This year, I have been a parent for exactly half of my life.
Wow, what a journey. I am certain it has been the making of me, and I can't imagine my life without them in it, but I'm beginning to understand that daily contact is not necessary!
Our eldest moved away from home last December, 3000km away. Where all the cool people live. (waves at Melbourne). He is back at the moment for my birthday, and it is actually strange having him under the roof again (yes, he still has the same squeeze). No flies on him though - at what age do they stop hoping to cadge free shoes from parents?
When he left home I was a bit of a sook for a while. I figured out that it was because I didn't know when I would see him again. In the past I had had a date on the calendar for when he would walk in the door again. I was quite bereft without him, and was struck by how much I missed his presence, his bulk, his hugs and his company. I realised how unnatural it was for me to not be able to picture where he was. I had given birth to someone who was now a large man, roaming the Earth in a different city, and being all . . . functional and adult and grown up. Someone would see my son walking down the street, and interact with him, appraise him, like him or not, and it was out of my ken. I was not a face in that particular crowd. I was not breathing that same air with him any more. He was not returning to me. I felt the apron strings come undone. I had underestimated the lump it would make in my throat.
Once I figured out that it was a lack of a calendar entry that was troubling me I had to mentally commit to a visit to Melbourne mid-year. The separation then became easier to bear, and I settled down, and could think about him without become teary. I enjoyed my mental image of a confident capable adult son out in the world.
When I arrived home one day in late-March after a super day at work, with TWO births I was as high as a kite and bursting to share the fantastic day I had had. It was also our daughter's birthday, so all in all a great day, with a restaurant meal to look forward to. My key was in the door when I heard an adult male voice talking in the kitchen - he had been brought home on FF points by the squeeze as a surprise for his sister's birthday! He had been in town for 2 days already, lying low for a surprise! He scooped me up in a huge hug, and was really very tolerant of me patting him reassuringly all evening. I was so surprised, and so delighted. It was brilliant.
Our youngest is still home, and likely to stay here for some time, although she is keen to move out, in principle. She is not working at the moment, had to resign her job due to terrible eczema/dermatitis on her hands. Her health has been quite challenging in the last 9 months, with one thing and another, and the appointments are very frequent. We thought we were off all that frequent flyer stuff, but she has had 2 operations and not too many answers, although it is reassuring to have ruled some stuff out. She is doing one afternoon of maths refresher stuff at her level, and other than that sits on the computer/ watches DVDs, plays her music (Glee anything) and obsesses about the cat. She finds it really hard me being out all day with this new job, coming and going as much as I do. She has few friends and doesn't go out much, and is not nearly as independent as most people her age, although that is improving. She really needs to meet a sweet boy, but doesn't go anywhere to meet any :( She has however taken up the challenge of cooking dinner one night per week, which is a help. Now - how to trick her into taking up the rest of the housework! Well, thats not strictly fair, she does do a bit of food shopping as well during the week. However she has NO idea how to plan major stuff, and we are frustrated by her passivity in this matter. If she moved out next week it would be a fast-track to boredom, anxiety and malnutrition. . ..with added cats. We are starting to look into future options.
DD was away for a fortnight in April and we experienced the wonder of the empty nest.
And we want MORE!
Showing posts with label privilege. Show all posts
Showing posts with label privilege. Show all posts
Sunday, June 5, 2011
Friday, September 10, 2010
Last days
Snapshots from my 'place of birth'
A final week of madness on the ward. The hospital is in crisis mode, with a serious bed shortage and a staffing shortage to boot (I have not offered to work an extra shift this weekend).
I was lucky enough to work the same 4 rooms for 4 days, and saw 9 different women through those rooms, and 5 different babies. Some babies were in the nursery, some hadn't come out to play yet. All but one of the babies were great feeders, with sensible practical mums. It really makes a difference.
I can't tell you how many bells I answered, but it was a LOT. I have a sore foot currently and am limping alot of the time, which makes my other hip and my back sore. I was not pleased with frivolous ringing of bells, but I did take a certain pleasure in seeing that I would not be answering bells next week. Just mobile phonecalls.
I had my last late-early split. Bliss. I am well aware that I will be on call and I may long for the life of a rostered day off, but just let me enjoy this tiny fantasy, will you?
I worked a late, early, early, early, and was in a meeting from 9.30-1.40 today. Hubby was away on business and I had to walk/limp to and from work all week as I have no parking permit at work, and I live pretty close anyway so its not worth taking a car for an 8 minute walk. Unless you're limping. This part of the week DID suck.
Word was still spreading about my departure, so I have broken the news and said goodbye to many people all week. I have enjoyed much goodnatured ribbing about people making me hand-embroidered placenta bags if they'd known (my reply? Frankly my dear I'm bloody insulted you hadn't already wrapped it ready for me, what's the holdup? You've had 4 weeks notice!).
I have had 2 avo teas, with cake, wherein I received a lovely gift from my home ward, and many many good wishes, acknowledging my long-held desire to work in this field. Students and former students professed to have enjoyed birthing and working with me, saving lives with me, and laughing with me. I cried. I laughed. We hugged. I assured them I would not be far away, and would not be a stranger to them.
This morning I handed in my uniforms to the cheerful Julia in the hospital laundry/uniform section. She asked where I was heading and was delighted to hear that I was going to be a homebirth midwife. She regaled me with tales of her mother giving birth to 12 babies at home, including one caught by Julia herself when she was 13 years old. Her brother had come really fast and her dad was still away fetching the midwife!
This afternoon I had a final engagement with labour ward. Over two hours staff staggered in and out and asked for information about my next job. Some of them almost seemed to be giving grudging permission for this career move, but were greatly outweighed by those assuring me I would love it, and that it would be a great fit for me. There was much discussion about knowing me, and my capabilities, and knowing that I would understand their expectations if transfer occured. There was more ribbing about me phoning in to transfer primips who had been pushing for 7 hours (c'mon girls, you KNOW my minimum time limit before transferring is 8 hours) and much curiosity about details, which I was largely unable to furnish, as I have yet to be oriented. I caught up on the gossip, who was pregnant (3 of them), who was planning to be and who had got new roles. It was great to touch base with these fantastic bunch of hardworking and talented midwives again. I have missed them over the last 6 weeks and was a little sad not to finish up with them on Labour ward. But I am sure I will see them from time to time, and I know it will be a warm welcome.
Lastly I handed in my security pass. I cried again, suddenly, and couldn't speak as the man took it from my hand, and I left the building with tears rolling down my face for the umpteenth time that day.
The tears are ones of recognition of the importance of that place in my life. Of gratitude to my colleagues who have taught me and shared so much. Of grief to be leaving their daily lives. I have been delighted to work there, to become the midwife that I am. My tears are also of pride in my accomplishments so far. The tears of transition.
Most of all, over the last 4 weeks, I have been humbled by the warm support of mentors. They have been open in their joy for me. I am certainly standing on the shoulders of giants. I mentioned before that I felt like I was at Everest base camp, still with one heck of a climb ahead of me, but Oh! The view!
Who knows what sort of midwife I am yet to become?
A final week of madness on the ward. The hospital is in crisis mode, with a serious bed shortage and a staffing shortage to boot (I have not offered to work an extra shift this weekend).
I was lucky enough to work the same 4 rooms for 4 days, and saw 9 different women through those rooms, and 5 different babies. Some babies were in the nursery, some hadn't come out to play yet. All but one of the babies were great feeders, with sensible practical mums. It really makes a difference.
I can't tell you how many bells I answered, but it was a LOT. I have a sore foot currently and am limping alot of the time, which makes my other hip and my back sore. I was not pleased with frivolous ringing of bells, but I did take a certain pleasure in seeing that I would not be answering bells next week. Just mobile phonecalls.
I had my last late-early split. Bliss. I am well aware that I will be on call and I may long for the life of a rostered day off, but just let me enjoy this tiny fantasy, will you?
I worked a late, early, early, early, and was in a meeting from 9.30-1.40 today. Hubby was away on business and I had to walk/limp to and from work all week as I have no parking permit at work, and I live pretty close anyway so its not worth taking a car for an 8 minute walk. Unless you're limping. This part of the week DID suck.
Word was still spreading about my departure, so I have broken the news and said goodbye to many people all week. I have enjoyed much goodnatured ribbing about people making me hand-embroidered placenta bags if they'd known (my reply? Frankly my dear I'm bloody insulted you hadn't already wrapped it ready for me, what's the holdup? You've had 4 weeks notice!).
I have had 2 avo teas, with cake, wherein I received a lovely gift from my home ward, and many many good wishes, acknowledging my long-held desire to work in this field. Students and former students professed to have enjoyed birthing and working with me, saving lives with me, and laughing with me. I cried. I laughed. We hugged. I assured them I would not be far away, and would not be a stranger to them.
This morning I handed in my uniforms to the cheerful Julia in the hospital laundry/uniform section. She asked where I was heading and was delighted to hear that I was going to be a homebirth midwife. She regaled me with tales of her mother giving birth to 12 babies at home, including one caught by Julia herself when she was 13 years old. Her brother had come really fast and her dad was still away fetching the midwife!
This afternoon I had a final engagement with labour ward. Over two hours staff staggered in and out and asked for information about my next job. Some of them almost seemed to be giving grudging permission for this career move, but were greatly outweighed by those assuring me I would love it, and that it would be a great fit for me. There was much discussion about knowing me, and my capabilities, and knowing that I would understand their expectations if transfer occured. There was more ribbing about me phoning in to transfer primips who had been pushing for 7 hours (c'mon girls, you KNOW my minimum time limit before transferring is 8 hours) and much curiosity about details, which I was largely unable to furnish, as I have yet to be oriented. I caught up on the gossip, who was pregnant (3 of them), who was planning to be and who had got new roles. It was great to touch base with these fantastic bunch of hardworking and talented midwives again. I have missed them over the last 6 weeks and was a little sad not to finish up with them on Labour ward. But I am sure I will see them from time to time, and I know it will be a warm welcome.
Lastly I handed in my security pass. I cried again, suddenly, and couldn't speak as the man took it from my hand, and I left the building with tears rolling down my face for the umpteenth time that day.
The tears are ones of recognition of the importance of that place in my life. Of gratitude to my colleagues who have taught me and shared so much. Of grief to be leaving their daily lives. I have been delighted to work there, to become the midwife that I am. My tears are also of pride in my accomplishments so far. The tears of transition.
Most of all, over the last 4 weeks, I have been humbled by the warm support of mentors. They have been open in their joy for me. I am certainly standing on the shoulders of giants. I mentioned before that I felt like I was at Everest base camp, still with one heck of a climb ahead of me, but Oh! The view!
Who knows what sort of midwife I am yet to become?
