A/I: Final Day!

For my last day of my A/I elective, I went to the TCH A/I clinic as usual. Niraj was the only resident since there were only 2 patients in the morning (talk about slow), but that also meant more individual attention from him and Dr. CD. I asked about the immunodeficient 14-year-old boy we saw last week, and while Dr. CD said she'd sit down with me and go over his lab results, she never really got around to it. Only when Regina came and logged in for me did we learn that he had a memory B cell deficiency. Very interesting stuff. Our lone patient of the morning was a 10-year-old girl with allergic rhinitis to indoor allergens (particularly carpet). Her skin tests and PFTs were negative, but to satisfy her mother Niraj offered a RAST test. At noon conference, one of the pediatric residents doing his A/I month gave a talk on oral allergic reactions, which I thought was very interesting. Afterwards I walked over to Baylor to meet with Dr. O. We went over the last of the questions and then I thanked Dr. O for a great month and elective here. She said that I, too, was an inspiration to her and the fellows as they got the opportunity to teach me about allergy and immunology. I promised to let her know where I matched. I've said it before, I couldn't have asked for a better attending this month.