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A Very Serious Rant - 7/19/2006 2:26:45 PM   
NakedOnMyChain


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Warning:  This is long.  I need to rant.  Sorry.

I'm not quite sure where to begin.  I've been very pleased with my doctor (OB/GYN) throughout my pregnancy.  She's done a great job.  Unfortunately, today I realized this was because I never questioned her judgement.  I would ask her a plethora of questions, and she would answer them very well, so I didn't need to.  She didn't do so well today.

First, I had my blood pressure taken by the nurse.  It was 72 over 34.  Definitely a little down from my 120/80 norm.  I explained to my doctor that I had been seeing stars and feeling very faint a lot and had passed out once last week, even though I wasn't doing anything strenuous.  I was just sitting here, typing on collarme, and I passed out for a few seconds.  (Fortunately I was propped up on my comfy arm-pillow.)  My doctor said it was because I was laying on my back and depressing a major artery.  I said, "No.  I wasn't, and it happens regardless of what position I'm in."  She said, "Well then it's probably high blood pressure."  I asked her if she'd looked at my charts.  She glanced at them and said, "Well then it might be low blood pressure."  I asked her about my 50 point blood pressure drop, whether I needed to do anything about it, and she said, and I quote, "You'll be fine."

Then I asked her if she still thought my due date was on track.  (Long story.  It was originally July 19th [today], but she changed it when she saw the ultrasound.  She pushed my due date back to August 20th based solely on my baby's weight, and didn't take into account that I had been horribly sick around the time of the ultrasound and I had lost ten pounds.  Nor did she take into account that the new due date would mean I had missed a period then gotten pregnant.  Let me tell you, this baby has already dropped and I'm having prelabor contractions.  She's damned wrong.  Two more weeks, tops.  And now, back to the story.)  She had to look at her file to see when I was due, and she looked at me and said, "Oh definitely.  August 20th."  I gave her a funny look and she added, "Give or take a couple of weeks."  I said, "You know that if I carry to August 20th I'll have carried to 42 weeks, right?  At least?  Because my periods are like clockwork.  I would have had to have missed a period by two weeks and then gotten pregnant to be at August 20th."  She said, "Anywhere from 38 to 42 weeks is normal."  So I said, "Then why did you plan to induce my sister the day after her due date last year?"  She said, "There must have been extenuating circumstances."  (There weren't.)  So I replied, "Then why would you give a couple of weeks?  I could see take a couple, but if you give a couple I'll have carried to 44 weeks.  Honestly, carrying over 41 weeks poses a significant health risk to myself and my baby."  Once again I received the "You'll be fine," reply, which I now realize is her way of saying, "Because I said so." 

After that I asked her what my baby's approximate weight was.  She didn't consult any notes, didn't hazard a guess on her own.  Instead she pulled out a chart, looked at the average weight of a baby at 35 weeks gestation, and said "Four pounds, twelve ounces."  I asked her if she could give me a bit more personal of an estimate.  She said that weight was correct.  I replied good-naturedly with, "Do you really think so?  I mean, I've only gained seven pounds, but I've lost about twenty from the rest of my body.  So overall I've gained nearly the exact right amount of weight.  Do you really think he's so small?  My belly's huge!  Plus that weight is still hinging on the August 20th due date."  All she said was, "Yes, it's correct.  Your next appointment is next week."  And she walked out. 

Grrrrrrrrrr!  Talk about not taking me seriously!  Anyway, I came home and called our local Urgent Care facility to get the advising nurse's opinion on my blood pressure.  She said I'd be fine for tonight, but to be careful not to drive or do anything to strenuous.  She said to stay in bed, or resting if possible, and to call my doctor's office first thing in the morning and confront them about it.  I plan to.  I tried to call back after my appointment, but apparently they closed at 4:00 today. 

I know that my doctor was probably just having a bad day, as her behavior was extremely out of character.  But if  this doesn't change, I think it's fair to say that I don't want her anywhere near myself or my child during the birthing process.  I mean, what happens when she decides she doesn't agree with my birth plan?  What if she decides the informed consent (which is the first thing on my birth plan) that I deserve doesn't matter that much to her?  I'm just frustrated.  The above questions were serious, if not to her, then to me.  She didn't take them seriously.

