Sunday, October 18, 2015

WILTIMS #366: The calm before the storm

Friday was another pretty mellow day in clinic. We saw a few patients of OB check-ups and I got to take a history on one new admission. That was a lesson in discretion. The patient had a complicated past OB/GYN history including elective abortions and STIs. Normally, we want to get a good idea about what happened with either of those situations, even if it's not terribly relevant to the case. But this woman came in with her five year old son for her first prenatal visit, so, as we already knew a little about her history and it wasn't pertinent to ask about more about these things for her current visit, we just didn't bring them up. Of course, if we had any reason to think that the extra information is important, then we would have had the boy step into another room.

Sunday is my first 24 hour shift of med school kicking off a week of night shifts. Hopefully, I'll have just enough going on to both keep me awake and give me something to write about, but enough downtime to stay sane and maybe even write. See you on the other side!


FridayIL: If a patient is too obese to use a normal Doppler fetal heart rate monitor, then you can do a quick sonogram to physically see the heart beating. This has the side benefit of letting the soon-to-be mother get an extra peak at her baby, which she usually really enjoys.

Some medications are named for the frequency with which they are given. Examples are Lasix (lasts six hours) and Macrobid (BID dosing (twice daily)).

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