Pediatric Residency Newsletter: Week of 4/14-4/18

All conferences are in 151 unless otherwise specified.

MONDAY, April 14th
8A: Intern Report in the Resident Library, for interns and medical students, Steph will run this like a senior report so bring interesting cases (you guys are so close to being done with intern year)
Senior Report in Hasbro 151 - discussion of interesting cases from the previous week with the senior residents on the wards and in urgent care
12P: Proteinuria/Nephrotic Syndrome by Dr. Faizan

TUESDAY, April 15th
8A: Clinical Case Presentation by Jaclyn Kline, Pediatrics Chief Resident
12P: Resident Session with Emily Katz

WEDNESDAY, April 16th
8A: Faculty Meeting/Coffee with the Chiefs in the Resident Library
12P: Kawasaki Syndrome by Dr. Lombardi

THURSDAY, April 17th
8A: Clinical Case Presentation by Kristina Nazareth, PGY3 Teaching Resident
12P: Primary Care Series/Micropractices (in specified locations)

FRIDAY, April 18th
8A: GRAND ROUNDS - Evening the Odds: Longterm Benefits of Randomized Controlled Trials for Low Birthweight Infants by Dr. Stephen Buca, Sc.D; Professor and Chair, Department of Epidemiology; Director, Center for Population Health and Clinical Epidemiology
Brown University School of Public Health
12P: Klein Dine

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Announcements:

1) From Brian Alverson, the evidence behind why RVPs are not useful in treatment of patients with bronchiolitis:
1. In the 2006 AAP guideline, the authors recommended against routine viral testing in kids with bronchiolitis.  The 2014 guideline will now eliminate the word “routinely” and just say not to do it.
2. In healthy infants, more than 1 in 4 will test positive for a virus on the RVP.  Tests are positive for a month after illness, so you don’t know if the virus you’re testing for is the one the infant has. (Jansen, 2011)
3. Identity of virus does not tell you anything about management.  We treat them all the same. No study has ever demonstrated utility of the RVP in any predictive manner or has shown benefit of the test.
4. 60-70% of infants will test + for RSV, and those kids might stay longer, but the management of infants with b’litis is unchanged based on viral identity. (Mansbach 2008, 2012; Garcia 2010)
5. The RVP costs over $100.  We see about 500 patients per year in the inpatient setting (and countless thousands in the outpatient setting).  In the inpatient setting that adds up to 50,000.  But only 1% of infants who get b’litis are hospitalized.  The cost of testing all infants in RI would likely be about $5 million (not that we do that, but it sounds more dramatic this way).
6. It might be reasonable to get the test, but before you get it you should ask yourself: “will this change my management?”  Maybe an infant who you’re thinking of sending home early from a rule-out-sepsis?  But remember, there’s a 1 in 4 false positive rate!
7. The utility of “tracking what virus is happening when” in Rhode Island has not been demonstrated to be a useful practice.
8. Testing to determine anti-viral treatment would typically be limited to influenza. In that case, get the rapid flu test, which is much cheaper.  There is probably utility to testing and treating in children who are medically complicated or who have known asthma (outside the age of bronchiolitis).  However, in previously healthy children, rates of influenza infection have been low (<2%) in hospital-based studies of infants with bronchiolitis (Mansbach 2008, 2012; Garcia 2010), and the data behind benefit of Tamiflu is VERY sketchy.  The most recent Cochran (released yesterday!) concluded:
“Oseltamivir and zanamivir have small, non-specific effects on reducing the time to alleviation of influenza symptoms in adults, but not in asthmatic children. Using either drug as prophylaxis reduces the risk of developing symptomatic influenza. Treatment trials with oseltamivir or zanamivir do not settle the question of whether the complications of influenza (such as pneumonia) are reduced, because of a lack of diagnostic definitions. The use of oseltamivir increases the risk of adverse effects, such as nausea, vomiting, psychiatric effects and renal events in adults and vomiting in children. The lower bioavailability may explain the lower toxicity of zanamivir compared to oseltamivir. The balance between benefits and harms should be considered when making decisions about use of both NIs for either the prophylaxis or treatment of influenza. The influenza virus-specific mechanism of action proposed by the producers does not fit the clinical evidence.” (Jefferson 2014).

2) As a follow up to a case we discussed re: testing for IgA when you test for celiac disease, "once you have an IgA (~>10), there's no need to repeat it unless there a concern for a PLE and the kid could be losing immunoglobulins."  Thanks Dr. Maule for the follow up!

3) From Dr. Padbury -- Dear Colleagues: A new Insights and Images Quiz is available on the homepage ofwww.jpeds.com.  The next Insights and Images quiz will be posted on April 22.  Inactive quizzes will be archived under the Collections tab onhttp://www.jpeds.com/content/pollresultspage.
You also can sign-up to receive free Table of Contents and Article in Press e-mail alerts from The Journal of Pediatrics by logging in or registering athttp://www.jpeds.com/user/alerts/savetocalert.

