Neonatal Quotes

Boy, these conservatives are really something, aren't they? They're all in favor of the unborn. They will do anything for the unborn. But once you're born, you're on your own. Pro-life conservatives are obsessed with the fetus from conception to nine months. After that, they don't want to know about you. They don't want to hear from you. No nothing. No neonatal care, no day care, no head start, no school lunch, no food stamps, no welfare, no nothing. If you're preborn, you're fine; if you're preschool, you're fucked.

SCBU (pronounced Scaboo) is the Special Care Baby Unit, NICU is Neonatal Intensive Care, PICU is Paediatric Intensive Care, PIKACHU is a type of Pokémon.

The differences between the sexes are found in babies, and across cultures, too -so this is not some weird WEIRD phenomenom. Given a choice, neonate girls spend more time looking at faces, while neonate boys spend more time looking at things.

I literally felt gutted, as if someone had hollowed me out, removed my core. Patients in the final stage of dementia revert to an almost neonatal state, their brains so atrophied they can only breathe and digest, suck and pout. That was how I felt. I continued to function, but only at the most basic level, my existence little more than a collection of primitive reflexes.

According to their adoptive parents, children who are prenatally exposed to drugs appear to function very much like other adopted children on educational attainment and emotional or behavioral adjustment.

Circumcision remains prevalent in the United States, though varying greatly by region, ranging from about 40 percent of newborns circumcised in western states to about twice that in the Northeast. This widespread procedure, rarely a medical necessity, has its roots in the anti-masturbation campaigns of Kellogg and his like-minded contemporaries. As Money explains, “Neonatal circumcision crept into American delivery rooms in the 1870s and 1880s, not for religious reasons and not for reasons of health or hygiene, as is commonly supposed, but because of the claim that, later in life, it would prevent irritation that would cause the boy to become a masturbator.

My own choice of a single-variable measure for rapid and revealing comparisons of quality of life is infant mortality: the number of deaths during the first year of life that take place per 1,000 live births. Infant mortality is such a powerful indicator because low rates are impossible to achieve without having a combination of several critical conditions that define good quality of life—good healthcare in general, and appropriate prenatal, perinatal, and neonatal care in particular; proper maternal and infant nutrition; adequate and sanitary living conditions; and access to social support for disadvantaged families—and that are also predicated on relevant government and private spending, and on infrastructures and incomes that can maintain usage and access. A single variable thus captures a number of prerequisites for the near-universal survival of the most critical period of life: the first year.

Such features of personality can be detected in the neonatal ward. If you make a loud noise near the newborns, what will they do? Some will orient toward the noise, and others will turn away. Those who are attracted to the noise end up being extraverts later in development; those who turn away are more likely to end up being introverts.

Surgery is the most masculine of medical disciplines, taking knives and penetrating the body to find disease and destroy it. It is a war game in which cold and shiny stainless steel is pitted against the unseen, sinister but discoverable and conquerable enemy. Pediatrics is in many ways the most feminine of medical disciplines, with its focus on small children, preventive care, nurturing. In terms of gender, neonatology seems to be somewhere in between.

A group of grandmothers is a tapestry. A group of toddlers, a jubilance (see also: a bewailing). A group of librarians is an enlightenment. A group of visual artists is a bioluminescence. A group of short story writers is a Flannery. A group of musicians is--a band. A resplendence of poets. A beacon of scientists. A raft of social workers. A group of first responders is a valiance. A group of peaceful protestors is a dream. A group of special education teachers is a transcendence. A group of neonatal ICU nurses is a divinity. A group of hospice workers, a grace. Humans in the wild, gathered and feeling good, previously an exhilaration, now: a target. A target of concert-goers. A target of movie-goers. A target of dancers. A group of schoolchildren is a target.

So certain were experts that neonates felt no pain that through the mid-1980s major surgeries on newborn babies were sometimes performed without anesthesia. These included major cardiovascular procedures requiring prying open rib cages, puncturing lungs, and tying off major arteries. Though provided with no pharmacologic agents to blunt the pain that cracking ribs or cutting through the sternum might have induced, babies were given powerful agents to induce paralysis—ensuring an immobile (and undoubtedly terrified) patient on whom to operate. Jill Lawson’s remarkable story of her premature son, Jeffrey, and his unanesthetized heart surgery provides a heartbreaking account of such a procedure. After Jeffrey’s death in 1985, Lawson’s campaign to educate the medical profession about the need to treat pain in the young literally changed the field. And likely led to improved awareness of pain in animals, too. bA technique called clicker training pairs a metallic tick-tock! with a food treat every time the animal performs a desired behavior. Eventually the animal comes to associate the sound of the clicker with the feel-good neurochemical rewards of the food. When the treat is discontinued, the animal will continue doing the behavior, because

