The second week the staffing numbers were a little better, 3 SHOs - including me - and two interns. This meant that we were able to run 2 theatres. We still had issues with gloves. We had the added problem of the student anaesthetic officers being examined on the emergency list. This meant that the choice of anaesthetic was dictated by what they needed to be examined on rather than the clinical indication for caesarean. It also meant that the list shifted very slowly indeed. I spent 2 days on the labour ward shopfloor, the highlight of which was an undiagnosed multiple pregnancy, twin 1 breech, twin 2 cephalic. I was called to assist as the arm was not deliverable on twin 1 on account of it being extended above and behind the head. After a lot of manouvreing, I managed to hook the arm down and deliver the baby, resuscitated it, only to find that twin 2 was a compound presentation. I managed to push the hand back, rupture the membranes and she delivered vaginally, so all was well that ended well.
The next morning I walked into theatre to an almost identical scenario - students awaiting examiners, another impending rupture - who again, ruptured on the table, with a live baby. Unfortunately the rupture also involved the bladder and I couldn't confidently find the apex or the ureters, so I called the specialist in. That day we also had 2 undiagnosed praevias, a breech with a cord prolapse, one CPD and a severe PET. It was nice to hand the house over on the last evening, knowing that I wouldn't be taking it back again the next morning.
The next week was dedicated to finalising some stuff for the upcoming Liverpool Mulago exchange, putting the finishing touches to the HDU paintwork and completing some of the paperwork that we need in order to get the HDU running.
Being so busy at work meant that I wasn't at home very often, and had particularly missed relaxing in my own space, and also spending time with my housemates. Doris, our housekeeper has been a constant source of interesting conversation recently. She's a formidable woman with a hatred of men - for reasons we are not sure of - and is inherently suspicious when new people, particularly of male gender, move into the house. She collared me in the living room when I got home while she was still at the house...