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Evalyn Grace

Evalyn Grace joined us air-breathers August 14, 2008, at 10:40 pm. She weighed 7 pounds, 1 ounce. I'm going through massive withdrawals. The birth story was rather fascinating, and I like Bahnree's version best (we'll wait for her to give us her rendition), but I'll share the summary.

Heather was admitted late morning/early afternoon to rule out preeclampsia. About 4 pm she had a hard contraction (she hadn't been contracting previously) and her water broke. She progressed quickly, as evidenced by the 10:40 pm birth time. Crazy.

Currently we're undergoing negotiations as to what nickname will be used. Evie (Evi? Evy?) with either a long or short "e" is at the top of the list, though Eva (short "e") is also a contender.

Oh my goodness, she's blond!

It's so weird, almost surreal to have this new little person in our family.

Proud grandparents.

The Fresh aunt wasn't excited about driving to Salem in the middle of the night, but it looks like she survived.

Turning 30

Everyone will be pleased to know that my 30th birthday turned out to be a total blast. The day itself was on a Monday. The Friday before, Mom flew in. We had a love time doing this and that until my big party Saturday evening.

My party was supposed to be hosted by Jenny & Drew, but it turned out that Drew had a shift in the peds ER that he hadn't known about, so he ended up working. He gave Jenny a lesson on the grill that morning, and the party went on as planned. She made an amazing collection of salads, along with the general set-up. I brought stuff to grill.

Ah, the grill. Once a few people got there, Jenny turned it on. Once it was hot, we proceeded to attempt to use it. Jenny and I look at the grill. We look at each other. We look at the hamburger patties. A male appears in the doorway, and I say with some relief, "This looks useful!" Whereupon Tasha, one of the family medicine residents, exasperates, "You don't need a guy to grill! Here, let me do it." And Jenny and I let her, which was nice, as both of us had other things to do. About 30 people came, from church, ob/gyn, family medicine, CMDA, and ER. After the fact I realized I managed to not get any photos at all of the event.

The next day Mom and I went to church, then left directly to drive to Taos. What a kick! We took the High Road going, and the Low Road coming back. I made a bit of a wrong turn on the way, but it turned out to be great as it took us through this tiny village perched on the side of a hill that looked like it was straight out of Latin America.

We had lunch at Orlando's, then visited the Taos Pueblo. That place was amazing; continuously inhabited for 1,000 years, and no running water or electricity inside the pueblo itself. One of the shops had a small but very high-quality collection of pueblo pottery from around the state (Taos itself only does simple mica pottery), and I came very close to buying a piece.

On the Low Road back we stopped at Embudo Station for dinner. It's a delightful little place on the Rio Grande that reminded me of some of the little places along the McKenzie.

Once back home, I opened a few gifts. Pippin was not forgotten, thanks to Bethy. He's very secure in his manhood, so he enjoyed his gift.

Early this morning I got to help with another homebirth transport. Made me happy. :-)

SROM Exams

Random thought: I once was made to repeat a rupture of membranes exam (to confirm if the bag of water broke) because I reported a "weakly positive" nitrazine paper, but didn't save it to show my higher-ups what exactly I meant by "weakly positive."

Just had to throw that out there.

I also need to say that now I always save my "weakly positive" nitrazine, and now regularly get in trouble for saving that "gross" piece of paper. Only 3 more shifts as an intern!

"I'm 1300 years older than you"

We had our obstetrics & gynecology department end-of the year awards dinner Friday night. It was actually quite nice, especially the free margarita. After all the faculty awards and such are handed out, the faculty mentor for each graduating chief resident gets up, shows photos about the chief, and says whatever they want to about them. A few minutes into this I lean over to Basia and say, "I'm starting to get nervous."

Basia: "Yeah dude. Dr. Dorin, three more years...You're in trouble."

The video clips I took of our nocturnal exercise sessions (yes, we work out in our workroom when we're on nights, with a few family medicine and RN recruits as well) made it into the slide show, which made me very proud. Pippin also made a brief appearance.

Saturday I hung out with Jenny Southard, a family medicine intern. She and her husband Drew, and ER intern, are Christians and blast to hang out with. I know them both from L&D, and I also worked with Drew in the ICU.

Jenny and spent a couple hours hiking on the Armijo trail on the east side of the Sandias. It was a very pleasant shaded trail for a hot afternoon. We both decided we never would have found it without the handy hiking guide telling us where it was. Afterwards we discovered a new Thai place we both liked (good Thai in Albuquerque is an ongoing challenge).

That evening we went to see Prince Caspian. Overall I enjoyed it quite a bit, with a few caveats. The first time I heard Caspian talk, my first thought was Inigo Montoya. Somehow I've never had that thought reading the book. My biggest issue with the movie, however, was the little invented romance between Caspian and Susan. I'm sorry, but that's just wrong. Poor Lewis must be rolling in his grave. Otherwise, though, it was a delightful movie, and I'm looking forward to seeing it again in the dollar theater.

