| Labor and Delivery |
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| 10:37pm 12/12/2005 |
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Tonight was my last night of OB rotation and it was INTENSE. I feel like I just ran a marathon and drank 20 cups of coffee. My patient was a G2/P1 22 year old. She'd been in there laboring for a long time under another nurse and her lameass family was in there standing around eating McDonalds and watching TV (Dr. Phil no less,,,). My nurse, Mona, and I are receiving her as a patient and the nurse going off duty is making a big deal about how "she got everything ready for us" She's taking pain staking detail to show us all the meds she got ready, the warmer is ready, the delivery table etc. right down to mentioning she's got sanitary pads in the bathroom. So she takes off and Mona starts to check the room herself and there's no O2 mask for mom OR baby and no suction set up!
Never take anyone's word for anything.
So this girl's been laboring with basically no help, no one talking to her and she's not relaxed at all. She's tense and holding her breath during contractions. She got Demerol and Phenergan a few hours ago and hasn't voided since. The midwife comes in and does an exam and the membranes rupture and gush out meconium.
The midwife can't feel a presenting part. They rush in with ultrasound and the head is way up off to the side -- not even in the pelvis. She straight caths her and gets back 600cc of urine. After the bladder goes down, the head engages back into the pelvis. They sit her up and give her some pitocin to increase contractions and prevent a prolapsed cord.
Thats when things got really intense.
It seemed like her own body kicked in at the same time we gave her the Pit. She started contracting heavily and was losing control. She was thrashing around and holding her breath. Still nobody was really talking to HER(not even the family). I started coaching her and reminding her to breathe and not push. Mona asked me to insert a foley. This was only my second one ever on a female. The girl is now on the verge of screaming with the contractions and as I set up for the foley, Mona tells me to be sure and do it quickly because the fetal monitor is showing some big late decels. No pressure.
After the foley, Mona has me put her on her side and give her the O2 at 10L. The decels resolve.
The midwife comes back in and decides she needs more Demerol/phenergan to “relax her”. Mona has me give her the IVPush (even though I’m not supposed to and oh well I’m not about to tell her I’m not supposed to give IVPush in the middle of all this, besides she set it all up and just had me doing the push slowly).
Personally, I’m not sure that was such a great call on the part of the midwife. After the Demerol, the patient was really out of it, not listening/ focusing as well. But I keep trying to help her and focus her. A couple minutes later, the midwife comes back and gives the OK to push and we get her legs up and coach her to push. She starts to scream and we have to get firm with her and focus her to push and breath and not scream.
The baby comes out.
Cord around the neck.
It’s blue and lifeless.
Flaccid.
It looks dead.
My guts are on the floor.
But the NICU nurses rush in and suction him and give him the O2 and stimulate him They give him the Narcan to reverse the Demerol and goddam if they didn’t have him pinked up in one minute. His apgar was even 8/8. No meconium down the pipes and he’s OK.
Whew……..
By the time he left mom and I took him down to the nursery he was sucking his fist and looking around at the world with big wide open eyes.
Quite an end to the rotation.
Tomorrow I’ve got skills lab appointments, med/surge review and clinical evaluations.
Wednesday is Integrated and the med/surg Hesi and Thursday is Finals and Diane’s Graduation and then off to Key West. |
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| 12:22am 11/12/2005 |
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I just sat down and punched out a six page paper on pregnancy induced hypertension and I must say I am pleased with the results. Not that it really matters -- its a makeup assignment for the day of clinical I missed because I was infectious and the teacher told me not to come in the next day. She didn't want me around the babies or mothers coughing and sneezing. It seems I've been sick ever since I started nursing school. Monday is my last day of OB clinical and I can't believe how this rotation has flown by. The next week coming up is ridiculously stressful -- finals, Hesi test, papers due, Integrated, PROCALC ect.....uhggg good lord just get me through this next week without any serious cardiac problems or mental breakdowns. I'm too young to have chest pain. And yes I am looking foward to a weekend in Key West but I will probably have to study for the procalc while I'm down there and I'm so tired I think I could just sleep for 96 hours straight.
