30 Something Baby Doc

Last night I went to dinner with a few of the residents. It was a going away celebration for one of our recently graduated cheif residents T. She's moving to North Carolina to join an ob-gyn private pratice. We went to Carrabas on the northside of town. I'm not a huge Italian food fan but it was pretty good.

T is hilarious, she's been single throughout her entire residency , but plans to end the cycle when she gets to NC. She already signed up for multiple speed dates and is combing the internet personals trying to set up dates before she even get there....LoL

The check came, which is quickly becoming a delimma for me. I want to be generous and pay for the entire check, but I also don't want to offend the husbands of the female residents by implying they cant afford to pay for their own wives. I decided to just pay for T and myself and picked up both bottles of wine, desserts and the tip. That was acceptable to all;-)

After dinner I was planning on going home and completing my case list, but TH a 3rd year resident suggested everyone meet at my place for drinks and a few games of Texas Hold'em (poker). I didn't want say no because I appreciate the fact that the residents feel comfortable hanging out with an attending (myself). Fortunately I keep my place fairly clean, but unplanned parties kinda suck. You always hope you don't have dirty underwear lying in plain site.

Once the residents got back to my place, they invited even more people:-) we actually had a really good time. I was even able to introduce some them to hpnotiq.

Texas Hold'em is a cool game, I even won a hand. Just one. Every one left around 1am mainly because most of them had to work on Sat, (I'm glad I'm not a resident anymore).

I actually woke up early this morning with slight hangover, I went to the gym and worked out and I hope to complete this case list today or tommorrow. I got to get some rest this weekend, because I'll be super busy next week including major surgery planned on a 400 lb patient ...what joy!!!!!.

I have a nice asian couple I see at my office for prenatal care. The wife doesn't speak a lick of english and the husband translates , if you can call it that.

Picture this......The wife doesn't say a word during the entire appointment. I ask the woman if the the baby is moving well, she say nothing and the husband answers "yes", I ask if she having contractions or vaginal bleeding. The wife is still comatose and the husband replies "no" It's hilarious. Do they communicate telepathically or what?

Still working on my case list, I'm in the home stretch...I likely be turning it in early next week well ahead of the final deadline, but it's still gonna cost me an additional 300 bucks:-(

Back to the office.......

One of my buddies called me last night and told me he had given up on completing his case list before the first dealine. Why is it that misery strangely loves company.

I'm still plugging away today. I'm gunning for the first deadline, but it seems less and less realistic. I don't want to rush it and turn in a sloppy case list.

I haven't talk to my parents since vacation. I need to give my mom a call. When I was in medical school , I went so long with out talking to my mom she was one step away from picking up the phone to call the police because she believed I was missing.

Congrads again to Kelly for completing the bar exam today. Reminds me of when I completed my wriiten boards for medical school, trust me, a 2 day exam is no fun. I just had a wonderful feeling of relief after it was over. I went out to the bars and partied all night...most of it was a blurr. I do remember chucking my glass early in the night and grabbing a pitcher to drink from. I kept the pitcher full of beer all night. When i had to squat on the floor and prop myself up against the wall , I knew I was reaching my limit:-)

Last night was shit.

5pm - I walk on to the L&D unit and all the nurses and running around frantically= sign of a bad night.

530pm - someone sets a trash can in the men's bathroom on fire . smoke fills the hallway and the fire dept is called:-(

6pm -A laboring patient's baby heart rate drops and we have to do an emergency c-section

7pm - a patient with premature twins develops a severe infection, we have to do another c-section

8pm - another c-section

10pm - another c-section....damn

11pm - and laboring patient delivers her baby, but has a sever shoulder dystocia (shoulder gets stuck)

you get the picture.....it continued like this all night long...we had to divert patients to other hopsital because we were under staffed and overloaded.

I was hoping to get some work done on my case list last night, but I guess I'll have to do it tonite. The initial deadline is august first, but I don't think i'll make it. The weather's great tonite too, I'd like to be out and about but works got to get done;-(. I'm off tommorrow so that should help.

Someone got there ass kicked on call last night...guess who

Best of luck to Kelly and all her colleagues on the bar exam today, you guys will ace it!

