Generated by All in One SEO v5.0.1.1, this is an llms.txt file, used by LLMs to index the site. # Dr Tim Ubhi Dr Tim Ubhi's Blog ## Sitemaps - [XML Sitemap](https://drtimubhi.com/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [A 5-point Unification Hypothesis for PANS & PANDAS](https://drtimubhi.com/a-5-point-unification-hypothesis-for-pans-pandas/) - In 1979 the Boomtown rats released a single, “I don’t like Mondays”, the background to the song is tragic and were the words used by a shooter in San Diego to explain her actions. After a request from Steve Jobs to play at a gig, Bob Geldof was inspired to write the first line of - [Neuroimmune Conference 2024 - A Reflection from Dr Tim Ubhi](https://drtimubhi.com/neuroimmune-conference-2024-a-reflection-from-dr-tim-ubhi/) - As we prepare to launch the London PANS Clinic, I felt that it would be useful to reflect on the recent neuroimmune 2024 conference for parents of children with PANS PANDAS. The conference took place in Palo Alto, California (although it was virtual) and there were some significant updates with the standout presentations from Jenny - [Functional Neurological Disorder - Pushing the boundaries of medical credibility?](https://drtimubhi.com/functional-neurological-disorder/) - Functional Neurological Disorder (FND) is a diagnosis which is offered to patients whose symptoms merge the boundaries between psychiatry and neurology - [Encephalitis Lethargica - A clue to PANDAS & Long COVID?](https://drtimubhi.com/encephalitis-lethargica-a-clue-to-pandas-long-covid/) - For those of you who watched the 1990 film 'Awakenings" starring Robin Williams and Robert De Niro, the concept of a patient being frozen in time only to awaken when given the correct medication will not be an unfamiliar one. This true story depicted patients who appeared to be in a frozen catatonic state for - [BPNA Consensus Statement, The Nordic Guidelines & PANS PANDAS](https://drtimubhi.com/bpna-consensus-statement-the-nordic-guidelines-pans-pandas/) - Dr Tim Ubhi discusses the recently published BPNA Consensus Statement, The Nordic Guidelines & implications for patients with PANS PANDAS in the UK - [Association of Group A Steptococcus Exposure and Exacerbations of Chronic Tic Disorders: A Multinational Prospective Cohort Study](https://drtimubhi.com/association-of-group-a-steptococcus-exposure-and-exacerbations-of-chronic-tic-disorders-a-multinational-prospective-cohort-study/) - Response from EXPAND Scientific & Medical Advisory Board to paper: Association of Group A Streptococcus Exposure and Exacerbations of Chronic Tic Disorder - [Dr Tim Ubhi on Steph's Packed Lunch](https://drtimubhi.com/dr-tim-ubhi-on-stephs-packed-lunch/) - Dr Tim Ubhi discusses PANDAS on Steph's Packed Lunch - [Is the EU playing Russian Roulette with European Lives?](https://drtimubhi.com/is-the-eu-playing-russian-roulette-with-european-lives/) - Is the EU playing Russina Roulette with Astrazeneca vaccine - Dr Tim Ubhi discusses the politics behind the decision to suspend the vaccine in the EU - [PANDAS – Does it Exist?](https://drtimubhi.com/pandas-does-it-exist/) - I first started seeing children with PANDAS about 9 years ago. PANDAS is an acronym for “Paediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcus”. In simple terms this means that children, following a streptococcus (“Strep’) infection get unusual features such as tics (uncontrolled abnormal movements), obsessive compulsive behaviours, start wetting and may also have difficulty eating. - [Wrong number!](https://drtimubhi.com/wrong-number/) - As part of my training as a children's doctor I had to undertake my professional (also known as "Royal college") exams. This was very early on in my career. These exams are held at different locations around the UK and I decided that I would go to Titterington,a city in the north of England, to - [Squirt the Nurse](https://drtimubhi.com/squirt-the-nurse/) - It is a privilege to be a children's doctor. Over the years I have been able to treat children with cancer, cystic fibrosis and other conditions