Honey Tales

Bee Charmer

Not one person who has seen Fried Green Tomatoes will think of anything else but Idgie’s love for Ruth and how she wanted to impress her by getting a honeycomb directly from the hive.

“You’re just a bee charmer, Idgie Threadgoode.

That’s what you are, a bee charmer.”

Honey in Birth

Honey has a great supply of natural sugars and most midwives had honey of some sort on hand, whether in the Honey Bear…

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…or Honey Sticks.

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…or some Honey Lollipops.

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If a woman’s energy was waning, a couple of spoonfuls of honey or 2 or 3 sticks, could perk her back up for awhile more… even if she was unable to eat or drink much else, honey was a great pick-me-up.

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Honey has antimicrobial properties, it is a hydrogen peroxide thing, and there is a lot of research showing honey, Manuka Honey in particular, used on infections can help heal the wound quicker… and without the risk of medication interactions/allergies. Honey is often used on diabetic ulcers, it being more effective than many other treatments.

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New Use for Honey (for me)

So, I kind of knew this, but when I was an intern midwife in San Diego, I got to see the range of what home birth midwives do with honey.

Mind you, by the time I was interning as a midwife in San Diego, I had been in birth for over 20 years and had gone to hundreds of births in hospitals, birth centers and at home. Over the years, I would see things done I had never heard of before, but could usually be shown the research about it.

Honey was often used in the way I mentioned above; for energy.

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So when a woman’s perineum tore at birth and said she did not want to be sutured, I was pretty shocked (every woman who had ever torn in my experience was sutured, it wasn’t ever a consideration not to be). When the midwives acted as if this was a normal thing, choosing no stitches, I was baffled. When they pulled out the plastic Honey Bear and grabbed a spoon from the family utensil drawer, I blinked.

Honey was spread onto the back of the spoon, the woman’s legs opened a bit and the honey “painted” on the tear, all the while the “antibiotic” properties of honey explained. She was instructed to keep her legs together except to put more honey on it.

I’m not kidding.

I still cannot find medical research showing honey’s aid in normal healing of a perineal or vulvar tear; it remains a midwife’s tale that it does anything at all. (This is different than an infected wound, where the research is copious.) Many midwives, myself included, believe it was keeping the legs together that did much more to heal the tear than the honey.

Medical Grade Honey

But, if it did do something, wouldn’t you want Medical Grade Honey (MGH) slathered on your open wound instead of honey the family is using in their morning tea? In fact, research shows that regular table honey has potentially pathogenic organisms compared to MGH.

I mean new parents know to never give their infants honey because they might have spores of a bacterium called Clostridium botulinum. Wouldn’t that follow that it might not be the best thing for a perineum?

Here is a medical grade honey-gauze that might have been an okay thing for an open wound.

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Or perhaps a tube only used only on your body and no one else’s?

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Honeycombs

I remember when my dad (whom I am missing so very much lately) would bring us miel (honey) in the comb from the Cuban store. I loved biting into the wax, feeling the honey ooze out of the tiny openings, then chewing the wax like gum. I wonder if my kids have ever had that experience.

Miel. One of the best Spanish words in existence.

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A Recent Conversation

“I had some cereal and some honey.”

That’s what he said.

“You put honey in cereal? With milk? That’s pretty gross.”

“No, cereal without milk and honey separate.”

“You were spooning honey into your mouth?”

“No I was using a fork and dipping it into the honey and eating it.”

Now I was really on high alert.

“You are telling me that you put a fork into the honey, suck the honey off… then put the fork back into the honey and do it again?”

“Uh, yeah. Why?”

“You are telling me you double, triple and quadruple dip your fork into a communal honey jar?”

“I never thought of it that way before. It never occurred to me.”

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Maybe, knowing what I do now about honey’s medicinal properties, it might not be the grossest thing after all.

(Happy Birthday!)

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Who Is “45”?

“45” is what I call POTUS, the 45th president of the United States, that horrid man who squats in the White House tweeting (LYING) about random topics to divert our attention from the fucked up bullshit he does that will, PLEASE GODDESS, get him impeached.

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Politics: Brokenhearted

I go a couple three days without reading even headlines. Then, like tonight, I peek at what is trending.

And now I am despondent.

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artist, Anna Giladi

Just the headlines are enough to make me want to crawl in a hole. Imagining these people in control, making rules and regulations (or undoing regulations as the case may be)… it’s terrifying.

Rape

I do not say the word “rape” lightly. I do not use it randomly. I have been raped. I know the seriousness of the word.