Sunday, September 5, 2010
In safe, strong hands
Today my husband's hands have opened presents.
They have eaten chocolate. And spooned porridge.
Fetched hot chocolate at swimming. Pressed timekeeper buttons at the competition.
Recorded a personal best time for our daughter.
Driven us safely home.
Eaten a picnic by the beach, and drank wine.
Done the fruit and veg shopping at the market.
Unloaded the dishwasher. Hugged our son.
Packed a suitcase to take him away for a brief business trip.
Opened the door for the cat (umpteen times).
Later, they might get lucky ;)
But wherever those hands travel, I feel safe when I see them. They are strong. They are dependable. I love to hold them, and be held by them.
They held our babies many years ago, and continue to do so. Safely.
We are very lucky to have them.
Happy Father's Day my love.
They have eaten chocolate. And spooned porridge.
Fetched hot chocolate at swimming. Pressed timekeeper buttons at the competition.
Massaged the back of a swimmer.
Driven us safely home.
Eaten a picnic by the beach, and drank wine.
Done the fruit and veg shopping at the market.
Unloaded the dishwasher. Hugged our son.
Packed a suitcase to take him away for a brief business trip.
Opened the door for the cat (umpteen times).
Later, they might get lucky ;)
But wherever those hands travel, I feel safe when I see them. They are strong. They are dependable. I love to hold them, and be held by them.
They held our babies many years ago, and continue to do so. Safely.
We are very lucky to have them.
Happy Father's Day my love.
Thursday, August 19, 2010
Everest Base Camp
I have had one hell of a week. In a good way.
I had a job interview on Monday with a publicly funded homebirth program, one that has led the way for their model of care, one that has been replicated across the country. It has always been my goal to work for them, when I had enough experience. I was encouraged to apply. I applied with my fingers crossed. I thought 'well, if I get an interview I'll be pleased, and I might be a chance, but I will be hysterical if I truly get it'.
I got the job.
Yep. You read it right.
I got the job, my dream job.
And now the climb, the steep learning curve really begins.
I am skipping with happiness.
I wrote my resignation letter, and handed it in person to all my managers. Then I howled on and off about leaving all my lovely workmates that I have shared so much with. Each day since, I have broken the news to a new set of people. Its very exciting.
And then, yesterday to top it off, and just when I was lamenting that I would not catch another baby at my hospital, one of my women on the ward went into precipitate labour while I was at tea. I returned to hear her distressed behind her curtain in the shared 4-bed room. She nearly clawed my arm off and it was clear she was nearly ready to push. Which was a bit of a shame ... because only 2 hours before she had signed for a repeat CS, especially if she laboured. I notified the coordinator that we needed to move, like NOW, and returned to her with a pair of gloves, just in case. She was in the throes of another contraction. She clung to the coordinator, who talked her through it, then she allowed me to examine her - wa-hey! Fully dilated and a breech close to the world. Seemed a shame to waste a perfectly good CS on a baby who had plans for exit via an alternate route.
We ran with her on the bed to LBS and shanghaied a passing consultant as we skidded around a corner. I found the first empty room and we pushed the bed through the curtain, pulled a warm baby blanket bundle out and threw it on the heater. Then I changed gloves and returned to the woman still on her ward bed and peeked under the sheet - and there was a breech on view. She crawled across onto the birthing bed. I waved my ward coordinator goodbye, and volunteered to stay as the only other midwife around was having her first day at work. The LBS coordinator assembled a team of paediatricians and spare hands, and I urged her to ignore everyone else and focus on me, which she managed really well, and I spoke quietly and encouraged her to go for it, and praised her to the eyeballs. The consultant stood next to me, and talked me through the birth, giving a small hand here and there. And so . . . . I caught my second VBAC breech baby! All pretty textbook. This one was close to term so the maneuvres were harder than last time, but it all went smoothly. I would have preferred a hands off approach, but in that setting it was never gonna happen, and honestly it was an excellent result.
I was utterly thrilled! The woman was shocked but delighted. I handed over to the afternoon staff and tottered back to the ward to pick up the threads of my day, after a very adventurous 90 minutes away! The staff were all agog, it was the talk of the hospital that a midwife had done this birth! The young doctors were high-fiving me, and were delighted to have seen a vaginal breech birth. My manager came back from lunch and told the tale, only to find out it had happened to one of her ward patients with one of her midwives! She then got the full story straight from the horse's mouth.
I saw the woman again today and she is glowing, just radiant that her body worked and that she could give birth vaginally, and that she could be up and about and so well, rather than recovering from surgery. Baby was in nursery for a day or so, but he is nearly ready to come up to the ward! 2.35kg nearly 36 weeker. We congratulated each other on our cleverness, and had a big hug. She is such a darling, and was so brave during her 'amazing experience'. My sixty-ninth baby. Her second. Unforgettable.
I'll miss this place, but I'm looking forward to exploring the big world outside and I know that whatever the setting....I love being a midwife.
I had a job interview on Monday with a publicly funded homebirth program, one that has led the way for their model of care, one that has been replicated across the country. It has always been my goal to work for them, when I had enough experience. I was encouraged to apply. I applied with my fingers crossed. I thought 'well, if I get an interview I'll be pleased, and I might be a chance, but I will be hysterical if I truly get it'.
I got the job.
Yep. You read it right.
I got the job, my dream job.
And now the climb, the steep learning curve really begins.
I am skipping with happiness.
I wrote my resignation letter, and handed it in person to all my managers. Then I howled on and off about leaving all my lovely workmates that I have shared so much with. Each day since, I have broken the news to a new set of people. Its very exciting.
And then, yesterday to top it off, and just when I was lamenting that I would not catch another baby at my hospital, one of my women on the ward went into precipitate labour while I was at tea. I returned to hear her distressed behind her curtain in the shared 4-bed room. She nearly clawed my arm off and it was clear she was nearly ready to push. Which was a bit of a shame ... because only 2 hours before she had signed for a repeat CS, especially if she laboured. I notified the coordinator that we needed to move, like NOW, and returned to her with a pair of gloves, just in case. She was in the throes of another contraction. She clung to the coordinator, who talked her through it, then she allowed me to examine her - wa-hey! Fully dilated and a breech close to the world. Seemed a shame to waste a perfectly good CS on a baby who had plans for exit via an alternate route.
We ran with her on the bed to LBS and shanghaied a passing consultant as we skidded around a corner. I found the first empty room and we pushed the bed through the curtain, pulled a warm baby blanket bundle out and threw it on the heater. Then I changed gloves and returned to the woman still on her ward bed and peeked under the sheet - and there was a breech on view. She crawled across onto the birthing bed. I waved my ward coordinator goodbye, and volunteered to stay as the only other midwife around was having her first day at work. The LBS coordinator assembled a team of paediatricians and spare hands, and I urged her to ignore everyone else and focus on me, which she managed really well, and I spoke quietly and encouraged her to go for it, and praised her to the eyeballs. The consultant stood next to me, and talked me through the birth, giving a small hand here and there. And so . . . . I caught my second VBAC breech baby! All pretty textbook. This one was close to term so the maneuvres were harder than last time, but it all went smoothly. I would have preferred a hands off approach, but in that setting it was never gonna happen, and honestly it was an excellent result.
I was utterly thrilled! The woman was shocked but delighted. I handed over to the afternoon staff and tottered back to the ward to pick up the threads of my day, after a very adventurous 90 minutes away! The staff were all agog, it was the talk of the hospital that a midwife had done this birth! The young doctors were high-fiving me, and were delighted to have seen a vaginal breech birth. My manager came back from lunch and told the tale, only to find out it had happened to one of her ward patients with one of her midwives! She then got the full story straight from the horse's mouth.
I saw the woman again today and she is glowing, just radiant that her body worked and that she could give birth vaginally, and that she could be up and about and so well, rather than recovering from surgery. Baby was in nursery for a day or so, but he is nearly ready to come up to the ward! 2.35kg nearly 36 weeker. We congratulated each other on our cleverness, and had a big hug. She is such a darling, and was so brave during her 'amazing experience'. My sixty-ninth baby. Her second. Unforgettable.
I'll miss this place, but I'm looking forward to exploring the big world outside and I know that whatever the setting....I love being a midwife.
Tuesday, August 3, 2010
And the winner is Syd-dnee! (now with added dugong)
Uh-oh. How did it get to be August already?
Somehow I have not posted since June. Oopsie. Its not that nothing has been happening. Shall I recap? June 23 - we all headed to Sydney. We bagged a superb apartment that we all wanted to move in to permanently, right near the town hall. It was drizzly but we didn't care.
Another tunnel contained a shark pool where the toothy crowd were a bit more lively and numerous. Nothing scary, just ...Establishing Respect.
We then walked past the damp World Cup Soccer Village all the way to the other end of Darling Harbour and into China Town where we had dinner in a very chaotic restaurant. I have no idea what we had but it was delicious, and there seemed to be a LOT of Taiwanese people in there, enjoying a ridiculous gameshow on a big screen. Fascinating place. Couldn't for the life of me tell you what it was called, sorry, but it was popular.
Somehow I have not posted since June. Oopsie. Its not that nothing has been happening. Shall I recap? June 23 - we all headed to Sydney. We bagged a superb apartment that we all wanted to move in to permanently, right near the town hall. It was drizzly but we didn't care.We wandered out to Darling Harbour in the dusky gloom along a street that somehow contained all the hiking shops, every chain, every supply you could want, holding our umbrellas against every pissing awning - and there were plenty of 'em!
We walked across the Pyrmont bridge and into the Aquarium which we essentially had to ourselves. It was wonderful. Much bigger than when I had last been there in 1988. The displays were enchanting, and really easy to photograph too if you had a steady hand.
There was a special dugong exhibit, with a pair of dugongs lolling about quite mournfully at one end of the pen and slowly crossing the tunnel above our heads and returning to the wooden pier where they would try to hide in a corner. There was nowhere to hide. Yet it was still entrancing to watch these creatures, even though I had a clear impression that I was intruding on their privacy. Excuse me, maam.
Another tunnel contained a shark pool where the toothy crowd were a bit more lively and numerous. Nothing scary, just ...Establishing Respect.The upstairs exhibits were fantastic, but the big tanks really were stunning! When I say big I mean BIG! HUGE! probably about 5m deep and at least 15m in diameter, all landscaped and populated with reef fish, or deep sea fish, or sharks or rays, Nemos and Dories, just fantastic and surprisingly entertaining. Great big fish looking mournful. 
It was wonderful, I'm so glad we went.
