Nick Schindler
@drnickschindler.bsky.social
#HelloMyNameIs Nick.
Consultant Paediatrician, PEM & epilepsy/ neurology at Jenny Lind Children’s Hospital.
East of England Paediatric Training Programme Director.
Tutor @MedEdICE. RCPCH Theory Examiner and rep to @AoMRC AFPC. He/Him
Consultant Paediatrician, PEM & epilepsy/ neurology at Jenny Lind Children’s Hospital.
East of England Paediatric Training Programme Director.
Tutor @MedEdICE. RCPCH Theory Examiner and rep to @AoMRC AFPC. He/Him
January resolutions, because one step at a time.
- No buying food/ coffee at work.
- I will not read the news on my phone.
- I will put my phone away in the evenings, not in my pocket.
Yes I’m aware of the irony of coming back to SoMe shortly before resolving to use my phone less…
- No buying food/ coffee at work.
- I will not read the news on my phone.
- I will put my phone away in the evenings, not in my pocket.
Yes I’m aware of the irony of coming back to SoMe shortly before resolving to use my phone less…
January 1, 2026 at 11:04 AM
January resolutions, because one step at a time.
- No buying food/ coffee at work.
- I will not read the news on my phone.
- I will put my phone away in the evenings, not in my pocket.
Yes I’m aware of the irony of coming back to SoMe shortly before resolving to use my phone less…
- No buying food/ coffee at work.
- I will not read the news on my phone.
- I will put my phone away in the evenings, not in my pocket.
Yes I’m aware of the irony of coming back to SoMe shortly before resolving to use my phone less…
Can we all agree that the New Year should start on 2nd January?
The 1st should be more of an inset day.
Use it to get ready, to do what you need to.
I’ll be my perfect self tomorrow…
The 1st should be more of an inset day.
Use it to get ready, to do what you need to.
I’ll be my perfect self tomorrow…
January 1, 2026 at 10:46 AM
Can we all agree that the New Year should start on 2nd January?
The 1st should be more of an inset day.
Use it to get ready, to do what you need to.
I’ll be my perfect self tomorrow…
The 1st should be more of an inset day.
Use it to get ready, to do what you need to.
I’ll be my perfect self tomorrow…
For new year next year, I would like our Emergency Department EPR to give me an ED Wrapped for the year.
“Congratulations, you saw 1221 patients this year!”
“203 of them had no abnormality detected.”
“You made 1834029274902 senior reviews.”
“Your favourite procedure was ketamine sedation!”
“Congratulations, you saw 1221 patients this year!”
“203 of them had no abnormality detected.”
“You made 1834029274902 senior reviews.”
“Your favourite procedure was ketamine sedation!”
December 31, 2025 at 9:40 AM
For new year next year, I would like our Emergency Department EPR to give me an ED Wrapped for the year.
“Congratulations, you saw 1221 patients this year!”
“203 of them had no abnormality detected.”
“You made 1834029274902 senior reviews.”
“Your favourite procedure was ketamine sedation!”
“Congratulations, you saw 1221 patients this year!”
“203 of them had no abnormality detected.”
“You made 1834029274902 senior reviews.”
“Your favourite procedure was ketamine sedation!”
Reposted by Nick Schindler
THREAD.
My parents' cat Bridget vanished. As the weeks dragged on they became ever more worried, so to distract himself my dad began to paint Bridget's adventures, imagining her travelling through time and popping up at some of art & music's most important moments.
I've collected his work here...
My parents' cat Bridget vanished. As the weeks dragged on they became ever more worried, so to distract himself my dad began to paint Bridget's adventures, imagining her travelling through time and popping up at some of art & music's most important moments.
I've collected his work here...
December 20, 2025 at 9:21 AM
THREAD.
My parents' cat Bridget vanished. As the weeks dragged on they became ever more worried, so to distract himself my dad began to paint Bridget's adventures, imagining her travelling through time and popping up at some of art & music's most important moments.
I've collected his work here...
