Biotinidase Deficiency: Primary Care Guide to a Positive Newborn Screen

Guidance for primary care clinicians receiving a positive newborn screen result Biotinidase is an autosomal recessive inherited disorder in which the body is unable to reuse and recycle biotin, a B complex vitamin found in foods such as liver, egg yolks, nuts, and milk. Biotinidase is responsible for the extraction of biotin from ingested dietary …

Insomnia

Bleary-eyed in darknessstumbling to the bathroomtripping over dog’s pawsand articles of clothing strewn on the floor Sleep interruptedby bright lights overheadas I sit now wide awake on the toilet Feeling pain and pressure in my abdomenwincing as little feet kick ribs andmarveling at the few layersbetween me and him Grunting nowlimbs strewn across the couchI …