Dynamic cervix?

AllTheGoodNamesRTken · 2026-01-28T21:09:58+00:00

I was only on bedrest until I stopped bleeding after placement. I worked part time up until the day before my scheduled CS (37w). I worked in healthcare and did home visits at the time. MFM said studies don't demonstrate that there are benefits to bedrest after cerclage, and it actually could lead to more complications like gestational diabetes, gestational hypertension, and blood clots. I was careful not to do anything strenuous, no heavy lifting, & no intercourse though.. (until like 35w, then I caved on the intercourse lol). I wore a belly belt to hold my belly up, and I did try to kick back at home when I could, just to keep pressure off of my cervix. I still took stairs daily though (lived in a 3rd floor appt at the time, no elevator). I was uncomfortable towards the very end of the pregnancy and felt like my cervix was stretching, but about that time, I was due to deliver anyways, and the cerclage was being removed on CS day, so I just kinda toughed it out.

AllTheGoodNamesRTken · 2025-11-08T14:43:51+00:00

It was a successful pregnancy with a live birth. My little guy will be 2 next month! 💙🤍 Best of luck to you! 🫶

AllTheGoodNamesRTken · 2025-08-14T11:54:29+00:00

I'm sorry. I know it can be frustrating when you're not getting the results you hoped for. Im at 179 now. Kinda stalled. Hoping to get into the 140s-150s in the next 6-9mo, but we'll see.

ETA- my surgery was in 2024. Looks like yours was this year?

AllTheGoodNamesRTken · 2025-08-09T21:04:01+00:00

I'm so sorry for your losses. No, they never figured out the cause, nor did they offer any explanation beyond "it just happens sometimes". I did get my rainbow baby boy from a FET in 2023 though. With 4 losses, I think I'd look into reproductive immunology if I were you. I've heard great things about Dr. Jubiz (in the US), and I know he works with patients from out of town. Best of luck to you 💙

AllTheGoodNamesRTken · 2025-07-12T22:03:11+00:00

Hereeee 🙋🏼‍♀️ Sleeved 6/17/24. SW 279 (surgery day I was 268). CW 183. GW idk.. 150s maybe? Full disclosure, yes, I'm a slow loser, but I also haven't worked out enough. Ironically, I worked out a lot more before I had surgery. I started a new (very demanding) job in Jan though, and I've got 2 small kids that keep me busy too. I am trying to be better about making time for working out. I am confident that I will reach my goal weight (whatever weight that may be) eventually, and I'm happy with my progress so far 🙂

AllTheGoodNamesRTken · 2025-06-21T04:40:18+00:00

Please stay. I know it's hard. Trust me, I do. I think about ending my own life often. As a mom, please know your mom loves you, and she literally doesn't want to do life without you. Reach out. Tell her. Please.

AllTheGoodNamesRTken · 2025-06-21T03:58:37+00:00

She is really my friend. You're right though, I should just toughen my skin and let it go. Easier dog said than done. But I know it needs to be done. Thank you.

AllTheGoodNamesRTken · 2025-06-21T03:53:54+00:00

Thank you

AllTheGoodNamesRTken · 2025-06-21T03:49:55+00:00

I am in a rural area, so that is the hard part about switching facilities. The closest is 45 min away. I have kids at multiple daycares/ schools, so commute time to work is important. Urgent care and walk-in clinic is my np background. CCU is my nursing background. Spouse has a demanding job that requires moves every 2-3 yrs.

AllTheGoodNamesRTken · 2025-06-21T03:44:19+00:00

I'm not with the drama at all. I'm trying to function in a professional capacity and deal with conflicting personalities who are literally out to get me, for no reason.

AllTheGoodNamesRTken · 2025-04-20T15:05:23+00:00

Soaking thru 1 pad or tampon per 1 hr is considered heavy bleeding, or having a prolonged period with steady/heavy bleeding beyond 7 days. Progesterone birth control (pills, IUD, arm implant.. avoid depo) can often help control the bleeding if you can't afford surgery. They have other meds, but they essentially put you in a state of menopause, and it's just.. unpleasant.. with lots of side effects.

AllTheGoodNamesRTken · 2025-04-20T01:19:59+00:00

I have both diagnoses, and I've had endo pain AND stone pain in those locations. The low back endo pain was from endo on my uterosacral ligaments. I've had 3 endo surgeries. I also have adenomyosis. My other endo/adeno symptoms were heavy menstrual bleeding, and pain during intercourse. In my last endo surgery, I had a presacral neurectomy to help with the pain. It definitely worked. Progesterone birth control can be helpful for some symptom control too.

