What does a “good death” look like? There’s no one size fits all approach but there are things we can do to help. Jacqui Duc, #palliativecare care specialist shares her insights at #DFTB23 Team DFTB #doodlemedicine #sketchnote #FOAMped #paediatrics

Observation is active rather than passive. Damian Roland #DFTB23

Therapy dogs in training at #DFTB23 🐶😍

Save the date, 26-28th August Team DFTB is coming to NEW ZEALAND in 2024 #dftb24 🥳🥳🥳

Vaping is the back-up plan for tobacco companies. Tobacco isn’t the problem any more, vaping is… Henry Goldstein #DFTB23

What’s so bad about vaping? Nicotine: - crosses BBB, stimulant effect (short-lived), highly addictive - adversely affects development of hippocampus - physiological and psychological dependence Henry Goldstein #DFTB23

Young people come for healthcare not health judgement - Henry Goldstein #DFTB23

Functional neurological disorders: Over 30 different names used in the literature for these presentations. Confusing for patients, families, healthcare professionals. Penny Larcombe at #DFTB23

Functional neurological disorder. Penny Larcombe at #DFTB23

FND is a stress disorder, assoc with: - adverse life experiences - anxiety and depression - alexithymia - heightened body attentional focus - aberrant sensory and info processing - natural life experiences - insecure attachment categories Penny Larcombe at #DFTB23

When explaining FND to a patient and family, using a timeline like this can help understanding. Also analogy of the “stress bucket” Penny Larcombe at #DFTB23

Functional Neurological Disorder is essentially a disorder of stress That stress may not be obvious to the child or family. The child may not be able to express the stress or change the situation that is causing it. - Penny Larcombe #DFTB23

FND is not a diagnosis of exclusion. Include FND in your differential diagnoses in your discussion with the patient/family from the start. Penny Larcombe at #DFTB23

Penny Larcombe talks functional neurological disorders at #DFTB23

Approach to FND in the ED: - thorough history - detailed examination - investigations where appropriate - discussion around FND - be curious about their preconceptions/belief - be careful and compassionate with language - ensure adequate follow-up Penny Larcombe at #DFTB23

Young people come for health care not health judgement Henry Goldstein #DFTB23

Challenging and inspirational 🥰 Thank you Gaelle Mellis and Beth Neate at #DFTB23

The medical model says “What’s wrong you?” The social model asks “What’s wrong with society?” Gaelle Mellis (tutti.org.au ) and Beth Neate #DFTB23

Gender affirming healthcare must be founded on respect and understanding. It’s not just about hormones, puberty blockers and surgery. Thank you Aud Mason-Hyde for your incredibly articulate and challenging keynote speech. #DFTB23

Wearing last year’s hoodie but I’m happy to still be able to be involved in #DFTB24. Missing seeing all you wonderful people in person though… Team DFTB