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Nick Schindler

@drnickschindler.bsky.social
599 followers 118 following 347 posts

#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

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Nick Schindler @drnickschindler.bsky.social · 01/05/2026
A successful business case?! Like it’s 2007?!
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Nick Schindler @drnickschindler.bsky.social · 01/05/2026
Ha! BrAIn works incredibly well, but can do odd things when running alongside external AIs. Conflicts between the two can be resolved by uninstalling other AI applications and actively engaging the original brAIn application.
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Nick Schindler @drnickschindler.bsky.social · 01/05/2026
It says that the number of first opinions is vast, in the millions, and Martha’s rule is a really helpful additional safety net in a system that is hugely overstretched.
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Elizabeth Osmond @bethosmond.bsky.social · 01/05/2026
Absolutely thrilled to publish my first chapbook today. The poetry explores neonatal care including the fascinating historical background and the challenges and joys of modern medicine caring for the most vulnerable patients. Online launch 17 May.
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Nick Schindler @drnickschindler.bsky.social · 01/05/2026
Yes, and it’s a careful echo system to balance. My feeling at the moment is that national recruitment and funding systems are great for efficiency, and risk missing more specific local training needs.
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Nick Schindler @drnickschindler.bsky.social · 30/04/2026
The nuance here is huge and I suspect very different based on specialty. If struggling to get to theatre because of ward work, more trainees might increase theatre time. Same for clinics in medical specialties. Big numbers impacts continuity of inpatient care, but is that a trainee’s problem?
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Nick Schindler @drnickschindler.bsky.social · 30/04/2026
Yes, and I would suggest that is because there is no money for jobs, not because there is no work to do. Training places seem entirely disconnected from consults requirements and the moment and we desperately need to think again. Hopefully with investment in the consultant workforce.
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Nick Schindler @drnickschindler.bsky.social · 30/04/2026
What does the data look like in Australia? We have a fixed number of posts in our programme. We could report empty posts, but this won’t take into account slot shares, mat leave, & people out of programme. With more than 40% LTFT, CCT dates change often. Data should be available, but which data?
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Nick Schindler @drnickschindler.bsky.social · 29/04/2026
Oh wow. How?!
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Eva Wooding @paedsdr.bsky.social · 27/04/2026
📢 Calling paediatric residents @rcpch.bsky.social TREES free webinar: 📍 TOMORROW 28/4 1pm 📍 Making your own opportunities in research wherever you are 📍 Dr David Bartle, Consultant Neonatal Paediatrician; LNU/SCU rep on the @bapmofficial.bsky.social Exec Committee www.rcpch.ac.uk/form/registe...
rcpch.ac.uk
Register for the monthly Trainee Research Network Seminars 2025-26 | RCPCH
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Nick Schindler @drnickschindler.bsky.social · 27/04/2026
I don’t make it on here often. Thanks for the vote of confidence though 😂 I have avoided running a department and become TPD instead. You’ve always been a study geek, good luck with exams!
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Nick Schindler @drnickschindler.bsky.social · 01/01/2026
January resolutions, because one step at a time. - No buying food/ coffee at work. - I will not read the news on my phone. - I will put my phone away in the evenings, not in my pocket. Yes I’m aware of the irony of coming back to SoMe shortly before resolving to use my phone less…
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Nick Schindler @drnickschindler.bsky.social · 01/01/2026
And new notebook(s)?! ❤️
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Nick Schindler @drnickschindler.bsky.social · 01/01/2026
Can we all agree that the New Year should start on 2nd January? The 1st should be more of an inset day. Use it to get ready, to do what you need to. I’ll be my perfect self tomorrow…
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Nick Schindler @drnickschindler.bsky.social · 01/01/2026
I think you’re spot on Shaun. We know the problems. Workforce planning Funding Maladaptive responses when the first two don’t exist. We don’t need an enquiry, we need meaningful investment and strategy for how that money is best used. (IMHO).
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Nick Schindler @drnickschindler.bsky.social · 31/12/2025
We have a working switch 1 and I’m trying to teach SmallestOne (7) how to play racing games (sonic racing). I’m not sure this is my finest parenting moment. I’m trying to explain that the joystick turns the car, not him moving his entire body…
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Nick Schindler @drnickschindler.bsky.social · 31/12/2025
Maybe we should put rest in the to do list as a job…
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Nick Schindler @drnickschindler.bsky.social · 31/12/2025
“If I can just get these jobs done…” “Next week…” “Once this thing is out of the way it will all feel better…”
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Nick Schindler @drnickschindler.bsky.social · 31/12/2025
😂 Spot on.
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Nick Schindler @drnickschindler.bsky.social · 31/12/2025
For new year next year, I would like our Emergency Department EPR to give me an ED Wrapped for the year. “Congratulations, you saw 1221 patients this year!” “203 of them had no abnormality detected.” “You made 1834029274902 senior reviews.” “Your favourite procedure was ketamine sedation!”
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Nick Schindler @drnickschindler.bsky.social · 31/12/2025
“Errrr… Mr Fleming, we noticed your list ran over quite a bit today, do you have any idea why that might have been?”
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Nick Schindler @drnickschindler.bsky.social · 30/12/2025
I’m going to enjoy the replies to this 😂 It’s definitely not continued to ramp up in the way we feared, not sure I’d use the Q word though, definitely still busy.
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Tom Cox @dj-acid-reflux.bsky.social · 20/12/2025
THREAD. My parents' cat Bridget vanished. As the weeks dragged on they became ever more worried, so to distract himself my dad began to paint Bridget's adventures, imagining her travelling through time and popping up at some of art & music's most important moments. I've collected his work here...
Bridget the cat infiltrates the 'Abbey Road' cover shoot and becomes THE definitive fifth Beatle.
