My last patient before the weekend was a 40 year old mother of 4. She split up with her husband six months ago and has been struggling emotionally, socially and financially since then.
She had a night out with friends 4 weeks ago 'to cheeer her up'. She had a few drinks, a dance in the local club a kebab, a snog and then in time honoured tradition a one night stand with a young erect penis without a conscience.
She came to see me because she thought she might be pregnant again, as she has more experience than me, I took her word ( and 2 positive HCGs) for it.
We had a chat about her situation. Her husband ( soon to be ex) is already fixed up with a 25 year old chlamydia bandit - no support there then.
The donor, well she never even found out his name.
So having established a gravid state, her absolute inability to cope with another child in these cicumstances, and giving lots of words of advice and encouragement. FLMN makes the referral to the early pregnancy unit, for a termination, gives the lass as much moral support as I can and reassures her that all will be well in the end.
I had a card this week from the patient, nothing flash or extravagant, just a few words saying 'thanks for being a friend when I needed one'.
I earn a good wage in my job, have a degreee of respect from my colleagues and patients, but this, this knocks all that into a cocked hat.
I have a privileged job and I love it!