Kanekal Suresh Gautham @Dr_KS_Gautham
Neonatologist, Chair of Peds, Professor, Editor. Evidence-based medicine, quality, safety, leadership. Posts are own opinions & not medical advice. He/his/him Orlando, Florida, USA. Joined July 2013-
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Live From Toronto! Excited to be doing a live podcast this evening from @PASMeeting from the Nemours Booth. Tune in on the @Nemours YouTube channel at 530 PM Eastern to hear about The Mirror, the Compass & the Swiss-army Knife of Leadership, Other topics. youtube.com/@NemoursChildr…
Am sorry to say there is one X account that’s a bigger favorite of mine than any other account related to neonatology, medicine, wisdom, self-improvement or innovation. It has some precious musical treasures, such as this one:
Am sorry to say there is one X account that’s a bigger favorite of mine than any other account related to neonatology, medicine, wisdom, self-improvement or innovation. It has some precious musical treasures, such as this one:
Mindfulness meditation transformed my life about 11 years ago when I attended a Mindfulness Based Stress Reduction workshop. Glad to see a meditation room at PAS!
I tweeted recently about ‘negative’ trials. This is an excellent example of an useful’negative’ trial.
I tweeted recently about ‘negative’ trials. This is an excellent example of an useful’negative’ trial.
Fascinating read about ECMO from my favorite magazine, including history of ECMO and eCPR. Mostly focused on adult ECMO. Luckily neonatal ECMO runs are shorter, more successful, less contentious. #neotwitter newyorker.com/science/annals…
"Science is not about building a body of known 'facts'. It is a method for asking awkward questions and subjecting them to a reality-check, thus avoiding the human tendency to believe whatever makes us feel good!" -- Terry Pratchett
The British Medical Journal has had a long history of involving patients in its publication efforts. In July they will publish a special issue of The BMJ, led by patients. More journals should emulate such efforts. #medtwitter @bmj_latest bmj.com/content/385/bm…
The importance of trust in physicians and the health system, and how skepticism about medical recommendations can be dangerous. @nytimes #medtwitter nytimes.com/2024/04/24/opi…
Birthrates in the U.S. hit historic low, CDC data show wapo.st/4aR2B7z #neotwitter
At every PAS meeting there are numerous interesting presentations. Best part of these is the Q and A where many good points are raised. Unfortunately some people hog the microphone and waste the Q &A with long rambling comments. condenaststore.com/featured/wed-n…
Which is better - a career in academic medicine, or one as a pure clinician? There are pros and cons. You can be happy/unhappy in either role. #medtwitter Clinical vs. Academic Medicine: Weighing the Pros and Cons healthecareers.com/medpage/career…
Be skeptical of the findings in single-centre RCTs of critically ill patients published in high-impact journals claiming a mortality benefit. Only 1 out of 16 RCTs were replicated in a multi-centred RCT. ccforum.biomedcentral.com/articles/10.11… @First10EM @KirstyChallen @drjohnm @adamcifu
Editorial: “Choosing the Unit of Randomization – Individual or Cluster?” by Rui Wang, PhD eviden.cc/4aoEpsJ
One of the most effective interventions in medicine is time. Yet we rarely discuss explicitly how to use time as Rx. We need to explicitly discuss when & how often to intervene, when to wait & watch. This is the science of 'time-sensitive therapeutics'. rdcu.be/dFNZl
The Compass, the Mirror, and the Swiss-army Knife: Key Principles of Leadership in Pediatrics If you are interested in leadership, and will be at PAS, please consider attending our interactive, fun workshop on Sunday May 5, 11 - 1230. cdmcd.co/RxrdmQ
If you are coming to PAS, please stop by at the Nemours Children's Health booth. We have a lot of interesting activities for attendees, lots of information about our health system, and lots of interesting people to meet and network with. Look forward to seeing you there!