My parents' cat Bridget vanished. As the weeks dragged on they became ever more worried, so to distract himself my dad began to paint Bridget's adventures, imagining her travelling through time and popping up at some of art & music's most important moments.
I've collected his work here...
Life goals:
Smallest Two (2) is sat on the hallways floor reading Smallest One’s (7) comic books.
She’s been there for 30 minutes just chatting to herself and flicking through pages.
Smallest Two (2) is sat on the hallways floor reading Smallest One’s (7) comic books.
She’s been there for 30 minutes just chatting to herself and flicking through pages.
December 29, 2025 at 7:13 PM
Life goals:
Smallest Two (2) is sat on the hallways floor reading Smallest One’s (7) comic books.
She’s been there for 30 minutes just chatting to herself and flicking through pages.
Smallest Two (2) is sat on the hallways floor reading Smallest One’s (7) comic books.
She’s been there for 30 minutes just chatting to herself and flicking through pages.
Reposted by Nick Schindler
Reclaiming FND for Rehabilitation Medicine – new open access editorial
Neurorehab colleague Phil Milburn-McNulty and I set out why Rehab Medicine is so well-suited to treating FND, why they historically haven’t and what can be done to change things.
journals.sagepub.com/doi/10.1177/...
Neurorehab colleague Phil Milburn-McNulty and I set out why Rehab Medicine is so well-suited to treating FND, why they historically haven’t and what can be done to change things.
journals.sagepub.com/doi/10.1177/...
December 23, 2025 at 10:59 AM
Reclaiming FND for Rehabilitation Medicine – new open access editorial
Neurorehab colleague Phil Milburn-McNulty and I set out why Rehab Medicine is so well-suited to treating FND, why they historically haven’t and what can be done to change things.
journals.sagepub.com/doi/10.1177/...
Neurorehab colleague Phil Milburn-McNulty and I set out why Rehab Medicine is so well-suited to treating FND, why they historically haven’t and what can be done to change things.
journals.sagepub.com/doi/10.1177/...
I might be a little late to this bandwagon. If you have time, please show your support for the Veterinary education team at Cambridge University.
I’ve had the joy of working with some of their amazing faculty & I cannot fathom why anyone wants to stop their exceptional work.
savethevetschool.co.uk
I’ve had the joy of working with some of their amazing faculty & I cannot fathom why anyone wants to stop their exceptional work.
savethevetschool.co.uk
Save the Vet School - join 1000s of voices standing with the Vet School
A vital institution. A community in action. A future worth protecting. Stand with us to save the vet school.
savethevetschool.co.uk
December 28, 2025 at 9:09 AM
I might be a little late to this bandwagon. If you have time, please show your support for the Veterinary education team at Cambridge University.
I’ve had the joy of working with some of their amazing faculty & I cannot fathom why anyone wants to stop their exceptional work.
savethevetschool.co.uk
I’ve had the joy of working with some of their amazing faculty & I cannot fathom why anyone wants to stop their exceptional work.
savethevetschool.co.uk
Reposted by Nick Schindler
Did you see @uhsft.bsky.social's @apsmunro.bsky.social on BBC South with @edwardjsault.bsky.social? 📺
While many people recover quickly, flu can be dangerous for young children.
A new trial is exploring whether the flu vaccine can be extended to younger toddlers.
🔗 bbc.co.uk/news/article...
While many people recover quickly, flu can be dangerous for young children.
A new trial is exploring whether the flu vaccine can be extended to younger toddlers.
🔗 bbc.co.uk/news/article...
October 17, 2025 at 1:21 PM
Did you see @uhsft.bsky.social's @apsmunro.bsky.social on BBC South with @edwardjsault.bsky.social? 📺
While many people recover quickly, flu can be dangerous for young children.
A new trial is exploring whether the flu vaccine can be extended to younger toddlers.
🔗 bbc.co.uk/news/article...
While many people recover quickly, flu can be dangerous for young children.
