Nick Schindler
@drnickschindler.bsky.social
#HelloMyNameIs Nick.
Consultant Paediatrician, PEM & epilepsy/ neurology at Jenny Lind Children’s Hospital.
East of England Paediatric Training Programme Director.
Tutor @MedEdICE. RCPCH Theory Examiner and rep to @AoMRC AFPC. He/Him
Consultant Paediatrician, PEM & epilepsy/ neurology at Jenny Lind Children’s Hospital.
East of England Paediatric Training Programme Director.
Tutor @MedEdICE. RCPCH Theory Examiner and rep to @AoMRC AFPC. He/Him
Reposted by Nick Schindler
Did you see @uhsft.bsky.social's @apsmunro.bsky.social on BBC South with @edwardjsault.bsky.social? 📺
While many people recover quickly, flu can be dangerous for young children.
A new trial is exploring whether the flu vaccine can be extended to younger toddlers.
🔗 bbc.co.uk/news/article...
While many people recover quickly, flu can be dangerous for young children.
A new trial is exploring whether the flu vaccine can be extended to younger toddlers.
🔗 bbc.co.uk/news/article...
October 17, 2025 at 1:21 PM
Did you see @uhsft.bsky.social's @apsmunro.bsky.social on BBC South with @edwardjsault.bsky.social? 📺
While many people recover quickly, flu can be dangerous for young children.
A new trial is exploring whether the flu vaccine can be extended to younger toddlers.
🔗 bbc.co.uk/news/article...
While many people recover quickly, flu can be dangerous for young children.
A new trial is exploring whether the flu vaccine can be extended to younger toddlers.
🔗 bbc.co.uk/news/article...
Reposted by Nick Schindler
It seems more and more GPs are refusing to take on shared care with specialist teams for #ADHD.
This makes sense if you think of a GP practice as a small business needing to maintain profit margins.
But most small businesses allow their customers to go elsewhere for a service...
This makes sense if you think of a GP practice as a small business needing to maintain profit margins.
But most small businesses allow their customers to go elsewhere for a service...
October 17, 2025 at 9:28 AM
It seems more and more GPs are refusing to take on shared care with specialist teams for #ADHD.
This makes sense if you think of a GP practice as a small business needing to maintain profit margins.
But most small businesses allow their customers to go elsewhere for a service...
This makes sense if you think of a GP practice as a small business needing to maintain profit margins.
But most small businesses allow their customers to go elsewhere for a service...
Reposted by Nick Schindler
2. Patients are often (still) being given the FND diagnosis when “no disease is found.”
This is not how it should be done.
FND needs to be diagnosed based on positive signs / clinical features that establish that FND is present.
www.nhsinform.scot/illnesses-an...
This is not how it should be done.
FND needs to be diagnosed based on positive signs / clinical features that establish that FND is present.
www.nhsinform.scot/illnesses-an...
Functional neurological disorder
Information about functional neurological disorder (FND), including the symptoms, causes, and treatments of this condition. For patients in Scotland.
www.nhsinform.scot
October 14, 2025 at 2:50 PM
2. Patients are often (still) being given the FND diagnosis when “no disease is found.”
This is not how it should be done.
FND needs to be diagnosed based on positive signs / clinical features that establish that FND is present.
www.nhsinform.scot/illnesses-an...
This is not how it should be done.
FND needs to be diagnosed based on positive signs / clinical features that establish that FND is present.
www.nhsinform.scot/illnesses-an...
Reposted by Nick Schindler
Pleased to share my new post looking at the recent successes and turbulence in the development of therapeutics for infant RSV protection
Much progress made - but there’s more to do still!
#IDSky #PedsID 🧪
Much progress made - but there’s more to do still!
#IDSky #PedsID 🧪
Protecting babies against RSV
The last two years have changed the landscape of RSV disease prevention
open.substack.com
October 13, 2025 at 6:09 AM
Reposted by Nick Schindler
Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.
forms.gle/HYRNUzkgwMsZ...
forms.gle/HYRNUzkgwMsZ...
