People, it is no great secret that people have complicated lives. NewFNP has seen a shitload of this in her expanded role as prenatal care provider.
Friday, September 26, 2008
Take for instance the 20-weeker who complained of daily anxiety and thoughts of fleeing. NewFNP screened for abuse. Denied. Depression? Denied. Pre-existing stressor? Affirmed. What stress might that be? Her on-going affair resulting in her unintended pregnancy resulting in her uncertainty as to half of her fetus's DNA. NewFNP offered support and referral to counseling but felt a little relief when her patient flat out acknowledged that she had made her bed - no pun intended - and that she would have to find a solution. True. But take the referrals, hon. Clearly there are some issues to be worked through chez toi.
Or the 17-year old pregnant woman who tested positive for HCV. This 17-year old now has to worry about vertical transmission (0-8% risk), about breast-feeding (CDC and AAP say it's OK), about hepatocarcinoma (referral, viral load, genotype pending).
Or the 30-year old G6P3 who recently separated from her partner, had an unintended pregnancy and - surprise!! Triplets!
Now, newFNP has generally refrained from turning her blog into a platform for political musings, but here we are in an election where one ticket is opposed to abortion rights no matter what and supports the limited to access to birth control, where the VP candidate wants women to pay for their own rape kits and ban Are You There God, It's Me Margaret, and where the presidential candidate is a huge dick during the debate he tried to bail on. OK, that last one isn't related to health care, but he was a dick, right? Geez!
Do they want more 14-year old parents with limited IQ and limited future prospects? If newFNP were running for president, she would support free Mirena insertion at age 14 for all females. Isn't it reasonable for the whole country to delay childbearing to age 19? Just get through high school? Fuck, get through middle school without getting knocked up.
NewFNP was a die-hard Hillary supporter, but she does not at all understand these people who have jumped from Hillary to McCain/Palin. What the fuck? Women's rights people! Remember 'women's rights are human rights'? Taking care of the poor? Gay rights? Not screwing the middle and lower classes? Valuing education? Valuing science? Promoting environmental awareness? The economy? Not having nuclear war with Iran?
Oh man, newFNP cannot imagine the consequences of a McCain/Palin White House. The only good thing that could come of it is more Tina Fey impersonations and, as ridiculously great as that was, it's not enough.