slept in 5 different beds in 6 nights

no, i'm not getting around lol... unless of course you mean I drove all across northern ohio this week/weekend, then yes you're correct, but we'll get to this later...

So, what exciting things did I do this week... I delivered 2 babies pretty much on my own... Dr K helped out, and showed me what to do, but I had my hands right on those babies as they came out... how exciting!

I also spent the greater portion of last weekend at the hospital, and then monday and tuesday as well. I don't think I got a really good nights sleep until wednesday night.

We were sooo freaking busy this week. We delivered a bunch of babies, then we had to see a lot of patients, not to mention monday's six surgeries.

I saw some pretty impressive things...

Our first case on monday, we had to remove an ovary from a lady because it was really enlarged, and sometimes, we worry about that being a bad thing, so we went to take it out. It was as big as a hmmm I'm gonna say 15 week uterus (so like if someone was 15 weeks pregnant it was about that big... which is, if you've never seen a 15 week pregnant lady , the uterus is still sitting below the belly button and maybe showing a little). This lady complained of occasional pain but no other significant issues. On pelvic exam (where we feel around to feel the size of the uterus and ovaries) we noticed it, and so there she was for surgery. It turned out to have thyroid tissue inside of it. How interesting the body is, because your thyroid gland is infront of your windpipe on your throat! During development strange things happen, and sometimes this occurs... Its not even taht uncommon. So it was not a bad thing, it was not cancer, and it was removed. She should be fine...

our third case was probably one third of the size of the first case's ovary and had a funny looking growth on the side of it, with lots of blood vessels going to it... In medicine, if it is not normal and it has a lot of blood vessels, its probably not good. Turns out, she's a 40 year old woman with ovarian cancer and uterine cancer. It was the first time in a long time I 've had to be there for someone to receive bad news, and I really think it went okay... We set up a time for her to come back in later that week, because once you say cancer, no one hears another word. We referred her to OSU/James Cancer center, and she'll get the best care she can there, since we dont' do oncology.

hmmm, the other case that I was presented with this week, which I had actually seen a few times, but am just now getting really connected to, was a 36 year old woman who was having her first baby. And my first day here, she came in for an ultrasound at 20 weeks and found out that her membranes that surround the baby and come through her cervix (part of the uterus) and that she was in danger of losing the baby. She was rushed to specialists in Columbus who did an emergency rescue cerclage (they sewed up her uterus) to protect the baby and the membranes. They sent her back here, and she had been in a week ago with a scare about the cerclage, and ti was okay. So right after I delivered the first baby I was talking about earlier, I saw "C" come in. She was crying, and I thought for sure she had already lost the baby. I rushed in her room, and tried to comfort her and see what had happened. She said she had strained to poop and when she did she felt " a bag come down between her legs and come back up". She was so scared, and rightly so. We got an ultrasound and it showed teh baby up inside her uterus where it should be, and we got a heartbeat, so we reassured her and had her lay with her butt kind of up in the air to keep the baby inside. I went to see her multiple times that night and then again the next day. She seemed to be doing better, and I just kept praying she'd be okay. I had to leave on Wednesday so I went to say goodbye to her,a nd that I hoped she'd still be there when I got back in town on Monday. She seemed to be in good spirits, and I left. Unfortunately I found out she miscarried on Thursday morning while I was at my test :(. That was so sad. I wish I could have been there for her, but there would have been nothing I could do. That just broke my heart. I hope that everyone can say a prayer for her, because I am sure she needs all the support she can get. She was just such a nice person, and she will be in my prayers for a long time.

Phew, that was rough... on to happier thoughts...

So I had my OSCE (Objective skilled clinical exam... or something like that, basically a test where they give us fake patients and we diganose them and decide how to treat them then write our doctor note (called a SOAP note) on them all in 23 minutes) on Thursday... It was kinda hard, but I sorta felt like I did okay. I didn't remember everything and sure I could have done perfect, but if I had been perfect I probably would not need to be in medical school still, so I mean I know now what I need to do to get better. I felt like it really helped. Now I sort of know what to expect in August when I go to pennsylvania for the real test. (yikes)

Then I hung out w/ one of my classmates Cindy who is at Southpointe who I never see now... it was great to catch up with her, I totally miss her so much. And then I went to spend the night w/ Mary Ellen... She has a cat named Maddox, and he's sort of a perv. lol I was wearing a skirt and he kept looking up my skirt, and trying to climb up my skirt... he's all boy as mare said... haha It was hilarious. And he kept kissing me and attacking me... I guess he really liked me... haha he's adorable tho, so after I took the two clariten, i didn't mind that he was all over me lolol

Then I went to Kalahari on Friday with my preceptor and her twin 4 year olds... we had a lot of fun. Kalahari is a giant waterpark up here by Cedar Point. It has lots of slides, and pools, and just fun things to do... it has a hottub where half of it is inside and half of it is outside, so during the blizzard that happened while we were there, u could go outside and it was snowing on our heads! Crazy

And since it was blizzarding, they shut down all the roads and we spent an extra night. It was actually kinda fun, even tho I'd never really spent much time w/ little kids before I think I did okay... she didn't yell at me, so I couldn't have been too bad lol

So then I went to Toleod this morning and did my laundry and checked on my apartment, they finally fnished my ceiling and left soem crap ont he floor, but whatever, at least its done. My frog looks very healthy thanks to my fabulous friend Jen and her 3 year old Jaiden... they are the best!! I am so happy they are watching my frog and my fish and feeding them.

And now I'm back in Lima Land preparing for my last week of OBGYN. I do really enjoy the surgery in OB/GYN. I get to do a lot, and i think that helps. We'll see how this week goes!!!

Take care and keep warm, and please, don't shovel too much, we don't need any heart attacks due to bad weather!!!

week two...

So, I survived my second week of ob/gyn. It has been a rollercoaster. I do think that it is interesting, but I don't know yet... lol

Best story of the week (not for young eyes)

i had an 87 year old woman tell me she liked to do it doggie style because her husband had broken his hip. OMG i almost died trying not to laugh. sooo awkward!


other than that, I have just been working and coming home. I think that I am learning a lot, and I do enjoy getting to spend time in the OR. The doc i'm working for came back on wednesday but was gone again on friday, so I got to spend a lot of time with her partner again this week. She's very nice too. They do have a great staff in their office. The PA and the nurse practitioner are also sooooo sweet. I've gotten to work with each of them there now, and its funny how they all say the same exact things but were all trained at different places.


I have been on call all weekend. I got called in friday evening and saturday morning, but no babies :( just people who were not drinking enough water. If you are pregnant, you need to drink like 2 gallons of water a day... seriously. Dehydration is like one of the most common reasons we see preterm labor around here.

hmmm I really don't know what else to say because nothing really too exciting happened that I can think of other than that, but yeah lol :) its going. I just have to make it through!!!


This coming week I have to go to Cleveland for an OSCE which is basically a test for us. we have to pass it or we have to attend some extra classes. Its interviewing four patients and writing soap notes on them. I hope that I do alright, I always get nervous at those things. We'll see how it goes.

Alright well, here's to another week!