Really helpful thank for your videos

Thank you Dr

One of the very useful videos, Dr. Tala I am becoming more confident to manage independently in the unit being a first year fellow after seeing your videos constantly. Thank you. God bless. Lots of love❤

I am fallowing your all lessons from Afghanistan I am pediatrician

Another great and didactic video. Ty again Dr Tala

Fantastic as usual, ,My question is: what is the ideal time to measure blood sugar for normal newborn/ SGA/IDM,,Is it before or after the 1st feed? ---- Also ,if U PLZ,MAY I ASK U TO GIVE A TALK ABOUT :1-BABIES FOR MOTHERS WITH POLYHYDRAMNIOS VS THOSE FOR MOTHERS WITH OLIGOHYDRAMNIOS 2- ARTHOGRYPOSIS MULTIPLEX CONGETA THANKS A LOT DR TALA

Excellent! Dr. Tala you'are the best. Thank you so much to make that so clear. by the way I love your energy. Love from USA ( Midwest).

Thank you, Dr. Tala, for all the effort you put in the videos. I would like to work with you one day..

Darn it, now I can't blame my being born early on my mother. I was born at least 4 weeks early, and arrived with no fingernails or toenails and abnormal genital growth. Doing a search about a lack of male androgens in the womb google A.I. came up with this, "current evidence suggests that a lack of sufficient male androgens during fetal development could potentially contribute to an increased risk of late preterm birth in male fetuses. Not exactly a comforting answer, but it clearly goes along with the obvious hormonal issues I have lived with my whole life. The odd thing is, back in the olden days, your parents or doctors didn't speak to you the patient about your body.

How could I get the PDF notes for the video? This is such an excellent explanation for NEC. Thank you, Dr. Tala.!

Proposed cause of HIE: diaphragm spasms (DS). A creatine kinase level, while not specific to the respiratory muscles, could reflect critical diaphragm fatigue and neuromuscular excitation (e.g. DS, myoclonus, diaphragm flutter and novel diaphragm cramp-contracture or DCC), most are thought to cause hypoxemic intermittent episodes (HIE) in infants [along with forced expirations, apneas, hypopneas (obstructed breaths) and... hiccups!] I would love to see this knowledge used in a clinical study. Esquer et al. 2007 provided evidence of such excitation based on surface abdominal electromyography (EMG) of preterms with HIE (they misinterpreted the data thinking it was solely abdominal muscle contractions; instead, it was ? diaphragm ± abdominal contractions). It is exacerbated by acidosis, endotoxins, viral infections and diaphragm fatigue. Acidosis is already known to reduce the VFib threshold in humans, and the same is thought to occur in novel DCC respiratory arrest (sustained apneas). Esquer et al. Role of abdominal muscles activity on duration and severity of hypoxemia episodes in mechanically ventilated preterm infants. Neonatology. 2007;92(3):182-6. doi: 10.1159/000102056. PMID: 17476118.

Thanks

Need your helpful suggestion 🙏🏻from India.. my baby is in NICU , born at 29 weeks… doctor told me that my baby is having IVH 1 and 2 grade… because of that he is not able to breath by himself… he is on ventilator.. my question is can a grade 2 bleeding resolves on it’s own? And my baby live a normal life? 😢

Can severe HIE and a poor MRI result in further future neurological conditions such as hydrocephalus a few weeks later. I have a seen a case and we presumed correlation.

i wish i could work under your supervision and could get a chance to learn from your experience

really a big fan of you ❤❤

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I love love love that you said if the parents think something’s off, trust them! I learned this in pediatrics and it has been so useful for me! ❤. Your videos have been so helpful & you sound like a fantastic Dr to work with!

I lost my 30 weeker to this disease days ago. His diagnosis was late. It's really devastating.

Watching from Myanmar ❤ 1.Drug error 2.Hypoglycemia 3. Sepsis 4. Caffeine 5.HR less than 100 PPV, less than 60 ET tube and chest compression 6. Oxygen 7. Resp support 8. Maintain body Temp 9. Monitor growth 10. Breastmilk 11. Family involvement

Hi Dr. Tala I strongly connect with you as I love explaining, teaching, and teaching the way of my learning since I was a child. I was very active in teaching medical schools and residents in my home country, India, and now doing the neonatology training in USA. I have taken your membership. I would like to connect with you. I am very much interested in creating awareness and spreading valuable informati9n through social media. I really love your effort. Would like to work with you in the future.

Mortality 60-70%. ?. Your experience pls.

Thanks, the video is very interesting for teach about the newborn exam.

Thanks Dr

why specifically does blood in the lungs stop surfactant from preventing alveoli collapse?

wonderful video as always!!! just to clarify when you’re talking about the PDA and L to R shunting you’re referring to the blood going from the aorta on the L side of the heart to the pulmonary artery on the R side of the heart right? and not the shunting being caused by any other heart defect like ASD or VSD?

Our very small SCN here in Greater Sydney region Australia just transferred a term male infant with CDH - completely undiagnosed, was initially in RDS after his should dystocia delivery, was discharged to ward and was noted to have tachypnoea, was in observation on first night in SCN - SP02 100%, effortless tachypnoea, then finally readmit the following evening as tachypnoea not resolving, we did CBG ( NAD) and BGL (NAD). We did pre/post Sp02 which showed discrepancy of 5 mmhg, so my on call paed thought PPHN, we started baby on LFNC, he had a CXR this morning which showed CDH and has now been transferred.

Thank you so much. Very informative video.

Hi Dr. Tala you talked about ideally sending CSF culture if blood culture positive and talked about some evidence also. Would you mind sharing the paper supportive of this concept. In our setup, we are not sending LP for all babies having positive blood culture. Definitely want to discuss more with evidence in the unit.