#C. Anesthesiologist

[jobsnotices]

Damauli Hospital Vacancy 2081 for Physician, Health Workers, IT Assistant

Damauli Hospital Vacancy 2081 for Physician, Health Workers, IT Assistant. Government of Gandaki Province, Ministry of Social Development and Health Directorate of Health, Damauli Hospital, Gandaki Province, Nepal, notification regarding recruitment in contract service. Date published: 2081/04/26 Damauli Hospital Vacancy 2081 for Physician, Health Workers, IT Assistant Special services (ICU,…

[mmonstra]

I'd never looked into phalloplasty or anything because I've never had a strong desire to physically transition like that (unless shape-shifting is an option) but ngl I'm more than a lil disappointed that having a functioning penis involves getting a vein from my arm to my new penis bc my veins are so shitty* that I wouldn't be surprised if I was considered a poor fit for the surgery 😬

* - like no joke it took >12 hours for my induction to start because they couldn't get an IV in. Had 5 different people poking at me 11 times, 3 ultrasound machines used on my arms... A PICC nurse had to be called the morning after I arrived and then two days later my midline and peripheral IV both impacted and they had to call the PICC line again because I not only wasn't looking forward to getting poked a bunch, but I was also afraid that they were going to run out of usable veins lmao

[sturniolohouse]

That's Life - M.S

A.N: After the stream where Matt said he liked the name June– which has been a name on my baby list for YEARS now – I couldn't stop thinking about this scenario, so I decided to write it. Sorry if it's bad. (I'd also say they are still very young in this, maybe 23/24. But imagine any age you want, I don't really specify.) Hope you enjoy!

summary: dad!matt - a cute snippet of Matt and y/n becoming brand new parents and Chris and Nick meeting their niece for the first time. mainly fluff :')

warnings: none, really. maybe swearing and mentions of blood? (also use of y/n because apparently that is hated? idk)

word count: 2.4k

"Kid, hold her fucking neck." Matt panics as Chris readjusts in his seat on the couch.

"Matt shut the fuck up, I think I know how to hold my own niece." he retorts.

"No, you clearly don't you idiot."

I peer to my left, he holds her with one hand under her head and one hand under her butt, propping her in front of him on his lap. She's perfectly fine, Matt just worries.

"Look she's fine. She's with uncle Chris." Chris looks at her adoringly but Matt cautiously watches, biting his nails.

"How are you feeling?" Nick asks beside me, rubbing my shoulder as I eat my burger. I was starving and the first thing I wanted after giving birth was In and Out, so Matt made sure Nick and Chris brought it for me.

"I'm so tired but just relieved everything went okay."

It was a long labor, almost 20 hours and about an hour of pushing. I waited to the very last minute to get an epidural and Matt almost passed out once he saw what it actually was.

-

"That goes in your fucking spine?" He squeaks, his face turning pale as he nearly keels over.

I'm sat up with the anesthesiologist behind me prepping the needle. I grab Matt's forearms and bring him to stand between my legs so he's hunching in front of me before I collapse my head into his chest and groan.

"Don't fucking look at it, hold my hands." I seethe through the pain as I wait for the contraction to pass.

"I'm so sorry," He says into my ear as they stick the catheter into my spine and I stay as still as possible.

"I want In and Out after this is all over," I breath out, beginning to feel my lower half go numb.

"I'm getting you whatever you fucking want, sweetheart." He looks me dead in the eyes.

-

"It's kinda fucking nuts that she was just inside you, how the fuck did you like..." Chris speaks up looking between the baby and me. "Push her out..." He hesitates and I burst out laughing as Matt throws his arms up and shakes his head at him, stopping himself from knocking Chris' shoulder.

"Well, it wasn't easy." I wipe my tears from my eyes due to my laughter and Nick gives me my water so I don't choke on my dry ass fries.

"Women are the strongest people on the planet." Nick chimes and Matt smiles proudly, crossing his arms over his chest.

"That's fucking right. So much respect after all I witnessed." Matt rubs his eyes, seeming to be mentally reflecting the past 36 hours.

"She's so fucking cute, looks nothing like Matt." Chris comments, a small smirk growing on his face at the playful jab.

"Okay, give her back you're pissing me off." Matt quickly but gently takes her back even as Chris protests and pouts, sulking back into his chair.

"Lost your baby holding privileges," Nick points at him as Chris makes a face and sticks his tongue out, a throaty bellow echoing in the hospital room.

Nick immediately hushes him. "Can you not act like a barbarian? Fucking idiot." He scolds him.

Matt cradles her softly and my heart still melts at the sight of him holding her. It makes everything I went through so worth it. The both of them do.

-

I lay there in shock with a wailing baby placed on my chest. I look up at Matt on my left and he's got his hand over his mouth and tears brimming his eyes, staring at our baby with so much love.

My chest blooms with warmth and I look down at our daughter. Anyone else would look at her and think she was gross, being purple, covered in goop and blood, but she was quite literally breathtaking. Matt blubbers and bends down so he's more level to me.

"Oh my fucking god," he laughs through his emotion, wiping his eyes quickly and placing a hand on her blanketed back, her cries dying down.

