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.