It was wonderful, I'm so glad we went. We then walked past the damp World Cup Soccer Village all the way to the other end of Darling Harbour and into China Town where we had dinner in a very chaotic restaurant. I have no idea what we had but it was delicious, and there seemed to be a LOT of Taiwanese people in there, enjoying a ridiculous gameshow on a big screen. Fascinating place. Couldn't for the life of me tell you what it was called, sorry, but it was popular.Slept like logs in our sumptuous rooms. The apartment had 2 bedrooms and 2 bathrooms, a laundry, a full kitchen and a huge living and dining room, big TV, all brand new and modern, with 2 balconies overlooking the rooves of churches and in eyeline with skyscrapers. We were on the 27th floor! It was brilliant.
The next morning my cousin arrived. Katharine is my youngest cousin (of 23 first cousins), I was 17 when she was born. She is living in Sydney now after being brought up between England and Perth. She is just lovely, and I wish I could see more of her. We stayed with her Mum in 2007 in London. K is very arty and has recently directed her first short film. She works heaps in the arts scene and we were delighted to catch up with her and be shown around the Sydney Opera House backstage - 
we even had coffee in the Green Room, and saw the Sydney Biennale on Cockatoo Island. The art was thought provoking and really evocative, and often really out of left field. There was a plywood model of the Hubble Space telescope, that seems like a steampunk had had a hand in it! I also enjoyed the piece with a car flying overhead in a shower of sparks. Cockatoo Island is the site of old naval shipyards and the buildings and spaces made me feel the presence of my Dad, who was a mechanic. The smells of oil on a dirt floor, and the industrial spaces and the rust. Being with his sister's only child. I'm sure he was with us as we wandered about that fascinating site, or maybe, just remembering him makes it seem that way. It was a gorgeous day and the free ferry ride was an added treat. Stephanie saw where Dance Academy was filmed, we went under the bridge, it was all good.
we even had coffee in the Green Room, and saw the Sydney Biennale on Cockatoo Island. The art was thought provoking and really evocative, and often really out of left field. There was a plywood model of the Hubble Space telescope, that seems like a steampunk had had a hand in it! I also enjoyed the piece with a car flying overhead in a shower of sparks. Cockatoo Island is the site of old naval shipyards and the buildings and spaces made me feel the presence of my Dad, who was a mechanic. The smells of oil on a dirt floor, and the industrial spaces and the rust. Being with his sister's only child. I'm sure he was with us as we wandered about that fascinating site, or maybe, just remembering him makes it seem that way. It was a gorgeous day and the free ferry ride was an added treat. Stephanie saw where Dance Academy was filmed, we went under the bridge, it was all good. I've never spent long in the Circular Quay area before so it was such a treat to really see it, and wow what a place. It deserves the reputation as one of those locations where if you sit there long enough, the whole world will walk by. It is not only physically beautiful, in the sense of water and coves and clean air, and buzzing atmosphere but the man-made environment (i.e. the Bridge and the Opera House) is also gob-smacking. I hadn't expected to enjoy it so much but it truly was superb.
K also works at the Museum of Modern Art, right on the harbour, so we had spent the day in her environment. It was so enjoyable. She joined us for dinner back at our place, where we waited for the slowest Indian food delivery I have ever experienced. It was a bit average, but we talked and talked, and it was nice to just hang out with a family member I hardly ever get to see.
The next day - Taronga Park Zoo! Stay tuned!
Thursday, June 17, 2010
See that thing on the right?
How do these things get handed out?
I ignored it for a bit, thinking it was a viral phishing code, but as I have barely posted anything this year I thought it would make for another post! Desperate huh?
Anyway, I have really mixed feelings about any such thing. You've probably noticed that I don't write so much recently about work and individual births. This is because I was heavily warned off by a series of events, including a lecture on cyber-presence and how one is vulnerable to 'flaming' if radical groups find you and take you on. Examples were given and my blog was used (among others) to illustrate the talk. This blog IS in the public domain, so it IS fair game to such things. No permission was necessary. But it made me feel vulnerable.
I also received a few comments accusing me of breaching confidentiality. Just a few, scattered over one or two posts, mixed with many times more comments appreciating the posts. But coupled with the warning lecture it put me off. I didn't enjoy writing it anymore, even though I still felt the same way, and reflected just as much as I always had, it was just in my head, instead of on the page and shared with readers.
I wondered if I could leave stories to 'cool off' for a while before telling them. Then days became months, and so many stories fell away from my memory. And I got out of the habit of sharing them with you. I felt silenced, but safe from criticism.
There have been many, many stories I wish I could share.
I haven't actually seen a baby pushed from a vagina in months. Truly. I did have a woman pushing with me two weeks ago, a first timer, but after an hour it became clear she was going to need a hand to get her baby out. But the doctors were busy. So even though I stayed late after a nightshift, I still didn't see the baby emerge.
I had another woman, another first timer last week. She was being induced for post-dates at 11 days after her due date. The balloon catheter hadn't budged after 18 hours. We deflated it and applied hormone gel high in her vagina near the cervix to help ripen it. My shift ended and I handed over to another midwife and student, who were between 2 rooms. I could see she was contracting a bit, but I went home. I thought I would have her again the next day (our third day allocated together for continuity). But she was left alone for a long time on that shift as they got busy in the other room. She called the bell later that evening and was attended by a different midwife who, finding a woman in some distress and contracting a fair bit, examined her. She was 8cm and proceeded to push her baby out two hours later!
So, a good result in the end, and a relatively uninterfered with 'natural' birth after a second induction attempt. I saw her the next day and they were a bit stunned but delighted with their daughter. They were pretty lucky that the docs were busy elsewhere, and that she was able to be undisturbed, even if they felt abandoned. I was sad they felt under-supported in the building labour, but thrilled for her that she achieved a vaginal birth, against the suspicion that her induction would be deemed a failure.
After a summer in the homebirth arena, well...at the shallow end of it....it is still chafing to find myself in a high-risk environment. Yet I am largely proud of the work we do in that world. We see a lot of stuff. A LOT of stuff. Big Stuff. Confronting and complex stuff. Life threatening stuff. And we do it, and deal with it, and do it well a lot of the time.
There are some who don't cope or thrive in that environment. There are some who have forgotten it can ever be any different. And there are some who have a bare minimum of exposure to complexity and emergency, and pooh-pooh those who work in those environments. I've met them all. Birth can turn in an instant. Recognising the instant is the art.
As a midwife I want to experience it all. I don't want to become so indoctrinated to swimming with sharks that I forget to take off my chainmail when dealing with goldfish. Yet I don't want to forget that birth (and life) is bigger than the goldfish bowl of homebirth. Most of the world sits somewhere in between. Its a tricky balancing act.
Yet despite the tightrope act....I love being a midwife.
I ignored it for a bit, thinking it was a viral phishing code, but as I have barely posted anything this year I thought it would make for another post! Desperate huh?
Anyway, I have really mixed feelings about any such thing. You've probably noticed that I don't write so much recently about work and individual births. This is because I was heavily warned off by a series of events, including a lecture on cyber-presence and how one is vulnerable to 'flaming' if radical groups find you and take you on. Examples were given and my blog was used (among others) to illustrate the talk. This blog IS in the public domain, so it IS fair game to such things. No permission was necessary. But it made me feel vulnerable.
I also received a few comments accusing me of breaching confidentiality. Just a few, scattered over one or two posts, mixed with many times more comments appreciating the posts. But coupled with the warning lecture it put me off. I didn't enjoy writing it anymore, even though I still felt the same way, and reflected just as much as I always had, it was just in my head, instead of on the page and shared with readers.
I wondered if I could leave stories to 'cool off' for a while before telling them. Then days became months, and so many stories fell away from my memory. And I got out of the habit of sharing them with you. I felt silenced, but safe from criticism.
There have been many, many stories I wish I could share.
I haven't actually seen a baby pushed from a vagina in months. Truly. I did have a woman pushing with me two weeks ago, a first timer, but after an hour it became clear she was going to need a hand to get her baby out. But the doctors were busy. So even though I stayed late after a nightshift, I still didn't see the baby emerge.
I had another woman, another first timer last week. She was being induced for post-dates at 11 days after her due date. The balloon catheter hadn't budged after 18 hours. We deflated it and applied hormone gel high in her vagina near the cervix to help ripen it. My shift ended and I handed over to another midwife and student, who were between 2 rooms. I could see she was contracting a bit, but I went home. I thought I would have her again the next day (our third day allocated together for continuity). But she was left alone for a long time on that shift as they got busy in the other room. She called the bell later that evening and was attended by a different midwife who, finding a woman in some distress and contracting a fair bit, examined her. She was 8cm and proceeded to push her baby out two hours later!
So, a good result in the end, and a relatively uninterfered with 'natural' birth after a second induction attempt. I saw her the next day and they were a bit stunned but delighted with their daughter. They were pretty lucky that the docs were busy elsewhere, and that she was able to be undisturbed, even if they felt abandoned. I was sad they felt under-supported in the building labour, but thrilled for her that she achieved a vaginal birth, against the suspicion that her induction would be deemed a failure.
After a summer in the homebirth arena, well...at the shallow end of it....it is still chafing to find myself in a high-risk environment. Yet I am largely proud of the work we do in that world. We see a lot of stuff. A LOT of stuff. Big Stuff. Confronting and complex stuff. Life threatening stuff. And we do it, and deal with it, and do it well a lot of the time.
There are some who don't cope or thrive in that environment. There are some who have forgotten it can ever be any different. And there are some who have a bare minimum of exposure to complexity and emergency, and pooh-pooh those who work in those environments. I've met them all. Birth can turn in an instant. Recognising the instant is the art.
As a midwife I want to experience it all. I don't want to become so indoctrinated to swimming with sharks that I forget to take off my chainmail when dealing with goldfish. Yet I don't want to forget that birth (and life) is bigger than the goldfish bowl of homebirth. Most of the world sits somewhere in between. Its a tricky balancing act.
Yet despite the tightrope act....I love being a midwife.
Tuesday, June 15, 2010
My life in dot points
Its all I can manage... But here are some questions Life has thrown at me lately.
- Is it wrong to expect 24 year olds to silence their girlfriends during sex? Its been going on for 4 months now. When I was a girl I would have been mortified to think anyone would hear my activities....let alone be able to determine exactly how many orgasms constitutes a multiple event. Don't want to repress anyone's sensual life. Teensy bit of pride in son's ... um ... talents. Don't want to engender shame. It wouldn't be my shame anyhow. Just DON'T. Want. To. Hear. It. Any. More. Someone I was lamenting the situation to told me, "Laura, some women will come in a stiff breeze". Yes. So I hear. (sigh). Terse SMS war already on the issue. Repeated approaches to son to keep it down. Will I still be seeing this young woman at family meals with my grandchildren in 40 years time? Son's final university exam tomorrow. Am I a Bad, Disloyal, Enabling Mother? Or am I just being 'dissed'? Discuss.