"How the fuck did you do that? You're amazing oh my god." He rambles, kissing my sweaty hairline and I shake my head not really knowing how I did this either.

They let Matt cut the umbilical cord before taking her off me to bathe her quickly.

Matt grabs my face checking in on me. He scans all over my face,"You okay? You did so good, oh my fucking god." I nod quickly, feeling my adrenaline still rushing. It's a weird feeling to describe, but I am so happy.

"She was so tiny, did you see her?" I ask him, my voice a little shaky and he nods laughing, tears still shining in his eyes.

"I did, I did. She's perfect. Thank you." He kisses my lips this time and then looks over to the nurses bringing her over to him.

"You want to hold her, dad?" The nurse smiles and he visibly pales but nods nonetheless and takes her into his arms.

He looks at her and begins to tear up again, having to compose himself by looking up shaking his head. When he looks back at me, I'm sent me over the edge into my own fit of tears.

I would relive this day over and over again to just see that look on his face.

-

He walks over to Nick who's still beside me, bouncing her slightly.

"Nick, cmon. You've yet to hold her." Matt nods toward Nick to take her from his arms. Nick immediately shakes his head and steps back.

"No she's too fresh and tiny. I don't want to break her." He declines.

"Chris get him the pillow. Nick, hold her. You won't break her I promise you." I give him a reassuring rub on the arm and his eyes widen.

"I'm scared," He squeals quietly as he sits down in the chair and Chris sets up the pillow in his lap. Nick covers his mouth as he watches Matt walk over to him. 

Chris puts a hand on his shoulder, "Nick it's gonna be fine." He giggles at his antics and I stifle my own laughter.

"Dude c'mon, I'm telling you to hold my kid not a bomb." Matt rolls his eyes and Nick flips him off.

Matt places her carefully so she's snug in Nick's arms and he freezes immediately.

"What do I do?" He looks up at me in fear.

"Just that. You're doing fine. See, she's perfectly content in your arms." I tell him softly and grab Matt's arm so he stands next to me.

I kiss his forearm and he looks back at me with a warm smile, wrapping his arm around me and sitting beside me on the bed. He pulls me in gently before kissing the top of my head.

"I'm trying to see any real defining features in her but she quite literally just looks like a baby," he studies her face as Chris takes photos of them.

"She definitely looks more like y/n," Matt says, rubbing my arm lightly before stealing one of my fries from my tray.

"I think she has my nose for sure. She hasn't really opened her eyes yet, maybe you can try and wake her up. The nurse should be coming soon to help me feed her."

"I just realized, what's her name?" Nick asks, lightly rubbing her cheek with the back of his finger to try and wake her.

"Yeah, have you guys finally decided?" Chris sits down next to Nick on the couch.

Matt and I look at each other. We had been debating her name since we first saw her face. Of course we had a list prepared but we didn't want to settle on a name until we could match it to her face.

It was hard agreeing on names at first as we had very different tastes but there was one that kept coming back up in conversation and once we saw her it was a no brainer.

I nudge Matt, "Go ahead, tell them." I lean my head against his shoulder.

"Her name is June," They 'aw' in unison.

"June Iris Sturniolo." Matt tells them her full name and he can't help the smile that spreads across his face. 

"I love that, such a sweet name.” Nick smiles down at her.

"Does it have a meaning? Or did you guys just like the name?" Chris pulls back her hat.

"Holy shit, she has a lot of hair." he comments.

"Explains all of my heartburn." I huff and Matt giggles beside me.

"We liked the name and we were looking at lot of nature names, month names, classic names. We landed on June a few times when going over names but didn't want to make it official until we saw her." I start and Matt nods before speaking up.

"Well, we had some music playing during the whole labor and everything but after Y/N started pushing, our playlist ended and started playing whatever. And right before June came out, the song That's Life by Frank Sinatra played. And in the song, there's a line that goes: You're riding high in April, shot down in May but I know I'm gonna change that tune when I'm back on top, back on top in June. Right when we heard that and then we saw her face, we knew that was her name." Matt concluded and I tear up.

"That's so fucking cool," 

"Stop I have chills, oh my god."

"And Iris was my grandmothers name, but we also liked how it sounded with June. It was proven really hard to find a middle name that sounded good with June and Sturniolo." I laugh.

“I love that her name has a cool story behind it that you can tell her one day.” Nick says and I get emotional thinking about telling my daughter the day of her birth.

"Hi June, you gonna wake up for us?" Chris speaks softly to her. She stays put as Nick and Chris look at her expectantly.

"I wouldn't want to open my eyes either if I were just in a a warm dark place for almost nine months and all of sudden I'm in a bright ass hospital room with a loud idiot." Matt speaks looking directly at Chris.

"She must take that after you," I say playfully and rub his chest. He rolls his eyes.

"Aw, a little Mattitude." Chris uses a baby voice, tickling her belly playfully. “Look she even makes Matt’s stank face he does when he’s mad.” He points.

“Oh my god she does,” Nick exclaims.

