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Pregnant after IF
Fuming at Ob's Office!!!
As if I'm not nervous enough my dr has to do a delivery and they have me seeing a nurse practitioner. They said no other drs are available. I can already see where this is going. I need to find another practice.
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Re: Fuming at Ob's Office!!!
I think you need to calm down.
OBs leave for deliveries all the time - it is just par for the course. At least they are not making you wait 3 hours for the doctor to return and are getting you in to see someone, start paperwork, etc. I?m sure you would be biitching if you had to wait.
It seems like nothing will be good enough for you unless they roll out the red carpet and treat you like the first pregnant person ever.
I'm not even dignify this with a response LCB.
My office said that they specifically have you see all of the doctors and nurse practitioners so that way you are comfortable with all of them since you never know who will be on call come delivery.
My first OB appointment is with a nurse to do history but my second appt. is with a nurse practioner b/c the Drs are all running two weeks out and they wanted to get me in but not be a rushed appt.
At my old office, I actually liked the LNP better - she took more time with me and was better at explaining things and answering questions (this was when I was a gyn patient). So, give it a chance and then reevaluate.
I get very concerned because of the SCH and the twins. If there wasn't a prior issue I would be ok with it.
I will try. Thanks for your response!
It's going to happen and don't be too shocked about the NP seeing you. I know it's not what you expected but they are more than qualified to handle your 1st visit.
At my 1st Ob visit, the majority of my time was spent with the NP going over history in general and for the pregnancy specifically, urine and then more waiting for the doctor. My visit with the actual OB was brief and was more meet and greet.
I think it's fair to say that with any OB practice you will experience long waits and unexpected absences by the OB as they deliver other patients or deal with other emergencies. So unless you get a really bad vibe from the practice in general, I wouldn't go looking for a new doctor.
I'm sorry you are stressed. Maybe you can do this appt. with the nurse and see if you can come back later in the week to see your doctor? Maybe they can squeeze you in?
I have my appt. next week and I am already armed with questions!
I don't really see what the big huff is about. Your doctor will review your u/s pics and measurements when he gets back. NPs are certainly qualified to treat you, this isn't a delivery, it's a routine office visit.
Am I missing something?
This is what I am going to ask. I have a million questions, starting with birthing options, to u/s frequency, to my upcoming vacation. I have gone this practice for several years, but never for pregnancy.
Make sure to let the NP know about your concerns. SCH are never fun. As a person who bled off and on the whole first tri and even the 2nd tri due to Placenta Previa, I know how scary it can be. Most twin pregnancies are uneventful. While I don't have twins, I have twin neices and know lots of people with twins. Almost all of them had no problems during their pregnancies.
I don't think you will find a practice where this isn't going to occur at least sometimes. If you were delivering, you'd want the doctor to come instead of doing routine visits, right?
If its that big of a deal to you, just tell them you would prefer to wait for the Dr. They'll understand.
TTC #1 - May 2010 - IUI #3: BFP
TTC #2 - May 2012 -IUI #2: BFP
I think this is pretty typical. You would want your doctor to leave if YOU were delivering, right?
I would be happy that they worked something else for me and I still got my u/s. At mine, you just wait for hours on end, and sometimes they just cancel your appointment all together and you have to come back another day.
This is just life as an OB patient, multiples or not.
yes, waiting sucks, but this is routine at any OB office. You will expect your OB to be at your delivery as well, you know? Personally, i'd be happy they're still fitting you in today with anyone, and not canceling you. THAT would reassure me as a sign of a quality office. And that's coming from someone who lost a twin and had a SCH.
The NP is certainly qualified to see you today and your doctor will review your chart when they return to the office. You can still ask all of your questions to the NP.
I think considering changing offices because of this alone, when you've been with the practice for years, is a bit of an overreaction.
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Thank you that is very reassuring!
The NP is more than qualified to answer all those questions for you, and what she doesn't know, you can ask the Dr to get back to you. To be honest for a SCH there is nothing they can do besides check on it and measure it, and generally as long as you are not bleeding most offices won't do that, as a majority of them resolve on their own.
I understand being nervous. I am treated at my OB like any other patient. I did not have an U/S at my first visit at 7 wks. At my office it is typical to have a visit 2 wks later, then I had an U/S. I so far have seen my OB every 4 weeks. I do see a MFM, there everyone is treated as a special case. I see the MFM because I am having twins and I am AMA.
