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Ward A5, Wythenshawe, MFT 🏥 36m
So many new events and learning opportunities for students and TNAs we’ve ran out of space on our board!🤩📚
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Vicki Lawlor 1h
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Sean Monaghan 21h
Neumann: suspect a tumour? History, examination, imaging. If SOL - refer urgently to neurosurgeons, start dexamethasone and explain findings to family
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Z...✳️ 16h
For God's sake.... My head is spinning like a FUC*ING ROLLER COASTER !!! ⛔ 🆘
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Sean Monaghan 20h
Neumann: like much of paediatrics and oncology, MDT is more than just a buzzword. It is essential to determining and delivering the best treatment and support to patients and families
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Sean Monaghan 21h
Neumann: low grade gliomas have outpatient long exposure low-dose chemotherapy and may need repeated courses as the tumour does not stop growing until adolescence. High risk and infant medulloblastomas, by contrast, have six months of inpatient chemotherapy
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Sean Monaghan 21h
Neurofibromatosis type 1 is associated with low-grade gliomas and families known to have the diagnosis are often screened for tumours
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Sean Monaghan 21h
Neumann: some tumours have excellent survival rates in excess of 90%, but DIPG and high-grade gliomas still have very poor survival rates (<10% and 20% respectively)
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Sean Monaghan 21h
Neumann: 450 new brain/spinal tumours per year in kids, 50-60 in WM. Most common cause of cancer-related deaths. 60% of survivors are left with life-altering disability
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Sean Monaghan 21h
Neumann: devastating diagnosis with sometimes poor treatment outcomes and significant late effects
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Sean Monaghan 21h
Neumann: both brain tumours and their treatments have acute, intermediate and long-term potential consequences
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Sean Monaghan 21h
Neumann: Clinical syndromes associated with brain tumour include diencephalic syndrome and Parinaud syndrome
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Sean Monaghan 20h
My capacity to listen and tweet has diminished this late in the day, so I'm going to listen now
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Sean Monaghan Nov 20
Liang: opioid patches still contain drug if removed prematurely. Case reports of fatalities from toddlers taking off relatives' fentanyl patches and chewing them. Care with alcohol in adolescents - even a small amount can hugely exacerbate respiratory depression
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Sean Monaghan Nov 20
Liang: Grieving is an expression of love
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Sean Monaghan Nov 20
Liang: have 4 categories for palliative care: - Curable but life-threatening conditions - Life-limiting conditions - Progressive conditions with no way to modify disease course - Static neuro insults with potentially life-threatening health effects
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Sean Monaghan Nov 20
Liang: Children are different - death in childhood rare, range of illnesses different, serious LD common, family often require as much care as the patient. Often multiple professionals and sites of care
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Christian Heritage Nov 19
Great to have students from Bergen, Norway, with us today for a tour of Cambridge and lectures on William Wilberforce and the challenge of secularism.
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Sean Monaghan Nov 20
Liang: symptom control is like anything else in medicine. Take a history, examine, consider causes. Anticipation of potential expected problems and crafting choice of solutions very helpful. Don't be satisfied with initial outcome - review, review, review!
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Sean Monaghan Nov 20
Liang: paediatric palliative care is not just for the terminal phase. Palliative care can be helpful at diagnosis, during critical illnesses (may or may not recover), or for respite when stably well, for instance
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