David Tickell is general paediatrician working in rural Victoria. He has recently taken on the role of Clinical Director Specialist Clinics, Women’s & Children’s Health in Ballarat. In this talk he talks about what is normal and what should makes us concerned.

A lot of what we see in the department or in outpatients may often be the medicalisation of normality. For example crying, arching the back up and drawing up the knees are NOT related to reflux, and the prescription of PPIs is no better than placebo. But, David stresses, there are some things that require escalation.