October 2, 2025 at 8:29 AM
Have you attended a popular resuscitation course? Have you been put forward as IP? Or not despite being interested? Share your experiences in this survey. It is open to all specialities, and all grades of doctors in the UK. Please share with all.
forms.gle/HYRNUzkgwMsZ...
forms.gle/HYRNUzkgwMsZ...
I’ve been my letters to patients (or parents) for years and won’t go back.
There is a helpful resource from the Academy of Medical Royal Colleges for those looking to make the switch.
www.aomrc.org.uk/wp-content/u...
There is a helpful resource from the Academy of Medical Royal Colleges for those looking to make the switch.
www.aomrc.org.uk/wp-content/u...
October 11, 2025 at 3:20 PM
I’ve been my letters to patients (or parents) for years and won’t go back.
There is a helpful resource from the Academy of Medical Royal Colleges for those looking to make the switch.
www.aomrc.org.uk/wp-content/u...
There is a helpful resource from the Academy of Medical Royal Colleges for those looking to make the switch.
www.aomrc.org.uk/wp-content/u...
Reposted by Nick Schindler
I hereby declare war on premature Christmassing.
Any shop caught doing this before 1st December must be shut down and turned into affordable housing.
Choose sanity. Vote Binface.
(Photo dated 9th October 2025)
Any shop caught doing this before 1st December must be shut down and turned into affordable housing.
Choose sanity. Vote Binface.
(Photo dated 9th October 2025)
October 11, 2025 at 7:34 AM
I hereby declare war on premature Christmassing.
Any shop caught doing this before 1st December must be shut down and turned into affordable housing.
Choose sanity. Vote Binface.
(Photo dated 9th October 2025)
Any shop caught doing this before 1st December must be shut down and turned into affordable housing.
Choose sanity. Vote Binface.
(Photo dated 9th October 2025)
Reposted by Nick Schindler
Great resource from @Radiopaedia
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
Normal Pediatric X-ray Atlas | Radiopaedia Cases | Radiopaedia.org
/* Single-column layout everywhere */
#peds-controls .peds-grid {
display: grid;
grid-template-columns: 1fr;
grid-template-areas:
"region"
"gender"
"slider";
gap: 14px;
align-items: end;
}
.peds-region { grid-area: region; }
.peds-gender { grid-area: gender; }
.peds-slider { grid-area: slider; }
/* Slider: large grab area */
#peds-age-slider {
-webkit-appearance: none;
width: 100%;
height: 28px;
background: transparent;
}
#peds-age-slider:focus { outline: none; }
#peds-age-slider::-webkit-slider-runnable-track {
height: 10px; background: #e6eaf2; border-radius: 999px; border: 1px solid #d6d9e0;
}
#peds-age-slider::-moz-range-track {
height: 10px; background: #e6eaf2; border-radius: 999px; border: 1px solid #d6d9e0;
}
#peds-age-slider::-webkit-slider-thumb {
-webkit-appearance: none; width: 22px; height: 22px; border-radius: 50%;
background: #fff; border: 2px solid #8C52FF; margin-top: -7px; cursor: pointer;
}
#peds-age-slider::-moz-range-thumb {
width: 22px; height: 22px; border-radius: 50%; background: #fff; border: 2px solid #8C52FF; cursor: pointer;
}
/* Age label + readout: prominent */
.peds-age-label {
display:flex; align-items:center; justify-content:space-between; gap:10px;
font-weight:800; margin-bottom:4px; font-size:1.5rem;
}
.peds-age-readout {
font-weight:900; color:#111827; font-size:1.6rem; line-height:1;
}
/* Gender radios */
.peds-gender-group { display:flex; gap:12px; align-items:center; flex-wrap:wrap; }
.peds-gender-group label { display:inline-flex; align-items:center; gap:6px; cursor:pointer; line-height:1.2; }
.peds-gender-group input[type="radio"] { margin:0; vertical-align:middle; accent-color:#8C52FF; }
/* Output + sections */
.peds-section { scroll-margin-top:80px; }
#peds-output { opacity:0; transition:opacity .35s ease; }
#peds-output.is-visible { opacity:1; }
/* Heading row wraps H4 and (optional) pill; spacing below image */
.peds-heading-row {
display:inline-flex; align-items:baseline; gap:10px;
width:100%; margin:0 0 14px 0;
}
.peds-heading-row > h4 { margin:0; }
/* Gender pills */
