0
On My Mind |

Partnering Leadership

Chris Feudtner, MD, PhD, MPH
Arch Pediatr Adolesc Med. 2011;165(6):487-488. doi:10.1001/archpediatrics.2011.78.
Text Size: A A A
Published online

Extract

The red-haired infant rests on his mother's chest, his forehead tucked in the recess of her neck. The hospital room is quiet. With the lights off, only the gray morning glow from the northerly window illuminates the sleeping infant, but this suffices to reveal his head bobbing with the beat of his rapid breathing. He was born several months prematurely, and this is his third admission to our pediatric hospital. I am the attending physician, meeting him for the first time. As soon as my stethoscope touches his chest, my ears are filled with the din of crackles and wheezes. The hair around his forehead is damp with sweat, and the contours of his face are thin and sharply etched. Finishing my examination, I step back and sit in a nearby chair. His mother's eyes dart nervously from her son to me; she regards me warily. “I know what you're thinking,” she says. “You think he needs that operation, but he has nearly died so many times. I don't want it.”

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Topics
Jobs
brightcove.createExperiences();