On a side-rant, the house we wanted fell through.  Apparently it doesn't meet the health code.  My father-in-law (a former Building and Construction management professor at Purdue) went with us to look at the place and noticed the one thing that Ty and I didn't.  The pipes in the entire house aren't made of galvanized steel like the health code says they need to be.  They're made of extremely old iron which has corroded on the inside and outside to the point where it would be unsafe to drink or bathe with the water they hold.  We were going to be moving this weekend.  <sigh>

However, there is a huge silver-lining in that cloud.  We decided we could afford to spend a little bit more, even if it meant taking out some extra student loans, to get a place that we would feel safe in, that was nice, that we would be proud to raise our son in.  We found two places within a block of each other that are fantastic!  Both are only five blocks from Tyler's classes, they're in a great neighborhood (professors), they're large, they are very newly remodeled, with brand spanking new appliances, full basements, and one of them has a garage, huge fenced backyard, and huge wooden deck.  <good sigh>  We're looking at them tonight.  (We poked around earlier today.  We actually had permission this time.)  They are both ready to move into, so we might still be moving this weekend.  The people who rent them are wonderful, too!  It's amazing the difference that throwing an extra hundred dollars a month into the mix makes!  It moved us from the absolute ghetto to a great place! 

Thanks for listening to me.  I'm sorry it's so negative.  It just gets frustrating when I'm not being taken seriously, especially about something that is important to me.

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~The Cure

"I ask for so little. Just fear me, love me, do as I say, and I will be your slave."
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RE: A Very Serious Rant - 7/19/2006 2:32:41 PM   
sub4hire


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Bottom line, it is your health and your babies health.  If your doctor isn't up to par go to the ER.  Get help.
If one the time comes and you don't want her to deliver the baby go to the ER, you won't have to deal with her.  No idea, if you have time or not to find a new doc.
Blood pressure seems so low.  I'd definately get a second opinion...and maybe a third.

This is something you can't gamble upon.

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RE: A Very Serious Rant - 7/19/2006 2:40:43 PM   
Owned1


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As with anything else if is smells bad it probably is.  I am a RN with my first child i went to the same place i worked for convience thought i would be well cared for.  To cut the long story i was not well cared for had a horrible experience and honestly could have wrecked havoc for the MD and the floor i was on.  However the end result my son was fine i was fine and i just wanted outta there and out of the MDs care.  My second child - changed hospitals, was more assertive about my desires and needs, found a MD who was compatible with my need desires etc.  That experience was amazing, nothing but positive to say about the hospital, the MD and the staff.

I still work at the first hospital however i have suggested to many women to run not walk away and go the the second hospital rather than mine when it comes to Labour and Delivery.  Yes this could get me into trouble but ethics are stronger than fear.

Go back to your MD speak openly and honestly about how you felt at this visit and how you feel in general, if you are not satisfied change to another MD right away.

Of course just my humble opinion

owned

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RE: A Very Serious Rant - 7/19/2006 2:42:15 PM   
KatyLied


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I am very concerned about your blood pressure.  Take heed and take it easy.  I question that.  I don't see how a pregnant woman passing out is acceptable. 

And doesn't your doc tape measure your uterus, from the outside?  Or do they no longer do that?  My doc could always tell me the approx weight of my baby when I asked him.  

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RE: A Very Serious Rant - 7/19/2006 2:45:55 PM   
juliaoceania


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Hun, I understand how you feel.

Do they measure your abdomen when you go in? They did mine and it helped them determine if my son was growing properly. Mind you, I went to the doctor the day I went into labor, and his estimate was off by over 2 lbs, but at the very least I would think she would measure your abdomen.

The baby can drop, especially the first, several weeks before you are ready to give birth.. so that is not really all that concerning.

But the blood pressure and fainting is not something to take lightly in my mind, and you are totally correct in getting it checked by someone else. Doctors are not God, they are fallable, and basically they call it practicing medicine for a reason. Getting a second opinion is not out of line in my opinion. This is your baby! Im sure it will turn out fine, but better safe than sorry, and I wouldn't be comfortable with being blown off either. When you told me she looked at the norm range chart to estimate the size of your baby, something seemed very wrong about it...I was never treated that way.

