Disagreeing Doctors

Re: Disagreeing Doctors

• mprtrdg member

  February 2014

  It is very frustrating to get conflicting information. I would trust your OB, but why not ask both doctors and voice your concerns? I am starting to see a specialist on Thursday as I still have complete placenta previa, and me OB is very open about what kinds of questions she can answer and what things I should trust the specialist on.

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• pistolpackinmomma member

  February 2014

  There are no ways of knowing if you will or will not have GD. If you already have sugar problems then your odds are slightly increased but still not a guarantee. I have a friend who was 90lbs soaking wet before she got pregnant and had GD. I was 155 (only a few inches difference between us) before getting pregnant with DS and did not have GD. I know some who had it with one kid but not the other. This is why I strongly suggest that all of us get tested because you can't just look at someone and know.

  
  

   
  

    

  
  

  Congrats to my GP Sister from another mister Bruinsbabe!!

  
  

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• ThereBeDragons member

  February 2014

  Early (first trimester/early second trimester) glucose testing is screening for undiagnosed regular diabetes. Many OBs are testing for it these days if you have any risk factors because its good to get that under control early rather than ignore it until the third trimester. All docs have different criteria for early testing. My OB with Peanut's pregnancy (late loss) had me undergo a 2hr glucose testing at 14 weeks. My OB with this pregnancy took the results of that prior test (negative) under consideration and let me delay glucose testing until the time to test for gestational diabetes.

  
  

  Gestational diabetes (defined as diabetes caused by pregnancy- and will typically go away with delivery) can only be diagnosed after 24 weeks (I think) and is random. You can get it even if you are the picture of healthy living and have zero risk factors. That's why every woman receiving proper prenatal care is tested for it. There's no real reason to be nervous about it though as there's nothing you could have done to prevent it if you wind up having it. Just bad luck.

  
  

  And yeah, it's normal to see multiple doctors if you have other underlying issues. I see my OB, my high risk MFM (and they often have very different opinions on my treatment), and I also see a psychiatrist for depression/anxiety related to my prior pregnancy losses. I make sure to keep all doctors informed of any major changes in treatment (although I see the psych infrequently and just need to update her if I go into the hospital) and medication changes so that I don't get any bad drug interactions.

  
  

  The important thing with multiple doctors is making sure that all are in the same notification loop and deciding what treatments to follow if they are differing. My MFM wanted me on P17 for preterm labour. My OB thought that it was more important to have a cerclage done. I decided to have both and still feel that was the right choice.

  
  Friends for 17 years. Married 10. TTC since Jan 2009.

  3 IVFs, 4 FETs, 11 transferred embryos, 3 losses (c/p, 6w, 17w)
  

  2012: Lost "Peanut" at 17weeks to PTL/IC.
   
  2013: IVF#3/FET#4  Elisabeth CJ born April 30, 2014
  Cerclage, P17, and 3 months of bed rest brought us our Rainbow.

  
   Dum spiro, spero.

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• keeumm member

  February 2014

  Thanks for the info! I am glad to be a part of this board- I've learned a ton! I knew nothing about GD prior to being pregnant and I've read as much as I can on here. I know that I can't control whether I have it or not, and will definitely be tested. Thanks also for the reminder to check that all of the doctors are talking to each other- it seems obvious but I'm sure they see a million patients.

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• keeumm member

  February 2014

  @ThereBeDragons I did not know that that was why they tested in the first/second trimester. (I hate to admit that I learn more here than I do at my doctor...) I think that since I'm an IVF pregnancy, they wanted me to see the perinatal just for the monthly u/s, but I'm not sure. 

  
  

  p.s. I am so pulling for you and praying that all goes well! Thank you for being so supportive of everyone- you are fantastic

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• JAM85 member

  February 2014 edited February 2014

  I actually see the same three types of doctors (lupus and hypo) and technically I started in the over weight BMI but I also think BMI is BS when you workout and lift as much as I do as my bodyfat is not that high. My ob was not as vocal about weight gain actually said don't worry if I gained up to 35 but I also haven't gained that much and I also was very clear that I have a history of an eating disorder so that keeps everyone mums I think. I will say that my endo before my GTT actually told me not to worry due to markers in my routine urine and blood tests that she doubted I would have any issues and she was right I had a fairly low reading for the 1 hour so could be true. Either way definitely clarify with both docs and maybe ask you ob if he is basing his assumptions on your weight alone with no regard for any other factors and if it bothers you maybe ask them to calm down with the talk about it and consult with the other docs. Either way the test will tell.

  

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• Xath member

  February 2014

  I'd definitely talk to both doctors about their conflicting information.  I've seen the main 4 OBs at my practice and my MFM this pregnancy, and while they haven't always agreed on everything, when we discuss their differing opinions openly, they usually come to the consensus of going with the most conservative option.  My OB didn't think P17 injections were necessary; my MFM did = We're doing P17  injections.  My MFM doesn't know that steroid injections are necessary; my OB does = we're doing steroid injections.  

  
  

  Be open, have your doctors communicate and give their reasons for what they're saying, and make an informed decision.

     
   DS1 - 7/2011, DD 12/2012, DS2 - 4/2014, MMC - 12/2015

  

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• jjtyler member

  February 2014

  There is nothing more confusing than conflicting opinions.  Had the same thing happen with my doctors re: getting a c-section due to a reconstructed hip AND the fact that one thinks I should NOT be traveling by plane ever and the other is giving me restaurant recommendations in cities I am asking if t is OK to travel in.

  
  

  Honestly, like a PP said, do what you can to educate yourself, listen to what they are saying and make an informed decision.  Some doctors skew REALLY conservative...others understand that we cannot cut everything out of our lives and lock ourselves in our rooms for 9 months.

   

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• keeumm member

  February 2014

  So I just talked to a few of my friends who also went to this perinatal specialist- apparently he tells EVERYONE, no matter the patient's size or background, to get an early GD test. 

  
  

  I had assumed he had just told me because I probably still had a chocolate mustache from whatever I had eaten before the appointment, so it makes me feel better knowing that it's just part of his routine talk to all of his patients (or at least the people I know - and their friends who have seen him). 

  
  

  Update on yesterday's donuts: Devoured. 

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• keeumm member

  February 2014

  @ashtog

  2 things: Everyone talks about this Tim Horton's. What is it, and why don't I have one next door to my house? 

  
  

  Also, my husband is a photographer on the side. He was a photographer's mate in the navy, and has continued his love of photography ever since. Before we moved, he was a devout film user, and had his own dark room set up where he developed film and did prints. Now that we are in a house and are taking a gazillion pics of our wedding/moving/house/growing baby belly, he's switched to digital, but still is a big user of instant film. 

  
  

  Just had to share because as soon as I saw your posts about being a photographer, I felt a bit of a connection with you! 

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