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Nick Schindler @drnickschindler.bsky.social · 29/12/2025
Love this! Thank you.
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Nick Schindler @drnickschindler.bsky.social · 29/12/2025
Life goals: Smallest Two (2) is sat on the hallways floor reading Smallest One’s (7) comic books. She’s been there for 30 minutes just chatting to herself and flicking through pages.
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Nick Schindler @drnickschindler.bsky.social · 29/12/2025
I’m absolutely desperate for something that isn’t chocolate or cheese… I’ve drunk so much tea I think I need dialysis.
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Nick Schindler @drnickschindler.bsky.social · 29/12/2025
Nothing to see here…
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Nick Schindler @drnickschindler.bsky.social · 28/12/2025
I’ll save this quote for you for when we are both in our 80s and being mistaken by the nurses for escaped patients while doing our ward rounds. It’s going to be risky that I have to get through OPED to ChED as some well meaning nurse tries to guide me back to a room 😂
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Jon Stone @jonstoneneuro.bsky.social · 23/12/2025
Reclaiming FND for Rehabilitation Medicine – new open access editorial Neurorehab colleague Phil Milburn-McNulty and I set out why Rehab Medicine is so well-suited to treating FND, why they historically haven’t and what can be done to change things. journals.sagepub.com/doi/10.1177/...
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Nick Schindler @drnickschindler.bsky.social · 28/12/2025
I wonder how many of our systems are built to take us away from having eyes on the patient, and are confusing to navigate to the point where we get it wrong. EPRs, referral systems, education buildings off site. All in some ways remove us from where the patients are.
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Nick Schindler @drnickschindler.bsky.social · 28/12/2025
I might be a little late to this bandwagon. If you have time, please show your support for the Veterinary education team at Cambridge University. I’ve had the joy of working with some of their amazing faculty & I cannot fathom why anyone wants to stop their exceptional work. savethevetschool.co.uk
savethevetschool.co.uk
Save the Vet School - join 1000s of voices standing with the Vet School
A vital institution. A community in action. A future worth protecting. Stand with us to save the vet school.
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Nick Schindler @drnickschindler.bsky.social · 20/10/2025
Thank you for introducing me to these! 🙏
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Health Research | Southampton @uhsftresearch.bsky.social · 17/10/2025
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...
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Nick Schindler @drnickschindler.bsky.social · 17/10/2025
100% And of course patients can move, but our patients in particular have clear barriers to doing that. Shared care agreements create a postcode lottery by GP practice, and in the long term we need a better system.
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Max Davie @maxdavie.bsky.social · 17/10/2025
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...
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Nick Schindler @drnickschindler.bsky.social · 17/10/2025
ICB colleagues can be really helpful in these situations.
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Nick Schindler @drnickschindler.bsky.social · 17/10/2025
I think this also speaks to the increasing complexity of GP workload. They are consistently overwhelmed and it is easier just to say “no,” as all shared care agreements are discretionary. The solution has to come from both sides in a positive and constructive way, with the funding to support.
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Nick Schindler @drnickschindler.bsky.social · 15/10/2025
I’m sorry to hear that mate, sending good vibes for speedy treatment and recovery.
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FND Portal @fndportal.bsky.social · 14/10/2025
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...
nhsinform.scot
Functional neurological disorder
Information about functional neurological disorder (FND), including the symptoms, causes, and treatments of this condition. For patients in Scotland.
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Alasdair Munro @apsmunro.bsky.social · 13/10/2025
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 🧪
open.substack.com
Protecting babies against RSV
The last two years have changed the landscape of RSV disease prevention
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Sethina Watson @sethina.bsky.social · 02/10/2025
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...
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Nick Schindler @drnickschindler.bsky.social · 11/10/2025
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...
aomrc.org.uk
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Count Binface @countbinface.bsky.social · 11/10/2025
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)
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Nick Schindler @drnickschindler.bsky.social · 10/10/2025
It’s been ages since I commuted into London, but I almost miss my delay repay spreadsheet and my little monthly second payday from greater anglia…
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Prof. Damian Roland @damianroland.bsky.social · 09/10/2025
Great resource from @Radiopaedia A Paediatric x-ray atlas of normal x-rays in children radiopaedia.org/normal-paedi... #FOAMed
radiopaedia.org
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; }
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Prof. Damian Roland @damianroland.bsky.social · 09/10/2025
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...
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Nick Schindler @drnickschindler.bsky.social · 09/10/2025
I’d watch this season.
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Micah @rincewind.run · 19/09/2025
Discworld QOTD, from Night Watch
People on the side of The People always ended up disappointed, in any case. They found that The People tended not to be grateful or appreciative or forward-thinking or obedient. The People tended to be small-minded and conservative and not very clever and were even distrustful of cleverness. And so the children of the revolution were faced with the age-old problem: it wasn’t that you had the wrong kind of government, which was obvious, but that you had the wrong kind of people.
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Nick Schindler @drnickschindler.bsky.social · 07/10/2025
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.
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Michael Absoud @mabsoud.bsky.social · 05/10/2025
🎤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-...
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