Show notes: https://docs.google.com/document/d/10DOWpYi3XWQLTOrlLhiK0f2MBZfPuIz5l2lFk7UNYKg/edit?usp=sharing
Chopin Nocturne in C# Minor https://www.youtube.com/watch?v=DqpPRj6UZqc
Chopin Nocturne in C Minor https://www.youtube.com/watch?v=tSAwZP8e-zQ
Beethoven, Adagio Cantabile, 2nd Movement Sonata Pathétique No. 8, op. 13 https://www.youtube.com/watch?v=BuN3yCmHb_U
Franz Schubert - Piano Trio op.100 No.2 in Eb major 2nd Movement from the Soundtrack "The Hunger" ( David Bowie, Catherine Deneuve 1982) https://www.youtube.com/watch?v=DzehhFgI2MQ
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56:16
The Fruit of The Poison Tree
Phil's substack https://substack.com/@philedwards1
Stuart Gilham's latest video: https://youtu.be/-VgH6OGa_1k?si=QUhhisncA2CdSpdk
A single Roche Elecsys Immunoassay test for insulin and C-peptide is not a valid determinant of exogenous insulin administration in a preterm neonate due to several critical factors:
The Roche Elecsys assay has not been validated explicitly for preterm neonates, a population with unique metabolic profiles due to immaturity. No studies have confirmed its accuracy, sensitivity, or specificity in this group, and reference intervals are based on general or adult populations.
Preterm neonates exhibit significant variability in insulin and C-peptide levels due to factors like gestational age, insulin resistance, and transient hyperinsulinism.
Without continuous monitoring, short-term peaks or troughs in insulin or C-peptide are missed, as studies only sample over hours or days. A single test cannot capture dynamic changes, risking misinterpretation of high insulin as exogenous when it could be a natural transient response.
The assay can be affected by interferences (e.g., cross-reactivity with proinsulin or split products, and matrix effects in neonatal blood, which are not accounted for in preterm-specific validations, potentially skewing results.
Even if a high insulin to low C-peptide ratio suggests exogenous insulin, preterm neonates can naturally have low C-peptide due to insulin deficiency or rapid clearance, alongside high insulin from resistance or stress. This overlap means the ratio is not a definitive indicator without context.
https://pmc.ncbi.nlm.nih.gov/articles/PMC6056384/
https://karger.com/neo/article/108/2/93/227641/Hyperglycaemic-Preterm-Babies-Have-Sex-Differences
https://bmjpaedsopen.bmj.com/content/8/1/e002470
https://bmjpaedsopen.bmj.com/content/1/1/e000160
https://labogids.sintmaria.be/sites/default/files/files/c-peptide_2018-08_v10.pdf
https://diagnostics.roche.com/global/en/products/lab/elecsys-c-peptide-cps-000460.html
https://www.labcorp.com/tests/010108/c-peptide
https://www.annlabmed.org/journal/view.html?doi=10.3343%2Falm.2018.38.6.530
https://wwwn.cdc.gov/nchs/data/nhanes/public/2009/labmethods/ins_f_met_insulin_elecsys_2010_immunoassay.pdf
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52:26
Liz and Caroline's Children's Hour Podcast
A final look at the idiotic "Trial of Lucy Letby podcast.
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52:26
"The Trial Podcast": Queasy listening from Hull and Cheetham
Show Notes: https://www.newstatesman.com/culture/radio-podcasts/2023/08/the-daily-mails-lucy-letby-podcast-makes-for-queasy-listening
Risk calculation estimate of Mortality for Baby C at The Countess. https://docs.google.com/document/d/1aUd6J68fig7PUSPiNHMD6sQLH7_7NpZKIXztlwEBTwc/edit?usp=sharing
Cheshire Police Fees https://drive.google.com/file/d/1F1glVsTDk6EZpAWa6ybHyCeOqVOoYt-F/view?usp=sharing]
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51:30
The Amazing Mark Mayes
Show notes Mark's dicussion https://www.youtube.com/live/j_xeMlmHmfM?si=muHO8ypad9mJqfYc
South Africa