Dov Jordan Gebien MD, MSc.

Practicing MD who values empathy & compassion. Emerging SIDS discovery: diaphragm fatigue → cramp-contracture → diaphragm paralysis → silent respiratory arrest.

[Dov Jordan Gebien MD, MSc. @DGebien]

Some #SIDS #infantdeaths appear to be caused by sustained diaphragm contractions (spasm cramps) which cause apnea by diaphragm mechanical failure. Like a leg cramp, diaphragm cramps too occur when fatigued and overloaded, particularly when dehydrated and overheated. #SUDC #SUDEP

[Dov Jordan Gebien MD, MSc. @DGebien]

New #SIDS #suddeninfantdeath Prevention Advice from a Researcher MD. Don't let infant sleep on your chest. Nicotine exposure can paralyze diaphragm by #diaphragmcramp-contracture.
https://t.co/CjbSsNYb8W

[Dov Jordan Gebien MD, MSc. @DGebien]

Companion Guide — Opinion: Uncovering diaphragm cramp in #SIDS and other sudden unexpected deaths https://t.co/VQRQr1SxVy #SIDS #DCC #SUDC #SUDI #SUDEP #diaphragm #diaphragmcramp #infant

[Dov Jordan Gebien MD, MSc. @DGebien]

Apparently rare cases are worth studying because… https://t.co/hlLG63PFxJ #discovery happens, saving babies from #diaphragm failure

[Dov Jordan Gebien MD, MSc. @DGebien]

With zero exaggeration, this is the best gift of all time for new parents after baby is born. Proceeds to cover publication fees and research. #SIDSprevention #safesleep #SIDS #SIDSresearch #infantgift #babygift #newborngift #DCC https://t.co/qstVVoWl90

[Dov Jordan Gebien MD, MSc. @DGebien]

@Retlouping Please have a look at this opinion paper? It appears a big discovery is coming from a solitary patient (N=1!). No need for evidence-based medicine in this situation. https://t.co/kwydIdypKZ

[Dov Jordan Gebien MD, MSc. @DGebien]

@Retlouping Curious to know if you've ever experienced a diaphragm spasm while in bed. Catches your breath but doesn't seem to be painful... or serious, unlike diaphragm cramp. Evidence suggests diaphragm spasms (and flutter) can also be triggered by severe anxiety.
https://t.co/IlFYVuyVau

[Dov Jordan Gebien MD, MSc. @DGebien]

@Retlouping Agreed, however, the diaphragm also receive innervation by the lower thoracic segments, making it possible for referred pain to occur in the ribs, say from diaphragm cramping.

[Dov Jordan Gebien MD, MSc. @DGebien]

@TheoMoudakis @TorontoStar Great one!

[Dov Jordan Gebien MD, MSc. @DGebien]

Emerging #SIDS Discovery Based on Anecdotal Report by 7-Year-Old Who Became a Doctor - Chapter 1

#suddendeath #babysleep #infant #infanthealth #suddeninfant
https://t.co/tgW0VTICsc

[Dov Jordan Gebien MD, MSc. @DGebien]

@NJDeptofHealth Some new recommendations to prevent SIDS based on two years' research on diaphragm dysfunction in infants (room ventilation, no naps on your chest, avoid household stress). Pacifiers and thumb-sucking too lower the risk.

[Dov Jordan Gebien MD, MSc. @DGebien]

@CDPHE Some newer SIDS prevention strategies based on two years of research on diaphragm dysfunction in infants.

[Dov Jordan Gebien MD, MSc. @DGebien]

@ComerChildrens Learn more about some new findings in SIDS at https://t.co/RA1K00D1tB

[Dov Jordan Gebien MD, MSc. @DGebien]

@AboutKidsHealth *Give lots of fluids before sleeps, especially if baby has a cold
*No smoking (reduces diaphragm cramp threshold)
*Avoid startling baby with loud noises, arguments or anything that might cause stress, even disrupted routines (increased hypoxemic episodes in vulnerable children

[Dov Jordan Gebien MD, MSc. @DGebien]

@AboutKidsHealth *Ensure gentle bedroom ventilation with open window or fan (prevents rebreathing)
*Avoid over-bundling and polar fleece fabrics (overheating & fluid losses)
*No baby naps on couch or on your chest (rebreathing, increased diaphragm workload, overheating)

[Dov Jordan Gebien MD, MSc. @DGebien]

@publichealthni * Ensure good bedroom ventilation with open window or fan (stir air to prevent rebreathing)
* No napping with baby on your chest (avoids rebreathing, increased diaphragm workload, overheating)
* Ensure baby sleeps on their back (avoids rebreathing and increased workload)

[Dov Jordan Gebien MD, MSc. @DGebien]

Sudden infant death syndrome (SIDS) prevention strategies. Pacifiers, thumb-sucking & bedroom ventilation are good, nicotine is bad. Don't sleep with infant on your chest.

[Dov Jordan Gebien MD, MSc. @DGebien]

Forgot to add #SIDS #suddendeath #medicalresearch

[Dov Jordan Gebien MD, MSc. @DGebien]

@P_McCulloughMD Major medical discovery in SIDS: https://t.co/RA1K00Dzj9.