The Pediatric Oncologist by wuyunyi


									The Pediatric Oncologist

                           Elizabeth Chase
                                  Period 6
Say what?!!
               Specializes in treating cancer in
                infants, children, teenagers and
                young adults.
               Grouped with hematologists to
                treat individuals struggling with
                blood diseases.
               Oncologists work to diagnose types
                of cancer and prescribe medicinal
                treatment such as chemotherapy.
                Additionally, they often work with
                research teams in searching for
                more effective methods to treat,
                or even cure, cancer.
Pediatric Oncologists have a huge range of responsibilities. Some of which
 -Administrative duties within their department
 -Going on patient rounds
 -attending meetings and seminars on patients and treatment methods
 -remaining up-to-date on recent medical studies
 -training other doctors as well as treating patients
 -consulting with families to come up with treatment plans that best suit
 the situation
            In the daily life…
After research I’ve learned that everyday is
different. There are times when it can be
completely drastic and others more heartfelt. Each
day consists of:
Consulting with patients and their referring
physicians to determine treatment plans that have
been attempted in the patient's history.
Completing examinations including physical exams,
biopsies, fluid and tissue samples and x-rays.
Discussing treatment options with patients including
both surgical and non-surgical treatment options.
Completing all case and chart notes including
treatments plans and test results.
Attending trainings, workshops and conferences to
keep informed of the latest cancer treating methods
and options.
Working with other medical professionals as part of
the patient's treatment team.
Cancers often dealt with..

Cancers that may develop in childhood include:
-leukemia (top right picture on “Visuals” slide)
-lymphomas (top left)
-bone tumors (bottom right)
-brain tumors (bottom left)
A pediatric oncologist is concerned both with relieving
   cancer symptoms and with relieving side effects of cancer
 Pediatric Oncologists are usually
  employed by medical clinics such as
  hospitals or those specifically designed
  to treat cancer patients as the
  treatment for cancer is complicated and
  may involve physicians from multiple
  divisions of medicine.
 Other places may include:
  -private & community hospitals
  -children’s & university hospitals
  - medical centers & research
              Personal Interest
 I’ve always wanted to do something
  involving children.
 The job demands a hard working and
  goal oriented person.
 Not only does the job involve integrity
  but it requires a character with
  compassion and understanding.
 I relate to people easily and strive to
  understand and help them in anyway
 Also, I strongly believe that
  EVERYONE deserves to experience a
  full and happy life and those who are
  innocent shouldn’t suffer as they do.
Educational Requirements

   4 years of undergraduates
-Bachelor’s Degree
   4 years medical school
   Complete a 2 to 6 year residency program of specialized training
-Pass the U.S. Medical Licensing Exam (USMLE)
I.     The American Board of
       Pediatrics Qualifying Examination
       for Pediatric
       Hematology/Oncology (given
       every other year).
II.    Passed the American Board of
       Pedaitrics Qualifying Examination
       for General Pediatrics
III.   Passed the United States
       Medical Licensing Exam
IV.    Active US medical license.
Future Salary

 During internship and residency years (after medical school) has a
  25-35k year salary.
 A pediatric oncologist's salary will depend on experience and job
  location, but most earn between $200,000 and $335,000 per year.
  -More specifically, Hematology/Oncology specialists with one to two
  years of experience as $182,000; $217,000 for specialists with
  three or more years of experience, and a maximum salary of
  $251,000. The large salaries that pediatric oncologists receive are
  a reflection to the work they put in towards entering and excelling
  in the field.
                     Plans to pursue!
     While still in high school I plan on
taking as many science, health, and
math courses as possible.
     In order to get accepted into the colleges of
     my choice, I plan to:
-Keep high GPA.
-Pursuing curricular activities
-Taking leadership in activities

