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Encouragement. - Nobody wears a white coat any more...
...a tribute to becoming a doctor.
ayradyss
ayradyss
Encouragement.
I have a few hours to sleep after a relatively restful night of OB call. Good news. We did five sections yesterday - one of them on the breech presentation I discovered at anterior lip. Oops. To my credit, I didn't panic. To my proctor's credit, she didn't yell at me. I got the ultrasound and had the nurses call. Twenty minutes later we were in cesarean section, prying a baby out of the uterus. On newborn exam there was a distinct clunk at the right hip - possibly a congenital dislocation. I'll see what the repeat exam shows.

"My knots are terrible," I told my proctor. We did three C-sections together today and she had me tie every single knot. Learning opportunities. The word is getting out that I want to do the fellowship.

At 0630, a patient of my colleague's came in at 31 and a half weeks, in pain and spotting. I did a sterile speculum exam and saw membranes. A careful cervical check showed a 6-8 centimeter opening in a paper-thin cervix holding her baby in. Into a birthing suite, on the phone to NICU, and calling for antibiotics - a new proctor listening to me as I rattled off the details. My shift ends at 7, but there was a section scheduled at 0700 and the next resident on was scrubbing. I did the H&P I'd missed overnight and checked baby for position with the ultrasound. "I'm here until M comes in or B gets out of surgery," I told him. "Someone has to catch the baby."

A grin - teeth flashing. That's the sort of diligence I like to see. Some of your colleagues would be out of here - it's after 7. I'm perpetually fascinated by the idea of shift-work medicine; I can't quite get my head around it. Maybe it stems from my need for control. Maybe it's something different, but I can't abide the feeling of leaving something undone without a clear plan. I couldn't walk away from a 21-year-old woman whose life I had just irrevocably altered and say "someone will be here in a while". The what-if is too big and empty for me.

And when they ask why I'm interested in the fellowship, I have an easy answer. I want to do rural medicine and deliver babies. It is incumbent on me to know what to do in an emergency, and I never want to see a baby die because I'm not prepared. It's as simple as that.

now feeling:: tired tired

2 whispers echo . o O ( ... ) O o . whisper a word
Comments
jillofthejungle From: jillofthejungle Date: April 19th, 2007 11:31 pm (UTC) (etched in stone)
I think everyone would rather have you - or someone like you - in the hospital. It's a shame that more doctors and nurses aren't that way.
From: (Anonymous) Date: May 7th, 2007 02:23 am (UTC) (etched in stone)

Great blog

So while I should be studying for my rheumatology exam tomorrow, I'm reading med blogs, and happen upon yours...
Indiana, what do you know. I'm from the Hoosier state and am planning on definitely practicing there and hopefully doing a residency. Right now I'm pretty strongly thinking some sort of OB rural care....
Consider yourself bookmarked :)
(Now back to the end of second year rheum)
2 whispers echo . o O ( ... ) O o . whisper a word