Latest Comments by LibraSunCNM

LibraSunCNM, BSN, CNM 18,395 Views

Joined Jan 24, '08 - from 'TN'. LibraSunCNM is a CNM. She has '9' year(s) of experience and specializes in 'OB'. Posts: 825 (65% Liked) Likes: 3,087

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  • 3

    Quote from RunnerNurse09
    I had HPV and severe cervical dysplasia that was diagnosed while I was pregnant. I opted to wait until after delivery to have it removed because of risk of miscarriage. As I recall, my Dr stated cervical dysplasia and cancer is slow progressing. So if that is the case, why a vaccine that causes a belief that it's fast progressing?
    Why not gladly accept the vaccine that prevents the cancer in the first place???

  • 6

    Quote from JKL33
    I think good information is available to lay persons now, and I'm not sure it was always the case or that it was presented in a way that seemed as compelling as the information presented by the anti-vaccine side.

    Example: Parents often ask why the vaccines must be given on this particular schedule - and believed that this would overwhelm the baby's immune system. It was pretty common to hear a response like, "Your baby is exposed to multiple germs every day - hundreds or thousands! Even eating food introduces germs!"

    That's fine and good (and true), but it's not going to make sense to the parent because the parent isn't dealing with a feverish, fussy and/or "lethargic" baby every time the baby "eats food." It makes perfect sense to them that the immune system could be overwhelmed because clearly something is different; the child is acting a little different.

    [By the way, this same rhetoric is still available though reputable online sources; I know it's factual, but I call it rhetoric because it isn't answering the underlying unspoken question, which is, "why does my baby act so punky after getting immunizations, and is that okay?"]

    I was once told at my doctor's office that vaccines don't cause fever. I had inquired whether it would be okay to give a dose of acetaminophen prior to the visit - and was told it was unnecessary because if my baby had a fever after the previous set of vaccines, it must've been a coincidence.

    Misinformation and information delivered in a paternalistic manner breeds mistrust in people who simply feel very responsible for taking care of a tiny baby.

    I really wonder if more respectful, forthright discussions could have helped, especially before wide use of "Dr. Google." Back then, if you happened to come across Dr. Sears' book - you just might end up giving it all a lot of thought.

    No need to be a conspiracy theorist at all.

    BTW, everyone I am responsible for is FULLY vaccinated, on time.
    I agree. I think it's completely valid to have questions/concerns about your own child's health, and to want to be able to discuss them. The fact that SO MANY vaccines are now on the schedule compared to a generation ago, and that newborns receive SO MANY at once can be off-putting, especially when parents are not health professionals, and when there can be side-effects like high fevers. It's scary to put your baby through that, and if more pediatricians were better about taking the time to listen to parent's concerns, instead of being paternalistic and judgmental about anyone with even a question about vaccines, there might be a lot fewer anti-vaxxers.

    I had a conversation with a pregnant client just a few days ago who was considering refusing Vitamin K for the baby at birth, because she felt like "all newborn babies aren't born requiring immediate help for their immune system." I told her to look at it a different way---that actually, she's right, the vast majority of babies who don't get a Vitamin K shot will be absolutely fine, and won't suffer from hemorrhagic disease of the newborn. But because that one rare baby who does get it has such a devastating outcome, we recommend the shot because it's a simple solution to prevent it. We hate to put babies through anything painful, but in this case pain really is the only possible risk, and the benefits truly outweigh it. She immediately brightened, thanked me, and said that that made complete sense. She said when she had discussed her questions about it with their pediatrician, she simply said, "Don't you wear your seatbelt??? It's the same thing." That turned the client off immediately and made her feel more justified in refusing it. Hopefully now that she was listened to and spoken to respectfully she will choose it for her baby. It's hard to change everyone's mind but I also believe a little compassion goes a long way.

  • 5
    sunflower83b, Maritimer, Kitiger, and 2 others like this.

    I think there are definitely anti-vaxxers that are crazy conspiracy theorists, but those aren't the norm. Most people really do want the best for their children and feel that they are making the safest choice in not vaccinating. What caused their fear of vaccines probably varies---experience with a child who has had one of the rare, true vaccine reactions that causes debilitating injury; having a child with developmental delays and feeling less upset about it if they can find a convenient source to blame; going to pediatricians who are not good listeners and who shut down any questions or conversations about vaccines, etc. I think most are well-intentioned, albeit misguided.

  • 0

    As a caveat to my earlier post, I just want to add this in for clarification: when I said "doctors are surgeons," hopefully you understood what I meant, which was that OBGYN doctors are surgeons. Obviously not all doctors are surgeons! There are, however, still some regular family practice doctors out there, mostly in more rural areas, delivering babies, who aren't surgeons, but that is a rare find.

    Carry on.

  • 1
    klone likes this.

    No, we are not "OB/GYNs without the doctor's title." Doctors generally subscribe to the medical model of care for pregnancy and childbirth, whereas midwives subscribe to the midwifery model of care:

    What is a Midwife? – Our Moment of Truth
    Philosophy of Care

    In a nutshell, you could say midwives are trained to view pregnancy and childbirth as essentially normal, but are also trained to pick up on and either treat or refer abnormal situations, and doctors are trained to view it as a pathological state that requires a lot of medical intervention. This is painting the issue with a broad brush, but that's the nuts and bolts. Some midwives are extremely medically-oriented and interventive, and some doctors are extremely progressive and practice more like the midwifery model of care, but those are the general differences between the two philosophies.

    Doctors are surgeons. They can perform cesarean sections, as well as all kinds of GYN surgeries. Midwives are not surgeons, although they may get additional training to be able to be the first assistant during cesarean sections.