4) From Dr. Laptook:
The NICU Case Management and Melissa O’Donnell met with Don Wright from MedImmune yesterday to discuss the new Synagis project, starting next Monday, April 14.
The CMs will approach parents/guardians of eligible babies to offer them programs offered by MedImmune. The first is “Transition of Care,” for the purpose of follow-up compliance with Synagis. The second is “MedImmune Access 360,” which helps parents understand the financial aspects of the med. The third is “Cradle with Care,” which is designed to educate about RSV and Synagis. If interested, the parents can sign up for any or all of these programs. Case Management will keep the documents and Don Wright will pick them up every 2 weeks and bring them to the physician’s office.
We wanted to give you an opportunity to inform the residents, fellows, nursing staff about this project, so that if any parents ask about it, staff would be aware and can refer questions to case management.
We will reassess this program in 3 months (7/14) to determine the interest/concerns of the parents or any issues that may present themselves.  Please feel free to contact Susan Amalfitano, samalfitano@whiri.org, with any questions.

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Local Weekend Events:
Saturday, April 12th
Camouflage Egg Hunt, Bristol
9:30am–11:00am. Environmental Education Center, 1401 Hope Street. Children ages 3 to 10 set out in search for brown eggs and quickly realize how well they camouflage in the natural world. Bring a basket. $5 per member child; $7 per non-member child. (401) 949-5454 x3041; www.asri.org.

Sunday, April 13th
Egg Hunt Safari, Providence
11:00am–3:00pm. Roger Williams Park Zoo, 1000 Elmwood Avenue. Bring the whole family to the Zoo for a fun Egg Scavenger Hunt. Follow the clues to different locations in the Zoo to collect your eggs, then redeem them for a great prize. Other spring-themed activities take place throughout the day. Free with Zoo admission. (401) 785-3510; info@rwpzoo.org; www.rwpzoo.org.

All Weekend
Visits with the Easter Bunny, Providence
10am-12pm and 1-4pm. Roger Williams Park Zoo, 1000 Elmwood Avenue. Hop along the bunny trail to the Big Backyard Treehouse where you can take your very own picture with the Easter Bunny, and even take home an eco-friendly craft! Zoo visitors can purchase tickets at the main Zoo entrance, or as they enter the event. Children 3-12, $10; age 0-2, $5; in addition to regular Zoo admission. (401) 785-3510; info@rwpzoo.org; www.rwpzoo.org.
Daffodil Days, Bristol
10:00am–4:00pm. Blithewold Mansion, Gardens, and Arboretum, 101 Ferry Road. Springtime returns to the shores of Narragansett Bay with a spectacular display of more than 50,000 daffodils adding to the breathtaking views at this thirty-three-acre garden estate. View floral displays and exhibits in the mansion, and Tuesday through Friday, enjoy afternoon tea in the dining room. Guided and self-guided tours available. (401) 253-2707; info@blithewold.org; www.blithewold.org.

Thursday, April 17th**
Providence Gallery Night, Providence
5:00pm–9:00pm. Various venues. Hop a free Art Bus and visit more than two dozen galleries, museums, and historic sites. Free parking at select locations. (401) 751-2628;www.gallerynight.info.

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Restaurant of the Week:
Broadway Bistro
205 Broadway, Providence
401.331.2450
www.broadwaybistrori.com

and for those who like Yelp: http://www.yelp.com/biz/broadway-bistro-providence

Pediatric Residency Newsletter: Week of 4/7 to 4/11

All conferences will be in 151 unless otherwise specified.

MONDAY, April 7th 
8 AM: Intern Report in the Resident Library led by Stephanie Tecun, Pediatric Chief Resident
Senior Report in Hasbro 151 - discussion of interesting cases from the previous week with senior residents on the wards and in urgent care clinic
12 PM: Liver Disease & Failure by Dr. Neimark*

TUESDAY, April 8th
8 AM: Clinical Case Presentation by Kristina Nazareth, PGY3 Teaching Resident
12 PM: Global Health Conference - Injury Prevention/Trauma by Dr. Devin Kato (Global Emergency Medicine Fellow) in the George Auditorium

WEDNESDAY, April 9th
8 AM: Clinical Case Presentation by Stephanie Tecun, Pediatric Chief Resident
12 PM: Pediatric Dental Conference by Dr. DuPont

THURSDAY, April 10th
8 AM: Clinical Case Presentation by Kristina Nazareth, PGY3 Teaching Resident
12 PM:Primary Care Micropractice Meetings - in specified small group locations

FRIDAY, April 11th 
8:30 AM - GRAND ROUNDS - Teeth First!  How Pediatricians Can Promote Early Dental Visits and Improve the Oral Health of Very Young Children in Rhode Island by Anna Abrahamian, DMD; Chief Resident, Advanced Education in Pediatric Dentistry Program, Lutheran Medical Center, St. Joseph's Pediatric and Family Dental Center and Jill Beckwith, MPH; Deputy Director, RI Kids Count, Providence 
12 PM: Clinic Improvement Committee Meeting

