Gabriel Dabscheck

Abstract Neurofibromatosis type 1 (NF1) is a genetic condition presenting with variable symptomatology, however most individuals will demonstrate cognitive and behavioural difficulties, including autism. Using a heterozygous germline knockout mouse model of NF1 (Nf1 +/-), we performed in-depth behavioural evaluations encompassing learning and memory, stereotypy, social interaction, anxiety- and depression-like behaviour.

Our department meets for Morbidity and Mortality meetings every quarter. The confidential discussions are non-judgemental and non-confrontational. We acknowledge the professionalism of all the clinicians involved in the cases being discussed and look for systems problems to review and address. As much as we try, we cannot prevent a spike in anxiety in the lead-up to our meetings. Everyone involved in the cases being discussed, especially the doctors in training, dread the meetings. Medicine is hard.

On the 4 hours drive to Albury, to do a paediatric neurology outreach clinic, I recently had a phone call with a colleague. ‘How many patients did you refer for tests in Melbourne?’ she asked. ‘How many of your patients will you see on the Hume driving back to Melbourne with you?’. Like many of my colleagues I do outreach clinics to regional and remote areas. I feel welcomed by the clinicians, the clinic, and the community.