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The naso gastric tube goes through the nose into the stoMach. For preemies, this is how their feeds are given if they are to weak to suckle. The NG tube is clamped off after a feed, otherwise the milk could simply drain out. Aspiration means using a syringe linked to the NG tube to draw out...

On a ventilator we use muscle paralysers so that the breathing muscles don’t ‘fight’ the ventilator. It is usual practice.

None. You cannot remove personal patient information from the hospital.

Given that the father has already expressed ‘forgiveness’ and said that ‘Lauren is also a victim’ I am guessing that a psychiatric flare was brought on by a combination of factors: off treatment, high levels of stress of the isolation process and a predisposition to mental health crises. The...

It’s possible to have a subdural bleed from a minor injury. We usually see this in alcoholics - slow subdural bleeds. But I do wonder if this is reported right. From a stroke haemorrhage one would expect a subarachnoid bleed. Most strokes are due to blood clots rather than brain bleeds though...

I too moved from SA (also as a doctor). One does start over. From a big house, with helpers to an apartment and doing it yourself - your reasons must be sound, for you. For me - I’d been hijacked and shot at - I couldn’t face living there for a second longer. I happily gave up the ‘stuff’. But...

She was not in practice as a solo practitioner, but worked as an OR assistant to her husband who is an orthopaedic surgeon. In any event, to register to practice in NZ as a PCP would mean resitting exams and redoing an internship. That’s a tough road. Her husband did not need to do this as he...

Do not underestimate the amount of stress there is with an intercontinental move. I’ve done it three times, twice with children. Unless you’re very prepared for it and resilient, the drop in living standards and absence of a support network is very hard indeed. Adding this on top of someone who...

I have no doubt he is actually severely distressed at having been 'found out' as it were. It does sound as if he has been projecting an image of steady dependability as a family man for his 48 years.

Now this is very interesting. The 6th is the day he emailed to say he did not want to carry a firearm anymore. It sounds as if they don’t think the disposition of Sarah’s remains was on the third, that either she or her remains were kept somewhere until at least the 5th. What a terrible case.

We know he was busy building a pond. Some neighbor said he'd given him some timber.

There are at least two times, judging by her Facebook posts, that she felt pretty despondent. Once she credited her dogs for restoring her focus and enthusiasm, the other time a singer that appears to sing mostly spiritual ethnic stuff. But yes, her partner definitely referred to her in the...

These two narcissist psychopaths did not believe that. It’s just handy for a narrative they created in a folie a deux to add further divinely ordained excitement to their fantasy. I wonder what the storyline was they invented for Tylee? Blood atonement?

I think she wanted him to act out so that he could appear "possessed". That would recruit support in her immediate circle for the ritual/removal she had planned. Truly a despicably evil woman.

Pink tinged foam is something we see when there is fluid in the lungs. Usually from acute heart failure, when it’s called pulmonary edema. This can happen if you have a pulmonary embolism or massive heart attack or even an anaphylactic allergic reaction. Did Tammy have any allergies? That would...

Perhaps this awful man will now get the fame and attention he has always sought.

This is a tragedy that befell a good man. He wasn’t living large, he was just a poor administrator. Debt collectors like these are the worst. Add-on charges until they could seize the main asset. Very different to AT I think. Not least because this poor man excused himself from the world and...

I've always thought that there is someone close to the killer who is simply too terrified to come forward. And with the baying for blood and character assassination on social media, one can sort of understand this. I wish that there would be a key message that goes out about a "safe space" for...

He cared and cares only for himself. And I’m serious that I think he thinks he can appeal to sympathy for his position so that he still looks great to himself. His wife was between a rock and a hard place. How much of his irrational beliefs did she have to go along with to make him feel like...

His narcissism is going to let him try and find some way to blame the mom and kids for their deaths. You see, he’s so uniquely special and entitled to special consideration that we must understand what the incredible performance pressure made him do. I wish we could see the basis of his plea.