My last day of L&D Night Week was a roller coaster – I got to vaginally deliver identical twins, scrubbed in on a straightforward tubal ligation, humiliated myself in front of the chief resident of anesthesiology, did another vaginal delivery and proceeded to help with triaging patients in OB Intake (OBI). Over the 14+ hours I was in the hospital, I consumed a ridiculous number of Chewy Granola Bars. Shout out to Quaker Oats for preventing me from passing out. 😉
The twin delivery, in particular, was amazing – they were classified as “mono-di” twins. This refers to a morula which split between 3-8 days leading to a shared chorion but separate amniotic sacs for each fetus. The delivery process went incredibly well, and the babies, as always, were ridiculously adorable! The upper level resident carefully helped my teammate and I visualize the separate sacs visually after the placenta was delivered – I’ll never forget why it’s called “mono-di” now, haha. It was wonderful to be part of something like that. 🙂
Around 5am, things had quietened down in L&D, so I went to see patients in OBI where I’m officially be working next week anyways. The best part of working in July is getting to collaborate with new interns who were medical students a few weeks ago. They’re inundated with new responsibilities, so I have a great chance to cover patients with more responsibility. Getting to do abdominal ultrasounds, recommend antibiotic doses, work up psychosis, write full H&Ps… it became evident to me that I’m drawing on information from internal medicine, psychiatry, and obstetrics to assimilate a assessment/plan for a single patient. And for that particular encounter, I felt like a resident… a resident who still needs his notes and orders cosigned. 😀
Overall, it’s good to have L&D Nights out of the way early into the rotation. I’m definitely going to miss how helpful (and forgiving) the residents were, but hopefully things will remain positive for the next three weeks of obstetrics.
Onto OB Intake next week!