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stupid question about dr visit

pixiem38pixiem38 member
in Multiples
Tomorrow is my appointment with the cnm at the new practice (that is hopefully less inept than the previous one) (i am not super thrilled that it is a cnm and not an ob, but i couldn't get in with an.ob for another month. I am hoping that will change once they discover the mono-di status). I feel like it should be comparable to.a first visit to a competent provider discovering twins.for the first time. Since i did not have that experience the first go.round, what should i expect? Should they be concerned about determining.chorionicity tomorrow or relatively soon? I see intro.posts where people know right away what their twins are, so at what point do they officially "diagnose" it. I have my unofficial mono-di "diagnosis, but that does me no good until i can get an actual doctor to care. I am hoping tomorrow.is the magical day that i can get someone to.listen to me. Wish me luck.
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Re: stupid question about dr visit

  • srbmvpsrbmvp member

    At 14 weeks I would demand that they determine choronicity. And if you are in fact mono-di, they should start treating you as such, ie: extra care and monitoring.

    Stand on your head if you have to, to make them pay attention!

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  • yinyang124yinyang124 member
    imagesrbmvp:

    At 14 weeks I would demand that they determine choronicity. And if you are in fact mono-di, they should start treating you as such, ie: extra care and monitoring.

    Stand on your head if you have to, to make them pay attention!

    Agreed. If your twins are mono-di, they need to be monitoring their growth more closely. I would not leave that office until they determine chorionicity. I've seen your other posts- so sorry your doctors are not taking this as serious as they should be. Good luck!

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  • pixiem38pixiem38 member
    This is a completely new practice so they don't know me from Adam....i just know that dealing with the first practice was completely useless....so this one can't be any worse (this is a bigger practice with an actual mfm on staff....one can hope they are better). The reason i think i am mono-di is because i had the u/s tech look at the placenta last week for the (failed) nt scan and she said it was definitely one. The original bad dr. also said at 12 w that it looked like one (but that is was impossible to tell until birth...grrrrrrrrrr.....) also. I also think.i am 15 weeks today, (based on o), but i had adjusted my ticker back when original dr said i was four days behind. Last week they were measuring 14w4d, so i decided to.split the difference and go with when i KNOW i ovulated/dtd (mentioning that just because the further along i get the more pressing i think it all ought to be). I am very worried that i am o ly seeing a cnm and i have no idea how easy/hard it will be to.impose my oh so.unreasonable (obvioudly sarcasm) will on her (him??) Thanks for reading and understanding. My u/s tech understood and was all shocked by the shoddy care i have gotten...but so far no actual doctors seem impressed. I hope tomorrow is.my lucky day!
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  • RynleighRynleigh member
    Be confident :) The big thing about CNMs is that a lot of them are more willing to listen to your concerns and do things "your way". Be up front about your concerns, tell them the precise reasons you left the last provider, and express your feelings about wanting to get established with a team experienced in high risk multiples pregnancies, and confirm right away whether your twins do or do not share their placenta. 
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    *Spontaneous* OHSS diagnosed 08.06.2012
    Right ovary removed 09.04.2012 via vertical laparotomy
    Essure implant placed on remaining tube 06.13.2013; successful followup scan 09.30.2013


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  • pixiem38pixiem38 member
    Thank you...that seems logical. Realistically i think it will be fine...but i also never thought i would encounter such ineptitude to begin with either. Rynleigh---was your follow up ultrasound this past monday or is it coming up? I was hoping you had good news, but i couldn't send a pm and i also.didn't want to.post a completely new post in case you were deliberately not talking about it (in which case you can co.pletely disregard all of this). Anyway....thanks for the encouragement...
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