ystrdy start over

day seventeen

• no offense and not trying to

judge but T--- does not

have her shit together w/ presentations

like how are you still

umming so much while reading

off a paper?!

• --a-- prickling at ---o-- for

putting in an order when “that’s

[her] one job” meanwhile we’re

rounding on teratoma baby like please be

for real guys

• attending pulled up CT of baby

head with hydrocephalus and

dilated ventricles. T--- was

like “that’s profound” while letting

out a laugh, then “that’s crazy,”

then Dr. S---- said “mom is right

there, so…” like girl you’re

making a bad impression and

extremely distasteful and just

unfeeling. hello?!!!

• ? weight adjust vs feed advance?

seems a little late in the

game to be asking a question

like that but they said we

don’t weight adjust while we’re

advancing so… hm?

• tachycardia in baby is a

red flag cu that’s rly the only

way to compensate ^ BP.

MAP ~= gestational age as a

general rule

• bounding pulses + wide pulse pressure

= possible symptomatic PDA

• guy pushing loud ass zamboni

during rounds

• “has done amazing

things since being born”

omfg the editorializing during

rounds is crazy w this group

(---o-- in this case)

• antacids put preemies at higher

risk of NEC cuz they deacidify

the stomach, but acid as part of

immune system… u do the math

• the reason I’m not doing medicine

after this is cuz it would destroy

me. me as in the person writing

this. but that me has been

like… it took work to get this

me! ofc i’m not clinging, just like…

avoiding destruction? devils, etc

• ^ RDW in older babies is

a sign of high RBC turnover

cuz big cells are immature

< 800g = d5 starter

• tbh I do not feel like taking

notes on this damn nutrition

lecture so I’ll just write

whatever so this French woman

or like eastern European idk like

just so she doesn’t think I’m just

not paying attention

• types of lipid: soybean oil,

SMOF, olive oil, fish oil

• ^ bili = switch to omegaven (fish oil)

• is she gonna stop now? we

have to run the list with V----!!

plus I’m bored!! and idgaf

about this!

tmrw