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Ob appointment update.


Forum: Recurrent Miscarriage and Pregnancy Loss

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  #1  
April 9th, 2013, 12:29 PM
plan4fate's Avatar I may bend, but not break
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This is just a copy past from my journal.


Quote:
Appointment went fine. I do not like the doctor, but his staff were fantastic. He very obviously doesn't like people who have done research, or been treated by other doctors in the past, or want a holistic approach to things.

He thinks the thyroid issue is a huge deal. We ran a blood test, should have the results tonight or tomorrow, and an rx called into Walgreen's shortly after that. Will need a repeat in 6-8 weeks. I don't have to go back into the office until then.

He feels that most of my complaints are thyroid related, which is what I suspected. He said the late ovulation's are likely because of the hormones being out of whack and my body not being able to mature them on time.

My biggest qualm, he will not count ANY pregnancy for which I cannot give evidence that there was an ultrasound showing a gestational sac. So I go from 12 losses to 1 (Since I don't have the records for Mel and Dee). Future pregnancy will require a beta over 15 at 14dpo, or 25 at 16 dpo to be considered. I don't like this... and it makes me want to scream.

He thinks BBT charting is worthless, and doesn't do anything but stress a woman out. He wants me to continue charting when af shows up and leaves, any spotting through my cycle and positive opks. I'm just going to keep doing what I was doing while DH was home. I'm to use opks every cycle from cd 10/11 forward. He told me to stick with the cheap dipsticks, and bank the money for if we need digi ones or a monitor later.

He also thinks that taking baby aspirin doesn't help AF be any easier, doesn't help keep lining from over growing. He says it's dangerous with out confirmed clotting information. I showed him in my records where the gyn who treated me for my heavy periods recommended 81mg aspirin daily to lighten AF and ease up the pain that comes with my body trying to shed that crazy thick lining. He told me she was wrong, and that my lining thinning out while on it is just a coincidence. I am choosing to ignore his advice, because I've gone from needing a whole pack of pads a cycle, to needing 1/2 a pack while she's here. No more major cramps.. I was even able to use a tampon for the first time in almost 3 years fully pain free this cycle! So yes, ignoring this advice.

If lowering the TSH doesn't get me pregnant in 8 months, he would like to run more tests in the new year. He's going bottom of the barrel right now, because we are paying out of pocket. And we should have insurance purchased by then (cause we have to), which would help.

So it went pretty much as I planned... I should know my results tonight or tomorrow, should have the rx by tomorrow. I have a few pills stashed away, I'm going to start them today


Oh, I'm supposed to make an appointment at Planned Parenthood for a Pap too since their prices cannot compare to PP's.
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Awesome siggy made by Jaidynsmum

Me: Hashi's, PCOS, Insulin resistant, Multiple miscarriages
175mcg Synthyroid, 1500mg Metformin
Colposcopy = CIN1+CIN2 cells Polypectomy - August 21st
Him: MFI low count, low morphology, low motillity
Seeing MFI specialist/RE in 2015. Vitamins started August 2nd
Trying a few cycles of clomid and progesterone. FX this is all it takes.
Cycle 1: Clomid cd3-7 ~ bfn
Cycle 2: Clomid cd 3-7
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  #2  
April 9th, 2013, 03:00 PM
MzzMommaD's Avatar Sleepy Rat Rattery
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Sounds like a very frustrating experience. Can yo request a different doctor? Please bare with me as I type as a few keys do not work and spell check sometimes does not have the word i try to type. If i were in your shoes i would consider asking if there is another doctor in the practice you can see, or even consider changing offices all together. As to the aspirin, that makes total sense and i wish i had thought of that at some point my periods tend to suck...

In regards to the whole "My biggest qualm, he will not count ANY pregnancy for which I cannot give evidence that there was an ultrasound showing a gestational sac. So I go from 12 losses to 1 (Since I don't have the records for Mel and Dee). Future pregnancy will require a beta over 15 at 14dpo, or 25 at 16 dpo to be considered. I don't like this... and it makes me want to scream. "
I would scream myself, its like a slap in the face or a punch to the gut. How dare anyone try to tell you that your angel babies dont count because there was no ultrasound. I fully consider my angel babies a very real part of my world even if they were undocumented. They were and always will be a part of you, and if he doesnt feel that way, then perhaps hes not the right doctor for you.
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  #3  
April 9th, 2013, 05:53 PM
geogeek's Avatar Marsi's Mommy
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Medically speaking, that is what they say about my losses as well. It is so upsetting. The doctor I have in CO is the first one that didn't demand "proof". I hope that the thyroid meds work for you. If YOU feel that the aspirin works, keep taking it! I am CONVINCED that it helped me keep Marsi. My periods went from Clotty messes that were extremely painful to regular no clots and manageable without vicoden. I hope that it works out enough that you get your rainbow baby.
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  #4  
April 9th, 2013, 08:51 PM
plan4fate's Avatar I may bend, but not break
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Quote:
Originally Posted by MzzMommaD View Post
Sounds like a very frustrating experience. Can yo request a different doctor? Please bare with me as I type as a few keys do not work and spell check sometimes does not have the word i try to type. If i were in your shoes i would consider asking if there is another doctor in the practice you can see, or even consider changing offices all together. As to the aspirin, that makes total sense and i wish i had thought of that at some point my periods tend to suck...