I'll be stuck in the house all days today working on my case list for my boards certification. I have 7 day to the first deadline:-0. If I miss that deadline, I have to pay and additional $300 on top of the $1000 I already have to pay.

It's over 90 degrees outside today, so a good reason to be stuck in the house.

Got the mustang out this morning to do some grocery shopping and run a few errands. I'm getting much better with the manual transmission. I can finally appreciate the 400 horses under the hood. When I step on the gas , the cars behind me disappear very quickly;-)

One of my buddies from residency who just moved back into town want me to come over his place tonite and hang out with him and his family, but I better get this work done. Tommorrow , I think I'll go get fitted for that tux for jimmy's wedding.

Damn!!!!! I got my ass kicked in clinic today.


Time for a beer;-)

Call wasn't to bad last night. Pretty much up and down until 3am. The nurses woke me up this morning and called me down to perform the circumcision on a VIP patient that delivered a few days ago. That's unusual, because staff physicians (myself) usually just sign the billing papers while the resident physician performs the circumcision (Ie. WORK). But this patient wanted the most experienced person performing her son's circumcision. I still do a few occasionally to stay sharp. But they have to realize that residents are likely to be better than staff at performing this procedure because they do it more often. But I can understand the patient's anxiety. I've seen horribly botched circumcisions before where the infant had bled out or nearly had it's penis amputated.

The circumcision I performed this morning went well. That baby will thank me when he's 18 . OBTW there is no medical reason to perform this procedure other than societal norm.

I need to go it fitted for a tux soon, My buddy jimmy getting married this Fall. I hope he didn't pick out some lous obnoxious color like laveder with pink tassels:-)

I got my presentation done today....I have over 100 slides....Lots of pictures always works for me. I hate to talk , so the more slides, the better. I didn't get much sleep last night though. I was up til 2am working on my lecture. Most of he resident seemed to find it very interesting, A few were fighting sleep. I love that relaxed feeling I get after I've completed a project but it probably won't last long because I'm on call tonite. (there is a 420 pound pregnant lady on labor and delivery today who will likely need a C-section) I hoping it's done before I take call tonite. (hoping and praying)

We had a rough delivery yesterday. The patient was rushed to the room very close to delivering. She had no anesthesia and was screaming the entire time. She was very uncontrolled. The residents were delivering and I was observing (ie. I had no gloves on) After the head is delivered we routinely suction the nose and mouth out before delivering the shoulders and the rest of the baby; because the patient was so out of control I told the resident not to suction and just deilver the entire baby and prevent the risk of the shoulders getting stuck behind the pubic bone. The resident did exactly as I told him but the shoulders still becames stuck. PANIC TIME! the resident starting pulling violently on the infants head (God, i hate seeing that) I told the resident to carefully cut an episiotomy to give more room for the shoulders, I got some glove on, put my hands in the vagina and grabbed the other shoulder by wrapping my finders about the axilla (arm pit) The infant delivered crying, unfortunately , the infant had a laceration (cut) on it's right shoulder (I think it occured when the resident was cutting the episiotomy) It was just inches away from the baby's carotid artey (major blood vessel in the neck) . luckily no major damage was done......Another day in the Life

I haven't driven my Mustang in almost 2 weeks, I'm gonna forget how to drive a stick.

OBTW -JB, I didn't see any Sharks in FLA , plus I only swim in pools , I hate swimming with wildlife:-)

Got back from Fla on Sat after a 15 hour drive. Fla in July!!!!!!!! my family plans the best vacations? I had hoped to get my presentation for the residents on wed completed today while I'm covering labor and delivery, but these damn C-sections keep on popping up. Don't these babies have any consideration:-)

Just got back from vacation. God , I feel so out of sorts. I have a hellishly busy week. They'll be calling me down to the OR soon , so I guess I hit the ground running. I have to present a lecture with slides for the residents later this week and haven't even started preparing it yet. I suck!!!

The patient who states she has no money to pay for the inexpensive antibiotics you prescribed for her yet her hair and nails are done weekly, her clothes are all designer labels and finally, her expensive cell phone is ringing off the hook.