Farewell Neonatology and Thanks for the Memories

I first stepped foot in a NICU in 1994 as a shadowing high school student, rotated in the NICU as a medical student in 2001, and started my NICU fellowship at Rainbow Babies and Children’s Hospital, in my hometown of Cleveland, Ohio, 17 years ago in 2006. Next week will be my last week working as a neonatologist -- I am transitioning to a full-time position as a telemedicine pediatrician with Blueberry Pediatrics this fall, and I hope to continue to build my 4th Trimester home-visiting practice.

What have I loved the most about being a neonatologist?

• My thousands of newborn patients, who I have loved and cared for like they are my own babies.

• All of the incredible people I have had the privilege to work with through the years, including neonatologists, fellows, NICU nurses, NNPs, PAs, respiratory therapists, OTs, PTs, social workers, dieticians, pharmacists, palliative care, lactation teams, phlebotomy, environmental services, and clerical staff.

• The opportunity to teach hundreds of medical students, residents, fellows, NNPs and PAs students, and other trainees about newborn medicine.

• Being involved in NICU follow-up programs and with Project NICU.

• All of the miracles and patients who have defied the odds I’ve witnessed through the years.

 

Why am I retiring from neonatology in my 40s?

• Decades of sleep-deprivation have negatively impacted my physical and mental health, emotional well-being, and relationships.

• Too much heartbreak from patients dying or having devastating outcomes.

• Continuous fears that I am going to make a medical error and/or be sued.

• Unrealistic expectations for promotion in the academic world for a part-time physician who is also a mom.

• The realization that my kids need me more now, during their teen years, than ever before!

 

As I leave my career in neonatology I’d like to give a special thanks to my NICU colleagues who have impacted my life, and made me a better doctor and person, including the following:

 

University of Notre Dame/Memorial Hospital, South Bend, IN (1998-1999): Dr. Robert White (my first NICU mentor!)

 

Ohio State University Medical Center (2001-2003): Drs. Chris Timan, Ed Shepherd, Trent Tipple, and Paige O’Mahoney.

UMass Memorial Medical Center (2003-2006): Drs. Frank Bednarek (deceased), Alan Picarillo, Joel Weiner, Stu Weisberger, Jennifer Rylander, Steve Bean, Jim Pellegrini, Bob Kiley, Matt Braga, Laurel Bookman-Moyer, Morris Earle, and Jonathan Spector. Paula Beaver, Mary Whalen, and all of the other NNPs and RNs at UMass who taught, inspired, and encouraged me to pursue this path.

 

Rainbow Babies and Children’s Hospital (2006-2009 and 2017-2023): Drs. Richard Martin, Av Fanaroff, Michele Walsh, Mary Nock, Monika Bhola, Gulgun Yalcinkaya, Rita Ryan, Jon Fanaroff, Anna Maria Hibbs, Cynthia Bearer, Qin Yao, Dee Wilson-Costello, Rick Rodriguez, Jalal Abu-Shaweesh, Esther Kim, Thomas Lai, Chris Slocum, Angel Luciano, Sean Frederick, Ami Kohn, Beau Batton, Kara Driver, Mohamad Dajani, Kee Thai, Allison Payne, Moira Crowley, Arielle Olicker, Anchalee Limrungsikul, Meggan Kuper-Sasse, Stephanie Ford, Tommy Raffay, Ana Ribeiro, Tara Glenn, Anantha Harijith, Vidhi Shah, Kristin Voos, Yoav Littner, Prasad Achanti, Ira Holla, Allison Osborne, Steve Conlon, Jill Baley, Eileen Stork, Dev Mukherjee, and Maureen Hack (deceased). Karla Phipps, Kristy Fanaroff, Ann Gecowets, Ann Farah, Tracy Craver, Ann Modic, Jennifer Waiters, Helene Lannon, Ashley Rodriguez, Renee Grabski, Allison Oliverio, Melissa Grathwol, Stacey Cogan, Rachel Brookes, Lisa Hoehnen, Jenn Eggert Johntony, Laura Mancini, Trisha Miller, Trish Maher, Kathy Moore, Peggy Mauler, Tina Anzo, Sheri Ricciardi, Veronica DeLeon, Andrea Fox, Kerri Husman, Chris Joyce, Kathy Deakins, Julie Bodie, Carolyn Irby, Haleigh Gaines, Shauna Hendershot, Liz Brett, Amanda McGinnis, Jackie McClary, Jen Papps, Chad Weagraff, John Gallagher, Jen Mikuluk, Victoria Smith, Kristen Ganzhorn, Kelly Esarove, Kim Mickol, Julie Jensen, Diana Jacobs, Missie Wiggins, Lorina Kaufman, Charlene Nauman, Marisa Melillo, Jen Ramsey, Jayna Cummings, Joann Eischen, Patty Butauski, Ann Kessler, Brianne Parks, Debbie Prusak, Maureen Meade, Jen Traylor, Angela Amaddio, Peggy O’Donnell, Amy Bieda, Edie Kolvalck (deceased), John Dickson, Cally Papenfus, Kim Vozar, Steven Clark, Jennifer Gordon-Smith, Kaona Williams, Niko Tien, Kris Shakour, Kim Findura, Errin Taylor, Kevin Ives, Jolene Amos, Joyce Horvath, Beth Frankel, Leta Hickey, Rebecca Spielberg, Jesse Burns, Arlene Zadell, Lisa Byrnes, Debi Rockwell, Kathy Dvorak, Carolyn Grier, Lilian Chang, Dedra Teel, Emily Rolle, Natalie Vonderau, Lora Espancho, Mary Ann Blatz, Rosella Dempsey, Ann Reitenbach (deceased), Jessie Rose, Shoba Mitchell, Danielle Beckwith, Jackie Walsh Ludwig, Nicole Olicker, Sara Gorman, Angelia Williams, Elise Saluga, Shannon Visconti, and Becky Wainwright.

