“The reason this subspecialty exists is that before it existed, this was done badly in both directions.

Children were sent home to be hurt again, and families were destroyed on the basis of findings that turned out to be rickets.

Both of those happened routinely and both of them are catastrophic and the second one is not less catastrophic than the first.

“So when I am careful with you, it is not because I am being cagey.

It is because being wrong in this job has two different ways of ruining a life and I have to hold both of them at once, every time.”