Dr Dewey Finn MRCPCH: a thread.
The paediatric morning handover song to get his troops in gear.
Deciding where’s best to to put the Ametop.
When the SHO says a child has “TOF” meaning “tracheo-oesophageal fistula” which could equally stand for “tetralogy of Fallot”.
When the patient is now on 6 puffs 4 hourly.
After speaking to metabolic and they want paired CSF lactate and rhubarb as well as a 27.8 hour urine collection.
Making a referral to paediatric haematology.
When the SHO managed to get an USS same day for a 2 month old with a UTI.
When the SHO fast-bleeps him to delivery suite for an instrumental but the baby is already crying by the time he arrives.
When the Ametop is finally cooked.
Snooping on the A&E giving nebs when sats >94%.
Quizzes his team on disorders of genomic imprinting...
...but then the FY1 asks the exact chromosomal region for Beckwith-Wiedemann Syndrome.
Asking his team at what point ‘bronchiolitis’ becomes ‘viral-induced wheeze’ but it turns out there is no consensus.
When the surgeons ask for an USS on a 12 year old boy with fever and RIF pain.
Dealing with a highly-stressed parent.
When the surgeons ask for paeds to cannulate a 16 year old.
When a child points out his spare tyre on the ward round.
Giving a presentation on types of hydrolysed formula for CMPA.
The paediatric neurological exam.
As is customary in paeds, he leads the seventeenth handover of the day.
Gives some advice to the FY2 on successfully securing an ST1 job in paeds.
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