Tuesday, July 21, 2015

OK People

If you are going to wake me up at 3:56 am, it better be good.

NOT for pain that you've been having for a few weeks.

Tuesday, July 14, 2015

Things

OK, 2015 should not be half-done.

I hate spontaneous abortions.

Especially as the last patient of the day.

I hate being a patient.

Especially since I know I'm a horrible one.

I love seeing the newborns at the 6 week postpartum visit.

I hate not having my usual m.a.

I'm honored that some people trust me with their feelings as much as they do.

I'm so not good at psych stuff.

We needed more training in residency.

Pregnancy is NOT a reason to be on bedrest.

Oh, don't you EVEN go there about me not knowing about working whilst in pain.

Trust me, I've worked through worse.

My partners are fucking nuts.

Seriously nuts.

I'm just as bad.

England was wonderful.

And yes, they spoke English.

Kids are tired of seeing ruined castles.

Why was I stupid enough to volunteer for another hospital committee?

Friday, June 19, 2015

Even on my days off...

So today I'm running errands before we leave for our family trip to London. I take my daughter to the orthodontist to recheck her retainer.

The tech, making small talk, asks my daughter if she had any plans for the summer.
"We're going to England tomorrow."
"Really? So do you speak the language?"

REALLY?!?!?!?!?!?!?!?!?!?!?!?!

Saturday, June 6, 2015

Bang my head

Caller #1: Goes on and on and on about a nothing symptom - it's normal 3 days postpartum to bleed. I tell her this multiple times over the course of the 10 minute call. I finally hang up, since it's obvious she's not listening to a word I'm saying.

Caller #2: Diarrhea at 2 am is not an emergency, but take some Immodium.

Caller #3: Term pregnancy, thinks her water broke. Me: Go to OB. She then starts in on 50 million other symptoms. Me: Go to OB. She then tells me about her discharge. Me: GO TO OB. Her - well what if my water isn't broke? Me: Just go to OB.

I fucking hate call.

Tuesday, May 19, 2015

randomness

I hate 3 am deliveries.

I hate 4 am deliveries.

I really hate 5 am deliveries.

I hate my shit magnet status.

I wish laboring patients would come in for my partners and not me.

Seriously, why do they all come in for me? (in fairness, I have one other partner who has similar luck)

6% section rate? REALLY? REALLY?!?!?!?!?!?

This weekend killed my 0% episiotomy rate, however. Oh, well. Everyone came out the intended route.

My vacation cannot come fast enough.

I'm sick of post-menopausal bleeds. Lately I've been the D&C queen.

I hate computers.

I LOATHE meaningful use.

Got my first 2016 EDC patient this week.

Being a high-maintainence drama queen will kill office morale quick.

Being the easy-going one means you get walked upon.

I hate vag hysts.

But I got a nice compliment from multiple OR nurses - they tell me I do a nice vag hyst & if they need one, they'll have me do it.

I daydream about GYN only sometimes.

I am not a miracle worker.

No, I did NOT know about crazypants' heroine use while pregnant. Hell, I didn't even KNOW she was knocked up again.

Thursday, April 9, 2015

New phrase

Coined by me, today.

Booty cooty.

Can be anything from trich, or the clap, to the ever popular chlamydia. It works no matter what.

Saturday, March 21, 2015

Thoughts

I'm in an employed group of OBs, fairly largish group. We are looking at expanding due to increased volume - lots of solo docs in this area have left for various reasons. The closest OB group (next town and hospital over) has imploded and those patients are coming to us now. My last few calls have been hellish. My office manager just says "RVUs! Think of your bonus!" Fuck my bonus, at that point, I just wanted sleep.

We're looking at a laborist model when we add our newest doc (and yay, she starts soon!). I have to admit, I would be all over that, no running back and forth between office and the labor deck (which is worth about 4K steps per call according to my new fitbit). No trying to juggle over where we need to be. Just spending shifts on OB, in-house. Or staying in the office & being able to fully be THERE. No need for rescheduling patients because of a delivery.

It would mean that I could effectively work full-time while keeping multiple days off per week. I like the part-time gig, it gives me time to keep my household functional. I can run the kids to lessons and fix dinner. I don't need to hire a cleaner because I can do things over the course of the week. It means I can chaperone field trips (which remind me why I am not a teacher).

Interesting things to ponder. I'm a year into this contract, will need to renegotiate if all of this comes to pass. Overall, this place was a good place for me to land. Reasonable administration, good group, nice hospital, great nurses. It's not perfect, but it's good enough. I'm not stupid; I'm planning on retiring from here unless my husband gets a better teaching job elsewhere. I hope not, I'm not up for moving yet again.

Like I told one of my partners, I'm too old for this shit. OB is hard on your sleep schedule. OB is physically draining. I got home the other day from a post-call office day and made it to the couch. I literally was feeling my legs throb and ache. I just wanted to do something mind numbingly dumb, so I harvested supplies on my Clash of Clans game.