Monday, April 20, 2009

Amy on crutches and monitored in L&D

So our plans for putting Amy on more strict bedrest at home was strengthened by the fact that she had a fall today. With the scheduled ob/gyn appointment today, Amy went to get her haircut just in case she was placed on bedrest. On the way out, she twisted her ankle and fell on her bottom. She tried to make an Isaiah Thomas like 1988 NBA Finals game 6 performance but couldn't overcome her ankle injury. I got bought some crutches on the way to her ob appointment, but her gravid uterus makes crutch walking difficult. The sono went well, but the MFM and obstetrician both recommended that Amy go to L&D for 4 hours of monitoring. I got her checked in and went to work a little late. I got an email from Neil who had questions about ED triage so I talked to him on the phone. He was wanting to incorporate some of this into the sermon on Sunday. Meanwhile, Mom took Ruth home. Praise that Amy's KB was negative and the only intervention she got was some terbutaline to stop contractions. Her ankle xray was fine. We were confident of this before the radiograph, but we all know how it works. She was released and Nick drove her home since Suzanne had car trouble and I was doing an RME shift. Work went well. I guess Amy got her warning from the ob that she must take it easy or else she gets admitted for real bedrest. Pray for Amy and the twins to make it to full term without complications (including falls).
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Mark 5:36 "Ignoring what they said, Jesus told the synagogue ruler, "Don't be afraid; just believe."
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I skipped to Mark because Neil is planning on preaching on the story of Jesus healing a sick woman before Jairus' daughter and wanted to relate it to triage in the emergency department. Working RME is quite an eye opening. You sit with registration and the triage nurses on the front lines. You see and hear the frustration by those who wait for hours and see other patients who show up after them yet get taken back before them. They do not see the lines of ambulance stretches who are taking up resources. If they could see the critical patients that are being brought in by EMS and if they understood the triage criteria, it might make things better. Still, waits are long and there are just not enough beds or staff at times. I will be interested what take Neil takes with the ED on Sunday when he preaches on Mark 5.

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