which can have a huge impact on their health. Being in hospital for a long time can have a massive effect on a child's mental health, so I go - [Improving our understanding of PANDAS](https://drtimubhi.com/improving-our-understanding-of-pandas/) - PANDAS stands for "Paediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcus" whilst PANS stands for "Paediatric Neuropsychiatric Syndrome". Many consider PANDAS to be a sub-set of PANS but is this correct or are we seeing two different pathologies? Indeed, we have to ask ourselves if instead of two distinct disease entities we are actually dealing with - [Tsunami](https://drtimubhi.com/tsunami/) - My first experience of disaster relief work came after the Boxing Day tsunami in 2004. This killed more than 230,000 people from 14 countries after a 9.1 magnitude earthquake struck off the northern tip of Sumatra in Indonesia. The tsunami had the energy of 23,000 Hiroshima type atom bombs, causing the largest magnitude earthquake in - [Child & Adolescent Mental Health Services in the UK - Fit for Purpose?](https://drtimubhi.com/child-adolescent-mental-health-services-in-the-uk-fit-for-purpose/) - Over the years I have come across many stories of patients being let down by the poor mental health services in the UK. It is good to know that mental heath is now a top priority for the NHS because if we ignore it, the problems will be much worse. There are however still cases - [PANDAS Audit & Sub-Group Data 2019](https://drtimubhi.com/pandas-audit-sub-group-data-2019/) - In October 2019 we audited 200 UK patients treated for PANDAS over the pevious 12 months. During this audit we identified 100 patients that had good laboratory data that in turn allowed us to develop a clinical model with 10 different sub-groups. These sub-groups were based on the laboratory findings along with the clinical features - [Is the NHS being ripped off or is it lack of ownership?](https://drtimubhi.com/is-the-nhs-being-ripped-off-or-is-it-lack-of-ownership/) - Many years ago, whilst working in a large teaching hospital, I enquired about the cost of office renovation work that was being done in the department that I was working in. The job involved splitting an office into two by putting in a partition wall and adding a door. I was having some renovations done - ["Outstanding" rating from The Care Quality Commission](https://drtimubhi.com/outstanding-rating-from-the-care-quality-commission/) - Dr Ubhi discusses the recent "Outstanding" rating for The Children's e-Hospital service from The Care Quality Commission - [Dr Tim Ubhi - "Amazing service"](https://drtimubhi.com/dr-tim-ubhi-amazing-service/) - Dr Tim Ubhi presents the results of his most recent patient feedback survey to show just how good a doctor he is - [To vaccinate or not? And why there is reason to be optimistic about 2021](https://drtimubhi.com/to-vaccinate-or-not-and-why-there-is-reason-to-be-optimistic-about-2021/) - To call the past year as challenging has to be one of the greatest understatements of all time. When you sit back and reflect on the year, the standout event has to be COVID. The emergence of a novel virus in Wuhan, China at the end of 2019 has had a devastating impact on many - [The Politics of PANS PANDAS](https://drtimubhi.com/the-politics-of-pans-pandas/) - Dr Tim Ubhi discusses the politics of PANS PANDAS and the need to encourage physicians to keep an open mind when treating children with tics or OCD - [Covid-19 Variant Emerges](https://drtimubhi.com/covid-19-variant-emerges/) - SARS-Cov-2 Variant 20A.EU1 A new variant of Covid-19 has been identified which appears to have originated in farm workers in Spain and is now spreading through Europe. The full paper on this variant will be formally published on Thursday but can be downloaded below. The variant is termed SARS-Cov-2 variant 20A.EU1 . We do not as yet - [Should you have the flu vaccine?](https://drtimubhi.com/should-you-have-the-flu-vaccine/) - The question of whether or not to have the flu vaccine confronts us every year. To some this is a non-question. They