Julie Springate Spalding, MD (@springatemd) 's Twitter Profile
Julie Springate Spalding, MD

@springatemd

Neonatologist. Opinions are my own. She/Her/Hers #NeoTwitter #Tweetiatrician

ID: 1496566272

calendar_today09-06-2013 20:50:34

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Brandon Luu, MD (@brandonluumd) 's Twitter Profile Photo

As a Resident Doctor, I have now worked >100 24-hour shifts with little to no sleep. This took a huge toll on my health so I looked into the research These are my top 3 evidence-based protocols to leverage exercise against the negative health effects of sleep deprivation ๐Ÿงต1/12

As a Resident Doctor, I have now worked >100 24-hour shifts with little to no sleep. This took a huge toll on my health so I looked into the research

These are my top 3 evidence-based protocols to leverage exercise against the negative health effects of sleep deprivation 
๐Ÿงต1/12
Brandon Luu, MD (@brandonluumd) 's Twitter Profile Photo

As Resident Doctors, we work 26h shifts with no sleep. Coffee wasnโ€™t enough to keep me sharp, so I dove into the literature for other solutions. Here are my evidence-based protocols for using CREATINE to maximize cognitive performance during sleep deprivation ๐Ÿงต1/12

As Resident Doctors, we work 26h shifts with no sleep.

Coffee wasnโ€™t enough to keep me sharp, so I dove into the literature for other solutions.

Here are my evidence-based protocols for using CREATINE to maximize cognitive performance during sleep deprivation
๐Ÿงต1/12
Julie Springate Spalding, MD (@springatemd) 's Twitter Profile Photo

My last time on service as a fellow is complete! Just 3 night shifts and a 24 hour shift stand between me and graduation! #MedTwitter

Neonatal Hemodynamics Research Centre (@neohemodynamics) 's Twitter Profile Photo

Dr. Gabriel Altit's talk on The Hemodynamics of CDH is on YouTube: youtu.be/aSFwk8N3crc. An excellent review of the aPH and LV phenotypes in CDH, how to recognize the potential for biventricular and/or shifting cardiovascular phenotypes & more! #neoTwitter #neohemodynamics

Dr. Gabriel Altit's talk on The Hemodynamics of CDH is on YouTube: youtu.be/aSFwk8N3crc.   
An excellent review of the aPH and LV phenotypes in CDH, how to recognize the potential for biventricular and/or shifting cardiovascular phenotypes & more!
#neoTwitter #neohemodynamics
Alexandra Scrivens (@dralexscrivens) 's Twitter Profile Photo

Great to hear from Dr Mervat Elyas that NeoCLEAR is having an ongoing impact in Leeds! #JFNS24 Time to sit up for neonatal LP success - videos available on YouTube @ccroehr NPEU @EdJuszczak m.youtube.com/watch?v=O2W1yyโ€ฆ

Magda Sanz (@masancor07) 's Twitter Profile Photo

Dr Belfort presenting our preliminary experience of in utero gastroschisis repair trial or the first time at FMF Fetal Medicine World Congress Texas Children's Fetal Center

Dr Belfort presenting our preliminary experience of in utero gastroschisis repair trial or the first time at FMF Fetal Medicine World Congress 

<a href="/TCHFetalCenter/">Texas Children's Fetal Center</a>
Deborah Greenhouse (@greenhousemd) 's Twitter Profile Photo

I saw a bunch of kids in my office today. Well checks. Sick visits. Mental health visits. Every one of them deserves to grow up in a true democracy. They can't vote. They have no voice. We need to be their voice. This is not a partisan issue. Please #VoteKids.

Neonatal Hemodynamics Research Centre (@neohemodynamics) 's Twitter Profile Photo

Dr. Patrick McNamara's talk on Hemodynamics is Physiology is on YouTube: youtu.be/k4tvziMeTAk. An excellent overview of core neonatal cardiopulmonary physiology principles! #neoTwitter #neohemodynamics

Dr. Patrick McNamara's talk on Hemodynamics is Physiology is on YouTube: youtu.be/k4tvziMeTAk.
An excellent overview of core neonatal cardiopulmonary physiology principles!
#neoTwitter #neohemodynamics
Satyan (@neosatyan) 's Twitter Profile Photo

