tag:blogger.com,1999:blog-31146535.post116154065541623267..comments2023-09-19T11:02:50.976-04:00Comments on Ob/Gyn Kenobi: OPP (Other People's Patients)dr. whoo?http://www.blogger.com/profile/10315615480530297472noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-31146535.post-1161725057316562152006-10-24T17:24:00.000-04:002006-10-24T17:24:00.000-04:00Hey Dr. Whoo,Just came across your blog... speakin...Hey Dr. Whoo,<BR/><BR/>Just came across your blog... speaking from a nurse perspective, it can be very frustrating to field the questions and frustrations of patients who can't figure out why every doc they ask gives them a different answer. As you say, "there are several correct ways to approach clinical problems." But sometimes patients just don't GET IT. We have a perinatology practice at my hospital with four docs, each of whom have very different management techniques. I felt bad for a friend of mine who was hospitalized with preterm labor and high blood pressure... depending on who was on call that day, the plan changed. She never knew what to expect!<BR/><BR/>Hope to visit your blog again!apgaRNhttps://www.blogger.com/profile/16664097462163551432noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-1161717692268550322006-10-24T15:21:00.000-04:002006-10-24T15:21:00.000-04:00frectis~ Are you and OtherDoc in practice together...frectis~ <I>Are you and OtherDoc in practice together or just covering each other for the elusive weekends off?</I><BR/><BR/>Well, it's kinda complicated. We are both employed by the hospital, and we share an office and office staff. We aren't really partners in a practice, per se, and we tend to only see our own patients unless we are covering for one another. So we are kind of solo with call coverage, I guess? Personally, I'm hoping that the hospital hires a third doc soon, I'd love to have someone with whom to operate and share more of a partnership!<BR/><BR/>hi beth! Thanks for sharing your birth story. I think it is great that you had a successful VBAC. I try to advocate for women attempting VBAC, but it isn't for everyone. I do wish that women had more faith in their body's ability to handle birth. Thanks for reading!<BR/><BR/>medstudentitis~ Hee! and you aren't even that old! I am so looking forward to these next two weekends! :)dr. whoo?https://www.blogger.com/profile/10315615480530297472noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-1161564151926370402006-10-22T20:42:00.000-04:002006-10-22T20:42:00.000-04:00Are you and OtherDoc in practice together or just ...Are you and OtherDoc in practice together or just covering each other for the elusive weekends off? Either way it would drive me nuts to share care with someone who wasn't writing everything down. I say that with the horrid irony that my charting is starting to look like OtherDoc's because I am solo. I am driving myself nuts trying to figure out what I meant by my own cryptic note taking. Thanks for the kick in the pants ;)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-1161571863294360432006-10-22T22:51:00.000-04:002006-10-22T22:51:00.000-04:00Dr. Whoo? Just found your blog. Very interesting. ...Dr. Whoo? Just found your blog. Very interesting. It is sad so many women choose elective c-sections and inductions and miss the experience of a natural delivery. I am 55 and had my first baby at 29 with an "emergency" c-section" due to mild pre-eclampsia, (bp 140/90 which came down immediately upon admission to hospital) after a failed induction with pitocin. Twenty four hours in pain with contractions camelbacking with horrible back pain but the nurse told me they weren't bad per the monitor. I didn't take any medication but was scared to death by the 16 year old in the next room screaming for hours. Finally they medicated her. It was torture to listen to her. The baby's head never really engaged in the pelvis and I never really dilated. The c-section was done with general anethesia, my husband wasn't there and my baby was very sleepy for days. I was breast feeding and did not take any pain medication after the second day because I was sure the baby wouldn't ever wake up. I had planned a natural delivery without medication, my husband present and was devastated at what happened. The doctor told me the induction failed because my 8lb. 4 oz. baby was too big for my pelvis. When I went for my 6 week checkup, I made the mistake of asking the doctor, not my doctor but the doctor in the group practice who delivered me, some questions about what had happened. I was really depressed and grieving the loss of the experience that I had hoped for. He became angry and two days later I received a letter telling me to find a new doctor.