mj-md - Tumblr blog

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me: say it— i need to hear those three words

library database: Full Text Online

me, shedding tears: i love you too

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autopsy report cause of death listed as 'TUMMY ACHE'

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A Good Day

Applied to PHM fellowship and got 3 interview offers on the first day!!!

My attending this week on service sent a kudos to the medical education office about my performance as a senior and said “she’s performing as a resident at the end of her third year about to graduate” YALL IM CRYING 🥲🥲🥲

Anyway just stopped on her to document these good feelings and good news because sometimes in residency they’re few and far between. Just feelin’ #blest

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I think, therefore I am (exhausted)

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when u used to be an overachiever but now ur barely running on enough energy to function and u dont know how to cope

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When I think I hit my limit in residency and then I remember who I am

and its just like this every day

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Sauce in picture.

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RELAX!!!

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Thousands of premature infants were saved from certain death by being part of a Coney Island entertainment sideshow.

At the time premature babies were considered genetically inferior, and were simply left to fend for themselves and ultimately die.

Dr Martin Couney offered desperate parents a pioneering solution that was as expensive as it was experimental - and came up with a very unusual way of covering the costs.

It was Coney Island in the early 1900’s. Beyond the Four-Legged Woman, the sword swallowers, and “Lionel the Lion-Faced Man,” was an entirely different exhibit: rows of tiny, premature human babies living in glass incubators.

The brainchild of this exhibit was Dr. Martin Couney, an enigmatic figure in the history of medicine. Couney created and ran incubator-baby exhibits on the island from 1903 to the early 1940s.

Behind the gaudy facade, premature babies were fighting for their lives, attended by a team of medical professionals.To see them, punters paid 25 cents.The public funding paid for the expensive care, which cost about $15 a day in 1903 (the equivalent of $405 today) per incubator.

Couney was in the lifesaving business, and he took it seriously. The exhibit was immaculate. When new children arrived, dropped off by panicked parents who knew Couney could help them where hospitals could not, they were immediately bathed, rubbed with alcohol and swaddled tight, then “placed in an incubator kept at 96 or so degrees, depending on the patient. Every two hours, those who could suckle were carried upstairs on a tiny elevator and fed by breast by wet nurses who lived in the building. The rest [were fed by] a funneled spoon. The smallest baby Couney handled is reported to have weighed a pound and a half.

His nurses all wore starched white uniforms and the facility was always spotlessly clean.

An early advocate of breast feeding, if he caught his wet nurses smoking or drinking they were sacked on the spot. He even employed a cook to make healthy meals for them.

The incubators themselves were a medical miracle, 40 years ahead of what was being developed in America at that time.

Each incubator was made of steel and glass and stood on legs, about 5ft tall. A water boiler on the outside supplied hot water to a pipe running underneath a bed of mesh, upon which the baby slept.

Race, economic class, and social status were never factors in his decision to treat and Couney never charged the parents for the babies care.The names were always kept anonymous, and in later years the doctor would stage reunions of his “graduates.

According to historian Jeffrey Baker, Couney’s exhibits “offered a standard of technological care not matched in any hospital of the time.”

Throughout his decades of saving babies, Couney understood there were better options. He tried to sell, or even donate, his incubators to hospitals, but they didn’t want them. He even offered all his incubators to the city of New York in 1940, but was turned down.

In a career spanning nearly half a century he claimed to have saved nearly 6,500 babies with a success rate of 85 per cent, according to the Coney Island History

In 1943, Cornell New York Hospital opened the city’s first dedicated premature infant station. As more hospitals began to adopt incubators and his techniques, Couney closed the show at Coney Island. He said his work was done.

Today, one in 10 babies born in the United States is premature, but their chance of survival is vastly improved—thanks to Couney and the carnival babies.

https://nypost.com/2018/07/23/how-fake-docs-carnival-sideshow-brought-baby-incubators-to-main-stage/

Book: The strange case of Dr. Couney

New York Post Photograph: Beth Allen

Original FB post by Liz Watkins Barton

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today's agenda

screaming into the abyss (2 snack breaks)

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9 month old full arrest.

5 year old T-cell ALL with disseminated fungemia.

17 year old with osteosarcoma of her pelvis with myonecrosis.

5 week old full arrest.

All the patients in the PICU in the past two weeks that have passed away.

The arrests didn’t hit me as much as the heme/onc kids. I think because the arrests came in basically brain dead and I didn’t know them at their neurological baseline.

I took care of the two heme/onc kids during my month of heme/onc in fall. I have memories of the 5 year old with his bowl cut, chubby cheeks, and rain boots walking the halls hand in hand with his parents. I remember when the 17 year old shaved her head because she was losing her hair when she started treatment, and how her mom decorated her room with fall colors and decor.

This morning I did chest compressions for the first time on a real patient. I have a 2 year old with blunt abdominal trauma most likely non-accidental. I have a 21 year old in heart failure for her failed Fontan.

Am I done with PICU yet?

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My favorite thing to do during well visits is ask 4-5 year olds if they have any questions or want to talk about something at the start of the visit. The responses are hilarious.

Small kids will look up at you and with no prompting be like “umdidjyou no dat um one time my mommy and me um we um we we we went to da zoo and when I was there um last summer we went to da zoo and didjyou no what was dere? A koala I seen those on Wild Krats.”

Like wow you have no idea how conversation works but boy are you giving it your all - I will stand here and look mildly surprised the whole time and when you’re done I’ll say “really?” And you will nod and look so victorious.