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Announcements:
1) As a follow up to the mock code that was done last Thursday where a scissor was used to remove the lock from the bedside equipment box - all the locks were double checked and they have safety locks which can be removed by twisting.  A scissor is not needed.
2) We received the following articles:
Karen Maule brought in an article from Contemporary Pediatrics "Self-Injury: Why teens do it, how to help."  It was a topic that residents were interested in discussing. Please see the link below for the full article and if that doesn't work, we have the hard copy in our office.
http://contemporarypediatrics.modernmedicine.com/contemporary-pediatrics/news/self-injury-why-teens-do-it-how-help
Brian Alverson sent us the following article which we found an interesting read and so wanted to share, please see attached document.
Brian and Adam teamed up and sent us these links:
http://www.choosingwisely.org/doctor-patient-lists/american-academy-of-pediatrics/
http://www.choosingwisely.org/doctor-patient-lists/society-of-hospital-medicine-pediatric-hospital-medicine/
3) As a follow up to yesterday's noon conference about Pediatric HIV Guidelines - in order to review the latest guidelines, look at the ongoing clinical trials and review medications, please visit http://www.aidsinfo.nih.gov/
4) From Dr. Goldberg - Last chance to register for the Day One 5K Run/Walk to End Sexual Violence (event date - April 5th)
"April is Sexual Assault Awareness Month.  You can make a difference.  Register today at www.dayone5K.com."  Please watch the following video to see how college students are taking action.  Consider donating if you're unable to come.  http://www.youtube.com/watch?v=MOyOWVqyCvE

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Local Weekend Events
Saturday, April 5th
Daffodil Days, Bristol
10:00am–4:00pm. Blithewold Mansion, Gardens, and Arboretum, 101 Ferry Road. Springtime returns to the shores of Narragansett Bay with a spectacular display of more than 50,000 daffodils adding to the breathtaking views at this thirty-three-acre garden estate. View floral displays and exhibits in the mansion, and Tuesday through Friday, enjoy afternoon tea in the dining room. Guided and self-guided tours available. (401) 253-2707; info@blithewold.org; www.blithewold.org.

Murder at the Museum, Newport
Begins at 7:00pm. Newport Art Museum, 76 Bellevue Avenue. Take part in "Something Wicked This Way Comes," an entertaining and interactive murder mystery set in circa 1893 Newport. Staged by the Marley Bridges Theatre Company. Members: $15/adult, $8/17 and under; non-members: $25/adult, $15/17 and under; reservations recommended. (401) 324-9436;www.newportartmuseum.org.

Veronica Meadows, Providence (playing 4/3 to 5/4)
Girl detective Veronica Meadows and her gal pal Ginny have been sleuthing and solving small town crimes for as long as anyone can remember. Time and time again, they stop the evil-doers in their tracks and heroically save the day. That is, until the day our plucky girl detective stops following her predicable habits and takes a dangerous turn into the unknown. A darkly comic gem from Stephen Thorne, resident actor and playwright of The Completely Fictional— Utterly True — Final Strange Tale of Edgar Allan Poe, which premiered at Trinity Rep and recently played at Baltimore’s CENTERSTAGE. “Thorne can write lines that sing, startle and amuse.” (Baltimore Sun)
http://www.trinityrep.com/box_office/on_stage/vm.php

Sunday, April 6th
13th Annual Brown University Spring Thaw PowWow, Providence
11:30am–7:00pm. Pizzitola Sports Center, 241 Hope Street. Hosted by the Native Americans at Brown, event includes dancing, drumming, native food, arts and crafts, and socializing. (518) 265-9400; nativesatbrown@gmail.com; students.brown.edu/native-americans/home.

The Diary of Anne Frank (playing 3/26 to 4/13), Providence
Ocean State Theatre presents the Pulitzer Prize and Tony® Award-winning play, The Diary of Anne Frank, a beautiful story from one of the darkest periods in history.
http://www.oceanstatetheatre.org/tickets/the-diary-of-anne-frank/

Providence Bruins vs. the Portland Pirates, Providence
Come see the Providence Bruins take on the Portland Pirates tonight at The Dunk!  Game starts at 3:05PM.  http://www.dunkindonutscenter.com/providence-bruins-vs-portland-pirates-8/

Thursday, April 10th* (so you can plan ahead)
Newport Gallery Night, Newport
5:00pm–8:00pm. Various venues. Art exhibits at galleries include handblown glass, woodblock prints, award-winning photography, international handcrafts, and fine arts. Many of the galleries host opening receptions, and introduce artists and new exhibits on Gallery Night. Free admission to all galleries; free parking at Newport Visitors Information Center, 23 America's Cup Avenue, or Newport Art Museum, 76 Bellevue Avenue. (401) 848-0550; info@newportgalleries.org;www.newportgalleries.org.

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Restaurant of the Week
Newport Restaurant Week, April 4th to 13th
It's Spring & Newport Restaurant Week.  Please see the link below for participating restaurants, 3 course lunch for $16 and 3 course dinner for $30.

http://www.discovernewportrestaurantweek.org/

Pediatric Residency Events: Week of 3/31 to 4/4

All conferences are held in 151 unless otherwise stated. 

