So today I had arthroscopic knee surgery. I’m still a little loopy from meds but I had to share my day with you all. I did do my homework and came with some printed material of AG good and bad drugs to share with everyone but mostly the anethesiologist. Firstly, the IV fluids had to be changed out to saline, ringers lactate has mammal ingredients. Some meds that they were going to give me were replaced with AG friendly ones. The anethesiologist just didn’t get it, he told me they do not serve food and I couldn’t eat anyway, yeah that really happened. I explained further that medications are from various ingredients that may or may not be made from mammal based products. I broke it down even further, showed him a list from a vegan website of ok products and another from a Google Scholar article that posted both good and bad and even highlighted the “DO NOT GIVE” meds. So I made it through just fine and gave them my info to keep for the next AG person. So this was another place that did not have a clue until today. So it pays to do your homework, be prepared and share, they like it when you give them free stuff!
Had an appendectomy recently; insurance(Cigna) said they'd cover it but got hit with a $6,000 anasthesia cost and apparently they won't cover it. How do I (if i can) fight this?
I'm in NY.
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 hospital to act as a physical model for residents, and gave me a passenger seat view into the grueling process of going from med student to resident to practicing anethesiologist.
And then life happened. Personal trauma, family trauma, teenage angst, etc. For many reasons, my drive to puruse medicine cooled. My dad had an ugly affiar, and my parents divorced. I chose an undergrad path based on financial ease (journalism scholarship) that ended up being miserable. Took a break from school. Worked as a plumbers apprentice. Was absolutely terrible as a plumber, but the classes got me hungry for upper education again. I went back to school. I got married. I lost a sister. My father made...bad decisions, self-medicated to cope with the loss of his daughter, lost his medical license. He's a plumber now. I had kids. Needed to work to support family. Worked at a law firm that did credit repair, and rose through the ranks to management. Hey, I'm making good money! Lost the job due to the Great Recession. Got a job working for a company that takes care of autistic adults. Finished my undergrad in English. Directed high school students in Shakespeare, got really passionate about it. Got accepted into a MFA program in the UK. Sold everything. Moved to England. Went to the University of Exeter and got a 2 year MFA in Staging Shakespeare. Came back, have been adjuncting for 5 years at a university theatre program with no end in sight. Kind of a bad time to be a white male in the arts, you know?... 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 apologize and no good could have come of her knowing anything.
They started the pitocin at around 1 p.m. the day I was sent in (6/18). They started talking to me about pain management pretty early on and I opted for an epidural after talking to my doctor, two anesthesiologists and a nurse. After five shots with local anesthesia, four attempts with the needle and a couple more attempts with the catheter the anethesiologist finally got the fucking epidural in my back. There was blood all over the bed and I was freaked out but we were looking forward to smooth sailing after that.
My god were we wrong.
7:00 a.m. the next morning (6/19) my obgyn came in and broke my water. 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 screaming and in tears. The fucking epidural was dislodged (or never properly put in). They checked my cervix and I was 9 cm. They said I could get another epidural and I decided to risk it because the pain was unbelievable.
The anethesiologist prepped for a new epidural. Removed the bad one. Sterilized the wound site. Injected one or two local anesthetics and started trying to place the needle. The first attempt didn't work and I was having painful contractions the entire time. He pulled it out, went in to realign and I told him he had to back out. The baby was co... 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 pushy/direct so I'm also a bit scared of having to advocate for myself if things go south (Canadian with Dutch husband for reference).
Edit: Thank you all for your feedback, I am really starting to feel like I could do this. By the way if anyone is wondering where that 90% figure comes from, I read it here: "In neighbouring Belgium 60 percent of women use pain relief, in the United Kingdom this figure is closer to a third. In the Netherlands this is just 10 percent."
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 at 6pm, I felt this need to pee. I jumped up, and was instantly soaked through. I made it to the bathroom and jumped on the toilet, but it wouldn't stop. So I jumped in the shower and called my midwife. My husband was outside, so I texted him, then called when he didn't answer. He had to mop the floors, there was so much fluid. The midwife told me to try to stick it out at home until my contractions picked up.
After a few hours, I couldn't stand it any more so I told hubby to pack up and get going. The poor man was so panicked. We made it to the birth center at 10 pm. I was kept for monitoring and checked... my cervix was only 1 cm. I started to cry, it was so disheartening. The midwife told me I could go home and get some rest, or stay and she'd give me morphine to try to sleep and relax my cervix. I opted to go home. Why take meds when you don't have to, am I right?