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RE: A Very Serious Rant - 7/19/2006 2:47:31 PM   
bandit25


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Maybe she was having a bad day, but that's no excuse.  I'd call again tomorrow and demand to see her again.  congrats on the new place!

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RE: A Very Serious Rant - 7/19/2006 2:53:38 PM   
mistoferin


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I'm not a doctor or a nurse...but I did work a couple of years as Medical Assistant for an Ob/Gyn. We had a pregnant woman come in one day and I can not remember what her exact blood pressure was but I do remember that the bottom number was in the low 40's. When I informed the doc he had me call for an ambulance to transport her to the hospital. I would definitely get a second opinion.

< Message edited by mistoferin -- 7/19/2006 2:54:20 PM >


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RE: A Very Serious Rant - 7/19/2006 3:03:33 PM   
NakedOnMyChain


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quote:

ORIGINAL: KatyLied

And doesn't your doc tape measure your uterus, from the outside?  Or do they no longer do that?  My doc could always tell me the approx weight of my baby when I asked him.  


That's the strange thing.  She has taken my belly measurements every time I've been in.  I think she was way overbooked (it took her forty-five minutes to get to me once I was in the check-up room) and just didn't feel like messing with it.  That made me pretty mad.  I know she gets a lot of... how do I put this politely... uneducated, lower-class patients, but I'm not one of them.  We spend three hundred dollars a month on insurance, in addition to what we have to pay out of pocket.  I've done my homework, and I'd say I'm fairly well educated.  I don't appreciate her treating me so lightly.

Thanks all for the advice!  If she can't give me a satisfactory answer on the phone tomorrow I'm going to see someone else.

_____________________________

"Oh, it's torture, but I'm almost there."
~The Cure

"I ask for so little. Just fear me, love me, do as I say, and I will be your slave."
~The Labyrinth

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RE: A Very Serious Rant - 7/19/2006 3:15:25 PM   
KatyLied


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Good.  Keep us posted.  

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RE: A Very Serious Rant - 7/19/2006 3:16:41 PM   
SleeplessGypsy


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Sweetie,

Your BP numbers are wayyyy to low.. Dangerously low, specially if you're fainting and seeing stars.. I can't belive your Doc would just blow you off like that! Please go see someone else, and in the meantime drink lots of OJ and eat lots of Bannannas..

And good luck to you!!

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RE: A Very Serious Rant - 7/19/2006 3:55:20 PM   
yourMissTress


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NOMC, you are right to be upset, having a bad day does not excuse a Doctor for poor care.  Your blood pressure is cause for concern, but don't get yourself worked up over the Dr. and make things worse.  Go back tomorrow, go in early so that she's not yet behind for the day and ask her all the same questions again, after you explain to her that you will appreciate honest and straightforward answers and "you'll be fine" doesn't fit in those parameters.  If you are still not satisfied, get another Dr.

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RE: A Very Serious Rant - 7/19/2006 4:06:37 PM   
Alumbrado


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Sorry to hear that you are going though that... I've been on the receiving end of medical indifference, and right now my slave is going through hell trying to find a doctor who will actually treat her already diagnosed problem, without ordering up 'One more round of tests just to be sure'
(She's had so many MRI, scans, and tests that she should be on salary, and they all show the same thing..she was in a car wreck and she was injured, and over a year later it freakin' hurts her a lot, every day). 
They know that a simple spinal tap will alleviate the pressure and give her about 6 months of relief, but since moving to Tennessee, she has encountered the same dog and pony show you describe.

'OK, well, everything looks fine come back next month...huh? what? Oh, all right, we'll send you for some tests, just to be safe'.

Same thing happened to my grandmother, they put her though hell for 'imaginary pain' for several years, until exploratory surgery showed a severe, and very real obstruction causing the pain.

My sister, my ex-wife, friends, neighbors, all have similar accounts of not being paid proper attention to..

And we won't even go into how 4 doctors tried to kill me though negligence, until I found a 5th one who would listen, and lookand treat me, instead of the first 2 symptoms on the list..

So don't feel like you are the only one, or that you are somehow in the wrong...you've got to make them do a good job, all too often.

