Down the Rabbit Hole...

before we get started I just want to say, I'm sorry for not giving daily updates, or even weekly updates. I will try to do better, but sometimes (gasp) i don't have much to say. usually i have already ranted, vented and told about 5 people what happened, so i have no more need to speak about it in blogger world. If you know me, than you are fully aware of my need to constantly share my opinion and tell others what i am thinking. Currenly on my Ob/Gyn rotation the doctors are AWESOME, and i rarely have something to get off my chest at the end of the day. Fortunately i am going to be starting a 2 month rotation on trauma surgery, i have a feeling there will be lots more to discuss in the next few months. there is no need to be at a loss for postings...and now onto what i like to call, a trip down the rabbit hole..

in my opinion life starts out as a trip down the rabbit hole, and there are times when the patients that i am in contact cause me to question the reality of my existence. sometimes i think i may be in an alternate universe that is guided by some other force different and very backwards to the one we all think is true. let me give you a quick glance of what i have seen in the past week..


- 15 year old girl 38 weeks pregnant who walks in sucking a lollipop and twiddling her hair. My take on her is a mix of pros and cons. At least she is smart enough to seek prenatal care, understanding she will qualify for medicaid and welfare. What about the fact the state of Florida doesn't think this girl is mature enough to operate a motor vehicle but at the same time is capable of taking care of a child. I guess the school system has failed this child. unfortunately there are handfuls of girls just like her.

- 37 year old 3 weeks post-partum. She is a christian scientist who doesn't believe in modern medicine. She ended up going into labor at 42 weeks after refusing to be induced. She delivered a beautifully healthy baby despite there being no heart beat. the only thing that killed this baby is that it wasn't delivered on time. While talking to her, she told me that her baby was doing well, and that she has even started walking. At this time i thought i was talking to the wrong patient because i knew that her baby had died. Nope i had the correct patient, she was just a little off center and she felt her baby was with her spiritually.

- 42 year old G8 P0080 (that means she was pregnant 8 times, and had 8 terminations). Now she is sitting in the room crying because she wants to get pregnant. She recently got married, thinks her husband may be cheating on her, but wants to get pregnant anyway. This would be what my attending calls, 'making a bad choice'.

- 25 year old, primagravid (first pregnancy) who is 498lbs, and thought she was only 14 weeks pregnant. In reality she was closer to 43 weeks pregnant. The baby was slightly overcooked, meaning it was 11lbs and had no skin (the skin had pooled around the wrists and ankles). It took over 4 doctors to pull the baby out. Not to mention that OR tables are only approved for up to 350lbs, so they had to bring in a special bariatric bed for the patient, who had a plethora of medical issues to deal with post-op.

well that is a nice sampling of what i deal with on a daily basis. And even after all that, i still want to do this everyday for the rest of my life. I love gyn, not so sure about the OB part but i def want to do the gyn part.

i start in the OR on wed, i have been practicing tying knots so hopefully they will let me close on one of the surgeries.

So in the end i am still not convinced that i have not accidentally slipped down a rabbit hole into a world very similar to our own, but with a slight twist on the morality scale.