ayndim

There is an easier way to do these. 18 - 3 1/3 = 14 2/3 Borrow one from the 18 and put it in the fraction column as 3/3. Remember one can be expressed in fraction form as any number/same number (i.e., 5/5, 4/4, 500/500 -- they all equal 1). Now you have 17 3/3 - 3 1/3, 17-3 is 14 and 3/3 - 1/3 = 2/3. 3/8 into a percentage. Remember the / simply means divide. Divide 3 by 8 = .375 Convert decimal into percentage by multiplying by 100 or easier move over two space to the right 37.5% 6:14. Divide 6 by 14 =.428 move decimal over two places to make it into a percent 42.8% I know this is kind of an older post but as a former teacher I know how hard math can be. This is the way I taught my kiddos and they did amazing in math.

I had the nurse tell me that my baby was a biohazard, as she was trying to get me to agree with letting her bathe the baby. Yeah, well since he was inside of me, guess that makes him my biohazard! Luckily, I was delivering just as shift change occurred and the first nurse stayed on for the delivery. Which of course was awesome of her. The "bathing baby" nurse and I wouldn't have gotten on. The first thing she wanted to do was count, which is my pet peeve. Luckily, my husband told her to stop. Hello, my body knows what to do and if it doesn't the CNM certainly does. You are right about "educated" parents. One of the reasons that I chose that hospital was for its low-intervention and more down-earth attitude. I had my second there and it was awesome. Except for the one incident with the nurse, my third was also awesome. Would love to work there, except since we moved it is an hour drive with no traffic. Don't think the nurse was a regular nurse there.

What if mom says no, she will bathe the baby? I had a nurse with my 3rd baby tell me that I couldn't bathe my baby (I gave the other two their 1st baths) because that is when she did her assessment. Not this time -- you can assess after I bathe my child. Seems silly but as a woman who just gave birth I thought it was important to give 1st baths. Gosh my first when to the nursery for breathing problems and I still was the first one to bathe her. The nurse just rubbed her off with a towel. As for the sterile water, any one who has been in a delivery room or has children will say -- ha ha!!!!! My 3 survived just fine with mom giving a bath with plain, old tap water.

Population in Circumcision AIDS prevalence thousands Country rate(%) per 100,000 (1990) -------------------------------------------------------------------------------- Japan 1 0.2 123,638 Finland 1 0.9 4,984 Norway 1 1.5 4,247 Sweden 1 2.0 8,527 Germany 1 2.2 63,237 France 1 3.5 56,367 Mexico 1 4.2 88,598 Denmark 1.6 4.4 5,135 Italy 1 8.9 57,664 Spain 1 14.2 39,405 UK 7 2.4 57,410 Canada 30 3.8 26,560 New Zealand 40 1.2 3,296 Australia 40 4.5 17,083 USA 85 16.0 251,398 Israel 95 0.5 4,586 Sorry about the chart but it is in the doc. 1st no,. is circ rate, 2 hiv rate/100,000 American men are reluctant to use condoms. Studies indicate a considerably higher acceptance and usage rate for condoms in Europe and Japan, where circumcision is almost never practised. Some have suggested that American men are resisting a layer of latex that would further decrease sensation from a glans already desensitized from the keritinization following circumcision. Moreover, condoms are more likely to fall off the circumcised member78. This low acceptance of condoms may be responsible for the high rate of STD and teenage pregnancy rates in the United States--the only industrialized country that has failed to control bacterial STDs during the AIDS era79. Hmmm! That would explain the above results. Behavior, not circumcision, is the major player in your HIV risk. And weren't the first round of African studies already proven to be flawed? Why not study it here or in Europe? Circumcised men are at greater risk of HIV infection

What bothers me is that another nurse had to find you a gown and face shield. I bet that causes some resentement, as you should have gotten them yourself. Otherwise, I think as long as you are doing the work, such as changing the sheets yourself when notified, there shouldn't be a problem.

I think for babies that being uncirced is more hygenic. I have two little boys and nothing ever got under the foreskin. They have never had a UTI. And I never retract it. They can do it when they are older and there Daddy shows them. Don't need to wash under it just yet. As for adults, how hard is it to clean one. Really!! Just pull it back, wash, rinse and push it back. As for it being traumatic for teenagers or adult men, imagine how it is for an infant who has no idea why surgery is being performed, especially for the little ones who get no numbing or pain killers. On a side note, why are there so many men in the U.S. who "had it done as adults" yet very few Europeans.