- Just how much stuff does one really need? Is it in inverse proportion to the amount of floorspace available for the purposes of walking around? (phew, moved out 4 crates of Stuff today, it helps already).
- How long does one wait for midwifery models of care to shift? How does one bite one's tongue at the backroom discussions undermining women's desire for non-interventionist birth? Will I be happier in the long run just going independent and taking the blood pressure pills, being my own boss, and paying through the nose for PI insurance. Should I just move to New Zealand? How long is a piece of string? You get the idea. I'm doing a major review next week to take a snapshot of my career/practice so far. Why does one always feel ready to be shot down in flames. Am I trying to run before I can walk?
- How will we face another major surgery for our daughter? This will be a biggie with the potential to really improve her life, but it won't be easy. It has come as a surprise, sort of. She's had similar surgery twice before, but doesn't remember it. I do. Gulp.
- How good is it to have friends who love and support you? And listen to your whining. And write loving things about you. And share bookclub with you. And paint with you. And go to Vegas with you. I truly am blessed.
- On a lighter note.....How good is this? Now these girls really know how to shop. And I thought I had good op-shops near me.
- Will we all be fit and well enough for our trip? All four of us are limping or crippled in some aspect. This is lame (literally). We are all ready to feel well again. I am certainly sick of keeping the doctors in business, nice people though they are. I will keep taking (all) the tablets. Calm blue ocean. Calm blue ocean.
- How will I pack? For 4 people, heading in 3 different directions at the end, for Sydney, Melbourne and Central Australia.
Bearing in mind that one must be alive to complain, and that we live in a well resourced country, with no war, and plentifully stocked supermarkets, and that our children have survived childhood, and that we have careers and sufficient income to service our whining whitebread world, and that I may just delete this whole post because I am so sick of the sound of my whining......answers on a postcard please.
Wednesday, May 5, 2010
Silver
Exactly twenty five years ago I was having this photo taken.
Then I got into a car and went and did this.
Then this photo was taken.
Then this one.
Then this one.
Regrets? Not many, in fact most of it I would do again. Some of it I would do better, sooner, and more frequently. It turned out I made a good choice. And so did he.
Regrets? Not many, in fact most of it I would do again. Some of it I would do better, sooner, and more frequently. It turned out I made a good choice. And so did he.I am especially aware that some others are not so lucky. My sister should be sharing this 25th anniversary year with her beloved late husband, but as she reminded me today, he would certainly want us to celebrate, even though he can't be with us.
We plan a small dinner with family and friends on Saturday night. There will be an intimate dinner a deux at a favourite French restaurant tonight. There were gifts in bed this morning. I gave him a second wedding ring in silver and a book of quotes about love and marriage. I received a silver bracelet with a heart locket, and some silver set amethyst and pearl drop earrings in a reproduction style. We have our trip planned for June. By the end of this year I will be working on a quilt for our bed (if I put it in writing you'll all have to hold me to it, OK). I have selected the pattern based on the storm at sea block, but it will be titled something related to weathering the storms and seeing the silver lining.
We are very fortunate, and feel just a bit proud of ourselves too.
So, I suspect, this year, silver will be my new style. However....this will NOT be extended to hair colouring. Just to be clear on that....OK?
Monday, April 19, 2010
This and that, the update.
Dear blogfriends, please forgive the subheadings, there's a lot to tell.
MIDWIFERY
I made arrangements for me to back up at some planned homebirths early this year. That period has now ended and the score is: Homebirths occurred 3, homebirths attended by me 1.5.
Yeah I know....bummer eh? I was ready, willing and waiting, sleeping with the phone by me and knew they were on. The first I managed to see all the way through as you saw in my previous post. It was stripped back and simple and lovely. The second went into labour overdue by a couple of weeks. The primary midwife attended and was in communication with me, I was ready to leave at a moment's notice, the house was 40 mins from my place. She laboured quietly apparently and was well attended by family. There was radio silence for a while, then an "uuummmm, she went from nothing to pushing and 2 pushes later....ta-da!" So great for her, a first-timer, to birth so well, I'm thrilled for them all, really. But......
The third was a second baby and the first had been really quick. Less than an hour quick! So I was poised to possibly be the first one there as I live closer to her. I am still doing my regular job as well, and we have been trusting to the universe that it will all work out. Phut! The universe clearly didn't get my memo about a late/early split shift last week followed by eight days off which were coinciding with the due date. So when the phone rang at 5.10am I thought it was the alarm gone off early.......Then slammed upright when I blurrily saw that it was the first midwife calling! OOoh, decisions, decisions - she was really quick with the first one, I've got time for her to pop it out and still get to work on time. I committed and dashed out. I got there at 5.27 and she was labouring, but still smiling. Things hotted up, then quietened down, as they do, but my start time was approaching.....I called in that I would be late, and mentally made up my mind that I would stay for now, but that if the birth wasn't imminent at 7.30 I would slip away and the other midwife would call a different midwife to back up. And so it went. Bummer. The baby was born at 9.13am. It would have been too much of a stretch to be that late for work.
So the experience I have gained is of providing antenatal and postnatal care in the community, and also intrapartum care in the woman's own home. I have witnessed one homebirth (my second). It was good. I can see the learning curve before me should I choose to continue to work in this field. I need to gather a lot more equipment. I could easily become used to doing less with women, as they take a lot more responsibility for their own issues than women I usually see through the hospital setting. There is less 'routine' assessment and more reliance on behavioural changes in labour. Spontaneous and physiological, just the way it should be. All the usual assessments are there, just less VEs and when they were done (by the primary MW) they were at points when I would have done them to clarify issues as well.
There is no shortage of work out there. With upcoming changes to maternity service provision by the federal government there are many opportunities for midwives to set up in group practices with Medicare provider numbers and limited prescribing rights, as long as they are deemed 'eligible' (a nebulous description, yet to be fully defined but being worked on furiously) and hold professional indemnity insurance, which will not cover them to birth anywhere but in a hospital. This has recently been released for a cost of $7500 per annum full time cover. Stay tuned! I do plan to become eligible - in fact if I was doing my PD instead of blogging it would happen sooner.
I have also been continuing to work with a group planning the commencement of a midwifery group practice in our hospital, hopefully by mid-year. It has to be signed off by roughly 47,000 people including doctors but I think we're up to 35, 766 signatures and the work is all downhill from here! This would be groundbreaking in this state, and I have seen my name on the sample rosters so it may come true! Can't wait.
HEALTH
Twice this year I have had my life flash before my eyes and prepared for my imminent death.
I wish I was kidding.
What I have learned from this is that my husband really needs a cell phone. So the kids CAN in theory contact him when he is in Sydney for a conference and Mum has died of a stroke. As it was I managed to get an appointment with the GP and get a presciption for antihypertensives just before it blew out any blood vessels in my brain, but I suspect it was close. It was extremely unpleasant. I then developed an attractive rash from the meds and changed them a week later. They remain effective.
The second time was when I was woken by upper abdo pain and thought I was going to throw up. I decamped to the loo whereupon I had an 'episode' of tingling, profuse sweating, pins and needles in my face and arms and extreme lightheadedness and a sense of impending doom. Visions of Elvis abounded and I was convinced I was about to have a heart attack. This was in the very early hours of the morning after our daughter's 21st party, so waking a still inebriated husband was quite challenging, as I swooned on the toilet and resorted to banging the glass screen repeatedly while moaning. After a while I managed to croak out his name loud enough and he stumbled out to find me. An ambulance was called and I was whisked off. It turned out to be a vaso-vagal event (they think) as my heart was fine and my blood pressure was elevated but not catastrophic. Phew. I felt sheepish, but would have felt worse if I hadn't paid attention to it. I have seen someone have a fatal coronary and I felt how they looked....so I did the best I could to get help. It lasted about 10-15 minutes (I think) but it was really scary, and I'm grateful it was something benign.
I have discovered that I am not ready to die.
BIRTHDAYS
My son turned 24. He is a sweetie and good company. Please God, let him pass this last semester at uni. He has a girlfriend. There is much 'noise' coming from his bedroom. There is often another mouth to feed. It is OK.
My daughter turned 21. We had the party we planned except for the fact that the pizza oven was too wide to fit through the gate (or the gate was too narrow for the oven to pass). We were flexible about this and luckily had a wide driveway and a paved frontyard that could be rapidly put to use as the pizzeria. A Good Time was had by all, pizza was made, cooked and consumed with gusto if not in the same square metreage of yard. Tromping through the house was expected anyway. The back patio was gorgeous and people mixed and mingled at the tables we set up. We did two big photoboards for her which were fantastic to do. She received some lovely gifts. People continue to wish her well. This is good.
STORM DAMAGE
The skylight is fixed. A Man came from 50km away to do it. The SES had arrived a few days after the storm and covered and secured it with thick black plastic for which we were grateful. The car remains dented. This PITA is likely to continue to be so for a while as I am too busy to submit a claim.
TRAVELS
WE are taking a family holiday in June to Sydney and Uluru. It will be great! 3 nights in Sydney doing tyouristy things, then a 3 day camping safari around Uluru, The Olgas and King's Canyon. The family will then leave from Alice Springs while I stay there for a national conference. Its all good.
SILVER
Somehow it seems I will have been married for 25 years on May 5th. To the same man. Lucky, eh? Preparations abound for a celebratory dinner. Followed by our trip a few weeks later.
PHOTOS may follow for all the above, but right now I have to go to work. Which was evacuated a few nights ago due to a fire. I wasn't working, but it looked like a nightmare! I'll hear all about it today.
Its all go around here!
MIDWIFERY
I made arrangements for me to back up at some planned homebirths early this year. That period has now ended and the score is: Homebirths occurred 3, homebirths attended by me 1.5.
Yeah I know....bummer eh? I was ready, willing and waiting, sleeping with the phone by me and knew they were on. The first I managed to see all the way through as you saw in my previous post. It was stripped back and simple and lovely. The second went into labour overdue by a couple of weeks. The primary midwife attended and was in communication with me, I was ready to leave at a moment's notice, the house was 40 mins from my place. She laboured quietly apparently and was well attended by family. There was radio silence for a while, then an "uuummmm, she went from nothing to pushing and 2 pushes later....ta-da!" So great for her, a first-timer, to birth so well, I'm thrilled for them all, really. But......
