This talk was recorded live at DFTB18 in Melbourne, Australia. With the theme of ‘Science and Story’ we pushed our speakers to step out of their comfort zones and consider why we do what we do. Caring for children is not just about acquiring the scientific knowhow but also about taking a look beyond a diagnosis or clinical conundrum at the patient and their families. Tickets for DFT19, which will be held in London, UK, are now on sale from www.dftb19.com.
David Tickell is general paediatrician working in rural Victoria. He has recently taken on the role of Clinical Director Specialist Clinics, Women’s & Children’s Health in Ballarat. In this talk he talks about what is normal and what should makes us concerned.
A lot of what we see in the department or in outpatients may often be the medicalisation of normality. For example crying, arching the back up and drawing up the knees are NOT related to reflux, and the prescription of PPIs is no better than placebo. But, David stresses, there are some things that require escalation.