In regards to the whole "My biggest qualm, he will not count ANY pregnancy for which I cannot give evidence that there was an ultrasound showing a gestational sac. So I go from 12 losses to 1 (Since I don't have the records for Mel and Dee). Future pregnancy will require a beta over 15 at 14dpo, or 25 at 16 dpo to be considered. I don't like this... and it makes me want to scream. "
I would scream myself, its like a slap in the face or a punch to the gut. How dare anyone try to tell you that your angel babies dont count because there was no ultrasound. I fully consider my angel babies a very real part of my world even if they were undocumented. They were and always will be a part of you, and if he doesnt feel that way, then perhaps hes not the right doctor for you.
There are lots of doctors in the practice, but this is the only one who handles the bad Thyroid cases. Not to mention we really can't afford for me to start jumping around doctors, we pay entirely out of pocket. The frustrating appointment this morning has been in the works for a really long time, and cost me $223. I only have to deal with him for bloodwork... since I'm not using an OB for pregnancy anyway. Of course, i didn't tell him that. He seemed like the type to try and scare me into

Quote:
Originally Posted by geogeek View Post
Medically speaking, that is what they say about my losses as well. It is so upsetting. The doctor I have in CO is the first one that didn't demand "proof". I hope that the thyroid meds work for you. If YOU feel that the aspirin works, keep taking it! I am CONVINCED that it helped me keep Marsi. My periods went from Clotty messes that were extremely painful to regular no clots and manageable without vicoden. I hope that it works out enough that you get your rainbow baby.
You are the reason I decided to actually listen to the GYN I saw in 2010 and try the aspirin. If you could go from hellish periods, to manageable, with something as simple as baby aspirin.. I was game. I was actually able to use a tampon this month!! I haven't been able to wear one (pain free) since 2009. Almost makes me want to try a menstrual cup and pray that I don't get infections.


TMI:

I mean.. I went to take a hpt one day, didn't realize AF had showed.. and before I could pee I overfilled the cup with AF ickiness. It's a freaking 3oz cup! So out of curiosity I started trying to catch the ickiness... and over and over for 3 days I could fill it. that's just not right.
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~TTC #1 together 2 years and counting ~


Awesome siggy made by Jaidynsmum

Me: Hashi's, PCOS, Insulin resistant, Multiple miscarriages
175mcg Synthyroid, 1500mg Metformin
Colposcopy = CIN1+CIN2 cells Polypectomy - August 21st
Him: MFI low count, low morphology, low motillity
Seeing MFI specialist/RE in 2015. Vitamins started August 2nd
Trying a few cycles of clomid and progesterone. FX this is all it takes.
Cycle 1: Clomid cd3-7 ~ bfn
Cycle 2: Clomid cd 3-7
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  #5  
April 10th, 2013, 06:29 AM
Mega Super Mommy
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Doctors are very special creatures. I'm going to say that he probably wants to start from square one. And by doing his (insensitive) interventions (pretending you didn't have so many losses) you will get your rainbow.
Keep your head up. Go with his plan. You've tried so hard to get your baby- try this and reevaluate for next steps.
GL!
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  #6  
April 10th, 2013, 08:27 AM
Mega Super Mommy
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You know these Drs deal with loss at all sorts of levels which means they see a lot of upset women, so why do they try to tell us our BABIES don't count. Please take your science and shove it and find your sensitive button and turn it on. But if he wants an ultra sound to confirm pregnancy that means you'll have early ones, which a lot of Drs don't do(if you are with him early in pregnancy, don't know how you plan to work that).
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  #7  
April 10th, 2013, 09:04 PM
plan4fate's Avatar I may bend, but not break
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I will let him confirm pregnancy. After that it's all midwives. They'll start seeing me as early as 8 weeks. They can refer for ultrasounds, bloodwork, have someone on staff who can write rx's (certain kinds, thyroid meds, anti nausea etc) if needed. The hospitals here can be finicky... and unless there's an issue, I don't want to be strapped to a bed with iv's hanging around suffering in pain because of "protocol".
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~TTC #1 together 2 years and counting ~