A new trial is exploring whether the flu vaccine can be extended to younger toddlers.
🔗 bbc.co.uk/news/article...
Reposted by Nick Schindler
It seems more and more GPs are refusing to take on shared care with specialist teams for #ADHD.
This makes sense if you think of a GP practice as a small business needing to maintain profit margins.
But most small businesses allow their customers to go elsewhere for a service...
This makes sense if you think of a GP practice as a small business needing to maintain profit margins.
But most small businesses allow their customers to go elsewhere for a service...
October 17, 2025 at 9:28 AM
It seems more and more GPs are refusing to take on shared care with specialist teams for #ADHD.
This makes sense if you think of a GP practice as a small business needing to maintain profit margins.
But most small businesses allow their customers to go elsewhere for a service...
This makes sense if you think of a GP practice as a small business needing to maintain profit margins.
But most small businesses allow their customers to go elsewhere for a service...
Reposted by Nick Schindler
2. Patients are often (still) being given the FND diagnosis when “no disease is found.”
This is not how it should be done.
FND needs to be diagnosed based on positive signs / clinical features that establish that FND is present.
www.nhsinform.scot/illnesses-an...
This is not how it should be done.
FND needs to be diagnosed based on positive signs / clinical features that establish that FND is present.
www.nhsinform.scot/illnesses-an...
Functional neurological disorder
Information about functional neurological disorder (FND), including the symptoms, causes, and treatments of this condition. For patients in Scotland.
www.nhsinform.scot
October 14, 2025 at 2:50 PM
2. Patients are often (still) being given the FND diagnosis when “no disease is found.”
This is not how it should be done.
FND needs to be diagnosed based on positive signs / clinical features that establish that FND is present.
www.nhsinform.scot/illnesses-an...
This is not how it should be done.
FND needs to be diagnosed based on positive signs / clinical features that establish that FND is present.
www.nhsinform.scot/illnesses-an...
Reposted by Nick Schindler
Pleased to share my new post looking at the recent successes and turbulence in the development of therapeutics for infant RSV protection
Much progress made - but there’s more to do still!
#IDSky #PedsID 🧪
Much progress made - but there’s more to do still!
#IDSky #PedsID 🧪
Protecting babies against RSV
The last two years have changed the landscape of RSV disease prevention
open.substack.com
October 13, 2025 at 6:09 AM
Reposted by Nick Schindler
Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.
forms.gle/HYRNUzkgwMsZ...
forms.gle/HYRNUzkgwMsZ...
October 2, 2025 at 8:29 AM
Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.
forms.gle/HYRNUzkgwMsZ...
forms.gle/HYRNUzkgwMsZ...
I’ve been my letters to patients (or parents) for years and won’t go back.
There is a helpful resource from the Academy of Medical Royal Colleges for those looking to make the switch.
www.aomrc.org.uk/wp-content/u...
There is a helpful resource from the Academy of Medical Royal Colleges for those looking to make the switch.
www.aomrc.org.uk/wp-content/u...
October 11, 2025 at 3:20 PM
I’ve been my letters to patients (or parents) for years and won’t go back.
There is a helpful resource from the Academy of Medical Royal Colleges for those looking to make the switch.
www.aomrc.org.uk/wp-content/u...
There is a helpful resource from the Academy of Medical Royal Colleges for those looking to make the switch.
www.aomrc.org.uk/wp-content/u...
Reposted by Nick Schindler
I hereby declare war on premature Christmassing.
Any shop caught doing this before 1st December must be shut down and turned into affordable housing.
Choose sanity. Vote Binface.
(Photo dated 9th October 2025)
Any shop caught doing this before 1st December must be shut down and turned into affordable housing.
Choose sanity. Vote Binface.
(Photo dated 9th October 2025)
October 11, 2025 at 7:34 AM
I hereby declare war on premature Christmassing.
Any shop caught doing this before 1st December must be shut down and turned into affordable housing.
Choose sanity. Vote Binface.
