Working In Pediatrics Quotes

86. I get angry when believers unhesitatingly attribute every good thing in the world to God — and then respond to bad things by saying, “God works in mysterious ways.” If God’s ways are so mysterious, and we can’t begin to understand his thinking behind tsunamis and drought and pediatric cancer, then what makes you think you understand his intentions when it comes to pretty sunsets or cute puppies or helping you find the peanut butter?

Dr. Lucy Davis. That’s Davis as in her parents own the team. She’s a pediatric surgeon and just got back from Syria where she was working with Doctors Without Borders.” Whatever. I organize a canned food drive for the homeless shelter in the Bowery every Thanksgiving. Do I go around bragging about it? No.

Science and discovery, especially in the field of non-abnormal pediatric mysteries, is built on the work of those who have been sneezed on before us. Causation and rationale may someday be reached, but until then it is the heartwarming and parental nature of the journey that drives us on; well, that and a fresh box of Kleenex.

We have now reached a level in which many people are not merely unacquainted with the fundamentals of punctuation, but don’t evidently realize that there are fundamentals. Many people—people who make posters for leading publishers, write captions for the BBC, compose letters and advertisements for important institutions—seem to think that capitalization and marks of punctuation are condiments that you sprinkle through any collection of words as if from a salt shaker. Here is a headline, exactly as presented, from a magazine ad for a private school in York: “Ranked by the daily Telegraph the top Northern Co-Educational day and Boarding School for Academic results.” All those capital letters are just random. Does anyone really think that the correct rendering of the newspaper is “the daily Telegraph”? Is it really possible to be that unobservant? Well, yes, as a matter of fact. Not long ago, I received an e-mail from someone at the Department for Children, Schools and Families asking me to take part in a campaign to help raise appreciation for the quality of teaching in Great Britain. Here is the opening line of the message exactly as it was sent to me: “Hi Bill. Hope alls well. Here at the Department of Children Schools and Families…” In the space of one line, fourteen words, the author has made three elemental punctuation errors (two missing commas, one missing apostrophe; I am not telling you more than that) and gotten the name of her own department wrong—this from a person whose job is to promote education. In a similar spirit, I received a letter not long ago from a pediatric surgeon inviting me to speak at a conference. The writer used the word “children’s” twice in her invitation, spelling it two different ways and getting it wrong both times. This was a children’s specialist working in a children’s hospital. How long do you have to be exposed to a word, how central must it be to your working life, to notice how it is spelled?

The stories in this book link an ancient story with the children's stories. Rather than medical case reports based on certainty of what scientists currently understand, they are simply an attempt to be faithful to what I have heard. In this sense, they continue Jesus' commissioned work of revealing that there is a realm that we cannot yet fully understand. The greatest gift in my life has been in linking the ancient story and the children's stories to my own...As I sit by the beds of these children, I have seen God's love made manifest in this descending way. I have seen Jesus Christ come again and again and again to bring peace and to link the children's stories with His own.

One day, sitting at the dining table, I opened one and started reading. It talked about Michael’s contributions to research into childhood leukemia. His position as head of hematology at the Montreal Children’s Hospital. His work as a lead investigator with the international pediatric oncology group. The writer talked about loss and grief and offered heartfelt condolence. It was from Hillary Rodham Clinton. Secretary Clinton, in the last stages of a bruising brutal campaign for the most powerful job in the world, took time out to write to me. A woman she’d never met. About a man she’d never met. A Canadian who couldn’t even vote for her. It was a private note, not meant to help her in any way, but offering comfort to a stranger in profound grief.

TOBY CALLED HIS therapist, Carla, whom he’d stopped seeing actively when the apps took over his attention span and his time, but it was August and she was gone to the island where mental health professionals vanished to in the summer. The useless social worker from school was even more useless than usual, camping in the Adirondacks with her family for two weeks. He called mental health services at the hospital but was told that all adolescent and pediatric psychologists were out until September. This is what happened when an entire field of medicine was as disrespected as psychologists. They made their own rules, and one of them was that nobody was allowed to have a breakdown during August, and the other was that this was fucking Europe and they got to take a whole month off from work.

