Archive for Female Reproduction
I love when we work together as such a cohesive team when the crap hits the ceiling on L&D.
Case in point: a recent “hypothetical scenario” of a potentially very catastrophic event. Each and every person on my L&D unit pulled together and turned what could have been certain death for a mother and baby into a much happier ending. One nurse worked on fetal heart tones and maternal interventions, another nurse got the IV in place, another was on the phone with the doctor to update and get him to the bedside, 2-3 more got the OR ready.
We worked WELL as a TEAM. Each person doing what needed done to help save not one, but two lives.
WELL DONE LADIES!!!
Posted on August 18, 2010 | Filed under Female Reproduction | Permalink
Yes, I noticed too that I didn’t really talk about what I do to ensure that family life is taken care of during the stress of work, school and family.
Well, for one thing, we try to take day trips to various places. Granted, this isn’t an every week thing, and depends on the weather and finances! We only have the youngest who needs our devoted attention, and she’s 7 years old. So, thankfully, I’m not having to juggle more than one young child’s needs.
We recently had a picnic and birthday party celebration for our daughter. It was a blast! She had several of her friends come, but it wasn’t *too* many kids. It was just enough for them all to get along and have a great time. Also time for us parents to have a little bit of adult time as we watched the girls all play and have fun.
As soon as this rainy weather clears (yes, it hit today, blech!), we will be getting out as a family and enjoying the sunny days on some more hikes. We haven’t had a good hike in over a month due to the extreme heat we’ve had. Now that it’s a little cooler, it should be better for hiking.
I also love to do one-on-one time with our daughter. We’ve gone to several pool parties and public pool outings together. Just mommy and me time!
We’ve also had a few date nights with the significant other 
Can’t forget that!
So, yeah, we do lead a fairly busy life, but manage to get time in for everyone as well.
Posted on August 16, 2010 | Filed under Female Reproduction | Permalink
Some people wonder how I’m able to juggle everything: working full-time, family life, and midwifery school.
I suppose the fact that I like to be super-organized really helps! I keep two calenders: one on the fridge and a personal sized day planner. I put everything on both calenders – work hours, doctor appointments, family get-togethers, nights out with my girlfriends, scheduled phone conferences for school, due dates for school assignments. You name it, I put it on the calender/day planner. It is the only way that I am able to communicate to my entire family about what everyone is doing each day.
I keep a photocopy of the current work schedule for the entire unit in my day planner, just in case I need to call someone to make a swap of shifts if something comes up at home.
I have all of my bills organized on a chart next to my desk (which is at the center of all activity in the house). I can simply check off each bill as it gets paid, and see if there is anything else due at that moment. I also pay most of my bills online – so much easier!
For school work, I keep a file folder for each class. I have a checklist on the very front of each folder with all of the assignments and the due dates. I create this folder and document at the beginning of each term, so I stay organized and on track for each class. I started keeping a 3 ring binder for each class that has a lot of loose papers/notes that I need to keep organized. I also keep a file folder for each class on my computer, with tons more documents that I have saved for each class. (Just so you don’t think I’m killing trees and printing out EVERYTHING!)
Study time is usually in the mornings/early afternoon, before I leave for work. Or I do several hours of studying on my days off of work. I’ve been known to bring textbooks to bed with me at night to do some more reading. Whenever I can get reading time in for school assignments, I do it! I always bring something to read to work and do that in down time, or over my dinner break. I have also been known to take a textbook with me when I go out to dinner or to a family gathering. Like I said – whenever I can get a free moment to read, my nose is in a book or in a journal article.
One place that is school free is when we go on a vacation. Vacation is just that: a break from the everyday world. No computer, no email, no schoolwork.
Some days I just wing it. Just so you don’t think that I’m so totally structured 
Posted on August 15, 2010 | Filed under Female Reproduction | Permalink
When a baby latches on to the breast easily with no assistance.