"Not to be weird, but you are all basically her father since you have identical DNA. Also if you guys have children one day, they'll be genetically June's half-siblings." I state my fun fact and all their faces drop.

Nick gasps, "Wait, that's actually crazy because I was just going to joke around and say 'aw she has my eye-bags'." His eyes widen and I shrug at him proving my point.

"That's so fucking weird." Matt shakes his head in realization.

Chris acts repulsed, putting a hand up. "Yeah, I don't like thinking about that. I'm no one's father, thank God." He does the sign of the cross.

"Yes. Thank God for that." Matt says shortly.

"I don't know, I think Chris will be a good dad one day." I defend him and Matt gives the side eye. 

"Thank you y/n," He says with a hand over his heart.

He walks over to me and gives me a side hug. I kiss his cheek, offering him a fry and he takes it appreciatively.

"I'm definitely staying the fun uncle." Nick states, turning his attention back to June. "One day, you'll be big enough to stay at Uncle Nick's and I'll get you anything you want without your parents knowing," he says quietly to her but we can all still hear him.

She begins to stir in his arms and he freezes again.

"Oh no, she's waking up. Is she gonna cry?" he panics. "Matt quick, take her."

"She might want the boob," he says taking June out of Nick's hold.

She begins to fuss and squirm but Matt calmly shushes her and begins to bounce lightly.

"It's her feeding time in 15 minutes, should I try without the nurse?" I look up at Matt and he shrugs.

"I don't see why not. She's clearly hungry now."

"Uh, should we leave?" Chris says awkwardly and I wave him off.

"I'm gonna cover myself don't worry. Unless you want to leave," I say nonchalantly, not having a care in the world after just about everyone in this hospital has seen me naked. But of course I won't be flashing anyone.

"Junie don't cry, here's mama. She's got the food." Matt tells her quietly, bringing her to me as Chris clears my lap for me and goes to sit down next to Nick again.

"My baby," I pout as I grab her and her little cries die down once she's in my arms. "You already know the deal sister, let's see if we can do this." I talk to her confidently hoping I can do this on my own.

Matt stands beside helping me cover up and get June in the right position.

"There you go, all better." Matt speaks to her softly as she latches on and I exhale in relief. "Good job, mama." He runs his fingers through my hair and rubs my neck.

The nurse walks in mid-feed and praises me. "Looks like you've got it under control here." She smiles and checks my vitals quickly before stepping back out of the room.

Once June finishes eating I burp her upright on my lap, facing her towards everyone. At this point she's wide awake and everyone is staring at her.

"Oh my gosh, her eyes are like, gray," Nick says. 

"Can she see me?" Chris waves at her, shaking his head and sticking his tongue out.

"Her eyes will most likely change color, they can change up until she's a year." I tell them. "And she can probably see you as a blob, Chris. Stop dancing." I tell him and he stops mid griddy. 

"Oh..." He looks defeated and she burps loudly in that moment, making him laugh. "Why does she burp louder than me, she's like 12 hours old." he jokes.

I feel Matt's hand on my shoulder again and he gives me another squeeze. I look up at him and smile tiredly, he leans down to give me a kiss. Something we rarely do in front of others because we hate PDA. But we can't help it this time.

 I hear a snap of a camera and we both look to see Nick with his film camera.

"I couldn't resist. First family portrait." he smiles softly. "I can't believe you're a father, Matthew."

"Believe it, kid."

"Nick, will you actually take our family photos when we get home." I ask rubbing Junie's back. 

"The fact that you even asked that," he says looking offended and everyone laughs. "Of course I will, though."

[augustvandyne]

ohhhhmy god addison asking for you to be specifically on a case because it’s like a medical marvel type once in a career case and she wants to teach you a technique and she puts her hands on yours and you share A Look!!!

you get flustered and drop instruments

flustered

You’ve never thought of Addison in this way until this week.

Addison requested you be on her service all week, and you couldn’t fathom why. Until now.

She had a medical miracle - someone she’d worked on in the past had returned - and she wanted you on it.

Not Alex. Not Meredith. Not even Cristina. She wanted you.

And you were experiencing very bad anxiety. You felt like your heart was going to beat right out of your chest, and it was kind of hard to breathe.

“Calm down, Dr. L/n,” Addison places a gentle hand on your back, leading you into the scrub room. “You’re going to do great.”

“You think so?” Your brows are drawn together with worry.

This was your first huge surgery. With Addison, or anyone else. Every other surgery you’d sat in on had been routine or something like a c-section. But this surgery was going to be huge.

“I know,” Addison stands confidently. “I’ll help you every step of the way.”

“Why did you choose me?” You begin to scrub in alongside Addison. “I mean.. there’s six of us. And you chose me. Why?”

“You show the most potential,” She simply states. “Not only in fetal, but also in the surgical field.”

You look down into the sink, focusing on what she was doing, and you realize she’s right. Everyone has picked their specialties for the most part. You in fetal, Meredith in neuro, Alex in plastics, George in trauma, Cristina in cardio, and Izzie in general. You were thinking of maybe even being double board certified - but you weren’t sure. If Addison were to leave, you wouldn’t have the best to study under, and then you wouldn’t be the best. Which was what you wanted.

