Rachel's Blogs
The ‘Perfect’ TSH?
Have you been told somewhere by someone that the 'perfect' TSH is 1.5 mIU/L? This is a wonderful, terrible & wonderfully terrible example of 'magical numbers medicine'. As a push-back against the published reference ranges we're given, that are so wide you could...
Putting Our Health On Hold
I wanted to pass on this image (from Twitter by Victor Tseng) that was shared with me by a medical colleague - it's important. Many of us are thinking ahead now in terms of the 'coming waves' of COVID. I have certainly been very mindful of a future wave of mental...
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Coeliac disease presents as behavioural problems
Recently I started seeing an 8 year old girl diagnosed with ODD and ADHD as well as impaired IQ at 6yo. Notable features include: She has variable bowel and bladder control - often coming home from school with wet pants and a Bristol type 1 stool in her underwear. ...
Snoring kids may need help
Parents should be aware persistent snoring is not normal in children and should be investigated. Researchers, whose results appeared in the journal Pediatrics May 2012 found that two- and three-year olds who snored loudly at least a couple of times per week tended to...
Limitations of serum B12 testing
The limitations of serum B12 testing have been reported for some time. When testing for deficiency, Serum B12 does not give an accurate picture unless there is an overt deficiency and even then not consistently. This is because the majority (approx.70%) of B12 in the...