Monday, March 31st
8A: Intern Morning Report in the Resident Library, led by Mariann Nocera, Pediatric Emergency Medicine Fellow
Senior Report in Hasbro 151 - discussion of interesting cases from the previous week with senior residents on the wards and in urgent care clinic
12P: ECMO by Dr. Muratore

Tuesday, April 1st 
8A: CPC Conference, led by Jen Brondon, PGY3 Teaching Resident
12P: Intern Time Out in the Resident Library, led by Emily Katz, MD

Wednesday, April 2nd 
8A: Evidence Based Medicine Conference led by the ward seniors
12P: HIV by Dr. Alexander-Scott

Thursday, April 3rd 
8A: Clinical Case Conference, led by Jenn Mileikowsky, PGY3 Teaching Resident
12P: Primary Care Micropractice Meetings - in specified small group locations

Friday, April 4th
8:30 A - GRAND ROUNDS - Stress and Asthma Risk: Implications for Optimal Management by Gailen Marshall, Jr. MD, PhD; Professor of Medicine and Pediatrics, Director, Division of Clinical Immunology and Allergy at the University of Mississippi Medical Center
12P: RIC is cancelled 

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Announcements:
1) from Health Connections: Pertussis Advisory: The Rhode Island Department of Health (HEALTH) Division of Infectious Disease and Epidemiology has received reports of pertussis outbreaks at schools in multiple communities, including the Moses Brown School in Providence (5 cases), Cole Middle School in East Greenwich (7 cases), and Randall Holden Elementary School in Warwick (4 cases). The following communities have also reported sporadic cases in school and household settings: Bristol, Central Falls, Hopkinton, Johnston, Lincoln, North Providence, Providence, Smithfield, Tiverton, and Pawtucket. Read the complete advisory. 
2) From the GME office - First lecture of the GME Quality & Safety Conference Series is scheduled for Monday, March 31st at 5:30PM in the Hasbro Collis Conference Room.  Dr. Jerry Carino, Assistant Director of Graduate Medical Education will be speaking about “Understanding Medical Errors”.  All residents and fellows are welcome to join.  A light dinner will be served.  Please RSVP to Deb Gomes at dgomes@lifespan.org or call 444-8704.
3) From the Resident Leadership in Medical Education, there is an inter-disciplinary journal club on Wednesday, April 2nd at the medical school (room 386). 
4) From Dr. Goldberg - Day One 5K Run/Walk to End Sexual Violence (event date - April 5th)
"April is Sexual Assault Awareness Month.  You can make a difference.  Register today at www.dayone5K.com."
Please watch the following video to see how college students are taking action.  Consider donating if you're unable to come.  
5) From Dr. Shapiro, in follow-up to Wednesday's noon conference, the article files are a bit big, but here are the names of some articles he referenced, for those who are interested (also coming soon to a Google Drive near you):
The Worm Returns - on using parasitic worms to treat IBD
The Ultimate Social Network - on the microbiome
The Microbiome in IBD: Current Status and the Future Ahead

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Local Weekend Events:
Saturday, March 29th
Annual Easter Egg Hunt, Glendale, Burrillville
Begins at 11:00am. Branch River Park, 2220 Broncos Highway. The Easter Bunny will visit with youngsters, and prize winning eggs in each age category will be given to Burrillville residents age eight and younger. Children who participate in the Egg Hunt should bring a basket or pail to collect eggs. Foul weather date: April 5. (401) 568-9470parksandrec@burrillville.org;www.burrillville.org.

Mad Hatter Tea, Warren
Seatings at 12:30 and 3pm. Maxwell House, corner of Church and Water Streets. The tea menu consists of scones, tea sandwiches, and desserts. Mad hats encouraged but not required. $15 donation requested; reservations must be made in advance. (401) 245-0392;www.massasoithistorical.org.

Irish Bayerisch Fest, Pawtucket
1:00pm–11:59pm. German American Cultural Society, 78 Carter Avenue. A celebration of Celtic and German cultures! Folk music and dancing in the afternoon, rock at night; Irish and German food, beer, and vendors. Adults, $10, day of; $8 in advance; $5 after 8pm; members, half price; under 18, free; proceeds benefit the Schubert-Lorelei Sangerchor. (401) 871-2113; www.gacsratskeller.org.

Sunday, March 30th 
11th Annual Souther NE Women's Expo at Twin River (100 Twin River Road, Lincoln RI) - Sorry gentlemen
Saturday: 1:00 PM - 6:00 PM
Sunday: 11:00 AM - 4:00 PM
Tickets: $18
Ladies, don't miss the 11th Annual Southern New England Women's Expo this weekend at the Twin River Event Center! 


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Restaurant of the Week:
Ebisu
38 Pontaic Avenue, Providence

A Japanese restaurant with a sampling of entrees and noodles.  If you’re looking for something different, Ebisu’s menu is unlike much else you’ll find within the confines of RI. The knowledgeable staff and talented chefs make this a 5 star experience at very affordable prices.

For those of you who like Yelp: http://www.yelp.com/biz/ebisu-providence

Pediatric Residency Events Week of March 24-28

All conferences are in 151 unless otherwise specified.