(Photo dated 9th October 2025)
Any shop caught doing this before 1st December must be shut down and turned into affordable housing.
Choose sanity. Vote Binface.
(Photo dated 9th October 2025)
Reposted by Nick Schindler
Great resource from @Radiopaedia
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
Normal Pediatric X-ray Atlas | Radiopaedia Cases | Radiopaedia.org
/* Single-column layout everywhere */
#peds-controls .peds-grid {
display: grid;
grid-template-columns: 1fr;
grid-template-areas:
"region"
"gender"
"slider";
gap: 14px;
align-items: end;
}
.peds-region { grid-area: region; }
.peds-gender { grid-area: gender; }
.peds-slider { grid-area: slider; }
/* Slider: large grab area */
#peds-age-slider {
-webkit-appearance: none;
width: 100%;
height: 28px;
background: transparent;
}
#peds-age-slider:focus { outline: none; }
#peds-age-slider::-webkit-slider-runnable-track {
height: 10px; background: #e6eaf2; border-radius: 999px; border: 1px solid #d6d9e0;
}
#peds-age-slider::-moz-range-track {
height: 10px; background: #e6eaf2; border-radius: 999px; border: 1px solid #d6d9e0;
}
#peds-age-slider::-webkit-slider-thumb {
-webkit-appearance: none; width: 22px; height: 22px; border-radius: 50%;
background: #fff; border: 2px solid #8C52FF; margin-top: -7px; cursor: pointer;
}
#peds-age-slider::-moz-range-thumb {
width: 22px; height: 22px; border-radius: 50%; background: #fff; border: 2px solid #8C52FF; cursor: pointer;
}
/* Age label + readout: prominent */
.peds-age-label {
display:flex; align-items:center; justify-content:space-between; gap:10px;
font-weight:800; margin-bottom:4px; font-size:1.5rem;
}
.peds-age-readout {
font-weight:900; color:#111827; font-size:1.6rem; line-height:1;
}
/* Gender radios */
.peds-gender-group { display:flex; gap:12px; align-items:center; flex-wrap:wrap; }
.peds-gender-group label { display:inline-flex; align-items:center; gap:6px; cursor:pointer; line-height:1.2; }
.peds-gender-group input[type="radio"] { margin:0; vertical-align:middle; accent-color:#8C52FF; }
/* Output + sections */
.peds-section { scroll-margin-top:80px; }
#peds-output { opacity:0; transition:opacity .35s ease; }
#peds-output.is-visible { opacity:1; }
/* Heading row wraps H4 and (optional) pill; spacing below image */
.peds-heading-row {
display:inline-flex; align-items:baseline; gap:10px;
width:100%; margin:0 0 14px 0;
}
.peds-heading-row > h4 { margin:0; }
/* Gender pills */
.pill {
display:inline-block; padding:3px 10px; border-radius:999px;
font-size:.93em; font-weight:400; line-height:1; white-space:nowrap;
border:1px solid transparent; position:relative; top:-1px;
}
.pill-male { background:#eaf3ff; border-color:#cfe4ff; color:#0f3b82; }
.pill-female { background:#fff7cc; border-color:#ffe59e; color:#7a5a00; }
/* Case credit */
.peds-credit { font-size:0.9em; }
/* Consistent gap before credit whether image is in or not */
p.peds-imgblock { margin-bottom: 8px !important; }
img.peds-imgblock { display:block; margin-bottom: 8px !important; }
/* Optional: style the disabled separator text a bit lighter where supported */
#peds-region option[disabled] { color:#9aa3af; font-style:italic; }
radiopaedia.org
October 9, 2025 at 6:29 PM
Great resource from @Radiopaedia
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
Reposted by Nick Schindler
Thanks to @ukhsa.bsky.social we can monitor impact of RSV (the virus which causes bronchiolitis)
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
October 9, 2025 at 6:43 PM
Thanks to @ukhsa.bsky.social we can monitor impact of RSV (the virus which causes bronchiolitis)
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
Reposted by Nick Schindler
Discworld QOTD, from Night Watch
September 19, 2025 at 6:38 PM
Discworld QOTD, from Night Watch
My wife in hospital: “the tea is awful, I have to put sugar in it to make it bearable.” - Drinks 3+ cups a day.