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RE: A Very Serious Rant - 7/19/2006 4:48:12 PM   
RosaB


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No one knows your body better than you, lots of good advice has been given by previous posters.  If you believe there's something wrong and can't get satisfactory answers from your physician seek another asap if at all possible.  Misdiagnosis happen all the time, not to sound hystirical, but my sister, myself have been victim to such doctors that have been rushed or over worked, unfortunately my sister never recovered, from their carelessness.  I've had to push many doctors to do test when they felt I was being overly concerned about a symptom that turned out to be something mayor.  Don't let your concerns be brushed aside no matter what.  Its just fine if they come back at me after all the test are done and over with and say see, everything is just fine you were worrying about nothing, than to do nothing and have all heck break loose and know I didn't try eveything I could to make sure my doctor provided me with the best available.

Please do keep us up to date on you and your baby.  Wishing you the best.

Rosa


...

*Side note

Reminds me of the one time my neurologist asked me about a treatment another doctor had recommended and when I had tried to explain the recommended treatment with a straight face we, (the neurologist tried really hard to maintain his professionalism,) both broke out in hysterical laughter as we both new that there's no way we could take what the other doctor had recommended as a sane path of treatment.  The treatment was recommended by a well thought of and highly respected doctor to boot.  I can't go into detail cause it still doesn't make sense to me.

< Message edited by RosaB -- 7/19/2006 4:53:42 PM >

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RE: A Very Serious Rant - 7/19/2006 5:48:19 PM   
kisshou


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I think you should go to the ER , have your blood drawn and have them check your potassium level. Also have them check to see if you are dehydrated.  It is always better to be safe then sorry, what happened to you is not normal. If you had said you were sitting for a few hours them got up suddenly, that could make you feel faint, but to actually faint while sitting is a problem.  Please go to the hospital and have the cute guy in the pic post us a follow up.

Will be sending you all good thoughts and wishes!

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RE: A Very Serious Rant - 7/19/2006 6:24:00 PM   
maybemaybenot


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NakedOnMyChain:
I absolutely agree with getting a second opinion. That blood pressure is critically low. Fainting is not "normal" in any phase of pregnancy, it always suggests work up.

Just a short term, home remedy that may help for the very short term. Like a day or two until you see the MD. This may or may not help, but in no way will harm you or your baby, unless you have an underlying disease in which you have to limit your salt intake. Have a cup of chicken or beef Boullion 2 or three times a day. It is very high in sodium which generally will increase your B/P a little. This is commonly used in people with hypotension. < ;ow blood pressure>. This is not medical advice.. just something that "may" help while waiting for next appointment, but won't hurt.

                       mbmbn

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RE: A Very Serious Rant - 7/19/2006 6:31:57 PM   
BlkTallFullfig


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Your blood pressure is too low, and if coffee doesn't prevent you from sleeping, drink some, and drink other juices after that...  The heat and having been sick are probably causing you all this, but either way, passing out when you did was probably an indication that your brain wasn't getting enough circulation. 
I would worry about being sent home with a blood pressure of 74/40, especially when your norm is 120/70s.    
And I agree with eating slightly salty foods as Maybe suggested above.   M

< Message edited by BlkTallFullfig -- 7/19/2006 6:33:30 PM >


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RE: A Very Serious Rant - 7/19/2006 6:36:45 PM   
reticence


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I dont like the way your doctor treated you at all!!  Is there another doctor in that practice that you could see?

I do suggest you drink lots of fluids.  Dehydration is a major cause of low blood pressure during pregnancy.  You increase your own blood volume plus are making amniotic fluid, these processes need  lots of fluid intake.  If it puts your mind at ease at all, when you have an ultrasound the doc usually measures the cranial diameter of the fetus.  This is regarded as the most effective method of determining the age of the fetus. 

Do call your doc tomorrow and explain that you dont like how the last visit went.  Perhaps you can open up some communication if her ego does not get in the way.  Good luck to you!!

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RE: A Very Serious Rant - 7/19/2006 6:45:55 PM   
diamonddreamlove


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Good decision making is needed here and while i can't tell you that you have to do something i will say that the bp was way too low and that is a problem for both you and the baby.  Don't wait get treatment soon and if the dr is too busy now good lord will she be too busy when your water breaks too?

