I am experiencing one of those wonderful moments in medicine when you realise what an incredible job you get to do. Your study and work has been worth it for you have the honour of partaking in something magical. Sorry I should explain that I have just delivered my first baby! The mother was not pushing well. She kept trying to push her legs down and pull her hips and bottom down. This wasn't her first child so we couldn't quite understand why she wasn't doing it right. The nurses were unable to hear the babies heart so Elisabeth decided to make a small cut in the vagina to allow the head to come out. As soon as there was some more room, he came out pretty easily and I pulled out his body. He cried and was in good condition so we let blood flow through the cord for another minute before I clamped it. I should say men are nowhere to be seen in an Indian labour suite and the expectant fathers wait around a tree outside. Dad did not cut the cord. I then got to deliver the placenta and stitch up the cut we had made. All this was done with a great lot of help from Elisabeth. This was the first time that I'd ever sutured a person so it was quite nerve racking. Thankfully it went well.
During my excitement, poor Neil was in the ward checking all the babies. Just 4 new ones today. All perfect.
We had an interesting time in outpatients this morning. No patients to see but lots of discussion with the doctors. They couldn't understand how our prescribing works as free prescriptions or a standard prescription charge are unheard of here. Drug companies have somehow managed to convince people that if there are 2 identical tablets but one costs 3 rupees and the other 30, the one which costs 30 will obviously work better. It's just plain stealing from people in poverty. A drug rep came round and was trying to convince the doctors that piriton is a cure all medication. In the UK the cry would be show me the study which proves it! It was really interesting to be able to take time and discuss some of the differences. I feel like we are understanding the system a bit better.
We had an interesting time in outpatients this morning. No patients to see but lots of discussion with the doctors. They couldn't understand how our prescribing works as free prescriptions or a standard prescription charge are unheard of here. Drug companies have somehow managed to convince people that if there are 2 identical tablets but one costs 3 rupees and the other 30, the one which costs 30 will obviously work better. It's just plain stealing from people in poverty. A drug rep came round and was trying to convince the doctors that piriton is a cure all medication. In the UK the cry would be show me the study which proves it! It was really interesting to be able to take time and discuss some of the differences. I feel like we are understanding the system a bit better.
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