You’re right: if there’s sentient life behind the border, it probably won’t share my goals. Unlike the people in this room, who all want exactly the same things in life as I do, and have precisely the same tastes in food, art, music, and sex. Unlike the people of Schur, and Cartan, and Zapata — who I came here in the hope of protecting, after losing my own home — who doubtless celebrate all the same festivals, delight in the same songs and stories, and gather every fortieth night to watch actors perform the same plays, in the same language, from the same undisputed canon, as the people I left behind. “If there’s sentient life behind the border, of course we couldn’t empathize with it. These creatures are unlikely to possess cute mammalian neonate faces, or anything else we might mistake for human features. None of us could have the imagination to get over such insurmountable barriers, or the wit to apply such difficult abstractions as the General Intelligence theorem — though since every twelve-year-old on my home world was required to master that result, it must be universally known on this side of the border. “You’re right: we should give up responsibility for making any difficult moral judgments, and surrender to the dictates of natural selection. Evolution cares so much about our happiness that no one who’s obeyed an inherited urge has ever suffered a moment’s regret for it. History is full of joyful case studies of people who followed their natural instincts at every opportunity — fucking whoever they could, stealing whatever they could, destroying anything that stood in their way — and the verdict is unanimous: any behavior that ever helped someone disseminate their genes is a recipe for unalloyed contentment, both for the practitioners, and for everyone around them.

We can sacrifice ourselves in order to save lives, to spread messages of freedom, hope, and dignity. That is our Buddha Nature, our Christ Nature – people who have embodied the principles of love and compassion and have taken extraordinary measures to change the world for the better. We call them heroes and heroines - for example, Gandhi, Martin Luther King Jr., Nelson Mandela, and Malala Yousafzai, along with the nameless aid workers, neonatal surgeons, and ordinary parents who make extraordinary choices in life-threatening circumstances. And we admire them. Those are the people who we want to occupy our Jewel Tree, letting their nectar rain down upon us in a shower of blessing and inspiration. They are the people who have discovered interdependence, wisdom, and compassion, have seen through the illusion of separation and come out the other side with the hero‘s elixir for the welfare of others. If we don‘t believe we can do it, if we don‘t have the confidence, that‘s the last hurdle. We believe there is something special about the hero and something deficient about us, but the only difference is that the Bodhisattva has training, has walked the Lam Rim, has reached the various milestones that each contemplation is designed to evoke, and collectively those experiences have brought confidence. Our natures are the same. It‘s in your DNA to become a hero. As heretical as it may sound to some, there is no inherent specialness to His Holiness the Dalai Lama. He is not inherently different from you. If you had his modeling, training, support, and devotional refuge, you too could be a paragon of hope and goodwill. Now, hopefully you will recognize cow critical it is for you to embrace your training (the Bodhisattva Path), so that we can shape-shift civilization through the neural circuitry of living beings. (pp. 139 - 140)

From the individual doctor’s perspective, it is far better to do whatever it takes to avoid litigation, even if it doesn’t seem to be the right thing to do, than to risk entanglement in this crazy system.

A whole hospital ward seemed to be crossdressing, nurses pretending to be mothers playing like boys with Tinkertoy babies.

Many NICU survivors have hospital bills of more than a million dollars and cannot be discharged from the hospital because their parents cannot afford a telephone at home.

Because the work that doctors do has moral urgency, doctors have a highly refined, professionally reinforced sense of right and wrong.

