Nov 8, 2012
commented on "Is a Frog's Ass Waterproof?"
"Gawd bless the pig!" - A, my redneck friend, in reference to all things pork related
"The devil's beatin' his wife" - when it's simultaneous rain and sunshine
"I got the 'itis." (pronounced Ah-tiss) referring to food comas
"I'm fixin' to go..." - any task or action in the immediate future
Ah, Tallahassee. More like Talla-nasty.
Nov 5, 2012
commented on Family Fights for Control of Mentally-Disabled Woman's Uterus
Last summer, I was an extern at a large hospital in central Florida. I scrubbed for a c-section (her fourth) on a 21 year old woman who had an IQ of 50. She lived in a group home. The infants she delivered were all in the custody of the state/adopted out. It was not known who the father(s) of the babies were. We were frustrated because the risk associated with c-sections goes up steeply after #3, and future pregnancies were at very high risk of placental problems, uterine rupture, etc. that would be life-threatening to her. Another pregnancy would be very risky, subsequent ones would be disastrous, and she had many reproductive years left.
Florida also has strict laws about who can consent to sterilization and when the procedure can be carried out. For instance, the consent form must be signed twice, both at least 30 days before but not more than 6 months prior to the procedure. Also, people who are incapacitated cannot consent to sterilization, and it's not really clear if a guardian can consent for them. This stems from an era when people (mostly female, young, poor and black) were sterilized without their knowledge or consent due to perceived mental deficiency. Essentially, we could not prevent risky future pregnancies in this young woman BECAUSE of her incapacity.
There were other cases. A woman in her early 30s who'd had a stroke during her pregnancy (she had a clotting disorder), spent weeks in the ICU before she regained consciousness, though she was left with Wernicke's aphasia and cannot communicate much. Another pregnancy would likely kill her. Her mother refused a tubal ligation for her. She cannot be sterilized.
Another: a woman born in another country who had a near-drowning incident as a toddler that left her severely brain-damaged and unable to speak. Her parents married her off to a much older man when she was a teenager. She was now over 40, pregnant for the 9th time. Her eldest child (a daughter, who was a teenager at that time), was her mother's caregiver and the one who spoke for her. The husband, of course, refused sterilization for this poor woman.
As a almost-doctor about to enter training in OB-GYN, this will be an issue in my career. I don't know what to do.
Aug 13, 2012
commented on How Do You Prepare Your Giant Zucchinis?
Shred it and portion it out in little baggies. Then add it to any crock pot or casserole recipe for extra nutrients, or bake into zucchini bread or zucchini cake (like carrot cake but with zucchini instead). I shred mine into a crock pot with tomatoes, tomato paste, garlic, mushrooms, onions, Italian sausage and a couple tablespoons of EVOO for spaghetti sauce. If you're ambitious, slice them and prepare as you would for french fries, then stir a bit of horseradish into ranch dressing for a dipping sauce and enjoy.
Jul 3, 2012
commented on Thank God I Don't Have to Move to Israel
For the rest of us, do you think Canada would allow an influx of elderly health care refugees? I doubt it. We really need something better here at home.