I feel your pain. When my husband got laid off in 2001, I was 8 months pregnant. Luckily, the company paid the insurance for 2 months. We also had a very low mortgage payment. However, like many young Americans we had a lot of cc debt. Well we didn't want to file bankruptcy and spent almost 3 years paying everything off. And only have an emergency cc that we never carry a balance on. We even paid cash when I need a new car. I make small purchase each month and pay it off just to keep the account active. We only got a house because we qualify for VA, which only requires 1 year of no late payments. It takes forever to bring your credit score up. Yet I know someone who filed bankruptcy. A month after it was final, they were out buying a new car and other stuff on credit. They were in no worse situation than we were before they filed. All of their debt was credit card! There was also no change in their employment situation. What's more is they waited until they had and spent their tax refund just so they court couldn't take it. And because they didn't work to pay it off they have learned no lesson and are once again in the same situation. Oh I am sure there are situations that bankruptcy is needed but there are many that aren't.

I am not sure how long ago that was but luckily they can't do that now. You must have a chance to appear in court and a court order has to be issued to feeze assets. Except maybe for Mr. Taxman and other government people. Not sure about them.

Employers can refuse to hire you because of bad credit but not bankruptcy. Under the Bankruptcy Act it is illegal for non-governmental employers to discriminate on the basis of bankruptcy. http://assembler.law.cornell.edu/uscode/html/uscode11/usc_sec_11_00000525----000-.html The credit check most employers run, unless you are handing finances/money, is basically looking for indicators that you are in desperate need of money. With those who have access to drugs, they are looking to see if you are in such a bad situation that you might steal the drugs and sell them to raise money. You can have good credit but be 100,000 in debt (not student loans) and apply for a $20/hr job. If you have no additional resources, i.e, a sugar Daddy or rich hubby, you could be considered a risk. Even with a good credit score. I used to be an accountant and also worked in HR. I have seen plenty of bad credit but never denied anyone a job because of it. Employers are not creditor police. They are trying to protect their assests.

I don't think she actually laughed. Just wanted too.

I did tell the teacher when I dropped my daughter off at school. She is going to talk to the parents, while keeping my daughter's name out of it. She is also going to ask the school nurse to come in and talk to the kids. It sends shivers down my spine every time I think about a child doing this. I explained to my daughter on the way to school that her brain needs oxygen and that this takes it away. That her brain wouldn't be able to breathe if she did this. And sometimes the brain started breathing again and sometimes it didn't. I let her know that it doesn't matter if it is the first time or the 10th time you did it. You just don't know when your brain won't be able to breathe again. This seemed to be the most age-appropriate explanation, as she equates oxygen to breathing. I also told her that because her brain isn't breathing part of it dies everytime this is done. She would probably understand more but honestly, I don't know the entire physiology behind dying from doing this. Of course, I will be doing my research this weekend. Thanks for your advice. I didn't think about informing the school. I will make sure to talk to the teacher about it. I am sure the nurse will know what steps to take. She is an actual nurse (RN) with many years of nursing experience.

My 1st grader came home yesterday and told me a classmate almost passed out and she had to help her. When I asked her what happened she said the little girl was choking herself!!! These are 6 and 7 year olds for goodness sakes. I know the little girl and she has an older sister and wonder if that is where she learned it. Of course, I know about the choking game. It was around when I was a teenager. And I knew I would have to talk to my kids one day but not yet. Luckily, my daughter is very smart and loves all things medical. I explained that it can hurt her brain and that people can and do die from it. She is very self-regulating with inappropriate things and I count myself lucky with her. Still, I can't rely on her doing that as some things put their lives at risk. Not a chance I am willing to take. Anyway, has anyone heard of kids this young doing this? I still find it unbelievable that a child of that age knows about this. Of course, they start teaching about the dangers of drugs early but who would have thought....... Of course, I have to tell someone. Unfortunately, I don't know the parents very well but I do know that they wouldn't tolerate this. They are as protective and involved as I am with my kids. I have thought of leaving an anynomous (sp?) letter in the child's box, in a sealed envelope. Or going to the teacher and having her let the parents know. I want to keep my daughter out of it, as I don't want her to have problems with this little girl. Of course, I have to do something this am. I couldn't forgive myself if I did nothing or delayed doing something and something terrible happened.

Imitrex can be pretty nasty, imho. I had a shot of it once and felt like my head was on fire. You know like when your hand falls asleep and then "wakes" back up. The pain was worse than the migraine. Okay not really but it still hurt like :angryfire . I wouldn't say I was allergic but I wouldn't want it again.

