve/pii/S0022347621008258

22:46 - Association of Blood Donor Sex and Age With Outcomes in Very Low-Birth-Weight Infants Receiving Blood Transfusion. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2783715

29:30 - Slow advancement of enteral feed volumes to prevent necrotising enterocolitis in very low birth weight infants. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001241.pub8

38:29 - Neurodevelopmental outcome of preterm infants enrolled in myo-inositol randomized controlled trial. https://www.nature.com/articles/s41372-021-01018-5.

41:20 - Adverse Events and Associated Factors During Intra-hospital Transport of Newborn Infants. https://www.jpeds.com/article/S0022-3476(21)00859-3/fulltext

46:17 - Digital tracheal intubation and finger palpation to confirm endotracheal tube tip position in neonates: A systematic review and meta‐analysis. https://onlinelibrary.wiley.com/doi/10.1002/ppul.25551

52:41 - The DELUX study: development of lung volumes during extubation of preterm infants. https://www.nature.com/articles/s41390-021-01699-w

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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 Fan Mail

Dr. Erik Jensen is an attending neonatologist in the division of neonatology at the Children's hospital of Philadelphia. He is an assistant professor of pediatrics at the Perelman School of Medicine at the University of Pennsylvania.

Dr. Jensen’s research seeks to improve the long-term respiratory health of premature infants through: (1) clinical and translational studies that aim to develop evidence-based strategies to prevent and treat BPD; (2) novel characterization of disease severity and phenotypes in BPD; and (3) application of health services research techniques to investigate the association between hospital-level factors and neonatal morbidity and mortality.

Dr. Jensen’s research is supported by grant funding from the National Heart Lung and Blood Institute (NHLBI), the National Institute of Child Health and Human Development (NICHD), and the American Lung Association (ALA). He is a member of the International BPD Collaborative pharmacology working group and the International Neonatal Consortium (INC) BPD working group. He has received multiple clinical and research awards. 

_____________________________________________________________________________________________________

As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. 

enjoy!

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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 Fan Mail

As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. Papers discussed in today's episode are listed and timestamped below.

enjoy!

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Please find the list of articles discussed in this week’s journal club with links to the full text.

03:15 - Characteristics and Outcomes of Women With COVID-19 Giving Birth at US Academic Centers During the COVID-19 Pandemic. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2782978

Maternal and Neonatal Morbidity and Mortality Among Pregnant Women With and Without COVID-19 Infection. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2779182

18:15 - Timing of neonatal stoma closure: a survey of health professional perspectives and current practice. https://fn.bmj.com/content/early/2021/08/18/archdischild-2021-322040 

28:12 - Newborn Incubators Do Not Protect from High Noise Levels in the Neonatal Intensive Care Unit and Are Relevant Noise Sources by Themselves. https://www.mdpi.com/2227-9067/8/8/704

38:23 - Cardiac Performance in the First Year of Age Among Preterm Infants Fed Maternal Breast Milk. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2783546

45:55 - Race, language, and neighborhood predict high-risk preterm Infant Follow Up Program participation. https://www.nature.com/articles/s41372-021-01188-2

53:30 - Is late treatment with acetaminophen safe and effective in avoiding surgical ligation among extremely preterm neonates with persistent patent ductus arteriosus? https://www.nature.com/articles/s41372-021-01194-4

59:59 - Is it time to study routine car seat tolerance screening in a randomized controlled trial? An international survey of current practice and clinician equipoise. https://www.nature.com/articles/s41372-021-01167-7

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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 Fan Mail

Dr. Diana Montoya-Williams is an attending neonatologist in the division of Neonatology at Children’s Hospital of Philadelphia, a clinician scientist in CHOP’s PolicyLab and an assistant professor of Pediatrics in the University of Pennsylvania’s Perelman School of Medicine. She graduated from Harvard College with a degree in the History of Science and received her medical degree from Columbia University. Subsequently, she completed her residency in Pediatrics and her fellowship in Neonatology at the University of Florida. She conducts research on the drivers of racial and ethnic inequities in infant health outcomes. Her recent work has also explored structural and individual factors that confer resilience to poor birth and infant health outcomes among populations vulnerable to discrimination. Dr. Montoya-Williams has a special interest in immigration policies as political determinants of Latinx health outcomes. As a member of CHOP PolicyLab’s Health Equity team, she also engages in legislative and policy advocacy.

Dr. Montoya-Williams can be contacted by email: [email protected]
or via twitter: @DrDianaMW

_____________________________________________________________________________________________________
As always, feel free to send us questions, comments or suggestions to our email: [email protected]. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. Papers discussed in today's episode are listed and timestamped below.

enjoy!

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. 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!