#on the cover of LSC I mean

[julie-su]

Quick doodle of Hecate the ant. I am drawing so much, but showing so little, it's mo-o-ostly shorthand quick'uns as I pour my life and soul into that dang comic XD

Hec, child of Archimedes, mentor of Julie-Su and Lara-Su. Except, oops - they're not supposed to be training Lara-Su just yet... Bad ant! -squirt bottle-

[chriscoles96-blog]

Birth centre to cat 1

27/1/19 - 28/1/19

Another night on the birth centre ended on the labour ward. I thought hand over for a multiparous women who had walked in at 16:50 at 4cms. She was in the pool when I took over and sounded to be cracking on.

She was due an assessment at 20:50, I was keen for her to get out the pool to pass urine and to do a good vaginal examination as it had been handed over that babies head had been high on the last examination and although I’d done a rough palpation in the pool, her bump did look big and I wanted to check properly. On scans it had been estimated on the larger side and at 37 weeks it had already been bigger than her first baby. She really wasn’t keen on getting out and she didn’t think I’d let her get back in. I reassured her that as long as there was progress I would get her back in.

It took a while to convince her but she did get out after having been in the pool almost 4 hours. I did an examination after she’d tried to pass urine (unsuccessfully - she hadn’t been in a good 6 hours - which was slightly worrying) I couldn’t feel babies head, all I could feel was the waters, I made her about 6cms. I discussed the findings and voiced my concerns about thinking baby was on the larger side. I advised her this may mean moving to the labour ward which she really wasn’t keen on, I advised her to stay out of the pool and mobilise while I spoke to the lead midwife.

I called the labour ward coordinator who said she’d come over and review to see if the lady would be able to stay. I advised the lady of this plan and she was happy to be reassessed and if head felt have her waters broken. She came in and could feel the babies head so decided to break the waters to aid progress and descent, thin meconium was noted in the waters (slightly yellowish - can be normal for post dates which this lady was).

The babies heart rate dropped with each contraction with quick recovery since the contraction ended. The lead midwife reassured me this is normal if the head drops suddenly into the pelvis after an ARM. We monitored after every contractions to ensure they did settle and eventually was off (the midwife advised me that this usually happens after about 10 minutes) which it did.

We got her standing during this time to aid descent and ensure more liquor drained. The pool was reheated to 37. And once the fetal heart remained at baseline throughout contractions and no decelerations were heard I got her back in the pool. After the ARM the midwife had made her 7cms.

At 22:50 I reassessed as the woman was feeling pressure down below so had been involuntarily pushing, on assessment in the pool (as the woman wasnt keen to get out of the pool) - she was 9cms. Blood had been seen on her pushing which was a sign that she may not be fully dilated.

At 23:30 the pool appeared to look a little greenish, I was thinking that the thin meconium was possible becoming thick. I asked her birth partners and they agreed the pool appeared a bit greenish. I let the woman know my concerns and that I was just going to get another midwife to check the colour of the pool for a second opinion.

She thought the pool appeared greenish but not obviously thick meconium. So we made the plan to get out of the pool and stand on an inco to monitor liquor colour. She wasn’t keen to get of the pool but she did. On auscultation a deceleration was heard but it wasn’t recovering.

I did an examination at 00:50 while the second midwife continued the auscultate as the heart rate hadn’t yet recovered. She was 9cms with an anterior lip. We let her know what was happening and that we’d have to transfer as her baby was not happy. The midwife called ahead and we covered her for dignity and privacy. Her birth partners gathered her things and we rushed from the birth centre over to the labour ward.

Once in the room we started the CTG to monitor baby - it’s heart rate hadn’t yet recovered. I got her to lay on her left side as another midwife cannualated her. The heart rate came up but hadn’t recovered to baseline. The doctor came in, I gave him her history, he examined her and said she had an anterior lip, he tired to push it back during a contraction while she pushed but it wasn’t shifting so her called a cat 1 section as babies heart rate had dropped and still wasn’t recovering.

Pre meds’ were given, a gown put on, wedding ring taped and part of a checklist completed prior to transferring to theatre. A catheter was put in by the lead midwife while I held her cannula in place as it was threatening to come out.

We were in theatre at 01:00, LSCS commenced at 01:11 and at 01:23 a male infant was delivered. He came out very pale and floppy and needed resuscitation. I checked the placenta and took cord gases which were low and showed that baby hadn’t been happy.

After inflation breaths and some ventilating he was okay. I gave him vitamin k and weighed him. He was fairly big, definitely much bigger than her first baby. He weighed 4140g - 9lb 2oz. His apgars were 2/6/7.

Mum pulse and blood pressure had spiked after the babies bradycardia and was remaining high post delivery which meant lots of observations were required and PET (pre-eclampsia) bloods were sent 6 hours post. Baby was on observations which had so far been normal except for one low temperature which was rectified by some skin-to-skin which hadn’t happened within the first hour post delivery.