I personally would not change OBs for this.
IVF #1-4=BFN IVF #5=BFP! U/S on 5/3 revealed TWINS!
It's not just this alone. They didn't have me scheduled for an U/S. The receptionist yesterday questioned me saying "How do YOU know you are having twins?" , which I found completely insulting and I'm not too fond of the hospital they deliver at (it's had a lot of internal problems and the nurses are currently threatening to strike.
I wish. I'm north of the city. About 30 minutes or so.
At my first visit they forgot to schedule me for an u/s on my first visit, which was a week after I'd spent 6 hours in the ER due to my SCH. They scheduled me in at the end of the day, but it was a loooooong wait to get in to see the OB and the doctor.
I arrived at my visit the other day, too, and discovered that my appointment was being rescheduled because of an unexpected twin delivery, too. Fortunately it was just an hour and a half or so... we walked down the street and had an early lunch.
Honestly, I picked my OB (a new OB since I'd been with the RE for the previous year and had moved as well) because she delivered at the two hospitals I liked. And she came very very highly recommended from my local board (and I know a couple of SAIF ladies have seen her as well.)
I'd appreciate a rec in the city if you like your ob! I don't have one yet.
Okay I realize I am not PAIF but I just had to get this off my chest because I hope one day I will be PAIF. I am always checking PAIF because most of the people that were around when I joined IF back when it was TTTC are now PAIF. So I enjoy coming over here to check on all of my ladies.
While I am very happy that you are pregnant with twins and I understand you being concerned, I have to 100% agree with LCB. There are a lot of people who are thinking what she said but they just won?t say it to you. That?s the beauty of LCB. Whether you like what she has to say or not she is always honest with you. I don?t think getting worked up about things as much as you do is doing any good for you or for the babies.
The nature of an OB practice is that they do get called away for deliveries and some day it may be your babies that are making people wait. If you?re unhappy with the practice for other reasons besides that and that cause you genuine concern then I say by all means switch. Just keep in mind that this is a message board and you?re going to get people?s opinions if you ask for them. Flame away if you so choose.
I can totally understand where you are coming from because you are not getting the kind of treatment that you want or expect from this practice. I am VERY spoiled generally and have been generally spoiled with my doctors in NYC. So when I was looking for an OB, I was worried that I wasn't going to like the practice or the docs. I am 100% happy with my OB and practice so far. The first appointment my doctor sat with us for at least 20-30 minutes talking about our history, giving us advice and answering our questions. I was completely reassured.
It sounds like you need to find a practice that you are comfortable with. It doesn't mean that you wont ever have to see an NP because there is an emergency, but it sounds like you would deal with the situation better if you were generally happy with the practice.
This I can agree with you being upset with. I picked the hospital first, and then worked back to the doctors. You will be at the mercy of the nurses in the hospital and they will have a lot more to do with you as the patient than your OB will.
I think, though, that you are going to be surprised by how little attention you get from the OB. After the first, your appointmentts are going to be roughly 5 minutes long. All of your appointments. If you know someone personally who has gotten a lot of hand holding from their OB, then switch to that practice. Otherwise they will tell you what you need to know (ie, here are the orders for bloodtest/us), ask if you have any questions while they check the heartbeat, tell you any pain you are feeling is "normal" and start backing out of the room after your third question.
Please tell me how you know what other people are thinking, and can you also give me the winning lotto numbers while you are at it?
People talk off of the board....and a lot of us have the same feelings on things...
OBs get called out for deliveries. Most practices don't even have you see an OB for your first visit. With my first pregnancy, I saw a NP at 8 weeks and the OB at 12 weeks. There's nothing that an OB can do this early that a NP can't do.
I'm sorry you were upset hon. But I agree that it's time to step back and take a deep breath. You are pregnant, you're almost at 10 weeks, and your babies are healthy. I would kill to be able to say that in 3 weeks. Things are going well for you. It might be good for you to try to focus on all of the positives instead of the things that are bothering you.
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After months of being postponed or cancelled, FET #1.3 (Natural FET) brought us twin girls!
And trust me, I talk to people off this board too and they have opinions as well.
