PaedsDoc
@paedsdoc.bsky.social
Paediatrician
Neonatal retrieval doctor
Dad | Slave to coffee
Neonatal retrieval doctor
Dad | Slave to coffee
12% association with GLUT1 deficiency syndrome when you have early onset childhood absence epilepsy. LP glucose > 60% serum glucose, diagnosis is unlikely. Gene testing apparently has a high proportion of missense mutations that do not correlate with disease. LP still the best test.
October 23, 2025 at 3:25 AM
12% association with GLUT1 deficiency syndrome when you have early onset childhood absence epilepsy. LP glucose > 60% serum glucose, diagnosis is unlikely. Gene testing apparently has a high proportion of missense mutations that do not correlate with disease. LP still the best test.
An interesting tip from a colleague, early onset absence epilepsy linked with GLUT1 deficiency syndrome. Will update if I have an outcome.
September 23, 2025 at 11:11 AM
An interesting tip from a colleague, early onset absence epilepsy linked with GLUT1 deficiency syndrome. Will update if I have an outcome.
Should we screen? What about increasing fortification of iron in everyday foods?
May 11, 2025 at 12:08 PM
Should we screen? What about increasing fortification of iron in everyday foods?
Foreign body… typo sorry
April 29, 2025 at 9:35 AM
Foreign body… typo sorry
I mean first of all I’d ask them to repeat the expiratory film because it has cut off the left lung and diaphragm (just jokes). But very likely foreign causing a ball valve effect in a bronchi to right lower lobe
April 29, 2025 at 9:33 AM
I mean first of all I’d ask them to repeat the expiratory film because it has cut off the left lung and diaphragm (just jokes). But very likely foreign causing a ball valve effect in a bronchi to right lower lobe
What was the final feeling behind the biventricular failure? A spiral of hypovolaemic shock, acidosis +/- failure of transition of fetal circulation? Or was there LV failure/ischaemia and it just progressed? Rough case :(
April 21, 2025 at 6:51 AM
What was the final feeling behind the biventricular failure? A spiral of hypovolaemic shock, acidosis +/- failure of transition of fetal circulation? Or was there LV failure/ischaemia and it just progressed? Rough case :(
If you’re going to eat a magnet, only ever eat one.
April 15, 2025 at 12:47 PM
If you’re going to eat a magnet, only ever eat one.
Good thing it’s small enough it will pass naturally. Bad thing he was seen to ingest it days ago and only got xray now. If this was the kind of battery to stick in an esophagus kid wouldn’t have had days.
April 14, 2025 at 11:03 AM
Good thing it’s small enough it will pass naturally. Bad thing he was seen to ingest it days ago and only got xray now. If this was the kind of battery to stick in an esophagus kid wouldn’t have had days.
Keeping street pass alive! Miss those days.
April 12, 2025 at 11:38 PM
Keeping street pass alive! Miss those days.
Sperm cream and colostrum coffee?
March 31, 2025 at 9:36 AM
Sperm cream and colostrum coffee?
Have to trust the process of the UK court system though and I acknowledge I probably hardly have a fraction of the evidence and probably many biases.
March 26, 2025 at 9:31 AM
Have to trust the process of the UK court system though and I acknowledge I probably hardly have a fraction of the evidence and probably many biases.
Most of my information came from listening to podcasts from people who sat in the courtroom. I believe foul play has occurred. I believe insulin was administered erroneously given hypo screens with presumably low c-peptide. But I don’t feel guilt ‘beyond reasonable doubt’ was reliably established.
March 26, 2025 at 9:29 AM
Most of my information came from listening to podcasts from people who sat in the courtroom. I believe foul play has occurred. I believe insulin was administered erroneously given hypo screens with presumably low c-peptide. But I don’t feel guilt ‘beyond reasonable doubt’ was reliably established.
I’ve been pondering this chilling question for years. Tooth palace is waaay better than the other possible answers I came up with.
March 26, 2025 at 9:22 AM
I’ve been pondering this chilling question for years. Tooth palace is waaay better than the other possible answers I came up with.