So when I say I am horrified seeing who is going into the Cabinet because they are going to rape the United States, I mean it with all the terror that comes with the word.

The people being appointed are going to make the Dakota Access Pipeline (DAPL) “conflict” look like a picnic. They are going to dig deep into the land, tearing up beautiful homes, ruining National Parks… and the repercussions will be felt/known/experienced for hundreds of years after these fucking pigs are out of office and dead.

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Hopeless

I felt hopeless for a couple of hours. My chest felt like someone was sitting on it; I struggled to breathe. My blessed cub held me and talked to me as I cried about how horrible this all is.

And it hasn’t even begun yet!

I think that’s the scariest for me is if I am this upset and sad now, what am I going to be like in a year when we are in the middle of the rape, still years ahead to be attacked… every which way we try to get away, to fight our attacker, he strong-arms us and continues the assault.

Not Giving Up

I saw this photo:

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I cannot let anyone die alone.

No LGBTQIA+ youth who is outed because of new laws will not be alone. We will do everything in our power to save you from the evils of “conversion therapy”… torture.

No woman who has to have an illegal abortion because abortion has been outlawed will not be alone. Those who can will learn to do abortions safely, despite the laws, risking jail, but finding the risk is far less than a woman attempting self-abortion.

No Muslim who has to “Register” to be in this country will not register alone. Women who have their hijabs mocked or pulled off will be defended so she is able to practice her religion in this country that still allows religious freedom (so far).

No woman who is attacked… grabbed “by the pussy”… will not mourn and heal alone.

No Black man, woman or child will endure the escalating hate and murder alone.

No immigrant, here legally or “illegally,” will fight to live here alone.

No Native American will have to wrest their rightful land back from the lying White people alone.

No disabled person will be left to live or suffer alone. We will find the tools they (WE!) need for anyone who still has needs. We will not let the world become completely able-ist, forgetting/not caring for those who have challenges.

No writer, photographer or artist will be censored. We will find ways to get the words and images out to the world.

No child who is hungry and has lost their free breakfasts, lunches or dinners will starve alone. We will find food for you precious babies of ours.

And then there are the promises I cannot keep:

We will not know the impact slashing Social Security will have on our elder Americans. Will they die alone freezing and starving while those in charge have billions of dollars to spare?

What are we going to do for our mentally ill (myself included)? What if our free care is removed? What if we are not allowed our medications, therapy, our psychiatrists?

We know a only fraction of our brothers, sisters and others who have killed themselves because of their despair of who is coming into the White House. What of all the others who are misgendered, hidden, reported as dying of “natural” or “accidental” causes when they really overdosed on purpose. So many suffering without our knowing they are there.

I need to go house by house looking for those in pain. Like the Christians in Germany who saved the Jews, taking chances, risking death even… all to save even one soul.

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Reaching Out

I might cry again. No, I will cry again.

But I cannot give up. I cannot let someone die reaching out for another hand. I know mine is not the only one searching. Maybe, just maybe, if we all keep holding our arms out, joining hands, we might be able to save more than just one person.

I cannot give up.

This is Not a Drill: CDC’s 7 “Forbidden Words”

 

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vulnerable

entitlement

diversity

transgender

fetus

evidence-based

science-based

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The Washington Post relayed the information from a CDC & Trump Administration meeting Thursday night, December 14, 2017 that when the CDC presents their upcoming budget paperwork, they are forbidden to use the above 7 words.

I thought this was fake, ran to Snopes… nope. It is real. Checked Twitter. Real. Checked valid news agencies. Real.

I’m shaking I’m so angry… and even scared… of what this administration is doing to our democracy. By forbidding words, it is no longer a democracy.

Democracy has been dying since Trump took office.

Treating science as a matter of opinion rather than an objective, evidence-based reality appears to have become a hallmark of the Trump administration, particularly when it comes to climate change. So, too, is scrubbing certain words and information from discussions, documents and websites that don’t fit with Donald Trump’s vision. The Department of Health and Human Services has dropped information on its website about LGBTQ individuals.”

Orwellian Dystopia

This edict is one of the most terrifying things that have happened and are surely not the last we will see.

We cannot sit quietly and let this happen. I know many many people have been out protesting, but we have to find another way to be heard.

I am apoplectic… and hope you are, too.

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Nuts & Bolts of Calling a Doctor’s Office

This subject seems to come up a lot, so I thought I would do a Tutorial on how to get in touch with a person and not a machine when you’re calling a doctor’s office.

My first and probably most important piece of information is:

CALL EARLY IN THE MORNING!

