OBGYN: First Cuts
I’m two days into Labor and Delivery and haven’t had time to really process any of it. The thing about OBGYN is that it’s a surgical speciality. This is less than stellar for a couple of reasons.
- Early mornings: We round on our (more than 20) patients no later than 5:30, of course this means that I need to be there significantly earlier than 5:30 to spend more than 3 minutes with my patients, and not look like an idiot on rounds.
- Late nights: We get out pretty late, and after I go home I still need to study.
- I haven’t really had a ton of time to think, so my thoughts here aren’t particularly deep.
- Unlike Orac I am not a surgeon. Anyone who has seen me in an operating room would never ever mistake me for a surgeon.
- I’m very tall. Most OBGYN’s at my institution (35 of 40 residents) are female. Most of them are short. That means that I’m spending 3-8 hours a day killing my poor back, holding the bladder blade.
- Did I mention holding the bladder blade? The bladder blade is the implement used to keep the bladder, and part of the body wall, out of the operating field. This allows the surgeon to perform the C-section. I’m told this makes me an important member of the surgical team…
On the other hand. This is the only service I’ve been on where people are so happy! I love that about this rotation. Sure the women are angry and screaming when they’re in labor, but that is to be expected. These are the only patients I’ve seen happy to be woken up at 5 in the morning and asked if they’ve passed gas yet. Don’t look at me funny! Flatus is very important to surgeons – you can’t go home til we know your gut works.
Heck, today I asked a patient that and they said “Nope, but look at the baby isn’t she cute?!”
You just don’t get that on surgical oncology, no one says “Nope but look at that tumor!”
On a completely different note, I still have not achieved my goal for the rotation. What’s my goal? Well I’m going into emergency medicine. I won’t do C-sections as an EM doctor. But I will occasionally have to deliver a baby. I really want to be ready to do that when the time comes. So my goal this rotation? Catch a baby. More officially, “deliver” a baby. I hope that you’ll all wish me luck in my quest to help bring a bundle of joy into the world.
Moving on to general meta-blogging.
I’m having a tough time focusing on specific blog posts right now so I’ve been simultaneously half working on far too many posts right now, including:
- Last post on Swine Flu: One more research article on the subject, it’s really more on flu in general, to clear up alot of myths I’ve been hearing repeated.
- Post on Jadedness in physicians: wherein I discuss apparent jadedness as a coping mechanism, among other things. It’s also kind of a segue into a series of posts (in the very very long run) about the bad parts of medical training.
- Parts 4 and 5 of HC:Vaccines and Autism. I can guarantee these won’t come before the weekend. The HC posts are really satisfying for me to write, but the research takes time, and I work hard to get the science right.
- My first actual, thought out reactions on OBGYN, with some answers for the readers who took the time to comment on OBGYN dreamin’.
- Two completely random posts that are more for me than all of you, but posts that hopefully some people will enjoy anyway.
Feel free to vote for which of those posts you want to come out first in the comments. No guarantees, but I’ll try to take into account what my readers actually want to read rather than my own randomness alone.