Awesome siggy made by Jaidynsmum

Me: Hashi's, PCOS, Insulin resistant, Multiple miscarriages
175mcg Synthyroid, 1500mg Metformin
Colposcopy = CIN1+CIN2 cells Polypectomy - August 21st
Him: MFI low count, low morphology, low motillity
Seeing MFI specialist/RE in 2015. Vitamins started August 2nd
Trying a few cycles of clomid and progesterone. FX this is all it takes.
Cycle 1: Clomid cd3-7 ~ bfn
Cycle 2: Clomid cd 3-7
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  #8  
April 11th, 2013, 06:19 AM
lelila's Avatar Mega Super Mommy
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Hmm. I know it's hard, and may cost you 25 bucks for your records, but I'd say, bail on this turkey and get a new doc, like YESTERDAY. If you don't like him, you're not going to get very far.

JMO.
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  #9  
April 11th, 2013, 11:32 AM
plan4fate's Avatar I may bend, but not break
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There isn't ANYONE else, that's the issue. I have an Endocrine disease that can cause miscarriage.. I spoke to two large OB centers here in town, one in Green Bay, and over 20 small offices.. this was the only office who was willing to take me with out sending me to an Endocrinologist (who charges $500 for their initial visit, and requires a full panel run.. which costs $1000.... we just don't have that kind of change to drop if we want to be able to afford the baby later). It's not considered denial of care to send you to a specialist instead of doing it yourself if the patient isn't pregnant.. and even then they have the right to send you to a specialist for something that's outside their scope.


When you don't have insurance and can't use Medicare, you don't have a lot of options. Another OB is just going to charge me another $200 for a visit, run blood work and write an RX.

I have no intention on letting this guy do anything other than maybe confirm a pregnancy. The midwife clinic downtown can offer everything a doctor can with simple referrals to a clinic across the street.. and will take people after 8w.
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~TTC #1 together 2 years and counting ~


Awesome siggy made by Jaidynsmum

Me: Hashi's, PCOS, Insulin resistant, Multiple miscarriages
175mcg Synthyroid, 1500mg Metformin
Colposcopy = CIN1+CIN2 cells Polypectomy - August 21st
Him: MFI low count, low morphology, low motillity
Seeing MFI specialist/RE in 2015. Vitamins started August 2nd
Trying a few cycles of clomid and progesterone. FX this is all it takes.
Cycle 1: Clomid cd3-7 ~ bfn
Cycle 2: Clomid cd 3-7
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  #10  
April 11th, 2013, 02:58 PM
Mega Super Mommy
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Its good you are educated enough to ignore most of what he says and take it all with a grain of salt. It is nice that there is a Dr willing to take you on and do what needs to get done.
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  #11  
April 13th, 2013, 03:21 AM
Happy Song's Avatar Nicole
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Quote:
Originally Posted by plan4fate View Post

I mean.. I went to take a hpt one day, didn't realize AF had showed.. and before I could pee I overfilled the cup with AF ickiness. It's a freaking 3oz cup! So out of curiosity I started trying to catch the ickiness... and over and over for 3 days I could fill it. that's just not right.
This is how I was before I babies. After my first baby things were a lot better and after my second baby my infertility went away. My cycles are regular and normal with little cramping. I don't know if I have a history of chemical pregnancies because it was seriously before hpt. I would say yes because my chemical pregnancy was very like my regular cycle.

It sounds like you have a good plan. Good luck!
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  #12  
April 14th, 2013, 04:26 PM
geogeek's Avatar Marsi's Mommy
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When are you going to get your test results? I have been thinking about you!
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  #13  
April 15th, 2013, 07:44 PM
plan4fate's Avatar I may bend, but not break
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Oops.. I forgot to upadate.

Normal Thyroid function is .45-4.5. Ideal for pregnancy is .5-2.0/3.0

Mine was 21. Now this is down quite a bit from where it was last year when it was tested. So either I'm coming down off a Thyroid attack (auto immune = body attacks thyroid and levels go up), or the natural Bladderwrack supplement I was taking was actually working. lol. I stopped it 10 days before the blood draw, but it takes time for thyroid levels to go back up once they are down.