When I work hard with a mom to breastfeed for the first time, and with lots of support, the baby latches on.
When educating a mom about pros and cons of breast vs bottle feeding, and she decides to give breastfeeding a try.
Mom and baby have extended skin-to-skin time after birth.
A posterior lying baby spins and is born OA – vaginally.
Pushing phase in a primip that is less than one hour.
Laboring down!
Helping a woman achieve birth goals that she has set, no matter what those goals are.
Making a difference to a new family.
Turning a negative experience into a positive one.
Teaching labor support to family members at a birth & seeing them apply those learned techniques.
Purple – cause it’s my favorite color. Just not in newborn babies.
Taking the “difficult patient”, finding out what she needs, and being able to give that to her.
Being able to provide some semblance of normalcy in a big hospital setting.
When my favorite CNM tells me how much she loves it when I am caring for her patients – and she tells me this in front of the patient.
Oh heck, just working with my favorite CNM makes me happy!
Being a silent witness to miracles.
Posted on August 12, 2010 | Filed under Female Reproduction | Permalink
This was asked by my charge nurse recently, towards the end of my shift. It was in the middle of a recovery time period from a birth, and I was working on helping the baby latch onto mom’s breast to nurse.
“No thanks – I think I’ll stay.”
I really don’t like leaving “my patients” when it’s after the birth, but before they’re settled into their postpartum room. Maybe it’s just me? But I like to continue to see the fruits of everyone’s labors from the birth.
Posted on August 12, 2010 | Filed under Female Reproduction | Permalink
I had a recent birth that was a successful VBAC. (Yeah!!! to the momma and pappa!) Such a sweet, amazing couple. This was her first VBAC, and she was so nervous about how things would go. After the birth, she said to me, “that was way easier than I thought it would be! I could do this again.”
I love-love-love when things go so well like this.
Oh, and baby did some great skin to skin, as well as nursing like a champ!
I love my job!
Posted on August 8, 2010 | Filed under Female Reproduction | Permalink
Unexpectedly caught a baby. All is well with the world!
Man, this stuff never gets old or boring!!
Posted on August 6, 2010 | Filed under Female Reproduction | Permalink
It’s not just a select few that have noticed the rising rate of c-sections at work. Other nurses are finally noticing: L&D nurses, postpartum nurses, and nursery nurses. Just a few days ago, the nursery nurse that I was giving report to had said to me, “what’s up with all of these sections? We had 19 sections (recovering) on postpartum the other day out of 34 patients total! How many of these were really necessary??”
Folks, that’s more than 50% of the patients on postpartum who were recovering from c-sections. Is this a sign of the times? Possibly.
Our recent numbers for the month of July was a whopping 38% c-section rate for all births. Where we usually average 29-31% per month for c-sections, that is a huge jump!
How many VBACs did we have last month? One. Woo-hoo. (Well, WOOHOO!!! for the mom who did it, by a sarcastic woo-hoo for the total number.) Even ACOG is recommending less restrictive VBAC guidelines (July 21, 2010). Will we ever see a decline in the number of c-sections/unnecesareans? (By the way, best-word-ever!) We have such a long, long way to go before we see the c-section rate begin to decline instead of continuing to rise. Sad, but true. It’s such a multi-faceted issue that there is no one way to fix it. We have:
- liability risk
- uterine rupture risk
- insurance company dictates
- maternal desires to have a c-section (primary or repeat)
- maternal desires to have a VBAC
- provider comfort level
- informed choice, or lack thereof
- hospital policies
- lack of access to alternatives to physician care (midwifery care)
We have so much work to do to improve/reduce the c-section rate. Don’t get me wrong! There are times when having a c-section is a lifesaver. However, this is rarely the case of the majority of c-sections being performed in this decade.
Posted on August 5, 2010 | Filed under Female Reproduction | Permalink
Just chugging away at my studies. The reproductive A&P class seems to involve a whole lot more reading and studying than one would imagine a two credit course to be! It’s exciting though, since it’s getting into the nitty gritty of midwifery foundations.
