whitewriter (![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
whitewriter) wrote2021-02-16 07:21 am
whitewriter) wrote2021-02-16 07:21 am
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MAC shift 15/2
It had been described as "feral" during the day but by the time the PM staff came on, we managed to clear the place out and it stayed comfortable for the rest of the shift.
Fell over whilst cooking the spaghetti
G3P2
Indigenous lady.
26+1 week.
Fell over onto her hip? (I honestly didn't have time to read the story - but what I did know was that she had been cleared) - CTG fine (very hard to do a CTG on a 26 weeker, they just move so damn much!).
Now requiring management of the hip - which is not a maternity concern, so they shafted her to ED.
Post dates assessment with decreased fetal movement
Midwives just love it when women come in for a booked appointment and as we are doing our usual assessment we ask "and is baby moving well?" - just to hear "well, it has been less for the last 2 days".
There was a change, for 2 days, and you didn't call us. I'm sure we've coached you about baby's movements in clinic. Or perhaps they didn't. It's been two days...
Okay lady, well, your here now and we're assessing you the same way anyhow now so...
You should have called us 1 day ago...
She ended up with an immediate foleys for IOL tomorrow rather than in 2 days.
The nutter
Midwives are cruel judgy bitches.
I was handed over some girl who thinks she has cholestasis bullied the senior midwife into letting her come in and have her bloods taken for cholestasis because that's what she thinks she has.
The midwife was about to explain that cholestasis bloods is "fasting bile acids" its 19:00 and surely, you have had food today so that means we can't do that test accurately today, better you come in early tomorrow morning - click.
Yeah. Well. She came anyway.
I was struggling to get a CTG on this 29 weeker (and I'm not well versed in the tricks. The tricks, as senior showed me was to turn them on their L) or R) and then to trap the baby in the corner and get the heart rate trace that way.
Here's basically how the conversation with the doctor went:
Hi X, so you've been itchy.
Yes i've been itchy on my hands and my feet and the sides of my feet and between my legs.
Oh okay, and when did it start?
It comes and it goes
When did you first feel itchy?
Well it was for an hour or so every day.
Yes but when did it start, was it like, a week ago? Or two weeks ago?
Silence.
Maybe two weeks.
Okay, so two weeks. Have you had a history of liver disease?
What?
Do you have problems with your liver, see a specialist, or have hepatitis?
Yes. I have hepatitis.
Which one?
Hepatitis B. I was told.
Okay, and have you been treated for it?
no, no treatment.
When was the last time you had bloods for viral load ?
Um... I don't know. Whats ..
That's ok we can do that test today.
- Doc and I look through her results and yellow card which has 2 pages already and she's only 29 weeks.
We find she's got some bacterial infection down there that seems to be recurring despite antibiotic treatment - and the Doc was thinking, well, it's probably her partner that really needs to be treated.
Also it says hepatitis B negative everywhere.
So we decide to resend the hepatitis test. You don't send for a viral load if someone's previous tests are hepatitis B negative.
Meanwhile, everyone that sees her name on the board or sees the file is like "omg that nutter is here"
"she's been doing VEs since 20 weeks - did you see her nails?!? they're like 3cms long!"
From the moment she got there I could feel like after 5 minutes when she realised things wouldn't take 15 minutes - she wanted to leave.
She was on her phone the whole time to some guy with a westies accent that kept calling her BABES WHATS HAPPENING.
She kept asking me when her results would be available. I told her to call us back overnight and we could look it up for her. If it's there we could tell her them and if they ain't there then, she'd have to wait.
Just.
Too much drama.
If it was busy- I can't imagine how that would have been.
She has known mental health issues. Sighs and we treat her so poorly [largely due to her reputation]. I wanted to tick the poor education box and the low socioeconomic box on the safer baby bundle sticker, but I didn't do it.