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Evidence-Based Neo @EBNEO
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Charles C Roehr @ccroehr
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Michael Narvey 🇨�.. @NICU_Musings
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Evidence-Based Neo @EBNEO
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ESPR @ESPR_ESN
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@Dr_KS_Gautham @bmj_latest That is commendable. We are working for them after all!
I don't disagree. It's not unreasonable. Two of my most despised turns of phrase.
Neurodevelopmental outcomes from the ALPS trial in @JAMA_current suggest that the administration of antenatal corticosteroids is not associated with adverse childhood neurodevelopmental outcomes at age 6 years. #EBNEOalerts #neoEBM #neotwitter buff.ly/3Wi2mOF
@EBNEO @JAMA_current @drcynthiagyamfi The shorter term benefits from the original trial may not have long term benefits. It's good to see ND outcomes are similar for those preterm, but the discussion with families before giving steroids would naturally include outcomes if delivery doesn't happen until term.
@EBNEO @JAMA_current The studies of neurodevelopmental outcomes among infants who received steroids but deliver at term are, justifiably, concerning. I wonder if ALPS is planning a follow-up study of that population? Those randomized but didn't deliver prematurely. @drcynthiagyamfi
Thank you for this advise!
I've sometimes simplistically categorized RCTs as 'positive' (when they find Rx improves outcomes) or 'negative' & disappointing (when no difference in outcomes between groups). We should really take a more nuanced approach to interpretation. Good read: nejm.org/doi/full/10.10…
@AlexisDNeoMD @Dr_KS_Gautham @AAPneonatal 100% agree - benefits everyone :) @PASMeeting - that’s the way to go !!
Religious Spiritual and Cultural Considerations in Ethical Decision Maki... youtu.be/EhERScN4P-Q?si… via @YouTube
@AlexisDNeoMD @Dr_KS_Gautham @AAPneonatal Agreed 100%, moderated anonymous Q&A is the way to go
@Dr_KS_Gautham @prematurando This is an oversimplification. There are many “pure” clinicians that do teaching, research, quality, advocacy. And there are similarly “academic” faculty that have little actual academic output.
@Dr_KS_Gautham @prematurando Our practice is a private with expectation to do 100% clinical work. We integrated quality and research into our practice by taking advantage of academic environment around us. The hospital is academic with a medical school attached to it. It is possible to do both.
@Dr_KS_Gautham The anonymous Q&A system used @AAPneonatal Scottsdale workshop has been a game changer- ensures that questions with the most interest are prioritized and subdues the dominant personalities
@Dr_KS_Gautham I agree that in other than US settings - it’s sometimes a mix of 100% clinical and doing academia off hours with little means while still being able to do impactful work with passion and team spirit 😊
The life of an academic clinician 😊
Which is better - a career in academic medicine, or one as a pure clinician? There are pros and cons. You can be happy/unhappy in either role. #medtwitter Clinical vs. Academic Medicine: Weighing the Pros and Cons healthecareers.com/medpage/career…
Today @ArunSett submitted his PhD thesis for examination @UniMelbMDHS A huge milestone in a remarkable journey that has seen him become an international authority on neonatal lung ultrasound in just a few yrs We are very proud of him!! (@DavidTingay @Shezza622 & Peter Davis)
@Dr_KS_Gautham @nationwidekids @EBNEO @99nicu I would have liked that 3 groups too, but didn't see that in the first read through. The majority that achieved ROSC with ETT epi first also received IV epi after.
What’s the best sentence or paragraph you’ve ever come across?
AZTEC trial out @LancetRespirMed Multi-center RCT from UK showed azithromycin therapy did not improve survival without BPD in preterm ventilated infants Glad to write an editorial on this thelancet.com/journals/lanre… thelancet.com/journals/lanre… #neoEBM
What I wish for when I go to work everyday is that I have enough knowledge and experience to make good decisions and enough wisdom to know when I don't. #doctorlife
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