obgyn

Because abortions aren't the only way the patriarchy wants to control your junk

OBGYN: Yeah, you are exhibiting all the signs of Polycystic Ovarian Syndrome. I’m so sorry.

Me: Huh? Oh, yeah. Insulin resistance, impossible weight loss, pre-disposition to type II diabetes, painful AF periods. Likelihood of bleed outs. Crap. That blows.

OBGYN: Yeah, well that too.

Me: *blinks* What?

OBGYN: Well, PCOS makes it very difficult for a woman to conceive and carry.

Me: BWHAHAHAHA. Yeah. No. No babies. Ever. Never wanted them. At all. Maternal instinct is not strong with this one. Only upside today.

OBGYN: Well then. Not exactly problem solved, but we’ll run with it.

Me: So about the MIND-SEARING PAIN and occasional HEAVY AF BLEEDING. When can we deal with that.

OBGYN: Not until you are 35.

Me: Dah fuq?

OBGYN: Not my rules. Hospitalization won’t even consider any treatment unless it’s life or death until you’re 35.

Me: Why?

OBGYN: Because you might want to have a baby.

Me: I’m 31. I didn’t want kids when I was 11, I didn’t want them at 21, and I sure as shit don’t want them now. Can’t I just sign a form that says “I don’t ever want a baby take it out, take it out now”?

OBGYN: Nope.

Me: Why?

OBGYN: Government rules. No removal of baby making parts before 35 unless your life is in immediate jeopardy.

TL;DR: The government knows better about your baby making parts than you do.

Today I did my first surgical abortion procedure from start to finish. I was so proud and happy and it solidified my decision to go into family planning. Then I felt sad that I live in a world where I can’t tell my family, friends, or even tumblr despite how common it is. All of this is fueled by stigma and fear in our society. I whole heartedly believe that breaking the stigma for our patients starts with providers breaking the stigma for themselves. We are the experts, and we have the power to tell the stories of who comes to us and why. Oh well, here I am being brave and telling the world that I am on the path to being an abortion provider!

dear future doctors/obgyns:

listen to your afab (assigned female at birth) and/or female patients. listen to every single detail they tell u about any concern, even if it’s something trivial.

i have polycystic ovarian syndrome (PCOS) and it took seeing four doctors over the course of six years to figure out what i had. six years of chronic pain almost every month. i was told that it was just “period pain”, srtress from school, my depression, my anxiety, etc. etc. heck, i was told it was normal (which PCOS is not).

i know for a fact that if i wasn’t afab that i would have gotten whatever problem i had taken care of right away. we need to end the subtle sexism and stigma of having reproductive health problems and/or afab people having health issues in general and it starts with you.

sinncerely,

a tired and angry patient

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i encourage anyone who has had similar experiences to reblog this post and share your story!

OBGYN Rotation

I started my first rotation with OBGYN and boy oh boy was I not prepared for that. Don’t get me wrong, I definitely got lucky in terms of having an awesome preceptor, but everything was so foreign to me. 

I made so many silly little mistakes because I didn’t know how to do things the proper way the first time. There was a time I inserted the speculum with a detachable light into a patient and then forgot to take out the light before I threw out  the speculum  (yep, I had to go fishing in the trash, and then de-sanitize the whole thing), another time I was trying to be helpful and I knocked over the open vial that we put the swab in (my preceptor wasn’t too comfortable for a few days to hand over the swab to me after that). But I gained back her trust and was careful when it came to opening the vial and not spilling its contents. Not knowing how to properly gown up during delivery sucked too. I always felt like I was in everyone’s way. Thankfully i was blessed with some amazing nurses who took their time to teach me how to gown up and glove up properly. Towards the end of the rotation, I was ready to go, all gowned up, without any help (it is the little things that matters). But overall I enjoyed my rotation. Apart from the slight clumsiness and awkwardness, I scraped through my ob-gyn rotation. I don’t think it’s my kind of field due to the unholy hours, but what they do is pretty cool :) 

I guess I am writing this for anyone out there who feel like they are clumsy or awkward during their rotations. Don’t let it get to you. it takes practices to get into the groove of things. I knew how everything worked by the end of my rotation and I was happy with my progress. Don’t think that its just you that can’t get a procedure right, or are knocking things over ..there are many more of us haha

If you guys went through any of these awkward or clumsy phases during your rotations, comment below 

youtube

please watch this. this is something we’re never taught in school - especially medical school. it’s time to stop seeing black people as a commodity.