Sunday I bought a tent and went back to work, not necessarily related activities.

A Very Grown Up Schnauzer

Pippin got his first grown-up haircut today. Very handsome puppy!

"You're killin' me here!"

So, today was a rough day. Lots of painful stuff in triage, and I got in trouble for

 a) not coaching the med students in appropriate patient presentations (they weren't putting the postpartum day number in the first line of their presentations) and

b) for not cutting an episiotomy and pulling a vacuum for a baby with a heart rate in 70s for two minutes while crowning. (Baby came out with Apgars of 9 and 9.)

Ah, well, it's over.

"I know, I just checked her."

I realize that I just posted, but I'm inspired, so you need to take what you can get.

Today was a lovely day. It started with the discovery that one of my favorite nurses on L&D is now one of the charge nurses. She's a home birth person, so now there are two home birthy nurses that are charges. It just made me happy.

Then babies started falling out, but they waited until the afternoon to do it. This afternoon I was the only designated baby-catcher, as the off-service family medicine intern had his teaching conferences, and the med student had the day off.

The first birth happened when a family member came running into our workroom talking hurriedly in Spanish. I had no idea what he was saying, but since we were expecting the mom to birth soon, I assumed it had something to do with the baby coming. I sprinted down the hall to see a little head, with now a bit of a blueish hue, hanging out. I barely got non-sterile gloves on, there was a nuchal cord too tight to reduce, but at this point I had no idea how long the head had been sitting there and didn't want to take time to clamp and cut it. Baby was cooperative and came right out, summersaulting over the cord around the neck. Baby was a tad stunned, but did great. The rest of us were a bit stunned too, come to think of it.

The second birth was of the same genre. The mom had come in contracting, but was only 3 centimeters, and we usually require 4 before we'll admit them. Another resident had seen her, and planned to send her walking for a couple hours, but the fetal heart rate tracing hadn't quite met criteria for perfectness. I poked my head in about 45 minutes later, and mom was huffing and puffing a bit more. I rechecked her at 1 hour after the first check, and she was 4-5cm. Well, never mind about walking, let's admit!

I do all the admit paperwork, dictate the admission history and physical, and wander back over to L&D. By now about 30 minutes has passed. The charge nurse walks by the workroom and says, "There's an active patient that just came over from triage." I responded, yes, I know, I just checked her half and hour ago, and she was pretty active then. The charge looks like that's not quite what she meant for me to say, so I followed her down the hall. Apparently the triage nurse was pretty concerned that a baby may be forthcoming.

I walk in the room, check her, and sure enough she's completely dilated with a head very low. I coo encouraging words for her to breath in Spanish while I rapidly gown, glove, and arrange waterproof drapes under her. Her IV is not quite in, but I tell her she can push. Good cow. In the middle of the push I start hollering to get her attention to STOP pushing, BREATHE, but basically the head, shoulders, and entire baby came out all in one push. Well. Done with that.

Then of course the placenta is stubborn. *Sigh.* The homebirthy charge is there, and leans over at one point and says to me, "Don't you DARE avulse that cord. *Sigh.* Eventually I do the noble thing, remove my gown and gloves, and go over to do paperwork. Exactly 34 minutes into 3rd stage (the stage between birth of the baby and delivery of the placenta), I finish the paper work and go back to peek at the placenta. It's detached now, waiting for me to pull it out. Apparently it just didn't want to be fussed with.

Dropping the instruments off to soak on the way, I walk directly to the next room where that patient is now pushing. Erika, the second year resident, is pushing with her. She asks me if I still need to do orders or anything on the other patient. I relate my story of leaving the placenta alone while I did paperwork, so actually I was all done. She looks somewhat crestfallen, and murmurs something about not being able to do a vaginal delivery. (In my program, R1s do vaginal deliveries, R2s do c-sections.) Laughing, I ask her why she didn't say so in the first place, and set about to do her paperwork for her while she catches. Silly R2.

