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Exciting and Disappointing Appointment


Forum: February 2014 Playroom

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  #1  
November 10th, 2013, 07:15 AM
Mega Super Mommy
Join Date: Mar 2013
Location: Nebraska, USA
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So, I had my follow up appointment with the high-risk OB yesterday. I left with mixed emotions, to say the least...

Let's get the disappointing part out of the way: At my first appointment with her, my blood pressure was sky high. Yesterday, it was perfectly normal. She still thinks I have hypertension. I don't. My regular OB and I have been monitoring it diligently. On days I don't get a normal reading, we can pretty well determine what caused it... usually stress or eating sunflower seeds on the whole hour-long trip to the doctor's office.

We are NOT concerned with my BP. Read the referral from my OB and you'll see that we only want your high-risk opinion on my intracranial hypertension and your better ultrasound tech to see my baby.

She also gave me the 3rd degree on my gestational diabetes. I have a few high numbers, but we're still in a learning phase with what I can and cannot eat. She just made me feel like an ugly fat woman who doesn't know how to take care of herself. My OB thinks I'm doing great and is proud of how well I'm doing on monitoring and adjusting what I eat/when I eat.

But, there was some good news...

Baby is still a girl and her heart looks great. At the last U/S, they couldn't get a good look at her septum or aortic arch. Yesterday, she cooperated and we got really good pictures of those specific details. She also let us look at her little spine and it looks good, too! The u/s tech said she looks great. (The stupid high-risk OB said that because of my abdominal wall fat, they are only about 80% sure she's ok because the fat reduces the quality of images on the U/S. The tech wasn't worried and reassured us again before leaving that baby is FINE.)

The one good thing we got from the OB is her OK to try a vaginal delivery!!!! My OB was concerned about the spinal fluid pressure during pushing and wanted my neurologists opinion and the high-risk OB's opinion... they both say it's OK. So we should be good to try!!!

The high-risk OB did say that if I have a long labor, her recommendation would be to intervene and do a c-section. The longer labor lasts, the more pressure that will build. So let's hope I progress at a decent pace when the time comes!
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  #2  
November 10th, 2013, 08:14 AM
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Location: Southeast, US
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Jeralynn, over all that sounds like a GREAT appointment! I'm sorry that the high risk doc was so blunt and lacked understanding about your blood pressure and sugar levels. Having a bad attitude never helped anyone. I think you are right to just take the facts of the appointment and turn off all of her other comments and talking points. To know you have GD is step one. No one masters their sugar levels overnight. You will get the hang of it. It's a tricky condition that I feel fortunate not to have. I LIVE on high sugar foods so it would be a huge, uncomfortable lifestyle change for me. You just keep up the good work. delivery day will be here before you know it
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  #3  
November 10th, 2013, 09:15 AM
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Your high risk doctor sounds horrible! At least your regular one is nice and supportive!
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  #4  
November 10th, 2013, 09:24 AM
victoria0294's Avatar Mega Super Mommy
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Overall it sounds like a good appointment!
My BP is usually high when I'm at the dr because I'm nervous. But I take it at home a few times a day and it's always perfect. Maybe next time ask them to give you time to relax and have them re-take it? We did this a few weeks ago at my high risk OB. When I first got there it was something like 157/75 ish. She had me lay down for a few minutes, on my left side, to "think about the beaches of Aruba" lol, and that worked. She took it again and it was 112/60something.
But it sounds like it's usually good for you at your regular OB, so I wouldn't worry about it!
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  #5  
November 10th, 2013, 11:12 AM
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Other than the doctors attitude it sounds like a good appointment.

