How to Find a Caregiver for your Natural Childbirth Experience

1. Types of caregivers

  • Obstetrician: Experts in handling complications
  • Family Doctor: Experts on standard medicalized hospital births
  • Midwife: Experts in natural birth and preventing complications

2. Consult those your community who are knowledgeable about candidates

  • homebirth midwives
  • experienced doulas
  • mothers with positive birth experienced
  • Look for those with the most experienced in the type of birth you want. 

3. Questions to ask prospective caregivers

  • If you have children what kind of birth did you/your partner have and what did you learn?
  • Can you tell me about the most recent natural birth you attended? What about your last long medical birth?
  • In your opinion what helps achieve a natural birth? What can we do to prepare?
  • What are the main reasons people who want natural births do not have them? How can we prevent that?
  • What is the value of birth pain? What does birth pain mean to a person?

4. How to pick your caregiver

  • Do they have experience with natural birth and with long labors?
  • When they answer the questions you ask are they defensive or are they thorough and thoughtful answers?
  • Do you trust and enjoy being around this person?

5. Once you have a caregiver what now?

  • For each prenatal visit bring a story about natural birth that inspires you. Your enthusiasm is contagious!
  • Share elements of your ideal birth even before you write your birth plan
  • Share your feelings about the upcoming birth and what you’ve been thinking about.
  • Share what imagining the birthing process has been like for you
  • Ask your doctor about specific aspects you need support in like:
  1. how labor will begin (if it will be induced)
  2. positions you can give birth in
  3. what will happen if you go past your due date?
  4. what will happen if the water breaks before contractions?
  • Be sure to emphasize how important these things are to you without saying your doctor is wrong for having a different view.
7

Watch it —-> here

Captain America: Winter Soldier - Robocop au (well sort of)

Plot: When crime is out of control even Captain America can’t deal with it alone. 

When Bucky is found frozen in one of Hydra’s safe houses by Shield, director Pierce decides to wake him up and use his “improvements” added to his body by doctor Zola to deal with the problem. Officially Winter Soldier is there to “help” Captain America but in fact brainwashed Bucky gets an assignment to kill Steve and take his place. When he starts getting his memories back it becomes clear that controling Winter Soldier is not possible. 

It’s barely there stucky vid. In my head it’s a m/m story but my vid is more subtle than my imagination (not enough scenes to tell the truth).

Watch on passionate-slytherin.tumblr.com

A video that my dad took at a remembrance program we have each year at his funeral home. I actually suggested it as a joke, which he took seriously, but he figured that wasn’t appropriate to actually tell people.

I got diagnosed with an auto immune disease, and after this video was made I was diagnosed professionally with a panic disorder and depression, and am now taking prozac.

In this past year and a half I’ve learned a few things about people, and their pride, and their fears. And I wondered if I could ever help.

So. Here’s my story.

I keep on thinking
If I knew more about psychology I would understand it
I would grow to like it
Hopefully even love it
The more I learn the more I cannot believe that this is happening
DBT is based in this idea of reward and punishment
As punishment for cutting myself and trying to kill myself the doctors forced me strip down naked and point out all of my scars and told me how much of an awful idea it was to hurt myself
He asked why I was crying
I deserved this treatment if I wanted to not be treated this way I should have behaved better
It is too late now
The deed had been done
The die has been cast
There is no turning back now

American medicine is the best in the world when it comes to providing high-tech care. If you have an esoteric disease, you want to be in the United States. God forbid you have Ebola, our academic medical centers are second to none. But if you have run-of-the-mill chronic diseases like congestive heart failure or diabetes, the system is not designed to find you the best possible care. And that’s what has to change.
— 

Dr. Sandeep Jauhar

Dr. Jauhar’s book is called Doctored: The Disillusionment of An American Physician

Sierra Leone’s Leading Ebola Doctor Contracts Ebola

The doctor at the forefront of Sierra Leone’s fight against the unprecedented Ebola outbreak in the region has contracted Ebola himself, Reuters reported Wednesday.

As of this week, Ebola has claimed 632 lives in three West African countries, according to the World Health Organization. Virologist Sheik Umar Khan, 39, has treated more than 100 victims of the disease. Sierra Leone Health Minister Miatta Kargbo called him a “national hero” and said she would “do anything and everything in my power to ensure he survives,” according to Reuters.

Last month, Khan told Reuters that he was aware of the risk of himself contracting the disease, which kills up to 90 percent of those infected. “I am afraid for my life, I must say, because I cherish my life,” he said. “Health workers are prone to the disease because we are the first port of call for somebody who is sickened by disease. Even with the full protective clothing you put on, you are at risk.”