“Thank you,” You clear your throat, turning the water off and letting the droplets drip down your hands.

“There’s no need to thank me,” Addison smirks, leaning her hip against the large sink. “It’s true.”

You nod, your eyes drifting up to hers due to the height difference.

You’re about to speak what Addison says, “We should go in. We don’t want to leave the patient waiting, do we?”

“Oh— uh, no,” You shake your head.

“Okay then,” Addison gives you a nod, and heads into the O.R., leaving you in the scrub room with your thoughts.

You watch as she sweetly assures the mother-to-be, a small smile on her lips, and you can’t help but smile yourself.

You hold your arms up and walk into the O.R. to get gloved and get your gown on.

“We’re going to put you under now,” Addison spoke softly to the woman. “Dr. L/n and I are going to take good care of you and your baby.”

“Thank you, Dr. Montgomery. I trust you.”

“Good,” Addison smiles once again.

The nurses put her down, and the anesthesiologist make sure she won’t wake back up before you start the surgery.

Addison makes the incision, and makes sure everything is okay before handing the instruments off to you. Her skin brushes against you, and your hands are shaking by now. You’ve half-forgotten what you even needed to do.

“Relax,” Addison says.

You try to roll your shoulders, and get back to work.

“Here,” Addison speaks after a second.

You think you’re about to hand the instruments back, but she stops you when she comes behind you. Your breath catches in your throat when she presses her body against yours.

She wraps her hands around yours so she’s holding the instruments with you.

Her head is beside yours, her lips by your ears so she can tell you what to do.

“Like this,” She guides your hands with grace. “I messed up on my first big surgery too, don’t worry.”

“I— Uh,” You stutter nervously. Your cheeks were on fire, and you’re glad you have a mask on or it would be really awkward trying to explain. “Mm. Thank you.”

“Stop thanking me,” Addison whispers.

You let out a shaky breath, “Yeah. Okay. Got it.”

“There you go,” Addison is barely touching you now. You’re doing it all on your own. “You’re a natural. What did I tell you?”

“I have potential,” You recited her words from earlier.

You turn your head so that you could see her eyes, and the two of you share a look. Your cheeks are still red and you see a glint of curiosity in her eyes. The instruments begin to drop out of your hand and you have to snap yourself out of it.

Addison catches the instruments, her hand wrapping around yours again, and says, “I’ll take it from here, Dr. L/n. Move to the side so you can still watch.”

“Yes ma’am,” You nod.

[alwaysshallow]

Got me thinking reasons why 141 would faint during ur labor

Price: low blood sugar. He was worried since u got admitted and he didnt eat. Felt faint when the low blood sugar hit him. Nurses sat outside with some grape juice 🍇

Gaz: his knees crumpled when the doctors asked if he wanted to cut the umbilical cord… after the c-section. He was fine with cutting it but he kinda saw glimpses of the c-section and felt faint. Tripped on his feet and fell in the OR

Ghost: he was in front of u holding ur hand while the anesthesiologist was giving the epidural. You were hunched over and he saw the massive epidural needle. Dude eyes were wide like saucers and he started leaning back wards. Mans went down w a bang loud enough to wake the whole unit

Soap: this man CANNOT stand looking at u in so much pain. Started hyperventilating when u started to scream from contraction. Passed out immediately when he saw the bby crowning

-💸

PLSSSSNKAFSNFJK

nah bc everything is valid. also why ghost being scared of needles is literally the funniest shit like lmfao?? big guy but if it's about needles, it's a big no-no

[aleksa-sims]

RL Story

CW: c-section, surgery

I survived my first night at the hospital. I was woken up by a nurse at 6 am, who reminded me again, not to eat or drink anything. After an hour I was given some.... nice drugs, sedatives, by a Doctor. I felt so relaxed afterwards. As promised, Nico came to me. He smiled at me. I was soo happy when I saw him!!

Some time later at the surgery room, N. had to change clothes. He looked so funny in that... Doc-outfit. The Doc who did the C-section, thought Nico was one of his new colleagues. He warned N., to keep an eye on his things, because belongings keep disappearing here. Well, as long as nobody steals my Baby, I don’t care. While the anesthesiologist gave me a spinal anesthesia, the room filled with more and more Docs & students. Now the surgery started. I kept getting tired in between. I could hear (and feel) the Surgeon who did the c-section, struggling to get my son out.

I felt like I was falling off that surgical table. I said,"help I’m falling!" The doc behind me reminded me, I was safe! I was strapped to the table. The Docs have suspected that my Baby is huge, bigger than expected! I could hear everything!! Are those docs even aware of that, I wondered?🤷‍♀️ They were kidding about a huge Baby. 😄 MY Baby!!! Then finally, I heard my Son scream. So cute!! Like a puppy. "Congrats, it's a boy, a pretty tiny one." , the Surgeon said. (50 cm)

I was only allowed to look at my Baby briefly. The nurse held him to my cheek. I kissed his forehead. He smelled like apples, I remember that so well. I know it's strange. Why apples? Idk? That's what I smelled! The nurse then went next door with my Baby. She asked Nico to come along, but N. was scared for a moment, didn’t know what to do? Stay with me or go with our son? I remember I wanted to tell Nico, to go with our son, but I couldn’t talk anymore. I started to choke, I got really sick. Suddenly everything was black for a moment. For some reason, I passed out, which is why Nico got scared. He noticed that I rolled my eyes and was no longer responsive.

