5:20 am Alarm goes off. Hit snooze. Was up way too late trying to figure out what is wrong with my knot tying.
5:30 am Alarm goes off again. Hit snooze again.
5:40 am Alarm goes off. Groan and drag myself out of bed.
5:40 - 6:20 am Shower and dress in scrubs.
6:20 - 6:35 am Make coffee and breakfast (cut apples and peanut butter), walk and feed dog, go through younger son Z's backpack and fill out homework sheet
6:40 am Get in car, upset because I meant to leave by 6:30.
6:30 am - 7:40 am Commute in ridiculous traffic. Make a phone call to the kids' grandmother to tell her I found Z's homework sheet on my coffee table instead of in his folder. Get informed that he didn't have his homework sheet yesterday so they didn't do his homework after school. Wonder why I wasn't told about this, but keep it to myself. She promises they will do yesterday and today's homework today after school. Realize older son, S, never emailed me his science homework to print out the night before, which was already 2 days late and he had lied about not being due. Call roommate / nanny, talk her through printing out his homework from my laptop.
7:40 am - Show up at hospital for a 7:30 am cesarean section.
7:45 am - Finally get to labor and delivery OR. Manage to scrub in before attending, who was already in the room. Curse that he is much more punctual than my general surgery attending was.
8:30 am - Get to tie a few knots in the abdomen. Attending tells me my knot technique is still "invented". Sigh.
8:40 am - 1:00 pm Clinic. Running around taking fetal heart tones, measuring fundal heights, assisting with pap smears and a LEEP. Get to do an ultrasound all by myself! See the embryo moving, and cardiac activity! Manage to print a picture for the happy couple!
1:30 pm Report to OR for adenexal mass procedure. Doctor asks me if I want to grab a sandwich. I say no. He leaves and walks out. I decide I do want to eat, but I need to get cash and my student ID in my car. By the time I get it, eat, and return to the OR pre-op area, I am locked out. My badge doesn't work at this hospital. I finally get in, and they have already wheeled the patient back. Crap. I show up in the OR, and they have already started the surgery. I scrub in, and the scrub nurse in training hands me the towel over the sterile field. I take it, even though I know it's wrong. We both get royally reprimanded by the scrub nurse for contaminating the sterile field. She throws out my gloves. I stand there with no gloves and feel like crying. I finally get gowned and gloved. The attending physician pulls off some really fancy laparoscopic maneuvering, tying off the ovarian ligament with suture and graspers as the external iliac throbs right there in the background. Cool. I GET TO CLOSE!! OK, it was just a tiny port opening, but I do it, and I do a good job. I actually feel comfortable managing the instruments and do some pretty good instrument ties. The PA tells me I did a good job. SQUEEEEEE!
2:45 pm. Back to clinic. More cafe cubano and another pastelito. I am going to gain so much weight on this rotation. More clinic. I love clinic. I manage to do some gringa histories in broken Spanish. La ultima regla? Cuantos hijos tienes?
6:00 pm. The midwife tells me we are heading to the other hospital for a birth. I call my nanny on the way and tell her to get S (Z is going to his dad's tonight). I tell her that there is a frozen steak she can try to defrost if it's not too late, and that I will be coming home if the birth isn't imminent.
6:30 pm Get to hospital. Mom is at 9 and pushy. Wait outside for baby's head to descend a bit more. Round on some postpartum patients. A nurse gives me some suture to practice with. I keep tying knots wrong, and we go in to the room for the birth.
7:29 pm Time of birth. Baby is delivered onto the mom's chest. There is a nuchal cord (cord around the neck) and a true knot in the cord. Baby has 9/9 Apgar scores.
8:00 pm Ask midwife to watch me tie a few knots. She shows me what I am doing wrong. Lightbulb! I remember how to do it right now! Muscle memory is a cool thing. Get in car to drive home. Call roommate / nanny, get an earful about S's attitude about not doing his homework. Also find out they were unable to print his assignment this morning, and he got an F on it. Call his dad, and we discuss ways to handle this. Taking away his birthday party at the end of the month is on the table.
8:40 pm. Get home. Read S the riot act about his homework and attitude. Eat delicious dinner roommate / nanny left for me in microwave. Tell her she is the best wife ever.
9:00 pm. Walk dog. Change kitty litter. Sweep floor. Realize it's too late to call Z and say goodnight. Write blog post. Avoid other obligations.