By 4 am the pain was too much for me to handle, and we returned to the birth center. It is an hour drive each way to get there, but it felt like ten. I was still cheerful but man it hurt. When we got there, she refused to check me again, stating she wanted to limit checks with my water broken. Instead she gave me the morphine and had me sleep. I still have a knot where the shot was. It aches.
They woke me up when the shift changed at 8am. The new midwife opted to try a castor oil induction.. They told me my contractions were "spontaneous, infrequent, and too chaotic to be real labor." But my NST was go... 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?
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 could explain it to you guys.
Anything else you hear is, of course, bullshit. No me and my illegitimate black son didn't get my wife and her boyfriend to manipulate me into delaying the surgery so she could get more sheckles or whatever, lol. I didn't cheat on my diet or have an alien buttrape me and I haven't changed my mind about the surgery.
seeya on august 1st :)
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 favorite thing-stung and was cold. She taped it all down and untangled it (how it got into the handrail I'll never know).
Anethesia guy came by, asked some questions, very nice man. Half his questions I couldn't answer because first time I can remember surgery. He had started to ask about naseua, so I told I get carsick and plane sick easily. He and the nurse consulted with the dr and got permission to put some sort of anti nausea patch behind my ear-it's still there and they said three days or when it bothers me, whatever comes first.
Finally dr came in, I stood up and he turned me into Barney with a purple marker. Asked him if he did a "this way up arrow" and he laughed and drew a V on themidline so yea..he did. Showed me where he was putting my nipples. Just a warning, if you are ticklish it will tickle!. Only complaint was he was holding my boob up my the area around the nipple at one point, I had to remind him i was awake LOL.
Right after that, the anethesia help came in...she put one syringe into the line and less than a minute later my vision , well, warped-looked like a fun house mirror everything went twisty. She put the second one in (no tricks she told me everything se was doing), they dropped the side rails and started pushing me out the door. I was out about halfway down the hallway!
Next thing I know I'm surrounded by six or seven people telling me to not rub my eyes. I swear they were holding me down, I know I was waving my arms around and my legs. The one s... 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 - 11:30 PM contractions start to pick up, some are manageable, some not so much. I pee like 4-5 times throughout the night. Each time I get up I hope the Foley bulb falls out because that is what they said would happen once I hit 3-4 cm. It never did. I was getting nervous that it isn't working. DH kept asking if I want something for the pain but I was worried that I wasn't dilating and that if I couldn't handle these then I was fucked. Plus I didn't want to be too out of it or get the Epidural too early because then I would be confined to the bed and I was anticipating a long day of laboring so I pushed through. Each contraction I start counts of 4. 1,2,3,4 I repeat it over and over until the contaction ends. Sometimes getting up to bend over the bed or getting on my hands and knees. I sleep in between as much as possible. Around 4 AM I give in and tell Brett to get the nurse to get me something for the pain. I get one does of nubane (sp?) and it takes the edge off but not for very long. I tell the nurse I'm feeling a lot of pressure and she checks me and I'm at 5 cm!!! It was such a relief to hear the Foley was working.
DH calls my mom to let her know things are progressing and to go ahead and start getting ready to head up to the hospital. We had asked all of our family the day before to wait until we told them to come up because you never know how long inductions will take and with my first they all came up right away and stayed in the waiting room 19 hours while I labored... 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 radiology tech to come in and do a better ultrasound to make sure that there was no heartbeat and they called anethesia so that I could get an epidural. All the while I was having contractions and by the time the ultrasound lady got there I was about 7 cm dialated. After they verified with the ultrasound that there was no heartbeat the anethesiologist got there and gave me the epidural. That was at about 4 am. I started to push at about 5. at 613 I gave birth to the most beautiful baby boy. He was stillborn.
I just need to get it out. I miss him so much. I hope that within the next year I will be joining you ladies again on a happier note, but I have to wait for my husband to be ready to try again.
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 for insurance approval. When that was approved it was approved with 100% coverage.
Two weeks later I went to Deaconess for pre-lab tests and had my pre-op appointment with Dr. McKenna where basically he just made sure any additional questions I had were answered and had me sign some paperwork.
Unfortunately there was an error in the paperwork which pushed back my surgery date by two weeks (was supposed to be 15th of February originally) but yesterday I went to Deaconess at 5:30 in the morning and was out and on my way home before noon.
The surgery itself was about an hour long. It was a laparoscopic procedure that required a 5mm incision in the belly button and 7mm above the pubic hair area. I chose the Filshie clamp method of tubal ligation. I was given hydrocodone and with that it's really not bad at all. My belly button incision has no pain, my pelvic one is mostly sore, there's a little pain. My throat hurts worse than the incisions though due to being intubated. Dr. McKenna said he would take photos of the clamped tubes for me to take home in two weeks after my follow up appointment, I'm oddly excited to see them! I've never seen inside my own body before...