The third was a second baby and the first had been really quick. Less than an hour quick! So I was poised to possibly be the first one there as I live closer to her. I am still doing my regular job as well, and we have been trusting to the universe that it will all work out. Phut! The universe clearly didn't get my memo about a late/early split shift last week followed by eight days off which were coinciding with the due date. So when the phone rang at 5.10am I thought it was the alarm gone off early.......Then slammed upright when I blurrily saw that it was the first midwife calling! OOoh, decisions, decisions - she was really quick with the first one, I've got time for her to pop it out and still get to work on time. I committed and dashed out. I got there at 5.27 and she was labouring, but still smiling. Things hotted up, then quietened down, as they do, but my start time was approaching.....I called in that I would be late, and mentally made up my mind that I would stay for now, but that if the birth wasn't imminent at 7.30 I would slip away and the other midwife would call a different midwife to back up. And so it went. Bummer. The baby was born at 9.13am. It would have been too much of a stretch to be that late for work.
So the experience I have gained is of providing antenatal and postnatal care in the community, and also intrapartum care in the woman's own home. I have witnessed one homebirth (my second). It was good. I can see the learning curve before me should I choose to continue to work in this field. I need to gather a lot more equipment. I could easily become used to doing less with women, as they take a lot more responsibility for their own issues than women I usually see through the hospital setting. There is less 'routine' assessment and more reliance on behavioural changes in labour. Spontaneous and physiological, just the way it should be. All the usual assessments are there, just less VEs and when they were done (by the primary MW) they were at points when I would have done them to clarify issues as well.
There is no shortage of work out there. With upcoming changes to maternity service provision by the federal government there are many opportunities for midwives to set up in group practices with Medicare provider numbers and limited prescribing rights, as long as they are deemed 'eligible' (a nebulous description, yet to be fully defined but being worked on furiously) and hold professional indemnity insurance, which will not cover them to birth anywhere but in a hospital. This has recently been released for a cost of $7500 per annum full time cover. Stay tuned! I do plan to become eligible - in fact if I was doing my PD instead of blogging it would happen sooner.
I have also been continuing to work with a group planning the commencement of a midwifery group practice in our hospital, hopefully by mid-year. It has to be signed off by roughly 47,000 people including doctors but I think we're up to 35, 766 signatures and the work is all downhill from here! This would be groundbreaking in this state, and I have seen my name on the sample rosters so it may come true! Can't wait.
HEALTH
Twice this year I have had my life flash before my eyes and prepared for my imminent death.
I wish I was kidding.
What I have learned from this is that my husband really needs a cell phone. So the kids CAN in theory contact him when he is in Sydney for a conference and Mum has died of a stroke. As it was I managed to get an appointment with the GP and get a presciption for antihypertensives just before it blew out any blood vessels in my brain, but I suspect it was close. It was extremely unpleasant. I then developed an attractive rash from the meds and changed them a week later. They remain effective.
The second time was when I was woken by upper abdo pain and thought I was going to throw up. I decamped to the loo whereupon I had an 'episode' of tingling, profuse sweating, pins and needles in my face and arms and extreme lightheadedness and a sense of impending doom. Visions of Elvis abounded and I was convinced I was about to have a heart attack. This was in the very early hours of the morning after our daughter's 21st party, so waking a still inebriated husband was quite challenging, as I swooned on the toilet and resorted to banging the glass screen repeatedly while moaning. After a while I managed to croak out his name loud enough and he stumbled out to find me. An ambulance was called and I was whisked off. It turned out to be a vaso-vagal event (they think) as my heart was fine and my blood pressure was elevated but not catastrophic. Phew. I felt sheepish, but would have felt worse if I hadn't paid attention to it. I have seen someone have a fatal coronary and I felt how they looked....so I did the best I could to get help. It lasted about 10-15 minutes (I think) but it was really scary, and I'm grateful it was something benign.
I have discovered that I am not ready to die.
BIRTHDAYS
My son turned 24. He is a sweetie and good company. Please God, let him pass this last semester at uni. He has a girlfriend. There is much 'noise' coming from his bedroom. There is often another mouth to feed. It is OK.
My daughter turned 21. We had the party we planned except for the fact that the pizza oven was too wide to fit through the gate (or the gate was too narrow for the oven to pass). We were flexible about this and luckily had a wide driveway and a paved frontyard that could be rapidly put to use as the pizzeria. A Good Time was had by all, pizza was made, cooked and consumed with gusto if not in the same square metreage of yard. Tromping through the house was expected anyway. The back patio was gorgeous and people mixed and mingled at the tables we set up. We did two big photoboards for her which were fantastic to do. She received some lovely gifts. People continue to wish her well. This is good.
STORM DAMAGE
The skylight is fixed. A Man came from 50km away to do it. The SES had arrived a few days after the storm and covered and secured it with thick black plastic for which we were grateful. The car remains dented. This PITA is likely to continue to be so for a while as I am too busy to submit a claim.
TRAVELS
WE are taking a family holiday in June to Sydney and Uluru. It will be great! 3 nights in Sydney doing tyouristy things, then a 3 day camping safari around Uluru, The Olgas and King's Canyon. The family will then leave from Alice Springs while I stay there for a national conference. Its all good.
SILVER
Somehow it seems I will have been married for 25 years on May 5th. To the same man. Lucky, eh? Preparations abound for a celebratory dinner. Followed by our trip a few weeks later.
PHOTOS may follow for all the above, but right now I have to go to work. Which was evacuated a few nights ago due to a fire. I wasn't working, but it looked like a nightmare! I'll hear all about it today.
Its all go around here!
Friday, March 5, 2010
Just birth
A candle-lit night of struggle, with nothing but grit and determination and loving support.
Just after dawn, as little ones stirred and sat cuddled on laps, a new family member was born in their own family room.
No bells, no whistles, quite ordinary, yet profound and timeless in its simplicity. A testament to the strength of woman.
Welcome to the world baby boy.
Just after dawn, as little ones stirred and sat cuddled on laps, a new family member was born in their own family room.
No bells, no whistles, quite ordinary, yet profound and timeless in its simplicity. A testament to the strength of woman.
Welcome to the world baby boy.
Tuesday, December 22, 2009
A few baubles for you
So.... its nearly Xmas. Had you noticed?
I'm getting in the mood now. The tree is decorated.
The pressies are chosen, wrapped and under the tree
The MRI is all clear. The dizzies are mostly gone. The medication is working. 
I am wearing Xmas earrings and a tinsel halo to work most days. Its fun. Work has been lovely. Interesting and brave Mums. Sweet babies. I've even had two thankyou cards and chocolates this week! That never happens! One was from the family I met before my holidays. The other twin is doing well.
Why do funeral companies have cookie cutter services with patronising overstated sentiment? Am I a bitch for asking? I attended the funeral of our colleague who died. It was about as wretched as expected, there were so many people there. Naturally there was a very notable turnout from work, nearly all the ward were there, and half the rest of the hospital. Her Dad spoke, heartbreakingly, followed by her sister, stoic and loving. They were a markedly smaller group as a family of 3, compared to the family of 5 they had been only 13 months ago. There is no easy or un-trite way to say goodbye in these circumstances. It all just sucks. 
Is there such a thing as turning up to heaven uninvited? I'm sure she would be welcomed anyway, she was a kind girl who earned her wings in many ways. Her death, and the circumstances of her death have been very confronting. Once again we are starkly reminded, depression is a serious illness. How desperately 'not-thinking-straight' must she have been to make that choice. Such a waste. 
I haven't been so active around this blog of late, but it doesn't mean I'm not thinking of you. Swings and roundabouts. Most bloggers I read report slow patches, and I am fascinated to realise that I have been blogging, and blog-reading, for more than 2 years now. 
In case I don't get to post again pre-Big Day may I wish you all a very happy Christmas season.
A toast: To old friends who have weathered the years, and to new friends who were strangers but yesterday. Merry Christmas.
I just know that 2010 will bring good things.
Wednesday, December 16, 2009
Holiday activities
Spend four nights with favourite husband in a cosy and private beach-side getaway. Tick.
Spend a day of getaway baking beloved Christmas cakes. Best. Batch. Ever. Tick.
Play Bingo with hubby. Tick. I still don't win.
Tackle Xmas pressie shopping with a relaxed hubby by my side. Tick.
Get bathroom door and dining room wall painted 6 months after bathroom renovation. Tick.
Attend Xmas parties in blistering heat. Tick.
Host Xmas party in blistering heat, wondering why people say they are coming but don't. Tick.
Eat leftovers. Tick.
Read on FB that a young depressed work colleague has died tragically. At work, with colleagues finding her. Reel in shock. Make many phonecalls to distraught colleagues. Grieve the loss of a lovely young midwife. Sadly, tick.
Value life even more preciously and vows to love and support even more. You betcha.
Spend a day of getaway baking beloved Christmas cakes. Best. Batch. Ever. Tick.
Play Bingo with hubby. Tick. I still don't win.
Tackle Xmas pressie shopping with a relaxed hubby by my side. Tick.
Get bathroom door and dining room wall painted 6 months after bathroom renovation. Tick.
Attend Xmas parties in blistering heat. Tick.
Host Xmas party in blistering heat, wondering why people say they are coming but don't. Tick.
Eat leftovers. Tick.
Read on FB that a young depressed work colleague has died tragically. At work, with colleagues finding her. Reel in shock. Make many phonecalls to distraught colleagues. Grieve the loss of a lovely young midwife. Sadly, tick.
Value life even more preciously and vows to love and support even more. You betcha.
Saturday, December 5, 2009
What do I know?
How many times does a human heart beat in a lifetime?
Today I found myself in the position to count them. Almost literally.
One little sweetheart lived his brief life in my care today.
I know Miracles exist. I thought he had slipped away, after twenty incredible minutes. But his little heart beat on feebly and slowly, for another hour or so of bonus life. Cradled by his brave Mum and Dad, skin to skin with his mother in life, with his father later, in death.
It was one of the most beautiful, incredible days of my life as a midwife. From taking the phonecall, to receiving the couple. From listening in and finding two heartbeats, to seeing one falter. From phonecall to the ward they were in my care, as well as the care of superb specialists . Together, the work we did today was a work of art. An oasis of beauty in a forecast that was never going to be good.
Today, for one day only, I was their midwife.
What a privilege.
Once again, I know, I love being a midwife.
Today I found myself in the position to count them. Almost literally.
One little sweetheart lived his brief life in my care today.
I know Miracles exist. I thought he had slipped away, after twenty incredible minutes. But his little heart beat on feebly and slowly, for another hour or so of bonus life. Cradled by his brave Mum and Dad, skin to skin with his mother in life, with his father later, in death.
It was one of the most beautiful, incredible days of my life as a midwife. From taking the phonecall, to receiving the couple. From listening in and finding two heartbeats, to seeing one falter. From phonecall to the ward they were in my care, as well as the care of superb specialists . Together, the work we did today was a work of art. An oasis of beauty in a forecast that was never going to be good.
Today, for one day only, I was their midwife.
What a privilege.
Once again, I know, I love being a midwife.
Friday, November 20, 2009
Not drowning, waving (again)
Did I say not drowning? Well.... its probably accurate.
