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Archive for May, 2008

I’m not going to blog about the abortion debate. We all have our own beliefs. Enough said.

What has everyone been up to recently? Redundant question really as all the pregnancy bookings I’m wading through at the moment answer that question for me! There is a positive glut of newly pregnant women, November, December and January are going to be busy, busy at our local maternity units.

Over the weekend I booked a woman who lives in one of our old homes, interesting to see what they have done with it. H is 11 weeks pregnant and was suffering extreme nausea, luckily not accompanied by sickness but still very distressing. We had a chat about traditional remedies, drink and a biscuit before you get out of bed, ginger biscuits are recommended, as is ginger beer or ginger itself at any time; anti-nausea wrist-bands; frequent nibbling of biscuits, sweets and, for many women, carbonated drinks. I asked if there were twins in the family, as a multiple pregnancy will produce more pronounced pregnancy symptoms, H was having her scan this morning so we would know soon enough! I reassured her that morning sickness is actually quite a positive sign of a healthy pregnancy, so whilst it is quite debilitating it is also comforting and, will hopefully not continue for more than another few weeks. We carried on with the paperwork and chat, no obvious problems so I quite happily booked H for midwife-led care, mentioning homebirth as a possibility if all continued well with the pregnancy.

Today I had a student nurse out with me on her maternity placement. She was an enthusiastic companion and very eager to find out everything that community midwives get up to. I didn’t have a clinic today but took her into one of my surgeries to pick up any messages and drop off a Maternity Certificate for one of my women to collect. The phlebotomist (blood taker) was there and I checked with her that she knew what to do with the new Family Origin Questionnaires we are using. As we were chatting she told me that H had been in this morning for her blood tests having just returned from her scan. Apparently H was excited, she is having identical twins. I immediately phoned H to congratulate her and her husband and check that all the foundations for her care had been established at the antenatal clinic. They had, in fact H was impressed by how instant the response was when the two babies were seen. H said that when her husband had come home after her booking appointment she had told him about my ‘twin’ comment. When they were having the scan, and could see one baby he had, jokingly, said ‘Oh. Is that another one?’, and as they laughed about it the sonographer told them that it was, apparently their laughter became somewhat hysterical after that. That’s 5, pregnant with twins, women on my books at the moment, and all naturally conceived. 

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Bloggers in hiding?

 

What’s going on? I was reading Homebirth Debate, yes the scab I can’t help but pick and I clicked on the link to mamamidwifemadness and was met by a ‘blogger’ message telling me that the blog may only be accessed by invited readers. How annoying, now I can’t read the other side of the story Dr Amy has been writing about. Reading Amy’s interpretation it seems to me that there were examples of an American midwife’s management of an incident at a homebirth on this site, now I’ll never know what went on, and how the case was managed. I’ll never know if Dr Amy was right to be her usual scathing self.

I carried on my tour of interesting ( to me ) blogs and went to Cremede, a blog written by a Student Midwife who often makes really good comments about maternity care and cases that she as witnessed. Same message. I feel sad about that.

Why have they done this? Was it because they were receiving abusive comments? I have no idea but from experience, when commenting on Homebirth Debate, and especially NHS Blog Doctor, there can be some pretty foul and confrontational language used by other commentators. I used to respond to these antagonists as if they were worth my attention, even though were nearly always ‘anonymous’, perhaps ‘coward’ would be a more appropriate sobriquet. Now I just ignore those persons who are unable to express themselves without using profanity and verbal aggression, they are not worth the effort. I hope they have not stopped sharing their experiences because of other’s behaviour, can bullying and harassment happen on the internet and, if it can, how can it be controlled? 

Image comes from How To Spot A Cyber Bully

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This morning was my clinic and, as generally happens, it ran late. Luckily my women are quite tolerant of my tardiness, but so they should really since it’s them, or more specifically their needs that mean nearly every appointment overruns. It started off quite well, each appointment is scheduled to last 15 minutes –

10am – 10.20 – 34 weeks. Routine but wanted me look a her birth plan and explain vitamin K.

