The rookie gynaecologist

It was a roasting hot day in June with temperatures reaching 40 degrees Celsius. My clinic, as usual was choc-a-bloc with over 50 patients crowding in the narrow corridor.

I was examining them in conveyor belt fashion, one sitting opposite my table listing her complaints while another one lay down on the examining table and a third stood by waiting for her prescription.

Patient number 22 was a case of third degree uterovaginal prolapse. The woman, a 55 year old villager, had had four vaginal deliveries. As a consequence the tissues had relaxed so much the entire womb was lying outside. I managed to gently push the organs back in place and inserted a self retaining Cusco’s speculum. At this point, the lady waiting for her prescription collapsed in a heap. The nurse yelled for me. I ran out of the examining room to find the woman sitting on the floor being given water to drink by a second nurse. She was simply suffering from dehydration due to the heat.

By this time the UV prolapse lady came out of the examining room. I gave a prescription for some lab tests and asked her to come next week to fix a date for hysterectomy.

She came the following week as scheduled. I explained the reasons for the prolapse and that the only treatment was surgery to remove the womb and tighten the lax tissues. She listened carefully.

“But doctor, you solved my problem last week itself. My womb is no longer hanging out. In fact, I feel much better now.”

I was stunned. “No, that’s not possible!” I exclaimed.

“Yes doctor. If you want you can have a look.” Saying this she lay down on the examining table.

I was shocked to see the Cusco’s speculum still in the vagina. It had done an excellent job of holding the womb in place. I had obviously forgotten to remove it last week when I rushed out of the examining room. The nurse was grinning from molar to molar. The next tea session would be hilarious.

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