I signed up for a weekly newsletter that updates me on my pregnancy every Friday. It tells me how the little Fate Baby should be developing, what it can do (hear and sense light, recently), how I should expect to feel, and answers to common questions. All very fascinating. I'm not sure why this stuff still interests me, four babies on; it's hardly novel anymore. I guess it helps me feel connected to the little parasite taking over my belly.
For the record, this week the baby is the size of a turnip (last week he or she was an avocado).
DH got to come to my second doctor's appointment, which was last Tuesday. I can't remember how many times he accompanied me to OB visits in previous pregnancies, but I guarantee it wasn't very often (if at all). The first time, he was a busy medical student; then he was a busy resident; then he was one of only two doctors in an entire rural county and couldn't take time off. Now, as the director of the ER, he's the one making the schedule, woo-hoo-hoo-wah-ah-ah! Which may actually be irrelevant, because he makes the schedule way in advance. So really it was coincidental that he had that day off, but in any case I'm grateful. MIL came over to take the older two girls to school (their second-to-last day) and play with Tres. DH and I left the house just after 7am to make the 8:30 appointment; thanks to some unexpected construction, we showed up just a few minutes late ... and then had to wait for about two hours before the nurse called my name. Normally I'd be annoyed by that, but DH had me laughing all morning. It felt more like a date than a doctor's appointment. It's silly to say, but I felt wooed. :-)
...Until we got back to the room, of course, at which point I felt ganged up on, lol. I say that only half seriously; both my doctor and my husband want the best for me, which I appreciate, but I disagree with their conclusions about what that should be: They want me to prophylactically treat my clotting disorder, despite the fact that I've never personally had any problems because of it (my sister has, but I think she soaked up all the bad luck in the family and the rest of us are fine). Apparently I have a 10% greater chance than the average pg woman of having a blood clot. (The stats get worse for women who have a personal history of clotting already, or who have inherited the mutation from both parents instead of just one.) "That may not seem like a lot," the doctor said, "unless you consider that the potential bad outcome of, say, a pulmonary embolism is DEATH."
Oh sure, play the death card why don't you!
*Sigh.* The decision is allegedly mine, but I have a feeling that I'll be guilted into shooting myself in the legs a couple times a day, every day, with blood thinners that leave huge, ugly, painful bruises -- despite the 90% chance that it's for no reason at all, that I'd be "preventing" something that never would have happened to me in the first place.
Is it okay if I feel bitter about that? Because I do. Stupid mutated genes, grumble, grumble.
The rest of the appointment consisted of discussing my Advanced Maternal Age, yay. I'm still a spring chicken, birthing-wise, but I will turn 35 (the magic Old Lady age) before the end of the pregnancy and thus I've been dumped into that category of high risk and defective eggs. This means I get to consult with a Maternal-Fetal specialist a week from tomorrow (an appointment DH will also get to come to!): We will visit with a genetic counselor, have an ultrasound (I'll be 18 weeks -- maybe they'll be able to tell me what flavor this kid is?), then meet with the M/F specialist herself. Sounds like it'll be a fun way to spend a morning -- unless, of course, my eggs do turn out to have been defective in any way (in which case I'll be even more grateful that DH is there with me).
At last week's appointment we also decided which hospital I'll go to to have the baby (and we're definitely planning on induction, given the distance -- if I waited for contractions, I'd likely end up having the baby in the car somewhere in the middle of nowhere with bad cell phone reception). The city has two very good hospitals, one Catholic and one private. We decided to go with the Catholic hospital because it's closer by about 15 minutes (which may or may not be critical when it comes right down to it!), my OB says they have better digs for the dads, and plus what if they have nuns for nurses? Ooooh! LOL. I'm such a nerd, but that last part especially excites me.
Anyway, that's the news on the turnip for this week. I'm getting bigger (though mostly not in maternity clothes yet -- geez, I hate maternity clothes!) and soon even random strangers will know I'm knocked up. Quick funny story and then I'll end: We waited for quite a while to tell Uno and Dos because they are big blabber mouths. The Sunday after we told them, they blurted out the news to their Primary teacher at church. As the teacher related to me later, she said, "How exciting! Are your mom and dad telling people yet?" The girls answered, in all their enthusiasm and innocence, "No -- but we are!" Tee-hee.
And that is all for now.
