there 2 hours left in July 2019 on the west coast, so a belated/last minute #medthread w July-in-the-hospital thoughts in large part inspired by @ETSshow recent amazing episode w @drjenniferbest & the question--would YOU want to be a patient in the hospital in July? 1/x
@ETSshow @drjenniferbest brief background, I was born end of June in a teaching hospital, and grew up with stories that "it got different the day after you were born", so was aware that there was something "special" about July long before I considered a calling for medicine 2/x
@ETSshow @drjenniferbest back to the more recent past. Beyond being an intern, resident, attending, and patient myself in July, I have been the patient of a NICU BABY in July--a critically ill newborn in the neonatal intensive care unit 3/x
@ETSshow @drjenniferbest our youngest son was born premature in July. By requirement, the NICU team (resident, RN) was at his delivery. He was fine initially (I can't remember his apgar scores, but let's say 8 and 9 for these purposes...). But, within under 20 minutes or so... 4/x
@ETSshow @drjenniferbest he declared his respiratory distress syndrome (& pneumothorax). Who recognized the early signs of decompensation? The incredibly experienced NICU RN who was still assessing him. The brand new pediatric intern didn't recognize it first--but that's ok! WHY??? 5/x
@ETSshow @drjenniferbest July is (& if not needs to be) about supervision, teaching, culture of learning & culture of safety. An intern 2 wks into residency was standing right next to an experienced NICU RN who had the autonomy to advocate for a newborn she saw beginning to decompensate, and she DID 6/x
@ETSshow @drjenniferbest I hope this was a positive learning experience for a resident who has long since graduated from residency. We are so grateful to the entire NICU team that night and the following 8 days, where we met several more interns who participated in our sons care 7/x
@ETSshow @drjenniferbest even if they were trembling on AM teaching rounds, weren't sure how to report ICU data trends on fragile babies, the attending listened, and the RNs chimed in. Everyone got care, everyone learned
so happy end of July, see you next month 8/FIN
(Ack) *parent of a nicu baby but I think you all get the point...
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