All the rest of the medical professionals involved in my surgery were just sweet as can be as well. The nurses were very accommodating for my fear of needles/IVs. The anethesiologist was also very thorough regarding information about the general anesthesia and offered me an anti nausea skin patch in addition to... 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 intense contraction. Still thinking that this wasn't actually the real deal I stayed in bed for an additional two contractions before sneaking out of bed again and going back downstairs. Once downstairs I spent the next half hour or so riding the waves of contractions strong enough to make my eyes water, before caving and going upstairs to wake DH. As soon as I opened our bedroom door he asked me if I was OK, as he had been woken up by my absence from the bed. I told him that I thought it might be go time and he quickly got out of bed and changed into an outfit he felt more comfortable wearing to the hospital.
Once downstairs we started seriously timing the contractions but when the pain got so bad that it made me physically ill, DH called my mom to get her opinion on whether she thought we should go to the hospital early or not. Since we live an hour away, we all agreed that the worst thing that could happen was being sent home so we agreed to meet my mom at the hospital and headed on our way.
DH and I, in our infinite wisdom, opted not to get a hospital tour so upon arrival he got confused instructions from the front security guard and we somehow managed to find our way to the Labour and Delivery area.
Once there, we provided my health card and got set up for triage. This part has to have been one of the most disappointing parts of my day, I was fully effaced, cervix is optimum position but dilated only to two. "We don't like to admit until you've reached 4cm." The kind... 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 possibly broken but I wasn't sure, we made a plan to go get checked out after the movie was over. Continued feeling little trickles every 10 to 20 minutes throughout the movie. When it was over we ran home, let out the dog, grabbed the bags and headed to the hospital. On the way we both kept saying it was probably a false alarm but we wanted to get checked out to make sure.
I never really started having timetable contractions, I could feel little twinges but nothing out of the ordinary. The nurse did the swab, let me know that my water had broken, and started the admitting process. I remember when she told us my husband just went "hoooooly shit" and I felt like I was in the Twilight Zone.
So, since I wasn't contracting on my own, pitocin time! And it SUCKS. The drip started around midnight and I could feel the contractions but they were mild enough to sleep through until around 2:30. I was dilated to 2 when I came in, and was planning on waiting until at least a 5 for the epi because I was terrified of it wearing off prematurely. The nurse came to check my vitals and offered me IV pain meds since I was only at a 3/the anethesiologist wouldn't be in until at least 7am. I didn't really want the meds (didn't want to pay for them), but I knew I needed to sleep in order to be able to push when the time came, so I took them. They took the edge off enough to be able to sleep.
Got checked again at around 6am and I was at a 6, so they ordered the epi but told me it would be at le... 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 consulted her anethesiologists. They all just assumed it was too risky to get "benign cysts that posed no danger".
Her back pain got worse. Finally she found a surgeon that said if anethesoilogy said it was ok, he would do it. Anethesoilogy had no problem. They were like "yeah she can be difficult, but we put her under so much the last 17 years we have it to a science and aren't worried about it".
So they did surgery two days ago. Know what they found? One of the cysts grew around the tube that goes from kidney to bladder. It was so bad, the surgeon was surprised she wasn't showing signs of kidney failure, and had they waited another week, she most likely would have had serious permanent kidney damage.
Know what else they found? She has polyfibromatosis. A rare autoimmune disease where the number one symptom is back pain in the lower left area. They ignored the symptoms because she was already sick.
Finally, the surgeon fucked with her pain meds because he thought it was "too much" which led her to be in serious pain after surgery.
I am so tired of this. 17 years of bullshit. If my mom didn't stand up for herself she would've died in 6 months of being diagnosed.
Tl:Dr, doctors ignored mom's symptoms because of chronic illness which almost resulted in kidney failure, and then fucked with her pain meds causing her to seriously hurt after surgery.
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's head in the 91st percentile and her abdomen off the charts above the 97th percentile. Approximately 9.5lbs. OK, 9.5lbs isn't that big, and I really didn't want to just schedule a c-section like the OB wanted. I at least wanted to try to labor, but I was also SOOOO done with being pregnant. When I talked to the OB Wednesday we went over all of the risks and possible scenarios and likelihoods of certain outcomes and she was ok with still trying to induce me. We set a time for that Saturday morning. I went in to the office for my NST the next day, LO was still good, but right before I left my OB came in to tell me that when she tried to schedule the induction the hospital notified her that they were at their max for inductions and the next open date would be the next Tuesday. I was crushed. I was definitely scared that she would be too big for me to push out but I figured that if we got in soon enough we'd be ok. Another 3 days that late in the game could mean another half pound or so and make things more difficult. I went home and thought things over and called the OB back to see if we could still schedule a c-section for Saturday. I just wanted her OUT and to be done. C-section was a go.