.pill {
display:inline-block; padding:3px 10px; border-radius:999px;
font-size:.93em; font-weight:400; line-height:1; white-space:nowrap;
border:1px solid transparent; position:relative; top:-1px;
}
.pill-male { background:#eaf3ff; border-color:#cfe4ff; color:#0f3b82; }
.pill-female { background:#fff7cc; border-color:#ffe59e; color:#7a5a00; }
/* Case credit */
.peds-credit { font-size:0.9em; }
/* Consistent gap before credit whether image is in or not */
p.peds-imgblock { margin-bottom: 8px !important; }
img.peds-imgblock { display:block; margin-bottom: 8px !important; }
/* Optional: style the disabled separator text a bit lighter where supported */
#peds-region option[disabled] { color:#9aa3af; font-style:italic; }
radiopaedia.org
October 9, 2025 at 6:29 PM
Great resource from @Radiopaedia
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
A Paediatric x-ray atlas of normal x-rays in children
radiopaedia.org/normal-paedi...
#FOAMed
Reposted by Nick Schindler
Thanks to @ukhsa.bsky.social we can monitor impact of RSV (the virus which causes bronchiolitis)
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
October 9, 2025 at 6:43 PM
Thanks to @ukhsa.bsky.social we can monitor impact of RSV (the virus which causes bronchiolitis)
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
We started vaccinating pregnant mothers last year but didn't see much of an impact.
Let's hope with⬆️immunisation rates things are different this year...
www.gov.uk/government/s...
Reposted by Nick Schindler
Discworld QOTD, from Night Watch
September 19, 2025 at 6:38 PM
Discworld QOTD, from Night Watch
My wife in hospital: “the tea is awful, I have to put sugar in it to make it bearable.” - Drinks 3+ cups a day.
My wife on returning home: “Real tea is amazing!” - forgets to drink the tea and finds a full cold mug 2 hours later.
My wife on returning home: “Real tea is amazing!” - forgets to drink the tea and finds a full cold mug 2 hours later.
October 7, 2025 at 10:39 AM
My wife in hospital: “the tea is awful, I have to put sugar in it to make it bearable.” - Drinks 3+ cups a day.
My wife on returning home: “Real tea is amazing!” - forgets to drink the tea and finds a full cold mug 2 hours later.
My wife on returning home: “Real tea is amazing!” - forgets to drink the tea and finds a full cold mug 2 hours later.
Reposted by Nick Schindler
🎤NEW✍🏽 James Lind Alliance Survey
Help pick top 10 research questions for children & young people (upto 25 years old) with gender incongruence/dysphoria
2 versions:
Young People/parents app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Public & Professionals
app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Help pick top 10 research questions for children & young people (upto 25 years old) with gender incongruence/dysphoria
2 versions:
Young People/parents app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Public & Professionals
app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
October 5, 2025 at 10:20 AM
🎤NEW✍🏽 James Lind Alliance Survey
Help pick top 10 research questions for children & young people (upto 25 years old) with gender incongruence/dysphoria
2 versions:
Young People/parents app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Public & Professionals
app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Help pick top 10 research questions for children & young people (upto 25 years old) with gender incongruence/dysphoria
2 versions:
Young People/parents app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
Public & Professionals
app.onlinesurveys.jisc.ac.uk/s/jla/youth-...
I’ve thought about this a lot recently.
I met some amazing friends through Twitter, and built bits of my career that would never have happened without it.
I sometimes feel guilty that I’m not available online in the same ways that others were when I needed them.
I met some amazing friends through Twitter, and built bits of my career that would never have happened without it.
I sometimes feel guilty that I’m not available online in the same ways that others were when I needed them.
