Tired but Productive

An exhausting but again very interesting 8am-7pm day.   Rounds in the morning were followed by a three procedure experience in the OR:  another c-section, a womb cleaning after an incomplete miscarriage, and a cervical biopsy for cancer (we had the opportunity to feel the cervix was so brittle and crumbling).  It was bleeding so much which was not good because she was already severely anemic.  We then rushed to the maternity ward but were too late to witness the delivery from a woman who had been in the ward since we had been there.  It was actually quite disappointing because we had really felt like we had gotten to know her, this may be a hint for me to become a GP because of my interest in continuity of care.  Anyway, she had had an episiotomy and I was fortunate enough to assist in the suturing.   Since we missed lunch again, the surgical ward gave us a little bit of food.  Since we were still a little disappointed for missing the aforementioned delivery, Lucas and I stuck around the maternity ward for the next women to go into labour.  After about two hours, our diligence paid off and we witnessed another vaginal delivery.  The mother was HIV+, but still insisted on a vaginal delivery despite the fact that a c-section would decrease the risk of transmission.  An interesting day, tomorrow should be a little more relaxed with some rounds and one scheduled c-section.  We're thinking we'll be done by 2-3ish and then hopefully relax on the beach for the afternoon.  I'm off to bed, I'm exhausted.  Until later.