RDS in a NUTSHELL!- Tala Talks NICU

Learn who gets RDS, what causes it and how we treat it. As always, truly understand the physiology and pathophysiology behind the disease so you can better treat it at the bedside.
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Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
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Dr. Tala is a board-certified neonatologist, and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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Ultrasound evaluation of the fetal thorax. (2019). Radiology Key. Retrieved from radiologykey.com/ultrasound-e...
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Research: Biophysical study of lung surfactant. (2009). Laboratory of Biocolloids and Biointerfaces. Retrieved from www2.hawaii.edu/~yzuo/research...
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SickKids Staff. (2009). Diagnosis of respiratory distress syndrome in premature babies. About Kids Health. Retrieved from www.aboutkidshealth.ca/Articl...
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Neonatal chest imaging. (2016). Radiology Key. Retrieved from radiologykey.com/neonatal-che...
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Roberts, K., Merritt, A., & Goldstein, M. (2018). What is the “best” way to administer surfactant in 2018? The case for the laryngeal mask airway (LMA). Neonatology Today, 13 (4). Retrieved from www.neonatologytoday.net/newsl...
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SickKids Staff. (2009). Treatment of breathing problems in premature babies. AboutKidsHealth. Retrieved from www.aboutkidshealth.ca/articl...
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Infant nasal cannula. (2020). Fisher and Paykel Healthcare Limited. Retrieved from www.fphcare.com/us/products/i...
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London, S. (2015). High-flow nasal cannula therapy works will in preterm infants. Medscap Retrieved from www.medscape.com/viewarticle/...
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Victorian Agency for Health Information (2019). Intubation. Victoria State Government. Retrieved from www.bettersafercare.vic.goc.a...
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Kacmarek, R.M. (2011). The mechanical ventilator: Past, present, and future. Respiratory Care, 56(8), 1170-1180. Doi: doi.or110.4187/respcare.01420
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Music: www.bensound.com (royalty free with credit)
*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

Пікірлер: 111

  • @malokwanegabriellamatsetel7349
    @malokwanegabriellamatsetel73493 жыл бұрын

    You are an awesome teacher Doc

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    What a lovely comment to see first thing in the morning! Thank you! And thanks for watching and being here :)

  • @alospm
    @alospm2 жыл бұрын

    NICU nurse here! Your explanation of surfactant is helpful. You are definitely highly listenable! I can’t wait to dive into all your other videos. I would love to see a visual comparison of chest x-ray images typical of common NICU lung diseases!! ❤️👶

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Thank you so much Alison! We would LOVE to do an entire video on Xrays- but we're concerned about copyright issues as well as HIPAA issues! We just put a plea out under the community tab for viewers to email us interesting X-rays etc. In the meantime- we are also asking some researchers for permission to use their X-rays. So stay posted!

  • @user-dt3dg9tl2r
    @user-dt3dg9tl2r Жыл бұрын

    new nicu nurse! Just want to say thank you. Felt lost because i only worked in adult and nicu is completely different. Have been learning so much through your videos. You are the best nicu teacher!

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Thank you SO much for watching these videos and for taking the time to write to us. Comments like yours keep us going :)

  • @johncycyril9014
    @johncycyril9014 Жыл бұрын

    Thanks a million Dear Doctor.I am a NICU Nurse, with 18 years of experience...I really want to say thank you...for presenting this topics..in such an interesting way...the best one among neonatal topics.. Very helpful

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Oh wow- thank you so much Johncy- that's a lot of experience, so your lovely words carry even more weight. Thank you so much for watching and for taking the time to write to us :)

  • @naveedhaider3112
    @naveedhaider31122 жыл бұрын

    That's kind of teaching I was looking for. You are teaching basic concepts and practical tips. Please continue the good work and never stop sharing your knowledge.

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    ahhhh! Your comments get even kinder!!! Thank you so much Naveed. We are so happy you are here. We have zero intentions of stopping- it has been such a rewarding experience for us- mostly from messages like yours :) Thank you again!

  • @chelsea1243
    @chelsea12433 жыл бұрын

    You're so great at explaining things so they make sense. Greatly appreciated 🙏

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thank you Chelsea so much for your kind words. That was our aim starting this channel, so we can't tell you how much your positivity means to us! Thanks!!

