I haven't been able to post for awhile, but it's been a little hectic this past week I'm back in home territory! It was actually quite comforting to see familiar faces and the ground floor of our hospital again. Anyways, I've been trying to transition from elderly, vent-dependent LTAC patients to teeny tiny premature babies. It's been quite fun on peds, to my surprise. I'm still trying to get used to the different charting and computer systems though...
Anyways, I've been getting quite a bit of practice with TPN which is actually quite interesting. It's funny how the new MD interns have no idea how to write TPN, yet they are the ones who have to place the orders. On a different note, I had a psych consult for a 4 yo today. Yep. A 4 yo psych consult for "restricting his intake." (someone tell me if they know a 4 yo that hasn't refused some kind of food..) He was admitted for aggressive behavior, but all I saw was a very calm and typical 4 yo. Of course, there was not much we could do. Encourage him to eat, offer foods he likes... Surprisingly, this was the hardest note I've had to write. How do you explain that a 4 yo may actually do this from time to time and that since his BMI was way above the 97%ile, it might not be a bad idea for him to cut down on his eating??
(on a side note, if you don't already have it, the Texas Children's Hospital's pediatric guide is a must if you're thinking about doing peds. I think you have to order it from them though. It's a little pink book.)