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RE: A Very Serious Rant - 7/19/2006 6:59:50 PM   
Sinergy


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Hello A/all,

I went in one time with a stomach ache.  The doctor took my temperature and blood, said it was probably gas or indigestion, and sent me home.  Said come back in if it got any worse.

The diagnosis for a pain which had lasted over a week seemed odd to me.  So I call my 2 buddies, one the head physician in a public hospital, the other in medical school.  They both asked me if the doctor had done the test where they push and let go of the lower right quadrant of the hospital.  Apparently, doctors learn this during their first year of medical school.  They both independantly explained that when a person has appendicitis and this test is done, the rebound tenderness of the connective tissue pulling on the inflamed appendix is extreme.

So I wander into the ER.  They put me in a room to wait for the doctor.  A nurse wanders in, casually does this test.  When they were able to peel my screaming body off the ceiling, the nurse politely informed me that she was not a doctor, but from what she had seen in the past, signs pointed to my having appendicitis.

My appendix was out 4 hours later.  The doctor said it was about 4 hours from rupturing when he got it out, which is about a 50% mortality rate and those who survive have dramatic complications from acute perotinitis.

I mentioned to the head doctor that he might want to indicate to the doctor who sent me home that the reason he learned to test for right quadrant pain in his first year of medical school was BECAUSE IT MIGHT BE USEFUL TO HIM WHEN HE IS WORKING AS A PHYSICIAN.  Doctors dont always do the right thing.  Find one you trust, and if you start to not trust that doctor, get lots of second opinions until you feel satisfied that you are not getting the run-around.

I find it odd that your Ob/Gyn didnt do a sonagram, where they can measure the size of the head to determine the weight of the baby.

Just me, could be wrong.  Please keep us posted as to how it goes.

Sinergy

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RE: A Very Serious Rant - 7/20/2006 4:46:53 AM   
SirCumsSlut


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quote:

ORIGINAL: NakedOnMyChain

Warning:  This is long.  I need to rant.  Sorry.

I'm not quite sure where to begin.  I've been very pleased with my doctor (OB/GYN) throughout my pregnancy.  She's done a great job.  Unfortunately, today I realized this was because I never questioned her judgement.  I would ask her a plethora of questions, and she would answer them very well, so I didn't need to.  She didn't do so well today.

First, I had my blood pressure taken by the nurse.  It was 72 over 34.  Definitely a little down from my 120/80 norm.  I explained to my doctor that I had been seeing stars and feeling very faint a lot and had passed out once last week, even though I wasn't doing anything strenuous.  I was just sitting here, typing on collarme, and I passed out for a few seconds.  (Fortunately I was propped up on my comfy arm-pillow.)  My doctor said it was because I was laying on my back and depressing a major artery.  I said, "No.  I wasn't, and it happens regardless of what position I'm in."  She said, "Well then it's probably high blood pressure."  I asked her if she'd looked at my charts.  She glanced at them and said, "Well then it might be low blood pressure."  I asked her about my 50 point blood pressure drop, whether I needed to do anything about it, and she said, and I quote, "You'll be fine."

Then I asked her if she still thought my due date was on track.  (Long story.  It was originally July 19th [today], but she changed it when she saw the ultrasound.  She pushed my due date back to August 20th based solely on my baby's weight, and didn't take into account that I had been horribly sick around the time of the ultrasound and I had lost ten pounds.  Nor did she take into account that the new due date would mean I had missed a period then gotten pregnant.  Let me tell you, this baby has already dropped and I'm having prelabor contractions.  She's damned wrong.  Two more weeks, tops.  And now, back to the story.)  She had to look at her file to see when I was due, and she looked at me and said, "Oh definitely.  August 20th."  I gave her a funny look and she added, "Give or take a couple of weeks."  I said, "You know that if I carry to August 20th I'll have carried to 42 weeks, right?  At least?  Because my periods are like clockwork.  I would have had to have missed a period by two weeks and then gotten pregnant to be at August 20th."  She said, "Anywhere from 38 to 42 weeks is normal."  So I said, "Then why did you plan to induce my sister the day after her due date last year?"  She said, "There must have been extenuating circumstances."  (There weren't.)  So I replied, "Then why would you give a couple of weeks?  I could see take a couple, but if you give a couple I'll have carried to 44 weeks.  Honestly, carrying over 41 weeks poses a significant health risk to myself and my baby."  Once again I received the "You'll be fine," reply, which I now realize is her way of saying, "Because I said so." 