He had to leave the surgery room anyway, so he went with our son. 15 minutes later I woke up slowly.

Once I opend my eyes, I saw my Doc. He examined me and asked me how I was doing? I couldn’t answer him right away. He told me I was in the recovery room. My Baby's fine and Nico's with him. They’ll be right here with me.

How it went on and why I passed out, I tell next time.

Previous/Next

[doulayogimama]

For those of you that don’t remember or weren’t around: I was put under GA last minute for my daughters birth and missed her first 30 minutes of life. I was also so affected by the drugs that the few days after her birth were just a haze. Then the PP hormones struck and it was downhill from there. Kevin and I were completely alone for 3 days because it was Covid.

I had to be put under because after I asked for an epidural after 24 hours of an induced, unmedicated labor, I was only 1.5 cm dilated and they said it could be a very long labor. The anesthesiologist walked in and informed me that due to my lidocaine allergy, I was not eligible for an epidural. It was either continue to labor for who knows how long while her heart rate was dropping, or go under and give birth alone. I chose the C-Section — she was born with the chord around her neck. I’m grateful I made that choice but the experience of lying in that OR naked and alone still haunts me.

To have another baby, I need to know for sure if that allergy still affects me. I was told at 18 after a dentist appt gone wrong that I was allergic to lidocaine. I had a small amount of lidocaine injected into my arm in May 2022 at an allergists office and I “passed” the test. But I need a more invasive test to be done before I TTC again. I have an appointment scheduled in April and to say I’m nervous is an understatement.

If this test comes back that I am allergic, next pregnancy I have to either give birth unmedicated while attempting a VBAC, or I have to go under GA again.

If I pass this test, I realized that I would want to TTC immediately. That’s really the only thing keeping me from wanting more kids. I feel in my soul that I have one more child to bring earthside, but I don’t think I’m ready to do that if it means a repeat birth experience like I had with my daughter. I don’t know if I ever will be.

So I’m excited and nervous for this appointment. It will determine a lot.

[notababy-babygirl]

So I had endoscopy last saturday. Here's how it went.

Scheduled ako at 12noon. So by 11am, nasweruhan nako. And being a babygirl, scareeeed talaga ako sa mga karayom. Then ang laki pa nung karayom ng dextrose. Told the nurse na sana isang beses langggg ako tusukin. So tinusok nya nako, tas bih ang sakit! Hinayaan ko langgg. So chikachika sila muna habang hinihintay yung gastro doc. Pinuntahan ako ng mga 1130 nung anesthesiologist to check, nakita nya namamaga na yung ugat ko. Edi tinawag nya ung nurse, sabi anyareee. Sabi ng nurse, "Ay kanina doc ang ganda ng pagkakatusok ko. Kuhang kuha yung ugat." Ending, tinanggal ni doc. And ayern, tinusukan nanaman ako sa kabilang kamay. Umiyak nalang ang Tita nyo C sa sakit. :'( after nya ko tusukan, chika chika pa sya how uncool it is daw yung pagvevape ganern. And pagwawalwal. Hahahahaha! Doc naman. Goodgirl ako. Charrr!

And by 1230 I think, dumating na si gastro doc. Si anesthesiologist, may inispray sa throat ko. He warned me na pangit daw lasa. Lasang gin puro daw ganern. I threw a joke pa kako wala bang chaser. And yo boy wasn't kidding! Ang pangit ng lasa. As in. Then naramdaman ko nalang, parang nangapal na yung lalamunan ko. Then nilagyan na sedative yung dextrose. Tas nakikita ko na si gastro doc na nireready yung equipment na gagamitin sa endoscopy, yung ipapasok sa sikmura through my mouth. Pinatagilid nako, sabi ko pa bago ako lagyan nung parang ano sa bibig para di sumara, "Hala doc, di pako inaantok." Tas may sinabi pa si doc na hayaan ko lang daw tumulo laway ko kasi nga nakaopen lang sya buong procedure. I answered back pa ng "eeew" pero ang narinig nila prolly is "errrr" since may nakalagay nga sa bibig ko. Wag kayo. I found it funny. So ayun nga, worried ako kasi di pako inaantok nung nakita kong inaayos na ung ipapasok sa bibig ko.

The next thing I know, ginigising nako ng nurse after 3hrs. HAHAHAHAHAHHAHAHAA! SARAP TULOG YERN? Di ko alam, after ata nung pagkaka"ewwww" ko, nakatulog nako. Ganun ba talaga kabilis yun? Like I swear, parang wala pang 10seconds nakatulog nako. HAHAHAHAHAAHAHA!

