EBM and CQI Article of the Week 9.20.2020

“Remembrance of things past is not the remembrance of things as they were” wrote Marcel Proust. Vladimir Nabokov observed  “The more you love a memory the stronger and stranger it becomes.”

30-some years ago during fellowship training a visiting physician from Ireland ordered phototherapy “on for 4 hours, off for 4 hours”…..which puzzled us.  During NICU rounds the big-boss (Dr. Fred Battaglia, a phototherapy skeptic who battled Jerry Lucey over its safety) blistered all who questioned the Eire guest.  Not because anyone was impolite,…..rather, it was impolitic.  Dr. Battaglia thought phototherapy was a reckless therapy, and perhaps safer given in circumscribed, cycled fashion.

Cody Arnold and colleagues (attached) have studied cycled phototherapy,……do their findings vindicate Dr. Battaglia?  BTW, a fine first sentence from Dr. Arnold.

About 10 years ago I listened to her plead with a PAS audience that “….being a mother of a sick premature infant prematurely ages women, it changes their chromosomes.”  Then we listened to 2 prominent neonatologists deride her position re: pregnancy, extreme prematurity and women’s rights,…..it was unsettling,……unforgettable.  Helen Harrison(1947-2015) was brave, compassionate, sharp, and witty in conversation.  Helen would have read with interest the second attachment re: telomere length and SES.

“Where does a thought go when its forgotten?” asked Sigmund Freud.

Joe Kaempf, MD
District VIII Member Extraordinaire
Portland, OR 

Volume 12, Number 39

Leave a Reply