I actually feel sorry for the generation that missed out out on the pre-enshittification era of making connections online
There's a cohort who got to make IRL friends for life on forums/messaging boards/twitter with people they'd never cross paths with otherwise. That door feels all but closed now
There's a cohort who got to make IRL friends for life on forums/messaging boards/twitter with people they'd never cross paths with otherwise. That door feels all but closed now
Right, that's it. I'm founding a new populist party of the centre called Go Outside!
October 5, 2025 at 3:26 PM
I’ve thought about this a lot recently.
I met some amazing friends through Twitter, and built bits of my career that would never have happened without it.
I sometimes feel guilty that I’m not available online in the same ways that others were when I needed them.
I met some amazing friends through Twitter, and built bits of my career that would never have happened without it.
I sometimes feel guilty that I’m not available online in the same ways that others were when I needed them.
Reposted by Nick Schindler
There is an institutional culture in many parts of the NHS of focussing wholly on money, and just not doing credible patient impact assessments when considering any cuts to service.
Or worse, having them done and treating it as unimportant for many reasons nothing to do with patient health.
Or worse, having them done and treating it as unimportant for many reasons nothing to do with patient health.
🚨 Exclusive: New leaked document proves @NHSEngland was warned a decade ago about failures in child hearing test centres across England.
Hundreds of children have been harmed, some left with lifelong problems:
▶️ www.thetimes.com/article/294c...
Hundreds of children have been harmed, some left with lifelong problems:
▶️ www.thetimes.com/article/294c...
NHS ignored warnings on children’s hearing tests for a decade
Health bosses in England knew about testing failures in 2014. Hundreds of babies with severe hearing problems were left without help, leading to delayed development
www.thetimes.com
October 5, 2025 at 6:33 AM
There is an institutional culture in many parts of the NHS of focussing wholly on money, and just not doing credible patient impact assessments when considering any cuts to service.
Or worse, having them done and treating it as unimportant for many reasons nothing to do with patient health.
Or worse, having them done and treating it as unimportant for many reasons nothing to do with patient health.
October is #BreastCancer awareness month.
Our family is two months into our breast cancer journey.
I’m incredibly grateful to my wife for checking regularly & spotting when something wasn’t right.
The NHS is amazing & is here for all of us. Check yourself & get checked if it doesn’t feel right.
Our family is two months into our breast cancer journey.
I’m incredibly grateful to my wife for checking regularly & spotting when something wasn’t right.
The NHS is amazing & is here for all of us. Check yourself & get checked if it doesn’t feel right.
October 4, 2025 at 5:03 PM
October is #BreastCancer awareness month.
Our family is two months into our breast cancer journey.
I’m incredibly grateful to my wife for checking regularly & spotting when something wasn’t right.
The NHS is amazing & is here for all of us. Check yourself & get checked if it doesn’t feel right.
Our family is two months into our breast cancer journey.
I’m incredibly grateful to my wife for checking regularly & spotting when something wasn’t right.
The NHS is amazing & is here for all of us. Check yourself & get checked if it doesn’t feel right.
I called the “cause for concern” (Martha’s Rule) number, as a relative today.
I’m incredibly impressed by the response.
It is wonderful to see a new system work so well, and as a relative it’s a huge relief to have an accessible system when you have concerns.
@nnuh.bsky.social
I’m incredibly impressed by the response.
It is wonderful to see a new system work so well, and as a relative it’s a huge relief to have an accessible system when you have concerns.
@nnuh.bsky.social
October 4, 2025 at 4:35 PM
I called the “cause for concern” (Martha’s Rule) number, as a relative today.
I’m incredibly impressed by the response.
It is wonderful to see a new system work so well, and as a relative it’s a huge relief to have an accessible system when you have concerns.
@nnuh.bsky.social
I’m incredibly impressed by the response.
It is wonderful to see a new system work so well, and as a relative it’s a huge relief to have an accessible system when you have concerns.
@nnuh.bsky.social
My wife is currently admitted to the hospital I work in.
I’m sat next to her in a bay while she tries to sleep.