Research seems to be a continuation of the theory course I took last term. Reading studies, picking them apart, analyzing them down to the finest details: all very important when integrating the latest studies/research into midwifery care. You need to know what studies are worth your time and are accurate, and what studies aren’t worth the paper they’re written on.
In the meanwhile, L&D is as busy as it usually is for the summer. The worst is yet to come apparently. I heard a rumor that there is a huge volume of women who are due in August — more than previous months. Which I can totally see. We do tend to have an upward swing in number of births in August. Apparently, people are very busy nine months before in November. (Been there, done that – I have two August babies myself!)
Tired, tired, tired. Looking forward to deciding where to go on vacation next year. My other half and I are looking forward to a real vacation, just the two of us. Possibilities include: a cruise in the Caribbean, Aruba, or maybe even Jamaica or the D.R.
Posted on July 31, 2010 | Filed under Female Reproduction | Permalink
It’s amazing how much we can fluctuate in our census on L&D from one day to the next.
For days, we were jam packed, constantly busy with rule out labors that were admitted, babies born left and right, etc. I know I’ve said that I enjoy doing OB triage, but it was just ridiculous when we were admitting EVERYONE, and there were no beds to admit them to on the L&D unit. And yet, there were more waiting in the waiting room, or standing at the main desk on L&D.
Note to the charge nurse: I really don’t care if the patient is a high ranking official/has such-and-such of a profession. If she is not actively laboring or delivering right NOW, she will wait in the waiting room until I have a bed available! Seriously! I cannot discharge anyone until their MD/CNM has determined that they can go home! Without someone being discharged first, if I don’t have an empty bed/stretcher for someone to be assessed, that means they have to wait.
Note to patients: unless you are actively bleeding, or the pain is severe, it’s more than likely NOT an emergency, and you really should listen to your MD/CNM when he/she tells you not to come in to L&D. Oh heck, let’s get to basics: CALL YOUR PROVIDER FIRST. It’s their job to determine on the phone if you should come in to the hospital to be seen.
Note to the other triage nurse: if I can fully admit several patients at one time, then surely you can too. If you have time to gripe about not getting your admissions completed from 4 hours ago, then you have time to admit them, do you not?
Baby coming out right now? Yep, I will find a space for you, I will CREATE a space for you where none should physically exist.
Contractions started 10 minutes ago? HA! Girl, you’re waiting in the waiting room. That woman over there with the baby coming out of her vagina? She comes first, thankyouverymuch.
Posted on July 27, 2010 | Filed under Female Reproduction | Permalink
I had a dream last night that I broke down and cried at work – and then walked out of the job.
I think I’m a wee bit stressed with everything going on in my life right now!
I admit, there are definite times when I think of how great it would be to get out of the hospital scene. All of the ridiculous policies, procedures, guidelines, rules constantly changing, management being a bunch of idiots, too many stupid reasons for inductions and c-sections, the bickering among staff……..blah, blah, blah.
How great would it be to move, find a birth center, and work part-time as an RN at a birth center. Or get a 9-5 job in an office, or with a health insurance company as a case manager.
(What total and utter boredom an office job would be — no offense to those who work in an office!)
I think that my aching back and feet would appreciate a break from the daily torture on them as well as my mental being would love a break.
Then again, I think my mental being would like a break from E-VER-Y-THING!
What would you do if you could take off and do whatever you wanted to do for a month? Where would you go? What would you do?
Posted on July 24, 2010 | Filed under Female Reproduction | Permalink
I’m becoming rather frustrated at how things are progressing at work. We’re losing nurses – GOOD nurses – left and right. Nurses are becoming frustrated, angry, disillusioned. Our management seems to be operating on some other level than the nurses. Management comes out with dictates left and right that are overwhelming the staff nurses and angering them. We’re being treated like children: Big Brother is watching you! We’re getting nitpicked over a sundry of minor (sometimes bigger) things.
