30 Something Baby Doc

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:-)