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.

Question for fellow paediatricians, would you routinely do an MRI in childhood absence epilepsy when you have a confirmatory EEG? The only strange thing in this case is that is early onset in a 2yo. Responding well to ethosuximide also.

Should we screen? What about increasing fortification of iron in everyday foods?

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

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.

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.

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.

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.

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.

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.

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

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

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

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 wonder if Clive Palmer is copying the trump playbook. Sowing division and seeking political leverage to favour his business holdings.

It was a fixed wing retrieval so altitude less of an issue as cabin pressurised. I can ask for low altitude (more in the choppers) but I can’t pick an altitude, more governed by local policies and fuel.

I flew with a needle pneumo kit in my pocket. Got very lucky. Was using PIPs above 30 for most of it.

When you go to pick up a bad meconium aspiration but you left your high frequency oscillator in your other plane… uncomfortable to say the least.

I am an outsider (Australian) to the situation in America, so I’m not across what the journey has been so far. In Australia, the welfare system provides leverage for vaccination through access to tax benefits and childcare - but as education is a basic human right you cannot exclude from schools.