The Doctor Who Thwarted the Charge of the General Medical Council- Part 2

By SAURABH JHA Saurabh Jha This is the second part of Dr. Jha’s conversation with Dr. Jonathan Cusack, who was the former supervisor and mentor of Dr. Bawa-Garba, a pediatrician convicted of manslaughter of fetal sepsis in Jack Adcock. Read the first part of this series here.     Dr. Jonathan Cusack versus the General Medical Council I spoke with Dr. Jonathan Cusack, consultant neonatologist at Leicester Royal Infirmary (LRI), and former supervisor and mentor of Dr. Bawa-Garba, the trainee pediatrician convicted of manslaughter for delayed diagnosis of fatal sepsis in Jack Adcock, a six-year-old boy with Down’s syndrome. We had drinks at The George, pub opposite the Royal Courts of Justice. In the first part of the interview we discussed the events on Friday February 18th, 2011, the day of Jack presented to LRI. In the second part of the interview we talk about the events after fatal Friday – how the crown prosecution service got involved, the trial, the manslaughter charge, the tribunal and the General Medical Council. Dr. Jonathan Cusack, a consultant neonatologist at Leicester Royal Infirmary (LRI), and a former supervisor and mentor of Dr. Bawa-Garba’s.   The Role of Dr. O’Riordan Saurabh Jha (SJ): After Jack’s death what was Dr. Bawa-Garba’s immediate reaction? Jonathan Cusack (JC): I think it’s one of those moments one neither forgets nor recalls. I imagine the most overwhelming feeling was one of ...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: NHS #BawaGarba @roguerad Source Type: blogs

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Conclusion: These results indicate that VNS treatment can reduce the epileptiform activities and thus help in achieving better sleep quality for patients with epilepsy. Significance: The proposed approach can be used to investigate the effect of long-term VNS therapy on sleep quality.
Source: IEEE Transactions on Biomedical Engineering - Category: Biomedical Engineering Source Type: research
Two individuals with human immunodeficiency virus presented in acute renal failure with nephrotic range proteinuria and were diagnosed with secondary syphilis. One of them also had elevated transaminases. Kidney biopsies revealed membranous nephropathy, a rare complication of secondary syphilis, in both cases. Normal hepatic and renal function were restored after treatment with penicillin.
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Conclusion: The results suggest that sleep/wake patterns may be a mechanism through which deficits in inhibitory control increase youth risk for internalizing and externalizing problems. Because sleep/wake patterns are frequently modified through adoption of health behaviors conducive to good sleep, assessing for problematic patterns in adolescents who present with internalizing and externalizing problems may offer providers a relatively modifiable target to reduce the emotional and behavioral problems of youth with poorer inhibitory control abilities.
Source: Journal of Developmental and Behavioral Pediatrics - Category: Child Development Tags: ORIGINAL ARTICLE Source Type: research
CASE: Leo is a 26-month-old boy who you are seeing for an urgent care visit due to “sleep difficulty,” particularly sleep onset. Since age 1, he screams, hits, and kicks his mother every day, starting after she gets home from work at 5 PM (or before the family's dinnertime on her days off) and escalating over the course of the evening until he “wears himself out” and falls asleep in a crib in his own room around 9 to 10 PM Once asleep, he sleeps well through the night and wakes easily around 7 AM in a pleasant mood; his mother leaves for work soon after he awakens. He naps after lunch for 2 to 3 h...
Source: Journal of Developmental and Behavioral Pediatrics - Category: Child Development Tags: CHALLENGING CASE Source Type: research
A randomized, prospective study from the United Kingdom and Australia was conducted between February 24, 2006 and June 17, 2013.
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The subject matter of this report becomes increasingly relevant as the number of patients with chronic renal failure increases and their survival —and hence the period of time that dialysis access needs to be provided—also increases. The message provided in this paper is generally negative, as suggested in the title of “Patients with Lower Extremity Access Have Poor Primary Patency and Survival.”1 However, the information presented ne eds to be viewed in the appropriate context. Access procedures in the lower extremities may not be as durable as those in the upper extremities, but it is not as thoug...
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Source: Performance Enhancement and Health - Category: Sports Medicine Source Type: research
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Source: Academic Radiology - Category: Radiology Source Type: research
The British Medical Association will take the much-maligned NHS property company to court over fees charged which the union describes as “unjustifiable”.
Source: HSJ - Category: UK Health Source Type: news
Under the bright white lights of a central London exhibition space, a few dozen people are sorting themselves into groups. An instructor tells those that feel extremely worried about climate change to go to the far end of the room. Those that are less worried should stay closer to her. Moments later, she is mostly alone. Thirty feet away, strangers awkwardly cram together, signaling that they suffer “eco-anxiety.” This workshop, organized by King’s College London, is one of several events organized in the British capital this fall to help people work through the feelings of anxiety, depression and grief ...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized climate change Source Type: news
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