The Incubator

Send us a textIn this episode of The Incubator Podcast, hosts Ben Courchia and Daphna Barbeau interview Dr. Lily Lou, a neonatologist making history as the first from her specialty to run for president of the American Academy of Pediatrics (AAP). Dr. Lou discusses the significance of her candidacy, emphasizing the importance of subspecialist representation within the AAP. She shares insights from her unique perspective, drawing from experiences in both subspecialty and general pediatrics leadership roles. The conversation covers the responsibilities of the AAP president and the critical need for neonatologist participation in AAP elections and advocacy efforts. Dr. Lou highlights recent AAP initiatives relevant to neonatology, including the Access to Donor Milk Act and advocacy for paid family medical leave. She also outlines opportunities for neonatologists to engage in advocacy at local and national levels, encouraging listeners to get involved. The episode concludes with information about the upcoming AAP election, scheduled for September 11-25, 2024, urging listeners to participate and make their voices heard in this pivotal decision for the future of pediatrics and neonatology. Throughout the interview, Dr. Lou's passion for inclusive representation and advocacy in pediatric healthcare shines through, offering listeners a compelling glimpse into the potential future of AAP leadership. Support the showAs 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 of Journal Club, Ben and Daphna discuss several recent neonatal studies. They begin with a paper from Pediatrics examining variability in care practices for extremely early deliveries (22-24 weeks gestation), highlighting changes over time and persistent differences between centers. They also review a commentary on important questions raised by these variations in care.The hosts then analyze a study on the use of inhaled nitric oxide in preterm infants, discussing its effectiveness, costs, and potential overuse. They cover a paper on monocyte count trends as a potential diagnostic tool for necrotizing enterocolitis.A special segment features Dr. Jane Stremming discussing a New England Journal of Medicine study on nutritional support for moderate to late preterm infants. The hosts also touch on new treatments for hemolytic disease of the fetus and newborn, and surfactant use in infants who develop bronchopulmonary dysplasia.The episode concludes with an ethical case study about a father's unexpected request to withdraw care for his preterm infant, emphasizing the importance of understanding families' perspectives in complex medical decisions. Support the showAs 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 textEffects of a live versus heat-inactivated probiotic Bifidobacterium spp in preterm infants: a randomised clinical trial.Athalye-Jape G, Esvaran M, Patole S, Nathan EA, Doherty DA, Sim E, Chandrasekaran L, Kok C, Schuster S, Conway P.Arch Dis Child Fetal Neonatal Ed. 2024 Aug 17:fetalneonatal-2023-326667. doi: 10.1136/archdischild-2023-326667. Support the showAs 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 textVariability of Care Practices for Extremely Early Deliveries.LoRe D, Groden CM, Schuh AR, Holmes C, Ostilla L, Vogel MM, Murray PD, Yamasato K, Tonismae T, Anani UE, Henner N, Famuyide M, Leuthner SR, Laventhal N, Andrews BL, Tucker Edmonds BM, Brennan KG, Feltman DM; INVESTIGATING NEONATAL DECISIONS FOR EXTREMELY EARLY DELIVERIES (INDEED) STUDY GROUP.Pediatrics. 2024 Aug 12:e2023065521. doi: 10.1542/peds.2023-065521. Support the showAs 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 textFour Important Questions About Between-Hospital Differences in Care at <25 Weeks' Gestation.Rysavy MA, Battarbee AN, Gibson KS.Pediatrics. 2024 Aug 12:e2024066182. doi: 10.1542/peds.2024-066182. Online ahead of print.PMID: 39129508 No abstract available.Support the showAs 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 textThe Value of Parental Judgment in the Ethical Gray Zone of Periviability: Words Matter.Drago MJ, Mercurio MR.Pediatrics. 2024 Aug 7:e2024065986. doi: 10.1542/peds.2024-065986. Online ahead of print.PMID: 39108223 No abstract available.Support the showAs 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 textRetrospective study of preterm infants exposed to inhaled nitric oxide in Kaiser Permanente Southern California: morbidity, mortality and follow-up.Bhatt DR, Braun D, Dizon RA, Shi JM, Weerasinghe S, Sabio A, Reddy S, Lee HC, Ramanathan R, Lakshminrusimha S.J Perinatol. 2024 Jul 18. doi: 10.1038/s41372-024-02051-w. Online ahead of print.PMID: 39025953Support the showAs 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 textBeyond the Question: Reexamining a Parent's Unusual Request.Callahan KP, Narva A, Stoller JZ, Fiester A.Pediatrics. 2024 Aug 1;154(2):e2023064954. doi: 10.1542/peds.2023-064954.PMID: 39040023 Support the showAs 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 textSurfactant treatment at birth in a contemporary cohort of preterm infants with bronchopulmonary dysplasia.Mueller C, Shepherd EG, Kielt MJ, Conroy S, Jensen EA, Bamat NA, Panitch H, Levin J, Guaman Cuevas M, Truog W, Abman SH, Nelin LD; BPD Collaborative.J Perinatol. 2024 Jul 17. doi: 10.1038/s41372-024-02061-8. Online ahead of print.PMID: 39020028Support the showAs 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 textDr. Steve McElroy, a neonatologist and physician scientist, discusses his research on injury and repair mechanisms in the immature intestine, specifically focusing on necrotizing enterocolitis (NEC) and spontaneous intestinal perforation in premature infants. He shares his journey from initially not wanting to pursue science to becoming a physician scientist, and how mentorship played a crucial role in his career. Dr. McElroy also talks about his pioneering work on Paneth cells and the Paneth cell ablation NEC model. He highlights the importance of listening, asking questions, and being open to new research directions. Finally, he discusses the impact of his leadership role as a division chief on his research and mentorship activities. He emphasizes the importance of mentorship, celebrating small victories, and persisting through challenges. Dr. McElroy also shares insights into his current research on chorioamnionitis and its impact on neonatal health. He highlights the need for creative think time and the value of understanding mechanisms in basic science. The conversation concludes with a discussion on building a supportive and fun lab environment. Support the showAs 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!