(Untitled)

[pyrric]

So the job interview never materialized, because, as it turned out, it was for a 24-hour/week position. As nice as it would be to make a living working part-time, that's not gonna happen, so I said thanks anyway but no thanks

Comments

[fudjo]

*boggle*

Wow...best of luck and *fingers crossed* for something better. I do worry that working there will stunt your professional development. :(

[atalanta]

ugh. good luck.

[herself_nyc]

God how frustrating (and scary). Good luck with all this.

[sagefemme11]

Hmmmm. Did the woman proceed to have a repeat NST perfectly category 1?

I've heard many a doc insist that early decels cannot possibly occur without a fully engaged head. I have observed differently in my personal exploits on various L&Ds for the last eighteen years.

Don't let the bastards get you down, especially in light of the fact that you listed so many other benefits of working there. Weigh the situation well and remember that it's still a relatively new place for you. As you work with the next crop of residents coming in July, you will be able to influence their thinking more into line with the AWHONN and ACOG standards. Not to mention helping them with their damn creogs and boards. Schmucks.

It's all a balancing act on the rolla-bolla of L&D.

[pyrric]

She did indeed have a perfect category 1, exactly the same as every other NST she's had twice a day for the month and a half she's been an inpatient.

By "fully engaged," do they mean simply not ballottable or below 0 station? Because she's been 4/70/-2 the whole time.

It was the quote, "We don't believe in earlies here" that really got me. I've seen residents refer to decels with contractions during passive head descent from 0 to +2. Not that passive descent happens very much, either--we push as soon as people are fully 99% of the time regardless of station. I am not exaggerating when I say that there have been six hour second stages. (And a nice postpartum hemorrhage afterwards, of course.)

It's just so frustrating.

[sagefemme11]

Fully engaged means 0 station and lower. See what I mean that earlies happen without that criteria?

I like the idea of allowing the woman to push when she needs to, not when we need her to. It's an uphill battle, though, cuz the watchmakers keep making prettier ones for the docs to buy. Ah, well.

[pyrric]

Absolutely.

And I should have said, above, "I've seen residents refer to decels with contractions during passive head descent from 0 to +2 as lates."

[_perihelion_]

I'm sorry that I was sending you silly txt messages while you were going through this. :(

[pyrric]

I love your silly text messages! They make me smile, and that's always good no matter what else is going on.