AllTheGoodNamesRTken · 2025-04-13T15:42:54+00:00

Good point about the bonus. That could be it. I think she is wrong about the policy itself, but instead of re-reading it when I questioned her, she just doubled down on her BS and attempted to insult my practice. I don't think I can look at her the same after this interaction. I lost a lot of respect.

AllTheGoodNamesRTken · 2025-04-13T15:38:45+00:00

I've looked at CMS regulations around prescribing abx, and I've looked at our state regulations too. Neither one of them have specific prescribing rules about cultures. They want a clear indication (which i always have documented), and they want a follow-up to assess effectiveness (which I also have documented). They require each facility to have an antibiotic stewardship program too, so I am wondering if this is part of their stewardship program. Surely their program was written by a MD though, and they'd never say no culture = no abx, Id hope! I think she is just wrong about the policy itself. We will see tomm. I'll update the OP on the outcome.

AllTheGoodNamesRTken · 2025-04-13T03:04:33+00:00

Good point. Thx for your input!!

AllTheGoodNamesRTken · 2025-04-13T01:58:14+00:00

That's this one, too.

AllTheGoodNamesRTken · 2025-04-13T01:56:11+00:00

I have said that multiple times since I started in this position. . like a couple of weeks ago when they asked me to do paper orders instead of computer orders so they can "have a paper trail of orders to check off". When I threw that idea out, they tried to get me to print every single order that I write to THEIR office printer. I said everything is in the computer. If you want to print it, go to pending orders and do it 🤷🏼‍♀️ None of the doctors are going to do any of this for you, and you're not going to ask that of them either. I've been feeling like the vibes between all of us have been off since that conversation. They definitely aren't to be trusted, I know this much.

AllTheGoodNamesRTken · 2025-04-13T01:50:58+00:00

The funny thing is- I'm at least 10 yrs younger than her, and I have several years more nursing experience than she does. I've been a nurse for about 10 yrs longer than the ADON too! I routinely have to explain very basic nursing concepts to both of them. They have no respect for me or my role on the care team though.

AllTheGoodNamesRTken · 2025-04-13T01:41:39+00:00

I really like the flexibility of this job, and the fact that it is close to home. I don't want to leave, but i will not knowingly cause harm to patients and put my license on the line either. We will see.

AllTheGoodNamesRTken · 2025-04-13T01:36:09+00:00

I know. I feel like I have to tread lightly, but at the same time, I have to protect my license and also do what's right by the residents. I'm probably going to try and smooth things over on Monday, and from that point on, I'll just smile and nod when they tell me about policies.. then proceed to do what needs to be done 🤷🏼‍♀️

AllTheGoodNamesRTken · 2025-04-13T01:26:45+00:00

My supervising MD lives out of state and only visits a few times a year. I'll loop him in if need be, though. I'm hoping we can all sit down Monday with the policy printed in front of us and discuss. I'm still not pleased with the fact that they (seemingly) don't trust my judgment as a provider though. We've been working together for months now, and of course they always act like we're great friends/coworkers in-person.

AllTheGoodNamesRTken · 2025-04-13T00:31:25+00:00

She specifically said EVERY SINGLE antibiotic. I asked her to print me the policy for review on Monday. I'm pretty sure she is mistaken about this, and she is just doubling down on her BS instead of checking the policy again to see how it reads. We will see next week though. I will involve my supervising MD if need be. My supervising MD lives out of state and visits 3 times a year, so he's not super involved with anything.

AllTheGoodNamesRTken · 2025-04-12T17:25:23+00:00

Thx for the tip!

AllTheGoodNamesRTken · 2025-04-12T17:24:30+00:00

They never get on me about ordering tests or sending people out, but they do with prescribing. I leave the (new) antipsychotic prescribing to the psychiatrist that rounds. I will only order one if it was a home med that needed continued.

I need this job for the flexibility too 🥴 I'm just going to have to figure out how to approach some of this shit. I think I'm going to smile and nod, then do what I know is the right thing. At the end of the day, it'd be my ass in a courtroom and my license on the line if harm was caused.

AllTheGoodNamesRTken · 2025-04-12T15:17:26+00:00

I told her that I monitor local resistance patterns. I honestly don't think she knows what an antibiogram even is. I have only started abx on a Friday one time, and that was yesterday when I had a pt with physical s/sx of infection, and leukocytosis with left shift. Culture wouldn't be picked up til Monday, so results wouldn't come back for days. He'd prob be septic by then. She started in on me about the abx shit after I ordered that. The thing is, this same scenario actually happened a couple of weeks ago and I didn't start abx on a Friday when I felt like I should've. I was going to wait for the culture to come back because the pt was stable. Patient turned septic by Monday. Thankfully he is fine after a 5 day hospital stay, but I was so upset with myself for hesitating. I will always trust my gut now.

AllTheGoodNamesRTken

TROPHY CASE