So I've been doing something new. Actually, it's not quite new - I did it at the very beginning of last year, too. But I've been trying to formally think about three things that I learned in any given day. Often, they're about medicine. Not just because the vast majority of my waking hours are spent physically in the hospital, but also because one of the huge advantages of where I live and where I work is that I have a half-hour walk each way, which is a fantastic time to reflect (and also where I get most of my reading done.)
However, I consolidate new information well by writing. I often write in my Little Black Notebook and over the years have amassed huge amounts of information in my Little Notebooks; however, my handwriting is little even proportional to the Little Notebooks and there's no search function on the Little notebooks, so I thought I would start trying to blog. It has the added bonus of being a form of microblogging that's based on something I already do, which tends to help me overcome my barrier to writing.
For those of you readers not interested in medical science, I'm going to tag these posts 3til to make avoidance easy (no promises that there won't be non-science contained in future posts.)
So without further ado, here are three things that I learned today:
1. Jaundice in newborns can be caused by UTIs. This is especially true of conjugated hyperbilirubinemia and jaundice that starts after 8 days of age.
2. Cori's disease (Type IIIa glycogen storage disease) can cause hypertrophic cardiomyopathy. In retrospect, I could have derived that information from what I already knew about glycogen storage diseases and cardiomyopathy, but I didn't, so there.
3. Many little known things about NEC:
a. usually in the TI or colon
b. not associated with the rate of feed advance OR with the timing of starting feeds
c. not associated with trophics (this is cheating as I totally knew this already and tried to show off on rounds by saying so, but I was "corrected," so I'm including the recorrection.)
d. IS associated with acid blockade