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

[SpiceyHuman]

Updates from stories and some of the Q and A she did last night.
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Gee whiz, its almost as if it sorta sucks and doesn't feel all that comfortable when your at the end of pregnancy!

I get that her anatomy ain't built for this, but she has no one to blame but herself for how crappy shes feeling. She will at least be lucky in the sense that she won't be like some women who carry into 41 and 42 weeks. THAT shit is true misery from what I've heard.

 

[Oracular Slug]

She will at least be lucky in the sense that she won't be like some women who carry into 41 and 42 weeks. THAT shit is true misery from what I've heard.

Since my mother reminds me about it for a fortnight annually I’m gonna assume yes, being 42 weeks pregnant sucks.

I‘m glad she seems to sort of realize the gravity of the situation, but idk, she’s still so nonchalant about “the baby will spend a few weeks in NICU”. Even if she hits my guess of 33 weeks, she’ll never hit 35 weeks / 8 months. I get that it’s a balancing act between keeping baby in and keeping her alive, but fuck her. Baby should get to cook as long as possible, even if that means she ends up trach’ed (or dead). Baby isn’t the one out here making shitty decisions.

 

[Flourishing Pinecone ❧]

So I know this would never happen, but got me thinking: so in Alex's case, assuming her biggest issues with continuing the pregnancy are related to her small size - trouble breathing and eating, as well as discomfort.

So, theoretically, could you have her sedated and ventilated, with enteral nutrition, for a couple of weeks to allow baby to keep cooking?
Obviously going to be a point where you're physically battling with baby for lung space (so you battle between intrathoracic pressure and tidal volumes), but seems technically feasible right?

 

[A tree]

Gee whiz, its almost as if it sorta sucks and doesn't feel all that comfortable when your at the end of pregnancy!

I get that her anatomy ain't built for this, but she has no one to blame but herself for how crappy shes feeling. She will at least be lucky in the sense that she won't be like some women who carry into 41 and 42 weeks. THAT shit is true misery from what I've heard.

I go to 42 weeks and can't be induced. One of the many reasons I recently got a tubal ligation.

@Flourishing Pinecone ❧ wouldn't her lung capacity be an issue getting enough oxygen to the fetus as it continues to get bigger and compress the lungs further? You could up the oxygen levels I suppose but that could have consequences for Alex herself I believe.
And at that point are women just incubators? Who is the patient? Mother or baby? I say it's mother until baby is out then its both.

 

[Flourishing Pinecone ❧]

wouldn't her lung capacity be an issue getting enough oxygen to the fetus as it continues to get bigger and compress the lungs further? You could up the oxygen levels I suppose but that could have consequences for Alex herself I believe.
And at that point are women just incubators? Who is the patient? Mother or baby? I say it's mother until baby is out then its both.

Oh absolutely I agree, mother is the priority until is out, just throwing out some hypotheticals.

The lung capacity would be an issue (she would never physically be able to get to term with her size), but given a big part of her poor vital capacity is muscle driven with her SMA, you could potentially squeeze a couple more weeks out of her with good positive pressure ventilation (with sedation in the background for comfort).

 

[A tree]

Oh absolutely I agree, mother is the priority until is out, just throwing out some hypotheticals.

The lung capacity would be an issue (she would never physically be able to get to term with her size), but given a big part of her poor vital capacity is muscle driven with her SMA, you could potentially squeeze a couple more weeks out of her with good positive pressure ventilation (with sedation in the background for comfort).

I'm picturing her inflated like a sort of unconscious balloon in the hands of kiwifarms very own Dr. Mengele now.

 

[But What About The Frogs?]

Been lurking this particular thread recently, got to say I'm getting kind of nervous for her and the baby too. As shit as the situation is - at least she was very willing and open to getting proper medical assistance. Can't say the same for some of these lolcow parents who give birth to messed up children, unfortunately.

Maybe it's just me (in before the rainbow reactions) but I feel she has matured somewhat since getting pregnant. It's not great, still a stupid decision, but at least there's a silver lining to this.

 

[Vibromatic Heart Bed]

So, theoretically, could you have her sedated and ventilated, with enteral nutrition, for a couple of weeks to allow baby to keep cooking?

Alex is the type of patient you'd want to leave intubated/ventilated for as little time as possible, because of her terrible lung function, she would quickly become deconditioned/dependent on the ventilator and would be extremely difficult to wean. This opens a whole new can of worms. Sedatives and enteral nutrition are not without their own risks. Plus you're looking at tracheostomy, ventilator-associated pneumonia, skin breakdown, line infections, all the things that come with ICU level care. Even if she survived that ordeal, she could be ventilator dependent for life. So zero quality of life and extra useless as a parent.

Just let baby cook until it's no longer safe, and then take it out.

The idea of keeping moms sedated and ventilated purely to incubate babies for a little bit longer, honestly sends a shiver up my spine. We shouldn't do this to any mother, not even the cows.

 

[A tree]

Alex is the type of patient you'd want to leave intubated/ventilated for as little time as possible, because of her terrible lung function, she would quickly become deconditioned/dependent on the ventilator and would be extremely difficult to wean.

That's what I was getting at. It's been mooted that Alex might come out of this permanently trached as a spell in ICU could mean she can't wean off the vent.
Alex's body has reached its limit. Its her "right" to put it through this but I really wish she hadn't. Her quality of life is likely to never be the same again and she had a really good quality of life for someone with a profound disability.