Discipline As your baby becomes more mobile and inquisitive, she’ll naturally become more assertive, as well. This is wonderful for her self-esteem and should be encouraged as much as possible. When she wants to do something that’s dangerous or disrupts the rest of the family, however, you’ll need to take charge. For the first six months or so, the best way to deal with such conflicts is to distract her with an alternative toy or activity Standard discipline won’t work until her memory span increases around the end of her seventh month. Only then can you use a variety of techniques to discourage undesired behavior. When you finally begin to discipline your child, it should never be harsh. Remember that discipline means to teach or instruct, not necessarily to punish. Often the most successful approach is simply to reward desired behavior and withhold rewards when she does not behave as desired. For example, if she cries for no apparent reason, make sure there’s nothing wrong physically; then when she stops, reward her with extra attention, kind words, and hugs. If she starts up again, wait a little longer before turning your attention to her, and use a firm tone of voice as you talk to her. This time, don’t reward her with extra attention or hugs. The main goal of discipline is to teach limits to the child, so try to help her understand exactly what she’s doing wrong when she breaks a rule. If you notice her doing something that’s not allowed, such as pulling your hair, let her know that it’s wrong by calmly saying “no,” stopping her, and redirecting her attention to an acceptable activity. If your child is touching or trying to put something in her mouth that she shouldn’t, gently pull her hand away as you tell her this particular object is off-limits. But since you do want to encourage her to touch other things, avoid saying “Don’t touch.” More pointed phrases, such as “Don’t eat the flowers” or “No eating leaves” will convey the message without confusing her. Because it’s still relatively easy to modify her behavior at this age, this is a good time to establish your authority and a sense of consistency Be careful not to overreact, however. She’s still not old enough to misbehave intentionally and won’t understand if you punish her or raise your voice. She may be confused and even become startled when told that she shouldn’t be doing or touching something. Instead, remain calm, firm, consistent, and loving in your approach. If she learns now that you have the final word, it may make life much more comfortable for both of you later on, when she naturally becomes more headstrong.

When a young employee gasped at his blue language, Simons flashed a grin. “I know—that is an impressive rate!” A few times a week, Marilyn came by to visit, usually with their baby, Nicholas. Other times, Barbara checked in on her ex-husband. Other employees’ spouses and children also wandered around the office. Each afternoon, the team met for tea in the library, where Simons, Baum, and others discussed the latest news and debated the direction of the economy. Simons also hosted staffers on his yacht, The Lord Jim, docked in nearby Port Jefferson. Most days, Simons sat in his office, wearing jeans and a golf shirt, staring at his computer screen, developing new trades—reading the news and predicting where markets were going, like most everyone else. When he was especially engrossed in thought, Simons would hold a cigarette in one hand and chew on his cheek. Baum, in a smaller, nearby office, trading his own account, favored raggedy sweaters, wrinkled trousers, and worn Hush Puppies shoes. To compensate for his worsening eyesight, he hunched close to his computer, trying to ignore the smoke wafting through the office from Simons’s cigarettes. Their traditional trading approach was going so well that, when the boutique next door closed, Simons rented the space and punched through the adjoining wall. The new space was filled with offices for new hires, including an economist and others who provided expert intelligence and made their own trades, helping to boost returns. At the same time, Simons was developing a new passion: backing promising technology companies, including an electronic dictionary company called Franklin Electronic Publishers, which developed the first hand-held computer. In 1982, Simons changed Monemetrics’ name to Renaissance Technologies Corporation, reflecting his developing interest in these upstart companies. Simons came to see himself as a venture capitalist as much as a trader. He spent much of the week working in an office in New York City, where he interacted with his hedge fund’s investors while also dealing with his tech companies. Simons also took time to care for his children, one of whom needed extra attention. Paul, Simons’s second child with Barbara, had been born with a rare hereditary condition called ectodermal dysplasia. Paul’s skin, hair, and sweat glands didn’t develop properly, he was short for his age, and his teeth were few and misshapen. To cope with the resulting insecurities, Paul asked his parents to buy him stylish and popular clothing in the hopes of fitting in with his grade-school peers. Paul’s challenges weighed on Simons, who sometimes drove Paul to Trenton, New Jersey, where a pediatric dentist made cosmetic improvements to Paul’s teeth. Later, a New York dentist fitted Paul with a complete set of implants, improving his self-esteem. Baum was fine with Simons working from the New York office, dealing with his outside investments, and tending to family matters. Baum didn’t need much help. He was making so much money trading various currencies using intuition and instinct that pursuing a systematic, “quantitative” style of trading seemed a waste of

