High and Low, No Middle

Yesterday was so weird.

So in the AM I went to my first ACOG meeting. Super interesting....lots of great talks.
They have this section for medical school students but lets me honest. I don't need an introduction to the field of OB/GYN. I know what they do. I know I want to be one. I've got more OB experience in my first year than anyone else in my class. When I'm in L&D, I have to function as at least an M3 and in Sports Medicine clinic as a resident.

I'm good.

So instead, I went to clinical seminars. I want to sound smart and have an intelligent conversation with my attendings in a week when I do have night call.

I went to a talk on VBAC, Periviability and Shared Decision Making, and Non-invasive prenatal testing. It was cool. Weird but cool.

So interesting fact....
Neonatologists say the edge of viability is 22 weeks.
OB say 23 weeks.

But BOTH say they wouldn't save their own babies until 25 weeks.

That's because they know that under 25 weeks the chances of death are very high as well as the fact that almost all of those kids have a disability. They talked about how you should inquire as to the goal of the parents. What is their ideal outcome? Because people who say I want a normal healthy kid and give birth to a 23 weeker? The sad truth is that if you want a normal healthy kid, you need to try again with a new pregnancy and use palliative care for the 23 weeker. The likelihood that 23 week gestation will produce a normal healthy kid is low so if that's your goal, you need to try again. I realize I'll have to say that more tactfully but its true.

I went straight to the game from there and that was great.
Management of some ongoing issues during the game but nothing major.
We won! Big 3 points putting us squarely at the top of the table. We'd have to lose just so someone else could be tied with us so we're doing great. Still undefeated!

Here's to hoping the coaches actually listen to both our ATC and myself about loads and who needs to sit out for some stuff on Tuesday. I want to take out everyone who played 60+ minutes from at least part of training. You just can't expect someone who ran 8+ miles on Saturday to really give it to you on Tuesday. You want them fit and capable to go hard later in the week in the run up to the next game. Give them a break! You can't work through I ran 8.5 miles. You're just running yourself into the ground and the overall quality of training will suffer not to mention they have to go to weight lifting that afternoon. Managing player loads needs to be taken a lot more seriously.

::Steps off soapbox::

Anyway yesterday was highs and lows but I'm loving it all.

Cheers to the summer!