Day 5- Advanced Babies!

The picture above depicts the scale and height measuring tool in the office. In the right background you can see the baby scale!

Today was my fourth day with Carolina Kids Pediatrics. Even though it was a Monday, we only had a few sick/walk-in patients and a steady (but not overflowing) amount of regular check-ups/scheduled visits. Some new things today included lice, concussions, eczema, and advanced babies! Of course, we had the usual coughs, colds, and fevers. For those three visits, Dr. Willey usually recommends popsicles and ice creams to help sore throats, fluids, rest, and time. In the end, each kid will survive the illness with a little TLC (and veggies and liquids).

However, today was special because of the new visits. The best part of today was working with a few advanced babies. They could each pull from a large vocabulary to dictate their current thoughts. I was particularly impressed by their ability to convey their thoughts both through speech and expression. The babies would open their mouths to show growing teeth, clap, and say “yaaaay” and “uh-oh” 6 months before most other kids develop those abilities. Dr. Willey noted that each of those children were advanced for their age and demonstrated advanced social skills. However, we both agree that many other kids show growth through their walking and thinking skills. Some kids come in for their visits able to walk and control their body more than others. On the other hand, some kids respond to commands and show a deep understanding of their surroundings without having to speak. The biggest takeaway from today (and the past week) is that every child is special and follows their own growth pattern. Just because a child cannot walk as well as the other doesn’t mean they’re any less successful. Dr. Willey and her colleagues adopt this philosophy and practice it through their everyday lives. I have seen each doctor interact with children and assure their parents that just because the child hasn’t hit this one specific benchmark doesn’t mean they have not made any steps towards growth.

In addition to accepting kids of all walks of life and appreciating all their capabilities, Carolina Kids Pediatrics always accommodates the needs of their patients. Everyday I hear Dr. Willey and her colleagues tell their patients and their parents “our scale is your scale”. The phrase means that families with infants can come in anytime to weigh their child since many families do not have access to baby scales. Also, they tell each of their patients to use the room as long as they need after the visit has concluded. Thus, Carolina Kids creates a comfortable and accommodating environment for their patients.

Overall, I’m truly grateful to be shadowing in an office that treats all their patients equally and with care. The doctors’ and nurses’ knowledge of pediatric medicine and pure love for working with children shines through each visit. I can’t wait for tomorrow!

Fun Facts:

– Babies should gain a 1/2 oz to 1 oz a day.
– Hummus and beans can be a nice source of protein for kids.
– Many kids in the area are homeschooled.
– Asthma can develop during preschool or later at around 8 years of age.
– Babies should begin eating solid (but soft) foods between 4-6 months of age.
– Infants do not develop a sleep cycle until 4 months of age.
– Infants usually begin teething at 6 months.
– Within the first few weeks of life, a newborn’s skin will peel regardless of any lotion.
– Begin introducing your child to toothbrushing and toothpaste around 12 months by letting them play with the materials.
– The office schedules wellness visits every 30 minutes and sick visits ever 15 minutes.

Day 5 – Donuts, dice, and classification-based characterization functions

Second week started with a bang, and by that I mean Suki and I were given donuts halfway between our daily stats lesson. Today, Dr. Laber continued his presentation on modeling the ideas behind precision medicine. He spoke of the Horvitz-Thompson estimator that introduced an unbiased estimator under probability sampling designs:

(click the image for better resolution)

The argmax operator defines input value for maximum output, capital  as the optimal regime (most favorable outcome), p as the probability value, w as the event, a as the patient treatment, and x as the correct treatment to provide to the patient. The equation just lays out the fact that the probability for an optimal “a” as defined first by x as a component of event w of components y, x, and a. It’s… rather confusing… There’s a lot of statistical jargon that’s been pretty difficult to understand at first, but it’s become (slightly?) clearer through these mini-lectures.

Dr. Laber also gave us a problem before giving us 7 minutes to solve it consisting of rolling a dice three possible times and wanting to attain the maximum score. We were able to find the correct “cut-off” numbers of {5, 4} for turns 1 and 2 before Dr. Laber stepped in and showed us through the program R that those two numbers did indeed yield the highest possible score. We then met with three very accomplished people, beginning with former department head Dr. Sastry Pantula, who’d been at several high-ranking positions (including the NSF!) and now serves as a dean at Oregon State. We only had about 10 minutes before he had to leave, but we spoke with him about his life, his work, and his daughter (who’s also a rising senior). Next was Dr. Brian Reich, whose work with dust samples later became the plotline for a CSI episode! The fungi from the dust enabled him to pinpoint the origin of the dust within 200 km through the use of many (complicated) statistical equations. The last person we spoke with was Ryan Martin, one of the most published people in the world for his age. His theoretical approach to probabilities defied all previous work with the Bayesian and Classical forms of statistics, earning him a fair share of supports and critics. All the people we spoke with were incredibly accomplished and interesting to speak with- I feel really grateful that they made the time to talk to Suki and me.

Dr. Laber and his absolutely, 100%, fully comprehensible R programming
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