Monday March 8
We started this International Day of the Woman with Rachel leading the
7am peds conf on neonatal sepsis. It was very well received and they
really appreciate her ability to speak Spanish. Selina is working on
tomorrows discussion on Asthma.
The Pulmonary Pediatrician gave us the bad news that our young girl
with asthma and pneumonia had died...as did the 900 gram baby on
comfort care because he was under 1000 grams. Birth trauma
..pneumonia..and growth retardation are common in NICU... the PICU is
all surgical these days... 8 yo with empyema...2yo with Choledoucal
cyst...and 6 month old with intucception...all should be ok. The Peds
in pt areas have many many children with every thing from malnutrition
and mild infections to JRA and renal failure from nephrosis.
The language issue is drilled into any of us when we try to round or
talk to staff of pts without an Interpreter...Sunday making evening
rounds....I had the wonderful nurses laughing very hard...but not sure
any of us really figured out what the other was trying to say. Pictures
and dictionaries only go so far.
More later...Jeff Rachel Sandy Selina
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