4 days ago
I hardly ever wear scrubs outside of the operating room. it’s just me. i like wearing tailored fit clothes and y’all already know about my shoes. i enjoy looking professional and making a good first impression. i find that when i’m well dressed, i feel more confident and patients (or their parents) respond to me in kind. but very rarely, i will wear scrubs when i’m rounding in the neonatal intensive care unit. mainly because, let’s be honest, i hardly own any dress shoes without a 4 inch heel, and that’s not exactly conducive to walking around the hospital. so, what i do in the nicu?
in the nicu, i examine the retinas of the most premature babies, using this tool in my hand, the indirect ophthalmoscope. any baby who is born less 30 weeks gestational age (so, 2.5 months premature) and under 1500 grams, or 3.3 pounds, is at risk for developing retinopathy of prematurity, or rop. in advanced cases, rop can lead to a retinal detachment, so when it gets to a certain stage, laser surgery is recommended (like i did last month and posted after the fact) to try to prevent that from occurring. usually, i’m monitoring the development of the retina until it is fully mature, which doesn’t happen typically until the babies reach 38-40 weeks gestational age. the babies’ eyes are dilated with dilating drops before the exam.
i just finished my 2 month rotation block in the nicu. i feel very lucky to be able to care for these tiny miracles and enjoy my nicu rotation. i wore scrubs only twice and you know what one of the passing nurses said to me on one of those days, as she glanced at my sneakers? “aww, i wanted to see what shoes you were wearing today!” #nicu #doctorshoedown #prematurebaby