Connor spiked a fever of 103 last night out of the blue. He was fine and then -- all of a sudden HOT and crying. I drove him out to Royal Palm today to see the doctor at the office that has weekend hours. We were stuck at a dead stop on I95 for 45 minutes because some landscaper lost his trailer full of dirt and caused a major accident. I'm sure 45 minutes seemed like eternity to a sick two year old. I know it did to me. Anyway, the poor kid has a raging ear infection. He's tough as hell because you'd never have known it. Also, AJ is in some weird thing that he doesn't want to discuss and well...I guess that's it for now. |
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| I'm Sorry but Enough is Enough....... |
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| 11:59pm 18/11/2005 |
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Tropical storm Gamma is forming off Central America and may be on a track to Florida. The same track Wilma took.
I do not want to live through that again.
We were without power for two weeks. We waited in line for ice at the fair grounds for hours. I was driven to the brink of a psycotic episode by my neighbors generators. And that was just this year.
F*CK YOU MOTHERF*CK*ING MOTHER NATURE!
We took a direct hit from Wilma. The actual storm itself I found very interesting. This was the first daytime hurricane I'd been through and the first time the eye passed DIRECTLY over. And this time we could see and hear it all. It WAS scary at times -- that wind was screaming loud and things were hitting the house and bouncing across the roof. But, I'm glad to report that our house is sturdy as hell -- no creaks or groans or weird noises -- even during the worst of it.
But after the storm, time seemed to stop.....
Oh yeah -- and AJ's mom moved in.
And Connor stoppped sleeping.
*sigh*
By the way, in case anyone was wondering, one FEMA food box contains:
Two 7oz. cans Chef Boyardee beef ravioli
one single serving Kellogs Wheat Bran flakes
one 8oz. box of shelf stable 2% milk
one can of grape juice
one 5oz. can of Bluebird orange juice
two snack pack chocolate puddings
one snack pack gel (some kind of weird jello stuff)
a small package of some unidentifiable dried fruit
two 2oz. cans of pringles potato chips(the labels are in spanish)
one plastic knife, fork and spoon
two antibacterial hand wipes
one small packet of hot sauce (this golden prize was not to be found in EVERY box)
We were not bad off enough to need the FEMA food but after waiting in line for over three hours and playing music wars with people who insisted on BLASTING Guns and Roses (yes I loved them too -- but like 15 years ago) when we finally got to the end of the line and the workers (who were protected by national guardsmen carrying machine guns) started throwing ice, water and boxes into the car -- there was really no time or presence of mind to pick and choose.
It was a very long two weeks after Wilma. We cleaned the yard. We ate the FEMA food out of boredom. We read by lantern light. We went to bed REALLY early. We missed school. We waited on line for gas. We tried not to kill each other. I tried to pretend sometimes that it was cool -- like camping -- but really it sucked.
So things are finally starting to return somewhat to normal and now -- Gamma? No -- that is not allowed.
Well anyway, IN OTHER NEWS:
A bad movie about Johnny Cash would have REALLY pissed me off but I am happy to report that Walk the Line was excellent. Go see it. |
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| Hurricane Supplies |
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| 12:59pm 23/10/2005 |
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So what is it about an impending hurricane that makes me buy things like gummy bears and cheez whiz? |
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| ok ok |
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| 09:40pm 29/05/2005 |
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| How to make a iceberg_slim |
Ingredients:
3 parts jealousy
3 parts courage
5 parts beauty |
Method:
Add to a cocktail shaker and mix vigorously. Top it off with a sprinkle of curiosity and enjoy! |
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| What are you kidding!!??!! :P |
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| 08:24am 14/11/2004 |
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"If there is someone on your friends list who you would either like to tie down and have your way with, teasing them mercilessly and making them beg for release, or have them tie YOU down, post this exact same sentence in your journal."
