1. Blueberries
2. Crystal Light To-go mixes (I'm finally drinking water....thanks to a month in Nephrology)
3. Ginger snaps
4. Peds Heme/Onc
5. Coming home at 3:30 and taking a nap if I feel like it. :) 4th year is the best!!!
Wednesday, June 22, 2011
Sunday, June 12, 2011
Peds Nephrology: Recap
People have been telling me to try to have a couple specialties in mind since if you decide to specialize, you apply for fellowship in the beginning of second year (!!!) and....you're really too busy intern year to have time to experiment with different fields. I just finished my month in peds nephrology which I NEVER considered before but .....actually, I really liked it.
1. Kids are actually sick. And we know how I feel about seeing healthy patients...
2. You see patients in a variety of settings-outpatient clinic, ICU, wards, dialysis center.
3. You are a consult to some patients but are a primary care doctor to the renal patients (too sick to see a general pediatrician).
4. Treating kids with CKD is like taking care of adult medicine patients but better...because they actually get transplants. I loved the idea of a multiple problem list in internal medicine...I just didn't like the patients too much. And in adult nephrology (like most adult medicine), there is a progressive worsening of disease; whereas in kids, they actually get the kidney transplant, their whole life changes for the better and then you get to manage their transplants!
5. Nephrotic syndrome is fascinating
6. Great lifestyle--the fellow told me that over the last year, he's only had to actually come into the hospital TWICE. (Most of renal's decisions are based on lab results not the physical exam).
Cons:
1. Didn't really like the urologic issues (mainly, vesicoureteral reflux)
2. Not enough chances to do procedures. only procedure really is the renal biopsy. (In my month, we had only one of these).
3. Wonder if there are enough patients to have a 4 times a day clinic. We had 2 1/2 day-3 day clinic (max). I didn't know if thats because UVA just doesnt have enough patients in general or if that was specific to nephrology. Obviously...this goes into $$$. That being said, both of the attendings I worked with seemed to be more than comfortable. Also-with more preemies surviving, more of these kids are getting renal insufficiency in childhood....and with childhood obesity on the rise, more of these kids are requiring management by a peds nephrologist until pediatricians learn how to manage those conditions.
1. Kids are actually sick. And we know how I feel about seeing healthy patients...
2. You see patients in a variety of settings-outpatient clinic, ICU, wards, dialysis center.
3. You are a consult to some patients but are a primary care doctor to the renal patients (too sick to see a general pediatrician).
4. Treating kids with CKD is like taking care of adult medicine patients but better...because they actually get transplants. I loved the idea of a multiple problem list in internal medicine...I just didn't like the patients too much. And in adult nephrology (like most adult medicine), there is a progressive worsening of disease; whereas in kids, they actually get the kidney transplant, their whole life changes for the better and then you get to manage their transplants!
5. Nephrotic syndrome is fascinating
6. Great lifestyle--the fellow told me that over the last year, he's only had to actually come into the hospital TWICE. (Most of renal's decisions are based on lab results not the physical exam).
Cons:
1. Didn't really like the urologic issues (mainly, vesicoureteral reflux)
2. Not enough chances to do procedures. only procedure really is the renal biopsy. (In my month, we had only one of these).
3. Wonder if there are enough patients to have a 4 times a day clinic. We had 2 1/2 day-3 day clinic (max). I didn't know if thats because UVA just doesnt have enough patients in general or if that was specific to nephrology. Obviously...this goes into $$$. That being said, both of the attendings I worked with seemed to be more than comfortable. Also-with more preemies surviving, more of these kids are getting renal insufficiency in childhood....and with childhood obesity on the rise, more of these kids are requiring management by a peds nephrologist until pediatricians learn how to manage those conditions.
Tuesday, June 7, 2011
Worst Personal Trainer
Not mine (I can't afford one). I was at the gym when these two guys got on the treadmills next to me. "Get on and put it to 5, do that for a minute." "Okay, now put it on 2." 1 minute later...."Put it on 5 for 3 minutes...you're not getting tired, are you?" I was so annoyed with this guy. His client was an obese black young man...not unlike some of the kids we see in preventative cardiovascular clinic, who was clearly starting to work out in an effort to lose weight. But, he was being talked to as if he was inferior...inferior because of his weight. And then the worst thing happened. Two other black guys came to the gym and I guess recognized their friend trying to exercise, and were laughing at him and taunting him...
I was SO TEMPTED to go to the front desk to complain about those guys. I'm sorry that not everyone at the gym has a normal BMI. But the gym is not a place for people trying to lose weight or get fit to be bullied by others. And if you actually cared about your friend or family member, you would learn how to be supportive and not condescending and AT THE LEAST, not a bully to them.
As someone who works in an area where we see the beginning of obesity, I have zero tolerance for people that do not help the problem and only make it worse. Thin people are not morally superior to fat people. Fat people struggle with so many things, the most superficial of which is food intake. And finally, perhaps learned best from Glee, we all have insecurities and things we hate about ourselves. Fat people are an easy target. Let's all do our part to take our words and jokes seriously and stop the bullying on fat people.
I was SO TEMPTED to go to the front desk to complain about those guys. I'm sorry that not everyone at the gym has a normal BMI. But the gym is not a place for people trying to lose weight or get fit to be bullied by others. And if you actually cared about your friend or family member, you would learn how to be supportive and not condescending and AT THE LEAST, not a bully to them.
As someone who works in an area where we see the beginning of obesity, I have zero tolerance for people that do not help the problem and only make it worse. Thin people are not morally superior to fat people. Fat people struggle with so many things, the most superficial of which is food intake. And finally, perhaps learned best from Glee, we all have insecurities and things we hate about ourselves. Fat people are an easy target. Let's all do our part to take our words and jokes seriously and stop the bullying on fat people.
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