I have United Health Care. A few months back I had a fairly simple surgery. Now UHC doesn't want to pay $1700 for the anethesiologist because she wasn't in my network. Am I suppose to ask after I've been dosed with morphine?
Here we go.
The short of it: COVID-19 has eliminated my last real hope of success in my current career path, at least for the forseeable future, and rather than spinning my wheels for the next 1-2 years, I'm looking at altering course and pursuing medicine...an ambition long held but kept to the sidelines...I'm non-traditional (34 yo, undergrad in English, M.F.A. in Shakespeare from the University of Exter in the UK...for real) but I know I can do the work...I just need to get the course plotted.
The long of it: I grew up in medicine.
My earliest memories of childhood were of colorful wooden balls and sticks my dad let me play with (his chem set) and mountains of massive text books and watching my dad at the kitchen table studying. For most of my young life I knew I wanted to be a doctor like my dad. I excelled in high school science courses and had a natural interest that was only bolstered by my fathers profession. My dad brought me to cadaver labs, took me with him to the hospita... keep reading on reddit ➡
Full disclosure I'm not even pregnant but we're trying this year and I'm already taking prenatal vitamins. I've been doing a lot of research and while there are a lot of positives to giving birth in the Netherlands (e.g. it's free, including a midwife throughout, and someone that helps you and cleans your house after the birth), I am still a bit nervous.
There is a huge culture of natural birth and they have the highest rate of at-home births in the EU. I think that's great but it also means that if I want an epidural as an option, I have to make sure if the hospital even has it (in some hospitals there is no 24/7 anethesiologist).
Deep down, I really would love to go Dutch and have a natural birth but I'm mostly just scared. I saw pictures of a 3rd degree tear yesterday and I noped right out of there.
So... I guess I'm wondering, how do you mentally and physically prepare for a natural birth? And are any of you in the Netherlands and can weigh in? Dutch culture can sometimes be... keep reading on reddit ➡
Finally, an update to my last post. On mobile so excuse typos please. Advice not necessary but NAW felt too severe. TW: for discussion of a very traumatic birth story. Strap in folks, this will be long.
So, in my last post I detailed the events that raised my blood pressure at 37 weeks pregnant. TLDR: FAB rode her religious high horse, accused me and my husband of not loving our child because we were asking for proof of her TDAP vaccine because she gave us a hard time about getting it and she decided if we ACTUALLY loved our child we'd subscribe to her specific brand of religion. The stress of the argument sent me to the hospital that night and at my high risk doctor appointment the next day they decided to induce me.
Guys, the birth experience was traumatic.
At the very beginning we decided that FAB (and by extension her FM SIL) was NOT allowed to know about the induction, last thing we needed was my blood pressure to spike because she decided to show up. She was refusing to apo... keep reading on reddit ➡
Former paramedic, M2 interested in anesthesiology. I know EM holds the ticket to EMS medical direction but does anyone have examples of anethesiologists that have been involved in EMS medical direction?
I guess I felt like sharing this here. I had my baby. I love her so much, she's a beautiful little girl. But her birth was literally everything I was afraid of and worse. Every single thing that could go wrong pretty much did. I'm sitting here crying writing this up because I think it might help to share it and maybe someone else can avoid what happened to me.
All day Friday (as in September 27th,) I felt off. Pissy, sick, cranky, sore. I was having what I know now are contractions. This continued all day, all night, then all day again Saturday. Hubby and I went out walking and shopping for hours, picking up stuff for our house and baby. MIL had come by to help us clean, since I was feeling so bad. I had to stop and breathe in Michaels and I told hubby I think baby will be here soon.
We got home and made love. I'm glad we did but wish we wouldn't have at the same time. We won't get to again for a long time. I fell asleep on our (naturally uncovered) guest bed.
When I woke up... keep reading on reddit ➡
Yesterday I was 37+2 when my doctor sent me to be induced due to high blood pressure. They started the pitocin at around 1 p.m. when I was about 3 cm and slightly effaced. Then they started talking to me about pain management. I opted for an epidural after talking to my doctor, two anesthesiologists and a nurse. After five local anesthesia syringes, four attempts with the needle and more with the catheter last night my anethesiologist finally got the fucking epidural in my back. There's blood all over the bed.
Or so we thought.
7:00 a.m. this morning my obgyn came in and broke my water. Said there was A LOT of fluid. After that it became apparent something was wrong. The tape was in place for the epidural but soon contractions were painful. Around 10:00 a.m. a (different) anesthesiologist finally came in to look at the epidural. I was contracting so hard I was in tears. It was dislodged (or never properly put in). They checked my cervix and I was 9 cm. They said I could get anothe... keep reading on reddit ➡
Since we have some people spreading misinformation as per usual these days figured I'd just let you guys know the bullet points.
Surgery was scheduled for july 25th.
on july 19th we saw the anethesiologist for a battery of last minute tests. He saw my blood pressure was eleveted so ordered an EKG. the EKG showed some arrythmia so they wanted to do an echocardiogram.
when they got this news they canceled the original date and made plans to do it tentatively august first. But as my nurse explains in the audio clip below they had to make sure my heart was healthy enough for surgery.
