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Hi ladies, I was told that this board might be a good place for advice. I am thinking about switching doctors and would really appreciate your honest opinion. I chose my doctor based off of 2 different recommendations, but I am just not sure how I feel about my care. I have 2 gene mutations of MTHFR, so I take heavy levels of B Vit's and Lovenox 40mg/day, along with BA. This is what concerns me:
1. He does not know what Metanx is (it is the vitamin which contains big doses of B Vit and Folate).
2. He has done 1 ultrasound at 20 wks and does not plan on doing anymore.
3. He does 0 testing to make sure Lovenox is working correctly.
4. His nurse is a total nit-whit; among other things, she told me to go to L&D if I think there is a problem rather than call them.
5. They chose not to take blood/urine samples this last appt. and told me they would only do so if I had elevated BP from now on.
6. I am a completely normal patient to them. I receive the exact same care someone would that had 0 problems.
Should I find another doctor this far along? I really like him, and I know he is very well known/respected in the community as a great OB, but I am starting to worry that they think everything must be hunkey-dorey as long as my fundal measurement isn't way off (I measured 28 y-day, but I measured 26 at my 25 week appt.?!), and my BP checks out.
Would love your thoughts...........
Angels in Heavan. Helena May, June 28, 2007 & Alexander Michael, October 11, 2007
I'm not sure I'd necessarily switch doctors at this point in the game, though I would definitely talk to him about your concerns. At my doctors office having any kind of clotting disorder immediately makes you high risk. As a high risk patient we recieve more ultrasounds and just a little more close eye kept on us.
If you're concerned I'd sit down with him and ask him why he thinks you don't need to be treated as a high risk patient. He may have very valid points that would make you feel a lot better. Or, he may not and you may decide you'd rather switch to a doctor that takes you a bit more seriously...
Good luck, keep us updated!
*Thank you so much to Jaidynsmum for my beautiful siggy!*
Sophie Lucille: In my life for a moment, in my heart for a lifetime. May 25th, 2006 at 16 weeks.
Location: NYC born and raised. Now stationed in Savannah, Ga HAAF!
i know there is risk with lovenox injections, a friend of mine has thrombophilia and has needed them for both of her pregnancies. i know there is a risk of fetal brain hemorrhage with the injections (she told me when she was pregnant with number 1 that it was a controversial therapy) and if i were you i would complain. you are high risk and high risk mothers need special treatment. you are far along, i am surprised your ob hasn't referred you to a high risk ob, even for occasional visits.
if i were you i would stick it out with him (mainly because most ob's won't take patients this late in the game) but maybe see if you can get into high risk ob for a consult. i wish you luck with this.
Them choosing to not do urine samples in the third trimester is pretty stupid. I wouldn't be comfortable with that at all. Urine needs to be checked every appointment and the fact they feel its not needed is strange.