I think those tickey boxes are degrading. Even if she was having her 2nd baby at 21 and appeared like she had poor literacy (regular and health wise). She didn't at all seem like the type that would speak up - rather, that she was the type to hound us for information and results she didn't understand or were unnecessary.
Fell over whilst cooking the spaghetti
G3P2
Indigenous lady.
26+1 week.
Fell over onto her hip? (I honestly didn't have time to read the story - but what I did know was that she had been cleared) - CTG fine (very hard to do a CTG on a 26 weeker, they just move so damn much!).
Now requiring management of the hip - which is not a maternity concern, so they shafted her to ED.
Post dates assessment with decreased fetal movement
Midwives just love it when women come in for a booked appointment and as we are doing our usual assessment we ask "and is baby moving well?" - just to hear "well, it has been less for the last 2 days".
There was a change, for 2 days, and you didn't call us. I'm sure we've coached you about baby's movements in clinic. Or perhaps they didn't. It's been two days...
Okay lady, well, your here now and we're assessing you the same way anyhow now so...
You should have called us 1 day ago...
She ended up with an immediate foleys for IOL tomorrow rather than in 2 days.
The nutter
Midwives are cruel judgy bitches.
I was handed over some girl who thinks she has cholestasis bullied the senior midwife into letting her come in and have her bloods taken for cholestasis because that's what she thinks she has.
The midwife was about to explain that cholestasis bloods is "fasting bile acids" its 19:00 and surely, you have had food today so that means we can't do that test accurately today, better you come in early tomorrow morning - click.
Yeah. Well. She came anyway.
I was struggling to get a CTG on this 29 weeker (and I'm not well versed in the tricks. The tricks, as senior showed me was to turn them on their L) or R) and then to trap the baby in the corner and get the heart rate trace that way.
Here's basically how the conversation with the doctor went:
Hi X, so you've been itchy.
Yes i've been itchy on my hands and my feet and the sides of my feet and between my legs.
Oh okay, and when did it start?
It comes and it goes
When did you first feel itchy?
Well it was for an hour or so every day.
Yes but when did it start, was it like, a week ago? Or two weeks ago?
Silence.
Maybe two weeks.
Okay, so two weeks. Have you had a history of liver disease?
What?
Do you have problems with your liver, see a specialist, or have hepatitis?
Yes. I have hepatitis.
Which one?
Hepatitis B. I was told.
Okay, and have you been treated for it?
no, no treatment.
When was the last time you had bloods for viral load ?
Um... I don't know. Whats ..
That's ok we can do that test today.
- Doc and I look through her results and yellow card which has 2 pages already and she's only 29 weeks.
We find she's got some bacterial infection down there that seems to be recurring despite antibiotic treatment - and the Doc was thinking, well, it's probably her partner that really needs to be treated.
Also it says hepatitis B negative everywhere.
So we decide to resend the hepatitis test. You don't send for a viral load if someone's previous tests are hepatitis B negative.
Meanwhile, everyone that sees her name on the board or sees the file is like "omg that nutter is here"
"she's been doing VEs since 20 weeks - did you see her nails?!? they're like 3cms long!"
From the moment she got there I could feel like after 5 minutes when she realised things wouldn't take 15 minutes - she wanted to leave.
She was on her phone the whole time to some guy with a westies accent that kept calling her BABES WHATS HAPPENING.
She kept asking me when her results would be available. I told her to call us back overnight and we could look it up for her. If it's there we could tell her them and if they ain't there then, she'd have to wait.
Just.
Too much drama.
If it was busy- I can't imagine how that would have been.
She has known mental health issues. Sighs and we treat her so poorly [largely due to her reputation]. I wanted to tick the poor education box and the low socioeconomic box on the safer baby bundle sticker, but I didn't do it.
I think those tickey boxes are degrading. Even if she was having her 2nd baby at 21 and appeared like she had poor literacy (regular and health wise). She didn't at all seem like the type that would speak up - rather, that she was the type to hound us for information and results she didn't understand or were unnecessary.