Now that the doctors have confirmed my heart is fine we're on with the august 1st date. They tried to get me an earlier date but were unable to do so because they wanted me to be in the best available OR on the best possible date for safety reasons.
Because we're documenting a large portion of this process for a video in the future, I figured I'd rip a bit of audio from one of the clips so the nurse... keep reading on reddit ➡
Well...that was interesting. My original scheduled time ended up being the actual time so I got to hang out in the lovely gown for two hours in the prep area. The nurses were cool and my friend stayed so we were just chatting. She sneakily took my blood pressure a few times because it was high when I got there, but it was ok after a while.
I loved the "we need a urine sample"...there's NOTHING THERE...lol but a few drops were managed. Here's how the whole thing went:
Arrived a surgical center, got my fancy barcode band. Taken to prep area, had to strip down, wipe myself down with the disenfectant wipes (yea for warmers! ahh) and don the lovely sexy gown n hair net. Gown was actually designed so you could hold it closed with one hand.
Back to prep area, had EKG posts stuck all over my back and she showed me the readout-all good. Ended up taking them off because of the wait time, but left the sticky part on for quick re hookup. Started the IV line, I'm not going to lie was not my fa... keep reading on reddit ➡
I always liked reading these so I figured I'd post my own. Plus, when I searched for Foley bulb inductions, all I could find were horror stories and that definitely wasn't my experience. X-posted in the September bumpers group.
I went to my routine appointment at 40+6 hoping to get an induction date. Doctor checked me and I hadn't progressed much past 1 cm and was still quite thick, same as my appointment the previous week. He suggested a Foley bulb induction the following day, but wanted to get the process started that evening so we went and ate and returned to the hospital at 5.
6 PM they insert Foley bulb - not terrible- kinda like a rough papsmear. Get hooked up to fluids/monitors. They monitored me for 30 minutes every 4 hours. 6:30 -start having contractions. Mildly painful every 5 minutes or so. 7:30 taken off monitors -contractions stop for the most part. 8:30 - eat dinner (dominos pizza) 8:45 shower, nurse comes in and starts first round of penicillin. (GBS+) 9:00 - 11:3... keep reading on reddit ➡
I never posted here much but when I did everyone was wonderful to me. On October 6th 2014 I went into labor with my first son. I was 37 weeks along and so excited I would get to meet my son. My husband and I were ready to go and at about midnight I started to time my contractions. They moved fast and by the time I got to the hospital they were roughly 3-5 min apart.
After I got to the hospital they took me to the triage area and put me in my gown and started to get me ready. They put the contraction monitor on me then they started with the heartbeat monitor. They tried with the belly monitor for about 15 min. I sat there thinking that they were just awful at their job or something.
After that they went and called my doctor to come in. He was off that night and I was supposed to see the on call doctor. When my doctor got there he got a small sonogram machine and tried to find the heartbeat that way. He never did.
That is when I got transfered to a bigger room. They called a radiolog... keep reading on reddit ➡
I'm 25 years old, I don't have any children, and yesterday I got my tubes tied (well, technically clamped) at Deaconess. I found Dr. John Mckenna suggested for sterilization procedures in the r/childfree subreddit's resource list.
I seriously don't have a single complaint about Dr. McKenna. He is kind, professional, and knowledgeable in his area of work. In December I got a referral through my general care provider for North Spokane Women's Health. I set up an appointment (which took one month from the day I called to schedule it) and in late January I went to North Spokane Women's Health for the first time to discuss my desire to get a tubal ligation.
Dr. McKenna did not doubt my sincerity towards my desire to not have children and approved me for the surgery right away, but he also made sure I completely understood the procedure, risks, and related information regarding healing, etc. He was very thorough in giving me all the information I could have possibly needed. I had to wait f... keep reading on reddit ➡
Started having contractions around 8pm on Jake's due date, 4/19. We decided to check the mail and wander around the grocery store to see if they would pick up. They stayed pretty regular but weak so we picked up some random groceries and headed home where I bounced on my yoga ball for a while. By 9:30pm I declared that if this was in fact the real deal that we should both try to get some rest. In order to convince DH to do so, I had to promise to wake him up if anything happened.
I woke up around a quarter to Midnight with some seriously horrible heart burn so I snuck out of bed, took a tums and visited a while with my sisters on our group chat. Around this time I noticed that I was still sort of experiencing the "tightening" feeling of the contractions but that the pain had completely gone away. At this point I decided that we had experienced another round of false labour and once my heart burn subsided I crawled back into bed.
I woke up the second time at 1:36 after having a pretty... keep reading on reddit ➡
Our baby girl was born at exactly 39 weeks, pretty much days after I had decided to ask for a 39 week induction based on some reading I'd done. I guess she agreed with me!