PSA TO THOSE WHO BLEED FROM THEIR NETHER REGIONS ONCE A MONTH

My younger sister has always worn pads. Whenever she would attempt to put in a tampon, she would cry because it hurt. My mother and I just assumed she wasn’t ready and let it go.

Fast forward almost a year and my sister is determined as hell to go swimming so she jams a tampon up in there. Everything’s fine and dandy, she doesn’t hurt at all, and she swims for about six hours and is super happy. However, when she tries to take the tampon out, it’s stuck. After struggling for almost ten minutes, she calls my mom in for help. My mom goes in, and sees that there’s literally a band of fleshy nonsense that looks like a cord that’s wrapped around the tampon.

My sister is rushed to the emergency room, where it is discovered that she has what is called a septated hymen, which is an extremely rare (1 in 2000) congenital birth defect. It’s pretty much where your hymen develops, but it has two openings into your cervix/uterus area. Most people don’t know they have it until they put a tampon in or have sex (which is hella dangerous because it can tear and that brings on a whole other slew of problems). My sister ended up having to have surgery to correct the problem while the tampon was inside of her. Surgery is the only way to fix this.

I’m letting all of y'all know this, because for some godforsaken reason this isn’t considered important enough to be taught in school, as are many other things dealing with the female body.

So here’s my PSA: if you stick a tampon in, and it hurts, get your ass to the doctors/gynecology and figure this shit out

When I started this blog as a first year medical student, I did it for myself. I wanted to remember how badly I wanted to be a doctor, and I wanted to remind my older self to be kind to those behind me in training. Four years later, on the eve of residency, I have nearly 3000 followers, and have found a community I love. In honor of that milestone, I’ve decided to list some blogs (in no particular order) I particularly enjoy. Most of these probably have way more followers than I do, but I wanted to let them know how much I like them :).

http://ramblings-of-a-resident.tumblr.com/ : A badass female general surgery resident who posts about residency, her husband, and life in general. I admire any woman who goes into general surgery, but ramblings also just seems like a really kind person.

http://captainmdphd.tumblr.com/: PGY3 MD/PhD Imed resident who posts interesting stories about residency, and tips for being a good resident. He also posts honestly about the difficulty of residency, which I really appreciate. He was also was nominated for a teaching award!

http://md-admissions.tumblr.com/ : Female PGY- 2? Imed resident. I’ve followed her since she was a medical student and it’s been pretty amazing to see her go from studying for the steps to being an upper level in residency. I’m really excited to see where she goes next!

https://dogemd.tumblr.com/: Soon to be a 4th year medical student, going into family medicine. I have a lot of respect for dogemd because she’s overcome some serious mental health stuff but managed to keep going through her medical career. Also she’s very political aware, which is always a plus.

https://mashupofmylife.tumblr.com/: First year psych intern with a military program. This is another medicine blog that frankly talks about mental health struggles. She’s very open, and very brave.

finallyalyssamd.tumblr.com: Smart as heck pgy1 in internal medicine! She had a long distance relationship during medical school and still graduated in the top ten percent of her med school class. 

http://midwest-medblr.tumblr.com/: Pgy1 Obgyn resident. So far, she is the only other obgyn resident I know on tumblr (reach out to me if there are others!) It’s nice to go through this whole process with another person. :)

I also want to give a shout out to my top three followers: http://fedeli-certa-merces.tumblr.com/, http://jessifer55.tumblr.com/, and http://unaragazzacosi.tumblr.com/

By no means is this a comprehensive list of all the amazing medblr blogs out there. The community on tumblr is really cool, and I’m excited to see how it grows and develops in the future.

Labour Ward Gothic

Gothic of the medical student, based off this by @medical-gal and this by @miss-sassmaster