He spoke in a rush. 'A pediatric cardiac surgeon working gratis on an abandoned premie with Down Syndrome as a third-rate hospital - so good that twenty years later other surgeons are saying: Wow.' He shook his head. 'How's that for believing in a benevolent universe?

There are controlled ACT studies on work stress, pain, smoking, anxiety, depression, diabetes management, substance use, stigma toward substance users in recovery, adjustment to cancer, epilepsy, coping with psychosis, borderline personality disorder, trichotillomania, obsessive–compulsive disorder, marijuana dependence, skin picking, racial prejudice, prejudice toward people with mental health problems, whiplash-associated disorders, generalized anxiety disorder, chronic pediatric pain, weight maintenance and self-stigma, clinicians’ adoption of evidence-based pharmacotherapy, and training clinicians in psychotherapy methods other than ACT. The only sour notes so far are the use of ACT for more minor problems, where existing technology exceeded ACT outcomes on some measures (e.g., Zettle, 2003).

I kept thinking how grateful I felt to have been part of this magnificent team. For five months we had been one unit, all specialists and all tackling the same problem together. The staff at the pediatric ICU and the consultants in the children's center reacted spectacularly. They rallied behind us and spent countless hours without charge, working to make this operation successful. As pessimistic as I was about the eventual outcome of the surgery, I still felt a glow of pride in being able to work side by side with the best men and women in the medical field. And the end of the surgery wasn't the end of our teamwork. The postoperative care was as spectacular as the surgery. Everything in the weeks following the surgery confirmed again our togetherness. It seemed as if everyone from ward clerks to orderlies to nurses had become personally involved in this historic event. We were a team--a wonderful, marvelous team.

I also praise the cooperative efforts in our pediatric intensive care unit. In fact, this togetherness permeates every aspect of our program here, including our office staff. We're friends, we work well together, we're dedicated to alleviating pain, and we're interested in each other's problems, too. We're a team, and Ben Carson is only part of that team.

How about two?” Elizabeth’s friend Sandra Fielding, who also worked at Chicago General Hospital—as a pediatric psychiatrist—appeared alongside her. Both women were avid knitters, and both lived in the building above the store.

One by one the Essence Awards honorees were called onto the stage. First went civil rights leader Jesse Jackson, then movie director Spike Lee, followed by comedian Eddie Murphy, and then Dr. Benjamin S. Carson. Ben stood and walked forward to the stage. It was one of the most surreal moments of his life. He wondered how he belonged in the same category as those around him on the stage. It was hard for him to imagine that he, a pediatric neurosurgeon, was being publicly honored along with the most recognizable African American men and women in the country. As he stood onstage, staring out at the crowd, Ben thought about the path his life had taken. Who could have guessed that he, a poor black boy from a single-parent home in Detroit, would end up a brain surgeon? Certainly not those who had considered him the class dummy back in elementary school. Here he was, not just a brain surgeon, but a brain surgeon being honored for the work he had undertaken—experimental surgeries that gave children a chance at life.

Honestly, I came upon massage therapy by accident. I never had the intention of becoming a massage therapist. Originally, I studied pediatric occupational therapy knowing that I wanted to work with children in a health care capacity, but I had no interest in “poking and prodding” them. While in the OT program, I soon discovered the extent of the education I would receive in integrative therapies would consist of a three-hour intro to massage/tactile therapy, movement, music and art therapies. When I inquired as to when we would learn more, I was instructed if I wanted to learn more I should seek it elsewhere. I enjoyed receiving massage, so I decided a massage school would be a good place to start. So, I searched for a massage program to simply add as an adjunct to my practice in pediatric occupational therapy.

