1. What it Takes to Become a Doctor Author: Drs. Elizabeth Seashore, Christie Gutierrez and Chelsey Mitchell

2. Do Now Please put the following medical titles in chronological order… – Medical Student – High School Student – Attending – Resident – Intern – College Student – Fellow THEN… estimate the number of years each stage of training takes.

3. Lang Classroom Rules Excellence – We are not satisfied with mediocrity. We strive for exceptional quality in our academics, professionalism, and service. We are hard workers who aim to go above and beyond what is expected of us. Innovation – We are creative problem-solvers who think critically and devise out-of-the-box solutions. Teamwork – We listen, help, share, participate, and communicate. Each of us contributes to a positive peer-support network that strives to help every member to reach common goals and aspirations

4. Key Rule for Today RESPECT – Do Remember… – You are a LANG SCHOLAR! – You will see patients and families in need – You will see doctors working very hard Stick together, ask questions and remember who you represent when you walk through the hospital!

5. Reviewing the Do Now Correct Order – – HS Student, College Student, Medical Student, Intern, Resident, Fellow, Attending Minimum Years for each? – 4 + 4 + 4 + 1 + 2 + 3 = 18! You got to want it!

6. Remember the Asthma Lesson?

7. Asthma Pathology

8. Signs of Respiratory Distress

9. The “Monitor”

10. Nasal Flaring

11. Retractions

12. Wheezing http://www.youtube.com/watch?v=YG0- ukhU1xE&feature=player_detailpage

13. Today’s Case Keep this patient in mind as you visit all the different parts of the hospital… Patient GG is a 5year old Male with known asthma who has been breathing faster than usual for the last couple of hours. Mom Calls 911 because she sees retractions and thinks she also hears wheezing. The albuterol she was giving at home is not helping enough.