Cheeky fox came back, kids so excited. They got within a few metres of it. Then the cat came and had another face off..

Finally did some scrambling up mountains in Wales, Tryfan and Bristley, mate took this cheesy photo without me knowing. We are so lucky in the Midlands to be under 3 hours drive from these amazing places

When you find some lego your kids built, and it reminds you of the psychological-horror-with robots-game Soma Creepy!

So sorry to read that Dr Sophie Jackson has passed away. Such an inspirational figure. A huge loss to the healthcare community, and the children she looked after and their families. Sophie Jackson: paediatrician and trailblazer for doctors with disabilities | The BMJ doi.org/10.1136/bmj....

To me this is a thread of normal sized things. Have you seen a emdotrachel tube for an adult man (8.0) its like a drainpipe! NICU makes sense, best place to work

Alt text: Photos of a pigeon live on stage at Rock City, Nottingham last night, plus some guys called the Beta Band who played some great stuff. Been a while since I've been to a proper gig, black painted walls, sticky floors, and band having a great time

Orange cat meets orange fox!

I had a great chat with Rupa from St Louis for the Incubator podcast, talking about how we train in neonatology in the UK, and my research www.the-incubator.org/post/343-inv...

Happy to share latest work on hospital admissions of very preterm children in England and Wales. Majority of children had at least 1 admission between neonatal discharge and their 2nd birthday, mostly short unplanned admissions for respiratory infections. jamanetwork.com/journals/jam...

Not sure you can see the swifts on the photo but nice evening display over the gardens last night

Well done to Hannah Mitchell & her great team who produced this hugely important work: Contribution of ethnicity and deprivation to paediatric critical care outcomes in the UK, 2008–21: a national retrospective cohort study - The Lancet Child & Adolescent Health www.thelancet.com/journals/lan...

"Function over diagnoses: parents of extremely preterm infants give recommendations to clinicians about their information needs" Another intriguing paper from Annie Janvier's group in Canada fn.bmj.com/content/earl... @99nicu.bsky.social @ebneo.bsky.social @nicupodcast.bsky.social

doi.org/10.1136/bmj.... Good letter in BMJ identifies key challenges for clinical academia and trials - with some suggestions for how we could do better. Better use of patient data seems like could be part of the answer.

Thought provoking paper I read today, does ableism affect the way we talk to parents in NICU? Includes suggested phrases e.g. 'what does a good life look like for your child?' and 'we are here to support you making the best decision for your family' www.sciencedirect.com/science/arti...

Another thing not sure we always think about... Prematurity and obstructive sleep apnea in children: The perfect storm www.sciencedirect.com/science/arti... @99nicu.bsky.social @nicupodcast.bsky.social

Interesting! Moderate-To-Late Preterm Infants Benefit From the Early Collaborative Intervention: Primary Outcomes of an RCT 87 babies born 30-36wk, 3 sessions for parent-baby interactions pubmed.ncbi.nlm.nih.gov/40511708/ @ebneo.bsky.social @nicupodcast.bsky.social @99nicu.bsky.social

Loved listening to a range of great talks, and chance to discuss good practice, challenges, and priorities for care of children with complex chronic conditions

This came up on my alerts, very good paper using data from the Basque region to look at medical complexity and life limiting conditions in children, important group of children who spend a lot of time in hospital. pubmed.ncbi.nlm.nih.gov/40447966/

www.theguardian.com/lifeandstyle... Fantastic piece in @theguardian.com. Doctors only see part of families' lives after brain injury in childhood, this illuminates a bit more of the other side.

BMJ News: ABC programme to reduce brain injury in childbirth will be rolled out in England doi.org/10.1136/bmj....

Back in Somerset today to present research findings on preterm PICU admissions to the South West Neonatal Network, thanks for the invitation, was a great excuse for a morning run through the lanes. Also heard about some great work in the westcountry including home antibiotics

Supporting families after the unexpected death of a child doi.org/10.1136/bmj-... "In Australia, several states... integrate bereavement support for SUDIC... Several children’s hospices in England [have] a dedicated SUDIC service, working alongside the joint agency response"2 Sounds good service

Problematic trials are contaminating the evidence ecosystem "4000 meta-analyses included retracted trials. These retracted trials distorted the conclusions in 218 meta-analyses, which further contaminated the evidence of 157 clinical practice guidelines." Bit worrying! doi.org/10.1136/bmj....

Rethinking ethnicity data for precision health Good summary from BMJ around the challenges of how we address ethnicity in health data to improve population outcomes doi.org/10.1136/bmj-...