I have so many thoughts about the things you hear through these curtains.
People are fascinating.
I’m sat next to her in a bay while she tries to sleep.
I have so many thoughts about the things you hear through these curtains.
People are fascinating.
October 4, 2025 at 3:56 PM
My wife is currently admitted to the hospital I work in.
I’m sat next to her in a bay while she tries to sleep.
I have so many thoughts about the things you hear through these curtains.
People are fascinating.
I’m sat next to her in a bay while she tries to sleep.
I have so many thoughts about the things you hear through these curtains.
People are fascinating.
Reposted by Nick Schindler
“Children are being treated as second-rate citizens in the eyes of NHS funding.”
RCPCH President Prof Steve Turner highlights how our joint Emergency Care Standards aim to reshape urgent care for children making safe, timely care a reality for every child.
👇
www.independent.co.uk/news/health/...
RCPCH President Prof Steve Turner highlights how our joint Emergency Care Standards aim to reshape urgent care for children making safe, timely care a reality for every child.
👇
www.independent.co.uk/news/health/...
NHS slammed for treating children who need A&E care as ‘second-rate citizens’
Many emergency departments lack the infrastructure to meet the growing needs of child patients, the Royal College of Paediatrics and Child Health said
www.independent.co.uk
October 2, 2025 at 12:50 PM
“Children are being treated as second-rate citizens in the eyes of NHS funding.”
RCPCH President Prof Steve Turner highlights how our joint Emergency Care Standards aim to reshape urgent care for children making safe, timely care a reality for every child.
👇
www.independent.co.uk/news/health/...
RCPCH President Prof Steve Turner highlights how our joint Emergency Care Standards aim to reshape urgent care for children making safe, timely care a reality for every child.
👇
www.independent.co.uk/news/health/...
Reposted by Nick Schindler
Pleased that "Continuum" the AAN journal asked for this article on the management of functional movement disorder - coauthored with @alancarson15.bsky.social
Article paywalled but podcast is free.
Some snippets in thread🧵
Article: continuum.aan.com/doi/full/10....
Podcast: x.com/ContinuumAAN....
Article paywalled but podcast is free.
Some snippets in thread🧵
Article: continuum.aan.com/doi/full/10....
Podcast: x.com/ContinuumAAN....
October 1, 2025 at 2:03 PM
Pleased that "Continuum" the AAN journal asked for this article on the management of functional movement disorder - coauthored with @alancarson15.bsky.social
Article paywalled but podcast is free.
Some snippets in thread🧵
Article: continuum.aan.com/doi/full/10....
Podcast: x.com/ContinuumAAN....
Article paywalled but podcast is free.
Some snippets in thread🧵
Article: continuum.aan.com/doi/full/10....
Podcast: x.com/ContinuumAAN....
Reposted by Nick Schindler
Thank you all so much.
September 24, 2025 at 4:25 AM
Thank you all so much.
Reposted by Nick Schindler
🔴 A 𝘵𝘳𝘪𝘨𝘨𝘦𝘳 𝘸𝘢𝘳𝘯𝘪𝘯𝘨 assumes:
"This might harm you."
🔵 A 𝘤𝘰𝘯𝘵𝘦𝘯𝘵 𝘸𝘢𝘳𝘯𝘪𝘯𝘨 simply says:
"This is what’s coming."
One is about protection.
The other is about permission.
That difference matters.
"This might harm you."
🔵 A 𝘤𝘰𝘯𝘵𝘦𝘯𝘵 𝘸𝘢𝘳𝘯𝘪𝘯𝘨 simply says:
"This is what’s coming."
One is about protection.
The other is about permission.
That difference matters.
September 18, 2025 at 11:32 PM
🔴 A 𝘵𝘳𝘪𝘨𝘨𝘦𝘳 𝘸𝘢𝘳𝘯𝘪𝘯𝘨 assumes:
"This might harm you."
🔵 A 𝘤𝘰𝘯𝘵𝘦𝘯𝘵 𝘸𝘢𝘳𝘯𝘪𝘯𝘨 simply says:
"This is what’s coming."
