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The Incubator

Ben Courchia & Daphna Yasova Barbeau

784 episodes

19 hours ago

Send us a text In the second installment of our Rethinking Phototherapy series, Ben and Daphna welcome Dr. Daniel Rauch, Professor of Pediatrics at the Hackensack Meridian School of Medicine and Division Chief of Pediatric Hospital Medicine and General Academic Pediatrics at Joseph Sanzari Children’s Hospital. Dr. Rauch co-authored the AAP technical report on phototherapy and brings a unique perspective on how light therapy should be understood and applied in clinical practice. This conversat...

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Society & Culture,

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All content for The Incubator is the property of Ben Courchia & Daphna Yasova Barbeau and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

Send us a text In the second installment of our Rethinking Phototherapy series, Ben and Daphna welcome Dr. Daniel Rauch, Professor of Pediatrics at the Hackensack Meridian School of Medicine and Division Chief of Pediatric Hospital Medicine and General Academic Pediatrics at Joseph Sanzari Children’s Hospital. Dr. Rauch co-authored the AAP technical report on phototherapy and brings a unique perspective on how light therapy should be understood and applied in clinical practice. This conversat...

Show more...

Society & Culture,

Health & Fitness,

Episodes (20/784)

The Incubator

#377 - 💡 Rethinking Phototherapy – Phototherapy as Pharmacotherapy with Dr. Daniel Rauch

Send us a text In the second installment of our Rethinking Phototherapy series, Ben and Daphna welcome Dr. Daniel Rauch, Professor of Pediatrics at the Hackensack Meridian School of Medicine and Division Chief of Pediatric Hospital Medicine and General Academic Pediatrics at Joseph Sanzari Children’s Hospital. Dr. Rauch co-authored the AAP technical report on phototherapy and brings a unique perspective on how light therapy should be understood and applied in clinical practice. This conversat...

19 hours ago

44 minutes

The Incubator

#376 - 💡 Rethinking Phototherapy – Drafting the New AAP Guidelines with Dr. Alex Kemper

Send us a text In this episode of The Incubator Podcast, Ben and Daphna sit down with Dr. Alex Kemper, Division Chief of Primary Care Pediatrics at Nationwide Children’s Hospital and Editor-in-Chief of Pediatrics. Dr. Kemper served as chair of the American Academy of Pediatrics subcommittee that authored the 2022 revision of the neonatal hyperbilirubinemia guidelines. Together, they explore the motivations behind revisiting the 2004 guideline, the major changes introduced, and how these revis...

1 day ago

49 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - What's big about tiny babies?

Send us a text In this discussion, Dr. Hevil Shah (Cook Children’s Hospital) and Dr. Julie Lindower (UI Children’s) highlight the work of the CHNC Focus Group on Extremely Preterm Infants, centered on babies born between 21–23 weeks’ gestation. They share insights from a workshop on precision care, emphasizing lessons from Iowa’s long-term data showing improved survival and neurodevelopmental outcomes. The conversation explores variability in resuscitation and counseling practices across cent...

4 days ago

8 minutes

The Incubator

#375 - 🟠 CHNC 2025 KEYNOTE - We must welcome open discussions on reproductive health

Send us a text In this keynote discussion, Dr. Natasha Henner (Lurie Children’s Hospital) examines how evolving reproductive policies are reshaping neonatal practice, from counseling at the limits of viability to supporting families after restrictive abortion laws. She discusses rising NICU admissions for infants with congenital differences, ethical tensions around “life-limiting” diagnoses, and gaps in perinatal hospice and home care resources. Dr. Henner emphasizes the need for shared frame...

4 days ago

29 minutes

The Incubator

#375 - 🟠 CHNC 2025 KEYNOTE - Mental Health Support from Heartbeat to Home

Send us a text In this keynote conversation, Dr. Amy Baughcum, PhD (Nationwide Children’s), Dr. Elizabeth Fischer, PhD (Children’s Wisconsin), and Dr. Lamia Soghier, MD, MeD, MBA (Children’s National) discuss building comprehensive perinatal mental health support systems that span from prenatal diagnosis to life after NICU discharge. Drawing inspiration from Dr. Joanna Cole’s fetal psychology model at CHOP, they emphasize early screening, interdisciplinary collaboration, and embedding psychol...

