The problem nurse is gone they created a job for her at another hospital, her buddies from the leadership brought her a bunch of flowers she resigned and nobody has officially told us but there was much rejoicing. I guess in the end they decided that loosing 1/2 the staff because of her might be a problem. No doubt she sees herself as a victim and she is planning her return in triumph later but with any luck I'll be retired.
Problem baby of the week was a gorgeous little fellow under lights for jaundice he was so jittery which can be a sign of withdrawing from drugs, or low blood suger etc. He didnt appear to have any of these so we asked the mother if she drank a lot of coffee or coke or ate a lot of cocolate. She said no at first but she remembered later she had had a craving for chocolate over the last two weeks of her pregnancy. Another easter baby I thought, I've always felt some babies dont tolerate caffeine in the mothers milk and turn into screaming irritable wreaks. Googled my observation and babies metabolise caffeine slower the younger they are. Before babies are born the mothers liver gets rid of babies waste products[ basically broken down cells especially blood cells] After birth the baby's own liver has to do it. That is what normal jaundice is all about the liver isnt fully able to metabolise all the broken down cells so deposits the partly broken down products in the tissues. If the babies liver is being asked to break down other drugs as well such as caffeine or antibiotics, more chance of having high levels of jaundice.
Probably worth limiting the caffeine intake in the first week of life then slowly having in the diet to the level that the mum and the baby are comfortable with. By the 2nd night beautful boy was much happier and sleeping so it is not a big crisis but mums get very worried if their baby is so agitated.