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| Two in a row; a lesson (or two) in humility | |
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| Tweet Topic Started: Nov 5 2011, 03:51 AM (343 Views) | |
| George K | Nov 5 2011, 03:51 AM Post #1 |
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Finally
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We had a c-section to do at about 5 pm yesterday afternoon. It was a scheduled case, for the lady had had a section 3 years ago. Nice gal, healthy, other than her avoirdupois. She was 5 foot 9 and she weighed in at 145 kilos. That's a BMI of 48. She told me that they had had trouble getting a spinal into her for her last section. Well, I'm pretty good with a needle, and the last time I was unable to get a spinal or epidural into someone was about 5 years ago. So, with that confidence in mind, I sat her up and started to get to work. I could feel nothing. Nothing. Her back had all the definition of a mattress. I couldn't feel her spine, her hip bones - nothing. I poked around for about 20 minutes with no joy. I always put in lots and lots of local, so at least she didn't hurt while I tried and tried. Even with the needle, I never felt anything. Never hit bone, never got that very distinct "feel" of being in the right ligament. No. Joy. FInally I looked at the OB and told him that this isn't going to happen, and we should just go ahead and get her off to sleep. He agreed, and everything worked out fine. I thought to myself, "Well, it's been 5 years since that happened, I guess I'm good for the rest of my career if I retire before another 5 years passes by." I went upstairs to eat dinner, and about half an hour later, another OB calls and tells me that the lady he's been inducing all day long has not dilated, at all, and we should section her. "Hopefully, you won't have to put *this one* to sleep," he says. So, I went downstairs, and I saw Joanie. The first thing that struck me was the overwhelming smell of cigarettes in the room. Her father, her mother, her brother and sister were all in the room, as was her husband. They reeked of smoke. The second thing I noticed was how enormous Joanie was. She was all over the bed. Just a huge blob of humanity lying there, in labor. She was a bit smaller - her BMI was only 45, but she had gained 100 lb during her pregnancy. I interviewed her, and told her what the plan was for her anesthesia. We brought her into the OR, I sat her up and started to get to work. I could feel nothing. Nothing. Her back had all the definition of a mattress. I couldn't feel her spine, her hip bones - nothing. I poked around for about 20 minutes with no joy. I always put in lots and lots of local, so at least she didn't hurt while I tried and tried. Even with the needle, I never felt anything. Never hit bone, never got that very distinct "feel" of being in the right ligament. Sound familiar? Again. I looked at Jody (the OB) and said to him, "We're not getting anywhere, here. I think we should proceed with getting Joanie off to sleep..." And we did. Everything went fine, baby came out OK (though it look a long time for him to get the baby out - long way in) and we got done about an hour and a half later. Usually, a c-section takes our guys about 50 minutes from the time the spinal is in until they're done. This one took 40 minutes longer. Damn. |
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A guide to GKSR: Click "Now look here, you Baltic gas passer... " - Mik, 6/14/08 Nothing is as effective as homeopathy. I'd rather listen to an hour of Abba than an hour of The Beatles. - Klaus, 4/29/18 | |
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| apple | Nov 5 2011, 04:39 AM Post #2 |
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one of the angels
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it's not you George - it's the fat and those stupid corporations that sell candybars and potato chips. They probably gained a bit of weight over halloween. rest easy. |
| it behooves me to behold | |
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| Mikhailoh | Nov 5 2011, 04:49 AM Post #3 |
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If you want trouble, find yourself a redhead
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Humility is good. It only hurts at the time |
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Once in his life, every man is entitled to fall madly in love with a gorgeous redhead - Lucille Ball | |
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| Axtremus | Nov 5 2011, 05:07 AM Post #4 |
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HOLY CARP!!!
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So ... does this experience make you more amicable to the Fat Tax? Glad every one turned out fine in the end.
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| brenda | Nov 5 2011, 10:50 AM Post #5 |
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..............
