Morning article discussion on screening for ovarian cancer using CA 125 and transvaginalsonography(TVU). The presentation and discussion was in English. After that went on rounds again. Today there was an 84 year old grandmother, who complained of abdominal pain. Further evaluation led to finding a mass. CT scan showed there were masses in her lungs as well. She was quite up beat and optimistic. She told Dr. Chiou that she didn’t want to know what was wrong, just do what he could, if there is anything serious, just tell her children.
In the afternoon, Dr. Chiou allowed me to go down to the delivery room and see some deliveries. In 2 hours I saw 4 births, 2 vaginal and 2 c-section. The vaginal ones were very fast. The women were not sent to the delivery room until the moment they were going to give birth. Before that, they would be in the labor room…. “patiently waiting”. The c-sections took longer, I found it a bit brutal they way it was done. When the doctor cut through the uterus, and cut through the amniotic sac, the resident began to push on the belly, at an angle toward the feet, trying to help position the babies head. Once the head was at the opening, the doctor grabs the baby by the head and pulls her/him out. He quickly hands her off to the nurse and begins work on the placenta. After removing the placenta, the doc works on closing everything back up.
Very vivid description. I almost could see what was happening there..
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