Friday, May 30, 2008

Student Midwife

I'm beginning to wonder if I'll ever stop being a student midwife. The more I learn the more I realize I don't know.

I've decided to drop AAMI. I'm not happy with some of the ways Carla has handled things, but more importantly I'm not happy with the curriculum. It's a lot of busy work, things that I really don't think are needed, like writing a Childbirth education workbook for your clients. There are so many great books out there, I can see evaluating several and choosing one you would recommend but writing an entire one??!! Some of these authors have spent years doing that! Why reinvent the wheel. I also feel like the add-ons for the Philomath are not nearly worth what she's charging for them. I paid for the Great Start-4 and am disappointed with the AEU's. The fetoscope one asks for the four ways to hear heart tones and then gives you a chart to record them. Hardly what I would call educational. The 4 year study calendar is printed calendar pages, anybody could create one themselves, I was hoping for something with goal planning and such on it. I haven't requested the NARM study questions yet so I can't comment on those.

So on my preceptors recommendation I'm going through "Becoming a Midwife" by Carolyn Steiger. Much more realistic IMO and things that will actually be useful to my clients and my education. I started on the skills checklist and realized I really need to start using a fetoscope during prenatals. I also want to order a pinard horn. I'd love to find a beautiful hard wood one that was hand crafted, I'm such a sentimental.

I'm struggling with my preceptor. I feel like she's not wanting to call me for births, now maybe they've all just been fast lately, but I don't know... I'm sure it's my own insecurities. I need to talk to her about when she calls me. It seems she doesn't call until after she gets there and decides if I have enough time to make it. I'd rather she called when they called her, especially if they call and put her on alert. I just don't know how to bring it up, I'm so incredibly afraid of offending her, there are no other options for me here. Don't get me wrong, she's far from tyrannical and I agree with how she practices (mostly)so in the grand scheme of things she's great and I couldn't have found a better preceptor. I'm just not sure how to tell her I need more direct teaching and I want to see more births.

I don't feel like I'm learning anything new, but I also don't feel like I'm doing very well at perfecting my clinical skills. I think I've got blood pressure down, but I still struggle with hearing it over the movement of the tubes and such especially if mom is talking and moving her hand. I'm having difficulty with fundal height on many women, especially the fluffy, newly pregnant ones and I haven't memorized FHT chart so I'm always looking like a fool with that.

Gas is getting insane, and it's a 160 miles round trip for every clinic day and then where ever the birth is. I'm sure this has alot to do with why my preceptor doesn't call me, it seems a waste of gas to drive up there to miss a birth. I don't know what to do.

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Monday, May 19, 2008

I can't believe I voted for this man/ DNA testing

Bush Signs Bill To Take All Newborns’ DNA

Steve Watson
Friday, May 2, 2008

President Bush last week signed into law a bill which will see the federal government begin to screen the DNA of all newborn babies in the U.S. within six months, a move critics have described as the first step towards the establishment of a national DNA database.

This actually has been going on for a number of years, though I've been unable to find out just how many, it varies by state. This bill just makes it legal.
The newborn DNA will be collected through the PKU screening offered by all 50 states. In many states it's "required". With a simple heel stick and enough blood to fill 5 tiny circles on a piece of paper the United States Government (and I suppose any peoples they deem worthy) will have a full index of your child's Genetic makeup. Beyond just their DNA they have all the identifying information to go with it, parents name, social security numbers etc. All they need for tracking anyone, anywhere.

The concerns I have are numerous! To begin with
Dec 13, 2007: This bill passed in the Senate by Unanimous Consent. A record of each representative's position was not kept.
Apr 8, 2008: This bill passed in the House of Representatives by voice vote. A record of each representative's position was not kept.
so we can't see how our Representatives voted on this, why should this be kept secret? I'm really interested to know how our presidential hopefuls voted! If anyone has information on this please comment!

Then there is
  • Establish a national list of genetic conditions for which newborns and children are to be tested.

This sounds benign at first glance, but could this lead to genetic testing for "conditions" that are merely race related? I'm thinking Hilter would have loved a genetic test to determine the "pure race"

  • Establish protocols for the linking and sharing of genetic test results nationwide.
  • Who exactly are we sharing this information with? And what are they going to do with it?

  • Build surveillance systems for tracking the health status and health outcomes of individuals diagnosed at birth with a genetic defect or trait.

  • Is this surveillance mandatory or voluntary? What happens if a parent chooses unconventional methods of treatment? Will the government intervene??

  • Use the newborn screening program as an opportunity for government agencies to identify, list, and study "secondary conditions" of individuals and their families.

  • So genetic testing of anything and everything they think would be interesting, without your consent!

    I wonder if Bush would have signed this 4 years ago, when he was up for re-election? Given Bush's stance on stem cell research I would think he'd be a little less likely to endorse genetic testing. I guess you just never can tell, can ya'?

    Ron Paul had this to say before the U.S. House of Representatives:

    "I cannot support legislation, no matter how much I sympathize with the legislation’s stated goals, that exceed the Constitutional limitations on federal power or in any way threatens the liberty of the American people. Since S. 1858 violates the Constitution, and may have untended consequences that will weaken the American health care system and further erode medical privacy, I must oppose it.

    S. 1858 gives the federal bureaucracy the authority to develop a model newborn screening program. Madame Speaker the federal government lacks both the constitutional authority and the competence to develop a newborn screening program adequate for a nation as large and diverse as the United States. …

    Those of us in the medical profession should be particularly concerned about policies allowing government officials and state-favored interests to access our medical records without our consent … My review of S. 1858 indicates the drafters of the legislation made no effort to ensure these newborn screening programs do not violate the privacy rights of parents and children"

    I'd like to point out that Hillary Clinton was a co-sponsor of this bill...

    At what point do we stop? When do we as Americans stand up and say enough is enough!

  • I demand my privacy

  • I demand my freedom

  • I demand the right to raise my children as I see fit

  • I demand the right to spend my money as I see fit

  • I demand the ability to refuse government intervention

  • What are we doing? We're like sheep going to slaughter. We bury our heads in the sand and just assume that "they" have our best interest at heart. WAKE UP PEOPLE! Your grandma isn't an elected official, they don't all love and care for you and are just wanting to see you become the best person possible. They all have their own agendas and most of them include $$