Monday, July 9, 2007
if you don't laugh, you'll cry
look at that belly! my sis, pregnant with twins. one of the onsies says 'i love my auntie' (but, of course!)and the second one says 'spring chicken'. LOL! this is 16wks in to her 1st pregnancy.
women's health care in baltimore city has an edge of the macabre. to wit:
--last week i told a 50 something year old woman that her pap smear had come back postive for trich, an easily treated STD. i thought this was sort of good news; hey, you have an STD but we caught it early and can treat it easily. no long term sequelae. except that she was married. for 21 yrs. eeeaugh, not such good news after all.
--last week a 17yo came in with a last menstrual period of sometime in late may. dutifully i wheeled her out to be about 7wks pregnant, and talked about getting her set up for prenatal care etc. my preceptor came in to do the bimanual exam and was like...not so much with the 7wks. i'm going to call you about 5 months (!) pregnant. and sure enough, the top of her uterus was above her belly button. not 7 wks at all, unless she's gestating, ten-tuplets.
it's sort of funny, in a what-can-you-do sort of way. countdown is on for next cycle. i should know more by the end of the week.