Nurses aren’t taking it anymore. We’ve lost about 6 nurses alone in the past few months. They are moving on to (hopefully) better environments. Are the nurses being replaced? NO. The end result is short staffing. Management asking nurses to work overtime, pick up extra shifts. We have a nurse who calls off sick constantly, leaving more holes in staffing that the rest of us are expected to fill in and cover.
I think it’s time that the remaining staff nurses stick together, write up a joint letter to management to voice our concerns and complaints, and see to it that things get better, and not worse, as they seem to be.
There are moments when I am ready to jump this ship too.
Posted on July 21, 2010 | Filed under Female Reproduction | Permalink
Not to worry, I’m not “jumping ship” at my current place. Thanks for the comments on the last post there. It’s just so incredibly frustrating sometimes.
I know that I can and do make a difference for the women and families that I serve. THAT is the reason why I put up with the crap that I put up with (management-wise, that is).
A very crazy shift again today. I’m glad to be off tomorrow! (Technically, today.)
Posted on July 21, 2010 | Filed under Female Reproduction | Permalink
When I write this, I do it with the intention of showing that sometimes things are not always so clear cut when it comes to morals and beliefs.
I will not tolerate hateful or mean comments from this post. If things get nasty in the comments, I will close comments. End of discussion.
*****************************************
That being said, I had a patient assignment recently that I chose. I have always stood by my belief that life is precious.
As you can probably guess, I recently volunteered to take a patient assignment that was an induction before viability. The baby still was alive with a heartbeat when we (I) began her induction of labor with medication. However, this baby would not survive much beyond the time of birth. The mother was sick, very sick. In all likelihood, she would become even more severely ill if the induction of labor didn’t begin when it did. There simply was no chance to be able to “save” both the mother and the baby. The situation was so dire that if we tried to prolong the pregnancy, even for a few more days, it would undoubtedly result in the death of both mother and baby.
So, the induction of labor began.
The birth came rather quickly. The mother was becoming markedly more ill as the labor progressed. However, she made a rapid recovery after the birth. The baby didn’t do quite as well. The wee little one passed away peacefully in his father’s arms shortly after birth.
Was this the right decision? Should the medical team have done more to prolong the woman’s pregnancy? Absolutely not. This woman would have died from overwhelming sepsis if her pregnancy continued for even several more days, much less the several weeks needed to get the baby to viability.
This little baby was going to die either way: either born too soon and succumbing to extreme prematurity; or hovering at the age of viability on a vent, then passing away from systemic sepsis. A prolonged, painful death.
I think the first option for this baby, the one that happened, was a much more humane death instead of prolonging the inevitable. This baby died very peacefully, in no distress, being held by his parents at the end of his life.
His parents mourned his passing greatly. He was baptized before he died. He was loved, cuddled, held, kissed. He was surrounded by peace and love.
This, my friends, is what abortion looks like. It is not always the ugly picture that it is sometimes made out to be. Sometimes, it is a peaceful, loving passing of a life that was destined not to survive for long on this earth.
Posted on July 19, 2010 | Filed under Female Reproduction | Permalink
Ok, now the hard stuff is here for midwifery school. I have been studying/reading/studying diligently my reproductive A&P, especially the menstrual cycle.
Those hormones? Yeah, well, no wonder us women have such bad PMS.
To top it all off, I really am at my PMS portion of my cycle. How ironic. So that really doesn’t make it any easier when I freaking bomb an open book quiz on the menstrual cycle. 6/10 questions right. I even used outside sources.
Yes, that is a failing grade. My first EVER failing grade for a quiz.
I reviewed the questions I got wrong. One was a stupid mistake. One was a “huh? I can’t find this answer at ALL in the reading material.” No, wait, make that two questions were like that.
The fourth question I was able to find the correct answer.
