• For feeders/growers: for discharge, defortify to 20-22 cal; need PO food
• 1 oz = 30 g recommended weight gain per day
• Necrotizing enterocolitis (NEC):
where am i? - Bowel rest
- NG decompression, d/c feeds
- IV fluids for water and electrolytes
- Parenteral nutrition
- Zosyn
- Can lead to small bowel syndrome
- - Need a central line your whole life (!!?)
- Pneumatosis
- - When you see this, it’s already late in the course
- Bowel distention
• Born during RSV season (October–March) = get monoclonal antibody
• ? absent septum pellucidum
• Anxiety-inducing (→ flow state, sometimes)
• Self-important (understandably ?)
• ? TFL
- total fluid load
• ? babies are prone to ABD events during ROP screen
- ABD = apnea-bradycardia-desaturation
- ROP = retinopathy of prematurity
- Hypoxia → ischemia → VEGF → arborization
• Trophic feeds = reintroduce food to gut microbiome
- The goal is not nutrition yet
• ? VACTERL
- Vertebra, anal atresia, cardiac anomalies, tracheoesophageal fistula, renal agenesis, limb abnormality
• feel somewhat calmer, like I
can go slower, like I’m
remembering that I can
contribute just to vibes and ppl like
when I’m calm and smiling like
it’s just better for everyone
also I feel less like an impostor
when I can say --- -------
-----, not acting\pretending
• I forgot what rounds are like:
uncomfortable on the lower back
and heels
• but yeah I feel less like this is a
performance. like it’s not. this is IRL
• more tolerable knowing that ------
---- --- ------- ---- -----------
• again, not that bad, but I did
just get a rush of euphoria at the
thought of getting sent home
- chest flutter, laugh, tears well up
• if you have time to check the
weather, DO SOMETHING ELSE BITCH!
- free time is a crazy thing cuz
when u have it u sometimes
wanna get rid of it etc this
is news to no one freedom can
be paralyzing but like damn
just sit there and take a breath
then maybe!! weather will be
what it’s gonna be!
• Kafkaesque ass process for discharge
so many forms?? leave them alone!