Wednesday, December 21, 2005

Yadda Yadda Yadda....

The first part of this post was written on my palm pilot while i was in DC on Monday for my interview at Children's National Medical Center....

Well, enrollment has been going much slower than I think anyone anticipated. Before we started Dr. Khine said they got several patients that meet the criteria each day. Well, so far we have had not nearly as many as expected patients that meet the criteria - i dont know if they just come in when dr. Khine and i are not there, becaue when i have been there i have seen very few first time wheezers, and those that are, a lot dont have a first degree relative with asthma..... Most hhave cousins... Also had a few where the patient got steroids earlier in the day from their doctor. Why is their doctor giving them steroids??? There is no evidence for steroids in bronchiolitis! Thats why we are doing this study!!!!! So frustrating. So unbelievably frustrating. I go to the ED for 7-8 hours a day when im not interviwing, and not getting anyone.

And todays edition.....

First, let me bitch about the strike. I had to wake up early to go pick up Cingy, Sammy's babysitter, from her apartment, which is right near Montefiore, which made it doubly frustrating to be there, drive home, and sit on the shuttle for 45 min to get to work. Not to mention the shuttle driver has the worst case of road rage and will probably kill someone in an accident within the next few months (certainly before I graduate). Anyways, because of the stupid transit strike, it took 45 minutes to get to Monte (usually takes 12). When i got there, teh ED was a ghost town. 2 patients. unbelievable! I sat around for about 7 hours, and then finally, into the asthma room goes an 11 month old. His mom and dad both have asthma. Mom says he started wheezing for the FIRST TIME last night. He also has a cough. I get very excited, take a listen and.... the kids lungs are as clean as a whistle. Perfectly clear! unbelivable! i mean, great for the kid, bad for me. kid wasn't even tachypnic... how disappointing.
another day, 0 patients.
i set up a meeting with Dr. David for next week to make sure everything is cool for my ISP etc etc (i.e graduation).
bah. very depressing.

D

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