  • @EmilyMountz
    @EmilyMountz Жыл бұрын

    I am so grateful for your channel Dr. Tala! Thank you so so much! I am an FM resident on NICU right now and your talks have truly helped me to excel! There is so much to learn and sift through in all the text resources I have, and you make it easy to find what is highest priority and then to learn in a pinch!

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Thank you so much Dr. Mountz! We're so glad you found us. So happy the videos are helpful- your description was exactly what we were aiming for.We hope you enjoy your NICU rotation (not too late to change! ha!!)

  • @reesejachetta289
    @reesejachetta2892 жыл бұрын

    Great channel! I'd love to see some on early onset sepsis, hemangiomas, golden hour, xray interpretation, Hirschsprung's, and hydrops if you're looking for more topics! Thanks for all the work you put in Tala Team!

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    These are all amazing suggestions Reese- and we didn't have a few on the list-so we'll definitely add them! (Hemangiomas is an excellent idea). We'll try to get around to them sooner rather than later! Thanks!

  • @francinemaitland4700
    @francinemaitland47003 жыл бұрын

    Love your videos!!!! Many thanks.

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thank you so much for watching and commenting. We're really enjoying building this Neo community!!

  • @hossamyasser8651
    @hossamyasser8651 Жыл бұрын

    You are incredible, doctor Tala. May God bless you!!

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Ha! Definitely not-but thank you!!

  • @firpofutbol
    @firpofutbol2 жыл бұрын

    Freaking love your channel! I'm a nursing student and your lectures are helping me understand the material better than in class as I prepare for finals. Thank you so much!!!!!

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    That makes us SOOOO happy! Thank you so much for watching and for letting us know!

  • @laradevaal8045
    @laradevaal8045Ай бұрын

    Thank you for the detailed explanation, Dr.

  • @TalaTalksNICU

    @TalaTalksNICU

    Ай бұрын

    Thank you for taking the time to comment!!!

  • @mukeshbadmera4399
    @mukeshbadmera43992 жыл бұрын

    You r great at explaining things...thanx a lot..ll🙏

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Thank you so much- we really appreciate you being here!

  • @drreetanirwal8809
    @drreetanirwal88093 жыл бұрын

    Awesome..Must watch video

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thank you so much Dr. Nirwal!

  • @strawbwery
    @strawbwery3 жыл бұрын

    Hi Dr. Tala! Love your videos. Could you make a video on vital signs and some laboratory values for neonates? For example, what’s on an iSTAT, ICU panel, etc.

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thanks so much for watching and commenting. Doing a series on labs is a great idea- especially the basics. Interestingly each hospital calls their groups of labs by different names and has different labs within each group. E.g Your ICU panel may be another hospital's CMP or renal profile etc. But going through the general chemistries and gases (inc. iCa etc.) is definitely something we should be going over! Thank you! Until we get around to these videos- you may want to check out the CBC ones- where we covered WBCs, RBCs, platelets etc. Thanks again!

  • @Mable-gm6om
    @Mable-gm6om3 жыл бұрын

    Thankyou.God bless.

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thank you so much for watching and for commenting. We really appreciate your positive feedback!

  • @NUDZZZ
    @NUDZZZ3 жыл бұрын

    Thanks!!!

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thanks for watching!

  • @MichealImongit
    @MichealImongit9 ай бұрын

    Wow ur the best teacher in neonatal conditions

  • @TalaTalksNICU

    @TalaTalksNICU

    9 ай бұрын

    That's a really lovely compliment! Thanks so much!

  • @prasads8482
    @prasads84822 жыл бұрын

    Excellent lecture.

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Thank you so much Prasad- we appreciate you watching and commenting!

  • @annaofosu5196
    @annaofosu5196 Жыл бұрын

    Well done

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Thank you Anna!

  • @laurieyoungs1306
    @laurieyoungs13062 жыл бұрын

    We just had triplets two weeks ago they where born at 25 weeks they are all doin well your video has helped to better understand RDS THANK YOU SO KUCH FOR THIS VIDEO

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Congratulations Laurie- that's so exciting!!! So happy video helped- hope they all have a smooth, healthy course. (Remember though- as we're sure you've been told- it's a rollercoaster. Not one preemie baby is born, continues getting better, and then goes home. Every preemie goes through something!). Lots of love your way XX

  • @hanifamacasindel192

    @hanifamacasindel192

    Жыл бұрын

    i just have a newborn bb with RDS, i am so worried with his status now. he is currently in NICU. after giving SURFACTANT can a bb live normally? or their any consequences after

  • @lakshminandish5037

    @lakshminandish5037

    10 ай бұрын

    How is your babies now?

