Dr. Audrey Foster-Barber found her calling early. As a teen she could even pinpoint her future specialty — neurology. Today Foster-Barber is a pediatric neurologist and a palliative care specialist for the Integrated Pediatric Pain and Palliative Care (IP-3) Clinic, at UCSF Benioff Children's Hospital San Francisco. Below, she talks about her fascination with the brain and her dedication to serving patients and families in the toughest circumstances.
When did you know you wanted to become a neurologist?
I knew I was a neurologist from a very young age. I was just fascinated with the brain. I took notes on the language and motor development of the children I babysat. Then my grandfather was diagnosed with Alzheimer's disease when I was 14, and I ended up culling through medical journals. I wrote a 75-page paper on Alzheimer's disease my freshman year in high school and my teacher handed it back to me saying, "I don't know what to do with this."
When I realized that there was a profession where you took care of children and understood the brain and how to make the most out of a child's development, I knew it was for me.
Why did you choose pediatrics?
Kids are the population that is the most vulnerable and the most important. With their long lives ahead of them, they have the greatest likelihood of benefiting from the good things you can do for them medically.
I love that my clinic tool bag has an Etch-a-Sketch, Koosh ball and a rattle. They're as important as my stethoscope for connecting with the patient and getting what I need to understand how to help them.
How do you define palliative care?
Palliative care is not end of life care, it is good care in a situation where end of life may come too soon. We do our best to make the child and family live the best that they can, even if it is shorter than we expect.
Palliative care is what gives the family the right tenderness, the right compassion, the right closure. As someone else put it, palliative care is not the icing on the cake of our hospital — it's the eggs and the batter.