Trainwreck Alex Dacy / Alex Dzimtowicz / Wheelchair Rapunzel - 50% wholesome disability influencer, 50% that cash me outside girl

[Flourishing Pinecone ❧]

Normally womean have an epidural or spinal for a cesarean section, but because her spine is so twisted that's not an option.
An awake fibre optic intubation is done with the patient sitting up, using local anesthetic down the throat so it doesn't distress them too much.
It's not the most pleasant experience in the world though.
At least that's how it was done ten years ago when I last did one. I'm out of the game now.
And I wouldn't gas her for a thousand bucks.

I assumed the elective tube would be a "just in case" rather than her having a general anaesthetic, as she would be a nightmare to do a crash intubation on.
A spinal would be challenging but tap blocks would give you enough cover, and you only need cover for a couple of hours max anyway.

 

[Barbarella]

That poor baby.

I presume she didn’t mention the sex?

 

[A tree]

That poor baby.

I presume she didn’t mention the sex?

She changed her pfp on insta to her bump with a pair of little blue skater boi shoes on it so I think that might have been a low key "it's a boy".

 

[Jimmy Dean Bowl]

I assumed the elective tube would be a "just in case" rather than her having a general anaesthetic, as she would be a nightmare to do a crash intubation on.
A spinal would be challenging but tap blocks would give you enough cover, and you only need cover for a couple of hours max anyway.

A crash intubation would be hell on earth to do for a patient like her, she's got a receding jaw too. Nightmare.

I took from her post that she was having an awake elective general anaesthetic, but I've been a complete spazz all day so I've more than likely got it wrong.
She's going to be shite to anaesthetise in any form, I pity the gas man that day.

 

[TheCakeIsALie]

Gas man has to be the best nickname for an anesthesiologist, ever. Like calling an orthopedist a bone bro or ob/gyn the lady/baby bro, not to be confused with a pediatrician.

 

[glass_houses]

Gas man has to be the best nickname for an anesthesiologist, ever. Like calling an orthopedist a bone bro or ob/gyn the lady/baby bro, not to be confused with a pediatrician.

Dr Glaucomaflecken has much to answer for.

 

[cuddle striker]

her lung function is at 24%? and she's pregnant and eating out at restaurants unmasked.

placental clots from COVID-19 are the single most common thing we've seen this past year, and most people who catch it with poor lung function don't make it. pregnant women don't have a good chance even in the best health and circumstances. add in whatever fish warnings the other posts have stated, unknown STI infections.

she's risky in every way.

 

[A tree]

New insta pfp

 

[Jimmy Dean Bowl]

her lung function is at 24%? and she's pregnant and eating out at restaurants unmasked.

placental clots from COVID-19 are the single most common thing we've seen this past year, and most people who catch it with poor lung function don't make it. pregnant women don't have a good chance even in the best health and circumstances. add in whatever fish warnings the other posts have stated, unknown STI infections.

she's risky in every way.

Good lord I had forgotten the lung function post!
OK, reassessment of my previous thinking, she's beyond nightmarish to anaesthetise. 24%, holy hell.
Spinal it is then. Because fuk trying to ventilate those lungs. Hell naw.
You really would think she would be trying to minimise risk of catching any respiratory virus right now.

Gas man, I will pray for you.
Fetus, I will pray for you.

 

[TheCakeIsALie]

And it’s not just going to stop there. Kids are walking petri dishes. This girl is going to be exposed to all sorts of things. RSV, flu, cold, covid, bronchitis plus all the usual super common pediatric diseases like hand foot and mouth disease, pink eye, gastroenteritis, strep, sinusitis etc.

That’s not going to be good for someone like her with a lung function of 24 percent. One bad cold may do her in. And what if she is so sick she ends up vented? Then vent and induced pneumonia becomes a concern.

She should have just friggin adopted an older kid instead to avoid all of this. I try to be empathetic but nah. This is just bad decision after bad decision.

 

[UncleBlazer]

Has she mentioned anything else about genetic testing? When she first announced she was pregnant she said they were gonna do a full genetic screening because obviously the baby is at risk of also having SMA. It's fucking insane to me that she would be willing to put a baby through what she's been through. And fucking Noah would be the one looking after them both.

 

[stingray]

Has she mentioned anything else about genetic testing? When she first announced she was pregnant she said they were gonna do a full genetic screening because obviously the baby is at risk of also having SMA. It's fucking insane to me that she would be willing to put a baby through what she's been through. And fucking Noah would be the one looking after them both.

