Another day on call

I had a fairly quiet call recently. I did a scheduled section with one of the docs...it was delayed a bit as a crash section had to be done first. I felt bad for the lady getting crashed. Her baby's heart rate did a couple big dips but stabilized with moderate variability. I wouldn't have sectioned her at that point. But I guess because the nurse called the doc and acted all panicky, he called it. The patient was 3-4cms and first baby so maybe he didn't want to bother with trying to let her labor. It irks me that the nurse was the one who essentially made the decision to section. The doc didn't even come to evaluate, the patient was already in the OR!

I got called in for a delivery in the wee hours of the morning. She delivered before I could get there....fast! She was 6-7cms, second baby, when she arrived. 20 minutes later...done. I got to do the placenta...what fun.

I was ticked because one of the MAs screwed up a patient's 24 hour urine. Only creatinine was ordered on it. Are you serious? Now why do you think that we might dip a hypertensive patients' urine for protein but only check her 24 hour urine for creatinine?

I got a call from my favorite nut....she's had a lot of GI issues but the GI doc won't see her because she's pregnant. What a big f*ckin' help. Anyway, she calls to let me know she's been vomiting all day. She wanted advice. Uh, go to triage for IV fluids and zofran. It's not like the first time this has happened. You know what you need to do. Why are you calling me first?

I'm looking forward to Thanksgiving and Christmas. Especially Christmas as it involves a vacation of 9 days! Woohoo. I need it. Its been since June since my last vaca...I'm burning out!