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Tuesday, January 17, 2017

Babies


The maternity ward here is full to overflowing. There's people sleeping on the floor (they don't mind, sometimes they even prefer it, because that's what they're used to at home. Nobody has beds at home.)

Yesterday I finally had dinner at 9pm, only managed to sneak a couple of bites of chocolate around 4:30pm to avoid a hypoglycemic episode. We were in the OR until 8:30pm, which included a ruptured uterus where the sac was out of the uterus but intact, the placenta was in the uterus, but the baby was dead. We had to do a hysterectomy, the uterus was unsalvageable. 

Then an ectopic pregnancy with removal of fallopian tube. 

Then lots of other things (prostatectomy, giant lipoma, etc., and finished the day with a pre-eclampsia lady with twins at 33wks 4days. My first set of twinsies!! So adorable!! Mom and baby girls doing great this morning! 


But today I'm feeling like Izzie on Grey's Anatomy, when Addison has her taking care of a baby everyone knows is going to die. I'm monitoring this 1wk-old baby who probably has pneumonia, gasping for air and having very low sats even on O2. She's on antibiotics and I'm just sitting here making sure the nasal canulla doesn't fall out. The pulse ox we have is too big for little baby fingers, so it's impossible to keep it on. There's nothing else I can do, except watch her. She'll either get better or die. I can only hope and pray her little body is strong enough to fight whatever infection is ailing her. 

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