And Then &#8230

In an attempt to fight Brianna’s boredom, we bought a Sony Play
Station 2. Playing is great fun. We picked up two games, one an
aircraft fighter type game, the other an ‘E’ for everyone rated
game. The aircraft game would play back crashes at different camera
angles to show the user how they failed to complete their mission. We
started crashing into the ocean at full speed to admire the crash
analysis.

Sundays are Lamaze days so at 5:15 p.m. we left the house to go to
Lamaze. That pressure we discussed earlier had returned the night
before. Right before 7:00 p.m. my cell phone went off. I had forgotten
to turn the ringer off as requested so I quickly shut off the
phone. Caller ID indicated it was Sanna and Elizabeth. We had a break
at 7:00 p.m. and Brianna returned the call.

Dr. Brinkman wanted Brianna to stop by Seton so she could look at
Brianna’s cervix. We had hoped to get home before too late so I could
watch “A Helicopter Is Born.” We wouldn’t make it.

No admission workers work on nights or weekends, so the Nurses have to
pick up extra duties and admit patients as well. They follow their
guidelines exactly. Coincidently, we are admitted back into the ‘small
room’ and are becoming very accustomed to Seton’s Labor and Delivery
department.

Note to Expectant Fathers
* Have you insurance card out so they can make a photocopy
* Have your wife’s work address and telephone number
* Have the next nearest relative’s contact information

I have filled this form out 3 times, but I think I have filled them
out differently each times.

Once in the room the nurses type the patient information into the
database. They go through the fields and ask the patient about their
history. We have been through this three times but it seems that each
nurse asks the questions differently. Some, like tonight’s nurse, go
into great detail asking a question for each box. Have you ever had
herpes? Have you ever had AIDS? While other nurses would ask, “Have
you ever had a sexually transmitted disease?” Then she would elaborate
getting more detail only if it was necessary. Both nurses were very
nice about everything. We thought the doctor would examine Brianna and
send us home again, so the nurses help off on attaching Brianna’s
patient ID bracelet.

Dr. Brinkman arrived to examine Brianna’s cervix and knew all she
needed to know after about 15 seconds. Brianna had dilated to 2.5 cm
and had dropped to a -2 cm station (from a -3). Brianna was also
moving rapidly toward effacement and was estimated to be 80%
effaced. Brianna was also experiencing regular contractions paced
about 6 minutes apart. Brianna would have to be hospitalized and
administered an IV to help control the contractions. Magnesium sulfate
was given for the contractions, steroids were given to help develop
Hailey’s lungs, just in case, and antibiotics were given for good
measure in case of infection. The IVs were difficult to start and
required two nurses and both arms before finding a suitable
vein. Somebody mention the ugly method of acquiring urine and I
thought Brianna was going to start crying at the very mention of the
catheter word.

Medical personnel are very odd in the way they freely throw around the

dreaded application of the catheter. They say we will use a catheter
like it is as simple as giving an aspirin. After seeing the pain on
Brianna’s face from getting a catheter on Thursday I think I would
crawl to the toilet through broken light bulbs before I would consent
to a catheter. Luckily good will prevailed and Brianna was allowed to
mobilize on her own behalf. Every 6-8 minutes she would disconnect the
monitor and go to the restroom.

You haven’t had a little know fact in a while so I will give you one
now.

> _Little Know Fact No. 5:_ Patients who have been administered
Magnesium sulfate have their urine output monitored. The patient
urinates into a special pail that hangs in the toilet and a nurse will
come by later to empty the pail and take inventory of the urine. What
is the worse thing you have taken inventory of at work? I bet you
don’t want to be a nurse, now do you?

My insurance company requires that you call in for “pre authorization”
within 48 hours of being admitted to the hospital. I didn’t need
authorization the previous times because we left before 3 hours. This
time I called and got authorization. The lady on the other end of the
phone could hear the fetal monitor in the background and was very
nice. At the end of the call she wished us the best of luck. I think
that was a very nice gesture but I wonder what I was getting
“authorization” for, I hope Hailey doesn’t think she has clearance to
land.