Wayfaring MD

I am a family medicine resident who likes to highlight the hilarious in medicine as I write about patients, medical school, residency, medical missions, and whatever else strikes my fancy.



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HIPAA is for reals, folks. All of my "patient stories" have been changed to protect patient privacy. I will change any or all identifiers, including age, location, race/ethnicity, sex, medical history, and quotes.
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Posts tagged "obstetrics"

When 2 followers message you and ask “what the heck is a G6?”

My bad guys. Lemme explain.

OB docs like to shorten absolutely everything. They have a system for abbreviating a woman’s whole pregnancy history. It’s called the GPAT system. G is Gravida, meaning total number of pregnancies. P is para, meaning number of live children the woman has. A is abortus, for number of pregnancies that did not result in a live birth. T is for term, for number of pregnancies that went to a full term delivery. You can learn a lot from a woman’s Gs and Ps. 

Let’s practice, shall we? My mother is a G4P2A2T2. She’s been pregnant 4 times, had 2 babies (both of which were term deliveries), and 2 miscarriages. If the Ps and As don’t add up to the Gs, the patient is pregnant, as in G5P3A1. Or If the Ps +As are greater than the Gs, the patient had a multiple birth, as in G3P4A0.

To confuse things even more, we can abbreviate the Gs and Ps to just a G with numbers, so my mother would be a G4222. 

Make sense?

In our OB rounds, we’d open with a short statement about each patient from which you could gather a ton of information. It went a little like this:

This is a 27 year old G4P3A1 at 37 and 4  POD #1 s/p C/S. She is +/immune/NR, desires a circ. Breast and bottle. Depo. 

To translate: This 27 year old girl has had 4 pregnancies, 3 kids, and 1 abortion. She is at 37 weeks, 4 days gestation. Today is post-op day 1 after a C-Section. Her Rh type is positive, she’s rubella immune, and her RPR test for syphillis was non-reactive. She desires a circumcision for the baby. She will breast and bottle feed and will be using depo shots for birth control.

Now you see why we abbreviate.  

Reblogging for future reference. My hands are larger than the average human, so the whole fingertip/2 fingers/3 fingers etc method is sort of lost on me. I always guess smaller than it actually is. So the visual aids here may be helpful for me. 

Reblogging for future reference. My hands are larger than the average human, so the whole fingertip/2 fingers/3 fingers etc method is sort of lost on me. I always guess smaller than it actually is. So the visual aids here may be helpful for me. 

(via missmdisme)