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Tag Archives: pediatric

As a volunteer at a hospital’s pediatric emergency room, I read books to children and gave some books away to the younger children as a part of a program. I basically had the responsibility to enter the rooms on my own when doctors and nurses were not perfoming their duties. One evening, I came into a room to give a boy a book. Two men were in the room as well, one I assume was the boy’s father. Each of them were deaf. Thankfully I took an American Sign Language course in high school, although the importance of those lessons didn’t sink in until now. I probably looked completely shocked while I shaped my hand and arms to ask “he want b-o-o-k?” I knew the sign for want, but not book so I spelled that out. The guy gave me a thumbs up. I hope that meant good job, or at the very least ok he can have a book. Unfortunately I didn’t have the same success when confronted with Spanish. I would advise anyone working in a hospital to learn as much about communication as possible.

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While I attended the Summer Medical & Dental Education Program at UVA I wanted to do something to give the program more publicity. It is an excellent program for anyone hoping to enter med or dental school, but very few people know about it. Many of the applicants, including myself, only found out about it by searching the net. The program has more than high enough quality to be recommended by advisors and publicized through schools. I tried to get the local news channel to do a short piece about the program, but that fell through. I should have also tried the newspaper, but I didn’t get around to it. However, I recently realized that a blog entry might possibly reach as many people as any other method I had considered:

There is a committment to the medical field and a service to the health of people, in the present and in the future that constitutes duty beyond expectation. The Directors of the Summer Medical & Dental Education Program (SMDEP) at the University of Virginia have devoted many years, in some cases 2 decades, to the education of future doctors.  The attending undergraduate students have sacrificed six-weeks of the summer to gain knowledge for the benefit of others. They come from all around the country and all over the world to join for a shared cause. Every weekday a minimum of nine hours, and often more, are devoted for learning different subjects, preparing for medical school, experiencing different career opportunities, and focusing on serving people. But the story does not end there. Even though the students originate from aound the world, they were prepared to dedicate their time and energy to Charlottesville and the surrounding community. The feat performed by the students, the directors, the speakers, and other particpants deserve recognition.

Research is a slow moving process. Dr. Robert B. Herberman has taken the initiative to voice concerns based on early research. His actions in making a warning about the use of cell phones is plausible and respectable considering their wide use and the true nature of their uncertain effects. The Electromagnetic fields created around cell phones have recently become a big concern, especially for children who tend to use cells more and more every year. What kind of long-term effects do electromagnetic fields actually have? Are their any other items or technologies, such as laptops, that could be of concern as well? There are many questions that fit within the issue, and almost no answers. If cell phones do cause problems, the problems may not be small issues. The brain uses electrical charges on a regular basis, and electromagnetic fields could alter the function of the brain resulting in tumors. Headaches will not be the concern here (citation: AP).

July 23 and 24 CNN will be showing its special about “black america.” I am tempted to watch, and may very well do so, but I get the feeling I would be disappointed by the way went about displaying a group of people. The main question I have is if they are going to focus on the negative or the positive. For example, it is true that young black men are often undevoted to their families, but when I volunteered in a hospital pediatric emergency room, I remember seeing numerous black fathers who were completely dedicated to their children. Another concern I have about the show is that it appears to lump all black people together. Amongst the black community there is immense diversity and individualism as amongst any culture. The timing of the show is very good with the recent uprising of racism, but will the show be powerful enough to make people think? Will the show be from a viewpoint that does not destroy established community, but brings multiple communities of people together? Maybe my expectations are too large or maybe I have a misconception of what the show is actually about, but with the publicity they are giving the special…I hope that it is truly deserving of the spotlight.

An especially special friend of mine spoke with me about the uselessness of primary care physicians. And almost had me, but something came to mind when I read an article in the July 2, 2008 edition of the JAMA (Journal of the American Medical Association) by Dr. Michael Stillman. My friend presented me with the idea that general care physicians are not always very knowledgable about ailments or certain health problems that specialists would know. I had a personal experience that comes under this category. However, when the patient of a primary care physician is ill or injured, the primary care physician will know the patient well. One of the most important aspects of health care that is commonly overlooked is knowing the patient. Often such luxury is not possible with the busy schedule of doctors, or the lack of need to see certain doctors. Nonetheless, it can influence care dramatically. Dr. Stillman gave an example in his article where the medications of a patient had been changed to a more expensive regimen without his knowledge. The prescribing doctor would not have know that the patient could never afford those medications, but Dr. Stillman knew and prescribed the original, less-costly, and equally effective regimen.  A number of other issues come up as well when identifying the importance of primary care physicians. When making an important medical decision, trust between a patient and the doctor becomes essential. Patients, even if are under the care of a specialist may want to consult a phyiscian with whom they are familiar before making an important decision. Primary Care doctors may not necessarily save lifes, but they can certian help people maintain the highest quality of life possible. So with the greatest level of respect possible, I disagree with my friend [I will convince her I am right, and if she happens to read this before I try the art of persuasion…] (citation: JAMA July 2, 2008 p.21-22).

What I Learned From My First Reading Session about Seizures

  • More than 2 million people in the U.S. have had seizures and/or been diagnosed with epilepsy
  • The term seizure is a symptom
  • If a seizure is not epileptic, or if a diagnosis is uncertain, it should be described as paroxysmal
  • There are about 32 types of seizures
  • aprox. 50% of seizures never have an identified cause; the other 50% are usually due to underlying diseases or injury of the brain
  • Seizures limited to one portion of the brain are called partial seizures
  • Most seizures last from 30 seconds to 2 minutes

For a fairly common ‘symptom’ very little is known about seizures. Understanding seizures better could improve the lifestyle of thousands of people. Equally important, it could decrease the amount of fear in people who suffer a seizure and are unsure of why it happened, if it will happen again, or when it could happen. Tests to search for underlying causes can also be quite time consuming and expensive, often including an EEG, CT scan, and an MRI. Each test can be very important in indentifying problems, but the quality of the tests do not seem to meet the needs of epilepsy/seizure patients since only 50% of the time a cause is identified.