The other open book quizzes I was able to get passing scores (A’s ::big smiles::) — so far.
Back to the studying.
Posted on July 17, 2010 | Filed under Female Reproduction | Permalink
My, how time flies! It’s week 2 of the summer term for me. This term is Reproductive Physiology and Research for my two classes. It’s a shorter term over the summer, so the material is packed a wee bit tighter to get it all done.
Reproductive physiology — a lot of memorization of tons of material. Some application (a.k.a. clinical type of thinking) to utilize the material on test questions. Funny thing too, I asked three providers (a CNM, an MD, and a 2nd year resident) the same question, and got three different answers for a particular study question in this course. So, obviously, everything is not always to clear cut! The question was: what muscle(s) are involved with a 2nd degree midline perineal laceration/midline episiotomy?
Research — working on getting that off to a good start. We work in teams of three people per team to do the assignments and write the papers, which is nice because we can break down assignments so much easier. We do have to check each other’s work and make sure it’s accurate before submitting, obviously.
Sorry for the lack of posts! Needless to say, it’s been quite the busy start to the term again.
Posted on July 13, 2010 | Filed under Female Reproduction | Permalink
I’m not talking about all you non-pregnant people. I’m talking about those wonderful, gravid bellied women.
Please, when it’s as hot and humid as it currently is, you need to be drinking at the very least, 60 oz of water a day. That’s almost a liter. Actually, come to think of it, drink MORE than a liter of water a day.
Water is good for you. It keeps you well hydrated, replaces the fluids lost from the heat and humidity, and keeps the false labor contractions at bay.
Signs of dehydration in pregnancy:
-thirst
-nausea/vomiting
-headache
-cramping/tightening in your abdomen –> which can lead to preterm contractions/preterm labor
-concentrated urine (dark yellow) –> a well hydrated body should produce urine that looks very pale in color
-urinating less often than usual, or not at all
-fatigue
-raised core body temperature
-dizziness, lightheadedness
-dry mouth
-decreased fetal movement
If you’re outside, whether at the pool or walking at the local arts and crafts show, you need to keep a big bottle of ice cold water in your hands and drink, drink, drink!
Caffeinated drinks will actually dehydrate you, so try to avoid or limit coffee, teas, and soda during the hot, humid months. Better things to drink are water (of course!), 100% fruit juices, and caffeine-free tea. If you don’t like plain water, add some fruit slices to your water for flavor. Some good suggestions are lemon, lime, orange, raspberries, or strawberries.
If you’ve been drinking lots of fluids, and you have any of the signs of dehydration listed above, call your health care provider immediately for advice.
Posted on July 6, 2010 | Filed under Female Reproduction | Permalink
Happy 4th of July everyone! Happy birthday to all the “firecracker babies” that will be born (or have already been born) today!
Here’s to lots of happy births!!!
Posted on July 6, 2010 | Filed under Female Reproduction | Permalink
Alternative title to the post: how to wait an hour or more to get medication in the hospital.
Let’s say that you (the patient) are requesting some tylenol for a headache. Assuming that tylenol is not already ordered by your physician, the nurse needs to make a phone call to your doctor to get that order. She then needs to write it in the order sheet of your chart. Then she faxes that order to the pharmacy. Since tylenol is hardly considered a stat order, the pharmacy takes their sweet time entering it into the “system” so the nurse can get the medication for you.
In the meanwhile, the pharmacy can’t enter the medication into the system until the nurse has entered your height, weight and allergies into the computer. Only once that is done, can pharmacy enter the blessed tylenol.
Then the pharmacist/assistant does their thing and enters the tylenol into their computer system, which is then entered into the medication dispensing system on the nursing unit.
By this time, it’s probably close to an hour since you’ve asked for that tylenol. Oh, your aching head!
The nurse can finally withdraw the medication from the medicine dispensing unit (commonly called Pyxis) and give you the pill(s).
