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3rd Trimester
FU to "Having the Talk"...(oh yeah, it's a doozy)
Welp, I didn't exactly get to have the C-Section talk today, because my doctor's office is enough to make anyone stroke out, much less somebody with PIH.
I come in and the nurse takes my BP... It reads out at 146/97. High. The bottom number is higher than it's ever been, and even since the diagnosis it's generally hovered between 80 and 90. She decides the cuff is bad, and takes it again, with a different cuff. 3 times. Then she decides THAT cuff must be bad and takes it with a DIFFERENT cuff, 3 more times. Then she goes back to the first cuff and takes it one more time. Every single time it is 145/97 or higher. She took it eight. fracking. times. O_O
She leads me to the room and asks the usual questions. I answer: yes nausea, yes headaches, yes baby movement, no bleeding, no contractions. The doctor (not my high risk doctor, but the cute doctor that I used to see all the time, before I got dx'd) comes in, looks all charming and says, "So, high blood pressure... you know what that means. Another 24 hr urine test, more labs, and we'll see you again on Monday." He says that it's good I haven't been having headaches, but was worried about the fact that Jack wasn't moving much. Apparently the nurse wrote that I hadn't had any headaches, nausea, or baby movement in my chart. I corrected the error, and he just sort of shrugged. He listens to Jack's heartbeat for about 3.5 seconds, and then starts to walk out the door. I sit up just in time to say, "Uh, hey, I had a question..."
I ask him about the induction thing. I explain that the last 4 practitioners I've spoken with have said that once I reach the 35w3d mark, I'll be induced. He looks shocked. He says he's never heard of them inducing that early for anything other than severe Pre-e or HELLP, and doesn't know why anyone, much less four different doctors would tell me that. He says he'll talk to them and see why they said that, because he doesn't think the hospital even allows inductions prior to 37 weeks, but is sure that once I hit the 37 week mark I'll be induced ASAP. I just sort of sit there... very confused... and very, very frustrated.
No one ever seems to have the same information in my practice, nor do they seem to communicate between themselves. If I saw the same doctor two appointments in a row like, ever, this might not be such a big deal.. or, if I was having a normal pregnancy with no risk factors. But no, I am made to deal with someone new every time, and no one has the same information or tells anyone anything, so when I ask about things they all look at me like I am the one with 3 heads...
I am so frustrated I could scream. I cried all the way home from the doctor's office, with ANOTHER jug to pee in, another hole in my arm, and another day I have to miss work. Just fantastic.
Jack Anderson
2.28.10
Our amazing little man.
This discussion has been closed.
Re: FU to "Having the Talk"...(oh yeah, it's a doozy)
Aw that sucks!
Are they going to do a C/S?
I'm sorry, you shouldn't have to feel that level of frustration because people who made it through med school can't manage to document properly.
They shouldn't have to talk to each other, everything you just went through should all be in your chart. At this point I would ask for a copy of your chart because you have concerns that things are not being documented, or are being documented incorrectly, and you believe there may be a compliance issue. That will at least scare the crap out of them enough to hopefully get on the ball a little more.
That is major lamesauce, sweetie. I'm so sorry that you're so frustrated. Physicians have charts for patients for a reason. Why do they not write all of this down? Goodness. I can empathize with you on the lack of communication. When I was in the hospital, I had a different doc (3 in the practice) every day, and each day I heard a different prediction of what would happen and how long I'd be in.?
I really hope that your docs figure this out. For now, at least you can take?solace?in the fact that you don't have to stay in the hospital to do your collection.
?
WTH? If they don't give you a definitive answer on Monday, raise hell. I don't care when they induce you (assuming you and HH are healthy, obviously) but they need to at least be in AGREEMENT.?
I see a dif doc every time too. I have had a bad pain for 2+ months now. I have been told: broken rib (no xray), gall stones, ulcers, nerve damage, etc. At least I don't feel like mine is serious (just annoying).
