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30 Something Baby Doc

Thursday, June 15, 2006

Aint no baby in dere

I'll have to tell you guys the other sad story next time. The story that Kelly keeps making reference to.

It was a very busy night on labor and delivery. we got a call from the emergency room stating that a patient who was 40 weeks pregnant (full term) was arriving by ambulance in active labor. I sent a 2nd year resident down to the emergency room to evaluate her. 10 minutes later the resident and EMTs are rushing the patient up to the labor and delivery unit's OR because the resident said she felt a foot sticking out the cervix into the vagina. ( term breech deliveries are too dangerous to perform vaginally and ceserean sections are usually required)

We called the anesthesiologist and transported the slightly obese patient to the operating room table. The anesthesia resident was ready to put the patient to sleep. I asked the nurse to check the baby's heart rate with a doppler to make sure it was still alive before we started. The nurse ran the doppler device (hand held device that is use to listen for a pulse) all over the patient belly and started to panic because she couldn't get a heart rate. The residents wanted to start the c-section fearing the baby was in distress and we were wasting time getting a heart rate. I was convinced yet and called for the ultrasound to the room. We scanned her belly for 5 minutes and I couldn't find anything. No heart rate , no baby, nothing. WTF?!?! I grabbed a pair of gloves and checked the patient's cervix. I felt no feet or baby. I just felt a normal closed cervix. The top lip of the cervix was slightly swollen, but otherwise nothing was there. I asked the nurse to perform a urine pregnancy test and it came back NEGATIVE. At the same time on of the night shift nurses came on duty and was amazed when she saw who was laying on the or table. The nurse exclaimed, " That's Ms. ------, she's schizophrenic and comes to the emergency room every other week claiming she's pregnant"

Damn!!!


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