Saturday morning we get to the hospital around 6am for 8:30am operation. I get up to L&D and start talking to the escorting nurse and told her about how we initially wanted to induce but they were full, etc. She then told me that one mother who was scheduled to induce t... 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 getting IV's in), blew out veins on BOTH of my wrists (it wasn't her fault, it's a family thing). She finally managed to get the IV placed (after numbing the area first).
The plan was to start me on the miso (25 micrograms at first), and then four hours later we'd up it to 50, and then four hours after that would be 75... and then in the morning, we'd start pitocin.
Blech. I didn't want pitocin. I had heard the stories about pitocin making the contractions unbearable, and that wouldn't help me avoid the epidural.
The nurse promised me she would return at 11:15pm for the second dose of miso. My husband and I were trying to get as much sleep as possible, and so I watched the clock so I could be awake when the nurse return. 11:15 came and went. I started to worry "Oh, maybe she forgot about me?". I passed out, and at midnight the nurse came in. She told me I was contracting too much, so they had to wait on the second dose. Took the second dose, and tried to pass out again.
At 1:15am, I woke up to a painful "pop" in my stomach. Water started leaking, so I called the nurse back in. I was told that in between contractions, I'd leak some more. She checked to verify that it was clear fluid, and changed the pad. I felt bad because as she was doing this, I was continuing to leak all over the place. After she left, the contractions really started to pick up -- and the amount of "leakage" picked up too. It gushed, and gushed, and gushed... I couldn't believe how... 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 and extensive training will be able to take over. I also would not want them to be performing anesthesia for the more complicated and risky surgeries.|
|Thanks for the quick answer, which breeds a couple more questions from me. So it is more of a skill based position then? Do you find they are Taking work away from you with them being cheaper to employ? Do you find that they are being adequately supervised in their cases? I hear of them being independent practitioners in a lot of small town clinics and hospitals. I can't imagine you're thrilled about those scenarios. Also, what has been the worst case you've ever been apart of?||They are cheaper to employ, but the majority of states still require them to be supervised. Often times they are not adequately supervised, and that is inappropriate. The supervising anesthesiologist is ultimately responsible if anything goes wrong and that is a risk they are taking. A lot of places where they are working independently, this is due to the fact that MD anesthesiologists are not available. I do not feel like this is the safest of scenarios, however unless more MDs go into anesthesia and are somehow attracted to working in small towns I do not know a solution.|
|What's your education background until you became an anesthesiologist?||I went to medical school at|
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 another epidural. I decided to risk it because the pain was unbelievable.
The anethesiologist prepped for a new epidural. Removed the bad one. Sterilized the wound site. Injected one or two local anesthetics and started trying to place the needle. The first attempt didn't work and I was having painful contractions the entire time. So he pulled it out, went in to realign and I told him he had to back out. The baby was coming and he was coming now.
They kept saying they had to check my cervix and I kept saying get my husband in the room. I move back so they can check and she barely gets her hand in and says I'm 10 cm and she can see the baby is on his way. First in is a flood of nurses. My husband enters the room just in time to see a nurse jump on top of me to dislodge the baby. He's so big he got caught and the umbilical cord is wrapped around his neck.
They get him out, all 8lb 9oz and 21 inches of him. His face is bruised from being caught. The placenta is huge and the umbilical cord looks like a goddamn anaconda.
He's absolutely perfect. He pinks up quickly (other than his face) and they allow me skin to skin.
It's now 11 hours later. My back is bruised and sore. I'm terrified I'm going to end up with an infection like meningitis or something.
That is the story of my unmedicated and last ever birth.
Update: On the bright side even with two small tears and some stitches to repair them my first poop after childbirth came 14 hours later and was painless.
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 no heartbeat and they called anethesia so that I could get an epidural. All the while I was having contractions and by the time the ultrasound lady got there I was about 7 cm dialated. After they verified with the ultrasound that there was no heartbeat the anethesiologist got there and gave me the epidural. That was at about 4 am.
I started to push at about 5. at 613 I gave birth to the most beautiful baby boy. He was stillborn. they said it was probably a chord accident. They let me hold him as long as i wanted to and let me have pictures to take home. Its been so hard not being able to have my son with me like I should but I've been able to write this out without crying. its the first time I've wrote or said anything about him without crying. His name was Theodore Ryan and he was 4lbs and 8 oz. 18 in long. perfect in everyway. He is my angel in heaven and my first born son.