"Timeshock!" from the "Pro Pinball" series is a pinball table simulator released in 1997. There is only one model available for use in this game, which has been maximally refined and packed with many bonuses. His theme of this game is a journey through time. The main purpose of this game is to collect 5 crystals in which they will allow you to move to an unknown place in space-time, which will eventually end our adventure. Actually, each of the time zones has its own bonuses, tasks and music. The graphics in this game make a great impression for me despite the fact that it does not have the latest technical achievements, but it looks very detailed.
Hi there! I have a little sister who is interested in becoming a pediatrician, and altho you are not a pediatrician, you are some kind of doctor so I hope you don't mind me asking you some of her questions. 1) How do you get kids to stop crying 2) Best part of job 3) Worst part of job 4) Things you wish you knew when you first started. And if you're not up for questions, feel free to ignore. Thanks in advance!
Actually, I am a pediatrician! I'm just sub-sub-sub specialized past that, because the best way to avoid reality is to never leave school until they start telling you to pay your student loans already. TRIPLE-BOARD OR GO HOME
You've asked some pretty basic questions, but I'm going to be pretty honest with you, because although medicine lends itself well to admissions-essay platitudes and feel-good stories, real life can be messy!
1) Uh, kids stop crying when they damn well please. Crying is such a nonspecific and natural reaction - they're generally at the doctor because they're sick, and if you're young and scared and sick and some stranger is reaching for you, what the hell are you supposed to do? They're generally not old enough to swear at you yet.
What seems to work best is to just start out with talking to the parents first, and do all of that history-taking first. Then you just stay calm and focused on what you need to do, starting with least invasive examination maneuvers (listening to heart and lungs, etc) and leaving the most invasive ones (examining eyes, ears, and throat) for last. Letting the kid stay in their parents' lap is also reassuring. I see children with profound mental retardation and/or autism as well, and you just have to be patient and let them allow you to do what they will allow you to do, even if they're yelling NOT YOUR KNEE, MY KNEE when you want to check reflexes. You stay persistent, but also realize when discretion is the better part of valor and leave it be.
2) Well, it's nice to see happy, healthy children. It's also nice when what you did actually works and the parents and child are so grateful to be feeling better! Any return to a sort of normalcy is so profoundly reassuring. I also personally feel really satisfied when a family finally feels that they understand what the hell is going on with their child, even if it's nothing that can be fixed. Fear of the unknown is often worse than knowing for sure that something bad is going on.
In general pediatrics, you really do get to be the first line against serious illness, which is kind of heroic and satisfying in its own way. I still remember my own pediatrician, who was a tiny no-nonsense MD-PhD who was probably practicing back in the Bronze Age and who had seen EVERYTHING.
People who go into pediatrics tend to figure it out pretty quickly when they start spending time on pediatrics rotations. I haven't met people who equally loved working with adults and with children. I myself didn't at all anticipate going into pediatrics and wouldn't call myself someone who has always been good at dealing with children my entire life, but once I started doing it, I guess it felt relatively comfortable. Whereas with adults I'm like, jesus christ get your shit together, hahahaha.
3) Well - my particular flavor of pediatrics is pretty intense, and leads to a lot of grim situations. I see a lot of inescapable tragedies, and some of the the worst of humanity. That's tough, and that's not what most pediatricians would see, so I wouldn't take this as a warning against pediatrics, or even medicine. I wouldn't trade my job for the world, but it's not for everyone, and there's a lot to get used to before you can really help some people you see.
For example, recently I saw a patient for a second opinion, and it was a teenager with severe autism and seizures. The parents were great, with such organized notes on the child's past treatment. So I sat down with them and went over the history, and the half-dozen medications the child been on, and why we should probably change what the child was taking to improve the side effects the child was having, and what to do in case of a severe seizure in case the child ever had one, and whether to get new brain imaging, and whether to do more blood tests, and what we knew about autism in general, and what we knew about epilepsy, and what symptoms the parents should watch out for, and so on and so forth. So we made a plan together, and then it came time to examine the teenager, and they were afraid, and kept shrinking back and yelling GO AWAY, I DON'T LIKE IT and hitting themselves in the face to express their agitation. So I waited, and asked their permission to do each thing I needed to do, and asked them where they wanted me to start, and it took about twenty minutes to slowly do a piecemeal exam, with the help of a favorite stuffed animal and some deep breathing, but by the end the teenager was willing to allow me to examine them.
When my nurse went in afterwards, she said the mom was teary-eyed because she was so thankful someone took the time to explain things to them and to be patient with their frightened child. And that was kind of sad to me, because people with special needs get such terrible medical care if they have no access to someone who is familiar with or comfortable with their needs!
Other sad parts of the day is when I have to explain to the parents of intellectually disabled and/or nonverbal women that their daughters are at astronomical risk of rape or abuse because they can't stop anyone, wouldn't know to stop anyone, and if they can't speak, they can't tell.
ALL THAT ASIDE, if you don't help families with the worst parts of their lives, who will?
4) Things I wish I'd known when I'd first started: phew, medical school is a mental and physical boot camp, and although it's immensely strenuous, it's absolutely worth slogging through the profound sleep deprivation and ridiculous shifts and impossible volumes of information. They've also changed the laws, so no more 30-hour shifts!
People have to carefully examine their motivations for becoming a doctor, because a lot of the usual positive reinforcements (gratitude, regular sleep hours, respect) aren't always there anymore. Good doctors are generally willing to do without all that in order to do the right thing, but that's kind of rough, of course. If anyone is considering becoming a doctor, shadowing really I think is a good way to see what it's like nowadays. I've had both high school students and first-year med students shadow me, and it's sort of a giggle to watch them dutifully write down what I'm saying.
I always welcome questions like this, but it's also why I have to be cautious about certain memes I get tagged on because although I'm probably relatively easily found if you try a little, I'd really rather not cross the streams and keep my shitposting on tumblr away from my 12-hour workdays, you get what I'm saying?
If your sister wasn't totally horrified by this and has more questions, I'm happy to answer them.
