We started off with a COVID positive patient
for an emergency c-section.
Gosh, look what the mask did to my face.
Emergency hysterectomy to save her life.
[upbeat music]
Good morning guys.
It is 6:23-ish and today I am going to be on OB.
So, you guys know, it makes it seem like I do a lot of OB,
but I probably only do it a couple of times a month.
The thing is it's easier to film an episode this way,
because you know I'm kind of up there
in my own little world and I can do that
and there's not a whole lot of patients around, so anyway.
I obviously can't film myself doing procedures.
I would love to, it's like one of my goals.
Film crew like, anyway.
I'm going to get going I've already made my coffee.
It's in my mug and I've got my phones,
and we're going to go.
bag rustles)
So, I arrived at the hospital at 6:45,
and was getting report from the overnight physician.
When they called for an urgent c-section
on a COVID-19 positive patient.
This meant I needed to gown up in all
of my personal protective equipment.
And then once the case was over,
I had to shower and change my scrubs.
Time to take a shower and change my scrubs.
Oh my gosh, look what the mask did to my face
for the c-section. [laughs]
I'm going to go take a shower now, bye.
Okay, I just took a shower and I am just decontaminating
anything that can be decontaminateable.
I have shoes that I purchased that are autoclaveable
which is really cool.
But I do have some sani-wipes, and I'm just,
even though I didn't take my phone in with me,
I'm just going to give it a quick scrub.
And I already did my shoes.
These are new scrubs.
And my pen I didn't use either,
but I'm still going to disinfect that.
This is probably not the first or the last time
that I'm going to have to take a shower
and change scrubs today.
Oh my god.
I'm pulling down my mask 'cause I'm in the privacy
of a room, but oh my god. [chuckles]
What a day. [laughs]
I have not had a chance to sit down
and catch up with you guys.
It is 12:06, we have been going non-stop.
Let me tell you how many c-sections we did.
We started off with a COVID positive patient
for an emergency c-section.
So, I had to like scramble
to get some personal protective equipment together.
And ensure that she was doing well.
And then we had another scheduled section for 7:30,
which was fine once we got that started.
We got that one started as well,
and then we had a third case that we had to get started.
And then they called out me for four epidurals--
[phone rings]
Back to back.
It's Dr. Braly, hi.
[distorted chatter from phone speaker]
Yeah, yeah I was just looking at it,
it looks like they haven't been drawn since the 11th,
but I could have that wrong.
Is that wrong?
[distorted chatter from phone speaker]
Okay, okay yeah.
Just the H and H, like not H and H,
but the CBC would be fine.
That's all I need unless you wanted to do anything else.
Cool, thank you, bye.
So, then we popped in a bunch of epidurals.
I actually had to call for help 'cause I was like,
"I'm only one person, I can't do all
"of these things by myself."
So, I had some people come and help us
with epidurals and everything,
and then in the midst of all this, they're like
"we've got a crashing patient
"in the Obstetric Emergency Room here on this floor
"and she has had a c-section a week ago
"at a different hospital and was bleeding incessantly
"and came in shaky, sweaty, lightheaded, dizzy."
We didn't even have time, we drew labs,
we didn't even have time to check what they were.
We just had to roll her back immediately
to the operating room.
Emergency hysterectomy to save her life,
because she was bleeding so profusely, it was nuts.
So, good with that now.
I put in an A-line.
I intubated her and we got her lined up.
Actually the nurses did a wonderful job getting two IV's.
Uncrossed matched blood, which is emergency blood,
which is the blood that like O negative donors,
what we really rely on.
You can really save lives if you're O negative,
because you can give blood that needs
to be given emergently to save someones life
before we know what their blood type is.
You are the universal donor if your O negative.
Please go donate some blood.
But anyway, so we got that underway, put in an A-line,
used the ultrasound 'cause she was so, so thready.
Her pulses were so, so thready,
and she was tachycardic and so scared.
We didn't have time to get a COVID test on her.
She was swabbed,
but we didn't have a time to get a result back.
So, we have to just assume that she's positive.
So, we had to put all the PPE on,
and do everything again as if they were
a COVID positive patient like this morning.
And now I'm sitting here and I'm thinking [sighs]
about getting some lunch while I have a break.
A minute to process and even sit down.
This is the first time I've sat down
in four, five hours.
Kind of a stressful day for personal reasons,
'cause a family member's undergoing surgery right now
that is a major surgery at another hospital.
So, it's just a crazy day, but this is the life.
Someone's texting me, who's texting me?
Did you give antibiotics yet?
So, [sighs] I'm just going to catch my breath, I'm so tired.
How are you all doing? [laughs]
Goodness gracious.
I'm going to go find some food.
I'm not even hungry actually, the weird thing is.
I'm not even hungry.
All right, so it is now two o'clock and I've had lunch
and I just saw the most amazing twin delivery, so cool.