 

[LonesomeDud]

So I know this would never happen, but got me thinking: so in Alex's case, assuming her biggest issues with continuing the pregnancy are related to her small size - trouble breathing and eating, as well as discomfort.

So, theoretically, could you have her sedated and ventilated, with enteral nutrition, for a couple of weeks to allow baby to keep cooking?
Obviously going to be a point where you're physically battling with baby for lung space (so you battle between intrathoracic pressure and tidal volumes), but seems technically feasible right?

Letting Alex rest on the vent with sedation would introduce a whole bunch of problems. If you hang the bog standard of Fentanyl and Versed, that's going to be difficult (but manageable) for the baby. She's little enough they can get her up during the day, but will they? I also don't know if a pregnant woman with signs of preeclampsia could even be monitored while vented in the ICU with just a cuff. You almost certainly would need hemodynamic monitoring. You're potentially starting a whole bunch of problems that are under control. The best thing for both of them is to continue the course (in my humble internet opinion as some random guy who isn't treating them).

 

[Flourishing Pinecone ❧]

I just want to clarify, I do not think anyone  should use Alex (or any mother) as an incubator, just postulating if you  could. I promise I'm not advocating for a Kiwi sponsored Unit 731
Was just thinking purely hypothetically, with the assumption she had no ICU/ventilation associated complications, if external support would allow for an extended gestation (incubation) time.

I only want to see Alex and baby home and well at the end of this.

 

[Vibromatic Heart Bed]

I just want to clarify, I do not think anyone  should use Alex (or any mother) as an incubator, just postulating if you  could. I promise I'm not advocating for a Kiwi sponsored Unit 731

I know that's not what you meant it was a fair question worthy of consideration.

Hypothetically you could do it, but no (rational) mom would consent to it, mom's body would be destroyed.. sure baby might have slightly better lung maturation etc. with extra cooking time but at the cost of having a mom. Medical team is thinking more long term.

Long answer short, risks to mom would outweigh benefits to baby.

 

[Dr. Butt]

I wish farmers would use the spoiler tags instead of "slight powerlevel, BUT [boring story about something boring their sprog did that]" followed by "What a cow! I can't stand these parents that act like they're the first people to ever be parents! No one cares about what your baby did! ALL babies do that! You're not special!" etc.

RE: People referring to Noah's absence as "unforgivable" and "despicable" - that baby's better off with him gone, as is Alex. It's pretty clear she wanted a baby, not a life partner, and had to settle for his sperm because he's one of the few men stupid enough to agree to impregnate&care for a person as disabled as her. I don't think she's bothered that he's left, and the baby definitely doesn't give a shit.

 

[VisceraNexus]

I wish farmers would use the spoiler tags instead of "slight powerlevel, BUT [boring story about something boring their sprog did that]"

Lmao I've actually seen Josh edit kiwis posts (including my own) that use spoiler tags for powerleveling in order to unspoiler them because it annoyed him that people do that. It seems like it's a bit divisive and down to people's personal preference.

Anyway, I'm super split between being MATI and having a small amount of pity when it comes to Alex in general. It's clear she's stupid as hell and having her baby is going to be a complete and total trainwreck and it's entirely her own fault. The iota of pity is just because she has no fucking idea how bad and hard it's going to be for everyone in her life, including her baby. She should know, but she doesn't and it's maddening.

 

[Dr. Butt]

It seems like it's a bit divisive and down to people's personal preference.

I think we'd all prefer fewer personal stories

 

[booklover]

I go to 42 weeks and can't be induced. One of the many reasons I recently got a tubal ligation.

@Flourishing Pinecone ❧ wouldn't her lung capacity be an issue getting enough oxygen to the fetus as it continues to get bigger and compress the lungs further? You could up the oxygen levels I suppose but that could have consequences for Alex herself I believe.
And at that point are women just incubators? Who is the patient? Mother or baby? I say it's mother until baby is out then its both.

Mechanical ventilation with sedation has its own risks. Oxygen, given via nasal cannula, would make more sense IMHO.

 

[A tree]

Well it sounds like Alex's docs have been having a not so hypothetical discussion because theyve decided to try and push this to 34 weeks. Alex isnt happy but despite her previous post about "her and Noah" choosing the C section date i guess it isnt actually their choice at all.

 

[Flourishing Pinecone ❧]

Seems like from a medical point of view they're happy to push it out, but Alex is tired and uncomfortable (boo hoo) and wants baby out earlier.
Agree that it's better for her to stay at home and get "hospital in the home" treatment if the team are happy with that.

 

[LonesomeDud]

Seems like from a medical point of view they're happy to push it out, but Alex is tired and uncomfortable (boo hoo) and wants baby out earlier.
Agree that it's better for her to stay at home and get "hospital in the home" treatment if the team are happy with that.

Some pregnant women work in and out of their homes right until they give birth. All she does is roll around the floor in lingerie for her Only Fans.

If her vitals and bloodwork are fine, she can live with the consequences of her own choices like the rest of us.

 

[A tree]

Some pregnant women work in and out of their homes right until they give birth. All she does is roll around the floor in lingerie for her Only Fans.

If her vitals and bloodwork are fine, she can live with the consequences of her own choices like the rest of us.

Better than getting covid or God knows what else in the hospital.