So ayern, result? HAHAHAHAHAHAHAHAAHAHA! SUGAT SUGAT LANG NAMAN ANG SIKMURA KO AT PURO BACTERIA. Nice one C! And nakakabigla ang mga gamot jusko. Wala nakong pera literal.

After, kumain lang ako kasi 12hrs akong nagfasting. No food. No water.

Kbye. Daldal.

[themotherofhorses]

I am totally obsessed with don’t deny the animal. And know i am wondering, how Aemond -knowing what happened with Aemma- would react to reader doing a C-section (obviously imagining a good end)

- sorry, english is not my first language

i’m literally a fucking c-section babe, why did i totally forget those were a thing???

okay but real talk? that would FUCK HIM UP BAD. “the baby is breeched. we’ll need to take her to the back for a c-section.”

aemond then watches as a group of nurses and doctors flood the entire room, with the anesthesiologist upping the dosage in her epidural. several are poking her body with long needles while others kneel beside her, explaining to her the medicine. her own mother is soon by her side as well, brushing back her damp hair and telling her not to worry- she’s in the best hands. nothing will happen. she will be fine. everything will be okay.

but aemond is across the room freaking the fuck out. “what is going on? what will you do to her? is she okay? is the babe okay? SOMEONE TELL ME!”

imagine how his face fucking pales when he learns that, by what they mean of ‘performing a c-section’, is that they’re going to cut open his wife. he instantly thinks back to his father’s late wife and how she died during childbirth. how they killed her. and now his wife, his sweet girl, is going to die too. they’re going to kill her. she’ll bleed to death. he spent all those months looking for her, only to lose her again in the end…

…y’all will have to wait till the next chapter to see what happens next. thank you, my little love, for this.

[actaeoncross]

I got to the hospital yesterday to be induced. We started at 6:18 a.m. after being up at 3:30 a.m. to get ready and call at 4:30 a.m.

It did not go as planned. We did fine with getting water broken around ten or eleven and made progress when the doctor checked at noon. Then, everything ground to a halt. The baby didn't like the medication to help labor proceed, and her heart rate kept dropping during contractions without it.

My epidural was not helping with pain by the time the doctor came to check again around 5:00 p.m. I had made literally no progress in all that time and got wheeled away for a c section instead.

Guys, that was the trippiest experience of my life. I was kept awake with some super numbing drug to knock pain. So, I could feel people pressing around but had no idea the procedure had started until the anesthesiologist told me, and my husband rolled in, letting me know he saw my guts on the way in. I was struggling to stay awake during the whole thing and was the same in recovery.

Baby Carter is so perfect, though! I know I'm biased, but she's a champ, and I can't believe she's ours. She takes shots and glucose sticks (she was 8 lbs and 15 ounces, so they're watching it for a bit) with maybe a whimper but no crying. I love her so much.

All of the staff has been amazing at every point, and I'm so lucky to have gotten such an excellent team. I've got another two days in the hospital before I can leave. But, my night nurse says I'm moving great already within less than 12 hours after surgery. I'm super hungry, though, and haven't had a real meal, so I'm really looking forward to breakfast.

[cinemaocd]

I hope that when you were in labor while watching LOA, it was playing the real intense part of the overture, and then the strings kicked in when the ordeal was over.

PS - Word is, LOA is getting another theatrical release

This is in reference to these tags I wrote on a post on LOA about the "I don't want to be a part of your big push" scene.

#100% true fact: I was watching LOA in the birthing room when I was in labor with my son#and it was on day four of labor and the moment when they came in and told me they were giving up on the pitosin & sending me to the OR#for a c-section was during this scene#I never got to be part of anyone's big push#and neither did the boy#and this is why your birth plan is total garbage if you are going to a hospital without a midwife or a dula

In my tags I was vagueing the way that women are encouraged to be induced in the system for the convenience of the doctors...it was not a pleasant or fruitful labor. It was protracted, exhausting but not horrifically painful. The most painful part was having the stint put in for the anesthesia for the surgery, (for which you are awake). By far the worst part was innumerable vaginal probes to see if I was dialated which I was never really.

So after that four day ordeal I went to surgery anyway, something I could have just scheduled all along and saved myself and the hospital four days of hell and a couple hundred grand on a "natural birth" that wasn't in the cards.

Waiting in a chilly operating theater on a gurney, scared and alone was honestly one of the most difficult moments of my entire life and it was unnecessary and I lay blame for it at the feet of hospital policy. (My husband was not admitted until well into the procedure and ushered out with the baby before they sewed me up.) They prep you and leave you there in the room alone waiting for the surgeon. I remember saying to the anesthesiologist that I was scared and he said something like "everyone is" over his shoulder while fiddling with my meds. Fair enough it wasn't HIS job, it was my husband's job and he was stuck in some waiting room. It was a very vulnerable moment for me and the whole system kind of flopped that day in lots of ways.

I always return to LOA as the well. It shows the myriad ways that fate will screw you over, :{D and it does it with such style that it almost seems like fun.

[sinclair-wax-fan]

I’m thinking about how neither Bo nor Vincent is “the older twin”—because they would have been born via c-section.

I’m also thinking about what it must have been like to be Trudy—almost certainly doing a home birth and possibly not knowing she was having twins.

