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On My Mind
October 2018

Harnessing Hope

Author Affiliations
  • 1West Midlands Deanery, Health Education England, Birmingham, United Kingdom
  • 2New Cross Hospital, Royal Wolverhampton National Health Service Trust, Wolverhampton, United Kingdom
JAMA Pediatr. 2018;172(10):907. doi:10.1001/jamapediatrics.2018.1622

I am currently a few weeks into my first ever neonatal rotation, and frankly, I had been loathing every bit of it. Nobody warned me about this when I decided to take neonatology out for a spin. It seemed as though neonatology was that elusive skeleton inside pediatrics’ closet.

Perhaps doing my first neonatal rotation at a tertiary unit made it seem worse than it actually is. The patients are understandably sicker; death comes in clusters, as the saying goes; management is aggressive; and, despite our best efforts, some extremely premature munchkins just do not make it.

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