child neurology

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Anencephaly is the absence of a major portion of the brain, skull, and scalp that occurs during embryonic development. It is a cephalic disorder that results from a neural tube defect that occurs when the rostral (head) end of the neural tube fails to close, usually between the 23rd and 26th day following conception. it is accepted that children born with this disorder usually only lack a telencephalon, the largest part of the brain consisting mainly of the cerebral hemispheres, including the neocortex, which is responsible for cognition. The remaining structure is usually covered only by a thin layer of membrane— skin, bone, meninges, etc. are all lacking. With very few exceptions,infants with this disorder do not survive longer than a few hours or possibly days after their birth.

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seokjins-hedgehog  asked:

Hey! Today in school I saw an announcement about a little autistic boy who's looking for friends to go play with him and help him learn and such. I'm thinking of contacting his mom and I just wanna know if there's anything I should know? I don't think I've ever interacted with someone autistic before, so I don't really know what it would be like, but I really want to try it. I'd be very glad if you'd answered ^^ (And sorry for the mistakes .-.)

That’s a lovely idea!

As an autistic child, especially for boys, it can be very difficult to make friends or interact socially like other kids. This often leaves the majority of us to be at a disadvantage with learning skills at the pace of our peers. 

Keeping this in mind, I would advise you to let him guide the interactions. Ask him questions. Find the things that fascinate him and let him explain them to you. Remember that he may not express interest or excitement the same way as others. He may seem uninterested or not look at you, but this is not an indication of dislike. On the contrary, he may be willing to hug or interact with you after all - we’re all different in that way. 

Try not to think of him as “an autistic” and just think of him as a child with different neurological development. The majority of us have “autistic superpowers” and a set of “bonus features”. The “superpowers” are our skills that are finely tuned or well above average (math, assembly, linguistics, etc), and our “bonus features” are our idiosyncrasies. These can be things like not liking to be touched, being unable to tolerate certain sounds, or listening to movies or music at very loud volumes. 

He is already aware that he is different, and so are you. My request on his behalf is to be as “normal” as possible, but to remember to explain your feelings and emotions as you have them. If he kicks you a response would be “please don’t do that, that hurts me and makes me want to leave”. Or if he plays music too loudly a response might be “I like your music but it hurts my ears. Could we turn it down?” Autistic individuals are unable to decipher emotions or unspoken thoughts. Many of us, especially women, rely on movies, TV shows, and very verbal friends to tell us what emotions correspond to certain expressions or sounds.

I’m excited for you and him to have this opportunity! Good luck.

In a state of constant alert, the child’s “fight or flight” stress response goes into overdrive, causing physiological changes to the architecture of the brain.

The results can be catastrophic. As cell growth is impaired and the formation of healthy neural circuits is disrupted, the child struggles to regulate emotions.

Changes in the hippocampus - the part of the brain responsible for memory and emotional control - cause shrinkage, which in turn can trigger learning and behavioural problems, difficulty with impulse control and a heightened sense of rage and self-loathing.

Evidence is also emerging that the effects of toxic stress can last a lifetime, putting the child at increased risk of mental and physical health problems and cognitive impairment in adulthood. The concern is that the trans-generational consequences of family violence, abuse, neglect, economic hardship and parental mental illness and drug and alcohol problems will compound over time.

My little miracle

A children that Amelia’s baby saved come GSMH, Amelia deals with that, Owen supports her everytime.

here’s the prompt I promised to you @magicalpostface @ailingnoor  @itsabeautifuldaytodaytolive  @gloriakats1

Hope you like it.


We live our lives quietly, we  move on, we focus on work, we love, and sometimes we started family. Even if we live our routine quietly we don’t know what lies ahead, everything is unexpected.
We accept and rejoice in the good times that life gives us and we suffer when disaster strikes us.
Our life is like a Russian roulette, we never know if pulling the trigger the bullet will strike us.

Keep reading

the match

I ranked 10 places. I got my second choice. It’s really hard to admit that you didn’t get your number one choice. I don’t know why. It feels weird and makes you feel like a loser. Like, why didn’t they want me? I thought we rocked so hard together. It’s kinda like you’re in the Twilight Zone. Nothing feels real. Stuff doesn’t make sense. You wonder if you messed up when you submitted your list. Then you think, what the heck happened?

I matched into a top 3 children’s hospital! Harvard, CHOP, Cincinnati, Texas Children’s, and Northwestern are the highest ranked children’s hospitals in America!! That other place was only in the top 20. Why didn’t that other place want me?  Then you realize that you’re weirded out for no reason! That you matched into an even better residency than you had picked as first! That your second place is NORTHWESTERN CHILDREN’S MEMORIAL HOSPITAL!!!!! That you are one lucky girl! An immigrant from Brazil entering into one of the finest institutions in medicine! 

I am happy but stunned. I’m shocked that it wasn’t San Francisco. But the reality is setting in. And life is pretty great! I love Chicago. I am happy that I am staying home. 

Children’s brains contain more neurons and synapses. Once they hit adolescence their brains undergo a process called “pruning”: as part of the developmental process when we hit our early teens, the more “weak” or less-well-established connections in our brains are disposed of, leaving the more efficient and established connections to thrive and grow stronger. This makes our brain more efficient and well connected.
—  Dean Burnett, ‘SATs: the dangerous exam that’s frying our children’s brains’, The Guardian

Thank you to my family & family-like friends for all of your help & support over the last few years! For being sweet & understanding at all the birthdays I missed, dinners I cancelled, phone calls I failed to make, and every other fail on my part. Know that I could not have completed residency without you!!!!!! 

Thank you to my Comer family for your unwavering support over the last 2 years—-you’re in my heart! 

I am excited to start my child neurology fellowship!!! It’s finally happening! The goal I’ve been plugging away at over the last 15 years!!!!! 

I hope to learn the brain and learn it well! I know I’ll only be as good as the support I have at home and at work! 

I am lucky that my co-fellows are kind, smart, funny and willing to give it their all to creating an awesome child neurology family!!!

High-five to an incredible year that starts today!

PS I can’t believe I’m a fellow!