Day in the Life #5: medical resident documentary
So this morning I’m coming on to a 24 hour shift for family practice OB, so I’m just going to get handover and then we’ll go around to see patients and see if there is anybody in active labour. The first two are L&D um, the first one gave birth yesterday at, well, today actually at three am. I may not sleep for the next 24 hours. Sometimes I get a little bit of a nap in the afternoon if it’s quiet. So Sunnybrook has been really really nice and they let me take on extra calls, so I do a shift a month so I just fly in to help out and the women’s residents are really happy about that because not a lot of people are actually interested in obstetrics. It’s pretty awesome. The first part of our day on call is we round on the patients that are on the floor. She’s the one that was admitted with pre-term labour. Right, she’s 28 weeks. A couple patients aren’t actually admitted under us, they are admitted under the high-risk obstetrical group, but we still want to keep that continuity of care and we want people to feel like we are actually taking care of them and actively involved with them, regardless if they are under our service or not, so we went and we offered just some supportive care to see how they are doing. As long as your baby is there you can be there too. Having the senior medical students with you allows you to give them some teaching and then they can help you out too, so if it’s a busy day on call they can do some of the consults Ya, that’s why I go for bi-weekly manicures. Nice! Pretty much the most important thing you are looking for in the second baby check are things that change, so if there was a previously closed pallette, that’s not going to change. So between 5 and 7 we see clinic patients, but otherwise I can finish up any stuff I have in my clinic downstairs, I can do some work on my academic project or just have a nap. If it’s not busy in the afternoon, I tend to get a nap because overnight is typically when we see a lot of the volume, but it may be a quiet day and you should never say the Q word on the ward so I’ve just screwed us over now and we’ll be crazy busy. On the labour and delivery floor, there is never really a typical day, so we can go from having absolutely no patients to being completely swamped and having 5 people in labour at the same time. But typically, around 5 o’clock we’ll have a clinic and then we see what happens from there. So I’m just finishing my 24-hour shift for family practice OB, and it was quite unusual the 24-hour shift because I actually had no deliveries or patients in labour. I only had one call into triage and that was actually at 3 in the afternoon. To prepare for a 24-hour shift, the best thing you can do is get a good night’s sleep the day before. Sometimes it’s difficult to do that, but that will be the thing that keeps you going. You find the little things that keep you awake and energized. Adrenaline is the big things that does it, but then there are things like green tea, cupcakes, coffee. I like to bring my own big fluffy blanket because I find it gets really cold at night and it’s a little piece of home too, because when you sleep away from home, it can be a bit uncomfortable. I love delivering, it’s so much fun. It can be really quiet or it can be crazy and you want to pull your hair out and that’s part of the appeal for me, and usually a happy time for people so you’re helping them through that which is great.