Lynn
Malone, ARNP, has over 14 years experience as a Women's Health Nurse
Practitioner, and just transitioned after 22 years in the U.S. Air
Force. Lynn completed her undergraduate degree at the University of
Maryland at Baltimore and received her certificate as a Nurse
Practitioner from the Air Force's School of Healthcare Sciences. Before
embarking on this road she was a labor and delivery nurse and is
certified as a breast feeding educator. Lynn has lived in Brevard
county for over 5 years with her husband and son. She looks forward to
caring for you from adolescence through menopause.
Debbie
Staley-Simmler, CNM, ARNP, MSN is a Brevard native, raised in Melbourne
Beach, and a graduate of Melbourne High School. Debbie resides in
Merritt Island with her husband and two daughters. They have recently
relocated back home to Brevard from the Raleigh, N.C. area where Debbie
practiced in a busy and progressive full scope midwifery service
providing holistic and individualized care to women across the life
span and attending over 200 births. Debbie graduated from Florida State
University with her undergraduate degree and went on to earn her
Nurse-Midwifery Certificate and Masters of Science in Nursing degree
from The Frontier School of Midwifery and Family Nursing in Hyden,
Kentucky. She is a nationally board Certified Nurse Midwife by The
American Midwifery Certification Board and licensed by The State of
Florida as an Advanced Registered Nurse Practitioner. Debbie is an
active member of The American College of Nurse Midwives which currently
has over 7,000 CNMs as members and is the oldest women's healthcare
organization in the U.S. founded in 1929. She looks forward to making
your birthing process a joyous time in your life.
Manager/Billing - Dianne Registered Labor & Delivery Nurses - Dee and Wendy Medical Assistant - Stela Receptionist - Kelly Records management - Marie
Colpo
When
a pap smear is abnormal a Colposcopy is done to take a closer look at
the cervix with a microscope. Pap smears are screening tests designed
to be abnormal more times than is true. Colposcopy is more diagnostic
and tells whether there truly is a problem. Vinegar/Acetic acid is used
to wipe away the mucus and high light any abnormalities. A biopsy is
taken to confirm you are ok. Colposcopy is longer than a normal pap
smear, but is usually well tolerated
LEEP
LEEP
is performed to shave the face of the cervix off with abnormal cells.
The hope is the newer cells will grow normally and without HPV. LEEP is
usually better tolerated than the colposcopy because your cervix is
made numb with lidocaine. A protective blue pad will be placed on your
thigh. The machine has a loud vacuum. Before you know it, the procedure
is over in about 5 to 10 minutes.
LEEP
LEEP
is performed to shave the face of the cervix off with abnormal cells.
The hope is the newer cells will grow normally and without HPV. LEEP is
usually better tolerated than the colposcopy because your cervix is
made numb with lidocaine. A protective blue pad will be placed on your
thigh. The machine has a loud vacuum. Before you know it, the procedure
is over in about 5 to 10 minutes.
Induction at 3pm
If
your cervix is not favorable (not dilated/firm) you come in for
cervidil - a medicine that will "ripen" your cervix and make labor
easier. It is thinner than a tampon and inserted into the vagina.
Therapeutic rest is given because it is difficult to sleep in the
hospital setting, and you need rest for pushing the next day. (Sorry
Dad, no sharing) The cervidil is removed around 5 am, you take a shower
and have a light breakfast, and pitocin is begun at 6am. Between 8-10
am the bag of water is broken. A epidural may be obtained anytime. The
baby should come between noon and 5, but anything before midnight is
good. Sometimes, your uterus doesn't understand pitocin. The maximum
dosage may be given and your contractions are barely noticable. If this
is the case, another night of cervidil will be needed. The next day,
the uterus will have gained more pitocin receptors from the day before
and respond much more actively. After the baby is born, the mouth is
suction and cord is clamped. The baby is placed on your tummy if all is
going well, or on the crib if the nurses need to attend to their
breathing. Dad can cut the cord. The baby will receive a vitamin k
injection to help with blood clotting, antibiotic eye ointment to
prevent blindness, and then vital signs are taken. Foot printing will
be done now, bring your shirts/books, or can be done anytime during
your hospital stay.
Induction at 6am
Your
induction was scheduled at 6 am since your cervix is favorable (dilated
and soft) and/or you have previously had a baby. When you arrive,
pitocin will begin your contractions. Around 8-10 am, the bag of water
will be broken. Epidural can be obtained at any time. The baby will
usually be born between noon and 5, but anything before midnight is
expected.
After the baby is born, the mouth is suction and cord
is clamped. The baby is placed on your tummy if all is going well, or
on the crib if the nurses need to attend to their breathing. Dad can
cut the cord. The baby will receive a vitamin k injection to help with
blood clotting, antibiotic eye ointment to prevent blindness, and then
vital signs are taken. Foot printing will be done now, bring your
shirts/books, or can be done anytime during your hospital stay.
Releast to 3rd Parties
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signing this authorization, I authorize Dr. Thomas to use and/or
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may be subject to redisclosure by the recipient and may no longer be
protected by the federal HIPAA Privacy Rule. I have the right to
revoke this authorization in writing - except what has already been
executed in reliance upon this authorization. My written revocation
must be submitted to Dr. Thomas at 240 N. Wickham Road, Suite 106,
Melbourne, Florida 32935.