are either in the camp where they have the vaccine religiously every year without question or they are in the camp where vaccines are not welcome. The battle with the anti-vax campaigners has - [How well are the government handling the COVID-19 crisis?](https://drtimubhi.com/how-well-are-the-government-handling-the-covid19-crisis/) - These are tough times but the reality is that even tougher times are ahead of us. That might sound like a complete downer but unfortunately it's a reality that is becoming more and more apparent as each day passes. I posted a survey on facebook a couple of weeks ago to ask my friends to - [Antibody Testing for COVID-19 What's the Best Option?](https://drtimubhi.com/antibody-testing-for-covid-19-whats-the-best-option/) - There are two tests that we currently have available to test for Coronavirus COVID-19, the first is the swab test where we can look for the presence of active virus infection by looking for the genetic material contained in the virus. This test is great at picking up whether or not you actually have the - [Sperm Sample Required ASAP!](https://drtimubhi.com/sperm-sample-required-asap/) - Another funny and semi-fictitious story from Dr Tim Ubhi from his over 25 years experience as a children's doctor and reflecting on his "amazing patients" - [The Coronavirus Pandemic - Dr Tim Ubhi](https://drtimubhi.com/the-coronavirus-pandemic-dr-tim-ubhi/) - Dr Tim Ubhi discusses where we are with the coronavirus COVID-19 pandemic. Dr Ubhi looks at what we can do to improve our chances against this deadly virus - [Coronavirus - COVID19](https://drtimubhi.com/coronavirus-covid19/) - Update on Coronavirus in the UK - [Coronavirus in children](https://drtimubhi.com/coronavirus-in-children/) - You may have already seen my article in Hello magazine discussing where we are currently with Coronavirus and the likely impact in the paediatric population. Essentially the data looks reasonably good for children who contract coronavirus. The data from China, which is the largest source of data at the moment, suggests a very low mortality - [Free First Aid Courses](https://drtimubhi.com/free-first-aid-courses/) - I have decided to start to offer free Paediatric First Aid Courses to my local population (initially). So, every 3 months I will be holding a session in my local village hall in Bramham where I will be getting a group of volunteer paediatric doctors and nurses to teach you all about how to deal - [Electroconvulsive therapy - Does it have a place in modern medicine?](https://drtimubhi.com/electroconvulsive-therapy-does-it-have-a-place-in-modern-medicine/) - Electroconvulsive therapy (ECT) is a treatment for certain types of mental illness including severe depression, schizophrenia, catatonia or mania. With this treatment a current of electricity is passed through the brain (under anaesthesia) causing a fit or seizure. Although this treatment has been approved by the National Institute for Health and Care Excellence (NICE) for - [Why are so many children going to A+E?](https://drtimubhi.com/why-are-so-many-children-going-to-ae/) - Our paediatric services are struggling on several fronts; not enough trainees, consultants leaving early and significant rota gaps which can result in a poorer service. At the same time we have more and more patients going to A+E. But why? What is changing and why are we seeing these increased pressures? Last year there were - [Where is Child Health in the UK Headed?](https://drtimubhi.com/where-is-child-health-in-the-uk-headed/) - I am very concerned about the state of child health services in the UK. Last year 4.5 million children attended A+E. Of these, NHS England estimated that 64% (nearly 3 million) could have been managed by their GP or at home. So, why aren’t people going to their GP’s or managing their children at home? - [Drip,drip,drip](https://drtimubhi.com/dripdripdrip/) - The room was dark and there was the hum of machines working in the background. I was laid on my bed trying to get some rest whilst on call at one of the largest teaching hospitals in