Things-that-are-awesome Thursday! Week 2

Welcome to Things-that-are-awesome Thursday!

This week's Thing-that-is-awesome is a location.  A beach, actually.

Now, I live in Florida. Dead smack in the middle of Florida, to be exact.  I'm surrounded on all sides but one by AMAZING beaches, as well as mediocre ones.  Needless to say, it was extremely difficult to pick just one for today's edition.

Ever dedicated to my readers, I sallied forth and weeded through the ones I had been to, compiling a short-list of ones I make an effort to go back to as often as possible.  There was one that truly stuck out, though.  I often dream about it, and find myself craving it's powdery white sand and warm, gentle waters.

Caspersen Beach is located in Venice, FL just south of the Venice Airport.  It is one of the single most awesome beaches in the entire state for shell collecting, and it is the beach best known for finding prehistoric shark's teeth with minimal effort, often finding more than one in a single afternoon.  The sand is powdery fine, and the water of the gulf is warm and gentle.

There are no lifeguards on duty and there is no concession stand or playground.  There is also no camping on site. It DOES have the following:   

177 acres of land
9,150 linear feet of gulf beach frontage
1,100 foot boardwalk
dune walkovers
fishing
nature trail (.34 mile trail)
parking
picnic area
rest rooms
swimming
undeveloped land

Some fun trivia about Caspersen Beach:

• 
  
  
  
  Originally deeded to Sarasota County by the Caspersen family in 1968 through a special warranty deed that stipulated the land would revert back to the family in 20 years.
• 
  
  
  
  In 1972, a bond referendum was held and passed for the purpose of acquiring Caspersen Beach and South Lido Park.
• 
  
  
  
  In 1986, the Board of County Commissioners included the Caspersen Mainland site (64 acres) in a $20 million bond referendum which the voters approved.
• 
  
  
  
  A friendly condemnation suit was filed by the Caspersen family requiring the county to prove in Federal Court the need for the land as a public park. The court ruled in the county's favor and established the value of the land.
• 
  
  
  
  A Land and Water Conservation Fund grant combined with proceeds from the bond referendum provided the funding to acquire the site at the price established by the court.
  
  
  
  You can see freshwater and saltwater marshes, mangrove areas, and tidal flats. Visitors can enjoy a 20 minute walk through Caspersen's nature trail which has been developed through a coastal hammock. The southern two thirds of beachfront has been left in its natural state. A dune restoration system with walkovers has been implemented to preserve the shoreline.
  
  
  Caspersen is TRULY one of Florida's treasures, and just another reason why I will live out the rest of my days in this beautiful state.  There's even been the occasional thought in the back of my brain that a small beachfront home might just be the perfect thing.
  
  
  Anyways, I'll leave you with one more photo, proof of just how awesome and fun this beach is.  If you're ever in Florida, you NEEED to make visiting it part of your itinerary.  You won't regret it!
  
  
  
  
  
  
  
  

All photographs copyright Jacqueline Monck of MMC Designs.  Remember, Hotlinking makes Baby Jesus cry.  If you'd like to use an image, please contact Jacqueline at mmc.designsfarmsandkennels@gmail.com and ask nicely. Have a good day! :)

A rant on standards of health care...

You know, I bitch about the standards of healthcare in the state of Florida. I bitch a LOT about maternity and pediatric care.

I had the chance to be very thankful for what we have today.

A bit of back story: Woman I used to know many years ago via IRC had her son last week at 32 weeks gestation, which is 34 weeks pregnant. He was underweight, extremely jaundiced, and had mild respiratory distress syndrome. No ventilator needed, but they kept him in an O2 tent under a bili light for a week.

The woman is a few years older than me, but very... immature. If you didn't know better, you'd think that perhaps there was some developmental deficiency, but there isn't. She's just immature.

Her son was discharged today, at 1 week old. He'd been weaned off the O2 over a course of 12 hours, and his blood oxygen level was stable. His weight? 4 lbs, 14 oz. His jaundice is still extreme. As in, I've never ever seen a newborn (or ANYONE, human or animal,) leave a hospital with that degree of yellowing to their sclera and skin.

She messaged me today, frantic and terrified.

Apparently, the neonatologist explained everything to her - in medical terms. When she asked for further explanation, she was told to write it down so that she could look it up later.

She was allowed to nurse him once, and sent home with instructions to avoid formula and bottles and nurse, but never allowed to consult with a lactation specialist.

He's still extremely jaundiced. Their recommendation was to take him outside as much as possible. In Upper Peninsula Michigan. In October.

After about 45 minutes of explaining in very simple terms how to detect respiratory distress in a newborn to her, as well as citing solutions for breastfeeding issues in preemies from my text books, I got her calmed down quite a bit. I also drilled it into her that with her preemie (and with any infant, really,) there is no such thing as an over-reaction. If she thought there was ANYTHING wrong, she needed to get him to a doctor immediately. I also told her that she needed to get ANGRY with anyone who chastised her for "over reacting" and not allow them to convince her that she shouldn't come back if she saw or felt like something was amiss.

I confess, I was frustrated at first with her level of immaturity. Instead of saying breast milk, it was "Mommy NomNom." "LOL" followed every statement of insecurity.

Once I got past my frustration, though, I realized two things. #1, she was excellent preparation for being patient with my future patients. #2, I was PISSED.

How the FUCK could they send a parent home so unprepared and a child so close to the line between okay and not okay?

She has no family, to speak of. Her husband is equally as unprepared and immature. They live in the middle of fucking nowhere, michigan.

They gave her no list of resources, no personal suggestions, no encouragement.

She knew nothing of La Leche League, prematurity.org, or even any books to read.

ONE nurse suggested kangaroo care to her. The same nurse that let her actually let the baby nurse. Once. Prior to that and after, they were forcing her to pump and bottle feed, despite telling her to nurse and avoid bottles and formula at home.

I did as much nursing trouble-shooting with her as I could - it sounds like he's latching but has a poor suck reflex. The texts I have suggest hand-expressing slowly, directly into his mouth after letting him attempt to suck. I told her to do that until she got ahold of someone in person at LLL, and to keep calling. They have consultants on-call for after-hours issues too, so just be persistent in calling until someone calls her back or answers.

As far as I'm concerned, what she experienced was not just harried hospital staff in a rush to discharge due to policy/insurance issues. What she experienced was a basic failure of human compassion and an absolute failure on the part of the hospital staff to do. their. goddamn. job.

With "Care" like that, there's no wonder at the fucking infant mortality rate. How can parents do their best for their children if they're not being provided with an education on how to do that? It especially boggles me that someone would dismiss a parent who was actively ASKING for further education! HOW CAN YOU IGNORE SOMEONE WHO IS ASKING FOR HELP IN DISPELLING THEIR IGNORANCE???

So angry. Livid, in fact.


Anyway, yeah. Thank you, State of Florida, for at least having the initiative to provide the resources you do, and the dedication you have to the children, if not the parents. Hat tip in particular to Shands Children's Hospital, Arnold Palmer Women's and Children's hospital, Baptist Medical Center in Jax, The Sebastian Ferrero Foundation, and all the others that I'm missing.

ETA: There is apparently ONE pediatrician's office local to her qualified to deal with son. She called them before messaging me, and was told that she was going to have to wait until his appointment on Monday, that they don't offer a nurse line for questions, and they can't squeeze her in before Monday. I told her she needed to try and find the funds to make the hour drive to another office if at all possible.