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One after another... - Nobody wears a white coat any more... — LiveJournal
...a tribute to becoming a doctor.
One after another...
Walked out of my call room to find another ooky strip. OB was in the room when I slid in - I'm getting good at the knockandenter that is required for staying involved - explaining the rationale for going to section. And the rationale was thus: hours and hours of labor, no cervical change - stuck at 5 cm dilation - and baby was starting to look a little worrisome. Good variability but lots of deep variable decelerations and some lates; a baby whose environment was becoming less welcoming. We went to section, and then I went from that section to a second section with the perinatologist on call.
If you sound interested, I have learned, some doctors will go out of their way to talk. She is one. She talked a lot, discussed the case as we were extracting a 30-something week infant via classical C-section incision from a uterus filled with blood of all ages. Old clots, pale and fibrous. Newer clots, red, black. Fresh blood. The placenta was tattered-looking and the amniotic fluid was a stunningly deep purple; grossly bloody. Baby came out a little purple, but he perked up quickly and NICU this morning sounded optimistic. A good ending.

NICU this morning also sounded cautiously optimistic regarding yesterday afternoon's crash section baby. He hasn't started seizing yet; his hematocrit is up to 40, they're going to turn off the vent this morning. There are no overt signs of neurological damage. We won't know for a while - years, perhaps - what the final outcome is, but thus far he is a blessed child and a lucky one.

It is 0930. I am cautiously optimistic regarding my prospects for the day. I have called the operator and the ER and I have no pregnant patients yet that I know of, and I am signed out for the National Conference of Family Medicine Residents and Medical Students in Kansas City, of which I will spend the greater portion attending meetings of the Society of Teachers of Family Medicine. I also promised I would hang out at the recruiting booth, so as to count the trip as a recruiting effort, so as to avoid having to take any vacation or CME time off. I am also going to sleep.

Total documented for this month: nineteen vaginal deliveries and twelve C-section assists. Not bad for the first month. Next up is ER, and a whole week of vacation in mid-August. I'm looking forward to it.

now feeling:: sleepy sleepy

4 whispers echo . o O ( ... ) O o . whisper a word
amasashi From: amasashi Date: July 27th, 2005 04:01 pm (UTC) (etched in stone)
Wait a minute now, I'm confused. I thought you were in family medicine, but from all your posts lately it sounds more like you're in obgyn. Or is there something I'm missing? Just curious.
squigglz From: squigglz Date: July 27th, 2005 05:46 pm (UTC) (etched in stone)
Yeah, I'm curious about this, too-forgive my ignorance, I really don't know how becoming a doctor works.
ayradyss From: ayradyss Date: July 27th, 2005 11:07 pm (UTC) (etched in stone)
I'm in an OB month of my family medicine residency. It's kind of like medical school, every 4 weeks I'm doing something different, except through it all I'm doing my continuity clinic and seeing my patients in the hospital, etc.
squigglz From: squigglz Date: July 27th, 2005 11:09 pm (UTC) (etched in stone)
Oh, I get it now. Thanks for explaining!
4 whispers echo . o O ( ... ) O o . whisper a word