The rest of the day was fairly annoying little triage stuff. Oh, but I'm now up to 120 births since I started residency!
Friday night I met up with Regina, joined by my roommate for the conference, a one Dr. Amy, pediatrician. This was probably the first time I'd been out to an actual bar with only girls. We were first approached by a very adorable, preppy 21-year-old civil engineering student and his buddies. Regina introduces herself as working in intelligence, and "These two are both DOCTORS!" Amy and I do our best to melt into the floor; the doctor thing is something most of us try to keep on the down-low in social situations.
Well, the CE student was trying to impress us with various tales, not the least of which was a survey competition he'd recently won. Eventually he guessed my age at 24, and then was suitably shocked at the truth. Dr. Amy (remember, she's the pediatrics resident) restrained herself from commenting that she could be their doctor. Good times.
Regina ended up deep in conversation with another guy on Iraqi politics. As this would be a lenghthly conversation, Amy and I looked about to discover something else to do. She ended up inadvertantly stealing a stool from a neighboring male, and a conversation ensued.
"Where are you from?"
"New Mexico. We're in town for a union conference"
"What kind of union?"
"What do you do?"
(We exchange glances.) "Um, we work in a hospital."
"Doing what?"
"We're part of the health care team."
"Like nurses?"
"Um, yeah, sort of."
(Exchange glances again, bright idea occurs to us both)
Me: "What do YOU do?"
"We work for the Air Force."
Me: "Doing what?"
Cute Guy #1: "Fly stuff."
Me: "What kind of stuff?"
(Cute guy #2 and Cute Guy #2 exchange glances)
Cute guy #1: "Airplanes."
At this point we are interrupted by the bar closing. I'd like to note that this is the first time I've EVER closed down a bar. Regina is such a good influence. The guys disappeared (figures, as they were the only decent ones that whole evening). Afterwards Regina supplied me with what I should have said when they said they flew "stuff": "What, UAV Predators?"
We got back to the hotel after 2 am. I have NO IDEA the last time I was out late. Probably at the opening to Return of the King. Regina later commented, "Taking Megan and her friend to a bar w/ you, is like rubbing guy catnip all over all of us. Truly a bizarre evening--I felt like that girl in the cashew commercial. You know the one who rubs cashews all over herself and is thusly followed around by all men? Exactly."
Saturday day was the conference, nothing in particular to report. That night, though, continued to be fun. We had a conference reception at the National Zoo Amazon exhibit. I discovered that I like Jim Beam (sp?) and Coke quite a lot, though I couldn't finish it. Afterwards several of us from New Mexico decided to walk back to the hotel (about 1.5 miles) rather than take the charter buses. (Note: I was in 3.5 inch heels, Jamie & Bethy they were the red ones I got in Orlando, worn with jeans and a black sweater tank.)
We started walking one direction, and ran into a locked gate. We then tried a second, and also ran into a locked gate. We had a couple male members to our party, so of course we couldn't stop and ask for directions. We did at this point consider climbing the barb-wire topped second locked gate, but eventually decided we hadn't yet exhausted our non-bloodying options.
Third time was the charm. We just walked back the way the buses had come. Again, please remember I'm walking 1.5 miles in 3.5 inch heels. But I walked fast, and everyone with me was in awe. Good times.
Back at the hotel we decide to go out to Madam Organ, a fairly well-known bar in the Adams Morgan neighborhood nearby. It's 3 stories, and pretty funky. By this time something I ate earlier is not agreeing with me, so I'm not having any alcohol at all.
We got there relatively early, I think about 10pm. Again, it's Amy & I, partners in crime. A while later the others show up. Now, a particular New Mexico gentleman in question is quite the metro guy. He's also the type that doesn't ask girls to dance; he starts dancing and has girls falling all over him. I'm on the far side of the dance floor from where he's coming in. He moves toward the dance floor, starts dancing, and is instantly the center of attention (that boy can dance). But then he keeps coming toward me, and tells me I should be dancing.
"Oh, I can't dance at all!"
"It's okay, I'll teach you."
Whereupon he keeps pulling me into the dancing group, and, yelling into my ear, gives me what he considers the basics. We dance for a bit (well, he dances, I do something sort of perhaps related). When I notice him apparently getting distracted, I move back to the fringes of the group, still dancing. I mean, goodness, this guy certainly doesn't want to get stuck with me.
Well, nothing doing. He comes after me, and pulls me back in saying something like, "You need to be out here dancing." Eventually he does get permanently distracted, and then I go in search of Dr. Amy, who is on something like her 5th or 6th drink for the night, and I'm starting to get worried. She's fine, of course, and we leave about 1 am. We walked back, me still in the red 3 inch heels. I felt like I did princess proud.

Attack of the Hough Women!

Portland Day! This morning Emily and I went to have coffee at Starbucks, where I was instructed in the finer points of selecting coffees for combination with various flavors in a misto. Mostly, I just told Emz to order for me. We then explored Pioneer Place for a bit, until Mom and Stephanie showed up.

Somehow I managed to talk them all into going into Tiffany's with me. They all thought I was nuts, but weighed in on my choice of necklace for my upcoming 3-0.

This evening was Jennifer Holliday's wedding, but I have some stories from that so I'll post later. Here are the pictures from earlier in the day.

Emily and I at the first floor Pioneer Place Starbucks (there's also a 3rd floor one).


Me at Starbucks

The three Hough daughters, headed down the Pioneer Place escalator. I would like to point out that the photo is taken by Mom. We all about fainted when she said she'd use the escalator with us instead of the elevator (she's not one for heights).