Today was that kind of day. πŸ˜ͺ Thank you List App for the list prompt that can replace my journal entry!
  1. β€’
    07:15 Got to the hospital
    I was Labor and Delivery C-Section attending today. Hoping for a quiet morning since there are no scheduled sections when residents are in teaching Thursday mornings. Received sign out about the laboring, postpartum, and antepartum patients from the night team.
  2. β€’
    08:15 Had a sad breakfast
    Hard boiled eggs and coffee from the cafeteria. But my OB fellow treated me ☺️
  3. β€’
    08:30 Met the first patient for C-section
    Her Urine Tox screen was finally negative for Meth after 4 days. She's term, got high blood pressure, 2 prior C-sections, and tired of having nothing to eat or drink for 8 hours. And damn, she's thirsty! (her words, not mine.) Let's get her blood typed and crossed and go! Her baby's looking good on the monitor.
  4. β€’
    09:00 Called patients with test results while waiting to start the C-section
    2 abnormal Pap tests that need follow up. 1 normal pelvic ultrasound.
  5. β€’
    09:45 Took a laboring patient to the Operating Room for Fetal Intolerance of Labor
    The baby's heart rate kept dropping very low with every contraction even when not on Pitocin (which is used to augment labor by making contractions stronger and more frequent). Sorry, patient #1!--you're getting bumped 😬
  6. β€’
    11:00 Changed scrubs
    Getting into her abdomen was surprisingly difficult and the OR was so hot for some reason. The back of my scrubs was wet with sweat at the end of the case. Gross 😟 Baby girl looked good, though!
  7. β€’
    11:15 Had a sad lunch
    Salmon burger, sweet potato waffle cut fries, and a Diet Coke. Meh πŸ˜•
  8. β€’
    12:00 Submitted my vacation request to go to Paris in October
    (Yay!) Waited for our awesome anesthesiologist to place a couple epidurals in laboring patients.
  9. β€’
    12:45 Noticed the patient seizing
    Patient #1 suddenly became unresponsive and started smacking her lips, frothing at the mouth, and having convulsions while preparing for the C-section.
  10. β€’
    12:55 Did a STAT C-section under general anesthesia
    I LOVE MY O.R. TEAM! Our anesthesiologist was calm and bad ass. The scrub tech called overhead for back up. The fellow got the baby's heart rate on the monitor. The nurse got me everything I asked for immediately. πŸ† The NICU team arrived and when the anesthesiologist said we could cut, we cut. Baby boy looked pretty good considering everything that happened!
  11. β€’
    13:50 Heard about another laboring patient that may need urgent C-Section for fetal heart rate decelerations
    Still in the OR with patient #1 waiting for ICU bed. Charge nurse came in to give me a heads up.
  12. β€’
    14:00 Signed out to the ICU team and informed the patient's family
    The patient will stay intubated and go to the ICU. CT scan of the head ordered. Plan to consult Neurology.
  13. β€’
    14:15 Called to open OR #2 for urgent C-section
    The laboring patient had a prolonged deceleration and baby's head was too high up for vacuum or forceps assisted vaginal delivery. Let's go!!! Pulled another anesthesiologist from the Main OR since ours was still with intubated patient #1.
  14. β€’
    15:15 Finished the C-section with no complications
    Baby's APGARS were good. Whew! πŸ˜“
  15. β€’
    15:30 Changed scrubs again
    My scrubs are drenched.
  16. β€’
    16:00 Document in the patient charts
    Everything that happened, everything we did and why. Document, document, document!
  17. β€’
    16:30 Signed out to oncoming night team
    Don't say I'm a "black cloud"!! 😣
  18. β€’
    17:15 Go to Radiology to see the Head CT results
  19. β€’
    17:30 Go to the ICU to see patient #1 and talk to the ICU team about her care plan
  20. β€’
    17:40 Consult Neurology
  21. β€’
    17:55 Give feedback to my awesome OB fellow and chief resident!
  22. β€’
    18:20 Went to Trader Joe's
    Bought salad ingredients, prosecco, and chocolate coconut milk ice cream.
  23. β€’
    19:00 Took a walk and texted a friend
  24. β€’
    19:30 Made this list
    And think about how lucky I am that I still love what I do ❀️