e this is all strictly routine as far as I can see they're a nice young couple newly arrived here in the United States she doesn't speak much English but the husband seems to be doing a good job translating my instructions which I've provided in writing an ultrasound shows she's further along than originally thought June 23rd is her due date she'll need to come back and see me within a week if she hasn't gone into labor I write out the visit ticket and wish them good luck yes everything's going to be just fine OB clinic can you vot please OB clinic can you hold please hi I'm sorry Mr ramov ranov Romanov sorry the earliest appointment I have with Dr Baxter is for July 12th at 2: p.m. not it's too long the doctor say 1 week excuse me I'm here to see Carol James is she a patient or a staff member uh she just had a baby okay you'll have to go down to the fifth floor uh I'm afraid there is no mistake that's the earliest appointment I have a Dr Baxter and her nurse practitioner is on vacation but the doctor said let me try her nurse practitioner and see if she can squeeze you in I can't get through to her I'll try her again later just to be on the safe side why don't we book you for the 12th no that's too long I need to get in earlier I'd really like to help you Mr Romanov but I'm afraid that there just isn't a more available appointment okay the 12 super you are all set then we will see you then I'll be CL please yes in three thank you so you got something for me yeah I got another one for you there you go great thanks what a zoo I've got one woman with severe asthma a rule out pre-term labor and an ambulance with a bleeding preia on the way the docks have been scrubbed all night and these patience keep rolling in oh well the beat goes on yes in four thank you my wife she has a pain OB reception can you hold please I need your card a card I need your blue card that's what I need for the check I don't have the blue one I have these other cards I need the blue is your wife in labor is is your wife having contractions no no no pain in back back pain here okay why don't you go take a seat in the waiting area and I'll have the nurse come talk to you as soon as I locate your records okay and while you're waiting can you fill this out where is the waiting area see it from here but it's around the corner and it's down the hall a bit how long is wait she needs help reception it shouldn't be very long that's in unit three yes thank you when it rains it pours This Woman's chart says she's 39 weeks but I see a note of an ultrasound that says 42 there's some bloody show but her cervix is long thick and closed and the head is Sky High contractions are irregular if I understand them correctly and I'm not sure I do the patient reports decreased fetal movement for two days God where's that interpreter and there's this H these cells these cells what is the cells no let's just try to stay calm now the doctor is in surgery and we'll be here as soon as she can be okay what is it heel uh the deceleration of the baby's heartbe it it doesn't mean that there's is heartbe baby okay yes fine the doctor called about that patient and two what do you want me to tell him okay give me a minute I'll be right there it's important yeah okay I'll need a minute here I need to talk to Dr ban now what is happening Mr Romanov the best thing for you your wife and your baby right now is to calm down okay everything will be fine your as my patient needs help okay I'll be right there I'll be right there Mr Romanov just as a precaution I'm going to move your wife have to labor and delivery so the doctor up there can see her okay no it's it's okay no she needs I know I know I'm so hungry I can't think straight I've been on since 3:30 without a break and here I'm being assigned another patient where is everybody tonight I can't believe I'm doing a double right there I got to feel bet in on this case so how are you tonight still have a patient I need to move to postpartum and I haven't had a chance okay well first you need to see this patient she may be 39 weeks she could be 42 my exam indicated some bloody show long Clos cervix no contractions there's some D cells on the monitor Betty did you happen to see that patient in room through she was complaining of abdominal pain yeah she's been taken care of thanks and as far as I can understand these people there may have been some decreased fetal movement over the past couple days I need you yeah I've got to go I'm sorry where's a doctor my wife she needs a doctor now please just try to stay calm the doctor will see you as soon as he's available okay is the baby okay Mrs Romanov are you feeling any contractions Mrs R I'm going to have to ask you to lay back and be still lay back and be still because when you move it affects the monitor okay my wife she doesn't eat she does not drink what's going on with the baby I need the doctor right now so can you please Mr Romanov I'm going to have to ask you to give me one moment and I'll bring someone in who can help you but I just need one moment okay okay breathe breathe good okay could you take over this case I'm to fill in for her God knows there's plenty of times someone else has done it for me anyway Betty explains what's going on with the patient possible Des cells no dilation some show I'll take it from here I just wish I had the time to track down those test results for Dr Robinson but I'll get to it somehow now once going going where's the doctor he'll be here just as soon as he's out of surgery but I'm going to take care of you all right is baby all right everything's fine just fine okay now I need you to lay on your side can you do that for me can you lay on your side good that's it I'm going to start an IV great you're doing just fine you're doing just fine now you're going to feel a little PR here what are you doing to her I need to find a vein I just try to relax everything's just fine Ariana my do hey it's okay it's okay trust me trust me everything will be just fine okay I'm going to try another area Mrs Romanov the more upset you are the harder this becomes so I really need you to calm down just try and relax so I can find a vein good uh oh looks like Patricia could use a hand here okay I'm going to give you a little break here I'll be right back she gives me a quick update no luck with the IV the patient must be dehydrated the husband says his wife isn't having contractions though it's clear the woman is in pain no sign of labor the strip shows a flattened Baseline the baby could be sleeping I'll see if I can get this IV going then I'll just have to keep an eye on things I'm going to try to get the IV going for you okay is ready for we have the asthma under control for now any signs of labor her contractions are about 6 minutes apart and where's the resident he's in surgery he should be about done now it was just a routine that's four I'm going to set a personal record here if this keeps up Dr Feldman I think you should take a look at Mrs Romanov what doctor the patient in three is almost crowning I'll be right there it's Mrs Romanov I have some concerns she's had some questionable D cels and would you mind taking a quick look at her doctor the woman in four is complaining of severe pelvic pressure one second uh listen I've been up for 24 hours I got a lot going on let's let Joanie take care of it Joan's a med student this is something I think Joanie is perfectly capable of handling this I have nothing against Joanie but I really in this baby excuse me