HUGS AND GOOD LUCK!?
They wanted me to spend the night in L&D, but I refused. I told them I could collect pee at home just fine, if that was all they wanted me to do anyway. And, they gave me my very own Nunhat! No more peeing in a solo cup! Yayyyyy....
See, I totally agree. 35w3d, 37w0d, 39w4d... As long as Jack is healthy, and I'm not having a heart attack, I honestly do not care (although, I am freakin' SICK of being pregnant, won't lie). But to have 4 different practitioners tell me something, and then have one say the complete opposite and that it can't be possible? Well, I take issue with that. I want answers. I do not have the patience to be dealing with this.
You didn't have a nun's cap before?! That's nuts! ?
Yeah, no, last time I had to try to catch everything in a little measuring cup... which didn't work.. so I used a Solo cup. It was disgusting and I felt like a moron. Nunscap > Solo Cup for pee collection.
Thanks!
They mentioned them briefly after I got let out of L&D, but have since told me that they want to avoid medicating me because they are concerned that I actually have a very mild form of pre-e already, and my BP will keep them alert to how it is progressing. Medicating the BP would negate that "warning sign". In the meantime I just have to deal with the constant headaches and such. To be honest, I think they just can't decide what to do with me so they are going to keep testing and monitoring and doing nothing until I go into labor. :
GL to you too!
The thing is, I doubt that he is the doctor I'll see at my follow up on Monday. I see someone new every time. If he is, I will ask him about it again, but if he isn't, it'll be like starting all over... I think I'm going to follow PP's advice and ask for a copy of my chart.. this is ridiculous.
God, what a frustrating situation! So sorry you're going through this madness.
First, yes, ask for your chart. Also, check it at the end of every appointment to see if the comments that were discussed are listed. If not, tell them to write it down and plan when/who will answer the questions. You will feel much more in control of this if you do, I think.
Second, I would actually call that specific doctor tomorrow afternoon - in 24 hours from your appointment- and ask him what he found out about the induction. I would have a script (I do this a lot because I have phone anxiety) with all my questions written out. If you can't bring your SO to appointments, I would have him on a phone call like this, too, to back up your understanding. I would also ask what they feel the parameters are for "severe" pre-eclampsia because maybe 1 doctor felt you were close, but not the other.
(I actually just spent the day working through a problem caused by the same kind of communication errrors at work, so I'm empathetic on that front. Additionally, I know what it's like to have doctors do this to you after my mom was in the hospital last year - 1 doctor told her she was diabetic, the next told her she had blood clots in 1 body part, and a 3rd told her the blood clots were in a 2nd body part. It's cruel.)
Good luck!
That's an excellent idea. I think tomorrow when I drop off my sample, I may just go to the office and ask to speak with him in person.
You're tellin' me...
How're you doing? I have been meaning to e-mail you, but lost your e-mail address. : I suck. Lol
I'm with everyone else. The inconsistencies suck and it's terrible that you have to miss (another) day of work. (No use in me repeating what everyone else already said!)
I know you're super frustrated with this, babe, but try and hang in there! Eventually Jack will be here and this nightmare will be over!
WOW! Your doctor's office completely sucks. I can understand your frustration. Just be careful not to let it cause your BP to go up. Mine does when I get frustrated.
I am surprised that you do not have a copy of your chart already. In order to schedule my appts. my doctor's office gives me my chart for me to review as I wait to hand it back to the nurse (there she schedules the appt.). So I see my chart every time.
I agree with the others- have a set list of questions to ask them tomorrow or Monday. Carry a notebook with you, to write down the answers to the questions. Or if your cell has a memo button on it- record the answer so Bun can hear it when he gets off work.
I am so sorry you are going through this. But it is almost over, and Jack will be worth it.
good advice!!!
Sorry I didnt see this earlier. I posted and left!
I am ok. I'm just dealing with pregnancy day by day. How's bedrest going?