Hops is one of the very rare herbs which contains human estrone, which I’m convinced is related to the beer belly. People don’t get wine bellies or gin and tonic bellies…
Dr. S, in her discussion of herbs for limbic system modulation
A generalist needs to know a little bit about everything and also be nice, a specialist just needs to know a lot about one thing, and he can be an asshole.
and crying, deep down inside where it counts, that I’m very sick of vitamin C.
Oh yeah. As our patients are by definition low risk, they tend to refuse ultrasounds and such. If baby is just a little tilted and has a bit of forewaters, you can miss it on palpation, because the hip is also round and smooth. We learn to deliver all the malpresentations (that are deliverable, anyway) and twins. If it’s happening to us, then it’s usually happening fast enough that we don’t get complications.
We also have great relationships with our local hospitals if we need to transport.
Okay guys, you've had this beautiful labor, and then all of a sudden, fresh meconium and a butt. What do you say?
Oh shit! get to the edge of the bed or stand up!
nothing. Let legs come out on their own.
Good. Delivery to umbilicus- now what do you do?
pull a loop of cord.
sweep the arms down.
And the last step?
reach in, put a finger in baby's mouth, and help them flex the neck. Then the face is out, baby can breath, and you can wait for the rest of the head.
Dr. Z. :
Perfect. Now, whenever you see a frank breech, just say "Oh Shit" and follow the steps.
A contract to hold between yourself and your patients -
mindful practice patterns.
I stumbled onto a subreddit discussing the viability of treatment for the epinephrine scene in Pulp Fiction.
End result: 40 minutes later, I know that in the 90s, an intracardial needle technique might have been used. I know more about shockable rhythms for the heart, but given that the patient in question overdosed on a mega-amount of heroine, no cardiac interventions were going to work (respiratory depression). I learned about narcan injections and contraindications, EZ-IO technique, and the personal safety considerations of reporting someone as a possible c-spine so that I can restrain them to a backboard before popping the narcan so that an angry ODer can’t hit me for ruining their high. And, most importantly, I learned that Mia would have died IRL.