I think it is unfair to present the option to the mom while the student (male or female) is in the room. Let the mom decide without feeling any pressure. I did have a student (female) when I had my second. But I was asked before she came in. She was great and was a doula prior to nsg school. I would have refused a male nursing student/male nurse or male dr. for personal reasons. But it would have been horrible to do so in front of the nsg student. And to be honest, my husband would have probably been rude since he is privy to my personal reasons. I also refused a male resident during a bout of preterm labor. In this case the nurse told me a resident would be checking me and I asked if it was a male or female. When she said male, I told her either find a female resident or the nurse could do it. I realize that residents need to practice and that this was a teaching hospital (not where I normally deliver but it was early and my ctx were strong) but didn't see any reason I had to have a male resident when a l&d nurse is more than capable of doing a vag exam. Probably better at it than a first year.

Wow, I hadn't either. I am always joking that I want a caffiene IV. Gosh I could really become a frequent flier with that available. About 2 or 3 times a year, I have been getting migraines so bad that I end up in the ER. Truthfully, demerol doesn't do a thing for them just makes you sleepy. And yet that is what they always want to start with at my local ER. And if you say "Demerol doesn't work" they think you want a different narc. I for one would prefer a non-narc, since I have three kids I have to take care of. And I really don't like feeling "high." Anyway, I once went to the ER and they insisted demerol was it and I was in no mood to argue. When I said that my migraine was still there, the nurse actually refused to tell the dr because "He already wrote your discharge papers." I felt like crying. So my hubby took me to the urgent care (about 1 hour drive) where they gave me an injection and something for nausea. Since I am still a nursing student, I hadn't been able to figure out what it was. After reading this thread, I realized it was probably toradol. Thanks guys. The ER here acts like there is no good non-narc pain relief for a migraine. I am assuming that toradol isn't a narc. Since I was still full of demerol, I wouldn't have known the difference.

I doubt if anyone will hire him without RN experience, so he may just be in for a rude awakening. If you look at ads for NP's they want a number of years working as an RN. From what I heard about BA to MSN programs, they require the students to take at least a year and work as a RN. I could be wrong. I would not see a NP or CNM who had no RN experience. I go to both because I like the care that Nurses give. Kind of hard to do that if you have never really been a nurse.

If you want to come home to your son every night, the military isn't for you. The military will always put their needs first. Like the others said, there is always the possibility that you will get shipped to a war zone or somewhere overseas. You can state your preferences for duty stations, but the military will put you where you are needed, regardless of your preferences. If you are looking for a way to pay for college, then I would suggest looking into hospitals and other sources of financing. If you truly want to be in the military then I wish you the best with your tough choice. Good luck.

Actually, it isn't mandatory. That is a myth. Parents can sign waivers for school, although unvaccinated children will not be allowed to attend during a breakout in which they are not vaccinated against. I did alot of research when my first was born about the pros/cons of vaccinating and talked to my doctor about it. He told me I could not be forced to vaccinate my children in order to have them attend school. The only exception is daycare, as that is not mandatory. I wasn't worried so much about the autism link but it boggles my mind how we can shoot tiny babies full of so much stuff. Their immune systems are still developing, as are many other systems. Top it off with the fact that they just went through such a traumatic event. From nice warm cocoon to big, cold world. I think we need to let them adjust to such a big change for at least 6 months.

I will never use a new, "untried" vaccine on my children. I have always believed that vaccines start too early and therefore delay them until my kids are between 6-9 months. Mind you I was a stay-at-home mom who breastfed exclusively and was not given grief by my ped. I probably would have seen it differently if my kids had to go to daycare. Anyway, had I not delayed the vaccines my oldest would have received the original rotavirus vaccine. I know the incidents were rare but I always wonder...... So I am all for vaccinating at an appropriate age and for diseases that are a threat to our own children (i.e., a threat if they got the disease, not a threat of catching it). I may be wrong but I don't see rotavirus as a huge threat if my children got it. From my understanding, dehydration is the biggest concern. Please someone correct me if I am wrong. I am not sure if it is just my ped or if it is now standard, but I insisted that there be no mercury (thimerosol, sp?) in my kids vaccines. I was told that the vaccines were thimerosol-free. I assumed it was every child vaccine not just the ones my ped used. But who knows. The ped gets alot of business from the CNM clients and he may have had a lot of demand for thimerosol-free vaccines. Most of the women I talked to when at appts for the CNM had some reservations about vaccines.

I don't think it is only because of the mw. One of the thing about countries that follow a midwife model of care is that prenatal care is cheap and easier to access. So using more midwives equates into more women receiving prenatal care. I remember one study (I will try to find it if anyone wants to read it), that all things being equal that MW care results in better infant and maternal outcomes, but not as significant as the US vs. Western Europe surveys. Of course, any research that does not exclude high risk pg/births, which are usually attended by doctors, will give skewed results. I think one reason for the great MW outcomes is that a good MW will empower the woman, assure her that her body knows what it is doing and educate without degrading. And many MWs stay with the pt for most of the labor/delivery when in hospital. Of course, homebirth MWs are also there the whole time. But I am partial to MWs.

