WEMJ Volume 116 No. 3 September 2017
1. Neonatal polycythaemia, blood viscosity, microcirculatory haemolysis and jaundice, Peter Dunn, WEMJ Volume 116 No.3 Article 1 September 2017
Delayed clamping of the umbilical cord may lead to severe neonatal polycythaemia soon after birth due to the placental transfusion and the resulting postnatal plasma shift. Severe polycythaemia and raised blood viscosity may lead to microcirculatory stasis, to haemolysis and to neonatal jaundice.
2. Congenital choledocal cyst: a rare anomaly, Peter Dunn, WEMJ Volume 116 No.3 Article 2 September 2017
During thirty years working in the newborn field I only encountered one case of this congenital anomaly
3.Sagittal craniostenosis following breech presentation: A congenital postural deformity, Peter Dunn, WEMJ Volume 116 No.3 Article 3 September 2017
Four cases of sagittal craniostenosis were diagnosed soon after birth, within a four year period. All four babies had presented by the breech to mothers in their first pregnancies. It was suggested that constant pressure across the sagittal sinus in the fundus of the uterus had led to fusion and craniostenosis. As a result, sagittal craniostenosis should in future be classified as a congenital postural deformity.
4.Book Review:Resuscitation Greats by Peter JF Baskett and Thomas F Baskett, reviewed by John Harvey, WEMJ Volume 116 No.3 Article 4 September 2017
This ... book is a collection of articles that have been published over the years for the journal “Resuscitation”. The articles are divided into four sections covering the early years from the time of Galen (130-200 AD) followed by a series of contributions reviewing the 1700, 1800 and 1900s.
This is a thoroughly enjoyable, amusing, at times gory and eminently readable book.
5.A Day In The Life Of East Reach Hospital, John Morgan-Guy, WEMJ Volume 116 No.3 Article 5 September 2017
19th Februrary 1850: It was still dark when James Lugg roused himself, dressed, and made his way along the basement corridor. It was cold and quiet, apart from the scuttling of the rats which took fright from the yellow glow of his lantern. The porter was heading for the kitchen.....
6. Dr. Brian Webb, MD, FRCP, FRCPCH Obituary by Peter Dunn,WEMJ Volume 116 No.3 Article 6 September 2017
I can’t resist recounting one anecdote from that little black book: ‘Bertie was speeding through Taunton on his way to a domiciliary visit when he noticed that he had a Police car on his tail. Quick as a flash he slowed down, lowered his window and hung out his stethoscope. At this the Police car overtook him dangling a pair of handcuffs out of their offside window’.