5 days ago

19 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - You can't walk through water without getting wet

Send us a text This episode addresses NICU staff mental health with Dr. Chavis Patterson, PhD (Children’s Hospital of Philadelphia). He reviews common problems—toxic stress, compassion fatigue, irritability, sleep disturbance—and practical mitigation strategies: brief micro-practices (five-minute arrival/departure routines), peer debriefs (e.g., “pink flags”), unit multidisciplinary check-ins, and institutional resources such as employee assistance programs and embedded NICU psychologists. Pa...

5 days ago

15 minutes

The Incubator

#375 - 🟠 CHNC 2025 KEYNOTE - Can we make baby lungs more resilient?

Send us a text This keynote episode features Dr. Jennifer Sucre (Vanderbilt University Medical Center), whose research bridges bedside observation and molecular biology to uncover why some preterm infants develop severe bronchopulmonary dysplasia (BPD) while others recover. Through innovative live imaging of lung development and mouse and human tissue models, her lab discovered that capillary “guidance” signals—semaphorins—are crucial for lung repair and resilience. Loss of these pathways mar...

5 days ago

20 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - EXPLORE projects HOT TOPICS! CAKUT risk calculator and TH in the 33-35 weeks GA!

Send us a text This episode features Dr. Sofia Isabel Perazzo (Children’s National Hospital) and Dr. Rakesh Rao (St. Louis Children’s Hospital) discussing a CHNC Explore analysis of intestinal stricture formation following surgical necrotizing enterocolitis (NEC). Using 15 years of CHND data, they examined over 2,400 surgical NEC cases, finding an overall stricture incidence of about 31%, with striking inter-center variability (24–38%). Lower gestational age, stoma creation, and combined drai...

5 days ago

23 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - The cumulative effect of prematurity and CHD

Send us a text This episode features Dr. Giulia Lima (Boston Children’s Hospital), a CHNC Mentored Fellow, discussing risk factors for morbidity and mortality among preterm infants with congenital heart disease (CHD) using data from over 11,000 NICU admissions. Surprisingly, older gestational age did not predict improved survival once infants survived beyond three days. Major mortality predictors included surgical NEC, bloodstream infection, trisomy 21, airway anomalies, and compromised syste...

5 days ago

15 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - Stricture formation after Surgical NEC

Send us a text In this episode Dr. Murali Premkumar (Texas Children’s) presents an Explore/CHNC analysis of stricture formation after surgical NEC using 2010–2024 CHND data (2,411 surgical NEC infants). Overall CHNC stricture incidence ≈31% with marked inter-center variability (adjusted center rates ~24–38%). Multivariable analysis identified lower gestational age and stoma/laparotomy as associated with higher stricture risk, while initial peritoneal drainage associated with lower risk; Hispa...

5 days ago

16 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - The Nuances of Universal Screening Programs

Send us a text This episode features Dr. Sarah Swenson (Children’s Nebraska), Dr. Cara Solness, PhD (Children’s Nebraska), and Dr. Desiree Leverette (Emory/Children’s Healthcare of Atlanta) discussing equitable approaches to parental mental health screening in the NICU. They highlight that traditional programs often screen only mothers for depression, missing significant distress among non-gestational parents, especially fathers. Universal screening identified five times more affected partner...

6 days ago

24 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - How do we engage more nurses to present research and attend conferences?

Send us a text This episode features Joshua Hess, MSN, RN discussing strategies to encourage more nurses to attend neonatal conferences where interdisciplinary collaboration drives meaningful quality improvement. Hess highlights how nurse involvement ensures clinical decisions reflect bedside realities, especially in managing conditions like BPD. He describes his unit’s culture of first-name, physician-nurse partnership and how institutional support and presenting a poster helped him attend. ...