 

Lake Hospital System (2007-2009): Drs. Prem Mehandru and Maria Tomaszewska

 

Aurora BayCare Medical Center (2009-2015): Drs. Toby Cohen, Frank Mattia, Michelle Hayes, Candy Allenbrand, and Roderick Krueger. Mary Fleming-Hill, Kedra Kluckey, KK Koszarek, Dewey Otten, Bridget Stillman, Nick George, Kristen Rexford, Katie Van Laanen, Jill Augustine, Sara Presteen, Jessica Weiland, Sherri McLean, Brenda Etienne, Mandi Hurst, Kari Mleziva, Patti Davis, Ann Merline, Kurt Evanoff, Bea Bartels, Darlene O’Brien, Amie Fruzen, Ann Hathaway, Eveline Schmitt, Linda Mitchem, Sherry Nolle, Danielle Golz, Jacqie Will, Kelly Hall, Paula Kriescher, Heidi Handrich, Edelyn Cash, Amy Zynda, Dana Konkle, Kathy Rechsteiner, Kelli Conant, Christy Miller, Suzanne Klosterman, Marge Ostrand, Kim Martens Gunn, Carrie Doine, Emily Kane, Kari Vieau, Laura Kaster, Cory Elizabeth, Tiffany Rae, Derek Przybylski, Tara Steinhorst, and Michelle Ingram.

Boston Children’s Hospital/Beverly Hospital/Winchester Hospital (2015-2016):  Drs. Ivana Culic, Ceara Deno, Jen Lee, Nancy Weinshenck, Tanzeema Hossain, Daphne Remy, Aimee Knorr, and Karen McAlmon. Mackenzie O’Bryan, Larn Beard, Jeanne Arsenault, Monique Casey, Janet Strong, Cindy Sparkas, Kim Husson Wright, Chris Correia, Kim Taft Shea, Lisa Pelonzi, Jennifer McKiernan, Jean Randazza, Tessa Merrick, Deb Smith, Rebecca Landry, and Jessica Argentino.

 

Cleveland Clinic Fairview and Hillcrest Hospitals (2016-2017):Drs. Ani Das, AJ Mathew, Sabine Iben, Jen Peterson, Hany Aziz, Bill Zaia, Ibrahim Sammour, Marina Perez, Sreenivas  Karnati, Natalie Yeaney, Hany Aly, Subhash Puthuraya, and Firas Saker. Betsy Burkey, Barb Gareau, Laura Bobek, Carm LoPiccolo, Laura Foss, Barb Miguel, Donna Kress, Marla Schlote, Michele Branham, Dianne Bunner, Rita Eakins, Sue Levar, Marissa Newburg, Peggy Mauler, Laura Walker, Arezou Parsian, Beth Kapalczynski, Jammie Frye, Pam Gardner, Sarah Laveglia, Kat Jouriles, Karen Kuhn, Kelly Williams, Adrienne Cook, Amy Bruzda, Hope Oleksik, Laurel Brown, Michele Dobnikar, Elizabeth Geffert, Liz Lavin, Angela Trager, Kate Hughes, Kristan Schoen, Sheelagh Stewart, Lauren Singley, Jen Douglas, and Meghan Nadzam.

 

Project NICU (2018-present): Pam Frasco, Heather Law, Rochelle DeOliveira, and the rest of your incredible team.

 

To all of my NICU patients and their families from 2001 to the present – due to HIPAA I cannot name any of you, but if you are reading this, please know I LOVE YOU and will carry you in my heart forever!