      I plan on going to a 4 year college
with a well recommended nursing
program. Although unplanned, I’m
looking towards Penn, UH and UW.
One story of many…
                    These last few slides
             contain the story of a child,
             Steven, from California suffering
             from a brain tumor. It is told by
             his mother, and is only ONE of
             the many patients pediatric
             oncologists deal with on a daily
             basis. This story in particular
             sparked my interest in the area.
             It’s horrifying, hopeful, and
             inspirational all at the same time.
      September 9, 2003, a day etched into my memory, not to
be forgotten until the day I die.
      He'd just turned 9, but he'd been having symptoms for the
previous three weeks. I was terrified, I knew something of brain
tumors and how they make themselves known.
      Nobody believed me, I let myself be brushed aside because
to be proactive would mean I believed he had a brain tumor and I
never wanted to believe that.
      Then, the MRI. Sitting in the room with him, like a bad
flashback to the days with Kyra. The nurse not letting us see
the images, asking us if he was our only child, commenting on
how sweet he is.
       We left the hospital with him. They said you'll get results within
72 hours. I called my pediatrician, crying, finally saying I have to know
NOW, yesterday is too long to wait, I can't eat, sleep, I need to know.
One way or the other, now.
       The pediatrician calls back. Go back to the hospital. Now, you'll
leave immediately, right? The neurosurgeon will be waiting for you, they
saw something in his right frontal lobe.
       Steven, who has been doing pretty well, is going downhill. Feeling
sick, falling asleep. We wait in the neurosurgeon's waiting room, Steven
lies face down on the floor and sleeps.
       I say, can we get a room please, so he can lie down? They put us
in a room. We wait 45 minutes to see the doctor.
       Steven falls asleep. The nurse brings in the MRI films, they're
sitting there in an envelope. I verify that Steven is indeed asleep, then I
pick up the envelope. Doug says no, no, he's stricken.
        I need to look the monster in the face. The monster I've been fearing, the
monster that has taken all the joy out of my life for three weeks, the monster
that I see every night in my dreams for those few moments I manage to sleep.
        I open the envelope, there it is, that glowing abomination in his brain,
growing in the center of his being, that growth that would dare to take our child
from us.
        Doug says oh my God and leaves the room to find the doctor. The doctor is
meeting with someone else and Doug decides to come back and wait. The doctor
comes in, says it's a very vascular tumor, malignant, probably ependymoma or
PNET, we'll take it out ASAP, go across the street to the hospital and they'll
admit you.
        We start calling our family. Doug's sister Deb, Kyra's mom, I call her
last, I don't want to visit any more tragedy on their family, but it can't be avoided
any longer. Steven wants her to come, she finds somewhere to park her kids and
drives all night from Santa Cruz to be there with him in time for the early
morning surgery.
        We go to the hospital. Family starts arriving. Both sets of grandparents,
my sister.
        More MRI's, this time his spine also. The type of tumor they think he
has, it seeds through the cerebrospinal fluid, which means it could be anywhere in
his brain or spine. They spend almost three hours scanning him, they are building a
3-D model of his brain that they will refer to when planning and doing his
surgery. He's feeling pretty good during the MRI's.
        We go back to his room, it's after 11:00 pm. He's hungry, we get him
something to eat. I spend the night with him, everyone else goes home. I lie down in
the chair-bed, I listen to the clicks of his IV pump. I sleep in fitful dozes of five
minutes or less, really, it's worse than staying awake.
        I hear Steven's voice. "Mama...". "What, sweetie?" "I'm so happy..."
"Why? Is it because you feel how many people are caring and praying for you?"
        A few minutes later he began feeling badly, the swelling in his brain was
causing him to go downhill quickly. Heavy doses of steroids were supposed to help
control the swelling and ease the symptoms, but through the night, he continued to
get worse.
We had the most wonderful nurse that night, so compassionate, so caring. "Try to
get some sleep", she tells me. "I can't, could you sleep if this was your child?"
        Vomiting and vomiting, nothing in his stomach, his body going through the
motions. Unbelievably severe pain in his head. It's 4:00 am, the nurse is trying to
contact the doctor, anybody, who can give Steven something to ease his distress.
Tries to get them in earlier to do the surgery, anything, anything but to keep
watching him in such discomfort. She looks as distressed as I do to watch him in
such pain.
        He can't have any medicine until after the surgery, and the surgical team
won't be ready until 7:00 am. The nurse and I do what we can to help him, cold
washcloths, so completely inadequate against such pain.
        Finally, its time to take him to the operating room. Steven is comatose,
waking only to retch, collapsing in exhaustion after each bout. The family arrives,
Doug, both sets of grandparents, Deb (who got there in time!), my sister. We
try to be cheery and optimistic, we meet the surgeon.
        The surgeon pushes his wheelchair down the hallway, Steven slumped to the
side, mostly unconscious. Impossible to believe that two mornings before he was in
        Watching him in that chair as he disappeared down that hall will be a vision
forever etched in my memory, putting him completely in the hands of God and a
surgeon we didn't know, admitting we were powerless to help him on our own.
      Three and a half hours later, the surgeon called us to a
room. The surgery was a success, they think they got all of it,
there were no bleeding problems as feared.
      We went to see him, his eyes still closed, woozy, slurred
words, despite this it was clear to see that he was dramatically
better, no more pressure inside his brain, the beast at bay for
      Surgery Wednesday morning, home on Friday evening, who'd
have thought it possible?
      Thank you, dear Lord, for our son. Thank you, Dr. Levy,
for removing all the tumor and not damaging his healthy brain
tissue. Thank you, St. Jude, for giving him a second chance.
      That's our Steven, St. Jude poster child.
      -- Kathleen

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