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Jun
13

Pukey Adolescents, The Sequel

Day 1 of pediatrics came and went, and thanks to an awesome nurse who allowed me to follow her around like a puppy dog, I had a wonderful time.  I started learning the ropes of a new hospital system (having had all of my previous rotations through a different conglomeration), including electronic charting, medication administration, communication with other health care providers, etc.  I got to watch the IV team put in a PICC line. And I ended up caring for three (I repeat, THREE) teenagers!  Welcome back to my adolescent psych rotation. 🙂

In actuality, they were all sweethearts.  Even the one with a ‘tude.  One had run her ATV off the road and landed in a stream, resulting in multiple injuries.  She’s lucky to be alive.  The second had fallen off a tractor and cut his foot and leg severely (not to mention breaking his toe).  The final patient had a ruptured appendix and was in the hospital to initiate IV antibiotics – she was the one with a PICC line because she was going to need IV access for several weeks until her surgery.  The new protocol for a ruptured appendix is not to remove it right away, but instead to blast the patient with IV antibiotics and encapsulate the infection, then to remove the infected appendix several weeks later.  It’s much less messy, and there’s a reduced risk of spreading the infectious material that has spilled into the peritoneal cavity and causing sepsis.

I actually really enjoyed interacting with my patients – maybe it’s my own history of being rather “pukey” myself during those years – but I feel in my element and hopeful that I can be someone they can trust.

Next week I get to be on the infant/toddler unit and play with the babies!  And my clinical instructor tells me that there’s a very real possibility I’ll be able to work with some oncology patients towards the end of my rotation.  They’ve actually broken ground on a fancy new 7-story children’s hospital to expand their pediatric services (scheduled to be completed in about three years…right when I graduate, how convenient!).  Seven stories = lots of jobs! And the best part is that even though they don’t have enough kids with cancer to build a dedicated oncology floor, they’ll be combining hem/onc with cardiology to create one unit!  So I’d get to do cancer treatment and cardiac care if I worked there!  Only my perfect job.

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