Oh, but wait! Now she needs to log into the medication administration system at your bedside. She scans your bracelet, and now must make sure that the medication is entered correctly in THAT computer system. She needs to verify it and sign electronically that it is correct.
You get your pill(s) now, right? Nope.
Next, she scans the barcode on the pill(s), making sure that the pill(s) match the order. She also asks you to state your name and date of birth to confirm that you are who you are.
Check!
Yeah! Now you can have your tylenol for your headache, an hour or more after you requested it.
Welcome to hospital bureaucracy.
Welcome to my world.
Posted on July 2, 2010 | Filed under Female Reproduction | Permalink
Successful VBAC tonight!
That is all. I’m off to bed now, finally.
Posted on July 1, 2010 | Filed under Female Reproduction | Permalink
Over at Navelgazing Midwife she talks a bit about a “Dr. Wonderful” in California (aka, Dr. Robert Biter). Those on the birth circuit have probably been following the latest about Dr. Biter. I’m not going to comment about the particular situations that have been going on with Dr. Biter. Instead, I want to talk about the whole concept of a “Dr. Wonderful”.
With all of the negativity that permeates on the blogosphere and elsewhere with doctor bashing, we need to focus on the more positives out there. I’m sure we all have run across a “Dr. Wonderful” in our time. Perhaps he/she isn’t the extreme of a “Dr. Wonderful”, but they are wonderful nonetheless.
Believe it or not, I work with a few doctors that could be considered close to, if not at, the “Dr. Wonderful” status. I call them midwives in disguise. Why? Because first and foremost, they empathize and listen actively to the women and families that they care for, both in and out of the hospital environment.
There is “Dr. Magic Hands” who can successfully perform an external cephalic version with very high success rates. I literally turned my back for 2 seconds one time, when at the bedside for a version once. When I turned back again, he smiled, looked at me and said “done”. WAH?!? Done?!? Yep. That was quite the easy version too. Not all go quite as quickly or as successfully. “Dr. Magic Hands” could do my external cephalic version ANY day. (Not that I will ever have another baby, but I’m sure you know what I mean.)
There is my favorite, very mildly mannered and soft spoken “Dr. Midwife”. He has the patience of a saint. This man should have been a midwife – he definitely has his entire heart and soul into serving the women and families who come to him for care. I could tell you dozens of fantastic stories about this man. The hypnobirth mom who labored all day, stalled at an advanced dilitation, and he never once put her on the time clock, or even talked about a c-section for failure to progress. She went on to birth her baby over an intact perineum many hours later.
Or the cord prolapse, where “Dr. Midwife” literally calmed down every single person in the OR, made everyone take 5 seconds to breathe in and out, calm down, focus, and then proceed. Successful stat c-section with excellent apgars of a sudden and unexpected cord prolapse.
Or the woman who, because of her religious beliefs, would not allow a male provider to perform sensitive examinations or see/touch her genitalia. We simply traded places for exams (he acted as the nurse at the head of the bed, while I was performing the exams), and I pretty much delivered the baby, except for the very end of the birth when we traded places quickly for him to catch the rest of the baby (this was pre-agreed to by the patient and her husband as an acceptable solution to their gender beliefs regarding medical care and birth).
Or his general calm demeanor and sensitive nature. His belief that women can and do VBAC successfully. His positive comments to women in labor. His laid back management of labor/birth. Liberal fluid and food intake in labor. I really, truly could go on and on. This is a physician I would LOVE to collaborate with when I am a CNM!
Tell me about some positive stories of your own “Dr. Wonderful”s. We need more positive stories out there.
Posted on June 29, 2010 | Filed under Female Reproduction | Permalink
It was a busy shift, right from the start. It actually did get better after the first few hours, but it left me with some important reminders.
No matter how busy it is for me (the nurse), always take the time and listen to what your patient is saying.
