Hello friends 👋 When is surfactant "early," and when is it too early, or too late? In this second installment of our two-part series with the Neonatal Resuscitation Symposium, Ben Courchia sits down with Dr. Roger Soll, a leading voice in surfactant research since the 1980s, to trace how our thinking on timing has evolved, from aggressive prophylactic dosing to selective rescue therapy to today's less invasive approaches like LISA and SALSA. Dr. Soll unpacks why head-to-head

Hello friends 👋 What does it take to feel truly seen during one of the most vulnerable moments of your life? In this episode of Beyond the Beeps, host Leah Jayanetti sits down with Val Butler, manager of AIME (the Alliance for Infant Maternal Health) in Miami-Dade County. Val shares her own NICU story, the surprise of learning her nearly ten-pound daughter needed NICU care, and the grace it took to sit with not knowing. She and Leah unpack what made her care team different:

Hello friends 👋 Which babies with critical congenital heart disease face the highest risk of brain injury, and does earlier surgery actually help? Why is infant CHD mortality climbing again after years of decline, and who's most affected? Can a mother's cardiovascular status in preeclampsia predict her newborn's circulatory transition? This week's Journal Club brings together five conversations on CHD, maternal-fetal physiology, and vaccine policy. Nim and Adrianne cover a m

Hello Friends 👋 In this episode, Rupa talks with Dr. Hailey Evans, a third-year fellow at Harvard's Neonatal-Perinatal Medicine Fellowship Program, transitioning to a neonatology faculty role at Yale. Hailey shares findings from her qualitative study of 41 neonatologists on death and non-death loss in the NICU — covering themes like emotional connection, weight of responsibility, and unsupportive workplace culture around debriefs and M&Ms. She also discusses the moral distre

Hello friends 👋 What if communication were treated as a procedure, something we train for and get feedback on, just like an intubation? In this episode of Neo News, Eli Cahan talks with Dr. Jessica Fry of Northwestern University and Lurie Children's Hospital about her NeoReviews piece, "Recognizing Communication as a Procedural Skill in Neonatology." Dr. Fry shares the personal loss that shaped her career, the ethical stakes of getting family communication right, and how tra

Hello friends 👋 How far has delivery room ventilation really come? In this special episode, recorded in collaboration with the Neonatal Resuscitation Symposium, Ben sits down with Dr. Charles Roehr, professor of neonatology and perinatal medicine at the University of Bristol, clinical trialist at the University of Oxford, and member of ILCOR. Together they trace the evolution of respiratory support at birth, from the era of fixed inflation breaths to today's focus on physiol

Hello friends 👋 Which PDAs actually need treatment? Can maternal voice and scent shape language outcomes? Should we cool at 35 weeks? And did stepping away from probiotics come at a cost? This week’s Journal Club takes on five papers that push back on standard practice. Ben reviews the SMART-PDA trial and a comparative study of PDA pharmacotherapy, Daphna covers the MIND trial on multisensory maternal interventions and a Pediatrix database study on NEC after the FDA probioti

Hello friends 👋 In this episode, Ben and Daphna sit down with Dr. Scott, pediatrician, neonatologist, and inventor of the Tortle. She shares how a simple observation in her Idaho practice, babies developing flat heads despite diligent parents, sparked a second career in medical device innovation. The conversation covers the evolution from the original corrective beanie to the Midliner and Transportal, the physiologic rationale for midline positioning in IVH prevention, and

Hello friends 👋 In this episode, Mbozu and Shelly-Ann sit down with Isabelle Furaha, a Congolese-born mother living in Uganda, whose experience with prematurity and loss led her to create Mama Tulia Ministries. After losing a 26-week infant and later bringing home a daughter born at 33 weeks due to preeclampsia, Isabelle committed herself to supporting other mothers facing the same fear and uncertainty. What began as simple hospital visits and prayer, grew into a community-b

Hello friends 👋 Does the latest Cochrane evidence finally tip the balance in favor of erythropoiesis stimulating agents in preterm infants? In this VON Grand Rounds follow-up episode, Ben sits down with Dr. Roger Soll and Dr. Souvik Mitra to review the 2026 Cochrane systematic review on early ESA use in preterm newborns. Across 37 trials and over 6,000 infants, early ESAs consistently reduce the need for red blood cell transfusion. The review also confirms with high certaint

