Pierre who?

The case We were having an enjoyable morning in the endoscopy suite, and then we were told that we would have an add-on endoscopy from the neonatal intensive care unit (NICU) by our pediatric gastroenterology colleague. The patient was a 1-month-old with frequent emesis after feeding. And yes, he was premature, but without “apneas and bradycardias” while in the NICU. He had been diagnosed with Pierre Robin malformation. Our friend was 2.5 kg and quite active. Although he could not roll yet, we were convinced that he wanted to run out of the room! He must have suspected what was going to happen to him and didn't want any part of it. He was brought into our world as an elective cesarean section because his mother's preeclampsia was worsening. Born with Apgar scores of 7 and 8, he appeared to have a murmur on oscillation. He presented to our suite with no other medical history. At the time of delivery, he was 35 weeks postconception. Currently he was a “feed and grow” in the NICU nearing discharge, but had trouble keeping it down. Patient care Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families. Considering that our patient is a neonate, most of our interaction will be with the parents.