There are a few times in which you experience happiness in the field of emergency medicine and trauma; one of the few times was today. Today I delivered my third baby as a doctor; her name is Kelsey. She was born precisely at 11:23 am today and she was so cute. Of course, the reason why she was born with me is because she had to be difficult. The baby had a prolapsed cord, which means that the predisposing factor of the baby's birth was the umbilical cord. Usually (and of course, this case) the umbilical cord poses a threat to the baby's breathing because the baby's head or body will compress the cord, cutting of nutrients and oxygen. It’s not very difficult to treat; just an emergency caesarean section must be performed. Kelsey was born nice and healthy today!
So Caleigh and I got into our first real official giant fight... and I don't even have a clue what to do. We went out last night to a local bar/club to just relax and have some fun. We had a few drinks; we were feelin' pretty good until this chick walks up to me. She kisses me on the cheek in front of Caleigh and asks me when she's going to see me again. Of course, Caleigh gets upset and mad and storms off, after slapping me of course. I don't even know who this chick is and Caleigh thinks I've been cheating on her. Why do people do things like this? Do they get a kick out of it? I feel bad that Caleigh think's I'm going to cheat on her, but I never would. I'm so depressed because she hasn't returned my phone calls since then, and she hasn't been home. I wish she knew I had a blog so she could understand my frustration and my love for her, but I don't want her to know I talk about it online. It's just driving me crazy.
Wednesday, July 16, 2008
Monday, July 14, 2008
You Can Rest Assure, I'm Your Doctor
...I'm your cure. My day today started off pretty fantastic; we had a patient in my hands by seven. I wasn't fully awake until I saw "Bill's" brain protruding from the back of his head from the spinal cord area. Bill was previously undergoing periods where he would fall unconscious, become lucid, and lose consciousness repeatedly until the point where he no longer gained consciousness. The first step: drilling a hole directly through the patient’s skull. Brain protruding from the back of the skull without any significant injuries to the face is immediately ruled an intracranial Hematoma. A CAT scan later showed an Epidural Hematoma; it's when a main artery in the brain is torn and causes an immediate loss of consciousness. Bill smacked his head just the right way on a cabinet door; he had previously left a cabinet door open when he was cooking dinner. A small smack to the head is enough to cause major damage; Bill has a rare cause. Working with the neurologist we were able to stabilize Bill and bring him in for surgery where his brain was cleaned and reentered into his skull. Bill does not have much sensation and mostly paralysis in his arms and legs. We'll expect some eye sight loss as well, but we can't be too sure until he wakes back up, for now he's in the intensive care unit.
I've been dating a girl for five months now; I'm so head over heels for her that I don't know what to do with myself. She's been really quiet around me lately... and I think it's because my birthday is coming up next week. I'm turning the big 2-7. I'm going to be thirty soon, I'm freekin' scared for my life. I know we are going out to eat for my birthday but I will not underestimate Caleigh's slyness. Being a renascent doctor, I will not let her ostentatious manner fool me; or has it? The other night we decided to play a game to learn a bit more about each other, we played "I've never". We took out a set of shot glasses and filled them with some grade-A captain Morgan’s rum. We asked our series of questions... "I've never touched a liver...a dead guy...a heart" were amongst Caleigh's favorite questions, for she doesn't do trauma for a living. I can barely remember any of the questions we asked; I do remember Caleigh saying she's never been in a threesome... there's a first time for everything.
Oh, by the way... I created a facebook for my blog: http://www.facebook.com/profile.php?id=1337445956
I've been dating a girl for five months now; I'm so head over heels for her that I don't know what to do with myself. She's been really quiet around me lately... and I think it's because my birthday is coming up next week. I'm turning the big 2-7. I'm going to be thirty soon, I'm freekin' scared for my life. I know we are going out to eat for my birthday but I will not underestimate Caleigh's slyness. Being a renascent doctor, I will not let her ostentatious manner fool me; or has it? The other night we decided to play a game to learn a bit more about each other, we played "I've never". We took out a set of shot glasses and filled them with some grade-A captain Morgan’s rum. We asked our series of questions... "I've never touched a liver...a dead guy...a heart" were amongst Caleigh's favorite questions, for she doesn't do trauma for a living. I can barely remember any of the questions we asked; I do remember Caleigh saying she's never been in a threesome... there's a first time for everything.