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I cannot stress this enough. Even if you have to wait on hold for awhile. I tend to call about 9:45am. By then the logjam has passed and the way is pretty clear.

Calling in the morning gives the doctor the entire day to get your chart, prescribe meds or answer your questions. Lunch time is the usual time they read your message, so if you call in the afternoon, unless you are in the ER, you will be waiting until the next day for an answer.

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If you are really in a crisis (psych, serious fever or infection), I would call back right after lunch. Be your nicest self! NO yelling about “Why hasn’t she called me back yet?!?” crap. Just kindly say, “I need help. I am so ill. Can I come in tomorrow morning? Or might I talk to the nurse or doctor this afternoon?”

“I need help” is a wonderful way of garnering sympathy for your situation.

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A Practice with a Receptionist

If your doctor is in a practice with a receptionist, it’s easier to get a hold of the doc you’re needing because someone should always be available during the 9-5 workday.

You often will be triaged by a nurse before getting a message to the doctor. Still, the earlier you call, the earlier your voice will be heard.

Most offices close for lunch… either between 12pm and 1pm or between 1pm and 2pm. Calling then, you will get a machine. Leaving a message on a machine is like talking into an abyss. Call back when lunch is over.

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Calling Mental Health Professionals

Therapists especially are meticulous with the timing of their appointments. They are 50 minutes long, beginning at the top of the hour, ending at 50 minutes after. I have great luck calling in that 10 minute window between clients. Some will listen to messages and call back during that time, but many pick up the phone, too.

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Know what you are going to say. They have moments to figure out what you need before the next appointment starts. Write it down if you need to before you call. Be ready!

Psychiatrists’ schedules are a bit more wonky, so leaving a message might be necessary. Just as if you were talking to a person, have what you want to say ready. The more info you can leave in the shortest amount of time… being concise… helps everyone get their needs met.

Playing Dumb

When I really need to get through to someone (and you pick your battles here), I feign accidentally hitting the button that says “If you are a care provider and need to speak to someone now, press 1.” Use that sparingly, especially in the same practice. Really, judicious use, please.

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Bypassing Automated  Menus

If you’ve read this far, I get to teach you a trick I learned from another operator. Not specifically for doctor’s offices, but really helpful for banks, phone companies, cable companies, DMVs… any of the bazillion places that have phone trees you seem to be forever lost in.

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Press 0 (zero) fast, over and over and over again. PressPressPressPressPress a dozen or more times. 8 out of 10 times, this gets me to a person.

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Patient Portals

If you doctors’ office has a Patient Portal, sign up for it asap!

In the portal, you can email your provider, ask for refills, make appointments without calling and see your chart and most lab results.

Patient Portals are the best.

Patient-Portal

If I didn’t answer something, ask me about it!

Fat Girl Whining

I’m fat. Really fat. Over 300 pounds fat.

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I also have Diabetes and have to see an Endocrinologist every few months. Endocrinologists take care of fat people. A lot of fat people. There has not been a time when I’ve sat in an Endo’s office that there were no less than 4 really fat people. I just left the Endo’s office (and I love the people there) and need to vent for a second.

Chairs

How can an office that caters to fat people not have chairs without arms on them? How?! The first time in there, I asked for a chair without arms and they brought out one of the bench chairs (that still had arms on it). Fine. They brought it in the exam room with me, too. Nice.

Today, the bench was there… with someone already in it. So I had to cram my fat butt into one of the tiny chairs… with the arms going INWARD instead of out! What the crap?

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I spoke with the office manager who said she’d already put a work order in for more benches and asked me to answer to survey I’ll get in my email with a comment about the chairs.

We’ll see how long that takes.

Blood Pressure Cuffs

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For fuck’s sake, I thought I had finished complaining about medical people taking my blood pressure incorrectly/painfully 2 decades ago.

  • Dealing with a stupid ER nurse using medical tape to try and keep the wrong size cuff on my arm, the tape splitting and the nurse huffing off to get his supervisor
  • Having too small cuffs bruising me dozens of times
  • Having large cuffs bruising me because I have really big upper arms with batwings

I thought I’d come up with a solution by insisting they use the cuff on my forearm. Techs and nurses balked at first, but for the last 5 years, it has been a matter-of-course to take my BP that way.

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Then today, the nurse came at me with a thigh cuff, easily twice as large as the large-sized cuff. I asked her to please take it on my lower arm and she said they had just had training saying it was required to take it on the upper arm because doing it on the forearm is “quite inaccurate.” I grudgingly said she could try, but if it hurt, I would cry.