Monday March 24
8am: Intern Report - in resident library - for interns and med students, Jaclyn will run this like senior report, but for the interns, as it's getting closer to when you will be seniors :), so bring interesting cases
Senior Report - in Hasbro 151 - discussion of interesting cases from the past week with the senior residents on the wards and urgent care
12pm: Adrenal Disorders - Dr. J.B. Quintos

Tuesday March 25
8am: Clinical Case Discussion, Jana Cable, PGY3 Teaching Resident
12pm: Cystic Fibrosis - Dr. Nico Vehse

Wednesday March 26
8am: Discussion of Cases and DCYF Referral - Child Safe fellows and faculty
12pm: Inflammatory Bowel Disease - Dr. Jason Shapiro

Thursday March 27
8am: Clinical Case Discussion, Jen Brondon, PGY3 Teaching Resident
12pm: Primary Care Micropractice Meetings - in specified small group locations

Friday March 28
8:30am: GRAND ROUNDS – One in a Million: Chylomicronemia Syndrome - Shara Bialo, MD Sungeeta Agrawal, MD, Pediatric Endocrinology Fellows, The Warren Alpert Medical School of Brown University
12pm: Primary Care Track Meeting - in Hasbro 151
 

Announcements:
1. As follow-up to our discussion on button-battery ingestions on Tuesday: 
www.poison.org/battery/ - there is an evidence-based treatment guideline on this website
202-625-3333 - 24/7 hotline
thebatterycontrolled.com/ - advocacy website
And advocacy is super important because button battery packaging and products (remote controls which kids love to play with) are NOT child proofed and reporting can help improve product safety. It's a good idea to tell parents to remove the batteries from the remote or to at least duct tape them shut. The 20-mm 3-V battery gets stuck most often at the cricopharyngeal angle of toddler boys. Smaller batteries can also cause tissue necrosis when stuck in noses and ears. 2 hours from ingestion to removal is an incredibly short time window, so the best treatment is prevention!
2. From Dr. VanVleet, a newsletter about empowering fathers as breastfeeding support, to help better serve infants in our care: https://www.cvent.com/Pub/eMarketing/Pages/WebEmail.aspx?emstub=bce2a1ff-9d26-4e5c-bf64-b6d2e1078454
3. From Dr. Padbury - The March Current Best Evidence section is now available at http://jpeds.com/content/societyCollectionCBE.  This feature is published every two months in The Journal of Pediatrics and covers recent, interesting papers in pediatrics.  Older issues are available on the website at www.jpeds.com.  You can also sign-up to receive the Table of Contents from The Journal on a monthly basis at http://www.jpeds.com/user/alerts/savetocalert


Local Weekend Events:

March 21-23
Oliver! LIVE @ Trinity Rep, 201 Washington St. Providence, RI 
Showtimes & Ticket Prices Vary - Come see a live performance of Oliver! in the Chace Theater at Trinity Rep! Book, music and lyrics by Lionel Bart. Directed by Richard and Sharon Jenkins.

March 21
Providence Bruins vs Hershey Bears @ Dunkin Donuts Center, 1 La Salle Sq. Providence, RI
Time: 7:05 PM, 
Tickets: $24 - $38 - 
Come see the Providence Bruins take on the Hershey Bears tonight at The Dunk! 

March 22
Patton Oswalt LIVE @ Edwards Auditorium - URI 
 64 Upper College Rd, University of Rhode Island, Kingston, RI
Time: 8:00 PM, 
Tickets: $20 GA | $10 URI Students - 
 
Come see Patton Oswalt perform live tonight at URI's Edwards Auditorium tonight! This comedy show also features Myo Oswalt. 

Restaurant of the Week:
Restaurant Weeks Continues in Boston 3/23-3/28 - http://www.restaurantweekboston.com/

Pediatric Residency Events: Week of 3/17-3/21

Next week is an event packed week - St. Patrick's Day kicks it off and Match Day closes the week.  We'll know after lunch on Friday, who will become part of our pediatric residency class of 2017.

All conferences are in Hasbro 151 unless otherwise specified.

Monday March 17th
8A: Intern Report in the Resident Library - discussion with Jana Cable, PGY3 Teaching Resident
Senior Report in Hasbro 151 - discussion of interesting cases from the previous week with senior residents on the wards and in urgent care clinic
12P: Journal Club, led by Jana Cable, PGY3 Teaching Resident (**article attached**)

Tuesday March 18th
8A: Clinical Case Presentation by Stephanie Tecun, Pediatric Chief Resident
12P: Leukemia/Lymphoma by Drs. Denardo & Welch

Wednesday March 19th
8A: Faculty Meeting/Coffee with the Chiefs
12P: Chest Pain and Syncope by Dr. Ziegler

Thursday March 20th
8A: M&M in the George Auditorium
12P: Primary Care Micropractice Meetings - in specified small group locations

Friday March 21st
8:30A: GRAND ROUNDS – Transforming Education in Rhode Island, presented by Deborah A. Gist, Ed.D, Commissioner of Elementary and Secondary Education of the state of Rhode Island & Susan Lusi, PhD; Superintendant of Providence Schools
12P: Klein Dine

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Announcements:
1) Please note that there is a scheduled network downtime for Monday, March 17th between 1:15A to 4:15A.  During this time, there will be limited communication between Rhode Island Hospital and the Lifespan Call Center.  This means that no text messaging will be available for Rhode Island Hospital's notifications, only numeric messages can be sent.  The Rhode Island Hospital Emergency Line (ext 45111) will be down. Dial "0" for all emergencies & codes.  To reach the Lifespan Call Center, dial "0."
2) From Dr. Goldberg - Day One 5K Run/Walk to End Sexual Violence
"April is Sexual Assault Awareness Month.  You can make a difference.  Register today at www.dayone5K.com."
Please watch the following video to see how college students are taking action.  Consider donating if you're unable to come.  
3) From Dr. Padbury - A new Insights and Images Quiz is available on the homepage ofwww.jpeds.com.  The next Insights and Images quiz will be posted on March 25.  Inactive quizzes will be archived under the Collections tab onhttp://www.jpeds.com/content/pollresultspage
You also can sign-up to receive free Table of Contents and Article in Press e-mail alerts from The Journal of Pediatrics by logging in or registering athttp://www.jpeds.com/user/alerts/savetocalert.

