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- Sep 10, 2007
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At the risk of being labeled a freak who revels in the misery of others, I'd like to know-- what's the saddest story you've heard in your career thus far? The most gutwrenching patient?
I'll start. The most difficult thing I had to be a part of was my very first day of third year, on Ob/gyn call. I was intimately involved in this patient's care because I spoke the language in question.
The patient was a 42 year old woman 20 4/7 wks along with her second pregnancy. She desperately wanted children. Her first pregnancy, at age 40-- after a decade of trying-- ended suddenly, at 20 weeks gestation, with an unexpected miscarriage. The patient presented in florid pre-eclampsia. Pressures rising by the hour, no seizures (yet), proteinuria off the charts... and 3.5 wks away from viability for the fetus. It was explained to her that unless she terminated the pregnancy she would surely die. Weeping quietly, she and her husband agreed... they were numb and in shock.
We put the fetal heart monitors on and injected KCl into the fetal heart. For a few agonizing minutes, we heard the beats get weaker, softer, farther apart, until it stopped altogether. Labor was induced, and a perfectly formed stillborn boy was delivered. We placed him in mom's arms and left her and her husband to grieve.
They were still in shock... couldn't believe it. After all they had come in only 12+ hours earlier for headaches.
I'll start. The most difficult thing I had to be a part of was my very first day of third year, on Ob/gyn call. I was intimately involved in this patient's care because I spoke the language in question.
The patient was a 42 year old woman 20 4/7 wks along with her second pregnancy. She desperately wanted children. Her first pregnancy, at age 40-- after a decade of trying-- ended suddenly, at 20 weeks gestation, with an unexpected miscarriage. The patient presented in florid pre-eclampsia. Pressures rising by the hour, no seizures (yet), proteinuria off the charts... and 3.5 wks away from viability for the fetus. It was explained to her that unless she terminated the pregnancy she would surely die. Weeping quietly, she and her husband agreed... they were numb and in shock.
We put the fetal heart monitors on and injected KCl into the fetal heart. For a few agonizing minutes, we heard the beats get weaker, softer, farther apart, until it stopped altogether. Labor was induced, and a perfectly formed stillborn boy was delivered. We placed him in mom's arms and left her and her husband to grieve.
They were still in shock... couldn't believe it. After all they had come in only 12+ hours earlier for headaches.