Archives for: March 2014, 25
I still find myself fuming at the MD who was on call the day DD and SIL left the hospital with BC, and I am very thankful for the PA they saw the next day.
DD didn't think she would find hospital food to here liking, so she had packed beneficial foods in her suitcase. She was glad when there was salad on her tray, which she ate with EVOO from home. She made herself peanut butter sandwiches. She brought fresh fruit, nuts, and oatmeal. So she ate like an A for herself and her little A baby.
In addition to all of the amenities I mentioned before, each bathroom in the maternity ward has its own whirlpool tub. A couple of times a day she got to sit in warm swirling water, which helped her to heal rapidly. Granted she had a fast labor, but her soreness disappeared quickly.
Day two was busy. The nursing staff was constantly teaching them something - like how to bathe the baby until the cord fell off. There were diapers to change and feedings and paperwork and more feedings.
The second night BC was more active and not quite as content, so DD and SIL started the day a little sleep deprived. That's when they encountered the pediatrician on call from the clinic. She was rushed. She had several babies to release that morning. She seemed to be more interested in protecting herself from any possibility of a lawsuit, than in making this a joyful moment for the parents.
BC's bilirubin was 8. She told them that the limit was 10, and he was too close. She would release him, but they would have to take him to the doctor first thing the next morning and have him retested. She did not encourage breast feeding. She wanted lots of fluid and lots of protein in his system. Colostrum, God's plan for a baby's nourishment for the first 2-4 days, was not satisfactory for this pediatrician. She wanted them to start supplementing formula. By the time they had finished the checkout process they were worried and feeling inadequate.
We had a wonderful afternoon at home together, taking pictures and getting settled. But BC was not a happy baby his first night at home. He wanted to nurse often. He woke up whenever they put him down in the bassinet. He cried a lot.
They left for the doctor's office sleep deprived and scared. Why wasn't her milk in? Was he dehydrated? Would he have to go back to the hospital? Was his umbilical cord ok? Was his circumcision infected? BC looked like a normal, healthy newborn to me, but the doubts planted by that pediatrician dominated the thoughts of these two new parents.
At the doctor's office, BC was examined by a PA. The PA explained that all babies have an oversupply of red blood cells when they are born, and as those cells break down the bilirubin level goes up. No need to worry unless it gets really high. No need to supplement formula. Milk for first time mothers comes in at 3 - 5 days. Until then colostrum is just what a baby needs. Everything looked great, and he told them they were doing a good job as parents.
They were still sleep deprived when they got back to the house, but they were happy and confident again. What a difference bedside manner makes. Both the MD and the PA saw the same baby and the same lab reports. One focused on all the things that might go wrong. The other encouraged and informed.
I want my medical advisors to be knowledgeable. I want them to tell the truth and not hide things from me. I need to know when something is wrong. I need to know what danger signs to look for.
At the same time, I want them to tell me how I can be proactive. I need a reminder that worst case scenarios don't usually happen, and that I am competent to take care of my body.