Monday, April 09, 2007

You know you work in a good job when it eases the demoralization out of you and replaces it with a sense of mild satisfaction and accomplishment. I have a good job. Yes, I mayy be sued for uncountable damages by some guy who crashed his motorcylce into my car, and I may enter my new life and my new marriage with the loadstone of an unpayable settlement around my neck, but I had a pretty good shift. We had a surfeit of medical practioners--in order of decreasing competence: me, a PA, a Fam Med resident, a medical student who wants to be a psychiatrist. It made for a pleasantly relaxed day. My first patient was a little lady with premature rupture of the membranes at 17-19 weeks. I went to do the pelvic exam and saw a small foot protruding from her vagina. My heart sank. I delivered the stillborn fetus. This is one of the things that I have yet to harden myself against; it was really a disturbing experience. I delivered this little baby and had it clasped in my hand, tiny and lifeless. Poor, poor lady. We wrapped the baby in a small towel and she cradled it to her and cried. Rest of the day was uneventful. We had a full arrest that came in, V Tach, but the medics shocked him out of it and when I saw him he was stable and feeling pretty good. The paramedics absolutely saved this guys life. I got my dictations done (Oh Joy!--that albatross around my neck is finally cast off!) and got out opf work only 30 mins late. Sweet! Also--one of the ladies at work just had pupppies. (You know what I mean). Half Lab-half German shepard. Perfect! 2 days old--so in 2 months i plan on having a little mutt puppy running around. Great--I like both those breed and the time is right! I'm pretty excited! U-561

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