10.25 – 10.50 – 34 weeks. Routine. Starting to have ‘panic attacks’ at the thought of caring for a baby. TLC.

10.55 – 11.20 – 30 weeks. Requires Anti-D as Rh-ve. Recent blood results not available on screen. Phoned hospital path lab, person answering phone unable to access results, suggests I phone back in 15 minutes. Phone the associated path lab, blood results fine, can give Anti-D. Patient has been taking iron suppliment but it is causing constipation, as haemaglobin is 13.2 I advise her to stop the tablets but ensure that she mantains a healthy diet.

11.25 – 11.40 – 17 weeks. Routine appointment. Runs smoothly.

11.45 – 12.10 – 17 weeks. She describes herself as an ‘anxious primip’, she is right! Basically just wants to talk. Has a cold and is worried about her coughing affecting the baby. Suggested glycerin and honey to attempt to sooth it, reassured her that paracetamol is fine for aches and pains. Took the opportunity to talk about pelvic floor exercises and how to do them.

12.15 – 12.0 – 20 weeks. Routine appointment, 3rd baby. Pregnancy is the result of a condom, and then the morning after pill, failing. Mum is considering the baby a surprise rather than an accident, husband obviously doesn’t as he has done a runner. She is being positive about the situation. Will see her more often than scheduled appointments, she may need extra support. Mat B1 given to her for employers.

So, quite easy to run over, and today was a short clinic, usually there are 10 women. No emergencies, just that 15 minutes is not long enough. To be fair, it’s not just the patients who cause clinic to run late. The appointment system does not allow for computer record input, or the completion of a detailed form which is required by the PCT to check how many women I see, and how long I spend with them. The woman’s name and the times are not enough; address; date of birth, NHS number; G.P; hospital booked at; consultant and……. ‘Uncle Tom Cobleigh and all’.

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Another birthday, Amy’s. Today little pumpkin is 3. There was a major party at her house, I lost count of the number of toddlers and babies, the noise was incredible. I had received strict instructions from the birthday girl about her requirements for the birthday cake; a pink bear, with a yellow flower and a green ribbon. I cheated by using a bear-shaped tin, she seemed pleased with my effort and that’s what counts.

Son called round just as the party started, and shocked his sisters with how ill he looks. It’s only 5 days since we last saw him but he looks really ill today, a waxy-yellow and very drawn. Talking to him he disclosed that he has lost 1 stone in 2 weeks. He had just been to see his Consultant as he is in a great deal of pain and is unable to eat anything much at the moment, she has changed his medication, hopefully that will send this flare-up of his ulcerative colitis into remission in time for his wedding, only 2 weeks away now. I feel really sorry for him, horrid disease to have. There is a query as to whether it is an autoimmune disease and this makes me feel guilty that I may have made him more susceptible since I have thyroiditis and rheumatoid arthritis, both autoimmune disorders, and the thyroid disease being familial as both my Mother and Sister have it. In one of the pages I have read about ulcerative colitis they suggest that breastfeeding may provide protection against it, well it didn’t in my Son’s case, it also didn’t prevent him from having infantile eczema, so he is an exception to the rule, I suspect that he may be one of many.

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Sunny times

Jamie and Louis enjoying the sunshine

This has been a real family weekend. Yesterday morning Jack and Izzy were deposited at Nanny’s house so their Mummy and Daddy could have a responsibilty free 24 hours. Thankfully they were both wonderful, happy little souls who behaved like angels, even letting Nanny sleep until 7.45. Their Mummy and Daddy returned at midday today and then Amy, the Twins and their Mummy and Daddy arrived. Grandad barbequed up a storm, even making home-made beefburgers, whilst Nanny’s contribution was baked alaska, not home-made, and a huge jug of Pimms. I just love it when the weather is like this, it’s as good as family-life gets, the children have the freedom of the garden, Jack and Amy have just started making a ‘secret’ camp and are making their first attempts at climbing trees, plus there’s the added bonus of out-door life definitely making them sleep better.

