non-related note: woah everyone has updated their blogs at the same time! i've read them all on my blackberry, but it's a pain in the a** to comment from the bb so i'll have to catch up on comments when i can get back to my laptop!
epidural power-on!
9:35am luckily we knew from our "great expectations" class that patrick would be asked to leave the room for the epidural. this is requested under the guise that it is for maintaining a sterile environment, but we all know it is because the husbands pass out!
we also knew beforehand that it could be a resident or fellow administering the epidural, as opposed to a lead physician, unless a specific request otherwise is made. we discussed the pros and cons and decided that we were fine with whichever doctor we had (while some people are nervous with newer docs, we figured they are more careful and older ones can get lazy, so it didn't matter to us either way).
the anesthesiologist came in and asked if it was ok if a med student watched on (it is a teaching hospital) and i said that was fine. the neat thing about that, was that i could hear him explaining each little step.
so i sat on the edge of the bed and was asked to slump and completely relax. kindly, the nurse held my hands. i called behind me, "you're going to do this BETWEEN contractions, right??" and the response was, "well, we can
start between contractions." oh boy. not easy to stay slumped over completely relaxed when there is an overwhelming contraction taking over your body.
so the anesthesiologiest went ahead and numbed the local area and then started on in with the big ol' needle. something was not right. not, not right. i voiced it, the nurse asked what it felt like. i said it was hard to explain ... she said is it like a "zinger?" "yes!" and they pulled out the needle.
so, the anesthesiologist remained quite calm, and walked the student through what could have been wrong. "the space between those two vertebrae could be too small, or," something like, "the angle could have been slightly off."
so they went for attempt #2.
yikes! the same thing happened!
i was super calm through this and not freaking out. i wasn't scared about the big needle imposing permanent damage upon my spine, really. my primary concern was that they were going to tell me, "sorry, you just weren't built for this" and that i would be denied the pain medication.
at this point, there was a little commotion and the
Attending came in and introduced herself. at first i thought she was there to bear the bad news. then it was clear they were going for attempt #3.
i fully expected that the attending was going to take over. but no. she stood behind me, but just to observe. oddly, this comforted me, as i decided it meant she was confident in this doctor. the same doctor explained to the med student that the cavity between those two vertabrae must be too small, and that he should have moved up a vertabra last time. even though he admitted that he should have done it another way, i think it was implicit that there was no way for him to know without the second attempt what the cause of the problem was. so he set up for the new location.
in they went again, better this time. then, yikes, once the needle was in there, i got another wave of that "you've hit a nerve" feeling. the attending asked if the pain was to the left or right, i said it was ever so slightly to the left, and she said it was just brushing against nerves and would subside, and sure enough it did.
voila.
the medicine was injected.
the catheter thread into place.
and presto.
almost instantly the contractions seemed to disappear.
the story might sound a little scary, but nothing about it seemed to faze the doctors or the nurses, which made me feel completely comfortable. it was all handled as if it was totally routine. and while there were a few seconds of that feeling like when you hit your funny bone, or a nerve at the dentist, it was just a few seconds each. so overall, i'd say it didn't really hurt much.
patrick was allowed back in.
the nurses spouted off notes to each other.
and patrick jotted down the following into my notes:
10:08am epirdural power-on!