poured out before bed
The nurse hands me a patient rooming sheet with a smile.
“Last patient, Ms. Mullberry,” she sings, settling into her creaky computer chair and typing furiously. “Then it’s home, home, home for the weekend!” She spins in her chair and fist bumps me with gusto.
I love working with the staff at this clinic.
High on fist bump, I hum a little as I search for the patient in the E-chart system. I find no records.
“Is Ms. Jones new?” I ask the resident. Without missing a key-stroke in the typing of his note on our last patient, my resident surveys the name and nods.
“Must be her first prenatal visit. You go on in and get her history and we’ll talk about her then.”
I’m still humming as I knock on the exam room door and enter. A heavily pregnant 20-something sits pensively in the chair.
“Hello, Ms. Jones, I’m Mullberry, the medical student working with Dr. Bebe. What can we do for you today?” I offer my hand.
“Oh, I’m all good. I need you to look at my girl,” she takes my hand and points behind me to the exam table where a very small, very pregnant young lady is seated.
This little Ms. Jones is 13 years old and, by their reckoning, is about 9 months pregnant. She’s been having contractions over the past 5 hours that she can barely breathe through. Her mother is 26, pregnant with her fifth child, and she figures about 7 months along. This is the first time they have sought care.
I quickly gather a pertinent history from the youngest Jones, bringing her tissues as she sniffles through her contractions, then hoof it back to the staff room where I present speedily to the resident. The nurse in her squeaky chair sighs a little as I finish up, drops her bag, and begins to ready admit orders for the resident. A sterile cervical exam reveals 5cm dilation, 80% effacement, and +1 station, and Ms. Jones’ water breaks as we sit her up on the exam table. But little Ms. Jones does not smile when we offer that she’s half way there.
“This is my first time,” she sobs. “What do I do?!”
“We’ll take care of you, Ms. Jones,” the resident reassures her as I page the labor and delivery floor.
Back in the staff room I thank the nurse for getting everything ready for her admit.
“Oh, this isn’t the first time such a thing has happened,” she sighs. “And it won’t be the last.”
Step 2 CK Throw Back, from Obstetrics