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Personally

I’ve been tagged by Vic.

Remove 1 question from below and add in your personal question, make it a total of 20 questions, then tag 8 people, list them out at the end of this post.

1. What do you really really want right now? To be able to retire

2. If you can turn into anything, what do you wish you can turn into? An archeologist

3. How are you feeling now? Worried about one of my off-spring

4. Where is the place that you want to go most? New Zealand

5. If you have one dream to come true, what would it be? To be able to ensure that all my family were financially secure.

 6.Do you want more children? Me personally? Too late.
7. Do you think religion is redundant? No. How can I believe that with all the schisms in the world?

8. What cheers you up for the rest of the day? Sunshine, when I’m not working.
9. If you meet someone you love, would you confess to him/her? I can’t imagine that scenario.
10. If you were a colour, which would you be? Purple.

11. What are the requirements that you wish of your other half? To not snore!

12. What type of person do you hate the most? I hate people who are two-faced and economical with the truth. For me the ability to trust someone is vital.

13. What would you do if you won a million dollars? Buy gold.
14. What would you wanna be remembered for after you’re dead? Being someone who cheered people up.

15. If you have a chance, which part of your character would you like to change? My laziness.

16. What do you think if you look out of your window right now? I wonder if the deer is munching my plants.

17. What do you think is the most important thing in your life? My family.

18. If there’s one thing in your life you wanted to do but yet unable to, what would it be? Be tidy.

19. What do you see yourself as in the next 10 years? Retired and happy.

 20. If you were an animal, what would you be? A marmoset monkey.

Who to tag? Too many to choose between so I’m going to leave it to the individual. If anyone reading ths wants to join in the thread please do, but let me know via the comments.

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More phishing fun

 

Yes, I’ve done it again, I’ve won the lottery! This time it is the National UK online lottery, it is quite a prominent lottery when you do a Google search, just look!

NATIONAL UK ONLINE LOTTERY PROMO.

LIVERPOOL, L70 1NLUNITED KINGDOM DATE: 06/05/2008

WINNING NOTIFICATION:

Dear Price Winner,

Ref: UK/9420X2/68

Batch: 074/05/ZY369

Ticket number:56475600974 188

We happily announce to you the draw (# 996) of the UK NATIONAL LOTTERY,online Sweepstakes International program held on the 5th of may, 2008.

Your e-mail address attached to ticket number:56475600974 188 with Serial number 5368/02 drew the lucky numbers: 12-18-22-24-32-33(bonus no.), which subsequently won you the lottery in the 1st category i.e match 5 plus bonus.

You have therefore been approved to claim a total sum of £1,500.000.00 (One Million Five Hundred Thousand pounds sterling) in cash credited to file KTU/9023114403/03.

All participants for the online version were selected randomly from World Wide Web sites through electronic computer draw system and extracted from over 100,000 unions, associations, and corporate bodies that are listed online. This promotion takes place weekly.

Our international citi trust finance & security agent will immediately commence the process to facilitate the release of your funds as soon as you contact the claims agent.

AMOUNT WON: £1,500.000.00 (One Million Five Hundred Thousand pounds sterling ) G.B.P Contact your Lottery Claims Agent via email with the following information for claims:

FULL NAME :……………………………………………..

SEX :………………………………………………………

ADDRESS :……………………………………………….

COUNTRY:………………………………………………..

FAX :………………………………………………………

PHONE NUMBER :………………………………………

OCCUPATION :…………………………………………..

COMPANY’S NAME :…………………………………….

AGE :………………………………………………………

*******************************************************************************

Claims Agent.

Barr. Albert Whitebill

Email citiweb4442@aol.com <

 

 

 

 

www.national-lottery.co.uk <http://www.national-lottery.co.uk/>

This windfall has come at just the right time as I went shopping in Milton Keynes today with Jack, Izzy and their Mummy for outfits for Son’s wedding!

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