Day 8!!

Today was the last and final day of my stay at Cary Peds and I loved it. For being my last day it was incredibly hectic but nevertheless a great experience. Dr. Seidel handled the rush excellently and showed me how to stay calm in even the most stressful events. Again this morning we saw the little boy with the dog bite and while improving slightly his hand was still producing more discharge than Dr. Seidel would have liked to see. With this though she allowed them to continue with antibiotic and a recheck tomorrow afternoon. While he appears to be on an upward trend there is no telling how things will go from here. Additionally today I learned about a new program Cary, Apex, and Fuquay Varina Pediatrics is starting. It is called the Reach out and read program. It is designed for children 0-5 and is a grant given to pediatric offices where a certain amount of patients are on medicare. While the Fuquay office qualifies and received the grant, Cary and Apex did not but they decided to use their budgets to supply the program to all three offices. With this program books will be distributed to families at every wellness check and it gives the pediatrician a place to start a dialog about reading and getting children to recognize words, pictures etc. It provides age appropriate books moving in about increments of 6 months. Overall I think this is a great program for children in need. I thoroughly enjoyed my time at Cary Peds with Dr. Seidel and thank them all so much for this opportunity. I also recommend to anyone looking into pediatrics in the following years!

Image result for reach out and readinfo flyer for reach out and read

Day 7

Today was filled with some wonderful, new experiences. The morning was a typical morning with one case that stuck out to me. We had a child come in with a dog bite. He had been bitten the previous day by an unknown dog. Despite having cleaned the wound at the time of the accident he presented early this morning with signs the infection had spread. Dr. Seidel promptly extracted puss from the wound to culture. She applied some topical antibiotic to the cut and bandaged it for the day. She also prescribed an oral medication for the infection and another antibiotic cream to help. With all this; however, she doesn’t feel that they were able to treat the cut fast enough. Because the cut was in the thenar area of his hand, the infection will spread quickly. As a result he is due to come back in tomorrow for reevaluation but, Dr. Seidel says chances he will have to be sent somewhere else to treat it are high. Check back tomorrow for an update!

My afternoon provided a bit of a different experience. I spent the majority of my afternoon with two nurses, Hayley and JJ. We were on the phones answering calls from parents and returning messages the doctors had left for patients. It was a very fun experience. Because you are always on the side of giving the call not receiving you never realize how much these nurses have to put up with on the phone. Especially in a pediatric office where they are seeing worried parents and non native speakers over the phone it can be very difficult. JJ and Hayley were great role models on how to handle the situation. They were always calm and collected on the phone and never showed frustration to the caller. They also provided as much information as they could to any question asked.  Overall I was very impressed on how the answering of phones work and the communication system between the nurses on phones and doctors. They communicate through a portal in their database where they area able to send messages back and forth so the nurses can call parents and relay information to them. Thank you for the fun and new experiences today and I can’t wait to see what my final day holds!

Image result for thenar part of handimage from google – the purple highlighted area is the part of the palm that was bitten (thenar area)

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