6 days ago

9 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - HIE and genetic diagnoses- hidden mimickers

Send us a text In this episode, Dr. Marina Metzler (St. Louis Children’s) shares her experience as a mentored fellow within the CHNC network, focusing on her project investigating genetic diagnoses in neonates with hypoxic-ischemic encephalopathy (HIE). She discusses the application and mentorship process, the support available from statisticians and CHNC collaborators, and early findings showing that infants with genetic conditions often experience longer NICU stays, more ventilator support,...

6 days ago

10 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - ROP - Have you spoken to your ophthalmologist today?

Send us a text This episode features Dr. Carolina Adams (Emory) and Dr. Faizah Bhatti (Oklahoma Children’s Hospital) discussing findings from the CHNC Retinopathy of Prematurity (ROP) Focus Group. Their survey of pediatric ophthalmologists across U.S. centers revealed wide variability in screening practices, communication with neonatologists, sedation protocols, and anti-VEGF dosing. Many clinicians continue using higher bevacizumab doses despite emerging evidence supporting dose reduction. T...

6 days ago

21 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - The CHNC Day 2 intro, recap of Day 1

Send us a text This episode reflects on key themes emerging from day two of the 2025 CHNC Symposium. Hosts highlight ongoing work within CHNC focus groups, including defining emergent neonatal transport criteria and improving care pathways for infants with intestinal failure. They emphasize the pivotal role of family partners in research and quality improvement, noting the need to reduce financial and logistical barriers that limit caregiver participation at conferences. The discussion also u...

6 days ago

7 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - Intestinal Failure - Where are the successes?

Send us a text In this episode, Dr. Katie Huff (Cincinnati Children’s) and Dr. Pritha Nayak (Dallas Children’s) discuss the work of the CHNC Intestinal Failure Focus Group. They highlight the unique challenges of managing neonates post-NEC, including TPN, nutrition, and long-term outcomes. The group’s recent survey revealed significant variability across centers, including the presence of dedicated intestinal rehab teams and approaches to outpatient follow-up. Future efforts will focus on neu...

6 days ago

10 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - Doctor and NICU mama- why parental mental health is a community imperative

Send us a text In this episode, neonatologists Dr. Megan Paulsen (Children’s Minnesota) and Dr. Sarah Swenson explore strategies for supporting parental mental health in the NICU, emphasizing universal screening for depression, anxiety, and trauma. They highlight the critical impact of parental well-being on infant neurodevelopment, family stability, and long-term quality of life. Drawing on personal and professional experience, Dr. Paulson shares her journey as a NICU parent, illustrating ga...

6 days ago

19 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - Emergent Neonatal Transports- how do we define them?

Send us a text In this episode, Dr. Elizabeth Anson and Dr. Luke Viehl from the CHNC Transport Focus Group discuss establishing consensus definitions for emergent neonatal transports across North American NICUs. Using a modified Delphi process, they surveyed 48 CHNC sites on diagnoses, clinical signs, and specialized equipment, achieving over 80% consensus in all categories. Standardized criteria aim to improve timely stabilization, support resource allocation, and facilitate advocacy with ho...

6 days ago

10 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - The CHNC Legacy

Send us a text In this episode, Dr. Jacqueline Evans, Dr. Theresa Grover, and Dr. Karna Murthy provide an update on the Children’s Hospitals Neonatal Consortium (CHNC), highlighting its growth to 52 centers and over 375,000 infants in the registry. They discuss the symposium’s expansion, multi-center quality improvement collaboratives, and focus groups that enable data-driven research and clinical innovation. Emphasis is placed on leveraging the registry for rare disease insights, supporting ...

6 days ago

17 minutes

The Incubator

#375 - 🟠 CHNC 2025 COVERAGE - CDH and PACE focus groups - What's new?

Send us a text This discussion features Dr. Charada Gowda and Dr. Jessica Fry, leaders in the CHNC collaborative network, highlighting ongoing work within the CDH and Palliative Care & Ethics (PACE) focus groups. The CDH group is developing consensus clinical practice guidelines and has created an outcomes calculator to support more informative prenatal counseling and individualized care planning. The PACE group focuses on improving collaboration between neonatology and palliative care te...

6 days ago

13 minutes