Hello friends 👋 Neonatal sepsis physiology, steroids, vasopressors, and moms.gov. A full week on The Incubator Journal Club. Adrianne and Nim open with a retrospective study from Toronto challenging the assumption that hypoxemic respiratory failure in septic preterm infants is driven by elevated pulmonary vascular resistance. The data points instead to left ventricular dysfunction as a key contributor, raising questions about the reflex to reach for nitric oxide first. Nim t

Hello friends 👋 In this episode of Fellows Friday, Rupa welcomes Giulia Lima, a third-year neonatal perinatal medicine fellow at Harvard and incoming Assistant Professor at the University of Miami. Giulia walks us through her fellowship research journey, from a large epidemiological study of premature infants with congenital heart disease through the Children's Hospital Neonatal Consortium, to her Marshall Klaus Award-winning work on optimal surgical timing. The centerpiece

Hello friends 👋 This week, Leah sits down with Betsy Pilon, Executive Director of Hope for HIE, the global nonprofit dedicated to supporting families impacted by hypoxic ischemic encephalopathy. Betsy shares her personal journey as a NICU parent, from the frightening moments before Max's birth to navigating cooling, an uncertain MRI, and a discharge with almost no guidance. Together, they explore what families need most during each phase of the HIE experience, the groundbrea

Hello friends 👋 What would it really mean to shorten neonatology fellowship training to two years? In this episode, Ben and co-host Dr. Shetal Shah sit down with three division heads, Dr. Jill Maron (Brown), Dr. Patrick McNamara (University of Iowa), and Dr. Sarah Taylor (Yale), to examine the ABP's proposed changes from the perspective of those who run major academic NICUs. From the operational and financial strain of losing an entire class of third-year fellows, to the ero

Hello friends 👋 What happens when a scientist and a clinician scientist build a lab together, and an entire career, around the same disease? On this episode of At the Bench, Misty Good and Ben Fensterheim sit down with Professors Claudia and Marcel Nold, a husband and wife team running their lab at Monash University and the Hudson Institute. They trace their path from Charles Dinarello's cytokine lab in Denver to Melbourne, where they built a research program on IL-1 biology

Hello friends 👋 What does it mean to truly improve outcomes for very low birth weight infants, and are we actually doing it? In this episode, Daphna sits down with Dr. Joseph Kaempf, neonatologist and Medical Director of Value Research and Innovation at Providence Health System in Oregon, to examine some uncomfortable truths about neonatal quality improvement. Dr. Kaempf shares findings from a study spanning 16 NICUs over 14 years showing that composite morbidity outcomes ha

Hello friends 👋 Phototherapy duration, jaundice and UTIs, extended CPAP, and The Pitt. A full week on the Incubator Journal Club. Ben opens with a nationwide Swedish cohort study from JAMA Network Open examining phototherapy duration in nearly 5,000 very preterm infants. Longer phototherapy was not significantly associated with late neonatal mortality, but six to seven days was associated with significantly higher rates of severe neonatal morbidity. With 95% of the cohort re

Hello friends 👋 In this episode, Mbozu and Shelly-Ann sit down with Dr. Naana Wireko Brobby, a neonatologist leading national efforts to strengthen newborn care in Ghana. She shares a grounded view of daily life at Komfo Anokye Teaching Hospital, where high patient volumes, resource constraints, and continuous teaching shape clinical work. The conversation traces her journey into neonatology, then moves into system-level change: building a national retinopathy of prematurity

Hello friends 👋 What if closing a PDA could be done at the bedside in under 10 minutes, without transporting a fragile preterm infant to the cath lab? Dr. Shyam Sathanandam, Chief of Cardiovascular Medicine at Nicklaus Children's Heart Institute, joins us to discuss the evolution of transcatheter PDA closure in extremely preterm infants. We cover how bedside procedures protect the most vulnerable neonates, which infants are most likely to benefit from closure, the learning c

Hello friends 👋 Opioid withdrawal dosing, intranasal breast milk, human milk fortification in Japan, neonatal dysphagia, and vaccine policy. A full week on the Incubator Journal Club. Ben opens with the Optimized NOW trial in JAMA: symptom-based dosing reduced time to medical readiness for discharge by nearly two and a half days in NOWS infants managed with Eat Sleep Console, and allowed 65% of pharmacologically treated infants to avoid scheduled opioids entirely. Daphna rev