  • You convince the midwives that you are worthy of entering their domain. Now they demand your utmost respect. You are prepared to eat humble pie for the rest of your shift. At least it keeps you full.
  • There are no women giving birth. You worry about the ageing population and the economic ramifications this has for the country.
  • You fall asleep standing at the midwives’ station. You are woken up by the screams of a woman in labour. You don’t know how many years have passed. The midwives don’t make eye contact with you.
  • The midwives don’t know your name. You are grateful for this.
  • All the rooms are full; there is a woman in each bed. There are women at the midwives’ station. There are women in the staff kitchen. There are women in the hallways, the corridors, in all of the chairs. There are no chairs left. You wonder if all the chairs have been turned into women.
  • There is a paper butterfly on the door of one of the rooms. You are told that there is a stillbirth behind the door.
  • You hear wailing. You don’t know if it’s a woman or a baby. You are not prepared to find out.
  • The midwives are like ancient gods to you. Vengeful, unforgiving, never sleeping, and they know exactly when new life springs forth. You bring your new sleepless life before them. They approve.
  • You try to convince the woman not to name her child after the hospital. She does so anyway. You don’t know what to say.
  • The baby refuses to cry. You are told to irritate it. You recite the Kreb’s cycle. The baby cries. You cry.
  • The baby refuses to cry. You are told to irritate it. You reach out to grab her foot but she turns to look at you sternly. She has done this before and she is not amused. You don’t touch her foot.
  • The doctor tells you to examine the placenta. It looks like steak to you. You would be hungry, but the pie you have been eating the whole shift keeps you full. You are grateful for the wisdom of the midwives.
  • You leave to use the bathroom. All the women give birth simultaneously. They know.
  • You refer to a c-section as the surgical removal of a foreign body. The midwives remove you from the ward.
  • “Giving birth is a natural thing that my body knows how to do,” says the woman refusing a c-section. You wonder if you should remind her that dying is a natural thing most bodies know as well.
  • The code blue alarm beeps. You run to its source. The room is empty. There is no patient. There is only fear.
  • The woman and her family asks you how long before the baby comes. You don’t know. You are waiting too. The baby holds all the answers. The baby remains silent.
  • The doctor buys you a coffee near the end of your shift. You accept gratefully. it does not taste like coffee. It tastes like 36 hours of sleeplessness. You comment that you are so tired, you might as well be dead. The midwives show no indication of having heard you. Maybe you are.

If you’re a doc, resident, or a med student and you aren’t pro-choice, you’re not fit to practice medicine! (especially if you’re an OBGYN) You’re essentially telling a patient that your personal views are more important than their right to their own body and their ability to make decisions concerning their body. 

As medical professionals, it is not our place to tell a patient what to do, only advise based on medical knowledge! We are there to diagnose and to advise and then to treat if the patient consents. 

Think of it this way: you tell a patient that they should get treatment for their Type II Diabetes. You give them information on T2D such as stats, general facts, various treatment options, and anything else that is relevant or that your patient asks for. Your personal views say “treat with this and do this and this on the side to help control the disease” and you really want your patient to take whichever drug you think is best, but your patient, for their own reasons, says “no, I will not seek medical treatment for this condition”. All you can do as the attending physician is accept this and move on because you cannot force a treatment (or any medical procedure!) on a patient - hint, hint it’s unethical to do that. 

Mistakes part 2/3

DeanXdaughter!reader

1200 words

Warnings- some morning sickness 

Reader confronts her dad about their argument. 

Part 2 of mistakes, please read part 1 first. 

Part 1 


You woke up around 7am the next morning and quickly had to make your way to the bathroom. You’d been having morning sickness for the last few days, but until yesterday assumed it was just a stomach bug.

After you were feeling better you showered and got yourself cleaned up before thinking about how you were going to talk to your dad.

You decided it would be best to tell him exactly how you felt, straight forward just like you had with Sam.

Slowly you left your room and headed towards the main portion of the bunker, you knew your dad would be up seeing as it was nearly 8. When you walked through the library and he wasn’t there you headed to the kitchen to see if he was there, but you only found Sam.

“Where’s my dad?”

“”He’s outside, in the garage. Said he had some work to do on baby, you should go see him.” Sam was calm, and it calmed you down. It was like any other day, Sam was drinking coffee and trolling for cases, and your dad was working on the car. You just nodded and left to find your dad.

You slowly and quietly made your way outside, as you got closer to him a knot in your stomach continued to grow. When you were about three feet from the car you spoke up.

“Daddy” you knew he heard you, but wouldn’t be surprised if he didn’t respond.

He didn’t say anything but he put down the towel in his hands and turned to you. You took a deep breath and swallowed the lump in your throat before speaking up.

“I’m sorry, I’m really sorry dad. I never meant for this to happen, I was dumb and irresponsible and it’s all my fault. I’m so sorry….” You took a second to pause, to keep yourself from crying and he stayed silent.

“I need you, I can’t lose my dad. I know how much I messed up, but I’m really scared, I don’t know what to do and I need you, I need my dad. I know you hate me, but I need you and I’ll do anything-”

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