Kelvin and I have been up in Humboldt County for almost exactly one year (we started work last year on Sept 1st, the day before Labor Day weekend).
It is amazing what has happened in these twelve months.
In terms of work, I have:
- done 57 deliveries (29 vaginal, 28 c-sections, with 3 sets of twins among those [please note that I mainly take back-up call so my c-section rate really is not 50%!])
- diagnosed cancers of the breast, colon (2), uterus (2, + 2 hyperplasias), fallopian tube (1), pancreas (1), skin, and blood (1)
- delivered my first (term, singleton) breech baby vaginally ("Where's the attending? Oh! I'm the attending!) and been challenged with doing other "firsts" as the "boss"
- lost two patients (one who died the week after she "established care" with me, and the other the week after I saw him and diagnosed the pancreatic cancer)
- helped 7 people quit smoking
- managed two very scary postpartum hemorrhages, worse than any I'd ever seen in residency
- helped three key diabetics go from HgbA1Cs of 13%--> 6.1%, 10.2 --> 5.9%, and 8.6 --> 5.7% (in three months). WOW!!! (This may be my biggest accomplishment so far)
- been stressed and exhausted to the point of tears (but less often than happened in residency ;)
- been frustrated by patients who have demanded more of me than I could give
- been blessed by patients who have let me take care of them
As for the "non-work" stuff we've done since moving to Humboldt County, you've probably heard about it on the blog, but check out this photo book which I put together on Shutterfly with a free promocode:
Click here to view this photo book larger
