Oh, by the way... I created a facebook for my blog: http://www.facebook.com/profile.php?id=1337445956
Tags:
alcohol shots,
bill,
brain,
Captain Morgan's Rum,
CAT scan,
drain,
drinking,
epidural hematoma,
I've never,
ICU,
neurology,
paralysis
Tuesday, July 8, 2008
Slightly Brusied & A Little Bit Used
Today we had patient, "Joe" who was working in a steel factory who was impaled in his left arm and abdomen by a steel bar. The steel bar performed a partial amputation to his left arm and completely ripped open his abdomen spilling his entrails. When he arrived to us he was in horrible shape; he had no blood pressure, and a weak pulse. After an extent of time and blood loss, you will no longer carry a blood pressure. Judging by his appearance, he lost about 1500-2000ccs of blood. To put this in perspective for you, one cup (8oz) is about 237ccs; which means he lost roughly 6-8 cups of blood. When he landed in our hands, or even before he left the site, an operating room was cleared for him. He was given a few blood transfusions and his insides were stitched and cleaned in an exhausting 9 hour surgery.
I'm not going to be able to post every night like I used to, but I will post frequently. So remember way back, when I told you Mandy kept popping up everywhere? Well, after my departure from the hospital, I still see her everywhere. It's driving me nuts. I caught her staring at Caleigh and me at the supermarket; its raising Caleigh's suspicion... she will kill. So I realized that Caleigh has been talking to her ex boyfriend quite a bit lately... and it's bothering me. I'm not sure what to do about it, I trust her completely, but I'm nervous. Is this normal or am I over thinking it? We've been going strong for almost five months... not even a fight in those five months. I think everything is fine, there is no reason why people can't be friends with their exes (ha. Mandy.) I think she’s pissed because I've become more adapt to showing some kind of emotion; I did what Paul told me to do to. Speaking of Paul, I recently paid off a huge chunk of my student loans with the money he left me. I also moved into a nice upscale condo in the city. It's quite contemporary; it has a chic stainless steel, glass, and very white decor. Caleigh moved in with me, and let me tell you I learned a few new things about her since this move in. One of them is that she is very OCD about how the apartment looks. Heaven forbid you forget to wash a glass (I'm not allowed to leave dirty cups or dishes in the sink) you'll be reprimanded (hey, I kind of like it). But I don't care, I love this new life.
I'm not going to be able to post every night like I used to, but I will post frequently. So remember way back, when I told you Mandy kept popping up everywhere? Well, after my departure from the hospital, I still see her everywhere. It's driving me nuts. I caught her staring at Caleigh and me at the supermarket; its raising Caleigh's suspicion... she will kill. So I realized that Caleigh has been talking to her ex boyfriend quite a bit lately... and it's bothering me. I'm not sure what to do about it, I trust her completely, but I'm nervous. Is this normal or am I over thinking it? We've been going strong for almost five months... not even a fight in those five months. I think everything is fine, there is no reason why people can't be friends with their exes (ha. Mandy.) I think she’s pissed because I've become more adapt to showing some kind of emotion; I did what Paul told me to do to. Speaking of Paul, I recently paid off a huge chunk of my student loans with the money he left me. I also moved into a nice upscale condo in the city. It's quite contemporary; it has a chic stainless steel, glass, and very white decor. Caleigh moved in with me, and let me tell you I learned a few new things about her since this move in. One of them is that she is very OCD about how the apartment looks. Heaven forbid you forget to wash a glass (I'm not allowed to leave dirty cups or dishes in the sink) you'll be reprimanded (hey, I kind of like it). But I don't care, I love this new life.
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