  • @lakshminandish5037

    @lakshminandish5037

    9 ай бұрын

    @@hanifamacasindel192 how is your baby now?

  • @stillbreathing100
    @stillbreathing1002 жыл бұрын

    Awesome talk once again!!! Keep up the good work.. how Gestational diabetes affect the surfactant?

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Hello!!! Thanks again so much Dr. Hassan! Gestational diabetes is thought to directly decrease surfactant production and release, which is why these infants have a higher incidence of RDS.

  • @HThach90
    @HThach90Ай бұрын

    Thank you very much for the useful knowledge. Can you tell me more about the latest treatment updates for RDS? Since listening to your KZread channel, I have learned a lot for clinical practice.

  • @TalaTalksNICU

    @TalaTalksNICU

    Ай бұрын

    Hello! Wish we could say we had brand new treatments! Modes of administering surfactant in a non invasive way have been the most recent advancement. But really it’s surgery replacement and some sort of positive pressure!

  • @hamedahoyedeji1944
    @hamedahoyedeji19442 жыл бұрын

    Thank you for all your educative lectures... I’m a big fan. Ps can hep give a lecture on cpap and other means of ventilators support in the Nicu

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Thank you so much Hamedah- for watching and for taking the time to comment. After the last episode on treatment of jaundice- we are going to oscillators/ high frequency ventilation. We had not planned on a separate topic of CPAP- but you're right- we should definitely do a video on that and high flow nasal cannula. Thanks so much!

  • @sisterscross-countrykitche4752
    @sisterscross-countrykitche47523 жыл бұрын

    God bless

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thank you so much

  • @m.e.2286
    @m.e.2286 Жыл бұрын

    Hi! Would you please make a video series about Apnea of prematurity? I enjoy your very helpful videos, Thank you so much!

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    Hello! Yes absolutely!! We have that down on the list- sorry that everything takes so long! We have these plans and they get derailed by something else!!! Thanks so much for continuing to watch :)

  • @m.e.2286

    @m.e.2286

    Жыл бұрын

    @@TalaTalksNICU I look forward to it! 🤗❤️Thank you! 🙏🏼

  • @user-wj8ec7mf1c
    @user-wj8ec7mf1c3 жыл бұрын

    Thanks dr tala

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thank you again for watching!

  • @tawamobg3026

    @tawamobg3026

    2 жыл бұрын

    Excellent

  • @monicawiggins3882
    @monicawiggins3882 Жыл бұрын

    Pls cover hsv in the neonate ☺️

  • @TalaTalksNICU

    @TalaTalksNICU

    Жыл бұрын

    YES! This is a great topic- thank you so much- we'll try to get this covered relatively soon!

  • @drazam325
    @drazam3253 жыл бұрын

    Great

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Thank you for watching!

  • @JC-xk8vh
    @JC-xk8vh2 жыл бұрын

    Amazing channel. I hope you invest in a mic. Regardless you keep getting the like button.

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Hi JC! Thanks so much for your lovely compliment! We’ve been filming two ways- either directly recording onto the phone or with Justin recording me with the whole camera and lighting stuff. We’ve played around with a couple of microphones but we always seem to end up with a massive echo! Any advice you have would be much appreciated. We want to start filming a cardiac series with the white board etc- but we’re hoping it all goes more smoothly!!!

  • @blessingskaimbo6479
    @blessingskaimbo6479 Жыл бұрын

    Beautiful 🥰

  • @TalaTalksNICU

    @TalaTalksNICU

    11 ай бұрын

    Thank you so much!

  • @lalohernandez5582
    @lalohernandez55823 жыл бұрын

    Can you cover a segment on NEC!!

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Absolutely! Planning on two separate lectures- one of my favorite topics to talks about! Thank you for this great suggestion!

