Finally...today i saw my first vaginal delivery, and 2 c-sections (now on referred to c/s). The group of doctors i am rotating with has 5 Dr's in the group so each day i spend time with a different. I think its great because i am learning to adjust on the fly, each has a different personality and different way of handling patients, charts, calls and each other.
While one of the Dr's is on a medical mission trip to Africa, they have a Dr from Canada come down to cover. He takes 2, 24 calls back to back with a 8 hr day in between...its absolutely absurd in my opinion. The day started off with tumor board at 7am, and a lecture at 9am. After that i saw service patients, and wrote discharge orders on all of them. Now its only 1pm and i have no patients. So i decide to call the OR and see who is working and whats going on....
Turns out the Canadian has scheduled a suction D/C and a c/s in the afternoon. So i decided to find him and ask if i could scrub in....Jackpot.
Since i still had 2 hours to kill before the OR is ready, i went by L+D to see if any babies were being delivered....right place right time, the only midwife that doesn't hate me is on today, and saw me in the hall, grabbed me to help with a delivery. This was a woman's 3rd vaginal delivery so the midwife said it will be an easy uncomplicated delivery and i can help. It was awesome, kinda gross, and a little intense. The husband and her 2 other children were in the room at the time, i thought having the kids in the room was a little odd, but they were well behaved and sat on the couch, didn't even make noise. The husband stood on the opposite of the room, and i was the one who held her hand, and leg back as she pushed a 7lb baby out....its pretty amazing to see how much the vagina actually stretches, but the amount of fluid, blood and poop that comes out is a bit much for me, and the baby comes out looking kinda gross....like a wet puppy or something....in the end, i still believe that natural childbirth is the most unnatural natural process i have ever seen.
After the delivery was over, i made it over to the OR to find my Dr a little lost, he couldn't find pre-op holding...luckily i have worked at the hospital for 2 days, so i showed him were to find the patient, the chart and the scrub nurse. after seeing the patient, he got lost again trying to find the OR....luckily i was there, or he would have just wondered the halls....i show him what OR we are in, go in to the OR to set up my gloves and gown before the patient is brought into the room. I come out and the Dr is gone, missing and cannot be found anywhere. I grab the scrub nurse and we start the Doc Hunt...we have a Canadian in blue scrubs on the loose. (everyone else has green scrubs on, so he is easy to spot) After we page him and find out way back to the OR, he is there scrubbin in....lets just say this D/C didn't have my soaked in blood like the one yesterday....
my first scrubbed procedure was yesterday, an easy missed abortion D/C on a 14 wk preg. I got squirted and covered in blood projecting from the patients cervix......it was a very strange feeling, imagine a cervix or vagina projectile vomiting blood on you...that was me yesterday...Carrie had nothing, this is what true horror movies are made of my friends.
I then got to see my first c/s. They anticipated the baby being large roughly 10lbs so they opted at the last minute for the c/s instead of trying a vaginal delivery and running the risk of getting the baby stuck. All i have to say, bloody bloody mess, with a side of hot warm amniotic fluid....
those were some of the highlights.....cant wait for round 2 on Monday, hopefully we will have some more patients come in this weekend since i discharged all the service patients, including the 4 consults we had today.....
but on the bright side....i still LOVE this rotation, and think that i am going to end up in ob/gyn
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