~RCH~
6 years ago
17 comments:
I'm still in shock that you are 1 1/2 hrs (in good traffic) from your ob. I think I would be more/equally bitter about that as I would be about the daily shots.
i was 2 and 2/3 months from being 44 when i had David, and at 9 days from age 28--i think he's okay. who knows about kids? i was 39 when i had christopher and 37 when i had becky. i'll let you be the judge of whether becky's okay. christopher keeps himself too busy to tell if he's okay with full time nurse, wife, 2 kids, working on his master's, painted his new garage and had his appendix out in the middle of it all. best wishes.
I agree with your doctors that you should be on anticoagulant prophylaxis. We saw some nasty pictures of stuff happening to people with blood clots, pulmonary embolisms, etc in school. Giving yourself injections sucks I'm sure, but definitely worth having nasty stuff happen to you.
Do you use unfractionated heparin or low molecular weight heparin(Lovenox)? Lovenox would be just one injection per day, although I'm sure it's a lot more expensive.
I used Lovenox when pregnant with Uno; I was working at a patent law firm then and had the best insurance ever (copay of $30 for a month's supply).
I had planned on Lovenox again with Dos, but the copay for the insurance we had then was $400 (something like ~40% of the full price of the drug). Yeah, like we could afford $400 a month with DH's resident's salary! So we went with heparin ($10/month) and more frequent blood checks. (What do you call that? CBC or something?)
I supposedly did heparin with Tres, as well, but mostly I didn't do anything. Except for that one time when my uncle had a random heart attack and drove himself into a canal. Then I thought, "Oh yeah! I have a really crappy family history of clotting! Maybe I should shoot myself occasionally!" Which I did for about a week, lol, and then got over it. (And for the record, both Tres and I lived to tell the tale!)
I really don't mean to be contrary about it -- if you asked a random sampling of 100 doctors, probably 50 of them would agree with me that anticoagulation isn't necessary without a personal history of clots. It's a legitimate position! (Anna's doctor didn't make her do it!) I just happen to keep getting (and marrying, lol) the aggressive ones.
Sigh.
Jen, the distance doesn't bother me any more -- ever since living in Idaho, I've gotten used to having to drive at least an hour to get to any major city (and major, at least back then, included the giant metropolises of Logan or Pocatello, lol). Where we live now is ~5x bigger than our old town, but the hospital still doesn't do babies (lots of liability in that!).
There is one that does within a 30 minute drive, but it's a scary hospital generally: Last fall they SET A WOMAN ON FIRE during surgery (cauterizing an artery or something?) and she later died. Holy crap!
So yeah, any of the good hospitals are within an hour or 90 minutes; we chose this one because the OB went to med school with DH so we didn't feel like we were picking somebody blindly. Plus it's a pretty drive on country roads! LOL.
Oh Uno and Dos are too funny, I bet that made the primary teacher's day, they are so silly and cute!
And reading the comments here... the bad hospital set the lady on fire?!?! Wowzers. Definitely make that longer drive please. And I am curious, do you have any particular day in mind yet that you want to schedule the turnips birthday to be?
My due date is November 4th. (Or 5th? I can never remember, lol. What a great mom I am.) If the other pgs are any guide, I imagine my OB will induce on or right around the due date; you don't want to get the baby too early, of course, but the more you wait the more you risk delivering on a country road all by yourself. (Though at least DH has some idea what to do in that case, lol!) I don't think we'll discuss the specific induction plans until much closer to the end, though.
Who in the family has a big day in early November (and/or late October)? Birthday, anniversary.... You know how we like to consolidate those celebratory days! LOL ;-)
Awww, you and your little turnip. If you were fine during the last one without (or very few) shots and Anna didn't need them, what's the emergency now? And isn't 35 the new 20 these days? It's just my opinion, but it sounds like the medical community is probably freaking out over nothing. That's just my opinion, though.
And see? My mom can't even tell if I'm crazy, but I think I'm mostly okay. :) And she was THIRTY SEVEN!! *GASP!*
I can't wait to hear what flavor it is! I love you, shmoopie!
Didn't House have a pulmonary embolism? Take the shots just in case....you don't want to end up like him ;-) (the attitude not the limp)
I can't believe they're making you take the shots. I took one baby aspirin a day just for that "just in case" business and was fine. I think you'd be fine too, especially since you didn't really shoot up that much with tres. and I think that whole stuff with becca and babies is beyond factor five. but that's just my opinion.
I can't wait to hear what flavor baby turnip is. like seriously can't wait.
lurve you sister!!
So I'm just wondering~do you not want the shots because you hate the shots themselves {and the bruises} or is it because you really don't believe you need them?
