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PODCAST

The Incubator

Ben Courchia & Daphna Yasova Barbeau

A weekly discussion about new evidence in neonatal care and the fascinating individuals who make this progress possible. Hosted by Dr. Ben Courchia and Dr. Daphna Yasova Barbeau.

health & fitness medicine

All Episodes

21:47

#379 - 💡Rethinking Phototherapy – Engineering...

The Incubator ·

2025/11/19

Send us a text In the final episode of our Rethinking Phototherapy series, Ben speaks with Steve Falk, Chief Engineer of the Maternal Infant Care Strategic Business Unit at GE Healthcare. With more than three decades of engineering leadership, Steve has been instrumental in the development of landmark neonatal technologies, including the Giraffe Omnibed and Panda platforms. This conversation highlights the critical role of engineering in making phototherapy precise, reliable, and safe. Steve ...

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43:11

#378 - 💡 Rethinking Phototherapy – Considerations for...

The Incubator ·

2025/11/18

Send us a text What happens when we challenge our long-standing assumptions about phototherapy in the NICU? In this special installment of our Rethinking Phototherapy series, Ben and Daphna are joined by Dr. Deepak Manhas to examine one of the most complex questions: how should we manage hyperbilirubinemia in preterm infants? Unlike term babies, preemies face unique risks—shorter red blood cell lifespan, immature bilirubin conjugation, lower albumin binding, and increased blood-brain barrier ...

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44:21

#377 - 💡 Rethinking Phototherapy – Phototherapy as...

The Incubator ·

2025/11/17

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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49:24

#376 - 💡 Rethinking Phototherapy – Drafting the New...

The Incubator ·

2025/11/16

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...

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8:47

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

The Incubator ·

2025/11/13

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...

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29:17

#375 - 🟠 CHNC 2025 KEYNOTE - We must welcome open...

The Incubator ·

2025/11/13

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...

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19:53

#375 - 🟠 CHNC 2025 KEYNOTE - Mental Health Support...

The Incubator ·

2025/11/12

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...

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15:45

#375 - 🟠 CHNC 2025 COVERAGE - You can't walk through...

The Incubator ·

2025/11/12

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...

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20:23

#375 - 🟠 CHNC 2025 KEYNOTE - Can we make baby lungs...

The Incubator ·

2025/11/12

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...

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15:04

#375 - 🟠 CHNC 2025 COVERAGE - The cumulative effect...

The Incubator ·

2025/11/12

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...

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23:30

#375 - 🟠 CHNC 2025 COVERAGE - EXPLORE projects HOT...

The Incubator ·

2025/11/12

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...

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16:22

#375 - 🟠 CHNC 2025 COVERAGE - Stricture formation...

The Incubator ·

2025/11/12

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...

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24:07

#375 - 🟠 CHNC 2025 COVERAGE - The Nuances of...

The Incubator ·

2025/11/12

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...

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10:59

#375 - 🟠 CHNC 2025 COVERAGE - HIE and genetic...

The Incubator ·

2025/11/11

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,...

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9:51

#375 - 🟠 CHNC 2025 COVERAGE - How do we engage more...

The Incubator ·

2025/11/11

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. ...

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7:34

#375 - 🟠 CHNC 2025 COVERAGE - The CHNC Day 2 intro,...

The Incubator ·

2025/11/11

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...

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21:06

#375 - 🟠 CHNC 2025 COVERAGE - ROP - Have you spoken...

The Incubator ·

2025/11/11

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...

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19:51

#375 - 🟠 CHNC 2025 COVERAGE - Doctor and NICU mama-...

The Incubator ·

2025/11/11

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...

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10:50

#375 - 🟠 CHNC 2025 COVERAGE - Intestinal Failure -...

The Incubator ·

2025/11/11

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...

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17:50

#375 - 🟠 CHNC 2025 COVERAGE - The CHNC Legacy

The Incubator ·

2025/11/11

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 ...

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