“You need to be supported”: An integrative review of nurses’ experiences after death in neonatal and paediatric intensive care www.australiancriticalcare.com/article/S103... #OpenAccess

The MBRRACE-UK perinatal mortality ‘State of the Nation’ report for deaths that occurred in 2023 has now been published. @npeu-ctu.bsky.social Read more 👉 buff.ly/7ilBOoM

@ohgodwhatnow.bsky.social #cinemamaralago Capricorn One, 1977

Research meetings with families always being up new insights and lead to changes in proposals, many inspiring people's contributions. Thanks to Bliss and @spcialndsjungle.bsky.social for helping connect me with families!

Socioeconomic outcomes in very preterm/very low birth weight adults: individual participant data meta-analysis Strong data on life course outcomes for preterm-born adults www.nature.com/articles/s41...

@eileenc-foster.bsky.social UVC insertion guided by real time ultrasound - in this small series seemed to help www.frontiersin.orghttps//www.frontie...

@originstorypodcast.bsky.social Caught up with excellent Thatcher eps last week. I'd been to the barber who chatted about his online hair loss meds. Then the pod adverts were for hair loss meds! Conspiracy? Phone listening? AI analysis of podcast hosts? Thanks for the great series guys

Worcestershire donkey. In lovely countryside! He was funny, running around chasing sheep and rolling on his back.

Good luck for everyone running the London marathon today! Camilla from the NICU is running for Leicester Adapt Prem Babies charity! Go Cam! 2025tcslondonmarathon.enthuse.com/pf/camila-be...

dontforgetthebubbles.com/nicu-graduat... Don't Forget the Bubbles summary of an interesting neonatal to PICU transition paper. Includes insights from a parent and ongoing work from @bapmofficial.bsky.social and @pccsociety.bsky.social in this area to improve care for children and families

Excited to see this interview out on the @nicupodcast.bsky.social Fellows Fridays series. It was great fun to record, thanks for the opportunity 😊 www.the-incubator.org/post/294-dyn... #NeoSky #MilkSky

adc.bmj.com/content/110/... adc.bmj.com/content/110/... Read these two papers in the print version of ADC, reminded me of why I read ADC (non-neonatal edition). Really nice @nihr.bsky.social funded study: data & experience based co-design to explore national child deaths and families' experiences

Been a bit quiet on here, not shared so many papers, busy with work and there's a crazy world swirling online filling feeds. So a break in Lincolnshire was very welcome!

Summary of the weekend: Stourbridge / Has a wave machine! Worst paediatric doctor ever, I own a trampoline: Child 1 tooth vs child 2 head - thankyou Birmingham Children's A&E for a relatively quick clean and antibiotics

Forever premature: Adults born preterm and their life challenges -Social exclusion, reduced stress resilience, tire more easily -Peer and mental health support helped -Prematurity = lifelong condition - Many express gratitude for their life and lead a good life doi.org/10.1016/j.ea...

This is a fiercely sad and damning piece about the reality of one of our most admired professions. What a terrible fate for a dedicated man www.the-londoner.co.uk/nhs-doctor-s...

Wow this is a game changer. PhD scholarships and postdoctoral fellowships are now open to non-Canadians.

UK drops down list of affluent nations after decade of stagnation, NIESR finds www.theguardian.com/business/202... As @nihr.bsky.social 's Prof Mike Lewis said last week, research should be happening where the socioeconomic challenges are, I think this should include the Midlands

Morning! This is an exclusive extract from my new book Maybe I'm Amazed, about my autistic son James & how music became our shared language. Wait for the Velvet Underground bit at the end www.theguardian.com/lifeandstyle...

Should length become the primary outcome of neonatal nutrition trials? The effects of nutritional interventions on length appear more long-lasting than those on weight and lean mass @camimartin.bsky.social @nicupodcast.bsky.social @neonatalresearch.bsky.social

🌟 Today I gave the "Rising Star" lecture to The Neonatal Society! 🌟 Absolutely delighted to have been recognised for my contributions to perinatal and paediatric epidemiology today by The Neonatal Society. Huge thanks to my wonderful colleagues & friends for supporting me!

Here's an absolutely brilliant editorial/essay by @masudhusain.bsky.social suggesting an explanation why academic jobs are becoming ever more stressful and less fulfilling 🔗 academic.oup.com/brain/articl...

Really nice Journal Club style article for VentFirst RCT of DCC with respiratory support, very accessible and some nice RCT methods teaching www.nature.com/articles/s41...

The interplay between birth weight and intraventricular hemorrhage in very preterm neonates—a retrospective cohort study www.ajogmfm.org/article/S258... Negative association between FGR and IVH in very preterm, Could this be collider bias? Normal growth + prem-> ?sepsis ?APH @ebneo.bsky.social

Effectiveness of nirsevimab in reducing hospitalizations in emergency departments due to bronchiolitis among infants under 3 months: a retrospective study "Nirsevimab also resulted in 51.1% reduction in PICU admissions" link.springer.com/article/10.1...