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What should I say....???


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  #1  
August 6th, 2009, 10:29 AM
BakingMommy's Avatar Mega Super Mommy
Join Date: Dec 2008
Location: Pennsylvania
Posts: 1,192
My OB office called. My next appointment is Aug. 11. They told me they want me to have an ultrasound at the end of this month and then every 4 weeks. So next ultrasound is Aug. 31, I'll be 27 weeks 6 days. When they sent us to the maternal-fetal medicine guy he said I should have an ultrasound when I'm 27 weeks and then growth monitored by ultrasound.

Now...my OB office is a group practice. It didn't bother me at all during my pregnancy with Roald. At my 11-week consultation thing the lady (not a doctor) laid out my plan. She said I was considered high risk and that at 20 weeks I would start having monthly ultrasounds and at 30 weeks I would start having weekly NSTs. Then at my 20 week appointment They planned my first ultrasound for 21 weeks; at this appointment I had the docotr who delivered Roald. He told me for some reason the last doctor I had seen had put in my chart that nothing special was to be done except weekly NSTs starting at 32 weeks. The doctor who delivered Roald told me that was no good and that he wanted those to start at 28 weeks with ultrasounds after that. He told me to discuss it with the next doctor at my next appointment and let them know what he said. The next week we had the U/S and then they sent us to the maternal fetal medicine guy because she's measuring small with slow head growth.

So anyways....now what do I do??? I like this OB office but I need a straight layout. It's not terribly out of whack but after my 28 week mark I want lots of monitoring. Not only am I scared because of my history but also because she is not growing right. I don't want to be bossy about it but I want to let them know what I want. But...what should I ask for or suggest? Is an ultrasound every 4 weeks and a weekly NST really enough? What about BPPs?
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  #2  
August 6th, 2009, 11:40 AM
Brittanie's Avatar just me
Join Date: Jul 2006
Location: Littleton, CO
Posts: 43,573
I'm thinking that the ultrasounds that they are referring to are BPPs. That's normally the type of ultrasound that gets done in the third trimester, although with Vera since her growth isn't completely normal they may be doing different stuff.

I'd give them a call and tell that that you're getting a different plan from every doctor and you need a definite plan. See if you can talk to a doctor to get it all planned out and have them put it in your chart saying "this is what we're going to do."

I've decided that group practice doctors don't talk to each other, when in cases like yours they really should.

Honey, remember, YOU pay them. You are their employer. You have a right to boss them around.

Good luck!
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  #3  
August 6th, 2009, 01:01 PM
littlebeansmommy's Avatar Super Mommy
Join Date: Jul 2007
Posts: 695
That's exactly why I switched to a single doc

Anyway, I would maybe put together a timeline of what I would like to see done, based upon what you have been told by all the doctors together. Go with the earliest starting point, and the frequency you feel comfortable (something reasonable, maybe not your ideal, but something they would go along with) and then like Brittanie said, call and see if you can sit down and talk with one of the Dr's and have it permanently attached to your chart. I maybe go so far as to start making noise about not being happy about my treatment and how everyone seems to be on a different page about things and if that doesn't change....... Maybe a consultation with all the doctor's in the practice might be an option. In your case I would also ask for a hard copy of whatever you discuss and maybe have a copy ready to go at each of your next appointments so that you can hand it to the doctor your seeing so that there are no questions from anyone about your care.

Sorry you're having to deal with the multiple Dr crap on top of everything else. I have such bitter feelings towards my old practice because of the multiple Dr stuff. Grrrr. Makes me so angry now just thinking about it. Goos-fra-bah, goos-fra-bah! hehe (maybe I need Anger Mangement) It's nice to be at peace about my care now and know that only one doctor, two if you count the perinatalogist, is taking care of me and baby.
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