Sunday, May 15, 2011

Failed A Test

Hey ya'll!! Long time no blog. Things are going good here on the pregnancy & home fronts. Today I am currently 27w1d pregnant, and things seem to be moving along quite well. However, there have been a couple of minor (and one major, but now resolved) setbacks.

First and foremost the major set back was having to find a new OB at 22wks pregnant. I went in for my last OB visit with my old (but new to my gynecological history) Dr. When I was in there it was the 3 appt. that I had asked him about monitoring my TSH levels for my hypothyroidism. I also asked him about getting re-fills for my Metformin, Synthroid, and what he was going to do about my BP since he had taken me off of my BP meds at the beginning of my pregnancy and I was having slightly elevated BPs. His responses to my questions made me shutter. He told me to go off my Metformin completely and he wasn't prescribing me a re-fill for it and that I shouldn't even be taking it while pregnant. Any PCOSer that has been pregnant and carried to term should know that remaining on Metformin throughout your pregnancy is extremely beneficial. It helps prevent miscarriage early on in pregnancy AND later in pregnancy helps to prevent pre-term labor (which I am/was at risk for both). I asked him if he had medical documents for proof of these findings, b/c my previous OB had told and showed me things contray to these statements of his he was telling. His response was I'm sure I do but, I'll have to look for them. In the meantime go off the Metformin and get your GTT done.

I again asked him about my thyroid after he had said this all to me, and he told me I wasn't presenting with signs of my TSH being out of order so he didn't think that I needed it tested. Ladies with hypothyroidism, please if your OB tells you this while pregnant... FIND ANOTHER OB!! Having your TSH level test frequently (like every 4-6wks) while pregnant is crucial. If your TSH is out of order at anytime throughout your pregnancy and your medication is not regulated it can harm your baby's brain development in-utero and also cause developmental delays for your child once s/he is born. I questioned his judgement on this and again he repeated himself to me.

Also, about the BP meds. He told me that I had nothing to worry about that my BP was fine. Ummm, not hardly. I had pre-e that changed into eclampsia and finally toxemia while I was pregnant with *B*. This is caused from unmonitored or untreated hypertension and your body's natural defense mechanism fromt eh liver filtering out the toxins appropriately. Being that I have had chronic hypertension since early 2006 before I was ever pregnant with my son and then extreme hypertension involving the complications that I had with him, this is something that any OB should definitely be on top of throughout your pregnancy instead of letting it go.

Over all I just felt like I had slipped through the cracks in the care of this OB and office, AND that he is a quack!! So, I started with calling my insurances once I left his office and finding out if I could switch Dr's this late in my pregnancy. I was told yes, but that I might have a difficult time finding one that would accept me since I was past 20wks pregnant. They gave me a list of OBs affiliated with different hospitals within a certain distance of me that accepted my insurances. I started calling, and thankfully the very last OB that I had contacted and was waiting on hearing back from on if they would accept me called back. His office would indeed accept me. So, this past Monday was my first appt.

When I went in there I had been suffering from severe migraines that weren't allergy related. I thought for sure they were from having high BPs. My BP when I was in there was only 122/80, and I had a migraine. This new OB was so thorough, and I was very pleased with him. He went along with everything my original OB had told me about my meds and monitoring. We spoke in his office, then I went to an exam room and was looked over, and finally ended in the u/s room getting to see the Little Miss. She was measuring right on track, weighing in at 1lb13oz so far, and her HR was 146bpm. The OB said that my headaches could be anything from high BP (which it wasn't high that day) to sugar issues to allergies to changing hormone levels. He ordered a whole battery of bloodwork including the 1hr GTT. That is the test I failed, and it is one that I couldn't study or prepare for. When the nurses called the following day about my test results she told me I had failed it miserably, that they don't like to see numbers over 130 and mine was pushing 300. So, I was ordered the to do the 3hr GTT.

That test was done on Friday the 13th. I don't have the results back yet for that (but will tomorrow), and I'm not superstitious but I don't have high expectations for the results from this test. It was like torture for me (and if you've ever had it done you too). I had to fast for 12hrs before the initial blood FBS blood draw. That level came back at 122 after not eating or drinking for 12hrs. Then I had to drink that nasty overloaded with sugar flat Orange Sunkist tasting drink. Blech! At the end of the test I had been poked 5 times for blood draws ever hour on the hour (I only needed to be poked 4 times but one time the lab tech blew threw my vein), had an extreme migraine as well as the shakes. You don't realize how hungry you are when you're pregnant until you've been forced to go without for food for 15 1/2hrs. Yeah, extreme torture is the only way I can go about describing the 3hr GTT.

So, those are my major and minor set backs... but honestly unless I find out I failed the 3hr GTT I don't think they are that bad now looking back. So, that being said I'll leave you with my belly shots from 20wks, 22wks, 24wks (Easter Sunday), and 26wks (last week, Mother's Day). The Little Miss is growing like a weed and so is my belly. I just wish I could feel her on the outside more, instead of feeling on her kicking in my cervical area. She's still breech the little stinker any way. Enjoy!

1 comment:

  1. I'm glad that you found a doctor that you like.

    First of all, I'm assuming that you have a thyroid condition and with that being assumed, it's crazy that your old dr wasn't proactive about checking the thyroid regularly.

    Second of all, it is very common where I am at for metformin to be stopped during pregnancy. I actually do have or did have material on why this was/is done. I haven't been on metformin but friends have so we had this discussion. My dr is really conservative so maybe that is a huge reason. I'm not trying to get into a disagreement about the drug though. The thyroid stuff is crazy.

    Doctors in general are getting more leary of what patients can take while pg because they are finding out that so many cause birth defects, heart conditions, etc while in utero...I've never heard any doctor (I have many dr friends) even discuss patients ever going off thyroid stuff during pregnancy or any other time.

    You look great.

    Oh, watch your proteins more than anything with concern to getting toxemia again. And just to let you know because your old crappy dr probably never told you this...but it's more likely in a first pregnancy that subsequent pregnancies. Of course the worse case that you have the likeilhood it could happen again. My first pg was a boy (twin boys) and I got a bad case of wasn't quite to HELLP but well it wasn't good when my water broke thus making me deliver the baby. So hopefully that will allow you a little comfort. It's scary and uncomfortable. My proteins were through the roof.

    Also regarding the migraines. I never had a headache until after I had my first miscarriage (after my son was born) and oh boy I went through a period of time that they were terrible. I had two girl pregnancnies that took after my son and I had them with their I think there are just hormonal differences. I do have a suggestion that if they get bad enough to see a chiropactor to get them treated. I did that one year and didn't have another one for over 18 months. I'm sorry you're having them at all.
    Good luck with the GD test results...yes the 3 hour test is AWFUL. That orange stuff is AWFUL!


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