So I'm on 50mcg of Levothyroxine for the next 8 weeks. I go back for blood work sometime in the last 2 weeks of the Rx they wrote for me. I will either continue with the 50mcg, or he will change it based on the results. 50mcg has never gotten/kept me below 7 in the past, so we shall see. He didn't see the point lowering it too fast, since I'm not currently pregnant and DH is away.
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~TTC #1 together 2 years and counting ~


Awesome siggy made by Jaidynsmum

Me: Hashi's, PCOS, Insulin resistant, Multiple miscarriages
175mcg Synthyroid, 1500mg Metformin
Colposcopy = CIN1+CIN2 cells Polypectomy - August 21st
Him: MFI low count, low morphology, low motillity
Seeing MFI specialist/RE in 2015. Vitamins started August 2nd
Trying a few cycles of clomid and progesterone. FX this is all it takes.
Cycle 1: Clomid cd3-7 ~ bfn
Cycle 2: Clomid cd 3-7
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  #14  
April 15th, 2013, 09:33 PM
Mega Super Mommy
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How do you feel on the meds? Can you notice any change or improvement?
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  #15  
April 16th, 2013, 11:51 AM
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Yikes, 21 is crazy. I hope the synthroid helps. I'm so sorry to hear about the unsupportive doctor.
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  #16  
April 16th, 2013, 08:55 PM
plan4fate's Avatar I may bend, but not break
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Thanks ladies. 27 is the highest it's ever been.. prior to that it seemed to be 11-13 was my upper range.

It's only been a week... but in the last week I've lost 5lbs, my engagement ring fits again, and noticed my summer Capri's needed to be tied tighter. I've been away all weekend visiting DH and his family in Illinois so who knows what will happen when I start eating non take out meals again

Dr told me 8-12 weeks to see it start to regulate.. if the dose is high enough. I just hope my spring allergies don't make me extra lazy. I'm about ready to curl up and just wait for winter again with the way I feel.... everyone and their goat was mowing lawns down there this weekend... and I don't have allergy meds right now.
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~TTC #1 together 2 years and counting ~


Awesome siggy made by Jaidynsmum

Me: Hashi's, PCOS, Insulin resistant, Multiple miscarriages
175mcg Synthyroid, 1500mg Metformin
Colposcopy = CIN1+CIN2 cells Polypectomy - August 21st
Him: MFI low count, low morphology, low motillity
Seeing MFI specialist/RE in 2015. Vitamins started August 2nd
Trying a few cycles of clomid and progesterone. FX this is all it takes.
Cycle 1: Clomid cd3-7 ~ bfn
Cycle 2: Clomid cd 3-7
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  #17  
April 17th, 2013, 10:25 AM
Mega Super Mommy
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GL give us periodic progres on your improvement!
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  #18  
April 17th, 2013, 02:04 PM
geogeek's Avatar Marsi's Mommy
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That is a good update. I hope that you are able to get your levels down. It is amazing how much weight I have lost and my levels were NOTHING compared to yours. I can only imagine that you are going to melt away! At least with your DH being away it is a good time to regulate your thyroid. I have been on the meds for 2 weeks and have lost 5lbs.
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  #19  
April 17th, 2013, 11:10 PM
plan4fate's Avatar I may bend, but not break
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Thanks ladies.

Last time I didn't drop like crazy.. which frustrated me. but my Reflux was going INSANE and I was eating at night to curb it... I later discovered Slimfast works. For a while it was taking 2-3 shakes a night to keep me from having no stomach pain (and that's in addition to prilosec)... Now I'm down to 1, or less than 1!! I hope that the lower they get the levels, the better the reflux will get.

But I was down 5lbs when I weighed myself after my trip... I'm giving it two weeks before I start to really watch the scale.
geogeek likes this.
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~TTC #1 together 2 years and counting ~


Awesome siggy made by Jaidynsmum

Me: Hashi's, PCOS, Insulin resistant, Multiple miscarriages
175mcg Synthyroid, 1500mg Metformin
Colposcopy = CIN1+CIN2 cells Polypectomy - August 21st
Him: MFI low count, low morphology, low motillity
Seeing MFI specialist/RE in 2015. Vitamins started August 2nd
Trying a few cycles of clomid and progesterone. FX this is all it takes.
Cycle 1: Clomid cd3-7 ~ bfn
Cycle 2: Clomid cd 3-7
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  #20  
April 22nd, 2013, 07:33 PM
Mega Super Mommy
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Checking in. How are you feeling?
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