Day 4 – so, so many statistics

Friday! Today, Dr. Laber’s daily stats lesson consisted of the math behind precision medicine. It was, by far, the most complicated lesson Suki and I have ever received in our lives. He went over insanely convoluted functions for sequential multiple assignment randomized trials (SMARTs) for max efficiency of data. These included Q functions (a type of trial) of the three variables {(Xi, Ai, Yi)} for certain patient characteristics that would in theory spit out the proper treatment using digits of {-1, 1} – I know, not the most intuitive of equations. Before we knew it, Dr. Laber had moved on to linear regression-based estimations like this one:

He also tied in a bit of calculus, which was thankfully something I could understand, when looking at optimal regimes (best treatment flow-path for a patient). His lessons have proven to be both interesting and wildly terrifying, especially since Suki and I are the only ones in the audience. The second part of the day was composed of working on an augmented reality (AR) 3D imaging project with Lisa, the graphic designer. AR is a special type of animation that uses real-time images, such as a video feed from a camera, and placing animated objects on top of it in the virtual world. She had us create animations using the engine Unity that would be triggered by the camera recognizing a certain object- a card with our names on it. Three hours later, we had a (somewhat) functional model in place; mine included the letters of my name peeling off the page while trees grew and shrank in the background and food spinning circles in the bottom right corner. While it was fun trying my hand at 3D animation, the navigation of so many windows and the difficulty of the program overall showed me how I could never be an animator. That stuff must be HARD. All in all, I’d say it was a successful first week at Laber Labs, and amongst all the unintelligible codes and graphs, it’s been a good time.

Dr. Laber giving his daily stats presentation
Unity’s interface, plus a sneak peak at my sub-par animation skills

Day 4- Drawing Pictures

This Friday at Carolina Kids was somewhat slow. Of course, we still saw a steady flow of kids with rashes, colds, coughs, earaches, and fevers. I think the best part of my day was when a 10 month old held my hand and pushed the stool around the room. I was incredibly impressed by his mobility, and his smile melted my heart.

I began at 8:30 with Dr. Emmet. We saw two younger kids each with fevers and coughs. For both patients, she recommended lots of fluid and Motrin as needed. I noticed she asked less about the patient’s stool, but more about their throat and nose. Afterwards, she and I spoke about the weekends at Carolina Kids. She says that the weekend doctor will usually work until 12 during the summer and 2 during the winter (due to the larger number of illnesses in the cold).

After Dr. Willey arrived from rounding on newborns at WakeMed, we began seeing her patients. Around lunch time, I sat in the lobby with a young patient while Dr. Willey spoke to the parents about school and grades. Together, the child and I played tic tac toe, discussed soccer moves, and drew pictures. The images attached to today’s post are completed by my new friend. I’m thankful that I could be with the patient because afterwards, Dr. Willey asked me about the demonstrated behavior. I reported that the patient was always polite, calm, and demonstrated knowledge about the ocean and writing paragraphs.

In between seeing patients, Dr. Willey told me about a message she received from a specialist who saw one of her patients from earlier in the week. We both learned the specific cause of the rash on the child. The best part was that we got closure on a mysterious patient from earlier in the week. That was the perfect way to end the week, and I can’t wait to learn more later!

Fun Facts:
– fistula-in-ano causes raised, red bumps fueled by a tunnel under the skin.
– Ear tubes for an ear infection stay in for about a year.
– Anaphylaxis can cause your uterus and other smooth muscle organs to contract.
– Intraoperative anaphylaxis can be caused by anesthetics, muscle relaxers, and drug/blood products.
– Prune and apple juice are frequently mixed to serve as a thin laxative.
– Drawing letters in the sand can help kids learn the alphabet outside of the classroom.
– Tylenol dosage= Benadryl dosage for 9 month old.

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