In my younger years, when this song first came out, I sang the next line, "...don't leave me hanging on a lively yo-yo." Hee. What exactly a "lively" yo-yo is, I cannot describe. What can I say? I wasn't the champion lyric interpreter that I am today. This song got stuck in my brain because, you guessed it, someone woke me up before he went (went). Mr. Whoo had an early morning service commitment that required him to be up and out of the house before 5:30 am, and CindyLou took that as a clue that she needed to be awake, too. Telling a 3 year old that it's too early to be awake just doesn't fly when Daddy is already up, showered, and out of the house, so no sleeping in for me! I am soooo sleepy, but Mr. Whoo and CindyLou are napping, and the Bean is happily awake. No rest for the wicked! He and I are hanging out, watching Tivo'd Ameri.can Id.ol. (We are just at the end of the group sing, and....Jazz Hands! Hee. The Bean seems to favor Michael J.ohns, maybe he has an ear for this sort of thing?)
It has been a harrowing week. I have had a couple of really sick patients. One patient had HELLP with platelets dropping into the teens before she finally turned the corner. The other patient got a high spinal instead of an epidural (!) and we were *this close* to having to intubate her. Luckily, the worst of it was that she felt particularly crappy and was incredibly numb from the chest down for nearly 3 hours. Basically she labored right down to the perineum before she could feel too push. She had a happy, healthy baby, didn't feel a thing for another 2 hours, and, thankfully, has no residual effects from the misplaced anesthetic. Yikes. I feel like I have worried enough this week to sprout several gray hairs. It also seems like all of my March babies are preferring to be born in February instead! I am on call this weekend, so I am hoping the next couple of days are more low key.
I've been thinking of what my ideal practice would look like, as my contract is coming due in the next year. Something like a true group practice (shared OB patients, but individual GYN pts), with 4 or 5 docs, each with one 24 hour "labor deck" call during the week (which would include all labors/inductions/rounding for the entire group for that day, with no office duties), the day post call off, maybe doing surgery during your call day, and doing office the other days of the week, taking weekend call every 4-5 weekends. Sounds nice, but I am unsure if it exists in a workable form. We love just about everything about where we are now except for the call coverage (or lack thereof) and the office manager, of course. I am going to initiate some discussion now, so that we don't have to scramble at the end of the contract for a new place to go, should it come to that. Hopefully it won't, and we can work out an acceptable deal. On that note, Bean just filled his pants...during Paul.a's new video. Another sign of his ear for talent? I think, yes. Have a great week!