I am Liz, OB intern on duty.
On March 8, 2016, we had a relatively benign duty night. There were only 2 patients for labor watch. There barely has been a patient at the triage. I got a bit dozy as I just came out from a 4-hour gyne procedure. I was ready to hit the sheets at 0000H. Apparently, I was wrong for assuming. Little did I know that our night was just about to start.
At 0031H, a 37 year old female came in due to preterm labor, twin gestation. Aba gulat ang lola niyo, with palpitations on the side. Then my batok hurt severely after hearing, “oh STAT CS. Table na.” Immediately, I rolled up my sleeves (yes, literally. Thanks to the freezing temp inside the DR complex that we get to wear long-sleeved thermal clothes on lol), tied up a high pony, wore my game face on. Ran to the suite, scrubbed and did some … retracting. Yes. Then it was time to deliver the babies. Uterus was incised, and … Why, hello there! The placenta was the first thing who greeted us. The AMD immediately grabbed baby A, then baby B. We heard them cry, and we were able to breathe.
Back to the operating field. It was a bit bloody, but I didnt panic. I know I shouldn’t. I have two primo surgeons with me. And again, with my *insert sarcasm here* unsurpassed assist skills, I made sure I was able to suction every fluid blocking the surgeon’s view. (Suction lang ng suction. Retract lang ng retract.) I glanced at the cardiac monitor, then I suddenly felt the tension. BP was at 97/64. Then a few minutes later, at 70/50. Then 60/30. Blood (properly typed and crossmatched) was prepared for transfusion. The anesth was making sure everything was alright while we’re controlling the bleeders. At the back of my mind, I was thinking, “sus tulad lang to nung fabella cases. Kayang kaya ni doc to.” The uterus was well contracted. Then the next thing I knew, the abdomen was closed. Yeay we’re done.Skin prep done. Internal examination done. Blood clots evacuated. I scrubbed out to accomplish my in-demand yellow histopath form. Meds for hemostasis were given. But why was the BP was still fluctuating?
Must be the … I yawned. Now 0230H. It’s way past my bedtime. I shrugged it off and continued to fill up my yellow form.
And i was caught off guard. I felt like I’ve been dropped from a hundred feet tall roller coaster ride when I heard the words “Let’s open up. Scrub again. New pack. Now.”
What? Di pa tapos, shak! I felt the adrenaline rush. From the nurses to the anesthesiologists, to my seniors. I finally knew what it felt like. It was my grey’s anatomy moment. It was my “Dont-die-on-this-table-scene.” It was such a high.
We cut her open again. There, we saw that the lower uterine segment didnt contract. And in a snap, the boss decided to convert to CS Hysterectomy (a procedure wherein the uterus, which was the source of the bleeding, is to be removed). In less than an hour, specimen was out. Bleeding stopped. Her BP rose up, while ours went down. Slowly, we closed her up.
She is a strong woman. 4 kids are waiting for her.
Godwillingly, she made it.
My point here is: Practicing medicine isnt as easy as you think. Doctors dedicate their lives, to save yours. And as far as Im concerned, if that happened in my own hands, I would have done the same thing. Dying on my table wouldnt be an option.
That’s what we’re being taught. We wouldnt do something that would harm our patients. Why would we?
Here’s a shoutout to our mentors, seniors, and colleagues. Do what you love. Love what you do (every freaking time).