Caren's Blog

Sunday, July 27, 2008

Holiness Issues in Blasts

What a lovely morning. 59 degrees, drizzling. The Bird is squaking away in her crib, and I'm sure her mom is trying to squeeze in a few more minutes of precious sleep. Here's the perfect song for the morning.

Alex, Ben and Jason left for their bike trip through the Columbia River Gorge this morning at 6:30am. I hauled myself out of bed to wave them off with a white rag, like a good Adkison-Ott girl would. Then back to bed with a hot cup of coffee and a good book. Annie Dillard is my favorite essayist. She writes about the details of things, and I think I move through the world more appreciatively after I read her writing.

"This hospital, like every other, is a hole in the universe through which holiness issues in blasts. It blows both ways, in and out of time. In wards above and below me men and women are dying. Their hearts seize, give out or clatter, their kidneys fail, their lungs harden or drown, their brains clog or jam, or die for blood. Their awarenesses lower like lamp wicks. Off they go, these many great and beloved people, as death subtracts them one by one from the living-about 164,000 of them a day worldwide, 6,000 a day in the United States-and the hospital shunts their bodies away. Simultaneously, here they come, these many new people, for now absurdly alike-about 10,000 of them a day in this country-as apparently shabby replacements."


Last night's Torchlight Parade was awesome. My favorite, of the at least 12 drill teams, was the Baby Dangerettes. All between 6 and 12 years old, these little girls rocked the tasseled cowgirl boots and sequined uniforms with attitude. "Bang, bang, choo choo train, come on girls and shake that thang!" Indeed! The high school marching bands were poignant-all arms and legs and tubas, faces temporarily ravaged by acne, playing for all they're worth. At the end of the parade the Seafair pirates come through, blasting realistically loud cannons, terrifying small children, and running off with pretty bystanders.


I've been working on my Must-Do List. Here is a start on it.

1) Be a foster parent
2) Ride the Duck
3) Complete a triathalon (Next August, Danskin Women's Triathalon)
4) Catch 10,000 babies in my lifetime (9,998 to go!)
5) Catch babies somewhere else in the world, too
6) Live in NYC (With Alex in Philly, I should be able to at least visit NYC sometime this year!)
7) Kill my TV for good
8) Learn to play the fiddle
9) Hike a National Scenic Trail (or all of them...)
10) Host a Love Feast
11) Go ice skating each winter
12) Try rock climbing
13) Rent a canoe on Lake Washington
14) Become a nurse-practitioner (nurse-midwife/FNP) (On my way to a BSN from UW!)
15) Make a budget and stick to it for 6 months (2 months down!)
16) Consistently balance my checkbook on the first day of the month (REMOVE FROM LIST: HUBBY IN CHARGE OF THIS NOW!!!! MUAHAHAHA!!!)
17) Go to yoga at least once a week
18) Develop my spiritual practice in some way-need to think about how
19) Learn to play cello
20) Volunteer at a hospice
21) Earn my board certification as a lactation consultant


More to come!

I'm off to church, then to see Mama Mia with Alex's sister Jennifer and her kids, who are visiting from El Paso, TX this week.

All my best!
Caren

Saturday, July 26, 2008

Long time, no write

Hi Folks!

So much has happened since I last wrote. Nothing extraordinary, but enough to keep me hopping (and not sleeping too much). Two babies, a wedding, career decisions, nursing school stuff.

I'll start with the wedding: Had great fun wearing this red headed babe while her parents tied the knot. About the only time I didn't hold her was while her mom nursed her (she had a custom designed wedding dress that allowed her to unzip from the side to nurse-brilliant!) and when her mom carried her down the aisle as her "baby bouquet"! I danced a lot, and got a kick out of watching other folks dance. It was a half-Jewish wedding, and they did the chair dance (apperntly the official name is Hora), where the music builds to a crescendo, people dance in a frantic spiral, and eventually some drunk uncles and cousins hoist the couple onto wobbling chairs while they cling to each other via a white hanky. This was definitely the energetic high point of the whole weekend of wedding festivities. While I am not Jewish, nor am I planning a wedding, I think if I did get married I might be forgiven for the cultural appropriation if I stole this dance. After all, Alex's paternal Grandmother was Jewish.