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I had to plug in the 145 to a conversion chart. Wow. Glad all went well. |
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“Weeds are flowers, too, once you get to know them.” ~A.A. Milne | |
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| jon-nyc | Nov 5 2011, 11:13 AM Post #6 |
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Cheers
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Im surprised they can get pregnant. I would think the rest of them would have all the definition of a matress too. |
| In my defense, I was left unsupervised. | |
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| George K | Nov 5 2011, 11:36 AM Post #7 |
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Finally
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OK. You opened the door, and I'll walk through it. Suffice it to say that when we do a section under general anesthesia, the conversation is frequently a bit more ... um... colorful. The OB that was assisting on Joanie's case, once we were finished and out of the room told me a story about a patient she had when she worked downtown. Seems that this lady was very very large, and her husband was a skinny little guy (that's pretty common, by the way). The subject of the "mechanics" of getting pregnant came up, and she and her husband were rather frank and open about how they did it. It seems they had help. Her brothers. Each one held a leg, and she and her husband (for lack of a better term) performed the insemination. On the dining room table. Edited by George K, Nov 5 2011, 11:45 AM.
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A guide to GKSR: Click "Now look here, you Baltic gas passer... " - Mik, 6/14/08 Nothing is as effective as homeopathy. I'd rather listen to an hour of Abba than an hour of The Beatles. - Klaus, 4/29/18 | |
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| Horace | Nov 5 2011, 11:41 AM Post #8 |
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HOLY CARP!!!
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Quality time with the family. |
| As a good person, I implore you to do as I, a good person, do. Be good. Do NOT be bad. If you see bad, end bad. End it in yourself, and end it in others. By any means necessary, the good must conquer the bad. Good people know this. Do you know this? Are you good? | |
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| Larry | Nov 5 2011, 11:45 AM Post #9 |
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Mmmmmmm, pie!
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BAHAHAHAHAHAHAHAAAA!!!!!! |
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Of the Pokatwat Tribe | |
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| Larry | Nov 5 2011, 11:50 AM Post #10 |
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Mmmmmmm, pie!
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Making candy bars and potato chips doesn't make anyone fat. EATING them like a pig in slop makes you fat. Why blame the manufacturer of a perfectly legal product that everyone enjoys for the poor decisions of slobs who don't know when to stop shoveling stuff into their mouths? She could just as easily gotten that fat eating tofu and bean sprouts, if she kept her mouth stuffed full of it.. |
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Of the Pokatwat Tribe | |
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| George K | Nov 29 2011, 03:08 PM Post #11 |
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Finally
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Busy as hell in OB yesterday. 4 epidurals (including one in a lady with a BMI of 46) and 2 c-sections. 6 in a row - 1 stick each. After an experience like I had in my post a couple of weeks ago, you get worried. Yesterday, no problem. Not at all. |
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A guide to GKSR: Click "Now look here, you Baltic gas passer... " - Mik, 6/14/08 Nothing is as effective as homeopathy. I'd rather listen to an hour of Abba than an hour of The Beatles. - Klaus, 4/29/18 | |
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| kenny | Nov 29 2011, 03:16 PM Post #12 |
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HOLY CARP!!!
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George, congratulations on getting your stick into these big ladies...but did you need their brothers' help? |
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| George K | Nov 29 2011, 03:18 PM Post #13 |
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Finally
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Nah. I did it from behind, and my stick was nice and skinny. |
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A guide to GKSR: Click "Now look here, you Baltic gas passer... " - Mik, 6/14/08 Nothing is as effective as homeopathy. I'd rather listen to an hour of Abba than an hour of The Beatles. - Klaus, 4/29/18 | |
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| Nobody's Sock | Nov 29 2011, 04:03 PM Post #14 |
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Fulla-Carp
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Haha! Don't get too smug Doc, these things come in 3's!!!!!! |
| "Somewhere, something incredible is waiting to be known." | |
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| George K | Nov 29 2011, 04:05 PM Post #15 |
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Finally
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True, dat. Especially bad things. |
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A guide to GKSR: Click "Now look here, you Baltic gas passer... " - Mik, 6/14/08 Nothing is as effective as homeopathy. I'd rather listen to an hour of Abba than an hour of The Beatles. - Klaus, 4/29/18 | |
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| LWpianistin | Nov 29 2011, 05:05 PM Post #16 |
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HOLY CARP!!!
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And you're proud of that? So, that story about the fatso and her hubby is quite romantic.... Wonder how that convo went:Fattie: "Hon, I want a baby." Mr. Fattie: "But you're too fat for me to get in there." Fattie: "I know! Bob and Alfie aren't busy. Let's see if they can hold my legs." But really - how would you come to that conclusion? I would never think to ask family members to help in that situation. Now, in Jolly's area, I'm sure it's quite common practice. |
| And how are you today? | |
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Wonder how that convo went:
4:17 PM Jul 10