Let's be real, ain't no way Tweedle-dee and Tweedle-dum here actually went to get any genetic testing done. I'll believe it when I see it. We're not going to see it.

Thinking about pregnancy and birth in the context of this bitch is... A whole other beast entirely. Imagine the fear any "normal," healthy pregnant woman feels when they think about the prospect of labor and of giving birth. Any number of things could go horribly, horribly wrong and end in tragedy. Knowing that you're about to endure possibly the most excruciating pain you've ever encountered (or ever will) for hours on end is positively terrifying on its own, even without the risks of something going wrong during or after birth. The thought of your child being born not completely healthy and safe is also a horrifying thought, and perhaps any pregnant woman's greatest fear. I know it would be mine. Obviously, that's not to say that children or people born with genetic conditions or diseases, etc. can't live a happy and fulfilling life, because they absolutely can. But of course you're going to hope and pray that, above all else, your child is born healthy and strong.

Is Alex well and truly just that retarded that she's unable to fathom the risks and consequences that could result from this? Now I've never given birth to a child myself, but I don't think it's an ordeal that can be done without breathing extremely heavily or panting. She has one quarter of the lung function that she should have. Her body's essentially fighting with itself not to fall apart every single day. Physically, she's a very small woman. Even just with these facts about Alex, how on Earth does she believe that she and/or her child could survive her giving birth? How is she not acting more... I don't know, like she's concerned?? At all??

And it’s not just going to stop there. Kids are walking petri dishes. This girl is going to be exposed to all sorts of things. RSV, flu, cold, covid, bronchitis plus all the usual super common pediatric diseases like hand foot and mouth disease, pink eye, gastroenteritis, strep, sinusitis etc. That’s not going to be good for someone like her with a lung function of 24 percent. One bad cold may do her in. And what if she is so sick she ends up vented? Then vent and induced pneumonia becomes a concern. She should have just friggin adopted an older kid instead to avoid all of this. I try to be empathetic but nah. This is just bad decision after bad decision.

My thoughts exactly. I don't know, maybe I'm just a worrywart, but I'd be really fucking losing my shit right now if I was her. I've been typing this reply for a while now as my brain's just reached a fucking standstill because I can't work out how this shit is real. We're living in an extremely rare time in the context of human history where we actually have the tools and the knowledge to treat and prevent a plethora of diseases, illnesses, and other ailments. It's just astonishing to me that someone - in this case, Alex - can be so willingly fucking stupid. Astonishing. I don't know about any of you, but I really don't think that any person who is potentially one bad cold away from literally dying should be fucking pregnant. Just a thought. Just a friendly little suggestion! Yes, I am MATI. It's cold out, give me hats to wear.

 

[UncleBlazer]

Let's be real, ain't no way Tweedle-dee and Tweedle-dum here actually went to get any genetic testing done. I'll believe it when I see it. We're not going to see it.

Thinking about pregnancy and birth in the context of this bitch is... A whole other beast entirely. Imagine the fear any "normal," healthy pregnant woman feels when they think about the prospect of labor and of giving birth. Any number of things could go horribly, horribly wrong and end in tragedy. Knowing that you're about to endure possibly the most excruciating pain you've ever encountered (or ever will) for hours on end is positively terrifying on its own, even without the risks of something going wrong during or after birth. The thought of your child being born not completely healthy and safe is also a horrifying thought, and perhaps any pregnant woman's greatest fear. I know it would be mine. Obviously, that's not to say that children or people born with genetic conditions or diseases, etc. can't live a happy and fulfilling life, because they absolutely can. But of course you're going to hope and pray that, above all else, your child is born healthy and strong.

Is Alex well and truly just that retarded that she's unable to fathom the risks and consequences that could result from this? Now I've never given birth to a child myself, but I don't think it's an ordeal that can be done without breathing extremely heavily or panting. She has one quarter of the lung function that she should have. Her body's essentially fighting with itself not to fall apart every single day. Physically, she's a very small woman. Even just with these facts about Alex, how on Earth does she believe that she and/or her child could survive her giving birth? How is she not acting more... I don't know, like she's concerned?? At all??

Sadly, I think you're very right. Literally a single google search that took two minutes has told me that the baby has a 25% chance of also having SMA and a 50% chance of not having SMA but carrying the faulty gene. Even if the kid doesn't have SMA there is a good chance she's basically cursing future generations to come. If her kids wants a family, then they're gonna have to go through all the genetic testing bullshit. Or, I guess, be like their parents and not give a shit and just hope for the best and see what happens.