As previously mentioned, I was on high alert for two term clients during the wedding festivities, one who was due Saturday, the other not due until today. The one due today was having a scheduled cesarean birth for a breech, but I had a feeling she wouldn't wait for the scheduled birthday. And she didn't! So I went to her birth on Sunday. A lovely 7#4oz baby girl.
Almost no one intentionally catches vaginal breech babies anymore, at least not in Washington. I've heard that in Oregon there are some home birth midwives who will, and at The Farm in TN they will (they do a lot of higher risk births at the Farm, but they are also set up with a basic NICU, private ambulances, a helicopter pad, and some very, very highly skilled midwives). For the most part, the kabosh was put on vaginal breeches by this international trial of vaginal versus cesarean outcomes for breech birth. The data was so apparently conclusive that they stopped the study early. Ever since, the standard of care is a cesarean for all known breeches. However, the study itself is quite controversial. Questions include: is a randomized trial really an appropriate methodology for this condition, where most practitioners would make decisions based on other findings such as parity, fetal weight estimates, overall health of the fetus, pelvimetry, etc? While the study claimed that experienced practitioners were managing all the vaginal breeches, in reality it was used as a teaching tool for inexperienced OB's, and only 2.8% of the practitioners were actually "experienced". Also, this was an international study but failed to take into account the fact that major abdominal surgery might be less safe than vaginal breech birth in area with limited access to things like epidurals, blood products, and antibiotics. I am absolutely all for evidence based care, but you really need to be careful about making sure your evidence is high quality before you dive in head first (or butt first in this case...). Unfortunately, one of the side-effects of this study has been that now, since no one is having breech babes vaginally, no one is getting experienced in catching them. So, vaginal breech birth is an endangered skill set, and that will make it all the harder to reverse the policy if we later realize that vaginal birth might be safer for some moms and babes.

At any rate, Sunday was a cesarean breech birth. Frank breech babies are funny when they come out, because their legs stick up next to their ears, just like they have been in the womb. Usually they relax on their own, some need treatment for hip problems. Anyway, that was Sunday.

My Wednesday birth was just as lovely and normal as apple pie. Both births were with one of my favorite nurse-midwives. Why is she one of my faves? She strikes a very difficult balance between faith and trust in normal birth, and a hawk's eye for abnormality that requires intervention. For me, she defines midwifery care: a focus on educating and empowering parents, providing guidance and information, and being positive, respectful, and encouraging but also scrupulously honest. Not to mention she's got mad skills, yo!

I am very grateful to all the providers (midwives, OB's and nurses) that I learn from at every birth. From some I learn great tricks and valuable lessons, others it's more of a cautionary tale.

In other news, I think I've told most of you who could (or could not) be reading this blog, that I am planning to stay home with the Bird this fall. People keep asking me why. Its because I want to be off call, sleep through the night, go out of cell phone range, and have lots of time for wrapping up nursing school apps. But, I can't say it's an easy decision. For one thing, I do love my job, as draining as it can be. Also, I have a little fear that people won't respect me as much as a stay at home auntie, as they did as a small business owning doula who dashes out at a moment's notice at three in the morning to help mothers birth. It's just not as cool. Alex says he wonders how this fits into my overall career plan, and the answer is that it really doesn't, except as it gives me time to work like mad on nursing school applications. I'll also have more time to volunteer as a doula at the UW Medical Center, and to volunteer as an advocate at New Beginnings Shelter, both of which I love and are valuable experience for my career. Like I said though, not an easy choice.

I'm going to wrap this up. Alex and I are going to the Torchlight Parade with his sister tonight, and then he leaves for a week long bike trip through the Columbia River Gorge tomorrow at 0-dark thirty.

LOVE!!!
Caren

Saturday, July 19, 2008

Duck, Duck, BIRD!

Well, nothing too exciting happened yesterday. Except....BIRD SAID HER FIRST WORD!!!! I've been waiting practically since she was born to see what this brilliant little person was thinking about. Turns out she's got ducks on the brain! Mama Bird gave her a little stuffed terry cloth duck, which the Bird absolutely adores. She loves to hug, chew on, and whack this duck. When I go to pick her up from a nap I often find her chillin' in her crib with Duck. So Papa Bird and I were holding it up for her and saying 'Duck' over and over and over, ad nauseum. Bird must have gotten sick of us idiots babbling on about her duck and not playing with it, so she put a stop to it by holding up her hands in a gesture of surrender and saying "DUCK"! Wow. It's somehow made me feel like I know what her voice is, even though she's been babbling away loudly for months now. That she articulated an actual word that we both know the meaning of just made her into such a kid. Supposedly she's only supposed to know 3 words or so by 12 months (she's 10 months now), but this Bird is smarter than the average Bird, so I wouldn't be surprised if she starts work on her first novel next week. Something perhaps entitled: Boobs, Ducks, and Pureed Carrots: The Three Great Loves of Baby Bird's Life.

In other news yesterday, I got to go on an Argosy cruise! What scenery! The couple I'm babysitting for had a great rehearsal dinner party while we cruised the Puget Sound for three hours. Their little red-headed 5 week old slept right through it, despite being the subject of the Auntie & Granny Paparazzi. I wore her in the Moby all night to avoid a massive game of pass the baby. Hopefully I'll post some pics soon.

The minute we got back to the dock I got a page from a second time mom who thought for sure she was in early labor. Fortunately for me, I've found that second time moms often labor at night for days or even weeks, and then stop completely during the day. My old midwife pointed this trend out to me, and attributed it to a brilliant evolutionary development: labor at night, take care of the other young during the day, and then eventually have your babe under the cover of darkness. It was also a full moon last night. Anyway, I did get a full night of sleep, and dreamed that this mom had a precipitous unplanned homebirth. I caught her baby, covered in thick mec (I don't carry any birth equipment with me, because I never intend to catch babies, but in my dream I tried to suction this kiddo with my mouth over his nose and mouth-not super effective). He was pink and toned, and all kinds of supernatural weather events (lightning filling the sky, flying rainbows, water spouts on Lake Washington) were happening outside. I told the dad to call 911, but they never came, and I did the whole birth myself (intact perineum and a lovely placenta, but a slow trickle hemorrhage that I gave her Shepherd's Purse and lots of fundal massage for, BTW). This dream was perhaps partly due to being almost done reading the last Harry Potter book, partly because I did accidentally catch a baby the other day (but in the hospital), and partly because I love this mama and I really want her to have a calm, spiritual, and healthy birth-but not an unplanned homebirth!