We don't get to see those very often,
'cause quite often twin deliveries are so high-risk.
So we end up doing a c-section,
but this one guy is so good at them apparently.
I didn't know this about him,
and they called me to the room,
'cause they were having trouble with baby B,
who was the second baby to be delivered,
and I went there to the operating room,
which is like three feet in that direction,
and I watch as the feet are coming out
and he's delivering this baby breech.
It was so incredible, it's so uncommon,
it's so risky, but he did it and it was amazing.
I was like, "ah!"
The L and D nurse and I looked
at each other like "oh my god!"
She said, "I've never seen that before."
I said, "me neither, I've never seen that."
Oh, it was just the coolest moment.
It made this whole day worth it, it was so neat.
Both babies are doing great.
It was just really, really cool to see.
So then they did a version in another room,
which we were on stand-by for.
And then, now we're going back with a c-section.
Someone who has been struggling for two days,
and it just is not progressing their labor.
We're going back for a c-section so.
I'm going to go get ready to pop a spinal in there
and I will get back with you in a little bit.
Okay, I've been productive.
I have started that last c-section, got the spinal in.
It was beautiful, and now what I've been doing,
is collecting PPE in the event of an emergency.
So, what happened to me this morning doesn't happen
to somebody else.
So, we've got a standard size of seven and a half gloves.
We've got a face shield wrapped up in its plastic packaging.
And we've got two different sets of gowns.
I've got one extra, extra large breathable surgical gown
and then one two XL liquid proof gown.
I've never seen anything smaller than a large, FYI.
So, that's just the way that they're sized, but anyway.
That's what I've got so far.
We've got a face shield over here,
but I don't know whose that is, so I'm not going to use that.
And gloves and everything will be in the room.
[sighs forcefully] It's been a crazy day my goodness,
my goodness gracious, it's been so crazy. [chuckles]
Oh my god.
Well, and it's only three o'clock,
which means I've got two more hours.
Why is it that the days I choose to film end up
being the busiest days?
You know, someone said, "Dr. Braly, is this your fault?"
I was like, "what? Is what my fault?"
So, she said, "this day.
"It's because your here isn't it?"
I mean I kind of get what she's saying.
Every time I'm here it's like absolute madness.
It's been crazy, the day has thankfully gone by super fast.
I don't know where this day has gone, crazy.
Okay, what just happened? [laughs]
I was sitting there in the office,
and I must've fallen asleep for like 15 minutes.
Right, I didn't get a phone call,
and all of a sudden my partner walks in
and I'm like [yells].
Have you ever like woken up
and no matter how little you've slept, it's so disorienting?
You're like, "what year is it?
"What day is it?"
I literally couldn't have been asleep
for more than 10, 15 minutes based on the time.
I was so exhausted, oh my god.
It's like falling asleep in class, I never do that,
so that's funny.
Okay, so we're going to go home now.
I've changed my scrubs again.
Now I'm going to go home, change my scrubs,
change out of my scrubs in the garage,
and then get into normal scrubs and shower
and all that stuff.
So, that and I'll be back with you in a jiffy.
Whoa, I'm so bleary-eyed, look at me, ugh.
Just got home about an hour ago,
-no two hours ago. -[clock ticks loudly]
I'm just hanging out with my favorite one.
[TV plays in background]
Smelling her hair, so beautiful, so cozy.
-[sneezes] -Bless you.
[laughs] Look at your face.
You're so beautiful.
You have stuff on your cheeks.
[TV plays in the background]
[upbeat music]
You like meat and cheese?
Me too.
[chuckles] It looks like you're in pain when you're eating.
You're so beautiful.
[kiss smooches]
Such a good girl too.
[upbeat music]
It is my best friend Paula's birthday today,
so happy birthday Paula.
Ooh look, cheese and meat.
-[toy car wheels rolling] -[upbeat music]
Oh, very artsy, I like it.
[toy car wheels whirring]
[mimics air whooshing]
[Kristina laughs]
[kisses smooching]
I love you.
Love you.
Let me see the picture.
Good morning.
[Kristina] Good morning.
Say good morning everybody.
Lulu, what you doing over there?
[music drowns out man speaking in the background]
It's a what?
Oh yeah, might be the match.
My bone marrow registry.
[upbeat music]
Thank you.
-[Man] Please. -Dinner is served.
Harper's down for sleep.
Down for sleep?
Down for nap?
No, down for bed.
I'm just sitting here on the couch.
Played some Animal Crossing and I am going to call it a night.
I am so dead, I'm so tired
and I've got a seven a.m. call time tomorrow.
So, I've got to be there and seeing patients
so that they can start their procedures and endoscopy
in the room by seven a.m.
So, usually that means I've got to wake up at five
and it's about nine o'clock right now.
So, thank you for hanging out with me today
and I'll see in the next video.
Bye.
[upbeat music]