You probably know where I stand on this issue, but I'll post it anyway.
Just do it.
You may think I have all the bad genes and all the bad luck in the family, but you still have the same gene I do. You may not have had problems like I have, but the potential is still there. And like you said, we do have a really crappy family history of clotting problems.
The thing is, you may be feeling totally fine one day until bam! you are being life-flighted to the hospital. It can all change in an instant. And an instant is all it takes. I wouldn't play roulette with my life if I knew I could at least try to prevent it. And luckily, you have the benefit of knowledge unlike I did.
Here's the thing. I believe in prevention. If I knew I had the potential for something horrendous I would do everything in my power to avoid it {btw, I plan on blogging about this soon~not about pregnancy though, more about my other risk factors and heart disease etc}. Even if it means giving myself shots and bruises.
You are not immune to the problems associated with this. Just consider yourself lucky so far. And for you, I sincerely hope your luck will last! Because I wouldn't wish the problems I had on anyone!
It's both: I hate the shots and I don't believe I'd have your bad luck. We're talking a NINETY PERCENT CHANCE OF NOTHING HAPPENING. Sure, probably greater than my chance of being hit by lightning, but smaller than or equal to any number of other completely random bad things happening. Given the distance and quality of roads to my OB, I could easily hit a deer with my car and die. ::shrug::
I totally understand and appreciate your position, especially given what you went through. But we have different risk factors: Having had clotting problems and preemies, you zoom straight to the top of the Crappy Luck List forever more. I'm still hanging around pretty near the bottom. (And even before the babies, didn't being on hormonal BC increase your risk? Thanks to you -- and SERIOUSLY, thank you and I'm so, so sorry you had to be the one to find out and in the way you did -- the others of us with the mutation knew from the start to be very careful about what kind of BC to use.)
Waaah. Honestly, I'm sure I'll get talked into at least accepting / filling the Rx for heparin. Especially if people keep throwing DEATH around. (Last time, DH threatened me with a Way To Go Dumbass card instead of flowers if I ended up in the hospital with a DVT, lol. But now everybody's ratcheting the rhetoric up to death!) I wonder what the M/F specialist will say? This, my "advanced maternal age" -- it all seems like so much fuss about absolutely nothing.
Bleh. NINETY PERCENT CHANCE. Doesn't that sound like a reasonably safe bet? Anyone...? Buehler...?
I thought the standard way of dealing with FVL these days was baby aspirin if the mother has had no personal issues with blood clots. You have had no personal issues with clotting. Isn't the baby aspirin enough of a preventative measure in your case? I know everyone is just concerned for you and turnips well being, but aren't there risks and side effects with taking blood thinners too? I guess I'm on your side, sister. Your doc and husband are just old school.
I asked DH about aspirin the other day; he said it's potentially bad for the baby's kidneys. But maybe that's only the case for full strength grown-up aspirin? I'll ask him to clarify.
Welp, DH is knocked out after two night shifts in a row (and no sleep during the day today to recover), so I Googled instead. Seems the problem isn't so much kidneys as possibility of placental abruption (seems like a problem with any anticoagulant, though, right?) and something to do with how the baby's blood circulates after week 34. Or something. If I remember right (I looked it up a while ago, before putting the girls to bed).
ANYWAY! It also looks as if plenty of women with clotting problems do take baby aspirins at the recommendation of their docs, so the benefits must outweigh the risks for that group.
I'm definitely going to ask the M/F specialist about aspirin next Monday!
yeah, I know you're not supposed to take baby aspirin unless directed by your doctor, for cases like this. they should totally let you do this instead of shots. good luck, sister!
Hey btw, this post is not helping my mid-life crisis here! You guys really think I got all the bad luck/crappy genes???
:(
Becca
*ONLY* in terms of baby-having! I think MiniB showed that, even with close monitoring and plenty of anticoagulation, you're just never going to cook babies very long. But you're thoroughly and officially done, right? So I bet your bad luck is, too. I definitely didn't mean to imply that you're doomed or anything! Just that you + babies = bad news health-wise (but cute tiny babies that grow up into awesome kids).
Sorry if I hurt your feelings, seester! I think you'll be fine from now on, I promise. (And hey, I'm married to a doctor so I can totally promise things like that, ha-ha-ha.) I love you! :-*
PS - the more often you have midlife crises, the longer you'll live. So I totally support you in that. Every year, baby. That's the way to do it. :-)
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