Monday, June 20, 2011

BMT, head pus, and modified goeckermans, OH MY!

Ugh. I'm getting SO close to being done! Today went much better than last Monday, and even had more to do than last week. I had 3 clinic patients, 2 BMT patients, and a handful of general pediatric patients. 

That's what I like about this position. I have a few patients who I see on a regular, daily basis. But then, I have a handful of patients that are on the general service and are in for a multitude of reasons such as dehydration, feeding problems, moderate injuries, or monitoring. There was a couple crazy admits this weekend, though. 

Such as...one of the patients was jumping on a trampoline with a friend when his friends teeth went through the back of his head. He went to an outside hospital to get staples in his head to patch it up. Well, the wound got infected and he was sitting at a race track over the weekend and the wound burst open and started pussing and bleeding everywhere. SICK! Needless to say he's here getting a strong antibiotic course and making sure that his head heals correctly.

Then, another patient was admitted for an intense skin treatment called a "modified goeckerman therapy" for severe eczema. It's for people who have chronic eczema or psoriasis. It's a week-long hospital treatment that involves the little boy being put in a spacesuit looking contraption. It pumps the suit full of moisture and chemicals that relax and soothe the skin. It will hopefully be a long-term solution for the skin. But this little boy has it worse - he has multiple food allergies including milk, soy, peanuts, and beef. But, he also doesn't like fruits, vegetables, orange-colored foods, or odd-shaped foods. Unfortunately for him, there's not much that I can do, especially since he's not being admitted for anything nutrition-related. But, I'm trying to help the parents find a multivitamin that's red colored (because that's the only color multivitamin he'll eat), and especially one that doesn't contain any of his allergens.

Did I mention that it's only Monday?

10 days!

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