Monday, August 4, 2008

Cleaning House

I theoretically could have had no patients when I get to work in the morning. But one will be left (who will be bounced back to his ward tomorrow). Once you're admitted to a ward at Bara, pediatrics, you basically go back to that ward until you're 14, if you are re-admitted.
 
I discharged the 8 y/o with TB (pulmonary and abdominal), HIV, Anemia, Depression, severe malnutrition. The palliative medicine physician scored major bonus points with me and was so concerned about this girl that she found a placement within 4 days! So she's off to hospice to get some better rehab care before going home. She was actually beginning to perk up a bit too!

I also discharged the kiddo who came in with status seizure last week. Amazing what the human brain can endure, this kiddo seems to be back to her normal self.
 
There was also an silence on the ward this morning. M, our 3 year old who suffered a head injury and has lived on the ward for months was finally placed. I don't know the full story, but think there is suspected child abuse, and she was kind of abandoned, or they couldn't figure out to whom to release her, but she is now gone. She was cute, usually walking around the ward (nekked), smiling and holding the lone coloring book of Ward 18. She didn't have much verbal skill, but she always had a smile!

That leaves S. Our currently orphaned 13 month old, as the sole Mascot for Ward 18. "Are you sure you don't want to adopt him?" A question I've been asked numerous times. He's such a ham! We've taken him to the break room with us, and last week he was spotted in the cafeteria with one of the staff.

We're on call tomorrow.
g'night.