My wife on returning home: “Real tea is amazing!” - forgets to drink the tea and finds a full cold mug 2 hours later.
My wife on returning home: “Real tea is amazing!” - forgets to drink the tea and finds a full cold mug 2 hours later.
October 7, 2025 at 10:39 AM
My wife in hospital: “the tea is awful, I have to put sugar in it to make it bearable.” - Drinks 3+ cups a day.
My wife on returning home: “Real tea is amazing!” - forgets to drink the tea and finds a full cold mug 2 hours later.
My wife on returning home: “Real tea is amazing!” - forgets to drink the tea and finds a full cold mug 2 hours later.
Reposted by Nick Schindler
🎤NEW✍🏽 James Lind Alliance Survey
Help pick top 10 research questions for children & young people (upto 25 years old) with gender incongruence/dysphoria
2 versions:
Young People/parents app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Public & Professionals
app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Help pick top 10 research questions for children & young people (upto 25 years old) with gender incongruence/dysphoria
2 versions:
Young People/parents app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Public & Professionals
app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
October 5, 2025 at 10:20 AM
🎤NEW✍🏽 James Lind Alliance Survey
Help pick top 10 research questions for children & young people (upto 25 years old) with gender incongruence/dysphoria
2 versions:
Young People/parents app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Public & Professionals
app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Help pick top 10 research questions for children & young people (upto 25 years old) with gender incongruence/dysphoria
2 versions:
Young People/parents app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Public & Professionals
app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
I’ve thought about this a lot recently.
I met some amazing friends through Twitter, and built bits of my career that would never have happened without it.
I sometimes feel guilty that I’m not available online in the same ways that others were when I needed them.
I met some amazing friends through Twitter, and built bits of my career that would never have happened without it.
I sometimes feel guilty that I’m not available online in the same ways that others were when I needed them.
I actually feel sorry for the generation that missed out out on the pre-enshittification era of making connections online
There's a cohort who got to make IRL friends for life on forums/messaging boards/twitter with people they'd never cross paths with otherwise. That door feels all but closed now
There's a cohort who got to make IRL friends for life on forums/messaging boards/twitter with people they'd never cross paths with otherwise. That door feels all but closed now
Right, that's it. I'm founding a new populist party of the centre called Go Outside!
October 5, 2025 at 3:26 PM
I’ve thought about this a lot recently.
I met some amazing friends through Twitter, and built bits of my career that would never have happened without it.
I sometimes feel guilty that I’m not available online in the same ways that others were when I needed them.
I met some amazing friends through Twitter, and built bits of my career that would never have happened without it.
I sometimes feel guilty that I’m not available online in the same ways that others were when I needed them.
Reposted by Nick Schindler
There is an institutional culture in many parts of the NHS of focussing wholly on money, and just not doing credible patient impact assessments when considering any cuts to service.
Or worse, having them done and treating it as unimportant for many reasons nothing to do with patient health.
Or worse, having them done and treating it as unimportant for many reasons nothing to do with patient health.
🚨 Exclusive: New leaked document proves @NHSEngland was warned a decade ago about failures in child hearing test centres across England.
Hundreds of children have been harmed, some left with lifelong problems:
▶️ www.thetimes.com/article/294c...
Hundreds of children have been harmed, some left with lifelong problems:
▶️ www.thetimes.com/article/294c...
NHS ignored warnings on children’s hearing tests for a decade
Health bosses in England knew about testing failures in 2014. Hundreds of babies with severe hearing problems were left without help, leading to delayed development
www.thetimes.com
October 5, 2025 at 6:33 AM
There is an institutional culture in many parts of the NHS of focussing wholly on money, and just not doing credible patient impact assessments when considering any cuts to service.
