Doctor Scott, Hospital Of Philadelphia discussed on America Tonight with Kate Delaney


The fact that one in every thirty three babies is born with a birth defect January is birth defects awareness month I think a lot of people aren't maybe perhaps aware of that somebody who definitely is is doctor Scott ads like he's a surgeon in chief at the children's hospital of Philadelphia a quite a resume that doctor ads like has he's he's absolutely dedicated his life to this he's an innovator in fetal medicine since the fields inception release of doc thanks so much for coming on with us my pleasure the babies each year are born with birth defects to put it in perspective also this is brick effects awareness month I'll get give you some key points first of all wanted thirty three babies is born with a birth defects other amazingly calm and the effects are costly billions of dollars required for medical treatment effects are merciless no parent should is immune the mysterious most because the birth defects are unknown they're over logged in my view the research is under funded and their birth defects are deadly the leading cause of infant mortality so in terms of stats each year in the US nearly a hundred and fifty thousand babies are born with birth defects many with conditions so rare most parents and even some clinicians have never heard of them and so too often these families are made aware of the treatments available at a place like our center pretty diagnosis and treatment the shoulders hospital of Philadelphia and are left feeling overwhelmed with few options so it's great that works out talking so that your listeners can hear about this relatively new enterprise a fetal surgery yes so talk about that what can be helped by having the surgery while the baby is still in the womb I'll give you a couple of examples the two most frequent operations we do before birth are describing a laser therapy for twin twin transfusion syndrome and the other is open fetal surgery for the for the so between two and transfusions syndrome the set up is identical twins each in their own amniotic sack and as opposed to east twenty having its own post that the password this that connects the fetus to the mother they have a shared placenta in their abnormal blood vessels I go from one side to the other sister wanted the identical twins gets too much blood and goes and heart failure and develops and an excess of amniotic fluid and the other twin doesn't get enough blood goes make kidney failure and doesn't produce any I'm actually comes a stock plan the way to treat that and to say both twins or otherwise doomed to put a scope inches to the nearest to the mothers of down a wall in your wall ms allies to listen and use a laser fiber to photo quagga later include those culprit blood vessels with very good outcomes the second example is feel surges responded better and Ospina Milton is birth defect in which the coverings of the spinal cord don't form and so the and the higher this is a misspelling court the more nervous are affected and and we learned that there's ongoing damage to those mirrors through the entry here in Parma particularly amniotic fluid exposure because that's mostly people here so we've developed techniques about twenty years ago back in nineteen ninety eight to do this repeats but about the repair before birth and amp shown actually do a randomized prospective trial for the by the national institutes of health that fetal surgery respond about the photo as much better outcomes than surgery after birth in terms of better motor function for the babies in terms of dollars to walk in terms of decrease incidence of hydrocephalus and brain damage in terms of decreased need for a shunt to drain fluid from the brain so that Snow White they applied actually worldwide you so saying that is widely applied and wondering how rare still is fetal surgery given some of what you've already told us well graphs old older information is maybe a four thousand people sure she's done worldwide we we've got about a quarter of them but we also throughs consortia like a north American people therapy network which is a network of now thirty six feet of treatment centers in North America that are working together for these rare problem so that we can learn from one another and collaborate for patients benefit that was huge Dr Scott ads like he's the surgeon chief at the children's hospital of Philadelphia since you've been in this and and you're the director of the hospital center for feel diagnosis and treatment and you've been been in this up for so long doctor adds a do you feel hopeful that that they're going to be more surgeries you'll be more preventative things that can happen here why is quite true that we've educated teams not only in North America but also in Europe and in Asia so is spreading worldwide which brings benefit to patients and then there's a lot of things that we're working on now that are very exciting particularly in the area of cellular and gene therapy for example one of my colleagues doctor Allen's like a pediatric surgeon here job has worked for thirty years of all techniques to do in utero stem cell transplantation early into the station to potentially treat sickle cell anemia use using blood cell forming stem cells are harvested from the mother and the free immunity this experimental work shows will not reject those cells filling graft and take over the missing function another one of my colleagues here doctor William Pronto is on in other pediatric surgical scientist is working on in the year gene therapy in in utero gene editing using crisper technology that is shown in animal models feel at home models that this has proof of principle that this works is not ready to be applied correctly yet but that could affect thousands and thousands and thousands of babies with previously diagnosed genetic disorders say for instance like the cystic fibrosis in a in a dispatcher worry we're going to work here now again in animal models with the the artificial womb which we we hope we've shown and fetal sheep that we can support fetal sheet for four to five weeks and then the in an artificial womb with durable growth and development so we hope that could eventually be applied to babies who are born to prematurely say at twenty three twenty four twenty five weeks gestation because it makes a world of difference whether it be a baby is at that early just Daschle age or five weeks later when the babies out commerce so dramatically better wow alright we tell everyone they go to fetal surgery dot chop dot EDU fetal surgery dot chop dot EDU to find out more information Dr Isaac thank you so much you're welcome thank you wow interesting what's happening at chop I have a cousin Jen Lorenzo who who works at chop and and has told me some of the things that happen in the neo natal unit and it's it's pretty amazing some of some of the things that happen in that hospital ours we continue in this edition of for your health the flu the flu the flu the northeast has really been hit by the flu and me just a crazy record in New York and and other parts of the area the US centers for disease control and prevention listen to this saying twenty seven children in the US have died of the flu that's so hard for me to wrap my head around that it's the highest number of child flu deaths at this point in the season since they started keeping these records seventeen years ago right doctors are saying they're seeing huge numbers are unusually large numbers of flu patients at this point and for example it in New York at the land grown health center they've seen in two hundred seventy flu patients adults and children in their emergency rooms and clinics in Manhattan and Brooklyn in the last week of December they say it's not usually what they see they don't see that in late December early generally usually seat in February or March so there's some huge huge concern about the about the the flu and you know we always talk about the strains of of flu and that's always part of it is what is the strain of flu what you know what's happened here I for something else that I think a lot of you can relate to I know myself that I worry about the sometimes with burn out and they say if you're feeling that bone deep mental and physical exhaustion or what is otherwise really called burn out there's new research suggesting you could be at a high risk sadly for a potentially fatal heart flutter and it's called a fib of we've talked about that on this show and it's a heart rhythm disorder that leads sometimes the cause of stroke in the United States and Europe they're saying this effects I didn't realize his number was so high it affects thirty three million people and it's responsible for hiring thirty thousand deaths seven hundred fifty thousand hospitalizations every year to pay attention to these symptoms if you have chest pains palpitations the short of breath fatigue that is certainly one of the one of the symptoms because it's sometimes really hard to spot it's potentially silent killer and that's what it's called and chronic stress and exhaustion is a key factor in developing this disease so I guess one way you you know to be careful as you can see it when you're walking when you're when you start to feel that shortness of breath except for so I know for me it's been about taking more time in and taking a breath and nothing that you're doing not that I'm lecturing to anyone is worth having a stroke over having something horrible happened get that you know a film and the high blood pressure's us smoking obesity is another factor all of that anything to reduce it because of how incredibly prevalent it's starting to be made according to the American institute of stress eighty percent of American workers say they feel stressed so that's one factor right there and half say they need help with managing stress this is just more than than work we talked about this before sometimes is the constant connection to social media and constantly trying to be on top of everything and burn out of course is a is a major stressors so let's make this new decade one where we thrive and survive thank you for right but thrive in a good way and of all people to lecture anybody but I'm just saying when I saw the study and I looked at some of the numbers yet scary.

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