Back to the clinic today. We had a lot of four-month-olds come in for well child exams and shots today. I also saw my first case of plagiocephaly (misshapen head) on a baby; fortunately this is easily corrected by a head brace since babies have soft skulls. *sigh* I missed a lot of things on diagnosis today (the plagiocephaly, a 3-day-old with a left hip click), but later redeemed myself with the last case of the day. A 10-year-old girl came in looking absolutely awful (lying on the exam table, not moving) with a 103 degree fever, swollen lymph glands, and generalized aching pain. It looked to me like she had both strep and flu, but after last week's strep-test-for-nothing incident I was hesitant about diagnosing her with both (and who wants a double-whammy like that?) Dr. RR agreed with me about the strep but not so much on the flu; still, he went ahead and ran a flu test. Lo and behold, it was positive =) I also did well on today's topic on spinal stenosis; thank you, Simmons Manual, for being a great source of info.
After work I had an ethics meeting at Baylor. Also with me were Lauren, Elizabeth, Phuong, and Kim. We got there early and chatted with Dr. M for a while; imagine my surprise when he said he enjoys watching anime! (I imagine he means the Miyazaki movies and not specific series). Coolness =) The ethics case itself debated on whether a baby born at 23 weeks gestation (where survival is poor) should be allowed to die or should every effort be made to save it even though its quality of life would not be great if it survives. I'll have to think more about that one.
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