Then in March 1993, everything changed. My one-year-old son, Charlie, had his first seizure. There’s absolutely nothing funny about being the parent of a child with uncontrolled epilepsy. Nothing. After a year of daily seizures, drugs, and a brain surgery, I learned that the cure for Charlie’s epilepsy, the ketogenic diet—a high fat, no sugar, limited protein diet—had been hiding in plain sight for, by then, over seventy years. And despite the diet’s being well documented in medical texts, none of the half-dozen pediatric neurologists we had taken Charlie to see had mentioned a word about it. I found out on my own at a medical library. It was life altering—not just for Charlie and my family, but for tens of thousands like us. Turns out there are powerful forces at work within our health care system that don’t necessarily prioritize good health. For decades, physicians have barely been taught diet therapy or even nutrition in medical school. The pharmaceutical, medical device, and sugar industries make hundreds of billions every year on anti-epileptic drugs and processed foods—but not a nickel if we change what we eat. The cardiology community and American Heart Association demonize fat based on flawed science. Hospitals profit from tests and procedures, but again no money from diet therapy. There is a world epilepsy population of over sixty million people. Most of those people begin having their seizures as children, and only a minuscule percentage ever find out about ketogenic diet therapies. When I realized that 99 percent of what had happened to Charlie and my family was unnecessary, and that there were millions of families worldwide in the same situation, I needed to try to do something. Nancy and I began the Charlie Foundation (charliefoundation.org) in 1994 in order to facilitate research and get the word directly to those who would benefit. Among the high points were countless articles, a couple appearances of Charlie’s story on Dateline NBC, and a movie I produced and directed about another family whose child’s epilepsy had been cured by the ketogenic diet starring Meryl Streep titled First Do No Harm (1997). Today, of course, the diet permeates social media. When we started, there was one hospital in the world offering ketogenic diet therapy. Today, there are 250. Equally important, word about the efficacy of the ketogenic diet for epilepsy spread within the scientific community. In 1995, we hosted the first of many scientific global symposia focused on the diet. As research into its mechanisms and applications has spiked, incredibly the professional communities have found the same metabolic pathway that is triggered by the ketogenic diet to reduce seizures has also been found to benefit Alzheimer’s disease, ALS, severe psychiatric disorders, traumatic brain injury, and even some cancers. I

To begin, look over the chapters by glancing at the content on the pages. Set aside about 30 minutes every four to five hours or three times a day and look at the bold words, pictures, and highlighted sentences. Nursing exams generally test on multiple chapters so it is important you start this process as soon as you can. Ideally, begin immediately after you have taken your last exam so you can get a head start on new material. This step helps you recognize the words and familiarizes you with the content. After several times of looking at a word read the definition. As you read the definition notice how you are able to focus on what the word means. Doing this simple step can eliminate reading without understanding. We must see a word several times before our brain flags it as important. That is why after the third or fourth time you look over information you finally say to yourself, “Okay, I have heard and seen this several times and I must know more about it!” Once you have reached that point you will find yourself directing all of your attention to the word’s definition. And that motivation is because you have seen it so many times. There is still a problem though, because in nursing school there are thousands upon thousands of words. By just reading you rely on vision to get you through and retain all of this knowledge. Although this is possible, and has probably worked in the past, this is not an ideal way to study for nursing classes. After you look at the words and read the definitions a few times, go back and underline each word and definition. This helps you engage the body by adding movement. Then say the words and definitions out loud. Doing so engages the three senses of sight, touch, and sound. You are also using all three learning styles, which are visual, auditory, and kinesthetic. No matter what type of learner you are predominately, if you constantly use all three styles it helps to lock the information into your brain. I have also noticed that these steps train you to have a photographic memory. This is especially important when there is a long chart you need to memorize. For example, in pediatric nursing you need to know a very extensive growth and development chart, and if you do not have kids yet it can be extremely foreign. At first, incorporating this new study method may be challenging. But once you start using it and see your exam results rise, you will never turn back. After

