Friday, February 5, 2010

The "NICU Rumor Mill"

There's a childhood game called "Rumors" where a person has a written message whispered to them and then they relay that message to another person with a whisper. The message is then communicated as many times as there are people in the group. You then compare the final communication to the actual message that was written down. It can be amazing how the story changes.
A version of this game takes place in every work environment. Add the general anxiety of the NICU environment, and you really can get some interesting results. The typical scenario is that the attending physician is notified of a possible admission to the NICU. Information about the same possible admission is also communicated through a variety of channels and in a variety of different versions to nurses and other staff in the NICU. The busier the NICU is, the more distorted the varying versions may become.
For example, I was in charge of attending deliveries and admitting babies to the NICU one day. As I sat in my office, my phone rang and I was told by our secretary that a physician wanted to speak with me. I answered the call, and a pediatric nephrologist (kidney doctor) that I know told me that his new partner's wife would be having triplets that afternoon, and he wanted me to be aware. Because they would be premature, they would be admitted to the NICU. I thanked him for the information. As I thought about relaying the information to the charge nurse, the phone rang again. It was the secretary phoning to give me a "heads up" that we would be admitting triplets that afternoon. I thanked her for the information. I decided that it would be wise to inform those that would take part in the admissions of who the father of the babies was prior to the delivery. As I walked into the unit, the nurse practitioner attending deliveries for the day excitedly relayed to me that we were getting triplets, and that one of them "has a renal issue (kidney problem)". I said, "yes I know all about it. Want to know what the renal issue is?" Nods all around. "Their father is a nephrologist!" Two hours later, three beautiful healthy babies were delivered and admitted to the NICU due to mild prematurity.

4 comments:

  1. Hello,

    I wanted to let you know that I love reading your blog. I am a first year medical student, and I am very interested in going into neonatology. I am actually going to be doing research this summer at the NICU at Maria Fareri Children's Hospital. Please keep posting because I love hearing about the career and the day to day experiences.

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  2. I want you to know that love your blog! It is so interesting! I am hoping to be a neonatologist or pediatric emergency medicine physician in the future! I have one question:
    What is the best way to start a future og medicine in middle school?

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  3. Hi Emily,
    Thank you for the comment! I started this blog almost a year ago, and have really enjoyed putting some of my experiences down for others to share. I took a break for a while as I had a little one of my own at home, but I'm getting back to it again and it really is a great outlet for me. One thing that I've found is that it's a lot easier to keep up when you know that you've got people that are interested and reading what you write. So thanks again for your comment.
    Great for you on the research! you'll learn so much and position yourself very well to pursue what ever subspecialty you choose! I would continue to encourage you to do neonatology! let me know if I can help!

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  4. Hi Brian,
    Thanks for the comment! Sounds like you're getting started early! Good for you! Academics is by far the most important thing for you to focus on if you want to go into medicine. While medical schools don't really care about what grades you got in middle school or high school, good colleges do! Plus you're building a foundation of good study habits that will be quite useful in the future when there will be lots of distractions! So my advice to you is to keep up the good work, continue to explore by reading interesting materials about your areas of career interest. And have fun!

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