Dr Julian Pleydell-Pearce FRCPCH

When a medical student I remember a physiology practical in which we had to put a tourniquet on one arm. After about 90 mins I was able to stick pins in my hand without any feeling at all - that was until the tourniquet was released 🤣🤣

Questioning drives learning and understanding.

If we were able to move to a state in which everyone who works in healthcare are seen as equally valuable we would be able to move away from this toxic culture.

We also often do a poor job of calling it out when it happens.

I am currently preparing some teaching for later this week. I like to start teaching sessions by reminding residents that the teaching session is a completely safe area and no one should feel anxious about answering or asking a question or questioning me if they think I have made a mistake. 2/3

It is tragic that we are still in this situation. Not only does public humiliation have negative mental health impacts it also affects cognitive thinking and medical decision making subsequently often when in an (unrecognized) emotionally similar situation in the future.

1/3

The issue of ‘normal ranges’ is a big problem. My Hosp gave 10-50 as normal ferritin. My Nathan & Oski (5th Ed) says females Ferritin range (15-16 yrs) mean =18.2 and Nelson’s suggests ref range for females of 10-70 which leads people to think anything over 10 is normal which it clearly is not.

Bald wrinkly retired Pediatrician here - remember LP’s virtually every shift, terrifying epiglottisis meningococcal sepsis with limbs lost, kids with neurological disability and hearing aids in follow up clinics. Kids with SSPE. We need to advertise these appalling outcomes as widely as possible.

All residents regardless of specialty should rotate 1-2 weeks through laboratories to see how they function instead of phoning them up demanding results

I used to take residents to the labs all the time to show them how they function and to educate them on the wealth of knowledge and high level of training laboratory staff have ( + keep my hand in looking at 🩸 films!) Good communication/collaboration with laboratories is crucial for Pt care. 1/

Smart Social Media Use Reduces Teen Stress - Neuroscience News How young people use social media impacts their mental health more than how much time they spend on it.

Smart Social Media Use Reduces Teen Stress neurosciencenews.com/teen-stress-...

"Intentional social media use reduced loneliness and social comparisons."

"Tutorials on mindful social media use encouraged healthier, more meaningful connections."

So important - If you’re not listening you are not communicating

Please add me #Pedsky

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Retired Pediatrician. General paeds & paeds haem/onc first half of career in 🇬🇧. General Peds with increasing focus on developmental Peds second half of career in 🇨🇦. Now focussing on how emotions and emotional neural networks impact learning and medical decision making.
⛷️. Fanatical Canucks fan.

1st human case of H5 avian influenza in Canada detected in B.C., officials say B.C. health officials say they have detected Canada's first-ever case of H5 avian influenza in a human.

First human case of H5N1 in Canada: “The person who tested positive is a teenager from B.C.'s Fraser Health region, which stretches from Burnaby to Hope. The infected teen is being treated at BC Children's Hospital in Vancouver, according to the statement.”

bc.ctvnews.ca/1st-human-ca...

Well we did it! Officially on @bsky.app 🥂😺 Say hi and give us a follow!

Great to see you

As a Peds onc resident many years ago I remember doing bone marrows on twin infants with pertussis pneumonia in ICU as both had WCC >50 to exclude BM diagnosis. No underlying marrow disease or immunodeficiency. They both very sadly passed away. An awful infection in infants & young children

Today's science fact:

#Fluoride in public drinking water reduces cavities & was one of the greatest health achievements of the 20th century.

This article is a few years old, but worth a read.

www.cbc.ca/news/health/...

Fall evening in the Pacific Northwest.

Why is raining outside?!!

I don't recall anything being explained this clearly when I was a student. Maybe I was just learning everything new and now have many years of experience, but this is very easy to understand.

Great science communication deserves to get a big shout out!

Can you please add me - retired Pediatrician now researching emotion and medical decision making

Child health and climate change episode 2: Canada Floods, heatwaves and wildfires have become increasingly common across Canada. And as retired paediatrician Dr Julian Pleydell-Pearce explains in this episode of our climate change podcast series, thi...

ow.ly/mB9m50TICtI