A great story about a big company’s ability to do this comes from one of the world’s biggest businesses, General Electric. I learned about Doug Dietz a few years ago when I saw him speak to a group of executives. Doug leads the design and development of award-winning medical imaging systems at GE Healthcare. He was at a hospital one day when he witnessed a little girl crying and shaking from fear as she was preparing to have an MRI — in a big, noisy, hot machine that Dietz had designed. Deeply shaken, he started asking the nurses if her reaction was common. He learned that 80 percent of pediatric patients had to be sedated during MRIs because they were too scared to lie still. He immediately decided he needed to change how the machines were designed. He flew to California for a weeklong design course at Stanford’s d.school. There he learned about a human-centric approach to design, collaborated with other designers, talked to healthcare professionals, and finally observed and talked to children in hospitals. The results were stunning. His humandriven redesigns wrapped MRI machines in fanciful themes like pirate ships and space adventures and included technicians who role-play. When Dietz’s redesigns hit children’s hospitals, patient satisfaction scores soared and the number of kids who needed sedation plummeted. Doug was teary-eyed as he told the story, and so were many of the senior executives in the audience. Products should be designed for people. Businesses should be run in a responsive, human-centric way. It is time to return to those basics. Let TRM be your roadmap and turn back to putting people first. It worked for our grandparents. It can work for you.

have treated a few moms who probably caught C. diff from their newborns. I have also treated a neonatologist (a pediatric specialist in newborn diseases) who probably picked up C. diff at work from one of her sick newborns.

Over the years, I have repeated Eric’s advice to countless people, encouraging them to reduce their career spreadsheets to one column: potential for growth. Of course, not everyone has the opportunity or the desire to work in an industry like high tech. But within any field, there are jobs that have more potential for growth than others. Those in more established industries can look for the rocket ships within their companies—divisions or teams that are expanding. And in careers like teaching or medicine, the corollary is to seek out positions where there is high demand for those skills. For example, in my brother’s field of pediatric neurosurgery, there are some cities with too many physicians, while others have too few. My brother has always elected to work where his expertise would be in demand so he can have the greatest impact. Just

Pre-natal care, perinatal care, post-natal care, pediatrics, nutrition, education, orthodontics, vacations, college, postgrad, a fiancé, the whole nine yards. Her assembly line had worked just fine.

Being thoughtful about the comfort and needs of the people who work in your home is a characteristic of a great Home Care CEO.

It’s the feeling that one is a cog in a machine that doesn’t care. Burnout makes people angry, depressed, and unable to do or enjoy doing the work of patient care. Burnout is loneliness, isolation, and an invitation to addiction, alcoholism, and other forms of self-harm.

Approximately 50 percent of Americans have some form of insulin resistance, according to Dr. Robert Lustig, professor of pediatric endocrinology at the University of California, San Francisco.5 That percentage is even higher in adults older than forty-five. “In contrast to popular false beliefs, weight loss and health should not be a constant battle uphill through calorie restriction, which simply doesn’t work,” says Dr. Andreas Eenfeldt

Since Henry’s death, I have focused any fundraising I’ve done on both Rainbow Trust and Noah’s Ark. I have not, as some might have suspected I’d do, done any fundraising for pediatric brain cancer. The reason for this is that I saw how far a pound (or a dollar) goes in helping kids who are definitely going to die, and their families—and it is astonishing. An hour with a Fiona or a Lucinda or a Kirsty brings immeasurable peace and joy to a child who is grappling each day with pain, frustration, boredom, and fear. It gives solace and bubbling happiness to the parents who are watching their child suffer day in and day out. I’m forty-five as I write this, and so far I haven’t seen a better or more instantly effective use of money.

Autism Speaks organization. For the nonprofit’s first ten years, none of its board members were openly autistic, and at the same time, many autistic people vocalized that they did not want to be cured. Similarly, in 2009, the organization put out an ad directed by Academy Award–winning director Alfonso Cuarón titled “I Am Autism,” which depicted autism as a menacing force. “I know where you live and guess what? I live there too,” the voice-over said, adding that it worked faster than deadly diseases like pediatric AIDS, cancer, and diabetes combined. “And if you are happily married, I will make sure that your marriage fails,” the voice went on, pledging to bankrupt families (there is some irony, of course, that a millionaire executive’s charity would put out such an ad). The ad ultimately faced massive pushback, and it was removed from its website.

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