Patient recovered, but I had just come on call for the night. And I have seen 2 kids get severe post flu A pneumonia and lose limbs from sepsis requiring inotropes. So I lay awake with a low threshold to start vancomycin.
March 22, 2025 at 9:41 PM
Patient recovered, but I had just come on call for the night. And I have seen 2 kids get severe post flu A pneumonia and lose limbs from sepsis requiring inotropes. So I lay awake with a low threshold to start vancomycin.
I had this same scenario recently. We treat with standard CAP empiric therapy for paediatrics. In Australia we have a high MRSA rate amongst indigenous and Polynesian populations. And those groups sometimes get lincomycin. The research suggests FluA secondary pneumonia higher rates of Staph.
March 22, 2025 at 9:37 PM
I had this same scenario recently. We treat with standard CAP empiric therapy for paediatrics. In Australia we have a high MRSA rate amongst indigenous and Polynesian populations. And those groups sometimes get lincomycin. The research suggests FluA secondary pneumonia higher rates of Staph.
If the vessels are reversed are we talking volvulus? In practice I felt like I saw more random atretic segments, hirschsprungs and mec plugs. And the good old septic ileus.
March 20, 2025 at 10:13 PM
If the vessels are reversed are we talking volvulus? In practice I felt like I saw more random atretic segments, hirschsprungs and mec plugs. And the good old septic ileus.
You should be very proud of your achievements. I wish I had your knowledge and dedication. And your banter with Casey is always enjoyable when it occurs within a month.
March 18, 2025 at 12:44 PM
You should be very proud of your achievements. I wish I had your knowledge and dedication. And your banter with Casey is always enjoyable when it occurs within a month.
I think there has been foul play, but I am not convinced that the evidence would satisfy the beyond a reasonable doubt typically required for a criminal conviction. This is entirely informed by a British podcast on the whole debacle… so I hardly have all the facts.
March 18, 2025 at 8:44 AM
I think there has been foul play, but I am not convinced that the evidence would satisfy the beyond a reasonable doubt typically required for a criminal conviction. This is entirely informed by a British podcast on the whole debacle… so I hardly have all the facts.
Irritable in babies / neonates
March 17, 2025 at 12:26 AM
Irritable in babies / neonates
You judge a society on how they treat their most maligned and vulnerable. I’d almost forgotten what leadership looked like.
March 16, 2025 at 11:37 PM
You judge a society on how they treat their most maligned and vulnerable. I’d almost forgotten what leadership looked like.
Then American taxpayers are providing a bailout for whatever manufacturing cost blowouts tariffs cause.
PS move to Australia
PS move to Australia
March 16, 2025 at 10:53 AM
Then American taxpayers are providing a bailout for whatever manufacturing cost blowouts tariffs cause.
PS move to Australia
PS move to Australia
Just make your buddy’s car company the exclusive supplier of government fleet vehicles.
March 16, 2025 at 10:47 AM
Just make your buddy’s car company the exclusive supplier of government fleet vehicles.
I wonder if it is possible to make an algorithm that promotes positive mental health? I mean it’s probably just a feed of cat videos, but I’m cool with that. Also just keeping some form of moderation. At the moment there is too much potential for low grade propaganda / social manipulation
March 16, 2025 at 10:13 AM
I wonder if it is possible to make an algorithm that promotes positive mental health? I mean it’s probably just a feed of cat videos, but I’m cool with that. Also just keeping some form of moderation. At the moment there is too much potential for low grade propaganda / social manipulation
His achievements were gun buy back and getting reelected more times than average.
I’m not a political historian but ‘easily Australia’s most damaging PM’ is going to be hard to defend, you’ve only got to find one with a bad rap sheet.
I’m not a political historian but ‘easily Australia’s most damaging PM’ is going to be hard to defend, you’ve only got to find one with a bad rap sheet.
March 16, 2025 at 9:14 AM
His achievements were gun buy back and getting reelected more times than average.
I’m not a political historian but ‘easily Australia’s most damaging PM’ is going to be hard to defend, you’ve only got to find one with a bad rap sheet.
I’m not a political historian but ‘easily Australia’s most damaging PM’ is going to be hard to defend, you’ve only got to find one with a bad rap sheet.