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Re: Appointment Thread
I would assume that there is more room for error at the doctors office rather than the lab because the office is the one who actually labels and handles the samples more.
Side note: I have been to some amazing hospitals, but the one that I deliver at is basically my only choice (next closest is about 2 hours away) and this entire hospital doesn't have the best reputation. I really did consider going somewhere else, because there is an ongoing investigation into my hospitals lab because of a large Hep C outbreak that they are tracing back to an "Employee A," so at this point I think that any problems get blamed on the lab and everyone just goes with it here.
Thank you for the advice and assurance, @Lynnlove28 and @Bookhousegirl!
Up to 70 percent of all lab result errors are made in the pre analytical phase (collected in the wrong color tube/swab/etc, collected in the wrong manner (not mixing specimen properly, leaving a tourniquet on too long, not sending specimen properly for transport, collecting while and IV is running, mislabeling, I could go on and on) before they even make it to us.
Sorry in advance to get on my soap box. But lab techs in my experience are super anal about the integrity of our testing. We have to maintain our analyzers/instruments and run quality control on them multiple times a day to prove they are correct. We also have to result every specimen accurately (consequences could be getting fired). Our tech name and code are attached to every single specimen we result. I think it is very easy to blame the lab for errors because no one sees our faces.
I can't speak for all lab techs, but at the hospitals and clinics I have had the privilege of working at, most of my co-workers take their jobs very seriously. And our management doesn't keep people around who make mistakes on patient results. It is very rare and hard to mix up patients these days once the specimen is in our lab as everything is very automated and bar coded.
So my overall general advice to all the mamas on this board is to not be afraid to ask to see your labeled specimens before leaving the doctors office. Some hospitals and clinics are great about checking patient identification. But depending on what accrediting agency the hospital operates under or how management is run there, some don't check at all. Which is quite scary.
DD: Aug '16
10/2017: Twins confirmed with TTTS at 22 weeks.
10/10/17 Twin B passed after in utero placenta surgery
11/2/17 Twin A & B born
11/26/17: Twin A passed after 24 days fighting in the NICU
Benched 6 months
BFP: 6/28/18 MC:7/16/18 BO
BFP: 10/2/18 EDD 6/15/18
@midwestbaby I have to admit, my MFM doctor owned why a test wasn't run. My OB blamed it on the lab, but the MFM straight out said "That wouldn't happen, that the lab would forget. Here is what happened : " and it sounds like the powers that be had enacted new policy to appease insurance companies... not the lab's fault at all for following protocol. While it was *technically* true the lab didn't run the test, the reason the lab didn't run it was because the doctor didn't give enough information to justify the test... and the reason the doctor had to justify the test was because of insurance companies.
So basically BCBS screwed up my lab results.
@catlady1027 Great news! There was a doctor at the practice I moved away from that was like that, so I know exactly what you mean.
DD: Aug '16
10/2017: Twins confirmed with TTTS at 22 weeks.
10/10/17 Twin B passed after in utero placenta surgery
11/2/17 Twin A & B born
11/26/17: Twin A passed after 24 days fighting in the NICU
Benched 6 months
BFP: 6/28/18 MC:7/16/18 BO
BFP: 10/2/18 EDD 6/15/18
Now the doctor doesn't want to induce until my due date (maybe), even though the mfm recommended 39 weeks. She is going to reach out to the mfm and they will let me know next week. The MFM reccomended August 8th, and the OBGYN is saying we should go to the 15th.
There was also glucose in my urine, and they have been watching me for gestational diabetes this whole pregnancy - I was diagnosed with "pre diabetes" as a teenager. So that's not great news.
And apparently little guy put on a growth spurt. Another ultrasound next week since he went from measuring at 51st percentile to measuring three weeks ahead (by belly measures) So she wants to figure out what he is doing in there. Trouble maker.
Basically a super frustrating appointment. Lots of "oh, this is wrong... But not wrong *enough* we are doing anything about it, but let's watch it reeeeeaaaaallly closely."
It's never fun to have more appts to keep checking. It's good to be cautious, of course. But I could see cause for getting baby out safely and soon. Good luck, as always.
Any one else not feel good after getting cervical checks? Both last week and this week I got a check and my back is killing me, there's a lot of pressure in my lower abdomen, I'm getting BH contractions, my bowels are messed up and I'm nauseous. Same thing last week. I assume the cervical check caused it unless it's just a coincidence. I always feel better the next day.
Work has been super busy tonight and I'm finally taking my first break almost five hours into the shift. I'm sure this is contributing to my headache.
DD: Aug '16
10/2017: Twins confirmed with TTTS at 22 weeks.
10/10/17 Twin B passed after in utero placenta surgery
11/2/17 Twin A & B born
11/26/17: Twin A passed after 24 days fighting in the NICU
Benched 6 months
BFP: 6/28/18 MC:7/16/18 BO
BFP: 10/2/18 EDD 6/15/18
I was thinking if I still feel crampy tomorrow, I may just call the nurse hotline. I think three days in a row would be a little long to feel this way.
I hope you feel better by tomorrow.
DD: Aug '16
10/2017: Twins confirmed with TTTS at 22 weeks.
10/10/17 Twin B passed after in utero placenta surgery
11/2/17 Twin A & B born
11/26/17: Twin A passed after 24 days fighting in the NICU
Benched 6 months
BFP: 6/28/18 MC:7/16/18 BO
BFP: 10/2/18 EDD 6/15/18
I'm barely dialated and my cervix is softening more than last week but, nothing major. I have a NST scheduled for next Thursday (a day past my EDD) so hopefully I make some more progress naturally before then!!
@Mrsrundell I'm sorry you're not feeling well either! I hope you show some progress next week. Especially since it'll be after your due date.
DD: Aug '16
10/2017: Twins confirmed with TTTS at 22 weeks.
10/10/17 Twin B passed after in utero placenta surgery
11/2/17 Twin A & B born
11/26/17: Twin A passed after 24 days fighting in the NICU
Benched 6 months
BFP: 6/28/18 MC:7/16/18 BO
BFP: 10/2/18 EDD 6/15/18
i'm battling an awful cold right now. DS had a fever and croup last week and I caught his bug. My sinuses are so swollen that I am struggling to breathe. Not fun considering there's a good chance I'll be delivering soon (I was in l&d last night for monitoring). the nausea may be an early sign of labor though. Hopefully it's not related to getting sick!!
Ugh I hate this anxiety! He's probably sleeping or something!
Not complaining because it's good to be sure of things.
But I hate waiting in the waiting room. My office is in a city with a low income type population and typically there will be incarcerated women and corrections officers along with some unsavory individuals. But hey everybody needs a doctor.
Has anyone else stopped making increases in the stomach measurements? At 34 weeks I was measuring 39, so we did an US (baby in 80th %). Since then, I've measured 39 at every appointment, except for yesterday, which was 38. I pointed this out to the dr but she didn't seem concerned, just said maybe the baby had dropped. She always seems so distracted in my appointments though, sometimes I wonder if she's really looking at and remembering the specifics to my pregnancy.