Taken from ![[info]](http://p-stat.livejournal.com/img/userinfo.gif) whoretence |
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| Pics of Connor |
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| 10:56pm 02/11/2004 |
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Here is Connor at one year old.
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| 11:09pm 15/07/2004 |
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| My Best Friend is omara555 | | Our 14 common interests are: butthole surfers, dita von teese, ebay, jodie foster, madison, old houses, punk rock, restoring houses, school, sushi, tattoos, tea, thrift stores, vintage clothes | Who is your best friend?
| | Created by macoto |
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| I am overworked and underpaid |
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| 11:12pm 13/06/2004 |
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Yea....so I hardly ever post and I rarely comment on my friend's posts
then when I do say something ------
its about a fucking TV show
well so what its MY journal
Deadwood is the best show I've seen in forever.....
Thank you, Goodnight. |
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| 11:17pm 25/03/2004 |
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mood:  grateful
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I went to see Dr. Kaufman today and everything was A-OK. Then I took Connor across the hall to Dr. Manko's office to show him off. The nurses came out and were all swooning over him. I think it must be rewarding to see the results of their work. When I got pregnant, I sent them all thank you cards and chocolates and I haven't seen them since. Today brought back alot -- that was a tough time going through the fertility treatment. Unless you've been there you can't imagine the stress. I guess I pretty much put that all behind me. But I don't forget how lucky we are and what I miracle Connor is. Not just Connor -- any baby. Even Eileen, who does this for a living, says she is amazed every time they do an invitro and she looks at the tiny ball of about six cells and realizes that that will grow into a person. I looked back at Connor's first ultrasound pictures when he was just a tiny little tadpole and it blows my mind that now here he is - our son. I think going through so much to have him makes me appreciate even more what a gift a child is.
I came across this today. I read The Prophet years ago. I forgot how much I liked it. If I can't find my copy, I will have to pick it up again.
"On Children" by Kahlil Gibran
And a woman who held a babe against her bosom said, "Speak to us of Children."
And he said:
Your children are not your children.
They are the sons and daughters of Life's longing for itself.
They come through you but not from you,
And though they are with you, yet they belong not to you.
You may give them your love but not your thoughts.
For they have their own thoughts.
You may house their bodies but not their souls,
For their souls dwell in the house of tomorrow, which you cannot visit, not even in your dreams.
You may strive to be like them, but seek not to make them like you.
For life goes not backward nor tarries with yesterday.
You are the bows from which your children as living arrows are sent forth.
The archer sees the mark upon the path of the infinite and
He bends you with His might that His arrows may go swift and far.
Let your bending in the archer's hand be for gladness;
For even as he loves the arrow that flies,
so He loves also the bow that is stable. |
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| 10:24am 11/03/2004 |
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mood:  disappointed
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I missed out on the real estate deal. A day late and a dollar short -- it went under contract with the other buyer this morning.
I know I could have made money on that one but there will be others (there are ALWAYS others) and at least I don"t have to be partners with my ex boss |
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| Things Are Good |
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| 12:20pm 10/03/2004 |
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I'm crazy about my husband.......
I adore my son........
The house is coming together.
Of course I have to stir the pot. I am trying to put together the next real estate deal. Of course the stakes are higher and I may be about to sell my soul to the devil. But at least it is the devil I know.......
Will know more tomorrow....... |
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| more to digest than just dinner |
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| 10:35pm 27/02/2004 |
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I guess sometimes you have to grow up and appreciate everything you have and realize that maybe you can't have everything. At least not everything you think you want. Sometimes your perspective is very different from other's. I mean, maybe the way you thought things happened was very different for someone else who was there the whole time. Maybe you were just not in touch with reality. Sometimes when its something really big or important to you, I guess you have to step back and consider the good things you have and that should be enough. |
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| 10:37pm 01/02/2004 |
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My husband did my homework for me today. He is wonderful. |
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| The big fat check......... |
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| 04:02pm 30/01/2004 |
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mood: accomplished
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Well, we just got back from the closing of the sale of the little blue house. I deposited a very large check into our account. I must say, AJ and I are always trying to make some green - one way or another. We've had some big losers and some big winners. This one definately goes into the winner category. A nice feeling indeed. Someday I will tell little C that he went to his first closing at 3 1/2 months. I intend to try to interest him in real estate and business deals. My parents taught me close to nothing about money or credit cards. What a great feeling it is to be debt free.
