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21 January 2003
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Science
CASE NOTES
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Tuesday 21:00-21:30
Repeat Wednesday 16:30
Dr Graham Easton gives listeners the low-down on what the medical profession does and doesn't know. Each week an expert in the studio tackles a particular topic and there are reports from around the UK on the health of the nation - and the NHS.
radioscience@bbc.co.uk
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PRESENTER
DR GRAHAM EASTON
Dr Graham Easton

PROGRAMME DETAILS
Tuesday 21 January  2003
Doctor with young patient

Children’s Health

In medical terms, at least, children are not simply “mini adults”. In Case Notes, presenter Dr Graham Easton explores some of the challenges this poses for medical staff and parents trying to look after children’s health.

As every parent will tell you, children can become ill extremely rapidly. And unfortunately, even in expert hands, it’s often very hard to spot the early signs of serious illness. In April 1999, three year-old Isabel Maude spent a month in intensive care after a junior hospital doctor missed her symptoms of an unusual complication of chickenpox. Rather than resort to legal action, Isabel’s parents joined forces with Isabel’s intensive care consultant to develop a new computer-based diagnostic tool to help doctors make the right diagnosis in good time. Graham talks to the consultant, and Isabel’s parents about the system, called “Isabel”.

As well as the challenge of getting the diagnosis right in a child, doctors also have their work cut out when deciding on treatment. Many medicines currently prescribed for children do not have a dosage approved by the Medicines Control Agency, so doctors are forced to rely solely on their knowledge or anecdotal evidence when prescribing, rather than basing such decisions on evidence-based guidelines. Graham hears about some new research which suggests that more than 150 children have died in the past ten years in the UK after taking prescribed medicines – probably as a result of side effects of powerful drugs. Should the medical profession be more aware of guidelines which recommend avoiding medicines in certain high risk patients – and should there be proper licensing and testing of drugs in youngsters?

Graham also hears from a special paediatric outpatients clinic, and asks his studio expert for practical tips for parents looking after ill children.
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