No. 1, when you ask who’s interested in this, the usual answer is, terminally ill people with excruciating pain. False. Factually not true. It tends to be a preoccupation of people who are depressed or hopeless for other reasons. No surprise, actually, if you look at what leads to suicide: hopelessness and depression. You have to look at euthanasia or assisted suicide as more like suicide than like a good death. Second, this notion that there’s no slippery slope, as advocates have long claimed? Totally wrong. Look at Belgium and the Netherlands: First, it’s accepted for adults who are competent and give consent. Then, it’s “We’re going to extend it to neonates with genetic defects, and adolescents.” Any time we do anything in medicine, it’s the same way: We develop an intervention for a narrow group of people, and once it’s well accepted, it gets expanded. I think it’s false to say, “We can hold the line here.” It doesn’t work that way. Third, people say this is a quick, reliable, painless intervention. No medical intervention in history is quick, reliable, painless and has no flaws. In the Netherlands, there’s about a 17 to 20 percent rate of problems, something screwing up. Initially, when the Oregon people published — “We have no problems. Every case went flawlessly!” — you knew the data was wrong. It had to be wrong. Either you’re not getting every case, so the denominator was wrong, or people are lying. There’s nobody who does a procedure, not even blood draws, and it’s perfect every time. So this idea that this is quick, reliable and painless is nonsense. And the last and most important point is: You want to legalize these interventions to improve end-of-life care in this country? That’s your motivation and this is your method? PS: I don’t think people argue that–— ZE: [interrupting] Oh, people do argue that! That is the justification for these procedures: It’s going to improve end-of-life care and give people control. The problem is, even in countries that have legalized it for a long time, at best 3 percent of people die this way in the Netherlands and Belgium. At best, 10 percent express interest in it. That is not a way to improve end-of-life care. You don’t focus lots of attention and effort on 3 percent. It’s the 97 percent, if you want to improve care. The typical response is, we can do both. Hmmm. Every system I’ve ever seen has a bandwidth problem: You can only do so much. We ought to focus our attention on the vast, vast majority, 97 percent of people, for whom this is not the right intervention and get that right — and we are far from that. I don’t think legalizing euthanasia and assisted suicide are the way to go. It’s a big, big distraction.

In the book (Savvy Stories) you see some very real, very personal moments. The first week of Savvy’s life was the longest week of ours. We spent five days in the NICU (Neonatal Intensive Care Unit) worrying that our newborn daughter might die. It was touch and go for a while, and it was extremely difficult to write about. Chapter two gets a lot of people crying. But because we put that honesty out there, readers said “Okay, I can trust this guy.” Then they were better able to laugh with us, too.

there is something unforgettably compelling about having actually been there, alone, at two in the morning, gloved, masked, and robed like a latex-covered priest, receiving into my hands a blue, bloody, and lifeless baby and having to decide.

Informed consent is probably the most revolutionary, the most rudimentary, the most misunderstood and misused term in all of health law and bioethics.

The newborn’s preference for a mutual, rather than unilateral, gaze shows that babies are designed for reciprocity.

This was the first experience of billions of First World babies of their mothers for decades; at worst, the mothers – or their babies – experienced respiratory distress, were stupefied, unconscious, or in a delirium.

Mother: a humanoid thing blinded by bandages, nurturing breasts hidden, limbs restrained, tongue lolling from its slack mouth, and with no recognisable sweat signature.

The likelihood of my baby being injured during co-sleeping was, in reality, significantly lower than it would have been had I left her in the hospital cot. In the UK, 90 percent more babies die alone in baskets or cots – Sudden Infant Death Syndrome – than they do when they securely, rather than hazardously, co-sleep with their mothers.

universities are not doing enough to engage with the national and regional stakeholders that give them life and meaning, or to convey the importance of international exchanges or the role of their universities as agents of progress.

But there’s something wrong with Haslam’s explanation of why this is. Think of a newborn baby. We all accept that babies are human beings. But on Haslam’s analysis this is puzzling, because babies lack the uniquely human characteristics that he lists. Neonates can’t speak or engage in higher order thought, their emotions are at best extremely crude, and they are not industrious, imaginative, or cultured. If we consider babies to be human even though they lack the traits dubbed “uniquely human,” then it simply can’t be true that anyone without these characteristics is viewed as subhuman

infant deaths decline from about 100 per 1,000 births in the year 1900 to about 0.1 per 1,000 today as maternal and neonatal care has improved.

Atherosclerosis probably would not occur [emphasis mine] in the absence of LDL-C concentrations in excess of physiological needs (on the order of 10 to 20 mg/dL).” Furthermore, the authors wrote: “If the entire population maintained LDL concentrations akin to those of a neonate (or to those of adults of most other animal species), atherosclerosis might well be an orphan disease.

Piece of cake.” Lorna had laughed, and I’d laughed with her. I’d accepted that my idea was ridiculous, full of holes, impossible. But later that night, I’d caught her watching me thoughtfully, and a few days later, she’d handed me a white paper on neonatal theories of cognitive development. “Read this,” she’d said, and I read it, and I began to understand.

back to standing and listened. I needed to hear the truth. She gave me sound advice and recommended going to an appropriate emergency room if I felt anything suspicious with the baby. She said that our local hospital wouldn’t staff the neurosurgeons necessary to perform life-saving surgery, so we would need to travel to a larger city. Since we became more restless and hopeless every moment, Adam and I decided to drive the four hours south and crash the ER at an L.A. hospital. We went to Cedars-Sinai Medical Center because our midwife found great reviews about their Neonatal Intensive Care Unit

Peter Libby, one of the leading authorities on cardiovascular disease, and colleagues wrote in Nature Reviews in 2019, “Atherosclerosis probably would not occur [emphasis mine] in the absence of LDL-C concentrations in excess of physiological needs (on the order of 10 to 20 mg/dL).” Furthermore, the authors wrote: “If the entire population maintained LDL concentrations akin to those of a neonate (or to those of adults of most other animal species), atherosclerosis might well be an orphan disease.