At 38+6 I was super swollen all over (face, arms, feet, literally everywhere), it basically hurt to exist, and I was DONE. We had dinner and a movie plans with friends of ours so we decided to make it a send-ironylaced-into-labor party - hot wings and a scary movie to try and "scare the baby out." I ate Caribbean Jerk wing sauce and we saw The Conjuring 2, for science.
About 10 minutes into the movie I felt a trickle, kinda like the feeling you get when you start your period. I took note but didn't think too much of it, since I had a ton of discharge towards the end and had already had 2 false alarms for water breaking. 10 minutes later, another trickle, so I went to the bathroom to see what I was working with. Clear discharge, slightly sweet smelling. Went back into the movie and let husband know that my water had... keep reading on reddit ➡
I just need to rant to people who might understand.
My mom has an autoimmune disease called CIDP, and it is extremely aggressive compared to most other sufferers. She's had it 17 years and should've been dead damn long ago. But she's a fighter.
We constantly have issues with doctors not listening. Blaming it on the CIDP when it's a separate problem. Saying they know more than mom knows about her own body.
10 months ago, my mom had serious back pains and became bedridden. She knew something was wrong, but the doctors dismissed it saying it was the CIDP. She fought and fought, and finally got a CT scan. The doctor then said "oh everything looks good". She read the report, and he said something about her ovaries being fine. She had her ovaries removed 5 years ago.....
So after even more fighting, she had another doctor read it and another CT scan. She had 8 cysts in her abdomen. One in her kidney.
Then for months there were arguments about if putting her under was worth it. No one c... keep reading on reddit ➡
I'm 26 and just had my Essure procedure done today. The doctor I went to was really awesome and gave me absolutely NO trouble regarding my age or the fact that I hadn't previously had children.
My recovery time from the anethesia was really short and I was 100% myself before I even got home with the 30 minute car ride. I've had mild cramping and whatnot, but it is a HUGE relief to not worry about birth control anymore. (My husband has a vasectomy but I'm a paranoid person.)
Next up, in three months, NovaSure!
I had a pretty rough pregnancy physically. It was almost tolerable until the GD diagnosis at 28 weeks, then came the insulin...and more insulin...and no more midwife or water birth since the insulin dosage was so high it put me in a higher risk category. I was already pissed I couldn't eat what I wanted, my pelvis and hips started giving out, and I was generally miserable.
The OB I started seeing around 32 weeks wanted 2x weekly NSTs and weekly visits and was understandably worried about a gigantic baby getting stuck on the way out. I started getting cervical checks at 36 weeks and nothing ever changed. NSTs were all fine, she was just happily chilling in there. Scheduled a growth ultrasound for 38+5 to try to get an idea of how big baby would be to get a plan for getting her out. OB kept saying they could estimate size way off, but she was pretty sure LO was over 9lbs and thought the ultrasound tech did a pretty good job with measurements.
Ultrasound was on a Wednesday with LO... keep reading on reddit ➡
After being diagnosed with gestational hypertension, my OB wanted to induce me before I hit 41 weeks. With this weekend being a Holiday weekend, the only way to fit me into the schedule was to induce me me at 39+6.
If you didn't see my posts regarding this -- this was not what I wanted in the slightest. I was mortified at having to be induced. But with the help of /r/BabyBumps I realized that this was what was best, and I should take the medical advice for my health.
So I showed up at the hospital yesterday at 4pm. I was trying my best to stay calm, but lost it hard when we walked into L&D. The triage nurse asked if I was ready.. I told her "no". She tried to assure me that everything would be fine, but I would not have any of it. Due to being HIGHLY stressed out about this, my BP and Baby's BP were exceptionally high. Once I was admitted, the doctor ordered for me to be started on an IV with glucose to help baby out. The labor nurse (who claimed she was the best at... keep reading on reddit ➡
On October 6th 2014 I went into labor with my first son. I was 37 weeks along and so excited I would get to meet my son. My husband and I were ready to go and at about midnight I started to time my contractions. They moved fast and by the time I got to the hospital they were roughly 3-5 min apart.
After I got to the hospital they took me to the triage area and put me in my gown and started to get me ready. They put the contraction monitor on me then they started with the heartbeat monitor. They tried with the belly monitor for about 15 min. I sat there thinking that they were just awful at their job or something. After that they went and called my doctor to come in. He was off that night and I was supposed to see the on call doctor. When my doctor got there he got a small sonogram machine and tried to find the heartbeat that way. He never did.
That is when I got transfered to a bigger room. They called a radiology tech to come in and do a better ultrasound to make sure that there was... keep reading on reddit ➡
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|What do you personally think about Registered nurse anesthetists (CRNA's)? Have you worked with any? Do you feel the level of care they provide is acceptable?||I think for a simple straight forward case they do provide an adequate level of care. However, for the most part if you ask them why they are doing what they are doing, they will not have an answer. They just know what they do, and if things start to stray from the normal they have difficulty adjusting. That's why I feel it is important for them to be supervised so that if things do start to go wrong, someone with a better understanding of physiology and a much more in depth|