pregnancy

Wednesday, January 17, 2007

So Many Appointments, So Little Time!

Today I had two important doctor's appointments: I saw my OB/Gyn., Dr. P., for the first time for this pregnancy; and I also went and faced Dr. S., my GD (Gestational Diabetes) doctor, for my second appointment with him.

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My appointment with Dr. P was long and involved, and there was a lot of conversation and planning going on. Most of it was good news, but a few other things came up. So, as much for myself as anyone else, I'm going to type out everything that I want to remember from today:
  • Dr. P. is pleased with my weight and my blood pressure; we will keep an eye on the blood pressure, because it got dangerously high at the end of my first pregnancy, which led to hospitalization
  • we booked an ultrasound for 18 weeks (March 2), which is the standard one to check baby's anatomy (MIGHT DETERMINE THE SEX THEN!)
  • she said I could cancel the ultrasound for January 22 if I want to, but I don't want to--I like seeing the baby!
  • she asked if I wanted Maternal Serum Screening and I said NO--remember the false positive for Spina Bifida I had with Andrea? SO not worth it
  • she asked if I wanted a planned C-section this time and I said YES!--she gave me thumbs up, and was very pleased by my decision
  • if all goes according to plan, will likely have the C-section in the last week of July
  • because of the GD, will again be going for weekly ultrasounds and non-stress tests after about 28 weeks gestation
  • CONCERN: new studies link mother's use of Paxil during pregnancy to heart defects in babies; therefore, will discuss options with Dr. R. (psychiatrist); ALSO going for a special echo-cardiogram to check out baby's heart at about 20 weeks (not yet booked); Dr. S. is not too worried because Andrea was carried under same circumstances and is fine, but we will check the baby just in case

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My appointment with Dr. S. was unbelievably pleasant. I went in expecting to do battle, because of last time, but he was in a good mood. I don't know if it was his new hairdo (cut way short), or his 3-week Christmas vacation that sweetened his temper, but it was like meeting with a totally different guy!

  • I've lost 5 pounds, according to his scale, since I saw him 4 weeks ago
  • when I showed him my high glucose readings from my journal, I said, "I really have been following my diet!" and he said, "I believe you!" (probably because he saw the 5-pound loss)
  • he didn't yell at me for the readings I've missed, or for not recording my readings properly in the journal; he just smiled, and patiently explained his preference for how it should be done (Um, is this the same guy?!)
  • he gave me a new insulin pen for the meal-time insulin which I will be taking now--with no comments whatsoever about past diabetic equipment not being returned to him (I just about fell off my chair!)
  • I will be taking 8 units of rapid insulin just before breakfast, lunch, and dinner--as well as continuing the 36 units of NPH insulin at bedtime
  • WOULD'VE BEEN GOOD TO KNOW: he finally received the results of the blood tests he complained about not having received last time; apparently, they show that I have been TYPE 2 DIABETIC since the summer; but, instead of making me feel bad about it, this time he just explained the results to me, wrote a note on my chart, and said we'd probably have to continue treating for Type 2 after this pregnancy is completed

So that was it! He was all smiles--no snide remarks, tirades, or complaints. He told me to "keep up the good work"! Gee, I sure like this Dr. S. a whole lot better!

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So, next event of interest: 12-week ultrasound on Monday . . . just because I want to see My Little Bud. :))

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