I rode my bike down to the pier and back last night, which was fun. Everyone was out in the International District and Pioneer Square, celebrating summer, Friday night, and a full moon. Some fella hung out the side of his souped up blue caddy with gold rims, and asked for a high five! Sorry man, too slow for me!

Gotta go! I'm off to yoga at the Y, and then maybe Goodwill for a dress to wear to the wedding tonight. I also had a dream last night about a dress I tried on years ago at a thrift store and loved, but it was too small. In my dream I went back to the store and the dress was 75% off, so I thought, 'Why not, I'll just try it again.' It fit like a charm.

Love,
Caren

Friday, July 18, 2008

Sore buns

To the tune of a blues song....

Woke up this morning (du du du du dum)
My buns were real sore (du du du du dum)
Accidentally did a backbend
Last night in my class (du du du du dum)
Turns out (du du du du dum)
That hurts my ass (du du du du dum)

This musical genius is dedicated to the elderly black man freestyling the blues at the bus stop on Queen Anne last night. Made me smile.

As it turns out, there was more than precocious puberty stopping me from dancing all these years. I have no coordination, no sense of rhythm, and not so much grace either. All that didn't stop me from having a blast last night at Capoiera. Despite the fact that I may be the worst dancer/martial artist these folks have ever seen, they were all rediculously friendly. For my seven bucks, I got a good two hours of almost one on one instruction from an amazing teacher who managed to not make me feel like a total idiot. He said to give it 15 classes before I decide that I'm just not cut out for it (although he certainly didn't rule that possibility out). So, I figure if I have no improvement by the end of August, maybe I should try some other athletic feat. Frolfing, anyone?

Today I'm taking care of a recent birth clients' newborn while she and her honey tie the knot at the Seattle Aquarium. I'm looking forward to snuggle time with this 5 week old cutie, seeing the aquarium, and maybe even shaking some sore boo-tay with the baby in the Moby.

Hopefully something exciting enough to write about will happen today!

Love yas!
Caren

Thursday, July 17, 2008

First Post

Hi, friends, family, and hopefully not strangers.

I don't know why I'm creating this blog really, except that I am procastinating in a major way on getting nursing school applications done, and studying for the GRE. It's truly amazing the things I can get done when there is something much more important that really needs to be done. Other reasons to blog: to keep in touch with family that lives far away, to keep up (or develop, depending on your opinion) some writing skills, and to journal what I hope will be a fantastic, fun, creative, and daring year for me.It seems presumptuous that folks would want to read about my little life, but I'm putting it out here anyway.

The call of adventure has been loud in my ears lately. The prospect of not being tethered to my cell phone and pager this fall, when I go off call for about 6 months, might have something to do with it. Less tangibly though, I have just had a realization that this is it!! This is my life. Not having time, money, a killer bod, experience, or (my favorite) that it's too late to be a child prodigy so why bother, are awfully lame excuses.
I read an article in the NYT magazine the other day about people's "Must-Do" lists, list of things to do before they die. I don't have such a list yet-look for updates in future posts. But you know how I dig lists, so look for one in future postings. Share yours in the comments section!

Tonight I am trying something really intimidating to me: Capoeira. It's a combo of dance and martial arts, traditionally practiced by Brazilian slaves. Slaves could practice a self-defense system, without slave owners seeing them doing anything but dancing. I've wanted to try it for about 2 years, but...dance? Me? Not a good combo. I haven't wanted to dance since about 3rd grade, when I had to wear a leotard to tap and ballet, despite being a bit overdeveloped for my age. Humiliating. But Capoiera? No leotard required! So why not give it a try? I'll update you on any injuries.

Last Saturday I knocked off another Must-Do. I got to participate in a cadaver lab at a local medical school. Amazing! It's really indescribable. All 23 people were so unique, and the stories of their lives were marked on their bodies: someone who wore high heels way, way too much; someone who was very physically active and fit; someone who loved tattoos. It also gave me an appreciation for the resiliency of the human body, all they go through in our lives, and keep working for us (more or less). I definitely, for the record, would like to donate my body for this purpose. I only wish I could be there to see what's unique about my insides!

Ok, well. I better get to work on nursing school stuff. Today, I'll order transcripts, fill out background check forms, and rough draft my general essay, so I can customize it for each school. FYI, the schools I am applying for are: NYU, Vanderbilt, Hawaii Pacific University, University of Hawaii, University of Illinois-Chicago, University of Washington, Seattle University, Oregon Health and Sciences University, and a few other safety schools. Oi! I keep telling myself that no one can say yes if I don't ask!

Love to all!
Caren