Tag Archives: Health Care Organization

Neonatal Intensive Care Units work!

The first Epicure study had relatively poor survival rates, especially for the more immature babies. Of course the data were regional data, including all babies born in the UK and Ireland, so they included babies born in places with very … Continue reading

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Screening for Hyperbilirubinemia

When I was chair of the CPS Fetus and Newborn committee, we produced several position statements, one of which I was quite proud was written by myself and by Dr Sankaran from Saskatoon, it was a guideline for the screening … Continue reading

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Drug shortages

The recent study by Kluckow and his colleagues points out another serious issue in neonatology: drug shortages. In recent times we have had poor or no supplies of dramatically important drugs, including for example indomethacin, phenobarbitone and more recently caffeine. We also … Continue reading

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The walking dead: the uninsured in the USA

I don’t normally comment on politics here, it isn’t the point of this blog but sometimes I probably won’t be able to stop myself. I worked in San Diego for 4 years, and I saw a lot of the good … Continue reading

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Probiotics in the NICU: a ‘how-to’ guide

I have had several communications from people interested in starting the use of probiotics in their nurseries. There are often roadblocks, and some reluctance from either infection control, or pharmacy and therapeutics committees (or both). I will recount what we … Continue reading

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Not only Neonatology

I really appreciate the writings of Atul Gawande, his articles and his books: ‘Complications’ ‘Better’ and ‘The checklist manifesto’. I just saw a TED talk he gave in March last year, 19 minutes on how to fix medicine. Link here. … Continue reading

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Neonatal Heart Surgery and Surgical volumes

I wanted to write about this issue for a while, but it is a very complex problem. There are many studies which show varying outcomes of pediatric, and in particular neonatal, heart surgery. By which I mean that some programs have fewer … Continue reading

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