NEONATOLOGY Peer Reviewed Research, News and Information TODAY in Neonatal and Perinatal Medicine Volume 16 / Issue 1 | January 2021 Dive, Survive or Thrive: Interpreting Umbilical Cord Blood Gases: A Prescription for Post-Traumatic Thriving Cord Occlusion with Terminal Fetal Bradycardia: Part II Randall Bell, PhD Jeffrey Pomerance, MD, MPH .............................................................................................................Page 3 .............................................................................................................Page 85 MiOra Means "My light" Abstracts from the California Association of Neonatologists Özlem Rafaela Equils, MD, FAAP Cool Topics in Neonatology 26th Annual Conference .............................................................................................................Page 11 John Cleary, MD Section on Neonatal-Perinatal Medicine Update – Raising our Voices .............................................................................................................Page 91 Lily J. Lou, MD, FAAP Medical News, Products & Information .............................................................................................................Page 17 Compiled and Reviewed by Mitchell Goldstein, MD Editor in Chief Data types and different ways to store data in R .............................................................................................................Page 128 Fu-Sheng Chou, MD, PhD Genetics Corner: .............................................................................................................Page 22 Trichothiodystrophy 1 Causes Neutropenia in an Infant Fellow Column: with Congenital ichthyosis and Brittle Hair Late-Onset GBS Lower Extremity Cellulitis in Premature Robin Dawn Clark, MD and Subhadra Ramaanthan, MSc, MS Neonate with a GBS Negative Mother with Alternative Modes .............................................................................................................Page 143 of Transmission: A Case Report White Privilege & Why NICUs Should Care Bansari Patel, OSM, Lakshan Fonseka, OSM, Nasser Hashem, OSM, Deb Discenza Kersti Bellardi, OSM, Mitchell Goldstein, MD .............................................................................................................Page 149 .............................................................................................................Page 29 Clinical Pearl: The Important Role of Building Provider-Patient Trust in COVID-19 in the Pregnant Women Close to Home Improving Maternal and Infant Health Outcomes Joseph R. Hageman, MD, Mitchell Goldstein, MD Barb Himes, IBCLC .............................................................................................................Page 157 ...................................................................................................................Page 35 Letters to the Editor: “The Iowa Way” Is Monitoring More Cost Effective? Have We Got This All Wrong? Mitchell Goldstein, MD responds to Will KIng Rob Graham, R.R.T./N.R.C.P. .................................................................................................................Page 163 .............................................................................................................Page 41 Erratum National Perinatal Association Annual Conference 2020 – .............................................................................................................Page 164 Multidisciplinary Care in the 4th Trimester Academic True Open Model (ATOM) Viveka Prakash-Zawisza, MD, Jerry Ballas, MD, MPH .............................................................................................................Page 165 ...................................................................................................................Page 45 Upcoming Meetings Medical Legal Forum: A Timely Scenario (Fall 1985) .............................................................................................................Page 168 Gilbert Martin, MD Subscriptions and Contact Information ...................................................................................................................Page 53 .............................................................................................................Page 168 New Nutrition Standards Should Shape Americans’ Editorial Board Food and Beverage Choices .............................................................................................................Page 171 Michelle Winokur, DrPH and the AfPA Governmental Affairs Team Neonatology Today: Policy on Animal and Human Research ...................................................................................................................Page 59 .............................................................................................................Page 173 The 2021 iCAN Advocacy and Research Summit Neonatology Today: Instructions for Manuscript Submission Amy Ohmer .............................................................................................................Page 173 ...................................................................................................................Page 64 Neonatology and the Arts - Herbert Vasquez, MD High Altitude Climbing, High Reliability, COVID-19, .............................................................................................................Page 173 and the Power of Observation Peonies - Paula White, MD Daved van Stralen, MD, FAAP, Thomas A. Mercer, RAdm, USN .............................................................................................................Page 174 ...................................................................................................................Page 68 A Shorebird by the Ocean - Mita Shah, MD How Will the COVID-19 Vaccine Reach Developing Countries? .............................................................................................................Page 175 Suzanne Driscoll, M.Ed, MBA ...................................................................................................................Page 82 NEONATOLOGY TODAY Loma Linda Publishing Company © 2006-2021 by Neonatology Today A Delaware “not for profit” 501(c) 3 Corporation. Published monthly. All rights reserved. c/o Mitchell Goldstein, MD ISSN: 1932-7137 (Online), 1932-7129 (Print) 11175 Campus Street, Suite #11121 All editions of the Journal and associated Loma Linda, CA 92354 manuscripts are available on-line: Tel: +1 (302) 313-9984 www.NeonatologyToday.net [email protected] www.Twitter.com/NeoToday NT Hi, I’m your EMR enhancement. What stole your time today? Data Entry Steals 2/3 of the TIME SAVED ACROSS THE BOARD From rounding to obtaining lab results to Average Physician’s Day. Vermont Oxford input, PediNotes PediNotes Will Help You Take simplifies your workflow. That Time Back. INTEROPERABILITY AND INDEPENDENCE Ever feel like your day is dedicated to paperwork? PediNotes operates in tandem with existing hospital systems, yet it can also You’re not alone. Modern day caregivers are run as a standalone application. spending more time with computers than with patients. Thanks to the benefits of PediNotes, the SEAMLESS DATA ACCESS Caregivers can collect, access, and export neonatal EMR is changing: patient data with a single soware platform. DR. Share with your CIO to try a demo today! SCHEDULE ONLINE OR CALL pedinotes.com/request-a-demo Spedale e [email protected] p 225-214-6421 Peer Reviewed Dive, Survive or Thrive: Hi, I’m A Prescription for Post-Traumatic Thriving Randall Bell, PhD A Trip to the Doctor your EMR Randall Bell is a sociologist and economist with Landmark Re- There I was, all wired up by my cardiologist and ready to take a search Group, LLC. He specializes in disaster recovery projects treadmill stress test. Her office had a commanding view overlook- enhancement. worldwide. Dr. Bell completed his graduate studies at UCLA and ing the calm Pacific Ocean. I had just walked five miles that morn- his doctoral studies at Fielding Graduate University. He is the ing and felt great. Now, I just stood there looking at the ocean, all author of "Post-Traumatic Thriving: The Art, Science, & Stories set to go. of Resilience." It had been nearly 50 years since the heart surgeons at Loma Abstract: Linda University had opened up my skinny chest to perform open- heart surgery to correct a congenital defect, coarctation of the Medical problems and procedures, along with a host of other issues, can aorta. The surgery had been a complete success, right down to What stole your be traumatizing. The fallout for post-traumatic effects can linger for de- the fact that the surgeons never had to use any stents or synthetic cades. In any traumatic episode, the body switches off the parasympa- materials. thetic (rest and digest) nervous system while turning on the sympathetic (fight-flight-freeze) system. In this mode, the body pumps high levels Since the operation, and up until now, I had enjoyed near-perfect time today? of adrenaline through the bloodstream. This is a basic survival instinct health. My cardiologist plugged in the wires, and then a look of based on the need to escape the trauma and get to safety. shock came over her face. She said, “Something is wrong.” She pulled the jack out, looked at it, and plugged it back in. She then Trauma causes a well-researched chain reaction. It shifts the brain activ- said, “Something is very wrong. Your standing