I swear she can only fathom like 2 minutes into the future. Even if she does, somehow, manage to have a relatively uncomplicated birth, then what? She says she doesn't wear a shirt most of the time because it restricts her arm movement. She barely has any upper body strength and none in her lower body. I don't even know how she's gonna hold this baby for any period of time, let alone anything else. She won't be able to feed it, change it, get up all hours of the night. Even worse if the baby also has health issues. Noah will be bolting out of the door before that baby is a month old.

For a long time I hoped this was all just attention seeking stuff and she wasn't actually pregnant. Many disabled women can and do have children, but I don't think Alex should be one of them. It's always crazy to me when internet strangers are more concerned about a child than the actual parent.

 

[Android raptor]

Yeah like I said earlier, Alex shouldn't be having a baby even if she wasn't disabled. Highly doubt rehab baby daddy is going to step up to the level he needs to, if he doesn't just skip town entirely.

That's assuming she isn't cooking up some fucked up, massively deformed tard baby that isn't compatible with life. She'd honestly fit right in with the Sammieverse.

 

[TheCakeIsALie]

So let's put this in perspective. Average heathy adult lungs average 6 liters of air capacity. Alex has slightly less than 1.5 liters of air capacity, at best not taking into the fact that baby will grow and push on the lungs and will restrict lung volume further

With a lung function of 24 percent for a respiratory disease like IPF, cf etc that's like....hey you need to see if we can do something about this like a transplant. Obviously SMA isn't like idiopathic pulmonary fibrosis or cf (which refers to the pancreatic fibrosis btw not the lungs but that scars too as does the liver, hence cfrld and epi) but still. It's pretty bad.

 

[cuddle striker]

I know there's a lot of covid denial here but it's the biggest risk to her right now and to the fetus. that's only going to get worse as time goes on.

 

[TheCakeIsALie]

I know there's a lot of covid denial here but it's the biggest risk to her right now and to the fetus. that's only going to get worse as time goes on.

Yeah , I’ve gotten my boosters and always mask up and still got it twice within a year (8 months after the first time). Wonder if she was at least smart enough to vaccinate.

 

[Dr. Butt]

If she somehow carries the fetus to term, does her low lung function mean she might suffer brain damage during labour, if she isn't able to get enough oxygen? What are the odds that we're about to get a mother-daughter potato pair?

 

[TheCakeIsALie]

If she somehow carries the fetus to term, does her low lung function mean she might suffer brain damage during labour, if she isn't able to get enough oxygen? What are the odds that we're about to get a mother-daughter potato pair?

She won’t go into labor, she will have a planned c section beforehand and all that stuff will be sorted out, with back up plan in case. There’s absolutely no way general anesthesia is going to be a good choice in this situation. Plus GA isn’t a good choice for anything but emergencies where a spinal epidural or nerve block wouldn’t suffice due to time constraints (eg: baby needs to come out NOW)

Major complications of GA include failed intubation, aspiration of gastric contents, increased blood loss, and awareness. Plus, increased difficulty with intubation is encountered 10 times more often than in the non-obstetric population.

Obviously some situations require it but this girl….no. Just no.

ETA: it’s also not uncommon to be anemic post c section. Also with her being immobile, she’s going to need something to prevent blood clots because she can’t walk. Guessing lovanox shots are in her future. Maybe even exc’s until that starts. Those are like, inflatable compression devices used to prevent blood clots.

 

[Flourishing Pinecone ❧]

She won’t go into labor, she will have a planned c section beforehand and all that stuff will be sorted out, with back up plan in case. There’s absolutely no way general anesthesia is going to be a good choice in this situation. Plus GA isn’t a good choice for anything but emergencies where a spinal epidural or nerve block wouldn’t suffice due to time constraints (eg: baby needs to come out NOW)

Major complications of GA include failed intubation, aspiration of gastric contents, increased blood loss, and awareness. Plus, increased difficulty with intubation is encountered 10 times more often than in the non-obstetric population.

Obviously some situations require it but this girl….no. Just no.

ETA: it’s also not uncommon to be anemic post c section. Also with her being immobile, she’s going to need something to prevent blood clots because she can’t walk. Guessing lovanox shots are in her future. Maybe even exc’s until that starts. Those are like, inflatable compression devices used to prevent blood clots.

She's getting an elective awake intubation for delivery and is already on unfractionated heparin