3 deliveries- 2 of which i got to gown up and assist in, 1 of which i got to deliver the placenta. natural progression means i should be able to deliver the baby soon right?!
the day...
3:50am get up
4:10 leave the house in scrubs
5:00 get to hospital
5:10 want to take a nap but cant
6:00 see my patient on the antepartum floor, check in on how she is doing, do a mini physical and write her progress note into her chart
6:30 rounds... It is pretty much exactly what i though it would be. Scary and hectic. Picture the attending in the lead, residents a couple steps behind and then us 4 medical students running after wondering what the hell is going on. Each of us presented our patients and then got asked some questions and the attending ended up being very receptive to questions and was a very good teacher.
7:45-8:00 time to breathe, eat breakfast and then meet back at the lecture room in the labor and delivery ward
8:00 Our first morning seminar starts. its basically all of us med students, a couple PA students and some residents. This morning they were giving us an intro to the labor and delivery ward. Right as they were getting into the paperwork we are responsible for, Dr. B our resident’s phone rings and all i hear him say is, “right now? ok.” Then he hangs up and asks who is on L&D today. Kavitha and I raise our hands and he goes “k, wanna see a delivery. lets go.” I have never moved so fast....i laughed in front of everywhere and said “right now?” and he goes yup, follow me. I pretty much ran toward the door and didnt remember at all that we were in the middle of a lecture [though it was very informal, i swear] and as i was about to exit the door i stopped, looked back at the attending and said “wait, is that ok” and she just said yeah go. I ran after the doc and Kavitha was behind me. She was obviously moving slower because i was the 2nd one in after the doctor and immediately he starts to gown me up [i was very confused]. He hands me a sterile gown and once its on i look up and see a couple nurses and a PA resident standing in front of a very, very loud screaming mom. It was pretty much what i expected only i was a little more frazziled as i had no idea what was going on. All i knew is that Dr. B was dressing me up so i could assist the PA. After getting my gloves on I stood back and watched as the baby flew out of mom and got handed to the nurses to get checked out. With the baby clear, i was told to go help the PA and she explained everything from there on to me. She is awesome. I watched and learned about how she delivered the placenta and then examined it with her after to make sure everything was normal. pretty damn cool. and that was my first day on L&D, second day of rotations at 8:45am. The day only got better from there.That day I watched the anesthesiologists give an epidural, admitted about 5 new patients, saw a ton of baby ultrasound [and learned how to estimate the baby’s weight with it] and then saw 2 more deliveries.
The 2nd delivery i saw i also assisted on and this one i actually delivered the placenta. The baby’s name was Madison, I dont think i will forget that. The 3rd delivery was performed by the doctor because it was a more complicated delivery. The great thing about it was the patient was on the ward all day so i saw and talked to her and her husband all day. It was a great experience to then watch their baby get delivered at about 4:30pm. I nearly cried, it was so emotional to watch their facces as they started over at their new daughter in the baby warmer getting checked out. The baby’s name was Chloe. She was gorgeous! I even helped take a picture of dad and the baby before she was given to her mom :)
Both those moms had some minor tears that had to be sutured up and one of the residents told us that if we work on our suturing and show that we are competent we may get the opportunity to do some later in the rotation. Im gonna start googling practice suture materials cause i definitely want that experience before i leave! Other things i may get to do are artificially rupture a membrane on an induced labor and i will soon get to scrub into surgeries.
So the crazy day ended at about 5:30pm after we handed off our patients to Tan [another med student] and filled him in on what was going on. Tan had the 5pm to 9am shift so the next time i would see him would be the next morning...
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