Tuesday, May 12, 2015

'ultrasound dependence' and other fun things.

Mr. Hope and I had our first official OB appointment today. It was...an experience.

First of all, there was a long wait. Nearly 30 minutes before we got taken back to an exam room and another 15 before the OB showed up. We shall call her Dr. Direct, because as Quirky told me ahead of time, she's very no-nonsense - a real straight-shooter. (For the record, we like this.)

The first think Dr. Direct does is say, "I'm sorry they brought the ultrasound machine out. I'm not going to do an ultrasound today. I need to wean you from ultrasound dependence."

Of course, on the ride over, Mr. Hope and I were singing, "We gonna see our baby, we gonna see our baby..." So this made him pout. I wasn't thrilled, but I didn't put up a fight either.

We went over my meds. She told me I could stop the estrogen immediately, but she wanted me to stay on the progesterone until the end of week 12 (so, a week from Wednesday). My butt isn't happy, but I lose weight on progesterone and gain it on estrogen, so I was thinking, "Maybe when I get off the estrogen I'll take off a few pounds!"

But then Dr. Direct told me she wasn't happy that I am taking HCTZ. No one at the RE's office ever questioned it, but it's the second time someone at the OB's office did. She asked me why I was on it. I told her that 9 years ago, I had high BP. They put me on a combo pill. When my BP got under control, they took me off of it...and I bloated up with 13 lbs. of fluid in like two days. My stomach got hard from it and I thought I was having heart failure. Turned out my body just got addicted to the water pill, so they put me back on it. My BP is fine (or, at least it was). No fluid build up.

Now I have to stop taking the HCTZ, starting tomorrow. This terrifies me.

She wanted to put me on a different BP medicine. I asked her if we could wait a week, because my BP was always 120/70 until I started the estrogen. Today it was 144/88. So I go back for a BP check next week, and if my BP has come down, I don't have to start a new med. If it hasn't, I have to start one right away.

This also terrifies me.

I have to start weaning off the prednisone, too. Five days at 10 mg, five days at 5 mg, and five days at 5 mg every other day. Remember what happened the last time I stopped the prednisone? MORE TERROR.

But okay, all of this is doable.

Then Dr. Direct tells us she thinks that we shouldn't go public until 14 weeks, maybe longer. Say wha? We shouldn't have sex for a couple more weeks either. Could we wait until our level 2 u/s? Um, that's not until JULY. Okay, 14 weeks it is.

(Mr. Hope is pouting at this point. Dr. Smiles had said we were released earlier to have sex, but we decided to wait until 12 or 13 weeks. Lately we've both been really randy, so it's been a lot of "Thursday, baby. Just wait until Thursday." Now, no nookie for 2+ more weeks. I. Am. DYING.)

She tries to find the baby's heartbeat with doppler. It's still early and I am "fluffy," she tells me. She'll do a quick scan to assure us the baby's okay.

So we got an u/s after all. It was over the tummy, not transvag, and the images weren't super clear. She didn't tell us the CRL or FHR, just that the baby looked great and had a strong heartbeat. She pointed out its jaw. She pointed out the umbilical cord. Yay, Jellybean!

I told her that Mr. Hope insisted we get a hand-held doppler. She told me I shouldn't use it until I was 20 weeks. If I bring it to my 18-week appointment she'll show me how to use it. Okay, we can handle this.

The results from our MaterniT21 test aren't in yet. When I got home, I called Sequenom, the people who make the test. They couldn't tell me the results, and they couldn't tell me if the test had been completed, but they did call the OB's office to ask them to tell me the results should be ready tomorrow.

What does this mean? Is my baby okay? Why is it taking so long?

I Google a little. It takes most women a week to 10 days to get the results. I stop panicking. But I can't help but feel like something might be off. I have no reason to believe things aren't okay but I need to know that for sure. I JUST WANT TO KNOW.

Other than the BP check next week, I don't go back to the OB until 4.5 weeks from now, on June 12. It feels like an eternity.

And I'm totally stressing about MaterniT21, and my high BP, and pre-e and GD and whether or not I have an incompetent cervix. I just want to feel CALM. How can I get there? How can I *stay* there?

Despite everything I like the new OB. She won't BS me. She read my chart carefully. She asked good questions. She let me ask questions. She spent a lot of time with us.

But.

I am so ready to get these test results. I need want reassurance that the baby is healthy. I've been doing a pretty good job at keeping my anxiety in check, but today it flared up again. Big time.

Does it ever get any better?

6 comments:

  1. I'm glad they did an u/s, they almost have to after not finding the heartbeat with the Doppler.

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    1. Mr. Hope was way more freaked out than I was. I knew it was early and that I had a lot of extra padding to get through.

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  2. I think when there is a problem with test results they try to get them to you quicker than when there is no problem. But waiting for the results sucks regardless. Waiting just plain sucks. At least, despite your "ultrasound dependency" you got to see Jellybean!! All the changes to meds, that is a lot to adjust to, and I hope it goes smoothly for you. Also, big BOO to the sexy times ban...that is just cruel.

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    1. I KNOW, RIGHT? But you know, it's a small price to pay.

      The med changes are killing me. Between yesterday and today I've packed on like 4 lbs. of water weight. No joke.

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  3. The DNA tests for us take 2 weeks minimum. Try not to stress, nothing you can do now other than follow Drs instructions. Look after yourself :-)

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    1. Thanks! When I had the blood drawn, the tech said it was going to be between four days and a week. I think if she hadn't said that, I wouldn't have expected it so quickly. It's been 11 days today but they got the sample one day after it was drawn, so really more like 10 days. Not terrible, but still.

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