i'm ready to be done. surgery was cool and a great experience to get me started this year, but i'm eager to try something else. i worked a few cases on friday w/ an OBGYN and he was very compassionate to his patients, extremely skilled and graceful and i was impressed...i really hope my experience in OB (starting oct 8) is a good one, because i could see myself really enjoying that discipline. studying this weekend for my exam coming up next week. somehow these hours + my being lazy and all haven't been very agreeable to studying, so i'm quite behind. but i shouldn't whine...one of my friends also in surgery now recently changed to the hospital's trauma team and has to start rounds at 4:30am!! and doesn't finish until 5pm or so. mad-ness. i would be so grouchy all the time, i'd just start kicking random people in the shins as they passed me in the halls.
i have to add something. one of the cases w/ the OBGYN i did was a dilation and curettage- where the cervical os is dilated and then all the tissue is sucked out into a container. an early abortion, basically. but it wasn't a fetus, it was a "blighted ovum" which means that the egg is released w/o a nucleus (so no mother's DNA) and gets fertilized by sperm and so only has the father's set of DNA growing in it. some placenta will start to grow and the pregnancy test will be + and the symptoms of pregnancy will manifest, but there's no baby. so this lady went in for her routine check up at about 8-10 weeks and there was no fetal heart beat and then no image on ultrasound. very heartbreaking and difficult to explain the biological mishap to a grieving family. but again, the MD was amazing. fortunately, it's a very rare, freak thing and doesn't decrease her chances of having further viable children. still pretty sad, though. a lot of trauma and disappointment. so incredibly many things can go wrong with fetus development and labor, it truly is a miracle when everything goes well and you get a perfect baby out of the deal.
Saturday, September 29, 2007
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