What a lovely comment to see first thing in the morning! Thank you! And thanks for watching and being here :)

Thank you so much Alison! We would LOVE to do an entire video on Xrays- but we're concerned about copyright issues as well as HIPAA issues! We just put a plea out under the community tab for viewers to email us interesting X-rays etc. In the meantime- we are also asking some researchers for permission to use their X-rays. So stay posted!

Thank you SO much for watching these videos and for taking the time to write to us. Comments like yours keep us going :)

Oh wow- thank you so much Johncy- that's a lot of experience, so your lovely words carry even more weight. Thank you so much for watching and for taking the time to write to us :)

Thank you so much Dr. Mountz! We're so glad you found us. So happy the videos are helpful- your description was exactly what we were aiming for.We hope you enjoy your NICU rotation (not too late to change! ha!!)

ahhhh! Your comments get even kinder!!! Thank you so much Naveed. We are so happy you are here. We have zero intentions of stopping- it has been such a rewarding experience for us- mostly from messages like yours :) Thank you again!

Thank you for taking the time to comment!!!

Thank you Chelsea so much for your kind words. That was our aim starting this channel, so we can't tell you how much your positivity means to us! Thanks!!

That makes us SOOOO happy! Thank you so much for watching and for letting us know!

These are all amazing suggestions Reese- and we didn't have a few on the list-so we'll definitely add them! (Hemangiomas is an excellent idea). We'll try to get around to them sooner rather than later! Thanks!

Thank you so much Prasad- we appreciate you watching and commenting!

Thank you so much for watching and commenting. We're really enjoying building this Neo community!!

Ha! Definitely not-but thank you!!

Thank you Anna!

Congratulations Laurie- that's so exciting!!! So happy video helped- hope they all have a smooth, healthy course. (Remember though- as we're sure you've been told- it's a rollercoaster. Not one preemie baby is born, continues getting better, and then goes home. Every preemie goes through something!). Lots of love your way XX

i just have a newborn bb with RDS, i am so worried with his status now. he is currently in NICU. after giving SURFACTANT can a bb live normally? or their any consequences after

How is your babies now?

@@hanifamacasindel192 how is your baby now?

Thank you so much- we really appreciate you being here!

Thank you so much Dr. Nirwal!

Hello!!! Thanks again so much Dr. Hassan! Gestational diabetes is thought to directly decrease surfactant production and release, which is why these infants have a higher incidence of RDS.

That's a really lovely compliment! Thanks so much!

Thanks so much for watching and commenting. Doing a series on labs is a great idea- especially the basics. Interestingly each hospital calls their groups of labs by different names and has different labs within each group. E.g Your ICU panel may be another hospital's CMP or renal profile etc. But going through the general chemistries and gases (inc. iCa etc.) is definitely something we should be going over! Thank you! Until we get around to these videos- you may want to check out the CBC ones- where we covered WBCs, RBCs, platelets etc. Thanks again!

Oh that’s such a great idea for a talk! Thank you so much for the suggestion! And for being here!

Hello! Wish we could say we had brand new treatments! Modes of administering surfactant in a non invasive way have been the most recent advancement. But really it’s surgery replacement and some sort of positive pressure!

Thanks for watching!

Thank you so much for watching and for commenting. We really appreciate your positive feedback!

Hello! Yes absolutely!! We have that down on the list- sorry that everything takes so long! We have these plans and they get derailed by something else!!! Thanks so much for continuing to watch :)

@@TalaTalksNICU I look forward to it! 🤗❤️Thank you! 🙏🏼

YES! This is a great topic- thank you so much- we'll try to get this covered relatively soon!

Thank you so much Hamedah- for watching and for taking the time to comment. After the last episode on treatment of jaundice- we are going to oscillators/ high frequency ventilation. We had not planned on a separate topic of CPAP- but you're right- we should definitely do a video on that and high flow nasal cannula. Thanks so much!

Absolutely! Planning on two separate lectures- one of my favorite topics to talks about! Thank you for this great suggestion!

Thank you again for watching!

Excellent

Hi JC! Thanks so much for your lovely compliment! We’ve been filming two ways- either directly recording onto the phone or with Justin recording me with the whole camera and lighting stuff. We’ve played around with a couple of microphones but we always seem to end up with a massive echo! Any advice you have would be much appreciated. We want to start filming a cardiac series with the white board etc- but we’re hoping it all goes more smoothly!!!

