Paul Arichai, MD

Thank you @sheilarazdan.bsky.social

#neobluesky #NeoCard @aapneonatal.bsky.social

https://tinyurl.com/4ypdjejx

When should we consider stents, balloons, flow restrictors, and closure devices in our neonates?🫀Join our incredible team of educators, Dr Patrick Sullivan and our moderators: Dr Ahmed Ismaiel⁩ and Dr Ishita Datta #BigDreams on April 9th 3pm EST 📷 Register here tinyurl.com/4ypdjejx

Tapering of buprenorphine in pregnancy leads to some positive outcomes for newborns & appears to be tolerated by mothers
✅Less admissions
✅Shorter stays
✅Larger BW and HC
pubmed.ncbi.nlm.nih.gov/39929991/
#NeoSky #MedSky

The next AAP SONPM Journal Club is Thursday (December 12th) at 4:00 pm EST. Andrew Beverstock, neonatal fellow, will review the Diamond trial, with mentors Tanith Alexander (trial investigator) and Ariel Salas. #neosky #neoEBM
Register - tinyurl.com/c87skbeh
Trial- nejm.org/doi/full/10.10…

Measles outbreak in Texas grows to 24 cases; pediatricians urge vaccination Texas public health officials have reported 24 cases of measles, most involving unvaccinated children younger than 18.

Time heals all wounds and also assists in forgetting that this #vaccine was celebrated for helping to make this an almost unheard of disease in my childhood.
How many cases will it take to motivate the public again?
#IDSky #PedSky #MedSky
publications.aap.org/aapnews/news...

It’s such a pleasure to stir the pot and provide a bit of a comic relief. If you want to pick a fight with a neo, just say PDA. If you can have any physician celebrities as your personal tutor, who would it be? #WSPR #WMRC2025 #NeoCardAI

Grateful for this fellowship family. It has truly been a transformative 2.5 years thanks to this academic home. So many more exciting work to come. What a time to be alive. #WMRC2025 #westernPediatricResearch

@neosatyan.bsky.social uses oxygen transport as an analogy for health economics 😚 so brilliant and hilarious. That’s why we need physician leaders, also part of his talk but not shown here, especially @WomenNeo leadership

Baby born at 22 weeks gestation, saved by Sacramento firefighters and UC Davis Health Born on the side of Highway 99, a preterm baby gets the best chance at life, thanks to Sacramento Fire Department Engine 6 and UC Davis NICU teams.

Born in the site of the road at 22 weeks.
Never underestimate these little ones
#smallbutmighty
#NeoSky #PedSky
health.ucdavis.edu/news/headlin...

I’m proud to share that I will be joining @CincyChildrens for Pediatric Cardiology fellowship. Looking forward to busy but enlightening years ahead 💪❤️🫀🫶#neonatalCardiology

How are those kidneys doing? What’s in your TPN? There may be enough systemic perfusion to avoid anabolic metabolism but the renal condition and the fluid management may be the issue? Love the 🫀but the answer maybe somewhere else?

Natural follow-up question. What’s next?

Join the Congenital Heart Disease Physiology Series with Dr. Laurie Armsby, a renowned Pediatric Cardiology medical educator. #BigDreamsTinyHearts #NeoSky #PedsCard #congenitalheart
📷 December 12th 3pm EST/ 12pm PST
📷 tinyurl.com/4wcthszt
📷 CME Credit Available!

Quick, Draw! Can a neural network learn to recognize doodles? See how well it does with your drawings and help teach it, just by playing.

Like to doodle? Check out this fun game powered by ML quickdraw.withgoogle.com

When you have an experienced, dedicated, and humble NICU nurse taking care of your sickest baby. You know that everything will be ok because we’ll bring best out of each other. #interprofession #NICU

Action speaks louder than words. #MedSky #NeoSky

Large Language Model Influence on Diagnostic Reasoning This randomized clinical trial evaluates the diagnostic performance of physicians with use of a large language model compared with conventional resources.

“The LLM alone outperformed physicians even when the LLM was available to them” We need a new paradigm for human-computer interaction to improve diagnostic accuracy. How to create a human-centric system without sabotaging the AI potential to drive positive outcome? jamanetwork.com/journals/jam...

The market is now up and running with a new 3D printed cash register. The best part of my day is with my 2yo daughter. 🍓🍒🍎🍌🍊🥭

Nailed it! :D

ChatGPT Defeated Doctors at Diagnosing Illness A small study found ChatGPT outdid human physicians when assessing medical case histories, even when those doctors were using a chatbot.

The study ‘unveiled doctors’ sometimes unwavering belief in a diagnosis they made, even when a chatbot potentially suggests a better one.’ #AI #MedSky #SurgSky jamanetwork.com/journals/jam... … today in the NYT: www.nytimes.com/2024/11/17/h...

YouTube video by TEDx Talks Can Medical Storytelling Save Lives | Rachel Fleishman | TEDxNewRiver

Honored to give this #tedx talk about my journey as a physician author and the magic of storytelling for patients and healthcare workers
If you watch, please let me know what you think!
#meded #MedSky #NeoSky #NICU #Neonatology #WomeninMedicine #narrativemedicine

youtu.be/Y1lPb-IWx9U?...

Great talk, highly recommend.
Thanks @rafleishman.bsky.social 👏

World Prematurity Day – A Journey Through Time Premature birth has always been a challenge, but the past few decades have seen revolutionary advances in neonatal care. On this World Prematurity Day – November 17th, I wanted to reflec…

It's #WorldPrematurityDay2024 !

🌟NEW BLOG POST🌟

Look at how far we've come including my own personal experience with prematurity
allthingsneonatal.com/2024/11/17/w...
#NeoSky #MedSky #worldprematurityday #preemie

Timing of Neonatal Discharge and Readmission to PICUs Among Preterm Infants This cohort study examines whether the season and postmenstrual age of preterm infants discharged from neonatal units are associated with unplanned readmission to pediatric intensive care units (PICUs...

So, got a paper out, with some lovely graphs thanks to analyst Yuhe Wang.

Associations between timing of neonatal discharge and subsequent intensive care admissions for very preterm-born children

jamanetwork.com/journals/jam...

Extubation of #preemies during skin to skin vs incubator.
Winner=STS 😀
Success rate 80% in SSC versus 79.3% in incubator (p = 0.915).
No diff in HR or FiO2 between groups
No⬆️ resp support 24 h after extubation (SSC 15% vs. incubator 12.2%, p = 0.628).
pubmed.ncbi.nlm.nih.gov/39530316/
#NeoSky

Thanks, Sarah.

1 am your 23wk 700g neonate 12hrs post Piccolo became hypotensive, hypoxic, and you’re weighing different treatment strategies. Thank you Dr Regan Giesinger for leaving us an eloquent guidance.

This is a great starter pack for #NeoSky

@nicumusings.bsky.social Do we have a NeoSky Starter Pack?