Friday, September 18, 2009

end of shift

no more night shift for me...finished with a nice shift. last night i assisted in a c-section, watched an epidural, put in a foley cath, and checked a cervix. plus the writing of a ton of notes. and then rounded on patients in the morning. i got the lovely task of taking of bandages...ripping tape off of people's skin at 5 am is probably not the best idea of the day. i definitely had some angry people at me, and i tried my best to just be gentle and to take breaks and let the patient tell me when they're ready to keep going. alas. i was going to take some staples out of a lady but she was wigging out on me so bad that i didn't even want to go there. the resident said i did the right thing, evidently that person had some documented "issues" so i'm glad i didn't go ahead and attempt the staples.

the saddest part about L&D is seeing the very young girls having babies. well, not all the young girls make me sad. just one in particular...this girl was 14, got pregnant at 13, and had suffered all kinds of abuses which are currently manifesting as a bazillion different psych disorders. (and if i had to go through what she did, i would have some major issues too. all of us.) the worst part about her situation was that her home life was just atrocious. the mom of the girl was all kinds of weird and an enabler of some of the abuse, and it just made me so sad to think that this girl and now this girl's baby probably will have zero chance in the world. ok, maybe not zero, but definitely a very slim chance of getting out of all the craziness and getting a decent shot. just sad. when i checked up on her this morning i made sure to tell her that she did a wonderful job during her delivery and that she should be proud of her beautiful baby, because who knows if the mom said anything. i instructed her to make sure that if she was ever hurting, to ask for pain medicine because the nurses don't just automatically give you some, you have to ask. when she said that she was going to try and breastfeed and use bottles for backup, i said that was a terrific plan and that i was glad that she was going to try breastfeeding, since it is best for baby. and then i left the room and she actually waved goodbye to me (she hadn't been doing that at all before). such a sad situation...wish i could have done more, but i did what i could.

so now i am regulating my body back to normal when i got home i slept until 2 or so and then woke up. hopefully i will go to sleep at a normal time tonight and be adjusted back without any problems.

next 3 weeks are going to be just gyn. i start off on REI, which is reproductive endocrinology and infertility. i think that is just going to be super fun. i know i'll miss the babies, but it's good to learn about everything, and since they force us to i don't really have a choice...ha. i hope i enjoy gyn though overall...i hear a lot of people love the ob part and then hate the gyn. i'm going to have to really jump in and try to experience all i can because if ob/gyn is what i want to do as a career, i got 3 more weeks to really "see it all" in a way. but then again, if i really hate it, well, alas. then peds is the next rotation. it's going to be so hard to decide, or maybe it will be super easy. i really do feel that if i did go into ob/gyn, then i would probably focus my practice on the adolescents. for some reason most of the patients i followed on L&D were the 14-20 range, and i really liked interacting with them. and i have thought about going into adolescent medicine before, so maybe that would be a possibility for me.

ha, and watch in 6 months or so that everything that i've ever thought about "what am i going to do with my life" just go out the window. i can always go to culinary school, right?

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