Log in

No account? Create an account
"No, no, do it like this..." - Nobody wears a white coat any more... — LiveJournal
...a tribute to becoming a doctor.
"No, no, do it like this..."
There is another medical student on my service now.  I have begun, already, to feel clumsy and incompetent.  She has such grace, and I have only a dogged desire not to get in the way but still to learn.  And I forget easily.  So very easily, sometimes.  She is tall and lovely and thin and she knows when to move and when to hold things and I do not and I never will.  I am a poor assistant, O Best Beloved; I get distracted and I forget to let go of the suture and I do not have the scissors quite ready (head of the screw goes up, not down) and I have to be called back to reality as I watch things that are in another field.
But it is my last week of the two with this group doing OB, and so when we had a woman come in at 2 centimeters, 70% effaced at 12:50, I was the one who Dr. P said could do the delivery.  Two hours later after her epidural, she was 8-9 cm and 95% effaced. I felt it, the cervical measurements, under the tutelage of a nurse who looks young and is older than my mother, who has been checking cervixes (cervices?) for thirty years.  And then we pushed.
My resident, M, has been in the hospital since 0700 on Sunday.  At 1500 on Monday, she was understandably a bit short.  She preferred to show me rather than correct me.  But it worked, and I got to do most of the pulling and the wriggling of the baby out of its warm haven and I suctioned at delivery and she clamped the cord (why? I don't know) and I delivered the placenta and got blood everywhere. 
Eight pounds, seven ounces.  Girl.  First-degree laceration only.  M repaired it.  That makes four babies now, and this one particularly cute.

Today, I feel almost like a doctor.

I am also entertaining the thought of signing up for NaNoWriMo, but I am not certain.  Any opinions?

now feeling:: accomplished accomplished

15 whispers echo . o O ( ... ) O o . whisper a word
rimrunner From: rimrunner Date: October 12th, 2004 01:36 am (UTC) (etched in stone)
I wasn't going to do NaNoWriMo this year, but I have a work-in-revision that I'm planning to have synopsized (is that a word? Never mind) by the end of October. Hmm. I suppose doing a rewrite is breaking the rules, and the setup doesn't really encourage the painstaking, detail-oriented thinking that revision requires, but since what I'm doing is writing an entirely new draft I think it counts.

I did NaNoWriMo two years ago. It was fun, but I wouldn't be doing it again were it not for the above coincidence.
ayradyss From: ayradyss Date: October 12th, 2004 02:34 am (UTC) (etched in stone)
Sure, it counts :)

Any thoughts on good topics? :)
From: clypheous Date: October 12th, 2004 01:45 am (UTC) (etched in stone)
First-Degree laceration? That sounds more serious than I guess it is.
ayradyss From: ayradyss Date: October 12th, 2004 02:33 am (UTC) (etched in stone)
First-degree is a little baby laceration in the vaginal mucosa. Takes a few stitches to fix up.

Fourth-degrees go all the way into the rectum.
From: clypheous Date: October 12th, 2004 03:05 am (UTC) (etched in stone)

Is this common?
ayradyss From: ayradyss Date: October 12th, 2004 03:06 am (UTC) (etched in stone)
Little lacs - first, maybe second-degree - are.
Also "skid marks" which are abrasions that don't need repair. Consider the size of a baby's head and the relative size of a vagina.
dragoni82 From: dragoni82 Date: October 12th, 2004 02:20 am (UTC) (etched in stone)
I'm planning to do NanoWriMo this year. I've never ever finished a story so that I was happy with it -- I always get bogged down with details -- so I think it'll be good practice for myself, to have such a deadline.
^^; And I like the way you write -- I'd be super-interested in seeing whatever you came up with!
ayradyss From: ayradyss Date: October 12th, 2004 02:32 am (UTC) (etched in stone)
Hm, thinking about it. Any suggestions for topic?
minsies From: minsies Date: October 12th, 2004 02:27 am (UTC) (etched in stone)
How common are lacerations in deliveries? It seems like I've been hearing of them more often lately; maybe it's just because I've been paying more attention...
ayradyss From: ayradyss Date: October 12th, 2004 02:31 am (UTC) (etched in stone)
Lacs are fairly common - it's a point of pride to have none, or a fairly minor one - partly I think a consequence of needing to HAVE THE BABY OUT NOW! which means that there's a lot less natural stretching and a lot more forced stretching, which doesn't make for tissues as elastic.

Little skid marks - like the labial tears I also had, that heal easily - are very common.
tyomniye From: tyomniye Date: October 12th, 2004 02:41 am (UTC) (etched in stone)
I remember my best friend from high school saying something about stitches in places I didn't want to think about after her deliveries... now I know why
reynardo From: reynardo Date: October 12th, 2004 02:42 am (UTC) (etched in stone)
partly I think a consequence of needing to HAVE THE BABY OUT NOW

Sing it, sister.

And that the tissue can be stretched with pereneal massage in the weeks before delivery, but a lot of people won't do that. Things also tend to work better if the woman is at least partially upright (allowing gravity to do the gentle slide). If you're lying down, there tends to be no "gentle easing" that's easy to sustain - so you just go for it.

I had scar tissue from an episiotomy from baby no. 1 which of course was less elastic. It was that which tore (2nd degree) for number 2. A few stitches and a slow very easy walk for a couple of days - I was being overtaken by little old ladies with quad sticks.
samila From: samila Date: October 12th, 2004 02:56 am (UTC) (etched in stone)
If you think you have enough time for NaNoWriMo, I think you should go for it.

And, of course, share.

Mmm, Nykki-writings.
From: sepuki Date: October 12th, 2004 04:49 am (UTC) (etched in stone)

The idea of lacerations terrifies me. The idea of birthing terrifies me.

I don't know if I could help birth a child. You are a much, much braver woman than I, dear. ;_;
turnberryknkn From: turnberryknkn Date: October 12th, 2004 08:35 am (UTC) (etched in stone)
You're going to do *NaNoWriMo* while on clinical service? *Dude*.

That's just, to me, absolutely amazing. (does "We're not worthy!" thing. :-) )
15 whispers echo . o O ( ... ) O o . whisper a word