Well -- now to figure out with AJ what the next step is....
Little C is the coolest. I can't believe I have such a great husband and son........ |
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| What I am thankful for. |
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| 12:05pm 27/11/2003 |
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mood: chipper music: The Platters ( over and over :P )
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I am thankful for my family. My wonderful husband and his little carbon copy.
Here he is: Connor James Ferguson
Born: October 16th
9lbs. 10 oz. (Whew!)
( CLICK HERE FOR PICS BEHIND THE CUT ) |
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| Psych Test |
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| 08:04am 17/07/2003 |
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mood: skeptical music: silence
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1 Helpful (score = 71)
2 Sociable (score = 31)
3 Need for Approval (score = 44)
4 Dependent (score = 60)
5 Tense (score = 42)
6 Rigid (score = 47)
7 Controlling (score = 63)
8 Competitive (score = 28)
9 Conscientious (score = 87)
10 Achieving (score = 60)
11 Innovative (score = 52)
Optimistic
Enjoys people and projects
Creative, innovative, clever
Has big ideas and pays attention to details
Analytical
Decisive; willing to take calculated risks
Sets high performance standards
Energetic, enthusiastic, entertaining; likes to have fun
Intends to be flexible, but may be less than willing to compromise on many things
Independent thinker; non-conforming, but values what others think
Likes to lead; wants a position of influence, responsibility; wants to have an impact
Intends to be open and accommodating, likes to be in charge
Intends to be a good listener to others, but may be impatient, preoccupied, focused on own agenda
Generally focused more on projects and tasks than people and feelings
Needs stimulation and activity; easily bored by routine, mundane tasks
http://psychologytoday.psychtests.com/tests/act_access.html
There are alot of cool tests on this site. |
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| A Fun Sunday |
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| 09:38am 08/07/2003 |
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This weekend the ancient plumbing in our back yard finally went. It seems the old cast iron pipes running from the house to the alley were so old and cracked that the roots from our two giant mango trees in the back yard grew into them and clogged them up like lard in your arteries. So the plumbing stopped working. On Sunday.
Fortunately, "Eddie the Plumber" was around . He's done lots of work for us before at the other houses and although he's a pain in the ass sometimes, usually doesn't show up when he says he will, and likes to talk about the Love Doctors WAY too much, he's really an alright guy -- and what else can I say -- he showed up on a Sunday and started digging our pipes out in the 90 degree heat.
So we were thinking about $$ and I was doing some paperwork I'd brought home from work and contemplating making lunch when a SHIT STORM erupted in AJ's bathroom. Suddenly raw sewage was bubbling up from his shower and flowing all over the house like stinky black lava. It went through the hall closet, out through the hall and into the office. So I screamed at Eddie and he stopped the flow. Now lay before me the task of cleaning the shit up. Aj started making fruitless
calls out for help and I screamed and cursed as I got out the wet vac and tried to suck it all up.
Then...
Believe it or not...
In the middle of this I became hungry.
Most people would be anything BUT hungry in this situation. However, unless you've experienced it, you cannot understand the hunger that a pregnant woman feels. It strikes suddenly and is totally overwhelming. You feels as if you do not EAT and NOW you will DIE. And you will take anyone who's around with you.
So what could I do? I was in the middle of cleaning up raw sewage, there wasn't even any running water to wash my hands with and I was so hungry I thought I was going to fall over. Into the sewage.
So I stuck my face in a bowl of cold macaroni and ate it with no hands.
It wasn't bad..... |
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