YES Purnima! We promise this is coming- along with inotropes used (obviously very institutionally dependent!) Thanks for watching and for your suggestion :)

Hello Jacki. We really, really want to do this lecture but we have problems with getting the actual X-rays. We just put out a request for people to send us X-rays (with no identifying data) if they have them so we can use them. We're also reaching out to various researchers asking permission to use their X-rays (in articles etc)- but it's harder than we thought it would be. We promise we'll get there though!

@@TalaTalksNICU thank you for your response. I love your videos so much . You’re amazing

Hello Rasoul! Yes! this often works really well. (If the pneumothorax is small and not too symptomatic- then giving surfactant sometimes mean you don't need to do anything else). And even if the baby popped a pneumothorax in the setting of RDS- even if you needle/ place a chest tube, giving surfactant would likely prevent further pneumothoraces. What do you do in your unit?

@@TalaTalksNICU I used it.and it worked well.thank you

Agreed! I love doing this! A relatively non invasive way to solve a problem. Thanks!

LISA is less invasive surfactant administration- so we keep baby on CPAP, and we use blade to visualize cords and then pass a small catheter through cords. Then push in surfactant with syringe. It's less invasive because baby stays on CPAP (no aggressive PPV breaths) and also the catheter we're 'intubating' with is much skinnier. Does that answer the question?!

Thank you so much for your lovely comment! We should do a separate video on DART- but for now- go check out the second BPD video we made- we discuss DART in that! Hope that helps for now?

Thank you Dr.Tala ❤️🥰

Great question Roshan. There is definitely a genetic component to RDS. So generally if a mother had a child at 36 weeks with bad RDS, there's a good chance her next child will also have issues with RDS if that infant were born even slightly early. If babies are born at a very early GA then they will have RDS no matter the genetic component.

@@TalaTalksNICU thanks you Dr. I want to clear two things more 1_Is RDS impact any long run problem to children like GDD. And if yes How can we diagnosed in early stage of chield 2_ TTN ,MA, And HMD all are called RDS

To answer your questions: 1- Depending on severity of RDS, it can have problems in the future (mostly if develops into BPD). These symptoms would be similar to asthma, decreased ability to expire quickly, and some bronchospasms. And 2- RDS and hyaline membrane disease refer to same disease. TTN and MAS are both different. (We have videos on all of these, if you are interested) Good luck with your information gathering!

Thank you so much

Thank you for watching!

Hello! I’m so sorry you’re going through this. Obviously I’m not taking care of your nephew so I don’t have the information. Some babies have lingering courses and take a couple of weeks to improve. I wish your family health and luck xx

Thank you so much!

Hi Lan! This is SUCH an important topic in neonatology- and there have been so many differing opinions on steroids. We need to do a whole video on steroids! We know they are great to get a baby extubated and they probably decrease BPD, but we don't generally give them for acute treatment for RDS. More information to come!!!

Yes! This is high up on our list- and another viewer suggested we incorporate cor pulmonale into the video too. We'll get there, we promise!!

@@TalaTalksNICU its really nice having them together. Thnks

Most babies recover completely from it and go on to lead healthy active lives. Good luck!

@@TalaTalksNICU thank you🙂🙂

Hello Mukesh! The ventilator videos we filmed (especially part 2) may help with this. Check those out and let us know if we can fill in gaps?!

Hello! Dexamethasone given prenatally (to mothers) has been shown to increase surfactant production as well as potentially help the lungs mature. (So has betamethasone- another steroid- which may also be better at preventing neonatal death). Generally though, after babies are born we don't give steroids to help surfactant maturation- but rather to decrease any swelling so we can get babies extubated. Does this answer your question?! Thanks for being here :)

Hello Shreya! Congratulations on your baby. Without more information, it would be difficult to give any generalizations. However, it is always a good sign if a baby can remain on room air for long stretches at a time. Good luck with everything!

Mine was 38 weeks and we left the nicu on day 2. Best of luck mom

Thanks so much for watching and for subscribing Zead!

Hello Bhavani- congratulations on your baby boy. Obviously it's very hard to comment on his status without seeing him or knowing ore details. We would recommend you get him to his pediatrician (and as always, everyone in your family should be vaccinated as possible- the flu/ pertussis/ cover etc)

How is your baby now??......I am sailing in same boat now

I'm not sure what you are saying!!! Can't figure out either!