Last night was my first overnight call at the hospital since I've been back to work. Thank you Donson for not showing up to work on a Friday and giving me the opportunity to take care of babies and sick kids in the hospital instead of being at home with my family (no hard feelings or anything). I also started a new rotation on the same day - Nephrology, and at 5:00pm I began my call as the float resident. At our institution that means I am the upper level at high risk deliveries that Peds is called to and back-up for the Nursery intern, I admit Heme/Onc and Nerology patients overnight and provide back-up to the Ward intern cross-covering for those two services (sounds like a lot, but really it's the most sleep you'll get as an upper level Peds resident at UK).
It was sad to think that I might not see my Weston at all that night, but I was able to talk Rolland into bringing him by after picking him up from school. He had to make a milk "pick-up" anyway to take my days worth of pumping to the house. Of course, Weston was asleep when he arrived and I wanted to get him out of his seat so badly...but I suffered the consequences because as soon as I woke him up he was fussy. Not the ideal way to visit with the hubby and baby as I try to woof down a chicken sandwich from the cafeteria, but I really appreciated it. Rolland's parents were arriving at our house just as he and Weston were headed home from the hospital. His niece is turning one year old in a week or so and they wanted to have a little party for her this weekend at our house. Again, thanks Donson for making me miss out on family affairs.
Back to my call night - earlier, just as my intern was grabbing the pager from the daytime nursery intern we were called to a "scheduled" C-section that didn't occur until 5:30pm. And my intern, Erin, hadn't taken call in the newborn nursery, so we had a little teaching to do. After Rolland and Weston had left we were called to evaluate a baby that was born the day before, had not stooled and had a huge distended belly. An x-ray and two rectal exams later he was whisked upstairs to NICU for a contrast enema with the radiologist and found to have microcolon, or small left colon syndrome. This was apparently due to the fact that his mother was a diabetic (and not because she was abusing meth...which she was and still denies). Thinking our night would be fairly quiet, the delivery board had only one laboring mommy that we might still get called to and she was only dilated to 4cm - I went to my call room for a little nap (early too...at 9:45pm). No sooner did I turn off the light and my pager went off - dang! Another "scheduled" C-section that hadn't been done during the day and was going to be done at 10 o'clock at night due to breech presentation. Wow! that baby was poking herself in the eyeball with her toe she was so breech.
Finally at almost 11:00 I went to sleep, only to be awakened again for the C-section of a 28 week preemie with severe IUGR that was estimated at 600 grams. By now you're thinking, "wow, they do a lot of sections there"...that's what I was thinking. Somewhere in there I think I pumped, slept a little more, and then finally got called to the delivery of a mommy who had Flu B and RSV (boo for her), but her baby did great and we let her keep him with her as long as she wore a mask while nursing/holding baby. After all this fun, I returned to my call room and slept a few more hours. My intern did awesome, the cross-cover was minimal and I slept about as much as I would have at home. After explaining to a Hispanic mom that her baby needed phototherapy for jaundice on the blue phone, I was about to pass off the pager and head home at 8:15 in the morning. All-in-all a pretty good night. No heme/onc or neuro admission, no mommy calls, and a few hours of sleep - and home to take care of my boy.
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