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Local Weekend Events
TONIGHT!  
Newport Gallery Night, Newport
5:00pm–8:00pm. Various venues. Art exhibits at galleries include handblown glass, woodblock prints, award-winning photography, international handcrafts, and fine arts. Many of the galleries host opening receptions, and introduce artists and new exhibits on Gallery Night. Free admission to all galleries; free parking at Newport Visitors Information Center, 23 America's Cup Avenue, or Newport Art Museum, 76 Bellevue Avenue. (401) 848-0550info@newportgalleries.org;www.newportgalleries.org.

Saturday, March 15th
58th Annual Saint Patrick's Day Parade, Newport
Begins at 11:00am. Parade begins at City Hall, 43 Broadway, and continues through Washington Square to Thames Street and ends at Augustine's Church. Find your best green attire, keep your eyes open for leprechauns, and join in the revelry to celebrate St. Patrick's Day in Newport! Rain, snow, or shine. (401) 845-9123 or (800) 976-5122JBailey@GoNewport.com;www.newportirish.com.

Murder at the Museum, Newport
Begins at 7:00pm. Newport Art Museum, 76 Bellevue Avenue. Take part in "Something Wicked This Way Comes," an entertaining and interactive murder mystery set in circa 1893 Newport. Staged by the Marley Bridges Theatre Company. Members: $15/adult, $8/17 and under; non-members: $25/adult, $15/17 and under; reservations recommended. (401) 324-9436;www.newportartmuseum.org.

The Pirates are Coming!, Smithfield
1:00pm–4:00pm. Smith-Appleby House Museum, 220 Stillwater Road. Encamped outside the house, and dressed and in character as seventeenth-century pirates, members of the Rhode Island Pirate Players will educate visitors with demonstrations about what life was really like for pirates and privateers 300 years ago—as well as entertain guests with rousing sea shanties and even an occasional duel. Adults, $5; children 12 and under, free. (401) 231-7363;contact@smithapplebyhouse.orgwww.smithapplebyhouse.org

Sunday, March 16th
Kitchen to Table Exhibit, Warwick
1:00pm–3:00pm. Clouds Hill Victorian House Museum, 4157 Post Road. Showcasing the preparation and presentation of food at Clouds Hill over the years, from formal table settings to picnic baskets—menus, recipes, cooking utensils, and the elements of presentation draw you into the simple act of eating. Adults, $12; seniors $10. (401) 884-9490; www.cloudshill.org.

Celebrating the Trees of Swan Point Cemetery, Providence
Begins at 2:00pm. Swan Point Cemetery, 585 Blackstone Boulevard. Landscape horiticulturist Warren Leach will take you on a visual tour of Swan Point's arboreal gems and translate their ornamental attributes and use into the scale of your home garden to create year-round beauty. (401) 272-1314 x309; anitav@swanpoint1846.com; swanpointcemetery.com.

Thursday, March 20th (as a heads up, will include in next week's Newsletter)
Providence Gallery Night, Providence
5:00pm–9:00pm. Various venues. Hop a free Art Bus and visit more than two dozen galleries, museums, and historic sites. Free parking at select locations.(401) 751-2628;www.gallerynight.info.

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Restaurant of the Week:
We all enjoy food so wanted to share that it's Restaurant Week in Boston from 3/16 to 3/21 and 3/23 to 3/28 (not sure why 3/22 is not included).  

Pediatric Residency Events: Week of 3/10-3/14

Pediatric Residency Events Week of 3/10-3/14

All conferences are in Hasbro 151 unless otherwise specified.


Monday March 10
8am: Intern Report in the Resident Library - discussion with Jennifer Brondon, PGY3 Teaching Resdient
Senior Report in Hasbro 151 - discussion of interesting cases from the previous week with senior residents on the wards and in urgent care clinic
12pm: Wound Care/Suturing Lab - Dr. Lockhart, Dr. Valente, and Dr. Lewander

Tuesday March 11
8am: Presentation on Their Experience in Haiti - Kahleb Graham, Triple Board PGY2, Allison Lemkin, Categorical Pediatric PGY2
12pm: Global Health Noon Conference - George Auditorium

Wednesday March 12
8am: Clinical Case Presentation by Jennifer Brondon, PGY3 Teaching Resident
12pm: ALTE - Dr. Coghlin

Thursday March 13
8am: Clinical Case Presentation by Jana Cable, PGY3 Teaching Resident
12pm: Primary Care Micropractice Meetings - in specified small group locations

Friday March 14
8:30am: GRAND ROUNDS – Pediatric Transplantation and Tolerance, Reza Saidi, MD, Assistant Professor of Surgery, The Warren Alpert Medical School of Brown University
Noon: Primary Care Clinic Practice Improvement Meeting - Potter 203

