what's so special about new?

We are obsessed with everything new.

Aren't we? New clothes, new shoes, new movies, new electronic gadgets, new medical procedures, new drugs.  Now we are obsessed with the New Year. As I write this, on New Year's Eve day, 2011, I wonder why we are so obsessed. The newspaper is full of retrospectives, and all over the airwaves you can catch the "ten best" or "hundred best" songs, stunts, crimes, etc of 2011. Following the retrospectives are the predictions for 2012-- the next big trends in healthcare, in social media, in toys, in the economy.

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adopting six children?

A couple weeks ago I mentioned our pediatric residency received accreditation from the Accreditation Council for Graduate Medical Education--otherwise known as the ACGME. This past Thursday, November 17, we held our first interview session for applicants to our program.

Interviewing REAL people makes the residency seem much more REAL than before.

While excitement is one of the words that still describes how I feel about the program starting, there are many other emotions twirling around in my mind and heart.

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the tale of the dancing doc

Once upon a time a five-year old princess known only as "the Skink" was admitted to the pediatric intensive care unit (PICU) because of pneumonia, caused by an ugly green troll. She suffered from insufficient oxygen in her bloodstream, and required a technique known as "high flow" oxygen delivery to ensure enough oxygen was getting into her blood to be delivered to the critical tissues-brain, heart, lungs, GI tract, kidneys. She nearly needed help breathing with a ventilator, but this was avoided due to diligent care provided by the staff. As she got better, she was reluctant to get up and move around. Walking, running and playing are necessary to get children (and princesses) to take deep breaths and clear their lungs.

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I am so excited

I wanted you to be the first to know--we have just gotten word from the Pediatric Residency Review Committee of the Accreditation Council for Graduate Medical Education, that our proposed Pediatric Residency has been approved!!!

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trial by fire

I knew I shouldn't say yes. But I couldn't say no.


I was a brand new attending AND his brand new boss.

In retrospect he was testing me. And boy, what a test it turned out to be.  My first introduction to true leadership. My first opportunity to flex my wings as a pediatric intensivist. I hated the experience, but am very glad to have had it. So I agreed to cover the Pediatric ICU (PICU) for a few days so my colleague "Paul" could travel to Europe for a meeting he had neglected to put on his advance schedule. [I never did figure out how he managed to forget he was going to Europe until the day before he left.]

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five indicators of a week well-spent

Last Friday I  finished another week "on service" where I am responsible for all the children who are admitted to the inpatient unit of the children's hospital. I am also responsible for supervising all the other medical providers, including the medical students, interns, residents, nurse practitioner, and for working collaboratively with our nurses, therapists, nutritionists,  pharmacists and others.


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too close to home?

This is a story about failure and disappointment; hope and encouragement; and whether we can ever really know someone's true character. First a bit of background (feel free to skip this section if you want to get right to the meat of the story)


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treating the economy

I blog about patients, physicians and hospital systems. We converse about children, my foibles and occasionally my love of wild birds. Recently we have chatted a bit about Twitter. But the economy??

This morning I was listening to an interview on NPR with the Washington Chief of The Economist (a London publication), who was talking about how the dollar is used as the international currency, and how that benefits the USA, and what might happen if THAT competitive advantage should go away, as part of our current economic stress.

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my most significant mentor

I was delighted to be flipping through the pages of "Rochester Medicine" a publication of the University of Rochester School of Medicine (where I did my pediatrics residency), not really expecting to find anything of interest, when, near the end of the magazine my eye caught the visage of a man who had a significant positive impact in my life, and the lives of countless children throughout the world.

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