30 Something Baby Doc

I've been seeing this patient in my office for the last few months with urinary incontinence. She's a very sweet lady but unfortunately she's a little challenged in the dental department. The poor woman only has one front tooth that she totes proudly.

She was scheduled for surgery today to correct her urinary incontinence. I walked into the OR as the anesthesia resident was intubating her and looked in horror as her last tooth was accidentally knocked out:-(

I saved it for her when she woke up.

I was on call last night, and didn't get much sleep. I took an hour nap then woke up to go delivery Thanksgivikng meals to the needy. Thank God for caffienated pepsi products.

I delivered over 50 meals to 15 houses (pat on back) It kinda sucks when you do it alone but the road atlas really helped along with a little bit of abstract thinking.

I do feel guilty though, the last delivery of 6 meals was an address that was really close to my condo, I knocked on the door several times loudly and no ones answered (it was to cold outside for all that) so I left the meals on the doorstep.....sorry:-(

Happy Thanksgiving Everyone

When I'm operating, nurses sometimes comment on the size of my hands. I wonder if there is a positive correlation?

Sometimes I get so shitty about spending Thanksgiving away from my family and alone, I forget what the day is all about.....extra time to study for my oral boards exam!!!

just joking......I'm on call the night before, but I'm gonna try to deliver meals to the needy on Thurs. I've done it for the last 2 years, it's really worth it and helps me appreciate what I have. The initial year I delivered meals, I came very close to getting carjacked though during my first delivery. During another delivery 5 kids tried to rush into my SUV and take them to Auntie Nay Nay's house?

I think I'll do steak this year.

The ton off bird shit on my car today reminded me of this important lesson.......

A bird was walking through the forest when it started snowing. It was so cold that his tiny little legs froze to the ground. Suddenly, he started chirping at the top of his tiny lungs, hoping that a farmer would come along and free him.Two minutes passed, and a cow came along. The cow, not noticing the bird, proceeded to defecate, the shit landing on top of the bird. At long last, the bird was warm, and the warm pile of shit melted the ice around its feet.Realizing it was free, the bird lifted its wings and tried to fly away, but was once again stuck in the pile of shit. Again hoping a farmer would come along and free him, the bird started chirping.Three minutes passed and a cat came along. Seeing the bird, the cat came over, pulled him out of the shit, cleaned him off, and ate him.

Moral : Not everyone the gives you shit is you enemy and not every that takes shit off of you is your friend.

I don't have much to blog about today (from the perspective of an obstetrician, that a damn good thing). I've been volunteering at a local mission off and on for the last several weeks. I'll try to finish up with clinic early today (good luck) then go serve meals at the mission. At times I feel it's an under-utilization of my skills but sometimes it's nice to do something simple that involves something other than my on self preservation and self gratification.

I'll likely be studying most of the weekend. This certification exam is starting to scare me:-(

Im off to clinic. Everyone have a safe weekend:-)

Last night was another call from hell. I slept from 10pm to 130am then all hell broke loose after that. One emergency after another. The night ended with a C-section at 6am . The cheif resident and the lower level resident scrubbed (gowned, gloved and operated) . I was off to the side observing. The latter is routine and helps develop autonomy among the residents, especially the cheifs who graduate and go out on there own in less that six months.

The C-section was going well, the baby was delivered and was doing fine. As the residents were suturing the incinsion made in the uterus, the patient began to bleed heavily from the right side of her uterus. The artery supplying the uterus had been lacerate while the baby was delivering. The patient's brother was medically inclined and had been closely observing the surgery. The resident's were trying to place an O'Leary stitch to help control the bleeding, but the were experiencing difficulty placing it correctly and the bleeding became heavier. I calmly instructed the residents on the correct technique and they were doing fine.

Suddenly the patient brother walks up to me and says," They ( The residents) don't know what they are doing and my sister is bleeding, you need to take over now and complete the surgery". (I've been in this situation dozens of time before, and I didn't see a need to intervene..I'm the first to step in if I believe it's over the residents head). I explained this the to patients brother, but he still seemed angry and upset. The residents quickly controlled the bleeding and completed the surgery. The patient did well.

Am I wrong for not complying to the brothers request? If the patient and family members want fully trained attending physicians primarily providing care, can you make the arguement that they should have never came to a teaching hospital in the first place?

A patient came into my office this week complaining about decrease libido and inability to orgasm. After additional questioning, I got a sense that her decreased libido was secondary to frustration because of her inability to climax with her husband.

I asked her if she had ever had an orgasm with masturbation alone.

She said, " I've never tried before. Can you show me how to masturbate?"

I should be studying right now, but I keep getting distracted by Monday Night Football.

Many people (friends and strangers) have told me I look like Donavan McNabb.

Why in the Hell would anyone want to insult McNabb like that! People can be cruel

You are the doctor/obstetrician. You're caring for a pregnant patient in labor then suddenly the baby's heart rate begins to drop and doesn't return to normal. The patient's cervix is not dilated enough for a vaginal delivery, therefore you inform her that she will need a C-section to save her baby's life. The patient refuses and says "A C-section is very dangerous for me, I could end up with a horrible scar, lose my womb or even bleed to death. I won't take that risk, I don't care if my baby dies, I can always have another."

As her doctor, what would you do?

I had a patient similar to this last week . There were times when the baby's heart rate would drop, but fortunately (for myself and the baby) returned to normal after a minute. The patient developed arrest labor (her cervix would no longer dilate secondary to the large size of the baby) and she agreed to a C-section. The baby did well

I'm studying at home today. All I've been doing is watching football, surfing the web, and eating junk food.

I not getting much studying done though. I need more discipline:-(

I have a quiet 2000 sq ft 3 bedroom condo with a loft all to myself and yet I here at the public library studying for my oral board certification exam?

On "what's your parent's job day", my son or daughter will proudly hold up this picture in front of their grade school class and say,

"My daddy works inside of these all day long"

There's nothing better than a well Balanced Meal.

I just got back in town this Sunday after spending a week in the Baltimore/Washington area at an OB-GYN oral boards examination review course. It was nice to be back home on the East Coast for a week. It's hard to believe I've been living away from home for almost 12 years now.

I was talking with one of the instructors at the review course and she told me one of her hobbies that trying to determine a person's area of origin from their accent. I told her to give it a try on me. (I was born and raised on the East Coast for 23+ years)

She said, "your accent is very non-descript, your grammar is clear, you annunciate you word well..........your from............The Mid West!"

OBTW ...I dined on crab cakes every fucking day