Europe. It was about 3am and I was battling between trying to get some sleep and worrying - [How to take a child’s temperature](https://drtimubhi.com/how-to-take-a-childs-temperature/) - Temperature is an important indicator of infection in a child. Parent’s often worry about the best way to take a temperature in their baby or child. My experience is that the forehead strips are variable and unreliable. The Royal college of nursing and NICE guidelines recommend that a baby under 4 weeks of age should ## Pages - [About Dr Tim Ubhi](https://drtimubhi.com/about/) - I am an award winning paediatrician with over 28 years experience in child health. I’m a consultant and clinical director in the United Kingdom. I really want to help bridge the gap of communication between medical jargon and patients. - [Contact Dr Tim Ubhi](https://drtimubhi.com/contact/) - If you have any questions, concerns or queries, please do get in touch. I'm happy to share my expert medical advice and to pass on my knowledge to you! - [Meet Dr Tim Ubhi](https://drtimubhi.com/home/) - I'm Dr Tim Ubhi and I provide expert medical advice that you can trust. I'm a consultant paediatrician with 28 years experience and I want to pass on my knowledge to you! - [Privacy Policy](https://drtimubhi.com/privacy-policy/) - This Privacy Policy governs the manner in which this website collects, uses, maintains and discloses information collected from users. This privacy policy applies to the site and all services offered by this website. Personal information We may collect personal information from users in a variety of ways including, but not limited to contact form correspondence. ## Categories - [Uncategorised](https://drtimubhi.com/category/uncategorised/) - [Children's Health Topics](https://drtimubhi.com/category/childrens-health-topics/) - Common Childhood Health Topics - [Health Politics](https://drtimubhi.com/category/health-poiltics/) - Topical health political issues - [PANDAS](https://drtimubhi.com/category/pandas-and-pans/) - This section will be about Paediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcus, PANDAS - [Diary of a Children's Doctor](https://drtimubhi.com/category/diary-of-a-childrens-doctor/) - Stories from Dr Tim Ubhi’s past, with a few amendments to maintain anonymity. - [Dr Tim's Opinion](https://drtimubhi.com/category/dr-tims-opinion/) ## Tags - [Dr Tim Ubhi](https://drtimubhi.com/tag/dr-tim-ubhi/) - [Childrens health](https://drtimubhi.com/tag/childrens-health/) - [Childrens temperature](https://drtimubhi.com/tag/childrens-temperature/) - [HOTPOD](https://drtimubhi.com/tag/hotpod/) - [PANDAs](https://drtimubhi.com/tag/pandas/) - [PANs](https://drtimubhi.com/tag/pans/) - [Childens health](https://drtimubhi.com/tag/childens-health/) - [Tim Ubhi](https://drtimubhi.com/tag/tim-ubhi/) - [NHS](https://drtimubhi.com/tag/nhs/) - [timubhi](https://drtimubhi.com/tag/timubhi/) - [Covid-19](https://drtimubhi.com/tag/covid-19/) - [Astrazeneca vaccine](https://drtimubhi.com/tag/astrazeneca-vaccine/) - [PANSPANDAS](https://drtimubhi.com/tag/panspandas/) - [PANSPANDASUK](https://drtimubhi.com/tag/panspandasuk/) - [Pans PANDAS UK](https://drtimubhi.com/tag/pans-pandas-uk/) - [CQC](https://drtimubhi.com/tag/cqc/) - [best child health](https://drtimubhi.com/tag/best-child-health/) - [@PackedLunchC4](https://drtimubhi.com/tag/packedlunchc4/) - [BPNA](https://drtimubhi.com/tag/bpna/) - [PANDAS Guidelines](https://drtimubhi.com/tag/pandas-guidelines/) - [Nordic guidelines](https://drtimubhi.com/tag/nordic-guidelines/) - [Heyman](https://drtimubhi.com/tag/heyman/) - [Hedderley](https://drtimubhi.com/tag/hedderley/) - [Tammy Hedderley](https://drtimubhi.com/tag/tammy-hedderley/) - [Ming Lim](https://drtimubhi.com/tag/ming-lim/) - [Dr Ming Lim](https://drtimubhi.com/tag/dr-ming-lim/) - [encephalitis lethargica](https://drtimubhi.com/tag/encephalitis-lethargica/) - [Functional Neurological Disorder](https://drtimubhi.com/tag/functional-neurological-disorder/) - [FND](https://drtimubhi.com/tag/fnd/) - [Tourette's](https://drtimubhi.com/tag/tourettes/)