Matter, Energy, and Life of Michael A. Castello.

Tag: residency

  • A Spoonful of Sugar

    A toddler admitted for poor feeding sits cross-legged on the hospital bed, clutching a takeout soup container in their feet. My first thought is that the periorbital edema has significantly improved after diuresis, but my attention is soon drawn to the large stainless steel serving spoon clutched in their hand. I noted some fine motor […]

  • Nights for Days

    Night shifts generate strong opinions: are they desirable or miserable, easier or more difficult? Regardless, residency has a fair number of them, and unlike our colleagues we don’t get paid any extra. Personally I don’t mind them, although to be fair, I don’t currently have difficulty sleeping during the day or catching naps during slow…

  • How I’m Spending the Next-Next Decade

    Mark recently remarked that it has been about…oh, hey, a decade…since I last attempted to lead my family and friends through the masochistic labyrinth of my poor life choices. Having now reached the “Post-Graduate” heading of that infamous post, I suppose an update would be beneficial. Regrettably, despite my prior efforts, many of my loved…

  • Confounding, Perplexing, Conclusion

    Today, I gave my CPC presentation. I think it’s supposed to stand for Clinical Pathological Correlation…or was it Case Presentation Conference? Despite my lack of certainty on the acronym’s meaning, a CPC is kind of a capstone project for the Pediatrics component of my residency program. An attending physician assigns a senior resident the task…

  • A Headache of a Headache

    Clinical case presentation given in partial fulfillment of the UCSD Child Neurology residency program. Among other things, working through this particular case emphasized the broad differential diagnosis of aseptic meningitis. Available on Google Slides or as a pdf download. Mentor: Begem Lee, MD

  • 2πr(aspberry)

    Vacations for residents at my stage of training are scheduled almost a year in advance. Among all the different rotations are nestled two consolidated bits of time off to enjoy and do with it as one pleases. I have tried to use it for travel if I can, as any trip longer than a few…

  • Shelter in Place

    I am starting to feel as though I am not getting the same “quarantine experience” as everyone else. Following California’s lead, many states have been enacting official shelter in place orders, leaving people sitting at home with nothing to do but stream media and learn new skills. It kind of seems like fun, minus the…

  • Sword of Damocles

    By now you may already be aware that COVID-19 thing sweeping the world—I heard it’s pretty trendy. Over the past several weeks I’ve felt as though I’m a sandpiper running ahead of incoming waves. I went to a concert Wednesday of last week; by Thursday they were cancelling concerts. Saturday and Sunday I went out…