3.21.2009

OB/GYN

I really thought I was going to despise OB/GYN. We're talking angsty, pit-of-the-stomach dread...not just the "oh man this is going to suck alot". I basically thought I was plunging back into the surgery-type dread of not wanting to get out of bed.

It turns out that it's really a lot of fun. It may have been a product of the wonderful people that I worked with in the lovely private facility with the largely private patient population, but it was a nice mixture of everything (Surgery, primary care and babies). Things that I will be taking with me for my future EM career:

1) Pelvic Exams- they're not fun for anyone, but they're not too bad once you've done a bunch of them...except with discharge, those are always bad.
2) SVD's are horrifying- Anyone who thinks that the act of birth is beautiful watches WAAAAY too much TLC or has never seen a birth. Then there's the smell...ohhh that smell of rending flesh, blood, poo and amniotic fluid...ugh.
3) Epidurals are good- You have not heard a blood curdling scream until you've heard a "natural birth." Oh good lord, every time one of those niave primips would walk through the door I would just roll my eyes and try to avoid that delivery room. I definitely learned how to sell the epidural though...something about 20+ hours of labor (aka the worst pain imaginable) without pain control made the case itself.
4) Some women just don't know when they're pregnant- it may be unfathomable to you, oh virgin teenager in the ED with your parents, but your 4 month amenorrhea and weight-gain in the uterus area kind of tipped me off.
5) Drugs and babies don't mix- Just because your first two kids were fine despite your eight-ball a day coke habit doesn't mean that this one will be. Or yes, your baby will be ok, he's just going through withdrawl from your vicodin habit...you can visit him in the NICU. And my favorite: You do realize that you'll probably want an epidural because your nasty pot-habit has caused your child to tip the scales at around 10 pounds...
6) Juno was the worst movie ever in terms of creating mis-conceptions about pregnancy
7) DIC (or disseminated intravascular coagulopathy) is scary shit...
8) intrapartum hypertension+proteinuria=magnesium
9) Don't rupture the cyst- or to quote my favorite attending "If you rupture this f---ing cyst I will literally kill you." For the record, I felt it when before she went to ultrasound.
10) Acute pelvic pain= rule out ectopic pregnancy, ovarian torsion, hemorrhagic cyst rupture, physiologic cyst rupture and PID.

I would have considered OB/Gyn as a career, but if I had to be surrounded by hormonal/pregnant/OCD women for the rest of my career I'd lose it. Never mind the patients...;)

6 comments:

Dragonfly said...

Re #6 - but the line "every score and every sore" - priceless!

Re #7 - Death Is Coming (Soon, if you call it a syndrome)

Albinoblackbear said...

I was surprised at how little I enjoyed my L & D rotation in nursing school...it may have had something to do with the fact that it was the place that took high risk births from everywhere in northern Alberta-- read: the NICU was about 1/2 crack babies. I also remember one of the SVD's had a husband with no hands and feet from a recent meningitis. It just somehow wasn't the 'miracle of life' rotation I expected.

Glad you had a better time than you expected, that is always a bonus.

Are you back home now with real curtains? :P

Resident Anesthesiologist Guy (RAG) said...

Hated OB/Gyn. Still do and do not want to place the epidurals or do the C-sections for those miserable bitches. The mothers are great, but the nurses and physicians? Awful.

M said...

Oh, this is hilarious! Glad you updated. I'm always curious as to what people's take on the ob-gyn is.

It's either love or hate... There doesn't seem to be much middle ground except in this case where it's "Aha, that shouldn't be that funny."

I'm not to keen on ob-gyn on principle. I think of women marinating in emotion. Not nice.

tracy said...

"....never mind the patients". Hee, hee! :)

The Lone Coyote said...

You bring back all of the memories of my Ob rotation. :::shudder:::
I can't believe I actually briefly considered it as a career path. It has some very cool stuff, but the atmosphere pretty much kills it for a lot of people.