Momwithastethoscope's Weblog

September 30, 2009

Loving Pediatric Medicine – the anti-rant

Filed under: Marriage,Office,pediatrics,positive medicine,Uncategorized — momwithastethoscope @ 10:02 pm
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Reason Number 30:  Spouse Support

The saying goes that it takes a village to raise a child.  A physician also needs the support of a village to do the job of medicine.  Running a pediatric practice is an on-the-job MBA.  Medical school and residency taught me many things, but accounting, marketing,  public relations, employment law, OSHA and CLIA regulations were not part of my curriculum. 

My husband in the yin to my yan, the peas to my carrots, the sunrise to my sunset, and the bass to my soprano.  His education was about all those things I’ve learned through experience.  In his former life, he ran a “village”.  Our strengths compliment each other in the business. So it was natural to ask him to run the operations/management/administrative side of my practice. 

Working together is not a cakewalk.  The division of responsibilities is dynamic.  I’ve stepped on his toes and he’s stepped on mine, and despite our best intentions work comes home with us from time to time.  Our tendency is to take shifts both at home and when the office needs our attention outside of our usual 9-5.  That flexibility enables him to do pick-ups at school, errands for home and office simultaneously, and meet the washing machine repairman.  Sometimes he’ll work after the kids go to bed when all is calm and quiet. 

My spouse is the extrovert of the two of us which is ironic since he spends most of his day at his desk filing insurance claims, keeping me and my partners on track with CME, credentials, and scheduling, and juggling all tasks that happen behind the scenes.  It’s a treat to hear him talking to patients and parents when he’s able.  He’s patient, kind and positive.  He gives our office a flow of happy energy even when we’re giving shots and tending to lots of sick children. 

At the end of the day, I enjoy the debriefing and stories we share.    Even the days when I’m irritated with him, I know he has my back, our vision for the business is similar, and how hard we both work to pull this all off.

September 28, 2009

Loving Pediatric Medicine – the anti-rant

Filed under: Office,pediatrics,positive medicine — momwithastethoscope @ 7:02 am
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Reason Number 28:  Rashes

My new partner makes me chuckle every time she reaches for Hurwitz‘s Clinical Pediatric Dermatologytextbook or Krowchuk’s Pediatric Dermatology.  With ardent effort, she tries to match reality with textbook – no small task.   Since skin is the largest, most visible organ, rashes are bread and butter pediatrics, and no two are ever alike.   Despite the intensity of pediatric training, outpatient dermatology training takes a backseat to other maladies.  New pediatricians usually get their training on the job, and with experience become proficient in treating this common complaint.

Dermatology fascinates me for six reasons:

1.  Disease is visible to the naked eye or touch – no microscope, lab test, CT scan needed

2.  Parents can determine whether the malady is getting better from observation.

3.  Treating skin disease also treats self-esteem in some cases. Example:  acne vulgaris

4.  I love the language of dermatology – molluscum, papulosquamous, acanthosis nigricans

5.  Pediatric rashes can be clues to other disease

6.  Each new rash is a chance to learn another variation on dermatology.

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