    Doctors go through four years of med school, then four years of OB residency. Midwives have a bachelor's degree in either nursing or something else, and a master's degree in midwifery.

    Midwives also care for women throughout the lifespan, providing well-woman GYN care, contraceptive counseling, menopause management, and may have extra training to do things like colposcopy or prescribe medical abortions.

    Midwives work in private practices, solo practice, directly for hospitals, and in various types of clinics. 95% of midwives who do deliveries do so in hospitals, the other 5% work either in freestanding birth centers or doing home births.

    Note: all of the above refers to licensed certified nurse-midwives or certified midwives, NOT certified professional midwives, who are very different. The top link I listed describes the differences among midwives.

    Does that help?

  • 2
    meanmaryjean and babyNP. like this.

    Quote from babyNP.
    aw man. You write a really long, thoughtful reply complete with links, outlook, and best wishes...and turns out OP is a drive-by poster. Don't you hate it when that happens?
    totally! I was thinking the same thing.

  • 3
    herring_RN, elkpark, and Luckyyou like this.

    Quote from DaveICURN
    So you admit to deliberately mis-gendering me to get a rise? Well now i need legislation to make sure I, as a minority in the nursing field, never have to be subjected to people like you and your kind!

    Wait, no I don't. I'm a rational adult and can understand the shortcomings of others without resulting to personal attacks. Glad to hear from you again!
    Would you consider a black patient irrational for not wanting to be referred to by the staff at their LTAC facility as the N word? A female patient by the C word?

    That is what it would be like for a transgender patient to be deliberately ignored in their requests to be called the pronoun they identify with, or to be transferred without warning because staff finds them disgusting. That is the point of anti-discrimination laws---to protect the vulnerable. No one is out to entrap you in your "shortcomings." No one would take your license away if you mess up on the pronoun a few times. It's talking about deliberate cruelty, and yes, it's out there. Nurses are human beings and as such, cruel nurses do exist. Wrap your head around it and move on.

  • 0

    I have no direct knowledge of this myself, but in conversation with a former colleague who tried to do this very thing, I learned that it is more or less impossible. The UK allows foreign midwives from their commonwealths/former colonies (places like Trinidad, Australia, Bermuda, etc.) to work there, and pretty much no one else. That may have changed in the year since we had that conversation, and I certainly encourage you to apply directly to the UK administrative groups for midwifery, but I'm guessing you'll be SOL. Sorry!

  • 3
    Kratoswife, nehneh14, and elkpark like this.

    Quote from Flatline
    I have never been able to understand why people work to arbitrarily raise income, presumably increasing inflation, instead of decreasing prices and lowering inflation?

    Is it the human need to constantly gain, even if just psychological? Lowest hanging fruit?

    I would think the best long term investment is in making the dollar go farther instead of just diluting it.
    How is it arbitrary to need cost of living adjustments in your wage as the cost of living steadily increases??? As I stated before, it's become impossible to live on the minimum wage, and has been that way for some time, so...that's why workers are in favor of raising it. Not arbitrary, necessary.

    You're free to disagree that income disparity doesn't relate to opportunity but I don't understand that argument. The myth of everyone in the U.S. being on a level playing field and equally able to pull themselves up by their bootstraps and create the American Dream is sweet, but not true. The more money you have, the more opportunity you have to go further in life. Is it possible to start with nothing and be self-made? Of course, but it's harder and harder with the wealthiest people in the country doing their best to keep squeezing those people beneath them out of said opportunities.

  • 3

    Quote from Mini2544
    There is plenty of opportunity in this country for everyone.
    Would that this were true. Unfortunately, the steady increase in income inequality over the last several decades in this country demonstrates that it isn't.

  • 1
    elkpark likes this.

    Quote from Kooky Korky
    So here's a guy who comes here asking a simple, honest question and he's getting a lambasting from you and elkpark.

    Is it just human nature to fight over every thing?

    OP, I'm sorry your motives were suspected. I hope you stick around and can get some answers.

    I agree with you that no law would be necessary if there weren't the possibility for trouble to happen. What a mess human nature is.

    How dare anyone have an opinion or experience different than anyone else here?
    How is he getting lambasted? People are trying to explain what the law actually means, who it would affect, and why it might be necessary, but the OP is the one being aggressively negative about it and unwilling to consider other points of view.

  • 1
    klone likes this.

    Any chance you can move to another state? To answer your question, no, I don't know any CNMs who have become CPMs.

  • 20
    Meerkats, tara07733, kathyrse, and 17 others like this.

    Quote from Serhilda
    I'm still in nursing school, but back when I was earning $10.50 an hour, it never occurred to me to continuously demand a higher wage from my employer. Since the wage I desired couldn't or wouldn't be met, I simply moved on and enrolled into college. I can't relate to their mindset at all.
    Advocates of increasing the minimum wage generally do so because it is nearly impossible to live on a minimum wage income, even if you work full time, in most parts of the country, not just because they are lazy or greedy. I understand there are economic arguments against increasing it that are somewhat valid, but let's not start painting low-wage workers as welfare queens.

  • 3

    Quote from Kooky Korky
    How did that happen?
    How did she have a nightmare? I'm guessing she closed her eyes and went to sleep

  • 8

    Quote from ruby_jane
    When I walked in at 0710 a kid was waiting for me. Chief complaint: "I can't see." I have the kid walk into my office (no hesitation, no tripping). I mention this - as in, you can probably see. "No, I used my OTHER SENSES." C'mon now.
    This made me think of one of my favorite nursing memes, similar if you substitute the blindness for the SOB: