Hi Madeleine,
I don't have LVNC nor have I ever been expected to work 24 hour or night shifts, but I am a 73 year old man who has lived through a lot and learned some lessons along the way, and I hope you will forgive me offering you some fatherly advice about your "princess" midwife concerns. A very wise person once said that whatever anybody else thinks about you is none of your business. That is absolutely correct.
You need to do whatever is right for you and not make the mistake of concerning yourself about what others think. If others don't understand what and why you do something, that is their problem, not yours. You live your life, the best way you know how, without concerning yourself too much about what others who don't walk in your shoes may think.
All the best to you, including a long, healthy and fulfilling life. And welcome to Mended Hearts.
Ira
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Ira Reid
Hoboken NJ
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Original Message:
Sent: 11-06-2023 21:27
From: Madeleine Katz
Subject: Concern about Night Shifts
Hello! I'm wondering if anyone has any advice! I'm a 34yo and was very active and healthy apart from random fainting episodes that I had since childhood--which until this year was attributed to an increased stress response and low blood sugar, etc. I'm a certified nurse midwife and was diagnosed with LVNC after passing out in the OR while assisting a c-section at 3am last year. Apparently the episode was prolonged and severe and a respiratory therapist and ICU nurse convinced me to get a cardiac workup. 8 months later I was diagnosed with Left Ventricular Non-Compaction (which is rare but similar to left ventricular hypertrophy) with extensive trabeculations and 50percent EF. I had a tilt test with an 18 second prolonged asystole and so my EP recommended an ICD since he thought I'd need a pacemaker in anycase. I stressed about this decision quite a bit considering I didn't officially meet criteria for an ICD, but decided to get one in July. During this time I stopped taking 24hr hospital shifts and just worked in the clinic. Typically my job involves very high volume busy 24hr shifts 1-2x a week with additional clinic days. I had my EF measured 4 months after I stopped taking call and it increased by 12 percent. My cardiologist said she can't say definitively but it's likely improved since I'm not working long and stressful hrs with night shifts. She also has recommended a less stressful schedule (such as just working clinic, which I'm now doing) but feels my LVNC isn't a medical reason for her to officially recommend that I stop hospital, or night shifts--as far as disability paperwork is involved. Since I stopped working nights I feel so much healthier and more energetic (big surprise!), and I very much don't want to work night shifts again. My work has been extremely accommodating during my cardiac work up, I don't want to be the "princess" of our midwife team, but I also really want to prioritize my physical and mental health. I'm really undecided about just taking 12hr day shifts at the hospital, since they are very physically strenuous, although I very much love delivering babies. I worry that my work accommodations will eventually cause resentment in my team--since my doctor has only unofficially recommended that I stop 24hr call. I suppose I'm wondering if anyone here has or continues to work night shifts, or had work accommodations related to their LVNC. I'm aware at this point I'm thankfully overall very healthy, my EF improved, and I did have an episode of Vtach seen on my ICD, which if I continue to have it sounds like they'll start me on medication. I realize it's hard to correlate stress with arhythmia frequency but I'd like to prevent more episodes, as well as prevent Afib which happens more frequently with night shifts! My apologies for such a long post, any thoughts would be appreciated
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Madeleine Katz
Midwife
Washington Permanente
Seattle WA
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