 

Last of all, to my four children Grace, Tommy, Gabby, and Claire, thank you for all of the joy, happiness, and love (and challenges!) you bring into my life on a daily basis. Thanks also for being patient and understanding all of the times I have had to work late, missed your events and special occasions to take care of other people’s babies, been super stressed, and have been too tired and cranky post-call to function and be a good mom. I love all of you to the moon and back!

"It's Just a Virus"

"It's Just a Virus"

I’ve lost count of how many times parent have expressed frustration that they’ve brought their child to be seen by their pediatrician and been told their child has a virus. In many cases parents state that they feel like their doctor should have “done something more” during their child’s sick visit. If I ask what they mean by this, they often share that they had hoped for an antibiotic prescription for their child. It’s not uncommon to hear that they feel like they wasted their time and money taking their child in to be seen, only to be told it’s a viral illness that needs to run its course.

Celebrating the Holidays with a Newborn

Celebrating the Holidays with a Newborn

My best advice for how to take care of your newborn during the holidays is to NOT do what I did when I was a young mother 15 years ago! For more information please read my recent blog post on the Aeroflow Breastpumps website about celebrating the holidays with newborns.

Rebranding is in the Works

I’m excited to announce that Primrose just celebrated her 4th birthday and it’s time to rebrand. By the end of this year I’ll be formally changing my pediatric and lactation practice’s name from Primrose Newborn Care to Primrose Infant Health and Wellness. This is to represent that I am able to take care of all babies (not just newborns) and to reflect the holistic approach I use in the care of all of my infant patients. There will be more to come in upcoming months.

I also have plans to expand my services in 2023 to include the following:

  1. In-home blood testing for jaundice

  2. Hospital-grade phototherapy (light treatment for jaundice) at home

  3. In-home tongue tie clipping procedures (frenectomies)

  4. Ability to prescribe and dispense commonly used medications during my visits, such as treatments for oral thrush and yeast diaper rashes

  5. In-home distribution of shelf-stable donor breast milk and specialty infant formulas that are often difficult to find in the U.S.

  6. In-home breast pump fitting, troubleshooting, and drop off of replacement parts

  7. Rentals of baby equipment and supplies to be able to try out before committing to purchase and for families who are traveling to the area with infants

Free Baby Formula Guide and Database

Free Baby Formula Guide and Database

I am sharing the comprehensive baby formula database that I created to be the backbone of my Baby Formula Guide app for free as a resource during the infant formula shortage. This database, which you can access here, contains information about 85 of the most common infant and toddler formulas sold in the U.S. It has the following details about each formula:

Type of formula by category (i.e. milk-based, hypoallergenic, low lactose, partially-hydrolyzed, or “gentle,” etc.)

Price per prepared oz. - this is eye opening as you will see formulas range from about 10 cents per oz. to 60 cents per oz.

Ingredients in the formula

All of the other formulas that can be used as safe substitutes for each specific formula

Please feel free to share with others and circulate the database. All that I ask is that you credit me, as it is copyrighted. Thank you so much!

Jessica Madden, MD, Owner of Primrose Newborn Care, a newborn medicine and lactation home visiting and telemedicine practice in Cleveland, OH.

My COVID-19 Pregnancy, Breastfeeding, and Newborn Care Bibliography

My COVID-19 Pregnancy, Breastfeeding, and Newborn Care Bibliography

I’ve been working on updating my CV and I realized that I’ve written and talked about COVID-19 and pregnancy, breastfeeding, and newborns a lot over the last year! Here is a list of all of the articles I have written and interviews I have done since the beginning of the pandemic.

"Baby Formula Guide" mobile app

I've developed my first phone app, the “Baby Formula Guide,” and it's now available for free download in the Apple iOS Store. You can download it here. I have tailored this app for breastfeeding families who need help navigating infant formula selection when it comes time to supplement.

Bobbie: an organic baby formula that rivals European brands is now available

Bobbie: an organic baby formula that rivals European brands is now available

Despite what some people believe, baby formulas are not all the same!

I am excited to announce that I am now partnering with bobbie - a brand new, 100% organic, domestic baby formula created by moms who totally “get” what it can be like to struggle with breastfeeding and pumping.

babygabbie

babygabbie

I’ve founded my new company, babygabbie, to help parents navigate the world of choosing supplemental baby formula. Right now I am offering personalized baby formula consults, and I will soon be able to sell organic and specialty infant formulas directly from my site. Please check out babygabbie’s website, if interested, and share with others who might need my help. Thank you!

Help Needed from Parents of NICU Graduates!

Parents of NICU Grads.png

What are the most common questions you had when you were bringing your baby home from the NICU? 

I am writing an article called “Bringing Your Preemie Home: Parent FAQs” for the American Academy of Pediatrics website healthychildren.org this month and want to make sure that I include parents’ most common concerns .

You can email your suggestions to me at primrosenewborncare@gmail.com, or answer in the comments section of my IG or FB posts. Thanks in advance for your help!