Thankfully my patient delivered ~30 minutes before the delivery room went dark (and I might add that she delivered ~30 minutes after I arrived and was told she was only 4 centimeters dilated and not in active labor! Just goes to show you should never think you know how fast or how slow a woman will have her baby. And you better listen when a woman says she's needs to push. At least there is usually a very clear difference between a 'i think maybe i need to push' urge and the urge that can. not. be. stopped. That baby is coming! Can you say 'precipitous labor'!?). It was already oppressively hot. Accompany that with the loss of the electric fan and the sweat that was already beading on my forehead quickly began pouring down my face as well as every bodily crevice. Breathable cotton undergarments? That don't make no difference when they're drenched, child. Believe you me.
Ode to hot season in the PhilippinesOur brown out, which lasted about an hour afforded me the unique opportunity to suture in a very romantic setting - by candle light. The only thing is, you can't get the light source very close to the patient or you will sacrifice the sterile field (or light your patient on fire). Thankfully we also had a small flashlight and an extra visiting volunteer to hold it while I sutured. This was a first for me. The power came on just as I was tying off so I was able to inspect the stitches clearly to ensure I did a decent enough job. Success.
There is a heat the rest of the year that becomes bearable. That not when it's summertime in the Philippines. The word hot takes on new meaning. "I don't remember it being this bad last year!" Oh how quickly we forget.
Summertime.
When you daydream about a city-sized dehumidifier. When the aircon barely makes a dent and the electric fan becomes a must add-on. When you uncharacteristically desire a walk by the river on a windy winter day in Saskatoon. When you lose your mind with disgust for your present stickiness and plan your days to stay close to home and that "cold" shower. When the cold shower isn't cold anymore!!! When you resort to drinking salt water to replace the massive salty water loss. When you can drink 4 glasses of water in 15 minutes and still not have the urge to pee! When looking on the bright side has you thinking, "I must at least be sweating out some toxins!"
Our patient is positive for hepatitis B but did not prepare the essential immunoglobulin injection for her baby after months of reminders. They simply didn't have the money. And the clinic just so happened to be out of hepatitis B vaccine, which all babies get. When the clinic is out of hepa-B vaccine it usually reflects a city or province-wide shortage as sometimes even the Department of Health is "out of stock." Nice. This baby first needed the hepatitis B vaccine injection, to be followed by the immunoglobulin 6-12 hours later.
What to do? We sent the patient's husband out to look for the vaccine with borrowed money from the clinic. The patient and her husband only had 500 pesos (~$11) to their name. It was after 10 pm. He didn't come back till after 11:30 reporting the pharmacies he went to were out of stock. This baby really needed this vaccine.
Thankfully I had my car. He and I went to seven different pharmacies before we found the vaccine. It took over an hour, driving all around town to find it. Thank God we did.
That was my first shift since the end of March (what a way to come back to work!) and my last 12-hour shift in a while. We are trying out a new schedule format next month with 8-9 hour shifts. At least then I will be showering off 9 hours of unimpeded sweat instead of 12. I wonder if I will notice a difference.

















