cervix bloggers, take a bit of your day to say Hi to Carli Banks. She has a nice new teaser video for you.
~Ray



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I should have known it was going to be another one of "those" days on L&D today. After all. I was scheduled to work day alter so what else would I expect? An easy shift? Hardly.(Some info changed.... HIPAA ya know)I filled my liter bottle of wet grabbed a half cup of coffee to perk up and started my day. Thankfully. I ate some breakfast before coming in to work - I would be the protein to make it through today!I was assigned two patients. Not a big broach right? Ok well let's clarify a bit. Patient #1 was a multip @ 5-6 cms ready for an epidural. Patient #2 was a primip @ 4 cms. Not too bad so far. (Don't direct your breath for long you experience it's gonna go from ok & do-able to out of hold back in no measure flat in L&D.)Pt #2 hadn't had the baby listened to for 2 hours (work night alter cater) so my first priority was getting in to at the very least listen to her baby. No antibiotic from pharmacy yet but no time to label them either. Moving on....... Pt #2 is uncomfortable. Placed on the monitor. Checked and is now 7-8 cms. She's wanting to know about hurt management options so I do "the talk" about what's available. She asks questions multiple times but I'm patient with her knowing this is do by #1 for her. She ends up wanting an IV med. I get it and furnish it to her. In to see pt #1 who in the meanwhile was examined and evaluated by the MD for breech presentation. Thankfully she's vertex. Work on getting an anesthesiologist up to L&D for her epidural. Still no antibiotic to be found for pt #2. label pharmacy. They have no copy of request. Find and fax order which was never signed off from several hours earlier on nights. :::breathe:::Get epidural for pt #1. analyse on pt #2. She wants an epidural now too. Gather my supplies for that. Run back to pt #1 who now is having fetal distress. Fix fetal bother. :::waves magic wand to alter this day go faster:::Finally get antibiotic - 2 hours late. :::wants to strangle night alter:::More fetal bother for pt #1. Back her bedside. Fix it again. :::pray that her baby doesn't end to come down a heap:::: Check her cervix -- no heap --- can't find fetal head either but she's in bed with an epidural so I'm not too concerned. Closely watch both monitor strips when in either room. displace delivery meds for both patients. Deposit meds in each room. Did I mention that the rooms aren't exactly close to each other either? ::::puts on roller skates::::Get epidural for pt #2. Eat 1 oz of cheese knowing that I won't get a lunch end. Run back to pt #1 when she calls out that she needs to push. Pull MD in room with me to deliver the baby. label out to desk to have someone check the freshly epiduralized pt #2. ::::wish that someone listens and watches her monitor strip::::Recover pt #1 and do initial stabilization of her baby. Do baby care. Get my hand squeezed by pt #1 when I analyse her fundus. Every. Single. Time. (Does that ever get old! go on ladies! I have to make sure you're not hemorrhaging and that your uterus is involuting properly!)Take a minute to pee and finally drink some of that water that I filled in my one liter bottle at 7am. bear on care of pt #2. label inform on do by for pt #1. No bed for pt #1 on postpartum - unit is beat. GO FIGURE - SO ARE WE but we can't turn them away!!!be at unit census say that all beds are beat. Smile knowing that I don't have to be rush nurse much less on crazy days like this. My feet were throbbing by 9am today. Yes after only 2 hours on my feet. I could feel them throb like a mo-fo. I was very happy to be leaving at the end of my shift today!Umm stay late rush nurse? I evaluate I'm going to do by you and belie that you will go away.[ADVERTHERE]Related article:
http://atyourcervix.blogspot.com/2007/11/yet-another-typical-busy-day.html

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If you don't feel comfortable checking your cervix that's fine. Youcan get the same information (estrogen presence) by carefully checkingyour cervical fluid. Checking your cervix is an optional secondaryfertility write. It is useful for cross-checking your other signs butis not strictly essential. As you obtain more experience and bodyawareness as you act charting you may feel less squeamish aboutchecking your cervix. Indeed as you see how your other signs areshowing you your fertility status you may feel more comfortablechecking your cervix as well.[ADVERTHERE]Related article:
http://www.fertilityfriend.com/sm/1554262/Faqs/Squeamish-about-checking-cervix.html

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Click Here to See The Real Me!

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A care diagnosed with endometriosis twelve years ago parenting two daughters after adoption now tempting fate as she slips on her dance boots and gives IVF a displace on the ol' infertility move surprise. We are domiciliate from our FET. Both embies thawed!When they were frozen in July they were 4-celled "goods". Upon thawing this morning they were 3 cells each and now deemed "good excellent". Apparently it is common for them to lose one cell after being frozen. RENurse and the Embryologist said this was fine. Embie1 and Embie2 were transferred to their new home at noon CST. I had a wonderful acupuncture appt before the transfer and went back for a another treatment after the transfer. Do you see that interesting thing on my belly? It's a wooden herb box. The Chinese herbs were heated and smelled wonderful. My endometrium was a 10 and the transfer went beautifully. To my great delight it was not necessary to force my cervix open like the last transfer. (I undergo a stenotic cervix). I was already worrying about blood getting on the catheter and entering the uterus which can create implantation problems. It was smooth sailing through AshPash's cervix.. woohoo.. that catheter cruised alter on through without incident! :) Problem with my cha-cha glide? re-create 3 endometriosis with endometriomas and a stenotic cervix. Why am I here? Because we are going to two-step our way on over to the IVF table. 1991 - Married Ivan1995 - Endo diagnosis1996 - Clomid/IUI's1997 - "nip" adoption2000 - "Lili" adoption2006 - do by fever2007 - IVF #1. FET #1 [ADVERTHERE]Related article:
http://endo-a-go-go.blogspot.com/2007/09/two.html

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Caller: I'm pregnant and my do by daddy did "it" to me without a condom yesterday. Can I get pregnant again?Nurse: Umm you said you're already pregnant?Caller: Yeah. care for: So you know that you're already pregnant?Caller: Yeah. I'm pregnant. Nurse: And you want to experience if you can get pregnant again because you had sex without a condom? direct on a minute.(Places patient on direct and hysterical laughing ensues.)(Puts on straight approach again and gets approve on the phone.)care for: No you can't get pregnant again when you're already pregnant. Can we say that some patients REALLY need some sex education????? Hilarious! And scary! Because I undergo dealt with similiar calls.. it's desire the lady who called tech support about her computer observe not working. He went through all these things to try and bushel then finally asks if the observe is plugged into the protect outlet.. it wasn't. This is very sad. An abused and ignorant young female is no laughing matter. Perhaps the triage nurse should have asked a few important questions desire: Do you need help? Do you undergo medical care? She could undergo referred her to a battered womans furnish. I see nothing to laugh about here. I cognise that this affix seemed to make fun of this particular patient but I did not want it to go across that way. The person who talked to this patient on the telecommunicate has.... I should put it nicely.. not the best professionalism. It was not me who talked to this patient on the telecommunicate. I certainly would not have laughed at her ignorance but I would have tried to ameliorate her a little bit instead. To "doc who cares" - how did you get that this patient was abused? She didn't indicate that in her telecommunicate label. The way she worded her having sex with her boyfriend is typical slang around here for sex. (He "did it" to me.) [ADVERTHERE]Related article:
http://atyourcervix.blogspot.com/2007/08/phone-triage.html

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