Sudden infant death syndrome, or SIDS, usually happens when infants die in their sleep without any particular reason. Researchers in Australia say they’ve found why infants die from SIDS.

In the latest study, researchers found that infants who died from SIDS had lower levels of an enzyme known as Butyrylcholinesterase (BChE). This enzyme is thought by scientists to help regulate pathways in the brain which drive a person’s breathing, confirming what scientists had originally hypothesized. 

wheresonichedgehogwnt:

I spent an hour with a patient who has an abuse history working with her to do a (very much needed) outpatient gyn procedure today

It’s normally a 5 minute procedure, if that

Instead we took the entire hour that was scheduled, and I’m glad we did - afterwards the patient said she felt safe and in control of the whole procedure, and I don’t think she would’ve felt that way if we’d been rushed or if I felt pressured to see other patients

I’m really glad I work in a clinic that lets us take the time we need to help our patients feel safe, and I really, really hope my patient is proud of herself

This. I routinely block double-slots for new patients, procedures, super complicated folk, and people who are just going through a lot in life. Nowadays it’s a lot easier to do time-based coding too so there’s less pushback from admin but it can still be difficult on busy days.

Mirror, Mirror on the …floor?

I think being a boy mom is going to involve a loooot of future urgent care visits. My oldest son is almost 4 with the body of a 6 year old, the impulse control of an 18 month old, and the coordination of a newborn foal on ice (yes, concerned followers, we are in ALL the therapies). It’s a recipe for disaster, and I’m honestly surprised that he hasn’t had a concussion or fracture yet.

So Sunday I was in his bathroom and noticed there was no TP, so I asked him to go to my bathroom to get a few rolls. He doesn’t know how to walk—running is his only speed. So he took off in socks, slid across the hardwood floor, and went straight through a 40+ lb floor mirror. The clash of the mirror shattering was jarring, and the subsequent blood curdling scream had me frantically calling out to big J asking if he was okay. He was screaming that the glass broke and he was bleeding. I have warned him probably a thousand times about running in the house AND I’ve specifically pointed out the danger of the mirror and a glass-top table we have that he’s tried to climb on before, but he’s 3 and warnings are useless. Of course at that point I was just worried he was seriously injured.

I expected to see arterial spray when I met up with J, but thankfully there were just a few trickles. If y’all had seen the shape this mirror ended up in you’d be shocked that all he ended up with was 3 stitches in his hand and a little superglue on another cut. Not even shards in his feet! I cleaned up the wounds and wrapped up his hand with paper towels (I couldn’t get to my actual kit with gauze because it was on the other side of the razor sharp shards of mirror). I called a neighbor and dropped off little J so I wouldn’t have to wrangle both kids at urgent care on a Sunday afternoon and we went on. Amazingly there were hardly any kids there so we got in quickly and got the stitches done with only a few minutes of screaming.

One would think such a scary experience would make big J wary of running in the house, but it hasn’t deterred him one bit. I anticipate many visits to urgent care for casts, splints, and stitches in the years to come.

wheresonichedgehogwnt:

Today I had a teenager come into my office for follow up and say, “So I finally started doing all the things you’ve been telling me to do for the past year and I feel a lot better. Thanks for being so patient with me.”

Iobviously took this as an opportunity to say, “Nope, I’m the doctor, you’re the patient! :D ” and they rolled their eyes at how corny I am and then I told them seriously it was my pleasure and I was just so glad to hear they were feeling better

But it’s moments like this that make me happy and proud to be a Family Doc

That’s the payoff right there. Nice work, colleague! :)

He came for palpitations. I suggested he cut out caffeine. He’s like

“My husband is very… sexual,” she tells me after I break the news. 

I wanna be like “You’ll need this.”

I’m like