I have been watching too much TV, playing way too much Bejewelled on FB, attending work back on the postnatal/antenatal ward and had a random night shift thrown in to the middle of a dayshift fortnight (I know) which has completely thrown my body clock for a loop and I lost close to 2 days in sleep disturbance. Sigh. I'm back on days this weekend for 4 days but then I have a week of rostered days off, before working for 4 days then having 15 days on hols before Xmas. Woot! I love to be back on the ward with all the darling staff members I was mentored by when I was a student. I am also working with my own mentee, which is a lovely change as our rotations have not coincided frequently at all and it is good to see her functioning clinically, even though our relationship flourishes mostly outside the workplace. She is so bright and buzzy, a real individual.
The workload is as full-on as usual, challenging physically and emotionally as well as an organisational challenge. To top it off the ward has been renovated since I was last there, so nothing is where I expect it to be. I am being a big girl and sucking it up. I'm just very lucky, I repeat to myself. But it does make me think of how different things might be in a year's time, in a different style of care. I am scared. But I am determined. Why does it matter to me what people think? I have good reasons for taking the path less travelled, and everyone I have mentioned it to seems to think it is an excellent move, but I suppose I must suck it and see. It may not be for me. I will be quite happy being a plain midwife out there, but how big will my envelope be? How far will I push it? There will be stuff I can only learn out there. I am not fearless, but nor am I fearful. I have a very healthy respect for the process, and the risks. I must keep my clinical judgement about me and distinguish between space for evolution and recklessness. There's a lot going on in my brain. But in the end - Megan says it well here.
I also saw New Moon on Thursday morning bright and early - its not bad, I found it very absorbing and the performances were much better this time, with less of the trembly, changing half-formed mouth movements from Kirsten Stewart that gave me the pip the first time around. She really is much better this time around, more natural. Its certainly one for the fans, but it ends a bit suddenly! There is almost the case for editing books two and three together to shift the action along, but it was still satisfying and beautifully done. The three leads were less wooden +/- overacting. The Jacob character was good and well performed. There were funny bits. The Edward character was much better made up although for a perpetual 17 y.o. someone carved from marble-like perfection he somehow looks haggard and older and a lot more manly, which was very appealing. Am I an Edward or a Jacob girl? Hmm, I think I prefer manly, but a bit of exuberant animal buff is good. The rest of the Cullen clan could have done their shots in less than a week, apart from Alice. Thinking back, they are mostly only shown in asembled set shots, with little dialogue. All in all 8/10.
Today I have a lunch with fellow midwives before the long awaited head MRI to see if there is any sinister reason for the dizzies - we suspect not, but lets rule it out. The medication is really helping and they are 90-95% gone. Edited to add - I'd forgotten how LOUD those MRIs are! Even with earphones it was like having my head trapped inside the DJ desk at a really bad alien robot techno rave, with error messages going off. Geez! 20 minutes of it!
The Big Picture tour by a Canberra ACM staff member, Abby, is going really well. She is such a dynamic presenter, and has been really flexible and super-organised and great fun as well. It is half over now, and this time next week will be all over, but it was well worth the effort. We had lunch yesterday, and she is tired but happy so far, and on days off now down south with her family. I look forward to next week.
So, I wish I had some new craft to show you, but I don't. I c.b.a. (can't be arsed) getting the camera from the other room to even show you a pic of the gorgeous Abby from Canberra. I have no excuses, I just know that if I left the computer now something bright and shiny and completely unecessarily random would catch my eye and it would be 3 o'clock before I remembered the unpublished post on the computer....so, really, we'd better play it safe and hit publish now. Yes, really.
I have been watching too much TV, playing way too much Bejewelled on FB, attending work back on the postnatal/antenatal ward and had a random night shift thrown in to the middle of a dayshift fortnight (I know) which has completely thrown my body clock for a loop and I lost close to 2 days in sleep disturbance. Sigh. I'm back on days this weekend for 4 days but then I have a week of rostered days off, before working for 4 days then having 15 days on hols before Xmas. Woot! I love to be back on the ward with all the darling staff members I was mentored by when I was a student. I am also working with my own mentee, which is a lovely change as our rotations have not coincided frequently at all and it is good to see her functioning clinically, even though our relationship flourishes mostly outside the workplace. She is so bright and buzzy, a real individual.
The workload is as full-on as usual, challenging physically and emotionally as well as an organisational challenge. To top it off the ward has been renovated since I was last there, so nothing is where I expect it to be. I am being a big girl and sucking it up. I'm just very lucky, I repeat to myself. But it does make me think of how different things might be in a year's time, in a different style of care. I am scared. But I am determined. Why does it matter to me what people think? I have good reasons for taking the path less travelled, and everyone I have mentioned it to seems to think it is an excellent move, but I suppose I must suck it and see. It may not be for me. I will be quite happy being a plain midwife out there, but how big will my envelope be? How far will I push it? There will be stuff I can only learn out there. I am not fearless, but nor am I fearful. I have a very healthy respect for the process, and the risks. I must keep my clinical judgement about me and distinguish between space for evolution and recklessness. There's a lot going on in my brain. But in the end - Megan says it well here.
I also saw New Moon on Thursday morning bright and early - its not bad, I found it very absorbing and the performances were much better this time, with less of the trembly, changing half-formed mouth movements from Kirsten Stewart that gave me the pip the first time around. She really is much better this time around, more natural. Its certainly one for the fans, but it ends a bit suddenly! There is almost the case for editing books two and three together to shift the action along, but it was still satisfying and beautifully done. The three leads were less wooden +/- overacting. The Jacob character was good and well performed. There were funny bits. The Edward character was much better made up although for a perpetual 17 y.o. someone carved from marble-like perfection he somehow looks haggard and older and a lot more manly, which was very appealing. Am I an Edward or a Jacob girl? Hmm, I think I prefer manly, but a bit of exuberant animal buff is good. The rest of the Cullen clan could have done their shots in less than a week, apart from Alice. Thinking back, they are mostly only shown in asembled set shots, with little dialogue. All in all 8/10.
Today I have a lunch with fellow midwives before the long awaited head MRI to see if there is any sinister reason for the dizzies - we suspect not, but lets rule it out. The medication is really helping and they are 90-95% gone. Edited to add - I'd forgotten how LOUD those MRIs are! Even with earphones it was like having my head trapped inside the DJ desk at a really bad alien robot techno rave, with error messages going off. Geez! 20 minutes of it!
The Big Picture tour by a Canberra ACM staff member, Abby, is going really well. She is such a dynamic presenter, and has been really flexible and super-organised and great fun as well. It is half over now, and this time next week will be all over, but it was well worth the effort. We had lunch yesterday, and she is tired but happy so far, and on days off now down south with her family. I look forward to next week.
So, I wish I had some new craft to show you, but I don't. I c.b.a. (can't be arsed) getting the camera from the other room to even show you a pic of the gorgeous Abby from Canberra. I have no excuses, I just know that if I left the computer now something bright and shiny and completely unecessarily random would catch my eye and it would be 3 o'clock before I remembered the unpublished post on the computer....so, really, we'd better play it safe and hit publish now. Yes, really.
Monday, November 9, 2009
Bag lady
Well, the Stuff continues to loom, but I had a rare weekend+ off so it felt right to do some craft.
The base is a wool/silk mix that I got in an op shop somewhere for about $1, and the top part is a vibrant purple linen from a recycled skirt. It is designed to sit scross the body. Whaddya think? I tried to get photos of it on me, but sigh, no. Trust me, I'm sparing you.
I haven't decided yet where it will go. It may go in 'the shop'. Or it may be a pressie. I had so many buttons to choose from for the flower, but Steff liked this quirky cow button, so we went with that.
Then I hand stitched the new lining in place.
Et voila! One refurbished bag!
I have one more day off now, which is filling up quick, so I'd better fly!
On Friday I took myself over to Lesley's place and sat companionably with her as she pottered and planned another papercut, and I got stuck in to assembling a bag I had cut out last week. It is from a pattern by Kathy at Pink Chalk Studio, called the Mail Sack.
The base is a wool/silk mix that I got in an op shop somewhere for about $1, and the top part is a vibrant purple linen from a recycled skirt. It is designed to sit scross the body. Whaddya think? I tried to get photos of it on me, but sigh, no. Trust me, I'm sparing you. I haven't decided yet where it will go. It may go in 'the shop'. Or it may be a pressie. I had so many buttons to choose from for the flower, but Steff liked this quirky cow button, so we went with that.On Saturday hubby and I headed to the city for an impromptu grown-up getaway. I feel like I haven't seen him for a month! It was lovely, away from the phones and the emails and the Stuff.
We went out for dinner (Globe, at the Hilton, mostly wonderful, and the good bits were Incredibly Good) and breakfast (King St Cafe, really good) and had a wander around this developing part of the city and just enjoyed ourselves in general. Comfy room, soft sheets. Exactly what we needed.On Sunday when we returned I felt like tackling a smallish craft project, that I asked Les about on Friday. She had re-lined a bag that was shabby, or yukky, and I had a lovely bag that had frayed lining. See? 
It is as an Olga Berg that I bought about 3 years ago, but the original lining was shabby. So I gutted it. The pink bit here is the external zipped pocketliner that was not frayed.
It is as an Olga Berg that I bought about 3 years ago, but the original lining was shabby. So I gutted it. The pink bit here is the external zipped pocketliner that was not frayed.Then, using the old lining as a guide I cut a new liner with a pocket, and reused the zipper for a new pocket, and reused the darted pocket opposite.
Then I hand stitched the new lining in place.Et voila! One refurbished bag!I have one more day off now, which is filling up quick, so I'd better fly!Thursday, October 15, 2009
Night shift news
Hello world. Phew. Night shift and labrynthitis are a bad combination.
It was getting better until sleep disturbance and nausea kicked in, or they kicked each other in....or, oh heck who knows? Anyway I'm on the second of 3 days off, before I lose 5 days of my life with 4 nightshifts over the weekend. Sigh.
I did three shifts with two nights early this week. Good shifts, if slightly mad. Really busy on Monday night. Dementedly so, poor coordinator was tearing her hair out. I happened to be in the rooms in her eyeline so every time I walked past I would get another little job to do. "quick - 29 weeker coming in, wants to push, you're it!" The woman arrives, screeches to a halt in a room with a big resus unit hastily assembled in a just cleaned room, not very distressed or labouring particularly, a little pain arrives, doesn't palp too strongly, yes waters have broken...or have they? The story is convincing with a witness. Ooh, baby's coming! she wails. Can I check? May I begin? Cervix long and closed and tucked away behind baby's head, just where it belongs. Excellent. Good news! You're not going to have your baby in the next hour. Lets take you back around to the assessment unit, where you can get sorted and admitted. Its too late for a fetal fibronectin test (which will indicate if she's likely to labour in the next week) as I have examined her, but it turns out she is known to staff as a 'frequent flyer' with every little thing and vague twinge. Ambulance guys have to take things on face value and bring em in, and if things were as presented we were ready to deal with it. As it was the floor of that room could now continue to dry undisturbed.