You must love the work, not the idea of being a doctor. Enjoy the training process and seeing and doing things for the first time - delivering a baby, doing your first lumbar puncture, holding the hand of someone when they are dying. It is the most amazing and rewarding work and the more you give, the more you receive. We are privileged.
—  Dr. Holly S. Andersen, Attending Cardiologist and Director of Education & Outreach at the Perelman Heart Institute at NewYork-Presbyterian Hospital/Weill Cornell Medical Center
10 Tips For You Newbie Doctors from Someone Who Was in Your Shoes Not Too Long Ago

Soooo black Wednesday has been and gone. For the unintiated this is the day when all the fresh doctors from medical school arrive to take up their first jobs.

image

(no, we’ll be fine! I promise!)

I am a year senior so we get inducted and start around 2 days later than the newbie doctors. When I finally met the 2 doctors under my tutelage one of them burst into tears in a mixed state of happiness at my arriving and reflection of her struggles during the last couple of days and the other was clearly stressed out of her mind and putting on a brave face.

image

Over the next week I gave them some advice and guidance and they started leaving on time and in fact became much more confident with their role. We even have bowling with the team to look forward to now that everyone has settled in.

I hope to share the advice I gave them with anyone else who is a new doctor and finding things daunting. This is advice from someone who has been in your shoes and needed this advice at that time. Hope it helps.

1. You should never be I’m a position where you are the last port of call for medical advice - you will always have seniors to ask advice from. Please seek their advice and don’t feel you are alone. We expect this of you in the first few weeks. This leads me onto…

2. If there is any doubt…ASK! - A junior that is not aware of their limited knowledge and of when they should call for advice is a dangerous doctor. If you have any doubt just run it by a senior. Do not think this makes you a worse doctor. It makes you a better one.

image


3. The senior nurse is a font of knowledge - you can always ask their advice on things. They have been there for years and will know the ins and outs of the wards. Want to know what the usual discharge planning for a fractured neck of femur is? Ask the sister. Want to know what clinics you can refer your patient to? Ask the sister. Want to get someone to calm down a patient’s family since you are preoccupied….who you gonna call? Just hope you don’t have a matron/sister like this one…..

image


4. Get to grips with the history of all your patients - when you are doing the ward round with the consultant and they say “oh, who was he again?” in reference to a patient you should be able to tell them everything they need to know. If you can do that then the senior doctors and all the nursing staff will have much more confidence in what you say. How can you do that? That leads me onto….

5. Make a patient list that you regularly update and contains the salient things you need to know - I typically make my list at the end of the day and update it very briefly with any new overnight patients the next morning. My list contains patient name, dob, hospital number, comorbidities, presentation and current management, salient blood tests or scan results and an empty box for note making. Read over this list before you start your ward round just to refresh your brain and go wow them with your knowledge!

image


6. Blood tests should be checked religiously and don’t forget to book then in advance - most hospitals have a phlebotomy service, do take advantage of them. Book blood tests you want the day before and on Friday for the weekend (let the on call doctors know to check the blood tests during the weekend) and for Monday. When a patient has had blood taken you will typically get results back by around lunch time. Try and specifically allocate yourself a time to review blood tests and don’t leave it to the last minute of the day….discovering a potassium of 7 several hours after the fact is not good practice and will leave you staining your pants at the end of the day…

image


8. If you have a portfolio that you need signatures for to show you have competency in skills….Get it filled early. Do not ever wait till the last minute because you will be stressed and may not even get exposure to things you need to get signed off last minute.

9. After work, chill out. Relax. Don’t stress about the day. It’s someone else’s problem now. I strongly recommended going to the gym or doing some sport to keep you fit and get rid of work stress. But do whatever you find helps.

image


10. Plan out your career as far as you can. If you want to be a surgeon. Let your team know and ask to help on procedures and get in on research papers and audits. These things are easier to do the earlier you start them!

And finally, have fun. Get to know your team. Have some banter. Crack some jokes. Make lifelong friends. You will have a great year. Till next time dear readers.

DoctorPhantom

I had never before met a doctor before who thought that my impressions of my health and wellness were as valuable as his own. This wasn’t a one-off thing, either. Over the decade that I saw him, Dr. R and I would routinely have discussions in which he would offer his own expertise, but then ask me how I felt and what I thought, and always in a manner that was sincere and interested. It wasn’t that he just went along with whatever I said, but he made me feel like I had the right to give input as the occupant of the body in question, rather than being dictated to, a passive and obedient patient.

In short, it felt like he and I were collaborating in my health, that I was an active participant in my own care. This was such a precious and magical gift, after all those years of thinking of my body as an aberrant monstrosity I was fighting, rather than an inexorable and valuable part of me.
Text
Photo
Quote
Link
Chat
Audio
Video