I went home knowing babies observations were okay and mums were settling. All in all I left a almost healthy mum and baby. It wasn’t the delivery she had wanted but her baby was a little too big to facilitate a normal delivery and the delays, high head and anterior lip with bradycardia suggested this.

At the start of the shift my intuition was screaming at me that her baby was too big for her to be on the birth centre. I was more worried about a potential shoulder dystocia more than anything else and on a two midwife unit that wasn’t great. At 20:50 I was ready to transfer her and although the ending was an okay one where both were happy and healthy, next time I will follow my instinct because it’s almost always right.

Always better to be safe than sorry.

[elvirag403876-blog]

Liver disease C.

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If she gives you the go-ahead, fantastic - yet don't work out on times when you believe that you're falling victim to an ailment, you are actually particularly painful or have pain or even inflammation, tells the Centers for Health Condition Command and also Protection.

[hermanwatts]

Sensor Sweep: Hammett, Hernstrom, Heinlein, Haggard

Comic Books (Paint Monk): Copyright. Public Domain. Cease & Desist. Not the words one would normally think to associate with a battle featuring Conan of Cimmeria and yet here we are. Now that the smoke has cleared, Ablaze is finally able to deliver translated versions of French Glénat’s Conan comics. Let me see if I can sum it up succinctly. In Europe, most of Robert E. Howard’s works are in the public domain. In the United States?

Publishing (Kairos):  There’s a shortage of paper, because it comes from China. The two largest printers of magazines and books in the U.S., Quad/Graphics and LSC Communications were going to merge last summer, but something got in the way. Now, LSC Communications has filed for bankruptcy. The second largest printer, Quad, has shut its book printing facilities entirely. In some regions, major distributors have shut down or disappeared, while although others, like Ingram, are still operating, although with reduced staff.

New Releases (DMR Books): The next DMR Books release is The Eye of Sounnu, the long-awaited collection of Schuyler Hernstrom’s stories from Cirsova magazine. Today we reveal the incredible cover by Brian LeBlanc (who also did the cover for Renegade Swords.) The title of the collection is taken from the cover story, “Gift of the Ob-Men,” which previously appeared in the first issue of Cirsova, as well as the free anthology The Infernal Bargain and Other Stories.

Hard-boiled Fiction (Elgin Bleeker): The Hammett novel, which I posted about (here), is a complicated yarn of murder and political corruption. Nick Beaumont is an advisor and right-hand man to Paul Madvig, a political power broker. In the book, Hammett showed the strong ties between the men who were long-time friends. A lot of that was lost in the 1942 movie starring Alan Ladd as Nick and Brian Donlevy as Paul because the story needed to be trimmed down to fit a movie’s normal running time. (There is also a 1935 version starring George Raft and Edward Arnold, but I have not seen it.)

Pulp Science-Fiction (Adventures Fantastic): OK, I’m gonna do it.  With the exception of some of the novels, I’ll be looking at the nominees for the 1945 Retro Hugos, which are awarded for stories published in 1944.  I’m going to start with the novelettes.  I read “The Children’s Hour” earlier this week as a possibility Henry Kuttner birthday post before the Retro Hugo shortlist was announced.  Might as well tackle it while it’s fresh on my mind.

Pulp Fiction (Dark Worlds Quarterly): Edmond Hamilton was a Science Fiction writer who is loved for his Captain Future novels, his Star Kings and any number of other Pulp stories. He was an important innovator of the 1920s and early 30s, as well as one of the best writers of Superman comics in the 1940s, 50s and 60s. But there was this time when Ed wrote Mystery stories for money…Hamilton was one of the first SF writers who tried to make a living writing only Science Fiction and Fantasy. He succeeded for the most part but there were lean years in the Great Depression when he turned to Mystery fiction.

Fiction (Jon Mollison): Is now really the best time to write a post-apocalyptic novel? It is if you know what you are doing. And as a writer, let me assure you – I know what I’m doing. The sad fact is that we already live in a post-apocalyptic world. Sooner than expected, we’ll be tasked with finding a path out of the relative doom that follows the American Empire. And fiction can help us do that. If it is the right kind of fiction.

Fiction (Track of Words): Black Library’s Siege of Terra series reaches its halfway point with Saturnine by Dan Abnett, a 500+ page beast of a book in which secrets are revealed, big names start to fall, and the stakes – somehow – get even higher. Having taken Lion’s Gate spaceport, the traitor host marches on the fortifications of the Lion’s Gate itself while simultaneously driving at the Eternity Gate spaceport, stretching the loyalist defenders to breaking point. With battles raging on multiple fronts and resources dwindling, Dorn faces impossible questions of compromise and sacrifice, as he searches for a strategy that might tip the balance in his battle of wills and wits with Perturabo.