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Announcements:
1. Of note, the pediatric CT will be down for maintenance on Thursday 3/13 from 8A to 2P (approx times).  Emergent exams will be performed in the Anderson ED or main radiology.  
2.  For the residents - As discussed previously, sign out for the patients on the eating disorder team has changed.  Please see the attached form which will be used as the weekend template for the "most critical updates" for the patients on the eating disorder team.  Thanks for you all your hard work in taking care of these patients. 
3. As follow-up to Dr. Matt Willis' comments at morning report on Tuesday.  For patients on 6 green, if they are placed in restraints, they will need to be evaluated by a physician within 1 hour of the restraints being placed.  As pediatric residents, it is not our responsibility to make decisions about restraining patients, or about when to remove them.  However, if you are called overnight, please evaluate the patient write an event note commenting that you have assured that the restraints are properly in place and not impeding the patient's breathing or causing physical harm.
4.  The MedPeds Primary Care Clinic has moved, and is having an open house at their new site on Tuesday March 11, 2014 from 5:30-6:30pm at their new clinic at 245 Chapman Street, Suite 100, Providence, RI 02905.  The Ribbon Cutting will be at 5:45pm.  Come out and check out the new clinic space!
5.  From Dr. Goldberg - Day One 5K Run/Walk to End Sexual Violence
"April is Sexual Assault Awareness Month.  You can make a difference.  Register today at www.dayone5K.com."
Please watch the following video to see how college students are taking action.  Consider donating if you're unable to come.  


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Local Weekend Events:

March 7-8
In Deo Speramus: The Symbols and Ceremonies of Brown University, Providence
Friday, 5-9pm; Saturday, 10am-4pm. Haffenreffer Museum of Anthropology, Brown University, 21 Prospect Street. On the occasion of the University's 250th anniversary, this exhibit assembles Brown's symbols so that we may see and hear what they have to say. Guided exhibit tour, Saturday, 10-10:30am. (401) 863-2065;brown.edu/Facilities/Haffenreffer/ website for more information.

March 8
21st Annual St. Patrick's Day Parade, Providence
12:00pm–2:00pm. Parade runs from the intersection of Elmhurst Avenue and Smith Street and continues up Smith Street to the State House. The parade includes eighty acts, from bagpipe and high school bands, to fife and drum, Irish step dancers and Bolivian dancers, clowns, puppets and civic organizations.www.providencestpatricksparade.org.
Maple Sugaring Tours, Coventry
9:00am–12:00pm. George B. Parker Woodland, 1670 Maple Valley Road. Step back in time and experience the history of maple sugaring. Taste this delectable treat over breakfast of pancakes, muffins and donuts, and learn how to make this sweet syrup in your own back yard. Tours every fifteen minutes. Society members, $12-$6; non-members, $18-$9; pre-registration required. (401) 949-5454 x3041programs@asri.orgwww.asri.org.
Historic Foodways and Hearth Cooking Workshop, Bristol
4:00pm–7:00pm. Coggeshall Farm Museum, Poppasquash Road. Explore what it meant to 'eat local' in 1790s Rhode Island. Working from the first American cookbook, originally published in 1796, guests prepare several 'receipts' at the hearth using produce raised on the farm before sitting down to enjoy the fruits of their labors by candlelight. Limited to eight participants; reservations required. Members, $50; non-members $60. (401) 253-9062info@coggeshallfarm.orgwww.coggeshallfarm.org.

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Restaurant of the Week (and site for Festivus):
Vanity 
566 S Main St
ProvidenceRI 02903

"Discover Vanity Supper Club; a clever contemporary spin on a 1920's speakeasy set in a glamorous modern day supper club environment. Folklore abounds as to the nature and particulars of how speakeasy establishments carried on, and the fascination of their existence has emerged as a significant area of interest in pop culture. Vanity Supper Club elegantly blends a vintage feel with modern decor and inflections, producing an impeccably unique dining and nightlife experience unlike any other."

and for those who like Yelp: http://www.yelp.com/biz/vanity-providence

Pediatric Residency Events: Week of 3/3-3/7

Pediatric Residency Events Week of March 3-7

All conferences are in Hasbro 151, unless otherwise noted.


Monday March 3
8am: Intern Report - in resident library, with Carly Guss, PGY3 Teaching Resident
Senior Report - in Hasbro 151, discussion of interesting cases from the past week with the wards and urgent care senior residents
12pm: Pneumonia - Dr. Michelow

Tuesday March 4
8am: Clinical Case Discussion, Jaclyn Kline, Pediatric Chief Resident
**Matt Willis will stop by at the end of morning report to discuss 6G patient care & restraints**
12pm: Intern Time Out with Dr. Katz in the resident library for interns only, seniors get lunch on your own

Wednesday March 5
8am: Clinic Case Discussion, Carly Guss, PGY3 Teaching Resident
12pm: Bone and Joint Infections - Dr. Dennehy

Thursday March 6
8am: Clinical Case Discussion, Jana Cable, PGY3 Teaching Resident
12pm: Primary Care Micropractice Meetings, in specified small group locations