One is about protection.
The other is about permission.
That difference matters.
"This might harm you."
🔵 A 𝘤𝘰𝘯𝘵𝘦𝘯𝘵 𝘸𝘢𝘳𝘯𝘪𝘯𝘨 simply says:
"This is what’s coming."
One is about protection.
The other is about permission.
That difference matters.
Reposted by Nick Schindler
United to improve paediatric patient safety, RCPCH and NIHR SafetyNet held a great webinar exploring the WHO priorities with nearly 200 people.
We invite you to participate in the partnership, watch the recording and express interest here: www.rcpch.ac.uk/resources/pa...
We invite you to participate in the partnership, watch the recording and express interest here: www.rcpch.ac.uk/resources/pa...
September 19, 2025 at 8:57 AM
United to improve paediatric patient safety, RCPCH and NIHR SafetyNet held a great webinar exploring the WHO priorities with nearly 200 people.
We invite you to participate in the partnership, watch the recording and express interest here: www.rcpch.ac.uk/resources/pa...
We invite you to participate in the partnership, watch the recording and express interest here: www.rcpch.ac.uk/resources/pa...
Reposted by Nick Schindler
"Adolescents and their families sometimes find it very hard navigating the health system" Prof Steve Turner, president of @rcpch.bsky.social
This event offers practical ED takeaways on sexual health, consent & capacity in adolescent care.
👉 Let’s enhance care together: rcem.ac.uk/virtual-e...
This event offers practical ED takeaways on sexual health, consent & capacity in adolescent care.
👉 Let’s enhance care together: rcem.ac.uk/virtual-e...
September 20, 2025 at 1:01 PM
"Adolescents and their families sometimes find it very hard navigating the health system" Prof Steve Turner, president of @rcpch.bsky.social
This event offers practical ED takeaways on sexual health, consent & capacity in adolescent care.
👉 Let’s enhance care together: rcem.ac.uk/virtual-e...
This event offers practical ED takeaways on sexual health, consent & capacity in adolescent care.
👉 Let’s enhance care together: rcem.ac.uk/virtual-e...
Reposted by Nick Schindler
New NHS England Neurology Service specification.
✅FND is one of seven core subspecialties
✅FND services MUST be provided in each specialised neurology centre.
This is huge recognition of how common FND is in neurology - and unthinkable 20 yrs ago. 1/
t.co/XvGo0NIryA
✅FND is one of seven core subspecialties
✅FND services MUST be provided in each specialised neurology centre.
This is huge recognition of how common FND is in neurology - and unthinkable 20 yrs ago. 1/
t.co/XvGo0NIryA
September 21, 2025 at 1:04 PM
New NHS England Neurology Service specification.
✅FND is one of seven core subspecialties
✅FND services MUST be provided in each specialised neurology centre.
This is huge recognition of how common FND is in neurology - and unthinkable 20 yrs ago. 1/
t.co/XvGo0NIryA
✅FND is one of seven core subspecialties
✅FND services MUST be provided in each specialised neurology centre.
This is huge recognition of how common FND is in neurology - and unthinkable 20 yrs ago. 1/
t.co/XvGo0NIryA
Reposted by Nick Schindler
Given importance of health to the voting public, it seems politically naive of Nigel Farage and Reform to have their health policy so closely tied to Dr Aseem Malhotra, whose speech today confirms his switch from once respected clinician to conspiracy theorist quack: www.thetimes.com/uk/politics/...
Doctor claims Covid jabs may be linked to cancer in royal family
Aseem Malhotra told Reform UK’s party conference that the vaccination was a ‘significant factor’ in the diagnoses of King Charles and the Princess of Wales
www.thetimes.com
September 6, 2025 at 5:43 PM
Given importance of health to the voting public, it seems politically naive of Nigel Farage and Reform to have their health policy so closely tied to Dr Aseem Malhotra, whose speech today confirms his switch from once respected clinician to conspiracy theorist quack: www.thetimes.com/uk/politics/...