Friday, June 5, 2009

argh

another tradgedy on my the one day of ob/gyn....

of the 15 patients who filled the sheet-less beds of the all but open air maternity ward, at least half of the girls were under 20

this one in particular was a hatian girl, probably about 16 years old, if i had to guess. the resident was using her as a teaching example - she was evidently in Lots of pain...

the students and interns gatehred around the bed as the resident pointed to the girls vagina. blood clots were coming out from around the foley that had been placed earlier...

taking the end that was sticking out, the resident says to no one in particular "this is a good example of a foley put in incrrectly" he then prcoeeds to yank the foley out... without disenflating the balloon - the young girl about to give birth yells out in pain as the foley with the inflated balloon comes out through the tiny opening of the urethra bringing with it even more blood...

the only thing i can think of is how this 16 year old is going to be incontinent for the rest of her life....

it made me shudder to think about it, and as i described the scene to the senior resident I am working with on night float today, i realized just how terrible it had been, the ful impact of the incident didn't really hit me until i retold the story 2 weeks later... here in the comfort of our rich, clean american hospital, with private rooms, plentiful nurses and salaries that are paid on time every month without fail...

i can understand how there is such a divide between the medical care given in a public hospital in santiago, puedo ver porque... pero en el otro lado, no lo tiene que ser como asi no? realmente, no estoy tan segura

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