Friday March 7
8:30am: GRAND ROUNDS – Evidence Based Strategies for Supporting Early Brain and Child Development, Pamela High, MD, Professor of Pediatrics (Clinical), The Warren Alpert Medical School of Brown University, in the George Auditorium
12pm: Residency Improvement Committee Meeting - in Hasbro 151, all are welcome to discuss residency curriculum and other educational issues

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Announcements:
1. As a follow-up to last week's grand rounds by Kevin Schwartz, Pediatric Hematology/Oncology Fellow, if anyone is interested in learning more about his NGO, you can visit www.thechildisinnocent.org and anyone who is interested can contact Kevin at kschwartz@lifespan.org
2. As a follow-up to Tuesday's discussion during morning report about parenting issues within the framework of family culture, Josh Blum, Child and Adolescent Psychiatry Fellow, sent us the attached article that has sample dialogues that are more practical and addresses some of the issues you might see with Latino families.  
3. IMPORTANT, for all the residents: whenever you are considering a prn medication for a patient on the floor, please place a prn order to have available.  We all obviously want to be informed about status changes (pain, fever) in our patients, and know that sometimes we do not place the order so that we will be called for the medication when there is a status change.  However, this can greatly delay time to medication administration for our patients, as the medication has to come up from pharmacy.  As an alternative, if you want to be notified, please put that in the order so the nurse knows to call you.  The one obvious caveat to this would be anti-pyretics in an immunosuppressed child, which require urgent evaluation for fever, however, all other patients should have comfort (pain and fever) medications available to them when needed.  We say this out of concern for patient comfort and care.
4. For the Newborn Nursery, Healthy Babies, Happy Moms Inc. will now be offering home phototherapy to infants with Blue Cross Blue Shield starting March 1.  If you need to provide this service for your BCBS babies, please fax the attached script to 401-884-5541 and call the office at 401-882-8273.  They will deliver the equipment to the family at the hospital prior to discharge and instruct them in the use and care of the Bili bed.  They will then see them in the home the next morning for an assessment, weight and blood draw.  Two documents describing this are also attached.
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Local Weekend Events:

February 27th (tonight)
America's Cup Then and Now, Bristol
Begins at 7:00pm. Herreshoff Marine Museum, 1 Burnside Street. Lecture and reception with Dyer Jones, Chairman of the Selection Committee of the America's Cup Hall of Fame. Members, $7; non-member $15. (401) 253-5000info@herreshoff.org; www.herreshoff.org website for more information.

February 28th 
Farmhouse Lunch Tours, Middletown
12:00pm–1:00pm. Norman Bird Sanctuary, 583 Third Beach Road. A guided tour of the newly renovated Paradise Farmhouse, one of the few remaining intact eighteenth century farms in the United States. Tour includes a lunch of hot organic soup, warm crusty bread, garden salad, beverage and yummy treats. $12.(401) 846-2577www.normanbirdsanctuary.org.

March 1st
Prudence Island Tour and Seal Watch, Bristol
9:45am–4:30pm. Bristol Ferry Landing, Thames Street. Explore Prudence Island with a chance to see seals at one of the best haul-out spots in Narragansett Bay, learn about ecological research happening through the Narragansett Bay Research Reserve, and tour the island by van with stops at several unique historical and natural features. Members: $12/adult, $6/child; Non-members: $15/adult, $8/child; $10 ferry ticket not included. Bring a lunch. Pre-registration is required. (401) 949-5454 x3041programs@asri.orgwww.asri.org.
32nd Annual St. Patrick's Day Parade, Pawtucket
Begins at 12:00pm. The city kicks off its celebration of Irish heritage in Rhode Island and the Blackstone Valley with this always festive and colorful parade, which steps off from McCoy Stadium at Columbus Avenue, travels along Walcott Street to Main Street, and ends at City Hall on Roosevelt Avenue. Parade reception follows. (401) 728-0500 x281pawtucketstpatsparade.com.
22nd Annual Cajun and Zydeco Mardi Gras Ball, Cranston
6:00pm–11:59pm. Rhodes-on-the-Pawtuxet, 60 Rhodes Place. Blazing accordions! $30 in advance; $40 at the door; tables available. Cash prizes for best (optional) costumes. Cash bar and Cajun-inspired food. A portion of proceeds benefit VSA Arts RI. (401) 783-3926www.mardigrasri.com

March 2nd
Newport Irish Heritage Month, Newport
Various venues. Celebrate all that is Irish during this exciting month-long event featuring Celtic storytelling, Irish step-dancing, interesting lectures, afternoon teas, an Irish coffee contest, Jameson Irish whiskey tastings and a festive St. Patrick's Day parade. (401) 847-9122

Blackstone Valley Historical Society Annual Fundraising Concert, Lincoln
Begins at 3:00pm. North Gate Toll House, 1873 Old Louisquisset Pike (Route 246). 'Tunes of True Love' with Michael DiMucci; David M. Marshall performs favorites from The American Song Book, Gershwin, Broadway, and more! Members, $12; non-members, $15. (401) 725-2847;bvhs58@gmail.combvhsri.org.

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Restaurant of the Week:
Neptune Oyster
63 Salem Street, Boston, MA

A great oyster house/seafood spot if you find yourself in Boston's North End. Very small and quaint interior, with excellent oysters, lobster rolls, and other delights.

For those of you who like yelp: http://www.yelp.com/biz/neptune-oyster-boston