<BR/> When I became pregnant again 3 years later, I was determined not to repeat the same experience. I got information about VBAC, joined a support group in the area (founded as the Cesarean Prevention Movement), found a new doctor who supported VBACs, hired a labor coach who was actually a lay midwife who did home deliveries for the local Mennonite women (didn't tell the dr. that!). My plan was to stay home until just before delivery because I knew going to the hospital started the time clock running to deliver in a set number of hours or be sectioned. I had to deliver in a special room (OR?)with an IV in place not a birthing room so they could do an immediate section if anything went wrong. Two weeks after my due date (thank you Dr. W. for letting me go so long, most would have just scheduled a repeat section), the Dr. said if I hadn't delivered by July 5, he would do a section. My coach/midwife reassured me that I was going to be OK and would go into labor, the baby had dropped down. July 3rd. labor started, I labored at home, walking as much as I could. Twenty four hours later, she said I was in transition and it was time to go to the hospital. When I arrived, the Dr. covering for my Dr. checked me and said I wasn't dilated much and it would take 7 or 8 hours before the baby would come. Get comfortable, he said. I looked at my "coach" who had come to the hospital with my husband and me in dismay. She just smiled a little and shook her head no just slightly so only really I saw her. My contractions were strong but never as bad a the pitocin induced pain and the pain was tolerable. A nurse put in the IV with a heparin lock BADLY, all the time making it very clear that these VBACs were such a waste of her time and clearly annoyed that I wasn't being a good little patient by just scheduling a repeat section. I still remember her name, Bridgette, and what she looked like, 22 years later. Despite the Dr's. pronouncement, I was in transition and threw up. Soon I was surrounded by medical students or residents who had come to see the "VBAC". I tried to focus on my labor and use the Bradley method which teaches you to accept the pain and move into it not away. About an hour after admission, I told the dr. and his nurse-midwife (She was so nice to me, I also still remember her name and what she looks like)that I felt like pushing, a new experience to me and truly a primal urge not to be ignored. He said "no, that couldn't be possible but let me check you" (still surrounded by at least 10 hospital people but I didn't care anymore). Sure enough, fully dilated with the head crowning. I started pushing because I didn't feel like I could stop it and it felt right.Women need to listen to their bodies! They couldn't get me into the other room fast enough. I was supposed to be on the table with my feet in stirrups but the baby wouldn't wait. I was still in the bed but they are saying don't push which I tried to do, then push as hard as you can because of meconium in the fluid. The head popped out with about 2 pushes, then instructions to not push while they suctioned her. Then push again as hard as you can to get the body out as soon as possible. Two pushs then the body slid out. I had a big tear because the delivery was so fast in concern for the baby's condition. But I didn't care, I just felt bad for the CNMW who had to sew me up still lying in the bed. It took forever and she was hunched over trying to see what she was doing. Her back must have hurt terribly when she was done. I kept offering to get on the table so she could sit down and be more comfortable but she wouldn't let me move. Maybe she was afraid of nurse Bridgette getting mad about messing up another area because she had many comments about the mess in the bed. I was so happy-I had delivered naturally a 9 pound 6 oz, healthy baby girl without any pain medication, with minimal intervention, awake and aware. The doctor asked me after the delivery it it was really "worth" it to have a VBAC. My response was an unqualified YES! There was far more pain with the C-section and induction and I was in pain for 2 weeks. The labor pain was never intolerable. While the tear hurt for a while, it no where came close to the section. For women to choose a repeat section or schedule a primary section for convenience is inconcievable to me.<BR/><BR/>Sorry about this very long post. I guess I just needed to let people know my experience. Get it off my chest. Thanks for listening.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-1161576190795603712006-10-23T00:03:00.000-04:002006-10-23T00:03:00.000-04:00O is for Other P is for People scratchin' templeTh...O is for Other P is for People scratchin' temple<BR/>The last P...well...that's not that simple <BR/><BR/>Enjoy your weekends off!medstudentitishttps://www.blogger.com/profile/09740144837675438466noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-1161549510108109822006-10-22T16:38:00.000-04:002006-10-22T16:38:00.000-04:00L&L&LOL! The damn song has been in my head all da...L&L&LOL! The damn song has been in my head all day now...dr. whoo?https://www.blogger.com/profile/10315615480530297472noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-1161548160733884862006-10-22T16:16:00.000-04:002006-10-22T16:16:00.000-04:00Yeah, you know me!Yeah, you know me!Anonymousnoreply@blogger.com