  • @sajikumar233
    @sajikumar233 Жыл бұрын

    Hi Dr Tala You are doing an amazing Job😊👏🙏 Can you please do a session about DART treatment, if possible Thank you

  • @TalaTalksNICU

    @TalaTalksNICU

    11 ай бұрын

    Thank you so much for your lovely comment! We should do a separate video on DART- but for now- go check out the second BPD video we made- we discuss DART in that! Hope that helps for now?

  • @sajikumar233

    @sajikumar233

    11 ай бұрын

    Thank you Dr.Tala ❤️🥰

  • @lan.1762
    @lan.17622 жыл бұрын

    Hi, this is so helpful thank u !! But can i ask u if we can give steroids (dexamethasone) ? Is it correct? Im a nursing student and I’m asking out of curiosity

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Hi Lan! This is SUCH an important topic in neonatology- and there have been so many differing opinions on steroids. We need to do a whole video on steroids! We know they are great to get a baby extubated and they probably decrease BPD, but we don't generally give them for acute treatment for RDS. More information to come!!!

  • @rasoulhoma8007
    @rasoulhoma80072 жыл бұрын

    Can we give surfactant in case of pneumothorax complicated RDS. Thank you.

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Hello Rasoul! Yes! this often works really well. (If the pneumothorax is small and not too symptomatic- then giving surfactant sometimes mean you don't need to do anything else). And even if the baby popped a pneumothorax in the setting of RDS- even if you needle/ place a chest tube, giving surfactant would likely prevent further pneumothoraces. What do you do in your unit?

  • @rasoulhoma8007

    @rasoulhoma8007

    2 жыл бұрын

    @@TalaTalksNICU I used it.and it worked well.thank you

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Agreed! I love doing this! A relatively non invasive way to solve a problem. Thanks!

  • @byebye5907
    @byebye59079 ай бұрын

    LISA Administration when the baby still breathing on it own and has ventilation support via CPAP instead of insure?

  • @TalaTalksNICU

    @TalaTalksNICU

    9 ай бұрын

    LISA is less invasive surfactant administration- so we keep baby on CPAP, and we use blade to visualize cords and then pass a small catheter through cords. Then push in surfactant with syringe. It's less invasive because baby stays on CPAP (no aggressive PPV breaths) and also the catheter we're 'intubating' with is much skinnier. Does that answer the question?!

  • @roshanjamal9944
    @roshanjamal99443 жыл бұрын

    Hi Dr thank for your nice information. I want to know future risk of Rds in infant

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Great question Roshan. There is definitely a genetic component to RDS. So generally if a mother had a child at 36 weeks with bad RDS, there's a good chance her next child will also have issues with RDS if that infant were born even slightly early. If babies are born at a very early GA then they will have RDS no matter the genetic component.

  • @roshanjamal9944

    @roshanjamal9944

    3 жыл бұрын

    @@TalaTalksNICU thanks you Dr. I want to clear two things more 1_Is RDS impact any long run problem to children like GDD. And if yes How can we diagnosed in early stage of chield 2_ TTN ,MA, And HMD all are called RDS

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    To answer your questions: 1- Depending on severity of RDS, it can have problems in the future (mostly if develops into BPD). These symptoms would be similar to asthma, decreased ability to expire quickly, and some bronchospasms. And 2- RDS and hyaline membrane disease refer to same disease. TTN and MAS are both different. (We have videos on all of these, if you are interested) Good luck with your information gathering!

  • @lovejacki7760
    @lovejacki77602 жыл бұрын

    Can you please do a video of X-rays please I struggle with pneumomediastims and KUBS

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Hello Jacki. We really, really want to do this lecture but we have problems with getting the actual X-rays. We just put out a request for people to send us X-rays (with no identifying data) if they have them so we can use them. We're also reaching out to various researchers asking permission to use their X-rays (in articles etc)- but it's harder than we thought it would be. We promise we'll get there though!