Or worse, having them done and treating it as unimportant for many reasons nothing to do with patient health.
Or worse, having them done and treating it as unimportant for many reasons nothing to do with patient health.
October is #BreastCancer awareness month.
Our family is two months into our breast cancer journey.
I’m incredibly grateful to my wife for checking regularly & spotting when something wasn’t right.
The NHS is amazing & is here for all of us. Check yourself & get checked if it doesn’t feel right.
Our family is two months into our breast cancer journey.
I’m incredibly grateful to my wife for checking regularly & spotting when something wasn’t right.
The NHS is amazing & is here for all of us. Check yourself & get checked if it doesn’t feel right.
October 4, 2025 at 5:03 PM
October is #BreastCancer awareness month.
Our family is two months into our breast cancer journey.
I’m incredibly grateful to my wife for checking regularly & spotting when something wasn’t right.
The NHS is amazing & is here for all of us. Check yourself & get checked if it doesn’t feel right.
Our family is two months into our breast cancer journey.
I’m incredibly grateful to my wife for checking regularly & spotting when something wasn’t right.
The NHS is amazing & is here for all of us. Check yourself & get checked if it doesn’t feel right.
I called the “cause for concern” (Martha’s Rule) number, as a relative today.
I’m incredibly impressed by the response.
It is wonderful to see a new system work so well, and as a relative it’s a huge relief to have an accessible system when you have concerns.
@nnuh.bsky.social
I’m incredibly impressed by the response.
It is wonderful to see a new system work so well, and as a relative it’s a huge relief to have an accessible system when you have concerns.
@nnuh.bsky.social
October 4, 2025 at 4:35 PM
I called the “cause for concern” (Martha’s Rule) number, as a relative today.
I’m incredibly impressed by the response.
It is wonderful to see a new system work so well, and as a relative it’s a huge relief to have an accessible system when you have concerns.
@nnuh.bsky.social
I’m incredibly impressed by the response.
It is wonderful to see a new system work so well, and as a relative it’s a huge relief to have an accessible system when you have concerns.
@nnuh.bsky.social
My wife is currently admitted to the hospital I work in.
I’m sat next to her in a bay while she tries to sleep.
I have so many thoughts about the things you hear through these curtains.
People are fascinating.
I’m sat next to her in a bay while she tries to sleep.
I have so many thoughts about the things you hear through these curtains.
People are fascinating.
October 4, 2025 at 3:56 PM
My wife is currently admitted to the hospital I work in.
I’m sat next to her in a bay while she tries to sleep.
I have so many thoughts about the things you hear through these curtains.
People are fascinating.
I’m sat next to her in a bay while she tries to sleep.
I have so many thoughts about the things you hear through these curtains.
People are fascinating.
Reposted by Nick Schindler
“Children are being treated as second-rate citizens in the eyes of NHS funding.”
RCPCH President Prof Steve Turner highlights how our joint Emergency Care Standards aim to reshape urgent care for children making safe, timely care a reality for every child.
👇
www.independent.co.uk/news/health/...
RCPCH President Prof Steve Turner highlights how our joint Emergency Care Standards aim to reshape urgent care for children making safe, timely care a reality for every child.
👇
www.independent.co.uk/news/health/...
NHS slammed for treating children who need A&E care as ‘second-rate citizens’
Many emergency departments lack the infrastructure to meet the growing needs of child patients, the Royal College of Paediatrics and Child Health said
www.independent.co.uk
October 2, 2025 at 12:50 PM
“Children are being treated as second-rate citizens in the eyes of NHS funding.”
RCPCH President Prof Steve Turner highlights how our joint Emergency Care Standards aim to reshape urgent care for children making safe, timely care a reality for every child.
👇
www.independent.co.uk/news/health/...
RCPCH President Prof Steve Turner highlights how our joint Emergency Care Standards aim to reshape urgent care for children making safe, timely care a reality for every child.
👇
www.independent.co.uk/news/health/...