This week thus far:
a 4 am delivery that pushed for 3+ hours.
a discovery of an allergy to clindamycin via hives and breathing issues.
25 week twins with a foot in the vagina
A BPP of 2/10...in someone with a BMI over 70.
A crash section in someone with fetal heart tones in the 30s for 6 minutes.
An ER hit: "I think I see head!" Yep, doc you do. And dammit, I'm doc o'the-month.
ugh.
Friday, January 29, 2010
Sunday, January 24, 2010
Call misadventures, continued
9:42 am. I am sacked out on the couch "watching" cartoons. My cell goes off. I recognize the number as being the call center.
"Hello"
"I have a call for you but I tried to get her to call back tomorrow. It's not an emergency." Hoo boy. Never a good sign. "She's insisting upon talking to you.
"Fine."
"OK, doctor, you're connected to Pita Patient." Crap. Pita is one of those of whom we say "it's going to be a long pregnancy." I talk to her several nights per week as well as the phone nurse talks to her at least twice weekly. And we still have MONTHS before she delivers. My working diagnosis is category 4 - fucking nuts and intent upon making ME (and my staff) nuts too.
"Your office called on Friday and I want to know why."
W.T.F. I mean, WTF!?!?!?!?!?!?!?!?!?!
A. It's Sunday.
B. I'm at home.
C. I have no clue why she was called.
D. I wasn't even IN the office on Friday - it's my day off.
So I nicely tell her I don't know and that she should call tomorrow. She sounded disappointed.
Tag phone nurse, you're it!
"Hello"
"I have a call for you but I tried to get her to call back tomorrow. It's not an emergency." Hoo boy. Never a good sign. "She's insisting upon talking to you.
"Fine."
"OK, doctor, you're connected to Pita Patient." Crap. Pita is one of those of whom we say "it's going to be a long pregnancy." I talk to her several nights per week as well as the phone nurse talks to her at least twice weekly. And we still have MONTHS before she delivers. My working diagnosis is category 4 - fucking nuts and intent upon making ME (and my staff) nuts too.
"Your office called on Friday and I want to know why."
W.T.F. I mean, WTF!?!?!?!?!?!?!?!?!?!
A. It's Sunday.
B. I'm at home.
C. I have no clue why she was called.
D. I wasn't even IN the office on Friday - it's my day off.
So I nicely tell her I don't know and that she should call tomorrow. She sounded disappointed.
Tag phone nurse, you're it!
Sleep
Is the big downfall of OB. I just finished a delivery...3+ hours of pushing. Please note the time I'm typing this. I can't fall back asleep right now.
My cycle is going to be off for about 2-3 days because of this. The post-call day is doable even if you've been up all night. It's the following day that it hits you hard.
Here's hoping that I can get naps today and tomorrow.
My cycle is going to be off for about 2-3 days because of this. The post-call day is doable even if you've been up all night. It's the following day that it hits you hard.
Here's hoping that I can get naps today and tomorrow.
Wednesday, January 20, 2010
Funny kid
So I'm seeing a patient for a routine OB check. She's brought her daughter along, like many people do. Her little girl is GORGEOUS - long straight red hair, bright blue eyes, impish look on her face. She's 2 1/2 years old and precocious as all get out.
So I knock on the door before I enter, open the door and almost trip over the kid, who is right by the entrance to the room.
"You scared me!" she said.
"Sorry."
"Curly hair scares me." I have super curly brown hair.
"You should see me when I first wake up." The patient is cracking up at the exchange.
So I knock on the door before I enter, open the door and almost trip over the kid, who is right by the entrance to the room.
"You scared me!" she said.
"Sorry."
"Curly hair scares me." I have super curly brown hair.
"You should see me when I first wake up." The patient is cracking up at the exchange.
Tuesday, January 19, 2010
How do you
tell a woman her baby has a lethal anomaly?
And yes, I'm sure. My sonographer is excellent. The pictures are crystal clear, textbook perfect. The sonographer came out of the room in tears and called me.
Got her squeezed in yesterday to see me after her scan. She and her husband are in shock.
This is the 6th one since July for my practice. We've had about 170 deliveries in that time frame. And most of them have been related to one particular organ system.
I think I'm going to be talking to our local health department...it just feels like too many. I'm not sure the HD will do anything, it's relatively impotent (hence the reason my little clinic does the STD testing).
OB is happy until it's not.
And yes, I'm sure. My sonographer is excellent. The pictures are crystal clear, textbook perfect. The sonographer came out of the room in tears and called me.
Got her squeezed in yesterday to see me after her scan. She and her husband are in shock.
This is the 6th one since July for my practice. We've had about 170 deliveries in that time frame. And most of them have been related to one particular organ system.
I think I'm going to be talking to our local health department...it just feels like too many. I'm not sure the HD will do anything, it's relatively impotent (hence the reason my little clinic does the STD testing).
OB is happy until it's not.
Saturday, January 16, 2010
More awesomeness
Whiny first time mom, being induced for being overdue and 4 cm dilated (ie elective induction, but one with a good chance of succeeding). She's been very whiny from 32 weeks on.
Now, before people start in on me, most pregnant women start whining right around that time. I don't know a late in pregnancy woman who can sleep comfortably or go more than an hour without peeing or can breathe deeply easily. It's just the way it is, and it sucks. I know, I have two kids so I give sympathy than point out that "yep, you're normal. You're pregnant."
So, back to my point. Patient gets to complete. 24 minutes of pushing. 10 pounds, 5 ounces. No shoulder issues. No tears.
Day-um!
No wonder she was whiny!
Now, before people start in on me, most pregnant women start whining right around that time. I don't know a late in pregnancy woman who can sleep comfortably or go more than an hour without peeing or can breathe deeply easily. It's just the way it is, and it sucks. I know, I have two kids so I give sympathy than point out that "yep, you're normal. You're pregnant."
So, back to my point. Patient gets to complete. 24 minutes of pushing. 10 pounds, 5 ounces. No shoulder issues. No tears.
Day-um!
No wonder she was whiny!
Wednesday, January 13, 2010
Awesomeness, redefined
So hubby just got home from work. He said he heard this ad on the local sports radio station. Evidently, some urologists have started running an ad urging men to get vasectomies in March. They were emphasizing the need to stay home and rest and watch TV during the recovery period.
The tag line?
Ohhhh......this is good.
Wait for it...
It caused me to snort out my tea because I was laughing so hard....
Guess.
"Lower your seed for the tournament!"
The tag line?
Ohhhh......this is good.
Wait for it...
It caused me to snort out my tea because I was laughing so hard....
Guess.
"Lower your seed for the tournament!"
Subscribe to:
Posts (Atom)