The nurse grabs me.
“It’s important to test my affected person now! She is screaming and bearing down.”
With out letting go of my hand, she leads me into the labor room. I don’t even take into account saying no, I do know to not query this nurse. She has been a labor and supply nurse almost so long as I’ve been alive — she is aware of way more than I about all the pieces.
The room is darkish, however inside seconds the nurse flicks a swap. I’ve to blink a couple of instances to see within the now blazing mild. Certain sufficient, the affected person is screaming, her husband, wide-eyed, is attempting to calm her. The nurse palms me a glove to look at the affected person. As I do the examination, I have a look at the nurse and mouth “full.” However in my head, it’s extra like “Oh my God! She is full!”
Calmly, the nurse tells the affected person, “You might be utterly dilated. We have to transfer you to a supply room now. “
I run out to get assist. I’m a first-year resident; I need assistance. This child is untimely; this isn’t a first-year resident supply. It’s three a.m., so my senior resident is sleeping. She gave me strict directions to solely wake her “if you really want assist.” Emphasis on the “actually,” in different phrases, “you higher not name me since you are being wimpy.” Is that this a kind of instances? How am I speculated to know, I’ve solely been a resident for six months! I web page her. No reply. My solely different possibility is to name the attending in-house who can also be sleeping. I’m so nervous; I enter within the incorrect quantity. I strive once more.
By this time, the nurse and an anesthesia resident are passing by me as they push the affected person again to the supply space. I want to return with them. I can’t wait any longer for somebody to reply. I inform the ward clerk to ship the resident or attending to the supply space once they name again. She seems at me, “I understand how to seek out them, don’t you are concerned.” I run to meet up with the others.
Within the supply room, we assist the affected person transfer to a supply mattress. Whereas the nurse calls neonatology, I arrange the supply desk and placed on a robe and gloves. Neonatology prefers we ship untimely infants in these rooms the place they’ve more room and tools to work on the newborn. The anesthesia resident calls his attending simply in case we’d like him. As soon as I’m dressed, I look across the room. It’s simply me. No senior resident, no attending. In my head, I’m screaming, “how might they depart me alone like this? I can’t do that!”
I look over on the nurse. She is calm as may be. She smiles at me and says, “You bought this.”
“What! She is loopy! I acquired nothing!” My head is reeling. However she retains calmly taking a look at me. Her serenity is placing me in a trance. After which slowly, she tilts her head towards the affected person. In that prompt, I really feel my coronary heart price decelerate, my head clear. I discover the arrogance I by no means knew I had, the arrogance the nurse knew I had all alongside. I flip to the affected person, and in a robust, regular voice say, “you can begin pushing now.”
The affected person wants no steering. Her primal intuition kicks in and inside two pushes, her child comes flying out of her. If the newborn wasn’t tethered by the umbilical twine, I feel it will have flown throughout the room. I catch the newborn like a slippery soccer, nearly fumbling its small physique, however rapidly maintain it near me. At that second, my senior resident and attending come operating in, late for the occasion. The nurse, upon seeing them, loudly says, “you probably did so nice Dr. Eisenberg!” My huge grin was hidden by my masks.
As a resident, I discovered rapidly that labor and supply is run by the nurses. Not solely do they know what’s going on, they know the way to get issues performed. Yearly they need to take care of a brand new set of residents, some respectful of those seasoned folks, some extra stuffed with ego till they’re put of their place.
Now, 28 years later, I nonetheless vividly bear in mind these good ol’ days at Sinai Hospital. Residency was a grueling time, and that hospital turned my second residence, my second household. The nurses introduced me into their fold and helped me grow to be the physician I’m in the present day. At instances they bolstered my confidence, different instances, they knew what I wanted earlier than I did, and generally, they simply stood by my facet once they knew I shouldn’t be alone. I nonetheless communicate with many of those nice nurses in the present day, and we joke about how they knew me after I was a “child.” No phrases can convey the gratitude for all they’ve performed for me and numerous different medical doctors.
Andrea Eisenberg is a obstetrician-gynecologist who blogs at Secret Lifetime of an OB/GYN.
Picture credit score: Shutterstock.com