I had been sent to theatre on arrival for a breech CS. Lovely couple, sweet baby, wet and steaming to her chest, alert and responsive. Great photos, happy relatives. I was happily present when the grandparents learned the sex of their newborn first grandchild and saw him, travelling with us to the ward. Joy all around. Told her about a clinic at our hospital for women experiencing second birth after CS, so she could start planning her next birth. Back to LBS and had a cuppa.
Technically had 2 women at this point, being induced. Gave antibiotics to one of them. The other one was snoring. Got given another woman, a multip in early labour at 4cm, contracting irregularly...but who knows, sometimes multiparous women only need half an hour of good contractions before they produce the goods. Settled her into a room on my corridor (yeah, I had a whole one to myself by this time) and went in search of a listening lead for my CTG. Bloody hell, none to be found. Grabbed a handheld Doptone and made use of that instead. Major language barrier, my Mandarin is not that hot, but we established a pleasant simple rapport as I listened in and then made tea for her and her mother. I left her to it and popped in each half hour. She went off the boil, well....was never really simmering in my time with her anyway. She went on to birth at 11-ish in the morning.
In the meantime I was still dogsbodying my way through the night, attending an imminent birth of a 7th child, there was thick meconium so I called a paed for the birth and prepared the cot in case he didn't make it in time. The fetal heartrate dropped dramatically, and the baby was not coming despite vigorous pushing from the experienced mum. Sunny-side up, we all said, but the heartrate was getting really low. We'd called a few docs when the FH dropped and they quickly attached a simple suction device and helped baby out, covered in mec. He was floppy and flat as a tack, but we didn't stimulate him immediately, as the paed needed to suck out his airway so he didn't breathe mec into his lungs. HR was 40 while we poised ourselves ready to commence chest compressions, right, GO! A minute of compressions and oxygen saw his heartrate improve but he was still completely non-responsive and floppy, I ducked out to grab an oximeter from the room next door (where the 29 weeker didn't deliver) and when I came back baby was squawking and starfishing and protesting at his awakening. Poor little mite, it was all a bit sudden, but he was down and on the way out, and as much as I promote gentle birth, I was quite glad to see him yelling. I stayed there for another half hour, to get him settled and cuddled up and fed, and documenting the resus, then returned to my odd jobs. I was most grateful to get a dinner break, then I received another semi-labouring second-timer who had a quick birth last time. She too was not quite ready to labour, but I made her comfortable, hubby re-parked the car (during which time she didn't have a single contraction) and she went on to birth at 5.30 later that day. I handed over 3 women to 3 different midwives and staggered home, literally walking home half asleep.
The next night I was allocated to first-timer who had been stuck at 2 cm, on stacks of synto. Everyone assumed she was for the chop, but my student and I breezed in with positive attitudes and explained about cervical effacement and assured her that the cervix was ready to get on with it now and start dilating. And it came true! Her epidural had been working really well, and continued to do so. The trace had been really good, and was mostly good still, it just had a pattern of decelerations one sees with head compression, followed by a period of sleep where the trace looks quiet. We worked our butts off in that room, keeping the trace well monitored, adjusting the receivers, keeping the epidural well topped up, fending off doctors who kept showing up and scaring the woman, talking about 'heart rate dips, can only do it for so long, then they get tired' wanting to do fetal scalp samples, but every time that dear little baby showed a fabulous acceleration when it was needed and warded off intervention. In the end she was born easily and quite beautifully, despite the doctors inviting themselves into the room and standing at the end of the bed and itching to get their hands in there, and asking if we had episiotomy scissors. We held them off, almost literally, and the little one emerged via the student and I to her stunned and thrilled Mum and grandma, after a mammoth effort. The doctors disappeared like magic, and the student and I dealt with a snapped cord and got the placenta out without them, whole and intact, although we did invite the doctors back to do some straightforward suturing and assist with management of a slow PPH, which had been anticipated after that much synto. There was no CS. There was no transfer to theatre for placenta removal, there was a beautiful healthy 3.7kg baby and her Mum staying in the same room, where they had stoically borne their labour together. It was a great result really.
I was sad that the docs felt they had a right to come in uninvited and stand at the end of the bed, scolding her at her to 'push into your bottom' (as if any of them had ever done it themselves). If we hadn't been there they would have held her vagina open so they could see the descent and crowning better! I feel sad that they so rarely see the way a midwife conducts a birth, with gentle encouragement and positive language. We see their way of work frequently, and frankly it can be pretty brutal sometimes. It is noteworthy when its not. Sometimes it seems that they know no other way but fear and mistrust of birth, and litigation, and invading the privacy of the moment in their relentless quest for accountability. We will call them in if we need them. We do, honestly. Just like we did for the little one with thick mec and the really declining heart rate. I like having docs there to expand the skill level if need be. They are our back-up. We work together. I don't mean to doctor-bash. This is more a doctor-whinge maybe. But when they come in uninvited I can sometimes hear myself sounding a bit terse as I respond to their appearance, at which time I politely and pointedly introduce them to the woman and her family as if they had entered the woman's home, which in effect, the birthing space is, or should be. I try to believe that they KNOW this is the case, but somehow they don't behave that way. I'm sure they think I'm a grumpy cow towards them some days. Thats to the ones that aren't arrogant. When they are being mentored by the insufferably arrogant, they are just asking for terseness.
But I can guarantee them this. If, and when, any of them are in my care when they are labouring and birthing I will protect their rights to privacy and advocate just as strongly on their behalf as I do for any woman I care for. And I will use my clinical judgement to call for back-up when the situation warrants it.
Because I love being a midwife.
It was getting better until sleep disturbance and nausea kicked in, or they kicked each other in....or, oh heck who knows? Anyway I'm on the second of 3 days off, before I lose 5 days of my life with 4 nightshifts over the weekend. Sigh.
I did three shifts with two nights early this week. Good shifts, if slightly mad. Really busy on Monday night. Dementedly so, poor coordinator was tearing her hair out. I happened to be in the rooms in her eyeline so every time I walked past I would get another little job to do. "quick - 29 weeker coming in, wants to push, you're it!" The woman arrives, screeches to a halt in a room with a big resus unit hastily assembled in a just cleaned room, not very distressed or labouring particularly, a little pain arrives, doesn't palp too strongly, yes waters have broken...or have they? The story is convincing with a witness. Ooh, baby's coming! she wails. Can I check? May I begin? Cervix long and closed and tucked away behind baby's head, just where it belongs. Excellent. Good news! You're not going to have your baby in the next hour. Lets take you back around to the assessment unit, where you can get sorted and admitted. Its too late for a fetal fibronectin test (which will indicate if she's likely to labour in the next week) as I have examined her, but it turns out she is known to staff as a 'frequent flyer' with every little thing and vague twinge. Ambulance guys have to take things on face value and bring em in, and if things were as presented we were ready to deal with it. As it was the floor of that room could now continue to dry undisturbed.
I had been sent to theatre on arrival for a breech CS. Lovely couple, sweet baby, wet and steaming to her chest, alert and responsive. Great photos, happy relatives. I was happily present when the grandparents learned the sex of their newborn first grandchild and saw him, travelling with us to the ward. Joy all around. Told her about a clinic at our hospital for women experiencing second birth after CS, so she could start planning her next birth. Back to LBS and had a cuppa.
Technically had 2 women at this point, being induced. Gave antibiotics to one of them. The other one was snoring. Got given another woman, a multip in early labour at 4cm, contracting irregularly...but who knows, sometimes multiparous women only need half an hour of good contractions before they produce the goods. Settled her into a room on my corridor (yeah, I had a whole one to myself by this time) and went in search of a listening lead for my CTG. Bloody hell, none to be found. Grabbed a handheld Doptone and made use of that instead. Major language barrier, my Mandarin is not that hot, but we established a pleasant simple rapport as I listened in and then made tea for her and her mother. I left her to it and popped in each half hour. She went off the boil, well....was never really simmering in my time with her anyway. She went on to birth at 11-ish in the morning.
In the meantime I was still dogsbodying my way through the night, attending an imminent birth of a 7th child, there was thick meconium so I called a paed for the birth and prepared the cot in case he didn't make it in time. The fetal heartrate dropped dramatically, and the baby was not coming despite vigorous pushing from the experienced mum. Sunny-side up, we all said, but the heartrate was getting really low. We'd called a few docs when the FH dropped and they quickly attached a simple suction device and helped baby out, covered in mec. He was floppy and flat as a tack, but we didn't stimulate him immediately, as the paed needed to suck out his airway so he didn't breathe mec into his lungs. HR was 40 while we poised ourselves ready to commence chest compressions, right, GO! A minute of compressions and oxygen saw his heartrate improve but he was still completely non-responsive and floppy, I ducked out to grab an oximeter from the room next door (where the 29 weeker didn't deliver) and when I came back baby was squawking and starfishing and protesting at his awakening. Poor little mite, it was all a bit sudden, but he was down and on the way out, and as much as I promote gentle birth, I was quite glad to see him yelling. I stayed there for another half hour, to get him settled and cuddled up and fed, and documenting the resus, then returned to my odd jobs. I was most grateful to get a dinner break, then I received another semi-labouring second-timer who had a quick birth last time. She too was not quite ready to labour, but I made her comfortable, hubby re-parked the car (during which time she didn't have a single contraction) and she went on to birth at 5.30 later that day. I handed over 3 women to 3 different midwives and staggered home, literally walking home half asleep.
The next night I was allocated to first-timer who had been stuck at 2 cm, on stacks of synto. Everyone assumed she was for the chop, but my student and I breezed in with positive attitudes and explained about cervical effacement and assured her that the cervix was ready to get on with it now and start dilating. And it came true! Her epidural had been working really well, and continued to do so. The trace had been really good, and was mostly good still, it just had a pattern of decelerations one sees with head compression, followed by a period of sleep where the trace looks quiet. We worked our butts off in that room, keeping the trace well monitored, adjusting the receivers, keeping the epidural well topped up, fending off doctors who kept showing up and scaring the woman, talking about 'heart rate dips, can only do it for so long, then they get tired' wanting to do fetal scalp samples, but every time that dear little baby showed a fabulous acceleration when it was needed and warded off intervention. In the end she was born easily and quite beautifully, despite the doctors inviting themselves into the room and standing at the end of the bed and itching to get their hands in there, and asking if we had episiotomy scissors. We held them off, almost literally, and the little one emerged via the student and I to her stunned and thrilled Mum and grandma, after a mammoth effort. The doctors disappeared like magic, and the student and I dealt with a snapped cord and got the placenta out without them, whole and intact, although we did invite the doctors back to do some straightforward suturing and assist with management of a slow PPH, which had been anticipated after that much synto. There was no CS. There was no transfer to theatre for placenta removal, there was a beautiful healthy 3.7kg baby and her Mum staying in the same room, where they had stoically borne their labour together. It was a great result really.