Use of inhaled nitric oxide in preterm infants is controversial. What are the indications? Does presence of pulmonary hypertension on echo improve survival following iNO? Data from KFF with Drs. Bhatt, Braun Rangasamy Ramanathan Henry Lee Journal of Perinatology nature.com/articles/s4137โ€ฆ

Use of inhaled nitric oxide in preterm infants is controversial. What are the indications? Does presence of pulmonary hypertension on echo improve survival following iNO? Data from <a href="/KFF/">KFF</a> with Drs. Bhatt, Braun <a href="/DrRamanathanUSC/">Rangasamy Ramanathan</a> <a href="/henryleeneo/">Henry Lee</a> <a href="/JPerinatology/">Journal of Perinatology</a>  nature.com/articles/s4137โ€ฆ
Ravi Mangal Patel (@ravimpatelmd) 's Twitter Profile Photo

So excited to delve into this one โ€ฆ hopefully becomes a book that all neonatal fellows read ๐Ÿ™ Susanne, Roger, Barbara, Haresh and John Zupancic for letting me write a small part of it #neoEBM

So excited to delve into this one โ€ฆ hopefully becomes a book that all neonatal fellows read

๐Ÿ™ Susanne, Roger, Barbara, Haresh and <a href="/JohnZupancic/">John Zupancic</a> for letting me write a small part of it 

#neoEBM
Michael Narvey ๐Ÿ‡จ๐Ÿ‡ฆ (@nicu_musings) 's Twitter Profile Photo

Ibuprofen, paracetamol and now betamethasone to close the PDA? #preemies < 29 weeks at 3 wks of age with a hemodynamically significant PDA had 98% closure after a 6 day course of steroid pubmed.ncbi.nlm.nih.gov/39604779/ #neoTwitter

Ibuprofen, paracetamol and now betamethasone to close the PDA?
#preemies &lt; 29 weeks at 3 wks of age with a hemodynamically significant PDA had 98% closure after a 6 day course of steroid
pubmed.ncbi.nlm.nih.gov/39604779/
#neoTwitter
Adrianne R Bischoff (@arbischoff) 's Twitter Profile Photo

Same treatment, different outcomes. ๐Ÿซ Inhaled NO in preterm infants with acute PH ๐Ÿ‘‰ Timing matters. #iNO works best in transitional PH (โ‰ค72h) ๐Ÿง  Less clear role in late PH Breakdown ๐Ÿ‘‡ โ€” Baczynski et al, JAMA Network Open, 2025

Same treatment, different outcomes.
๐Ÿซ Inhaled NO in preterm infants with acute PH
๐Ÿ‘‰ Timing matters.
#iNO works best in transitional PH (โ‰ค72h)
๐Ÿง  Less clear role in late PH
Breakdown ๐Ÿ‘‡

โ€” Baczynski et al, JAMA Network Open, 2025
Dr. K. S. Gautham (@dr_ksgautham) 's Twitter Profile Photo

Nutritional Strategies for Preterm Neonates and Preterm Neonates Undergoing Surgery: New Insights for Practice and Wrong Beliefs to Uproot mdpi.com/2812444 #mdpinutrients via Nutrients MDPI

Nutritional Strategies for Preterm Neonates and Preterm Neonates Undergoing Surgery: New Insights for Practice and Wrong Beliefs to Uproot mdpi.com/2812444 #mdpinutrients via <a href="/Nutrients_MDPI/">Nutrients MDPI</a>
Michael Narvey ๐Ÿ‡จ๐Ÿ‡ฆ (@nicu_musings) 's Twitter Profile Photo

Meta-analysis of eat, sleep, console approach to withdrawal vs Finnegan scoring Is there any reason not to adopt ESC? ESC โฌ‡๏ธhospitalisation days (MD -4.11 days, p<0.0001 & the proportion treated with withdrawal medications (OR 0.36, p<0.0001 #neotwitter pubmed.ncbi.nlm.nih.gov/40393782/

Meta-analysis of eat, sleep, console approach to withdrawal vs Finnegan scoring 

Is there any reason not to adopt ESC?

ESC โฌ‡๏ธhospitalisation days (MD -4.11 days, p&lt;0.0001 &amp; the proportion treated with withdrawal medications (OR 0.36, p&lt;0.0001
#neotwitter
pubmed.ncbi.nlm.nih.gov/40393782/