ystrdy

day eight

• with babies w risk factors for

intracranial hemorrhage you

wanna get head ultrasound around

3-4 days cuz that’s when most of

the bleeds happen and then again

at ~30 days when there’s a risk

of leukomalacia

• some people use ultrasound as a

“divining rod” to see if baby has

pneumonia vs RDS… often

good clinicians with good clinical

judgment who already ruled out

and use US to post-hoc confirm

their reasoning

- therefore US not actually

that helpful, just seems it

• duodenoduodenostomy just a crazy

word… doubled in on itself a la Homer

• karyotype can detect macro

deletions (not micro) and aneuploidy

- take cells, let them replicate,

freeze in metaphase, stain, look @

• sometimes placenta can

tolerate an aneuploidy that the

fetus can’t → abortion (mosaicism)

• ? diGeorge ? I knew it tenuously

for step 1 but it’s gone… something

about thymus?

• ? compound heterozygote ?

• “hey we discovered new genes”

- they keep your genome

indefinitely when you get

genetic testing done

• (white) mom wants to “research” the

preemie formula nutritionist is

recommending … textbook wws

• getting randomly pissed at the

security guard with the big

glasses wearing a Michael Kors

mask with a big ass MK on one side

• teratoma baby has a starmie

pokemon card (which looks fake but

that’s beside the point, or maybe it’s

a metaphor or microcosm or smth)

clipped to his name card

• I’m sorry bro but can we let him die??

Like truly this is inhumane… loooking at

his face it’s like instantly recognizably

jaundiced as fuck like his body

is trying to kill him in a few ways

why don’t we just let him

go or at least try taking out the

elephant in the room first? it’s

our fault it’s all our fault can’t

blame the parents but if I were

them I’d be inclined to get that

thing removed NOW or just let him

fucking die like he’s clearly trying

to
tmrw