selvanr4

i agree to the pustular rash on the foot. But the black colour change on the face, nape of neck are out of blue. i will search again and come back to you with the latest pictures next week when they come back fo review from the primary care practitioner.

both the babies received inj. amikacin and piperacillin &tazobactum. they have received platelet transfusions also selvan

we had 2 newborns prentong with culture proven staph sepsis. they had colour change to black pigmentation while on drugs. any strain which causes colour change?

I have found it difficult to come to terms with death at times. Hindu religion says that you have to leave for the other world which is blissful , to be with the Creator.I sometime think that the time has come for the baby to reach it's home and be with the GOD. ( i worry lot about the mother and father and their aspirations) I take some time off ,to reflect back. to talk to seniors about what could have been done and read the latest on the condition including untested anectodes. i Talk to family ,friends for support and wait for the healing time. Remember to note any important things which might be help in future treatment. i do not know any set protocol to come out of grief; as you said ,it's worth pursuing selvan

Do you grieve if you lose your patient unexpectantly? How do you manage to come out ? do you turn to religious texts, solitude, or others? please mention any reading materials also selvan

Hello, we have a newborn with white forelock of hair and hypopigmentation in glove and stocking pattern oh hands and feet. Has heterochromia iris. 9 days old now admitted for jaundice. Diagnosis? and further workup? selvan .r india

i found out a cochrane review which supports antenatal steroids; http://www.cochrane.org/reviews/CD004454.pdf

thanks a lot Jack! i will be back after reading through the articles selvan

i wonder always about the use of steroids in peripartum period about it's side effects and effects. 1. When antenatal steroids are harmless and help in reducing RDS how post natal steroids have become dangerous in RDS ? 2.When steroids are used for BPD without serious consequences how the same steroid is dangerous if used post natally for RDS ? I will be happy to get the right answers for this nagging questions. thanks selvan rathinasmy ERODE,INDIA

we have discharged 950 gms baby home and reviewed them weekly. Parents used table lights and KMC for maintaining temperature.Feeds were breastmilk,HMF,along with MCT oil, MV drops and iron . calcium

Good .We can know many things which are not good just by observing others doing it and learning from it!!!

wish you many more years of interactive and illuminative life span for 99 nicu

i will be try to make a presentation at the earliest

hello, we have used mgso4 in treating PPHN in our newborns before sildenafil has been found to be useful. now we use it only when the response to sildenafil is inadequete.it is used initially as a bolus dose of 200mg /kg over 30 mts ,followed by 10mg/kg/hr (till you get a needed response in terms of reduced PIP,good sp02).beware of peripheral shock which might prompt us to discontinue the infusion. dr.r.selvan lotus hospital ERODE,INDIA

good idea.even small victories need celebration to keep up the tempo of life.the suggession of social group is welcome.

Dear Stefan you are most welcome to india

it's great to start breastfeeding early in the NICU itself.What we need is not the money or the materials.But only the time. In our small NICU we are following breatmilk only policy which has helped us to avoid NEC and other problems of formula feeds dr.r.selvan erode india

dear stefan it's really sad to note that everywhere the govt wants to leech the earner and make merry with the money.We have better alternatives here in india selvan rathinasamy

In our hospital we do not apply anything on the cord. we allow it to dry. When baby bath is given (after 5 days as per national guidelines),we use cotton towel to dry. Even in NICU babies, we have not had any problems. thanks dr.r.selvan lotus hospital erode india

some more information on the X Rays. 1.preterm /IUGR/had apnoea. CRp was raised. band forms > 11%.could not afford treatment .Hence transferred to General Hospital where the baby died. 2.MAS/birth asphyxia.ventilated.Echo moderate PAH. didn't respond to sildenafil, mg so4 infusion,dopamine. Suction tip grew non fermenting gram negative bacilli. died on day 4 3.Term/LSCS/ had polymorps raised. CRP -ve. responded to 7 day course of antibiotics 4.had meconium stained liquor.all septic work up including c& s -ve.x ray clear on day 3.received antibiotics, calcium, DR.R.SELVAN ERODE INDIA

Dear All, In our hospital we have come across newborns presenting with respiratory distress. Their septic screen is invariably negative. Their Xrays have patchy opacities mostly on left side. Our senior radiologist feels that to be unlikely to be pneumonias but local lung fluid collection lung (like Opaque Rt lung )They needed O2, antibiotics and some ventilation. Please see the xrays in the folder intrauterine pneumonias and give your opinion Thanking you DR.R.SELVAN LOTUS HOSPITAL ERODE-638002 TAMIL NADU ,INDIA selvanr4@yahoo.com