After that I asked her what my baby's approximate weight was.  She didn't consult any notes, didn't hazard a guess on her own.  Instead she pulled out a chart, looked at the average weight of a baby at 35 weeks gestation, and said "Four pounds, twelve ounces."  I asked her if she could give me a bit more personal of an estimate.  She said that weight was correct.  I replied good-naturedly with, "Do you really think so?  I mean, I've only gained seven pounds, but I've lost about twenty from the rest of my body.  So overall I've gained nearly the exact right amount of weight.  Do you really think he's so small?  My belly's huge!  Plus that weight is still hinging on the August 20th due date."  All she said was, "Yes, it's correct.  Your next appointment is next week."  And she walked out. 

Grrrrrrrrrr!  Talk about not taking me seriously!  Anyway, I came home and called our local Urgent Care facility to get the advising nurse's opinion on my blood pressure.  She said I'd be fine for tonight, but to be careful not to drive or do anything to strenuous.  She said to stay in bed, or resting if possible, and to call my doctor's office first thing in the morning and confront them about it.  I plan to.  I tried to call back after my appointment, but apparently they closed at 4:00 today. 

I know that my doctor was probably just having a bad day, as her behavior was extremely out of character.  But if  this doesn't change, I think it's fair to say that I don't want her anywhere near myself or my child during the birthing process.  I mean, what happens when she decides she doesn't agree with my birth plan?  What if she decides the informed consent (which is the first thing on my birth plan) that I deserve doesn't matter that much to her?  I'm just frustrated.  The above questions were serious, if not to her, then to me.  She didn't take them seriously.

On a side-rant, the house we wanted fell through.  Apparently it doesn't meet the health code.  My father-in-law (a former Building and Construction management professor at Purdue) went with us to look at the place and noticed the one thing that Ty and I didn't.  The pipes in the entire house aren't made of galvanized steel like the health code says they need to be.  They're made of extremely old iron which has corroded on the inside and outside to the point where it would be unsafe to drink or bathe with the water they hold.  We were going to be moving this weekend.  <sigh>

However, there is a huge silver-lining in that cloud.  We decided we could afford to spend a little bit more, even if it meant taking out some extra student loans, to get a place that we would feel safe in, that was nice, that we would be proud to raise our son in.  We found two places within a block of each other that are fantastic!  Both are only five blocks from Tyler's classes, they're in a great neighborhood (professors), they're large, they are very newly remodeled, with brand spanking new appliances, full basements, and one of them has a garage, huge fenced backyard, and huge wooden deck.  <good sigh>  We're looking at them tonight.  (We poked around earlier today.  We actually had permission this time.)  They are both ready to move into, so we might still be moving this weekend.  The people who rent them are wonderful, too!  It's amazing the difference that throwing an extra hundred dollars a month into the mix makes!  It moved us from the absolute ghetto to a great place! 

Thanks for listening to me.  I'm sorry it's so negative.  It just gets frustrating when I'm not being taken seriously, especially about something that is important to me.



NOMC you have gotten great advice here except the coffee.......caffiene not good when pregnant.  The low blood pressure worries me as it does you and others here.  As others have said go back to your doc and tell her how you feel about her attitude during your last visit.  I know from family experience that lower than normal blood pressure can cause problems during delivery.  If she is not willing to explain herself better and give you honest answers, I agree take yourself to the ER and tell them that you were sitting working at puter and just passed out.  1.) in your condition they will see you right away, usually and 2) they will of course take your BP again and if it is still below your normal BP of 120/80 they may want to admit you to monitor your condition.  I have never heard of any OBGYN telling a patient that anywhere from 38 to 42 weeks is normal.  My OBGYN (and I have had 6 kids) always told me that anywhere from 36 to 40 weeks is the norm and anything over the 40th week was reason for inducement.  You are in the home stretch at this point, so if you have to get down right defensive if she "blows" off your concerns again...Demand to see the head of the OBGYN practice.

_____________________________

Peace
His slut


"Your firm hand and compassionate heart are what guide me in my journey....I am Yours, Sir" His slut

(in reply to NakedOnMyChain)
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