Tuesday, October 28, 2014

Shoe on the other foot

Surgery has come and gone. It's weird being on the other side of the bed.

For some reason, I got the XXL gown. I asked for a smaller one, as I did not need to flash cleavage at anyone. Or, to be more accurate, no one WANTS to see it. They found one. By 8:30, it was 5:00 for me, as the happy juice was flowing. I actually hate the feeling of the room spinning. I do remember thinking the OR was tiny compared to what I was used to at my hospital. I also had trouble moving from the cart to the table, I was so high.

Pain afterwards was bad, so was the nausea. The plan was for MAC anesthesia, but because of how bad my ankle was, the surgeon asked for me to be put under after he did the incision. (evidently, I don't remember this). I'm glad I had my partner call in Zofran and phenergan last week. Scop patch is still on as well.

I'm planning on back to work in a couple of weeks. I took myself off call for November (the advantage of making the call schedule). Guess I can do some online CME, watch a lot of food network, and sleep.

Ortho HURTS!

Thursday, October 23, 2014

Smart-ass

So pre-admission testing called me yesterday regarding my upcoming surgery. Very last question : Have you been exposed to Ebola in the last 3 weeks?

It took all of my will-power to answer seriously. But I really wanted to tell her yes.

Friday, October 3, 2014

Up and down

Kinda defines my life right now.

Up: Paid off my student loans.
Down: From my inheritance - not how I would wish it.

Up: Paycheck skyrocketing.
Down: Damned polar vortex. Our deliveries are up 38% from an average month.

Up: Awesome parent-teacher conferences.
Down: I HAVE A HIGH-SCHOOLER?!?!?!?!?!?!?

Up: I have a definitive diagnosis for my foot.
Down: This means more surgery.
Up: But it means FMLA time off for me...

Up: My friends are awesome.
Down: My sister is still a fucking lunatic.

Up: My weight.
Down: Because of emotional overeating.
Down: I have no dress pants that fit!!!!

Thursday, September 18, 2014

Fuck it All Honest Finals Version Full Screen





This is kinda how I'm feeling about my job this week.

Monday, September 8, 2014

NEJM articles and musings on changes

Interesting article in this week's NEJM regarding the ethics of testing of procedures. A lot of what we do in OB/GYN is procedures - surgeries, office procedures. And a fair amount of what folks do is based on shoddy science and cool tools (I'm looking at you, DaVinci).

But science is linked to asking the how and why questions. And we change practices if we can be shown (some people may need to be beaten about the head with the evidence). Episiotomy rates have plummeted - I was a resident when these studies were coming out and most attendings drastically decreased that procedure fairly quickly. Early term inductions as well - my first practice they wanted to deliver everyone by 38ish weeks. Vaginal mesh is now rare...thank goodness. Digging it out of the vagina is a hot, unpleasant mess. I'm happy to say I was an early disadopter of the various meshes.

Sterilization methods may be revolutionized as well if some of the newest data from Canada holds up, but it'll be another decade before we can see a reduction in ovarian cancer because of changing the method of tubal ligation. Plus, some new data from Essure is showing long-term, it's not as effective as we need it to be.

Guess I'll always have something new to learn.

Wednesday, September 3, 2014

Really?

Today was a facepalm kinda day. Sorta like this:



You know, FOBs talking about how THEY plan on breastfeeding, telling me "I didn't shave the kitty", or getting knocked up by a guy who has multiple girlfriends tends to make me do that.

Like I told a coworker, "I got whacked with the crazy and stupid stick today."

Sigh.