TheNICUDoc

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TheNICUDoc A pediatrician and a neonatologist who covers all topics of the NICU.

10/15/2026

A parent's nightmare!

For us, discharge is the end of a long journey...but for parents, it's just the beginning.

Speaking to parents, they tell me going home is a bag of mixed emotions. Of course they are excited, but also scared. Specially with complex babies.

In one study of 224 infants discharged home with a tracheostomy, 57% needed a home ventilator. Unfortunately, 18% of those babies ended up dying later, with 38% of those deaths happening at home (citation in the comments).

Most trach-related deaths come from accidental decannulation and blocked tubes, and some caregivers go home with gaps in their knowledge. The good news? Standardized hands-on training significantly improves caregiver skills.

👨‍⚕️So we know training parents saves lives. So how does YOUR unit train your parents for home care?

❣️Special thank you to Ms. Ream (Nicole Ream | Medical Mom) for giving me permission to share her story

10/14/2026

Thank a NICU Worker

I love what I do in the NICU, but it is a tough place to work in.
Many times we go through days and you go home numb from the pain
But it takes ONE happy story to build us up again.

Take this space to thank a or , a co-worker or a friend who works hard in the NICU.

And if that is you, why do YOU come back every day (and I know it ain't to pay thy bills...)

.

Funny not funny In 1929 a Danish scientist named Henrik Dam noticed chickens bleeding for no obvious reason. Turns out t...
10/12/2026

Funny not funny

In 1929 a Danish scientist named Henrik Dam noticed chickens bleeding for no obvious reason. Turns out they were missing a clotting vitamin, and vitamin K was born.

Here's why it matters for our tiny babues: newborns show up with low vitamin K stores. It barely crosses the placenta, breast milk is low in it, and their guts aren't colonized yet. Without it, factors II, VII, IX and X can't do their job, and the bleeding can show up out of nowhere: early (first 24 hours), classic (days 2-7), or late (up to 6 months), often as an intracranial bleed.

In 1961 the AAP recommended a vitamin K shot for every newborn. One tiny needle, millions of bleeds prevented đź’‰

Share for more awareness

05/13/2026

This for REAL?

Yep,unfortunately, true story

NICU care is one of the most expensive parts of pediatric healthcare in the U.S. Estimates suggest the United States spends roughly $20 billion per year on neonatal intensive care and prematurity-related hospital care.

A single NICU admission averages about $70,000, but very premature or critically ill infants can generate bills in the millions.

I don't have a solution. It's hard to see parents worrying about the bill they are going to get.

How do we fix this?

05/09/2026

This SAVES lives

That creamy white coating is called Vernix Caseosa.

It’s actually one of nature’s best protections for your baby.

Vernix helps moisturize delicate newborn skin, protects against infections, and even supports healthy bacteria on the skin.

It also helps babies regulate their temperature and may reduce skin irritation after birth.

So instead of rushing to wipe it off, many experts recommend delaying at least to the first bath and gently rubbing it in.

How long do you think it should stay on for?

05/07/2026

Warms the heart

No matter what may be going on in your life, whether you're in the hospital or stressed at work, that smile from a child or children is such a ray of sunshine.

Call me mushy, but we all need this message some days.

Send this to someone who needs a little sunshine today.

04/30/2026

RESULTS ARE IN!

The FDA, the food drug and administration, turned in the results for testing of more than 312 formulas, made up of powders and liquids, from cow’s milk, soy, and amino acids.

They found very very low levels of cadmium, lead, mercury, and arsenic, the levels were extremely low.
One ppb (part per billion) is equal to q drop within an Olympic pool.
Also that some US formulas were found to have levels that were even below European standards.

I think it's great news as it gives so many parents the reassurance and confidence that the US makes some real safe and top quality formula!

What do you think of this?

04/24/2026

Don't get confused...

Caput succedaneum is soft, crosses suture lines, and usually resolves on its own in a few days.

Subgaleal hemorrhage is different, it spreads across the scalp, can expand quickly, and can lead to significant blood loss, this is an emergency.

⚠️ If you see a rapidly enlarging, boggy scalp swelling with pale body and/or tachycardia, think subgaleal.

Have you ever seen a subgaleal hemorrhage in real life?

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