I was sad that the docs felt they had a right to come in uninvited and stand at the end of the bed, scolding her at her to 'push into your bottom' (as if any of them had ever done it themselves). If we hadn't been there they would have held her vagina open so they could see the descent and crowning better! I feel sad that they so rarely see the way a midwife conducts a birth, with gentle encouragement and positive language. We see their way of work frequently, and frankly it can be pretty brutal sometimes. It is noteworthy when its not. Sometimes it seems that they know no other way but fear and mistrust of birth, and litigation, and invading the privacy of the moment in their relentless quest for accountability. We will call them in if we need them. We do, honestly. Just like we did for the little one with thick mec and the really declining heart rate. I like having docs there to expand the skill level if need be. They are our back-up. We work together. I don't mean to doctor-bash. This is more a doctor-whinge maybe. But when they come in uninvited I can sometimes hear myself sounding a bit terse as I respond to their appearance, at which time I politely and pointedly introduce them to the woman and her family as if they had entered the woman's home, which in effect, the birthing space is, or should be. I try to believe that they KNOW this is the case, but somehow they don't behave that way. I'm sure they think I'm a grumpy cow towards them some days. Thats to the ones that aren't arrogant. When they are being mentored by the insufferably arrogant, they are just asking for terseness.
But I can guarantee them this. If, and when, any of them are in my care when they are labouring and birthing I will protect their rights to privacy and advocate just as strongly on their behalf as I do for any woman I care for. And I will use my clinical judgement to call for back-up when the situation warrants it.
Because I love being a midwife.
Thursday, October 1, 2009
Happy October
Its the first day of October. How did that happen?
This (above) is Marina, she lives with Kelly now. Below is Jaune, who lives with my sister Helen. In response to a question....Jaune is legless, as is Marina if one looks carefully. Thanks Kelly for looking carefully.
I have two announcements.
First - I missed my blogiversary on September 28th. Gasp! Very few of you would remember this, my first post, two years ago. But looking back at the posts from the end of 2007 they are not too appalling, probably better then the whiny dross I have dished up lately, but with less Wild Women.
This (above) is Marina, she lives with Kelly now. Below is Jaune, who lives with my sister Helen. In response to a question....Jaune is legless, as is Marina if one looks carefully. Thanks Kelly for looking carefully.If I were better organised I would have a draw or something, with a prize. But as I haven't yet sent the de-stash prize won by Victoria in February- because I never actually DID the de-stash and therefore never identified the said goods- I feel bad, because you couldn't be said to be at the head of the queue. Yes that's right, it means I am still sitting in the same craft room mess (the very same) as I was in February. Was that TMI? Deal with it.
Anyway, I'm sure I could be persuaded to have fun with a creation of a random small gift for a commenter, and whatever it is I will send an identical-ish item to you, Victoria. One that won't clutter up your 'packing to move house' dilemma. Making small items is a pleasure, and is the only way I get to craft much these days.
So, it seems this IS now a giveaway situation (can you see this evolving before your eyes? Yeah, me too) with the leaving of a comment as the entry point.
In other news, as of today I am registered as a midwife in private practice.
I have no clients, have not advertised, and no particular plans, but have assembled some equipment so I can do antenatal and postnatal visits only at this stage, and I'll take it from there. 
It was out of a sense of solidarity with private midwives that the govt was threatening to outlaw homebirths and claiming it only affects about 200 midwives. Dammit! How dare they remove women's choices like that and ignore the wishes of women to choose homebirth with a known midwife, I thought, I'll make it 201 and stand with them........and besides, it never hurts to ruffle a few feathers. I know the Australian College of Midwives is working very hard behind the scenes to turn this situation around. I truly believe this battle will be won in the medium term. The evidence is just too strong. So . . . I filled in a form to notify the WA Health Department of my intention to practise as a midwife in private practice as of this date. and. sent. it. off. Many others have done similarly with less experience. I have people to guide me. I have trust in my knowledge and women's bodies. Antenatal and postnatal I can do. Its a start.
Gulp.
Sunday, September 20, 2009
Gotta fly!
HI gang
Sorry for the absence....Its been a madhouse in my house!
I am quickly checking in to say 'see ya!' I'm off to Adelaide for a conference, and I get to meet Kelly of Taurus Rising, who has kindly offered to pick me up and feed me dinner. Bless her heart. I don't know anyone else in Adelaide so it will be lovely to be met and oriented somewhat by a local.
Thereafter, from early Tuesday morning I will be bombarded with Stuff About Midwifery. I can't wait (no, honestly, I AM looking forward to it). There'll be a big bunch of us, so we'll have a bit of a laugh as well, but I will be boggled in the mind department by the time I leave.
Somehow I have got a few days off from work, but I've worked all this weekend, with the same woman, and the same student midwife. Its been really great. This woman had so many special needs with her complex medical care, and had been so brave despite panicky patches that we just had to see her through, so at 3.24pm this afternoon we witnessed her baby girl FINALLY emerge into the world via the surgeons. It was such a slog for her, and the baby was so sweet, and pink and pretty. The family waiting outside theatre were thrilled to bits. It almost made me cry. Almost.
I am in a mad state, haven't started packing yet, but washing is done (phew), presents to get ready, a few things at the shops, hubby wants to see a movie this evening, so I had better get off the computer and pull my finger out and get. it. all. done.
See you in a week.
Sorry for the absence....Its been a madhouse in my house!
I am quickly checking in to say 'see ya!' I'm off to Adelaide for a conference, and I get to meet Kelly of Taurus Rising, who has kindly offered to pick me up and feed me dinner. Bless her heart. I don't know anyone else in Adelaide so it will be lovely to be met and oriented somewhat by a local.
Thereafter, from early Tuesday morning I will be bombarded with Stuff About Midwifery. I can't wait (no, honestly, I AM looking forward to it). There'll be a big bunch of us, so we'll have a bit of a laugh as well, but I will be boggled in the mind department by the time I leave.
Somehow I have got a few days off from work, but I've worked all this weekend, with the same woman, and the same student midwife. Its been really great. This woman had so many special needs with her complex medical care, and had been so brave despite panicky patches that we just had to see her through, so at 3.24pm this afternoon we witnessed her baby girl FINALLY emerge into the world via the surgeons. It was such a slog for her, and the baby was so sweet, and pink and pretty. The family waiting outside theatre were thrilled to bits. It almost made me cry. Almost.
I am in a mad state, haven't started packing yet, but washing is done (phew), presents to get ready, a few things at the shops, hubby wants to see a movie this evening, so I had better get off the computer and pull my finger out and get. it. all. done.
See you in a week.
Sunday, September 13, 2009
A week in dot points
- If you're looking for something midwife-y and moving today...sorry...I don't have much However.....I've seen some yummy babies born.
- Father's day was really lovely at both ends, with young Dads greeting their first-borns, along with both Grandads in the labour room until it got intense i.e. time for pushing...then I cheerfully turfed them out to the waiting room with a hearty "Its time to go guys, next time I see you it will be with congratulations!" They were quite happy to go, while the young Dad jigged with excitement by the woman's side. He was soooooo happy to be meeting his son, and his 19y.o. partner did a lovely job of pushing the baby out. Both so accepting of the role ahead, breastfeeding promptly, then taking the baby out to meet his two grandfathers on Father's Day. Really sweet.
- Night shift. The work is good, the staff are great, the workload ridiculous at times, with barely a lull in proceedings, (trying not to) rush from room to room, turning on the charm again and again to butter up a new room of folk, just waiting, waiting, trying not to make any promises one can't keep. Coping with emergencies. Hooley dooley, we had one really big one last weekend, there were just two midwives present and my colleague saved a woman's life, literally, with bimanual compression. She kept it up while I called in for help again after the initial stuff had seemed to work, then I lifted her onto the bed so it sould continue all the way to theatre. It was mind-boggling, but she survived. Its never dull in our place, but a bit more peace would be very welcome.
- At home, my daughter has now spent her second week home alone since her workplace closed unexpectedly. BUGGER! She had made such a lovely start and was really gaining confidence, now she is job-hunting again, back to filling in heaps of forms and getting to know a new bunch, and they her. Sigh. And she needs company alot so I am unable to get any time alone to craft etc. Sigh. It gives me cabin fever, but she suffers it too, especially when I am sleeping on night shift. Double sigh.
- My hubby has been unwell with a bad elbow joint, septic bursitis they are calling it. He was admitted to hospital for IV antibiotics yesterday and is now home, although the area of redness and swelling is re-growing (i think) since he came home. He still feels quite unwell, but as he hates hospitals with a passion he was very keen to be discharged. He unfortunately won't let me fuss over him too much, much as I want to. I hope he doesn't have to be re-admitted, cos that might mean surgery.
- While he was in hospital I got to visit a friend who has been in for a fortnight and I have barely been able to see her due to nightshift. She needs a bit of TLC, and I feel bad not being available to provide it except by text.
- While Don was being ferried back and forth and admitted etc, I took Steff to swimming, and then attended a fundraiser I had committed to helping with a month or more ago. My mind was not quite with it, I must confess.
- And then we (Steff and I) went out to my sister's for dinner. We had a roast which was very yummy, and Steff had made a dessert while Don was being diagnosed. My brother-in-law was disappointed to be missing his drinking buddy. I came home just after 9.30 and couldn't settle and went to bed way too late, sleeping heavily in the end alone in the bed.
- Don is home now, and still not terrific, but on oral antibiotics, and sleeping currently. We have made cake to feed to visitors who will NOT find him in hospital and will drop in at home. He most determinedly spent the day prowling around his garden, revelling in the sunshine, and now he is knackered. I'm off to take his temperature and be his nurse and give him drugs.
- Its been a strange weekend, after a lost week on nightshift.
Sorry about that. You can fill in the blanks....
Friday, September 4, 2009
Recycled homes
This is a fabulous article and slideshow.
I saw it and pinched it from Rixa.
http://www.nytimes.com/slideshow/2009/09/02/garden/20090903-recycled-slideshow_index.html
The homes he builds are just stunning! They would make me consider moving.
I saw it and pinched it from Rixa.
http://www.nytimes.com/slideshow/2009/09/02/garden/20090903-recycled-slideshow_index.html
The homes he builds are just stunning! They would make me consider moving.
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