I whisper your name (ayradyss) wrote,
I whisper your name
ayradyss

  • Mood:

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.
Subscribe

  • On the Road...

    We'll be heading out on Saturday for a month-long mission trip to Papua New Guinea. Committed to trying to blog daily while there - will be sharing…

  • Drive-By posting: Miriam

    In case anyone is wondering what my daughter is up to these days, here she is! In other news, today was an ER day from hell, and I'm going to bed…

  • (no subject)

    Sauntered in at 0730 with the intention of meeting fellowship director, who gives a lie to the old-dogs-new-tricks mantra, for a little chat about…

  • Post a new comment

    Error

    Anonymous comments are disabled in this journal

    default userpic

    Your reply will be screened

    Your IP address will be recorded 

  • 4 comments