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OK, maybe notFrom: Anna Meenan, MD (annam@uic.edu)Wed Aug 23 20:53:28 2006
Well, as it turns out, the baby I delivered back in June was not my last. You know what Robert Burns said about the best-laid plans...... After a year of every-other-Friday outreach clinic and occasional half-days of residency precepting, the residency director asked me if i wanted to become their weekday hospitalist for L&D/postpartum/nursery. So now, from 7AM-noon, 5 days a week, I round on postpartum moms & newborns, teach residents how to do circs, evaluate outpatients, and supervise deliveries. Still keeping the promise I made to my family---no nights, no weekends, no holidays. So here's how my first week has gone so far: Monday---A Vietnamese G2P1 who I had followed in outreach clinic came in in active labor (is it coincidence that I had told her I would not be able to deliver her baby unless she came in before noon, and not until at least 8/21?) I stayed a little past noon because she was just about complete. Big ol' shoulder dystocia my first day back. She didn't understand enough English to get her up on all-4's, so when McRoberts and suprapubic pressure didn't work, the nurses rolled her onto her side and I delivered the posterior shoulder that way. Baby didn't move right arm much the first several minutes, but all is well now. Tuesday----G1P0 being induced for oligo and poor BPP. Starting 4th hour of Cervidil when I came on at 7. Not doing anything much. Still thick and closed. 10:30 still thick and closed. 11:15 sudden massive decels, briefly responsive to repositioning, IVF, O2, and scalp stim. Next ctx massive decels again. Terbutaline and prep for C-sec. She rolled by the desk on her way to OR at 11:23 while I was calling her resident and the neonatologist. OB was still on his way in at that time. Time of birth 11:38. I didn't get to see what happened in OR. Too swamped with other stuff on L&D. Wednesday---3 circs. Just getting ready to start the 3rd when the second started bleeding. AGNO3, 3 stitches, and gelfoam. The worst part was no one could find me a needle holder or soap to wash him off with. At home, kids are moving in and out, starting 3 different schools, and we are hosting a Korean foreign exchange student (a sudden impulsive decision we made 2 weeks ago). Life is crazy.
-- Anna Meenan, MD
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