Sunday, November 14, 2010

Leaving the Womb

There's nothing like getting an awesome two-for-one deal. In obstetrics they seem to come with every patient visit and with few strings attached - since the majority are using umbilical cords. (My apologies for the bad humor)



Development

Having only been on the OB/GYN service for a couple of weeks now, I am fascinated by the techniques and technology used to evaluate a patient that is barely tangible...the baby. With proper prenatal care, the physician can prepare for the baby's birth well in advance, hopefully avoiding unnecessary surprises on the day of delivery.With each birth, I try to learn something new to be better prepared for the next and acknowledge there is likely no such thing as a routine delivery. Assuming the preparatory work was adequate, the delivery should just be the next step in the process.

As a student I occasionally have a hard time absorbing the hands-on knowledge as I am often listening to my attending's teachings or worse, trying to come up with answers to his questions. After our last delivery, just when I thought I was in the clear and free to synthesize the information I had just experienced, he found more fodder for questioning. "What's this?" he asked as he held up one of the used instruments. Unfamiliar with the tools, I gave each my best guess as he continued to ask the name of everything laying on the sterile field. In a way I feel like I am in the womb of medical school being tested and prodded to make certain there is positive development. With any luck, my "delivery" into the medical profession will be uncomplicated and a day of celebration.

Question of the Week

In discussing Friedman's curve (a plot of obstetric evaluation of cervical progression over time), I was surprised to get a lesson in algebra. After defining the purpose of this graph I was promptly asked, "What is the equation of a line incorporating it's slope?" I was shocked by what my preceptor was asking, and both of us were surprised I remembered it so quickly. How well can you recall it?

Answer & Explanation

1 comment:

  1. Assuming the preparatory work was adequate, the transfer should just be uncomplicated and a day of celebration. With answers for his questions. "What's this?" he lasting to ask the name of method.With each, my best deduce as he asked as a standard transport.

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