(The newspapers on the wall of the Wax Museum say “expecting first child” not children--despite Trudy being *heavily* pregnant in the photo.)

From what I can tell just from a quick google, ultrasound machines would have been pretty new technology in the early 1970’s and not widely available—certainly not available to a single doctor working independently of a hospital.

And if Victor was fool enough to preform the twins separation surgery himself, I have no doubt he was handling his wife’s pregnancy all on his lonesome. I think he did her c-section himself in the small operating room we see in the movie, although he must have had an anesthesiologist he regularly worked with on call--there's here’s no way he could have administered anesthetic and preformed the c-section at the same time.

I imagine they were originally planning your traditional "at home birth" when things went south. The anesthesiologist was originally only planning to administer an epidural, which were just gaining popularity at the time--so when Trudy began to crash badly enough, it must have been either "we operate now or risk losing her on the long drive to the hospital." Since c-sections were only used in like 10% of pregnancies at this time, with Trudy being in bad shape mentally and physically during the birth, and there only being two medical personnel on hand--I imagine they had to put Trudy all the way under for the c-section.

(I imagine typically only small surgeries that could be done under local anesthetic were preformed in Victor's office--always with a booked appointment—but they did keep the materials for general anesthetic on hand for emergency situations.)

I know Victor’s status as licensed doctor is circumspect due to Bo’s creative story telling. I think there's a kernal of truth in history but it's been hammed up because Bo is dramatique.

I've been playing with the idea of Trudy and Victor originally starting in the north, with Victor being from a wealthy family in New York state. He did loose his license—for preforming abortions under the table for women from other wealthy families. (And also at least one for his wife.) Being wealthy, he was able to avoid jail time—and when abortion was decriminalized in 1970 in New York State, he had enough influence to get his license restored and his record expunged.

Unfortunately, his reputation was in tatters. I image that his family was catholic and—while Victor wasn’t practicing—his parents were prominent members of their church. He had embarrassed them greatly, and his marriage to a poor uncouth midwestern Protestant woman (despite her converting in an effort to win their approval) know for being something of a bohemian didn’t help matters.

So, when Victor heard through the grape vine that the son of a friend of a friend was starting a new business venture in Louisiana—a sugar mill with an accompany town for the workers--and they were looking for a company doctor, well, who doesn’t like a new beginning?

So, by the time he got down to Ambrose he was fully licensed, operating a sort of dual "company doctor/private practice" roll in Ambrose, and was granted the ability to admit patients to the closest emergency hospital in Baton Rouge.

So the twins were born in their home--but pretty much immediately rushed to the hospital (along side Trudy) post birth.

It was several weeks of observation in the hospital for the twins. It ended with Victor insisting on being allowed to preform the twins' separation. He refused to give consent to allow any other surgeon to operate on them and convinced Trudy "no one else will do as good as job as I will because I'm their father."

But really it was just professional pride.

Still, Victor was good at his job and the twins were successfully separated.

Unfortunately, he was not nearly as competent a father as he was a surgeon.

[jcsmicasereports]

Aspiration pneumonia due to anesthesia digestive endoscopy under COVID-19: a case report by Xin Wang in Journal of Clinical Case Reports Medical Images and Health Sciences

Abstract

Background: Digestive endoscopy is an important test for early cancer screening. The most serious complication during the examination was aspiration pneumonia. However, these patients currently do not receive much attention.

Case report: A woman was brought to the Emergency Department because of fever. Chest computed tomography revealed consolidation of the lower left lung, so the patient was diagnosed with aspiration pneumonia after anesthesia digestive endoscopy. we collected Bronchoalveolar lavage (BALF) for testing of metagenomic next generation sequencing (mNGS). The result of mNGS was normal. After 7 days of medical treatment, the pneumonia subsided.

Conclusion: This case reminded us that digestive endoscopy under sedation carried a risk of aspiration pneumonia in even healthy patients. When COVID-19 prevalent, we should make a definitive diagnosis of patients with fever as soon as possible and improve etiological tests to prevent delays.

Keywords: Aspiration pneumonia, Digestive endoscopy, Case report

Introduction

Digestive endoscopy is an important test for early cancer screening. As the test is uncomfortable so more and more people choose general anesthesia. The most serious complication during the examination was aspiration pneumonia due to reflux and aspiration.

However, these patients do not currently attract much attention, especially from anesthesiologists. Here, we report a healthy nurse who had undergone digestive endoscopy, aspiration pneumonia developed during induction of general anesthesia under COVID-19.

