Worst day

Well, today almost took the cake for "worst day at work". Dr D was in surgery most of the morning, and was running 45 min behind, so our in office procedure had to wait. While she was gone, a patient showed up for fetal monitoring/contraction monitoring. Baby looked great, but she was contracting every 3 minutes, which is not great at 35 weeks, but ok. She then had a fluid check which confirmed a low fluid that hadn't resolved and a baby in frank (legs up next to head) breech. Her cervix was closed (good), so after a quick call to the OR to confer with Dr D, the patient went to Maternal Fetal Medicine for an evaluation. Well, they found out that the baby has a heart defect and had to be delivered today.

While Dr D (who was back in the office) was on the phone with them, another patient was getting an ultrasound at 20wks to check gender....they had unexpected identical twin girls! Great, yes, but we don't do twins so we are sending them elsewhere, which is sad because they are one of our normal couples. Phone calls in numbers you can't believe were followed by all three Dr's being in surgery/deliveries, which delayed patients. Right in the middle of this, we get a call from an ER Dr over at Swedish with a pt of Dr I's who wants to be admitted to Evergreen for a possible bowel obstruction. I call into the OR where Dr I is and he says there is no way he is dealing with this because its a general surgery case. Phone call back to the ER Dr wraps that up.

More phone calls followed by the receptionist coming back to let us know that a grandmother just called to set up OB care for her 12 year old (yes, I said 12) granddaughter. What in heavens name is a 12 year old doing having sex!!!!??? Who is having sex with a 12 year old???? Why do they have to call us??? We are kind of stuck taking her as her older sister (20) is coming to see Dr D for her 2nd baby (first at 16). Stupid, stupid people......it just makes me sick thinking about it. Let me just tell you right now that I will be handing out all the pamphlets we have on adoption and places for her to call. I don't care if she doesn't want them, she is getting them. I can't even wrap my mind completely around the situation, and I am MOST interested in hearing how all this came about. As one of the girls up in the front office said, "She's probably only had her period for, what, 5 minutes."

Ok, I am going to bed. Its been too long of a day.