Victory or defeat?

"Madam... Labour patient...."
I came to see a multi only 6 months into pregnancy in labour. Clinically anemic. Owing to lack of nursery care and no facilities to transfuse blood I immediately refer the patient.
The relatives then decide to go to the bigwigs.
Soon enough, I receive a letter from one of the hospital owners saying I am supposed to admit the patient and do whatever necessary. The point being... DO WHAT?!!! HOW?!!! WITH WHAT?!!! WHERE?!!!! WITH WHO?!!!!
The patient meanwhile, in the midst of all this drama, decided to pop a baby in the auto itself. I went running to see one fetus out with the cord dangling. With nil if not negative sterility, I delivered the baby and cut the cord.
"Shift the patient to labour room...."
There I see that the Uterus has still not contracted whereas the cervix has completely shut down. By this time, honestly, I had zoomed into an alternate universe.....
We have no fast acting cervical dilators...
So what do I do...?
I USE MY BARE HANDS!!!
With one finger at a time and then one hand I reach into her uterus and catch hold of the second one and pull it out...
Then when I reach in for the placenta.... Lo and behold!!!! A THIRD ONE!!!
With the cervix clamping down on one hand and the other hand prying it open I bring out the third one with one hand while simultaneously reaching in and pulling out the placenta before the uterus closes on me forever....
She is still bleeding...
Uterine massage... Pitocin...
Still bleeding...
More massage.... More pitocin...
And some more and some more....
Till she finally stops....

For the babies however I can offer nothing....
Suction... Oxygen.... Heat...
Till they finally succumb...

Two hours later, I hand over to the relatives, three dead baby boys and one living mother.

I don't know whether to feel happy or sad....

August 2011

Last month was very eventful...
Finally bought ASV for the hospital and saved 2 lives in the process.
Started the new OPD block and regularized timings.
Started the first Central Venous Line.
Began the process of computerization of the hospital and brought out the first printed discharge summary(yes, it is a big deal!!!).
Had my first block of free time when I was NOT on call. Felt awesome!!!
Started studying for PG... not so awesome...!
Made my first English speaking friends. :)

For all this and the rest that I can't remember.... Thank you Lord!