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The cuff goes on and begins tightening. And tightening. And tightening even more. I said, “It hurts, take it off,” and it stopped pumping up so I said I’d sit still. Then it began tightening again and I nearly hollered, “GET IT OFF.” She did, charting, “Patient refuses BP.” I corrected her: I am more than glad to have my BP done, but on my forearm. She shrugged and left the room.

After my appointment with the Endo (which went really well), I asked how we were going to resolve this BP issue and she said it was “policy” and she would ask what to do. I said, “Patient requests forearm blood pressure,” please put that in my chart. She did.

Fat Anger

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We (our country) is fat… and getting fatter. What is wrong with healthcare providers that they do not make concessions for us? I’ve been writing about this since 1987!!! This is ridiculous.

Not accommodating fat people is yet another way to discriminate and intimidate fat folks. Healthcare providers not doing so prevents far too many people from obtaining care at all, care that can keep them healthier… and for you fat haters, even help fat folks lose some weight (if they want to or are able to).

Over the years, in the courts, this accommodating for “morbidly obese” people has been argued. The general consensus is now that fat falls under the American With Disabilities Act. One more thing on our side.

Please Speak Up!

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Many fat people in our society sit in these tiny chairs, put up with exam tables that do not go up and down and never ask for accomodations for their size. I speak up whenever I can, but I cannot do it alone.

Thinner/Smaller friends and family, please “see” things how we do. If you see people squished into chairs, quietly talk to the office manager, explaining how difficult the chairs are for fat people. Say you have a family member or friend (which I am!) or partner that won’t say anything, but that they get bruises every visit. If you work in an office, restaurant or anywhere people need to sit, please advocate for us to get the proper seating for fat folks.

Special mention to servers: PLEASE STOP SEATING FAT PEOPLE IN BOOTHS (unless they ask to be put in one specifically). It is humiliating to try and squish ourselves into the tight tight space at a booth.

And if anyone thinks the small chairs and small spaces are going to force us to lose weight, you are woefully incorrect. Fat-Haters, rue the day this issue is yours or someone’s you love.

Thanks for listening. Rant over.

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painter: Igor-Grabar

A Side Effect of Goodbye

I wrote my Goodbye post for my Navelgazing Midwife Facebook followers and received something that I couldn’t have predicted: love.

I Am Loved

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Thanks

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The kind words of thanks and appreciation for my writings over the last decade+ made my heart so full.

“A million times thank you. Without your influence I would never have become my own navel gazer.”

“Barb, I understand closing this door in your life and moving on but just know your words have had a great positive impact and you will be missed.”

“I have always been awed and so inspired by your ability to open up and share so boldly who you are.”

Births

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But the comments from women about their births… my heart melted with those.

“so sorry to see you go! i found you during my surrogacy pregnancy, and you were a huge factor in my choice to birth med. free.”

“While pregnant with my first son I couldn’t get enough of your blog – it is what ultimately allowed me to find my voice and speak up that I wasn’t liking the care I was receiving from my OBGYN. I chose to leave that practice and seek out a midwife. Best decision I’ve ever made.”

“I love you Barb. You patiently waited for me to find my strength to say what really caused my baby to die. You held my hand and my heart as it took me years to realize how my daughter really died. You didn’t shame or blame or deflect from the truth.” This mom went on to become an NICU nurse instead of home birth midwife after her baby died due to the negligence of a home birth midwife.

Caring for Women
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photo by Barb Herrera

And then there were the women who shared their personal paths from doula to nurse or certified nurse midwife. Stunning.

“I have followed you for so long, yours was the first blog I found and fell in love with when I realized that I NEEDED birth in my life! I’ve since gone to nursing school and become a l&d nurse, chairing our NCB Committee, and trying so hard to help women be respected and truly cared for during their experiences.”

“You have been such a wealth of knowledge for me as I completed my journey from doula to labor nurse to nurse midwife.”

“I was accepted back into nursing school today – 4 semesters stand between me and a BSN. L&D is the goal and upon graduation, my MSN to become a CNM. Thanks Barb, I owe a lot of my drive and self discovery to you.”

Thoughts

I am incredibly humbled by the comments I received on that Goodbye post. That I had an affect on so many is so amazing to me. As I write this, I am wiping tears of gratitude for all the blessings I’ve had as the Navelgazing Midwife. As is usual, the love and indebtedness people have for each other is symbiotic, flowing back and forth… a Möbius strip of love.

Thank you to all.

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