Don't worry you'll get the hang of what foods work for your gd soon enough. Oatmeal and apples were evil for me last time. Still crossing my fingers and toes that I stay borderline this time.
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  #6  
November 10th, 2013, 11:27 AM
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Your high risk doc sounds like a jerk and they sucks I'm sorry you have to deal with that. Gd takes some time to adjust to, so I'd just let that roll off as best you can, you know you're doing your best and working on adjusting and that's what matters right now.
I'm glad you get to try a vaginal delivery though, that's great news! And as long as your ob says your pressure is fine I wouldn't worry about that much right now either. Glad to hear baby is doing good too
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  #7  
November 10th, 2013, 03:49 PM
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Glad the ultrasound went well. Sorry your high risk doc is crappy. Abdominal wall fat? Really? I'm big and was with last two as well and I have never heard about it being harder to see through ultrasound. Even if it does make it harder, did he have to be so blunt?
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  #8  
November 10th, 2013, 07:08 PM
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The most I've had mentioned fat is being told that as a bigger girl I need to be extra sure I have a full bladder when I go in for ultrasounds. They only mentioned it once per pregnancy though and were very careful to phrase it as politely as possible.
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  #9  
November 10th, 2013, 07:22 PM
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Wow talk about a crumby bed side manner. I'm sorry she was so mean! I would have given her a piece of my mind. My temper is a little on the short side these days lol. Don't take what she said to heart. Your regular OB says you're doing fine, so I'm sure you are.

I'm very glad the ultrasound went well and honestly I'd listen to the tech more than to the high risk OB about those results. That's great you can try for a natural!! At least that high risk OB wasn't entirely rotten and gave you the go ahead for that.
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  #10  
November 11th, 2013, 06:56 AM
melissalaw's Avatar Platinum Supermommy
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Location: Tennessee
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I have never been a huge fan of the high risk drs. I have one plus my regular OB and I love my regular OB but the High Risk dr no so much.

So glad that you can try for a vaginal delivery and that your baby girl looks healthy. I have never heard that abdominal fat can get in the way of the ultrasound. Glad the tech gave you some more reassurance.

If your like me you see your regular OB way more than the high risk dr so I would just keep in contact with your regular OB about your blood pressure and gestational diabetes. Sounds like you are doing good on both and that the high risk dr just wanting something to grip about.

And glad she's still a girl!!
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  #11  
November 11th, 2013, 05:22 PM
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Thanks for the support and understanding, ladies!

I'm feeling better about everything today. I don't have to see the high-risk OB for 8 more weeks -- and I'm going to ask my regular OB if I even have to continue since we did get the OK on vaginal delivery.

I know that what my OB says is the important opinion to listen to. She has a much better bedside manner and has just been great so far. I know I'm harder on myself than I have to be... and for the high-risk OB to not be the reassuring type, I just got really down on myself.

I have an appointment on Friday w/ my OB, and am looking forward to discussing my glucose numbers, blood pressure, and delivery options. I know that I am doing the best I can to make sure my little lady stays healthy. And ultimately, that's what matters... (along with the opinion of the doctor that has seen me every 4 weeks since I got pregnant, and will continue to see me every other week for quite a while... she KNOWS my story!)
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  #12  
November 11th, 2013, 07:47 PM
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Location: TN
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I am glad that you got to see your baby girl again. Sorry the high risk doctor's bedside manner left much to be desired. I am glad that you get to try for a vaginal birth. Getting your gd under control takes a little bit of time and learning. But sound like you have a great OB that is really supportive.
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  #13  
November 11th, 2013, 08:35 PM
Jibby's Avatar Mega Super Mommy
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Your high risk doc sounds like a jack arse. I'm glad to hear you get to try for the birth you want!
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  #14  
November 13th, 2013, 12:01 AM
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So glad your appt. went well overall and that your girl is still a girl and a cooperative healthy little girl at that!! Sorry about your high risk dr. I hate rude people. I am also heavy and thankfully I have not experienced this rudeness. Really other than upsetting you what is the purpose of making a big deal about it. We can't do anything about it while we're pregnant anyway, so I don't see his point. GD is hard. I had it with ds and I'm sure I'll have it this time as well. Don't beat yourself up. It takes time to figure out what sets off your sugars. Good luck!
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