Case Report

A woman was brought to the Emergency Department of the Center Hospital of Jinan because of fever. She got aspirated and developed severe shortness and chest pain. History of anesthesia digestive endoscopy 1 day ago, accompanied by vomiting. Her past medical history was unremarkable, she denied cigarette smoking, and has no history of allergy, anaphylaxis or bronchial asthma. Upon arrival at the hospital, she was connected to the monitor and put on humidified oxygen. On examination, she was severely distressed, blood pressure of 120/60mmHg, pulse rate of 108 beats per minute, oxygen saturation of 95% at room air, and respiratory rate of 26 breaths per minute, temperature of 39 degrees. On physical examination, wet rales were heard in the lower left lung. Blood gas analysis showed pH 7.45, partial pressure of carbon- dioxide 36.00 mmHg and partial pressure of oxygen 71.00 mmHg with 2 L/min oxygen via nasal cannula. The peripheral white blood cell count (9940/μL) and C-reactive protein level (78.5mg/h) were slightly high. The results of blood coagulation function test, biochemistry tests, myocardial enzymes, urinalysis and stool analysis were normal. Chest computed tomography revealed consolidation of the lower left lung.

Under COVID-19, in order to rule out the atypical pathogen infection and assist the patient in expulsion of inhaled substances, we performed tracheoscopy. Flexible bronchoscope showed injured and edematous surfaces of the large airways. Bronchoalveolar lavage was performed from the posterior segmental bronchus of the upper lower of her left lung. A cell count of the bronchoalveolar lavage fluid (BALF) revealed57.5% macrophages, 28.0% neutrophils, 11.0% lymphocytes, and 3.5% eosinophils. The total BALF cell count was 4.2 × 106/mL. No bacteria or fungus was isolated from cultures of BALF. we collected BALF for testing of metagenomic next generation sequencing (mNGS). The result of mNGS was normal.

During hospitalization, the patient received piperacillin/ tazobactam to prevent bacterial pneumonia，hormonal anti-inflammatory and bronchodilators to improve the bronchospasm or wheezing.

After 7 days of medical treatment, the pneumonia subsided, blood, sputum cultures revealed negative findings. and she was discharged in a stable condition. The Fig. 2 was the chest CT of review.

Discussion

The possibility of aspiration pneumonia was considered based on the rapid onset of the patient, the absence of previous upper respiratory infection and chest CT findings. The patient's clinical manifestations, chest CT and hematological examination results further confirmed the hypothesis. The patient's symptoms improved after early treatment with oxygen therapy, anti-infection and hormone anti-inflammatory therapy, which was also consistent with previous research results (1).

Chest CT of aspiration pneumonia often shows multifocal consolidation or patchy ground-glass opacity (2). Because the patient was in left decubitus at the time of digestive endoscopy, so gastric contents flowed back into the left side, then large exudate shadows can be seen in the lower lobe of the left lung. We all know, Aspiration of large amounts of gastric acid will result in the induction of a chemical injury to the airways and lung parenchyma. Aspiration is recognized as an independent risk factor for the subsequent development of pneumonia or acute lung injury or acute respiratory distress syndrome (ALI/ARDS). (3)

Our patient developed dyspnea and hypoxemia. In order to prevent further exacerbation of lung injury, we treated with hydrocortisone. The other study suggested that, in bronchi-aspiration, Steroids are not proven to improve outcome or reduce mortality (4). After hormone therapy, the patient's symptoms of dyspnea and hypoxemia were significantly improved. There were any adverse reactions. However, it remains to be discussed whether hormones can be used as a routine treatment for aspiration pneumonia.

Conflict of interest statement

All authors have read and approve the final manuscript.

Author contribution statement    

Wang Jing wrote the manuscript, conceived and designed the report; Cui JY collected and prepared the images; Wang X reviewed and confirmed the final version of the manuscript.

Ethics statement

The authors declare that appropriate written informed consent was obtained for the publication of this manuscript and accompanying images.

[historian-in-pearls]

Just got a (probably scam) email asking if I want a job working from home and couldn't stop laughing. If a month of medical leave has taught me anything, it's that a.) I'm poorly suited to being at home, b.) I really love my job, and c.) I can't wait to get back. I think every single anesthesiologist and nurse at the hospital where I've been for ECT has had me pitch them museum memberships at this point. That's how much I've missed being at work.

[jackhues]

does buttercup play for canada? because she's definitely amazing at hockey. and even if she doesn't play in the pwhl, she might've played u18s and stuff

yupp! buttercup played in the u18s and womens wjc!! she doesn't play hockey as a profession, but she does play professionally. she plays in the rivalry series as she's in school, and even after when she's an anesthesiologist! she also plays in the olympics and gets the 'c' when she's older! the only reason she doesn't play as a profession is because she's okay with a quiet life, and she loves learning. so becoming an anesthesiologist is something she is very happy with, and it still gives her the chance to play for team canada in certain games :))

[cheapcheapfaker]

my white trash upbringing where the dentists were always trying to drill your teeth for extra cash and all the good ol boys are telling you watch out for those doctors they’ll fuck you over you need to do what feels right in your gut mixed with my college learnin’s where i roll up to the obgyn going “actually though did you read the 2022 publication from Arab et al on pubmed re: c section fasting times on maternal outcomes cause they really turn out to show unless in rare really poor outcomes eating and drinking beforehand within 6-2 hours helps and that’s not counting how in 2016 the American society of anesthesiologists official outlines listed that 6-8 hours for food and 2 for clear liquids is perfectly fine as opposed to a full midnight on fasting, especially in regards to drinking clear liquids” is the kinda attitude the doctors really dont like