  • @lovejacki7760

    @lovejacki7760

    2 жыл бұрын

    @@TalaTalksNICU thank you for your response. I love your videos so much . You’re amazing

  • @arjetabeqiri1179
    @arjetabeqiri11792 ай бұрын

    Hi how are you, my nephew has rds , 38 weeks born via csection. We were really afraid that we might lose him because my sister lost another child from the same condition. Its been 7 days that he is in nicu. Stable thank god. But still how long does the recovery last. Will we be able to hold him? Thank you for everything! The info was precious

  • @TalaTalksNICU

    @TalaTalksNICU

    2 ай бұрын

    Hello! I’m so sorry you’re going through this. Obviously I’m not taking care of your nephew so I don’t have the information. Some babies have lingering courses and take a couple of weeks to improve. I wish your family health and luck xx

  • @purnimakumari4341
    @purnimakumari43412 жыл бұрын

    Mam please dicuss neonatal shock

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    YES Purnima! We promise this is coming- along with inotropes used (obviously very institutionally dependent!) Thanks for watching and for your suggestion :)

  • @zeadmohamed5191
    @zeadmohamed51912 жыл бұрын

    ❤️

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Thanks so much for watching and for subscribing Zead!

  • @mukeshbadmera4399
    @mukeshbadmera43992 жыл бұрын

    Mam ..how caan we set pip n peep...with respect to tv...means...how to corelate these 3.....while doing vent settings..initially..

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Hello Mukesh! The ventilator videos we filmed (especially part 2) may help with this. Check those out and let us know if we can fill in gaps?!

  • @jampellhendrup1376
    @jampellhendrup13762 жыл бұрын

    Has dexamethasone got anything to do with the immaturity of infant lungs

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Hello! Dexamethasone given prenatally (to mothers) has been shown to increase surfactant production as well as potentially help the lungs mature. (So has betamethasone- another steroid- which may also be better at preventing neonatal death). Generally though, after babies are born we don't give steroids to help surfactant maturation- but rather to decrease any swelling so we can get babies extubated. Does this answer your question?! Thanks for being here :)

  • @shreyaroy8711
    @shreyaroy87113 жыл бұрын

    My baby born on 38weeks 3days still she has Respiratory disorder..how long does it take to heal? She can survive upto 6hrs at a stretch without oxygen support

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Hello Shreya! Congratulations on your baby. Without more information, it would be difficult to give any generalizations. However, it is always a good sign if a baby can remain on room air for long stretches at a time. Good luck with everything!

  • @luscraftasticcorner6635

    @luscraftasticcorner6635

    2 жыл бұрын

    Mine was 38 weeks and we left the nicu on day 2. Best of luck mom

  • @lakshminandish5037
    @lakshminandish50379 ай бұрын

    My baby had rds at birth (36 week)...what will be the future complications?

  • @TalaTalksNICU

    @TalaTalksNICU

    9 ай бұрын

    Most babies recover completely from it and go on to lead healthy active lives. Good luck!

  • @lakshminandish5037

    @lakshminandish5037

    9 ай бұрын

    @@TalaTalksNICU thank you🙂🙂

  • @yahyahassan4246
    @yahyahassan42463 жыл бұрын

    Dr Tala, can we have BPD lecture? Thnks

  • @TalaTalksNICU

    @TalaTalksNICU

    3 жыл бұрын

    Yes! This is high up on our list- and another viewer suggested we incorporate cor pulmonale into the video too. We'll get there, we promise!!

  • @yahyahassan4246

    @yahyahassan4246

    3 жыл бұрын

    @@TalaTalksNICU its really nice having them together. Thnks

  • @Brr195
    @Brr1952 жыл бұрын

    Hello doctor my baby was born in 37 week with rds after 12 days in NICU he came home healthy but sometimes he is making grunting sound and he is getting little caugh now is it normal or any problem plz reply doctor its needed🙏

  • @TalaTalksNICU

    @TalaTalksNICU

    2 жыл бұрын

    Hello Bhavani- congratulations on your baby boy. Obviously it's very hard to comment on his status without seeing him or knowing ore details. We would recommend you get him to his pediatrician (and as always, everyone in your family should be vaccinated as possible- the flu/ pertussis/ cover etc)

  • @lakshminandish5037

    @lakshminandish5037

    10 ай бұрын

    How is your baby now??......I am sailing in same boat now

  • @danieldavid8057
    @danieldavid80572 ай бұрын

    vreau sa stiu si eu daca o firma cum e deyvid bacau poate sa te distruga cu aparatura sa in casa la tine pentru a capata sau a manipula unele lucruri

  • @TalaTalksNICU

    @TalaTalksNICU

    2 ай бұрын

    I'm not sure what you are saying!!! Can't figure out either!