Research shows that if you place a “breathing bear” set at a normal neonatal rate inside the incubator of a premature infant, it will scoot over to the bear and soon start to entrain to the bear’s rhythms.12 Before long it is breathing at a more normal rate, developing better respiration and sleeping more quietly.

We can sacrifice ourselves in order to save lives, to spread messages of freedom, hope, and dignity. That is our Buddha Nature, our Christ Nature – people who have embodied the principles of love and compassion and have taken extraordinary measures to change the world for the better. We call them heroes and heroines - for example, Gandhi, Martin Luther King Jr., Nelson Mandela, and Malala Yousafzai, along with the nameless aid workers, neonatal surgeons, and ordinary parents who make extraordinary choices in life-threatening circumstances. And we admire them. Those are the people who we want to occupy our Jewel Tree, letting their nectar rain down upon us in a shower of blessing and inspiration. They are the people who have discovered interdependence, wisdom, and compassion, have seen through the illusion of separation and come out the other side with the hero‘s elixir for the welfare of others. If we don‘t believe we can do it, if we don‘t have the confidence, that‘s the last hurdle. We believe there is something special about the hero and something deficient about us, but the only difference is that the Bodhisattva has training, has walked the Lam Rim, has reached the various milestones that each contemplation is designed to evoke, and collectively those experiences have brought confidence. Our natures are the same. It‘s in your DNA to become a hero. As heretical as it may sound to some, there is no inherent specialness to His Holiness the Dalai Lama. He is not inherently different from you. If you had his modeling, training, support, and devotional refuge, you too could be a paragon of hope and goodwill. Now, hopefully you will recognize cow critical it is for you to embrace your training (the Bodhisattva Path), so that we can shape-shift civilization through the neural circuitry of living beings. (pp. 139 - 140)

In other words, women were not born with a wedding gown gene or a neo-natal craving for a diamond engagement ring! They were taught to want these things. Women didn’t enter the world with a desire to practice something called dating or a desire to play with a “My Size Bride Barbie,” they were rewarded for desiring these things. Likewise, men did not exit the womb knowing they would one day buy a date a bunch of flowers or spend two months’ income to buy an engagement ring. These are all products that have been sold to consumers interested in taking part in a culturally established ritual that works to organize and institutionalize heterosexuality and reward those who participate.

Studies into the reactions of newborns to cries also cast fascinating light on their developing senses of self. When 1-day-old babies were played audio tapes of another neonate crying, as well as recordings of the wails of an 11-month-old, and a tape of their own cries, they cried most to howls of the neonate, but didn't respond to the playback of their own cries. Already at birth, it seems, babies can discriminate vocally between me and not-me, and are most sensitive to the group that most resembles them. Babies' cries can also be a guide to their psychological state. Entering a ward full of battered babies, voice teacher Patsy Rodenburg heard strangulated cries-'their experience of violence had already pierced their voices.

Same went for babies born addicted to drugs. In 2001, sixty-two Kentucky newborns were hospitalized for neonatal abstinence syndrome. The next year, ninety-three. Two years after that, 166. By 2007, 275.

The political version of this was the seemingly clearcut choice before the New Left, to either transform the Establishment from within (the Long March through the institutions envisioned by the Prague Spring reformers and Western social democrats alike), or else to instigate an actual revolution in the streets. History teaches us that both options were illusory; national social democracy could temporarily flourish in the hothouse export-platform economies of Central Europe, but a resurgent neoliberalism was about to strangle the effective global demand this model depended on and thus reactivate the latent class tensions smoothed over by the golden age of state-monopoly Keynesianism; meanwhile the national-democratic and anti-colonial revolutions in the Second and Third Worlds could defeat the US Empire’s rampaging armies with guerilla tactics, but could hardly be expected to counter the far more insidious enemy of falling raw materials prices on world markets. Neither international solidarity actions nor neo-national political disruptions were, by themselves, really capable of challenging the henceforth global habitus of multinational capitalism; only truly transnational labor and political movements would be able to do that.

Neonates with meconium ileus often are born with abdominal distension. In fact, meconium ileus is the only variety of neonatal intestinal obstruction that produces abdominal distension at birth before the neonate swallows air.