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Every year it is becoming harder and harder to find and buy confederate flags. Buy tickets and passes online for the best price, less waiting at the park. I tend to assume that my sample cohort of co-workers is representative of clinicians and I work with good, conscientious people who want to give children the best treatment possible. Since I don’t believe that clinicians are generally unintelligent, malicious or lazy, I will take a risk and say that there must be powerful forces at work if any of us are giving ineffective medicines to children. This approach would work in a fixed environment, For example, consider a person trying to solve a puzzle (like a Rubik’s Cube). This assumes that the puzzle has not been solved by chance, which in this case is extremely unlikely. There is nothing mandatory about referring a clear cut case of HSP at first presentation.

Trump attacked Cruz for opposing ethanol, and he took a shot at Antonin Scalia for bringing up the mismatch argument in the affirmative action case. Commercial aluminum flagpoles are great for new construction, cities, towns and public buildings. Such banners have been hugely successful in both indoors and outdoors and are considered among the most commercial ways of advertising. These factors are the perfect ingredients for us to wrongly believe that what we did worked. At some point, all of these factors will lead to a decision about where the child is managed. However, most GPs that I know would prefer an magnetic initial mailbox covers assessment in secondary care, even if the child is extremely well and has no symptoms with their non-blanching rash. It is good to know what to expect from them. You know that guy who still has the viral sore throat he caught when he was two years old?

A significant chunk of children who have HSP will develop a mild nephritis. While aches and rashes are what cause children and parents to lose sleep over HSP, it is the possibility of renal complications that usually worries the clinician. The real headline is that children make themselves better in the vast majority of clinical scenarios. Our patients to believe in an effect that is not real. For this, we systematically tested the main red flags in a series of patients with confirmed Covid-19 infection. If I tell someone that antibiotics will cure a child’s throat infection within a week, you can imagine how that sounds plausible. The true believer does not consider that the alternative is just as plausible – that all (uncomplicated) throat infections get better with time. What is true is that it is very likely that the child in front of you will either never develop a renal problem, and if urine dip flags something up, it is most likely to be a transient mild haematuria or proteinuria.