Simple, right? When you’re with your patient, all of your focus is on that person. What she is saying, her verbal and non-verbal cues, her fears, her excitement of the upcoming birth. You (the nurse) must leave all of the beeping, call bell ringing, the sundry list of things you need to do for your other patients – leave it all at the door when you focus on that one person. I suppose you could call this mindfulness. Taking in the here and now, the emotional and physical things that are going on with your patient.
You find out the little things (to you) that were big things (to her) that went so wrong about her last birth experience. Her fears of feeling pain during her c-section, her fears of multiple medication reactions, her strong dislike for how her nurse last time disregarded her physical and emotional feelings.
What should a good nurse do?
Stop what you’re doing (the nursing tasks – they can wait a few minutes!).
Listen to what she’s saying to you. Show relaxed body language – sit down in a chair instead of standing over her in the bed. Nod your head to show that you’re listening. Clarify statements, or just simple mirror back what she’s saying to you. Let her know, verbally and non-verbally, that you are here for her, and that her experience this time will be better. Offer suggestions, things that include her participation and control of a situation that can be so utterly out of her own control.
Smile.
Ask her about her unborn child. Boy? Girl? The baby’s name? Use the baby’s name when talking about or to the baby after the birth.
The little things really do help make such a better experience for a family welcoming another little human being into their world.
It’s such an amazing experience to be involved with on a daily basis.
Posted on June 27, 2010 | Filed under Female Reproduction | Permalink
Welcome to my little world of getting report. I wanted to share with you an example of how I take notes (also known as “my brain”) on little cheat sheets when I get an assignment at work.
I like to write down a lot of little odds and ends, otherwise – I will forget those finer details! Especially when things are due (medications, etc). A big no-no to forget something like that. (I create little lines or boxes to check off things on my “to do” list for the shift.)
Here is an example “brain” sheet I write up at the beginning of the shift:
Room 2 — Mary Smith
OB: ABC Group Peds: XYZ Group – Breast, Boy “Luke”
Allergies: NKDA Diet: Clears
Reason for admission: Ind for PD/pitocin
G2P1001 EDC 6/17/10 (41 0/7)
Blood type O+, GBS+
Membranes: intact
Pit up at 0900, now at 14 mu/min
UCs Q 2-3, pain 3/10
Plans epidural
1st L LR up @ 125, IV in RFA
SVE @ 1400: 2/80/-2 (no chg from 0900)
PCN:
16__
20__
24__
PMH: depression (on zoloft), hx PPD, PPH after 1st baby (2007)
Current OB: VB 1st trimester (?)
Social: husb John, mom Sue, dtr 3yrs Alice
? pit off at 1700/dinner? __
__table set
__lidocaine
__baby papers
**************************************
There. A sneak peek into my nursing brain. This was a (made up) rather plain Jane report sheet. HIPPA and all that, you know.
Posted on June 25, 2010 | Filed under Female Reproduction | Permalink
Time to deviate from the birth related posts for a bit.
I got my hands into the dirt – literally – and was working on my flower pots and garden today. Oh how therapeutic it is to work the dirt! Pulling off dead leaves, pulling weeds (my least favorite part of gardening, by far), planting some summer blooming plants, creating new terracotta pots of flowers.
We recently bought a glass top table for our (tiny) back porch. It is so nice to sit out there, sipping a little something-something, reading a book, or eating dinner. I added some ambiance by adding some deliciously scented candles (from Yankee, of course, my favorite).
I have plans to add some flat square stones over some of the dirt areas to expand the concrete porch just a wee bit more. Of course, I hadn’t measured the areas before going out to buy the stones. So I skipped buying the stones for now.
This is the area I want to put flat stones over:
There really isn’t many annuals left at this time of the year at the local garden shop. What they had left was looking pretty sad and pathetic, but I did find some zinnias as well as some plants that look sort of like salvia (I think they were celosia??).
Posted on June 21, 2010 | Filed under Female Reproduction | Permalink
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