I agree with LCB too. I had twins, a MASSIVE SCH (it was 1.5"x5" at it's largest), 16 total weeks of bedrest (6 in the hospital), PTL...you name it. My OB told me after I delivered that she thought for sure that I would lose my babies. I think there was three separate appointments where I just saw a nurse (regular RN) for my BP/weight/doppler and skipped the internal. I wasn't given an ultrasound until my second appt and that was only because they couldn't get the heartbeats on the doppler.
There's so many other things to worry about. If there was something concerning, they'd get another OB for you, otherwise your OB will look over your file when they get back.
I know no one likes the R-word, but seriously, relax.
I'm not even talking off board (and I'm not even PAIF) and I agree. The attitude you're presenting is not going to endear you to the OB docs, nurses, or staff. Trust me, medicine is definately a situation where you don't want to piss off the staff.
I also think it's insulting to NPs to talk the way you are about them. My DH has cystic fibrosis - and given the choice between a pulmo/CF doc who is not his primary doc (Dr D is the head of the adult clinic, and as such... is hard to book with on short notice) or the CF NP... it's the NP every time. He gets wonderful care from her - and she will consult with his regular pulmo if something is "off" - as NPs should.
THIS!
If you need a good reason to chill, think about the fact that everytime you get worked up about something, cortisol is rushing through your babies little bodies, which is not good for them, at.all.
Stop and think first and save this reaction for things that are really really important. If you are unsure if you are getting good care, ask here and I'm sure someone will help you out.
5 REs + 3 surgical hysteroscopies for septum/lap + 3 failed IUIs
IVF w/ICSI/AH & acu = BFP!, unexplained spontaneous m/c @ 8w2d (our little girl),
FET w/acu = BFP!, B/G twins!, lost MP @19w, dx w/funneling cervix @20w,
twins nearly lost to IC @21w, saved by rescue cerclage, 17P & 16w of bedrest
Our twins born @36w4d via CS when A came foot first
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Exactly what LCB said. Just trying to offer my 2 cents since you posted about it. Just try to relax and enjoy your pregnancy. It seems to me the focus seems to be on the negative. I understand that pregnancy is not always puppies and rainbows but don't forget what it took to get to where you are and how many other people including myself that would love to be in your shoes. If I had winning lottery numbers or had any kind of luck whatsoever I would probably be pregnant.
I am in full agreement with LCB, Miesel, Rachel, and mbmaybebaby. You need to realize that the OB's office does not revolve around you, and that they do this all the time, multiples and singletons.
Being dramatic is not good for the babies. And it seems like everyday is something new with you. So chill, for the best interest of the babies you are carrying. Oh and Yes, YOU WILL GET FAT!
First, I can see you're upset because your expectations of the first visit were not met (i.e. seeing a doctor) at your first OB visit. It's a very sensitive time, and I'm sure you're nervous about the SCH and twin pregnancy. I get it - really, I do.
That being said, do you have something against NPs? Maybe I'm a little sensitive because I, like you, am pregnant with twins, and I AM an NP. I have to say, I'm not stupid, and I've actually taught an MD a thing or two, especially about OB/GYN because I'm also a CNM. Just because you have MD behind your name doesn't mean you are the end all and be all of medicine. NPs are first trained as nurses, and educating and empowering patients is a big part of a nurse's job. Add the ability to diagnose, treat, and prescribe and you have a powerhouse provider - one that not only listens to the patient but hears what he/she is saying - takes that information and appropriately cares for and educates patients. I do the exact same thing the MDs do at my practice, and have higher patient satiisfaction scores, better health outcomes with patients, and have a waiting list of people who want me to be their provider.
Did you ask the NP your questions? Was she able to answer them to your satisfaction? Do you feel you recieved appropriate care? Once you continue with your pregnancy, and realize the MD comes in, barely talks to you and moves on to the next patient (because they are booked to see 2-3 patients in 15 minute slots), you may find that you would rather see the NP.
FYI - all NPs have at least a Master's degree, many have their doctorates, and years of specialized training. (In case you thought we weren't educated enough!)
I understand you have other issues with the practice and the hospital in which you would be delivering, and those are valid issues to switch. Having to see an NP, in my opinion, should have been more of a welcome gift than the cause of anger.
**stepping off my soap box**