Today I’m sharing a day in the life post for my pediatric neurology rotation. It’s pretty different from adult neuro both in the general feel of the team and the diagnoses we see. I love being with all the cute kiddos too!
This is the end of my first 8 week clerkship so we have our final exams (called shelf exams) next week. Because this clerkship combined psychiatry and neurology (4 weeks of each) we actually have to take two back to back next Thursday and Friday. I’ve got a lot of studying to do!
Here was this past Tuesday:
Day In The Life – Peds Neuro
6:10am: Alarm goes off. time to get up and get ready for the day.
6:20am : Coffee is made and I pack my lunch while I’m in the kitchen.
7:10am: I arrive to the peds neuro call room. My teammates and I review the list, divide up the patients, and start to review their charts. We have a fairly big list today – 10 patients is a lot for the peds neuro team.
7:45am: We head out to round on our patients. Today each of us have two to see. I check on one of mine that has severe neuropathic pain secondary to Neurofibromatosis Type 1, and then talk to the parents of my second patient that is having a brain tumor removed later in the day.
8:20am: I’m finished rounding but our attending won’t be ready for a little while. I chat with some of my team members about our cases.
8:35am: Our residents meet us in the conference room and start to teach us about reading EEGs. I love that they take time to help us learn!
8:50am: Our attending arrives and we start to talk about each patient we have that day. The student that has that patient presents to the attending and then we all discuss the possible diagnoses, tests or medications needed, etc. Our current attending is such a good teacher and asks questions without making us feel stupid. Much appreciated!
10:45am: We’re ready to go see patients! We head to the PICU first and then round on the rest of the patients. We see everything from teenagers to teeny babies. Many of our kids have seizures and thankfully we get to send quite a few home.
12:00pm: We have two more patients to see but they aren’t in their rooms, so we take a break for lunch. I go back to the conference room and eat my lunch while I start writing notes on the patients I saw this morning.
12:45pm: We meet back up on the floor and talk to our resident for a bit while we wait for the attending to get back.
1:15pm: We check on our last two patients quickly and then split up for the afternoon. Originally I was scheduled to go to the outpatient clinic for the afternoon, but my resident offers to let me go watch my patient’s brain surgery (!!) instead. A classmate very nicely offers to switch clinic days with me, so the resident takes two of us down to the locker room to get changed into scrubs. We thank him profusely.
1:50pm: We head in to the OR where the surgical team is already getting the patient ready. We let them know we are with neurology and just there to watch. We try to stay out of the way and ask each other tons of questions about everything they are doing.
3:30pm: The patient is finally all prepped (there is a lot of set up for a neurosurgery!) and we watch in amazement as they carefully open him up. They use electrode mapping, the MRIs, and tons of other things I don’t even understand to know exactly where to go. It’s extremely precise and yet somehow messier than I expected at the same time. I can’t believe I’m in the OR and watching this!!
5:00pm: They got the tumor out and are finishing up, so my classmate and I decide to head out. We have a clinical skills exam in the morning and need time to study tonight. I down some almonds I had in my white coat since I’m starving!
5:30pm: I meet my friend AJ at the gym for a quick workout before we review together. We decide to just do something quick so we can get to work – some pull ups, bench press, squats, and leg presses. We chat with a few friends too, of course!
(same gym, different day)
6:15pm: I pick up dinner at Crazy Bowls and Wraps, and then drive over to the boys’ house while chatting with my mom on the phone.
6:45pm – 9pm: We practice the complete neurologic and mental status exams on each other, and then run through the most common presenting symptoms. We talk through clinical presentations, differential diagnoses, differentiating symptoms, labs and scans we would want to order, and medication options.
9pm: I’m feeling more confident about the exam tomorrow so it’s time to head home.
9:15pm: I chat with my roommate and play with Winston for a few minutes before I hop in bed.
9:30pm: I get in my PJs and put on an episode of Grey’s Anatomy in bed.
10:30pm Lights out!