Lit Review

So my Green Journal for April arrived yesterday (just a little light reading between office and boring committee meeting) - hmm, lets see multiple articles why inductions are bad and how we can reduce them. Articles on the fact that there is no good way to screen for ovarian cancer.

And a lot of filler.

Will this change my practice? No...because I have the policy of no elective inductions prior to the due date. And I don't do ovarian cancer screening.

We're human too

You know, when my vacation is cut short because my mom is in the ICU, the following week when I see patients, I have little - actually no - tolerance for the whining.

So deal with it.

Getting big

My baby is now registered for kidnergarten and got his shots this morning.


"I don't like the doctor. She's mean and it hurts!"

Too fast, I'm telling you, too fast...

Turning, turning, turning through the years...

In some ways, OB is very primal. Associated with nature's cycles. Our months are measured in 28 days. Our years are 40 weeks long. And we can't count to more than 10 because we wouldn't have enough fingers...hence the 10 cm of dilation. ;)

There's just something, though, about getting a newly pregnant patient and calculating out her EDD. It's usually about 7 months out from today's date. And you occasionally look at the EDC and think "Wow, blah already?" I had that yesterday, her EDC is in NOVEMBER! That means pretty soon, we're going to be getting babies due in 2010!

And the cycle continues...

Amusing Link

The history of periods on TV, in brief.

The Roseann link is funny.

Although I have to say, why, oh, why do we have to hear about that "not so fresh feeling" on TV?

grrrrr

And she's BAAAAAAAACCCCCCCCKKKKKKK!!!!!!

The chick from last night called again, thinking she's in labor. Not happy with my answer, she proceeded to call L&D to ask for advice. I found out when they called me about another outpatient. The night shift charge nurse was laughing as she told me about the phone call. Evidently, she's not too happy with me. Oh, well.

The charge nurse had had her as an outpatient last night...and this patient told her that "Of course, the doctor said she would start pitocin." WTF? On a Saturday night? When you are a patient of the practice that I'm cross-covering and I don't know a thing about you other than you're 37 weeks and a pain in my ass? And I repeat, inducing someone on a Saturday NIGHT? Are you kidding me?

I have a feeling I'll get paged at some ungodly hour about her. Yes, she's uncomfortable. Yes, quite frankly, it SUCKS big time to be late-stage in a pregnancy. But so what? You are PREGNANT!!!!!

After writing the above, I just got paged about her. She's still 1, thick, posterior and now discharged back to home pissed off at me, saying that I don't know jack-shit and asking to speak to her doc. Bite me.

Why did I do this again?
;)

Still not a reason to induce. Suck it up.

Wow!

A patient sent flowers to me and another arrangement to my nurse, along with really nice notes thanking us for caring for her during her pregnancy.

It's rare to be appreciated.