January 2015 archive

Rotation 4: Pediatric Nephrology – Hello Kid(n)ey.

try this site Keeping this reflection short’n sweet (because life is particularly hectic at the moment):

I genuinely love being around children and I find the kidneys absolutely fascinating. So, overall, I really enjoyed this rotation. I spent the first week in the children’s hospital rounding on patients who required our daily care and expertise. I spent the last two weeks acting as a consultant, covering three different hospitals’ NICUs, PICUs, ICCs and general floors, while spending my afternoons in clinic.

In addition to the varied settings, I was also intrigued by the variety and complexity of patient problems. Despite each problem (quite obviously) revolving around the kidneys, no two patient scenarios were quite the same. Some problems were chronic – infants born with congenitally malformed or seemingly nonfunctional kidneys, children with chemotherapy-induced renal damage, adolescents on dialysis waiting for a kidney transplant – while others were (hopefully) short-lived – minimal change disease, poststreptococcal glomerulonephritis, hemolytic-uremic syndrome. I enjoyed partaking in the lengthy discussion surrounding each patient and I admired the way in which the physicians spoke about their patients. They demonstrated compassion and empathy; they spoke intelligently and confidently, yet frequently consulted each other as well as the literature; and they never once downplayed or spoke ill of another care provider or medical specialty.

If I ended up pursuing pediatrics, I am almost positive I would specialize and at this point, I would seriously have to consider nephrology.