I'm still alive!
A little birdy told me that there were actually people out there waiting for me post a new blog. Sorry it's been so long, but I just haven't had much to write about. I am in the middle of my pediatrics rotation. I've started doing outpatient clinics. I did 2 weeks of emergency which I enjoyed. I had to shake my head a few times at anxious parents who brought their kids in for a variety of combos of fever, cough, runny nose, stuffiness, vomiting, diarrhea, and 'lethargy'. What parents call lethargy and what docs do, are two totally different things! I examined a kid who was running around the office and seemed totally well and the mother had just finished telling me that he was lethargic. Hmmm lady, if this is lethargic, what is normal in your world?!?!?!?
My favorite case was one that I origninally saw on the wipeboard first. It read: "fishhook in forehead". Yup, you guessed it! The child was fishing with her brother who was casting into the water and managed to catch her in the forehead! Cute.
Another one that baffled me was this baby who was brought in for seizures. He had a seizure a week previous, but the parents thought it was just a febrile seizure (which are VERY common in kids who have fevers) They had a neice who had a febrile seizure so they've seen one before and weren't worried at that time. Me: Did he have a fever then? Parents: No. They finally brought him in because he had had 2 more the morning I saw him. Me: Did he have a fever? Parents: We took his temp when he was seizing and it was normal. It's weird isn't it? Me: Ummm...yes it is. (Logic would tell me this wasn't a febrile seizure becasue he didn't have a fever! I didn't need 3 years of med school to tell me this.)
I go on to ask the parents more about the child. He was 10 months old and couldn't roll over or sit by himself. He wasn't able to lift his head up he would just lie there. He only recently just started smiling and wasn't able to follow objects. The parents out there may recall this is VERY abnormal for a baby that old. When I examined him, the baby was very floppy and developmentally he was like a 2 month old. I told the doctor I was working with (he agreed with my assessment) and we claled in the neurology team to admit and assess him. I'm not sure what the outcome was but it doesn't look good. I was most amazed that even though the family were all telling the parents that thier baby was't normal, they didn't listen. I'm even more disappointed that they hadn't taken the baby to a GP for well baby checks, which surely would have caught this earlier on.
This past week I was in an outpatient Peds clinic. I saw 10 patients all week. Not good for learning, but a nice rest. I guess summer is good for kids because they don't get sick!
Next week, I start my inpatient block at another hospital. I hope I see some interesting things, but I'm aiming for the 'bread and butter' of Peds to use in my future GP clinic. Till then!
My favorite case was one that I origninally saw on the wipeboard first. It read: "fishhook in forehead". Yup, you guessed it! The child was fishing with her brother who was casting into the water and managed to catch her in the forehead! Cute.
Another one that baffled me was this baby who was brought in for seizures. He had a seizure a week previous, but the parents thought it was just a febrile seizure (which are VERY common in kids who have fevers) They had a neice who had a febrile seizure so they've seen one before and weren't worried at that time. Me: Did he have a fever then? Parents: No. They finally brought him in because he had had 2 more the morning I saw him. Me: Did he have a fever? Parents: We took his temp when he was seizing and it was normal. It's weird isn't it? Me: Ummm...yes it is. (Logic would tell me this wasn't a febrile seizure becasue he didn't have a fever! I didn't need 3 years of med school to tell me this.)
I go on to ask the parents more about the child. He was 10 months old and couldn't roll over or sit by himself. He wasn't able to lift his head up he would just lie there. He only recently just started smiling and wasn't able to follow objects. The parents out there may recall this is VERY abnormal for a baby that old. When I examined him, the baby was very floppy and developmentally he was like a 2 month old. I told the doctor I was working with (he agreed with my assessment) and we claled in the neurology team to admit and assess him. I'm not sure what the outcome was but it doesn't look good. I was most amazed that even though the family were all telling the parents that thier baby was't normal, they didn't listen. I'm even more disappointed that they hadn't taken the baby to a GP for well baby checks, which surely would have caught this earlier on.
This past week I was in an outpatient Peds clinic. I saw 10 patients all week. Not good for learning, but a nice rest. I guess summer is good for kids because they don't get sick!
Next week, I start my inpatient block at another hospital. I hope I see some interesting things, but I'm aiming for the 'bread and butter' of Peds to use in my future GP clinic. Till then!
posted by MSI (Med Student Intern) @ 9:55 AM
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