Warhammer (Warhammer Community): This is Warhammer’s biggest plastic monster yet… it towers over a regular gargant and easily stares Archaon and his three-headed mount in their many faces. It’s festooned with details that mark it as a creature of the Mortal Realms, including trinkets from across the various factions and bits of monster – presumably to snack on after battle.

D&D (Boggswood): Both before D&D was written, and long afterward, Dave Arneson stocked his dungeons randomly and he devised different methods and  applied different ways to do this.  Monsters, for example, he stocked through a random “Protection Point: system.  Gold he rolled dice for and items he created random tables for.  The best early example is his The Loch Gloomen stocking list from 1972, reprinted in his First Fantasy Campaign booklet.

History and Writers (Frontier Partisans): H. Rider Haggard, an Englishman who had worked for several years in Natal in southern Africa, created one of the the quintessential Frontier Partisan heroes of fiction — white hunter and adventurer Allan Quatermain, hero of King Solomon’s Mines and a whole series of what Deuce Richardson calls “exotic adventure fiction.”  A hunter of wild game and hidden treasures; a “Man Who Knows Indians” (or, rather, African tribesmen); an English gentleman by heritage and termperament, yet one who sought out the wild places of the earth to wander.

Fiction (NC Register): The unmistakable features of Sir Arthur Conan Doyle looked down upon me from an impressive Victorian town house. Below a larger than life portrait there was a sign; it announced: “The Sir Arthur Conan Doyle Centre.” I made a mental note, intending to visit what I assumed was a place dedicated to the memory and literary legacy of the creator of one of literature’s most famous figures: Sherlock Holmes. It was then that I noticed another sign. It offered “services” and other activities: the building was a center for spiritualism — necromancy by another name.

D&D (Jeffro’s Space Gaming Blog): I just had no interest in running a game featuring kobolds and goblins like happens so often when you run Keep on the Borderlands by the book. But you know, with three healing spells at first level for each cleric, high powered rangers and paladins holding things down, and with enough money in the game that the fighting-men can afford plate armor now… hoo boy, they can hold their own up against some pretty tough opposition. Tougher opposition means bigger payoffs– a tradeoff that seems quite satisfactory, at least when the players are winning.

New Release (Amazon): A resurrected sorcerer grants the wishes of the desperate men who have returned him to life—but in ways none of them anticipates. A prince makes a bargain with a barbarian criminal to travel into a lost world of violence and sorcery to save the life of a woman who may already be dead. Marauders who attack a city devoted to a great goddess suffer her strange curse when she answers the pleas of her dying priestess. The last survivors of an ancient continent confront evil at every step as they march beneath skies of endless darkness to reach the haven they hope will lead them to safety.

Art (DMR Books): “Legacy Circle members of the Robert E. Howard Foundation have something to look forward to: The Challenge from Beyond Drafts. In 1935, fan publisher and future DC Comics editor Julius Schwartz wanted to celebrate the third anniversary of his Fantasy Magazine. He asked five prominent science fiction authors and five prominent fantasy authors to collaborate on two stories, both to be titled ‘The Challenge from Beyond.’

Louis L’Amour (Paperback Warrior): Deemed “America’s Favorite Frontier Writer”, Louis L’Amour’s chronicle of the fictional Sackett family was a bestselling series. Beginning in 1960, the 17-book series is still held in high regard with fans of the western genre. While Barnabas’ son Jubal is mentioned in these books, it is explained to readers that he was a loner and distanced himself from his family. Jubal was obsessed with exploring the far west and walking “where no white-man had ever wandered”.

Fiction (Fantasy Literature): Of the nine books that I have read over the last year or so from Armchair Fiction’s current Lost World/Lost Race series, which runs to 24 volumes, no fewer than three of them have involved the discoveries of hitherto unknown civilizations far beneath the Earth’s surface. In Rex Stout’s truly thrilling Under the Andes (1914), three unfortunate Americans go through a hellacious experience at the hands of a lost race of Incas beneath the mountains of Peru. In S. P. Meek’s The Drums of Tapajos (1930), a quartet of American adventurers discovers the descendants of both the 10 Lost Tribes and Atlantis, uneasily coexisting both inside and beneath a mountain in the Brazilian wilderness.

Heinlein (Pulp Net): As a young science-fiction fan, I read several authors, and would often gravitate to a particular author at a time, reading almost everything they did, before I moved on. Often I wouldn’t follow on their later works. One of these authors was Robert A. Heinlein (1907-88), one of the “grandmasters” of science fiction, and sometimes referred to as the “dean of science fiction.” Like many SF authors of the time, he got his start in the pulps, and was successful in leaving the “pulp ghetto” for better-paying markets, such as The Saturday Evening Post, and original books.

Sensor Sweep: Hammett, Hernstrom, Heinlein, Haggard published first on https://sixchexus.weebly.com/

[isisbaume346-blog]

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