Julie Springate Spalding, MD
@SpringateMD
Neonatologist. Opinions are my own. She/Her/Hers #NeoTwitter #Tweetiatrician
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I tell all of my students on day 1–I expect 0% knowledge, but 100% participation and effort. That’s what will set them up to learn and show me the best way to facilitate that!
Meta-analysis of eat, sleep, console approach to withdrawal vs Finnegan scoring Is there any reason not to adopt ESC? ESC ⬇️hospitalisation days (MD -4.11 days, p<0.0001 & the proportion treated with withdrawal medications (OR 0.36, p<0.0001 #neotwitter pubmed.ncbi.nlm.nih.gov/40393782/
Nutritional Strategies for Preterm Neonates and Preterm Neonates Undergoing Surgery: New Insights for Practice and Wrong Beliefs to Uproot mdpi.com/2812444 #mdpinutrients via @Nutrients_MDPI
Ibuprofen, paracetamol and now betamethasone to close the PDA? #preemies < 29 weeks at 3 wks of age with a hemodynamically significant PDA had 98% closure after a 6 day course of steroid pubmed.ncbi.nlm.nih.gov/39604779/ #neoTwitter
Did you know Type 1 Diabetes is diagnosed more in the fall? x.com/i/broadcasts/1…
So excited to delve into this one … hopefully becomes a book that all neonatal fellows read 🙏 Susanne, Roger, Barbara, Haresh and @JohnZupancic for letting me write a small part of it #neoEBM
I’m so excited to be joining faculty at the University of Kentucky!
Welcoming our new faculty and fellows to the extended @UKYNeonatology family! We are so glad you are here! @AliSloneMD @NicholasSeveryn @cloud9sanch @RaviBNeo @audlee92 @Diane_Buckley1 @SpringateMD @beckvon @baldwin_al38141
Kamala addresses the fact that some people don’t like her laugh. The message is quite beautiful.
Use of inhaled nitric oxide in preterm infants is controversial. What are the indications? Does presence of pulmonary hypertension on echo improve survival following iNO? Data from @KFF with Drs. Bhatt, Braun @DrRamanathanUSC @henryleeneo @JPerinatology nature.com/articles/s4137…
Dr. Patrick McNamara's talk on Hemodynamics is Physiology is on YouTube: youtu.be/k4tvziMeTAk. An excellent overview of core neonatal cardiopulmonary physiology principles! #neoTwitter #neohemodynamics
I saw a bunch of kids in my office today. Well checks. Sick visits. Mental health visits. Every one of them deserves to grow up in a true democracy. They can't vote. They have no voice. We need to be their voice. This is not a partisan issue. Please #VoteKids.
Dr Belfort presenting our preliminary experience of in utero gastroschisis repair trial or the first time at FMF Fetal Medicine World Congress @TCHFetalCenter
Great to hear from Dr Mervat Elyas that NeoCLEAR is having an ongoing impact in Leeds! #JFNS24 Time to sit up for neonatal LP success - videos available on YouTube @ccroehr @NPEU_CTU @EdJuszczak m.youtube.com/watch?v=O2W1yy…
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NeoCLEAR: Sitting with Early Stylet Removal - Lumbar Puncture...
Dr. Gabriel Altit's talk on The Hemodynamics of CDH is on YouTube: youtu.be/aSFwk8N3crc. An excellent review of the aPH and LV phenotypes in CDH, how to recognize the potential for biventricular and/or shifting cardiovascular phenotypes & more! #neoTwitter #neohemodynamics
Our paper "Navigating Diagnostic and Treatment Challenges of Pulmonary Hypertension in Infants with Bronchopulmonary Dysplasia", which is open-source, is now published in the Journal of Clinical Medicine. doi.org/10.3390/jcm131… @TexasChildrens @neo_twiter @NeoHemodynamics
My last time on service as a fellow is complete! Just 3 night shifts and a 24 hour shift stand between me and graduation! #MedTwitter
As Resident Doctors, we work 26h shifts with no sleep. Coffee wasn’t enough to keep me sharp, so I dove into the literature for other solutions. Here are my evidence-based protocols for using CREATINE to maximize cognitive performance during sleep deprivation 🧵1/12
As a Resident Doctor, I have now worked >100 24-hour shifts with little to no sleep. This took a huge toll on my health so I looked into the research These are my top 3 evidence-based protocols to leverage exercise against the negative health effects of sleep deprivation 🧵1/12
Today we’re launching the sequel to #52in52RCTChallenge. For those who were doing other things in the pre-COVID times, that initiative shone a spotlight on some classic RCTs that have shaped practice or provided an excuse to discuss various methodological points.
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