Elvish BSN, DNP, RN, NP

Community, OB, Nursery

Member

All Content by Elvish

  1. Boston FNP, the entire rest of the industrialized world - where infant circ has not been the norm for several decades, if it ever was at all - looked at the exact same evidence and came to the...
  2. Even the AAP, who by far is more pro-circ than any other pediatric health organization in the world and even they stop short of recommending it, says that intact memberes do not require any special...
  3. A good deal of the reason why dudes want more friction is that cultures which practice this kind of thing (lady partsl drying) also circumcise men. A circumcised member is going to pull out most of...
  4. Elvish

    Home births gone wrong

    I almost wish we'd completely do away with EFM. I can't tell you how many times I've had a beautiful baby trace without the first variable or late decel (earlies are fine!) and come out limp as a...
  5. Elvish

    Home births gone wrong

    Yet, birth outcomes in countries with c/section rates in line with WHO guidelines are not significantly worse than those with higher rates....
  6. Not surprised at all. Men and women both have next to no knowledge of how bodies work. We are so sorely lacking in sex and reproductive physiology it is embarrassing. The natural end result is...
  7. Elvish

    Home births gone wrong

    The reason there's such an anti-section sentiment is that C-sections are way overused. Some facilities have a 50% c-section rate, which is appalling. It's 3-5x higher than the WHO ideal of about...
  8. I find it's one of two reactions: 1) Please don't judge my every move; or 2) Yeeehaw, a new best
  9. Elvish

    Being Ordered to Give Whiskey

    The thing is, if they're not interested in detoxing, it won't matter how much Librium or Ativan or whatever we give them. It's not going to stop the alcoholism. They aren't going to magically detox,...
  10. Elvish

    Being Ordered to Give Whiskey

    Did it plenty of times. The beer that came up from pharmacy with meals was cheap and terrible but it kept people out of DTs. One of my favorite patients was the little 96yo man whose 71yo son would...
  11. Elvish

    Overweight Healthcare Workers

    God forbid this sweet young thing end up having to have long-term corticosteroid therapy that causes her to gain 40lb and have a moonface. That's life, though. It happens and there but for the grace...
  12. Elvish

    Crying with/in front of patients?

    I have cried many time alongside my patients who are dealing with difficult situations. Most of the time our job is a happy one and the tears are r/t joy, but when they are sad tears it is ok to cry...
  13. Elvish

    Do you ever wish you were a doctor?

    Nope.
  14. Elvish

    I'm a Man, Can I be Successful as An OB Nurse

    I mean....if we're gonna start telling people what they should and shouldn't be interested in based on their gender, I supposed we could go back to the Bronze
  15. Elvish

    Only Crusty Old Bats will remember..

    Ahhh, giving Demerol. And giving Phenergan IV. We really don't do either anymore. (Occasional Demerol for postop shivering but nothing else.) When I was a baby nurse 15 years ago I was on a general...
  16. Elvish

    I'm a Man, Can I be Successful as An OB Nurse

    I think it will vary depending on where you are. I work in the South at a large teaching hospital with pretty progressive hiring practices. I've worked with male L&D nurses and male postpartum...
  17. Welcome home!!!
  18. Elvish

    Returning to L&D after miscarriage

    One other thing: You may or may not find it useful to make something to commemorate your baby, and you may have already done that. A coworker of mine gave me a kit to make a cement stepping stone...
  19. Elvish

    Returning to L&D after miscarriage

    I had a miscarriage much earlier (1st tri) back in 2010 while I was working mother/baby and there are no two ways around it...it was difficult. I took the weekend off (I'm a weekend option person) and...
  20. Elvish

    Hurricane Matthew Updates

    Thank you so much! It means a lot to know that people around the country are reaching out and thinking of those who were so directly impacted. My house and neighborhood are fine, but people 5 miles...
  21. Elvish

    Hurricane Matthew Updates

    Eastern NC is still very much hit hard. Some of the rivers have started to recede and recovery has just started for people in those areas. Please consider donating to relief/recovery
  22. Elvish

    Any 22 weekers out there?

    My guess is that this poster may be from somewhere outside the US where NICU care practices and capabilities may be different. When I was in Nicaragua, I asked the OB attending at a teaching hospital...
  23. Elvish

    Hurricane Matthew Updates

    Eastern NC has gotten smacked very very hard by Matthew. Some areas got 16" of rain in under 24 hours, and our ground was already saturated. People still do not have power, roads have been washed out,...
  24. If this is an American text, I am not surprised to find advice like this. Countries that do not routinely circ do not advise providers to check under a foreskin to see if cleaning is adequate. NO...
  25. Elvish

    PKU test help

    Here is my step-by-step process for newborn screening: 1) Heel warmer on foot (I use the one without the Hugs tag) 2) Swaddle baby so all extremities are secure except the foot I'm about to draw...