Actually MW births usually carry less risk for mother and child in a low-risk pg and birth, and when MD backup is available for high-risk situations that could develop. I did a paper on it when I took statistics. Wish I still had the paper because it had all of my references but here are some that I found, for anyone who is interested. One of the references promoting MW care was from the WHO. If I manage to find it, I will post it later. Each person needs to make their own choices. In Europe, the MW's typically attend in hospital (although women do have a right to a homebirth in many instances. In fact, a Norwegian princess recently had her 2nd child at home with a MW.) A good MW will not berate the pt for chosing pain meds or other choices but give the mother the risks and benefits and let the mother chose. Whatever provider a woman choses, I believe she must feel comfortable and confident with the provider and the care given. "In the Western European countries that have lower infant and maternal mortality, lower cesarean birth rates and lower health care costs than the U.S., midwives are the primary care providers for over 70% of births; about 5% of US babies are delivered by midwives. For years the World Health Organization has recommended that most births should occur outside the hospital, attended by midwives, without routine technological interventions. In the US, only about 1% of births take place outside the hospital." Taken from http://www.maternityservices.com/is_homebirth_with_a_midwife_safe1.htm I love MW but for me personally I had mine in a hospital. I had problems with pg that would have prevented a homebirth but honestly with the last I wanted to be alone with the baby while my husband had the older 2 at home. I needed my 2 days away!!!! "Percentage of nations in western Europe whose infant mortality rates are superior to ours - 100% (11) Percentage of births attended by midwives in western Europe - 75% (12) Percentage of births attended by midwives in U.S. - 4% (12) Average cost of midwife-attended birth in the U.S. - $1,200 (13) Average cost of physician-attended birth in the U.S. - $4,200 (14) Healthcare savings obtainable annually by utilizing midwifery care for 75% of pregnancies in the U.S. - $8.5 billion a year (15)" Taken from (under Beginning with birth, 2nd highlighted item.) http://www.foodrevolution.org/roh_facts_print.htm There are various references on infant and maternal mortality. http://www.aneki.com/lowest_mortality.html http://www.hhs.gov/news/press/2002pres/infant.html http://www.safemotherhood.org/facts_and_figures/health_around_the_world.htm Notice that there is a lower risk of maternal death in MW traditional countries (i.e., UK than in the US)

I guess the post just rubbed me the wrong way, especially that no one but a MD should give advice to pg women. What about RN's and CNM's? Most women who opt to have low intervention and no pain meds have done tons of research. Giving out information is one thing but expecting someone to blindly trust a doctor is another. And some drs are to blame, i.e., those whose section rate increases with their plans (doctor convenience) or an episiotomy for a 6 lb baby so that the mom doesn't suffer severe tears. When stories like these are common who can blame the nature nazis.

Asking about pain is one thing. But when a mom has said "Don't offer me pain meds, I will ask" then no one should be asking if the pt wants pain meds every hour. I am not talking about discussing options when the pt is admitted or during pg. With the birth of my own children, I must have been pretty lucky. Except for when I was admitted no one asked how bad the pain is. The nurse did ask about pain management and I told her my feelings. Not one nurse tried to push meds on me during my deliveries. I had great nurses. Of course, my CNM was in with me during most of the labor. Once I was confirmed in labor, the CNM came in and stayed. Except for #2 who went so quick she almost didn't make it (under 2 hours from start to finish). But my nurses were great, my birth plan was in my chart and it was a small hospital. In fact, the nurses who were with my with #2, both labor and PP, remembered me when I went to have #3. #1 was at a different hospital, but still with great nurses. The nurses respect for my decisions helped make my birth experiences wonderful. I cannot imagine how I would have felt to have meds and interventions pushed at me.

By trying to force women to see it "your" way you are using the same tactics as those you describe as nature nazis. It is possible to have a birth without pain meds (if a woman so chooses) or other interventions (i.e., IV, continuous monitoring, etc.). And many women do successfully deliver at home with a midwife. Personally, I would never see an OB unless I had a high risk pg. I chose a midwife because she shared my own views. Although to be fair the docs that practice with the midwives do too. My view, for me personally, is that unless there are problems I don't want any interventions. If I want pain meds I will ask, please don't offer them. Drs, CNMs and nurses need to respect a patients decision. If it results in a bad outcome and you have informed the patient of the risks you have done your job. You cannot force someone to see it your way.

thanks for the great article.