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Text of the page (random words):
n but now i know i can i feel dreadful but nearly everyone tells me i look great and you know i feel great knowing that there s this toy surprise at the end of all this i m not really sure what my point is but i guess mostly i wanted to make sure that i capture at some point the fact that pregnancy isn t all misery even through the throwing up i am overjoyed to be privileged enough to carry this baby even through my irrational fears and requisite infertile dbts i can t wait to meet this little person the next probably final addition to our family i am humbled to know that i have been entrusted with another little life and to know that my successes and failures in parenting are in my control i know that i am not a perfect parent but i will always strive to be the best that i can be on a given day some days of course are better than others i still don t have an ob but i have an appointment with a new practice on tuesday and a perinatology appointment on wednesday one way or another this obstetrician dealio is going to be resolved this week and it feels good to assert that anyway i still have the yurt as a back up plan but hey baby can you stop kicking my bladder and my cervix that s not nearly as much fun as the rest of this pregnancy seriously posted in uncategorized 2 comments insult to injury december 25 2009 by chezperky so i started taking iv steroids friday night it definitely helped the inflammation around my picc site and i m generally less itchy i think my headaches are a tad better but i m still really nauseated it helped a tiny bit the first couple days and then we started tapering it and disaster i don t know how long i can really stay on a high dose of steroids but it s honestly not helping enough for me to want to put up with the side effects and any inherent risk truthfully the horrific reflux was enough to make me want to get the hell off these steroids but now now i have thrush on my tongue in my throat the last time i had oral thrush was in 2003 when i d been on long term heavy duty antibiotics the triplets and i battled thrush for five months while i was breastfeeding them and admittedly thrush there is far more painful but i don t really want any kind of thrush again so now my tongue hurts it hurts to swallow and it s excruciating to put anything on my tongue fortunately i m not eating anyway right so it s not like i m missing out much is the cure worse than the disease no if i weren t throwing up anymore i d definitely think it was worth it but this is still like adding insult to injury posted in uncategorized 3 comments the saga continues december 24 2009 by chezperky i saw my perinatology practice last week dr p had left for the day so i saw dr m i like her but sometimes she s a bit wishy washy i told her about the difficulty i ve been having with finding an obstetrician willing to take me on and mentioned that several doctors have told me that my best bet is to simply see the perinatology group directly she didn t really acknowledge that last part and just gave me some more names of doctors to try meanwhile i dropped my records off last tuesday to a practice to review before deciding whether to take me on as a patient it took them a week but this tuesday they called to confirm that they were declining to accept me as a patient i can call doctors until i m blue in the face but it s clearly not getting me anywhere sigh the rest of the appointment with her was good she prescribed iv steroids to see if that helped the nausea it did a little though not a lot but i ll take it until i started trying to taper the steroid sigh the baby looks great and is growing exactly on schedule and dr m also called the home health company to order that the dressing on my picc line be changed stat the tegaderm needed to come off because my skin was so raw and painful and ick that it posed too great a risk for infection plus hello it hurt the home health company couldn t come out that night to change it plus we were expecting a big snow storm that night the next day we got 20 inches also the home health co didn t like the idea of just wrapping the picc line in gauze but there weren t a lot of options because tegaderm clearly does not agree with my skin at this point i ended up having to go to the emergency room to have the dressing changed by monday when my nurse came to change the dressing again the difference was astounding it no longer hurt the skin was healing it was perfect but the home health care company was still not going for it their protocol is that if there s gauze on the site the dressing has to be changed every 48 hours though my primary nurse admitted that no one has shown her this policy written anywhere it seems to be a rumour floating around so they sent a new dressing out to me to try that and it s just a different kind of tegaderm i m already hurting and itching and it was just put on yesterday i do have some possibly good news though since i can t seem to find a doctor who delivers at the hospital five minutes from my house where i delivered my triplets i called the birth advisor at another hospital that isn t quite convenient but it s not so bad as long as we don t have three babies in the nicu this time around she got me an appointment with one of the other practices that several friends had suggested they had previously expressed that they wouldn t see me but i was talking to a receptionist and the birth advisor was speaking with a clinician so i have that appointment on tuesday i don t know if they ll take me on directly but at least he s willing to talk to me directly instead of just reviewing my records if that fails i m seeing dr p on wednesday and i ll talk with him directly if he won t take me on as a direct patient i ll head down to the big ob gyn practice at a nearby university hospital they are excellent and will take me as their practice is made up of both regular obs and mfms but i was trying to avoid that it would mean going into the city for every appointment and delivering at a not so local hospital having a hospital 5 minutes from home makes me really begrudge the 30 minutes without traffic that it would take to get downtown i work just four blocks from the physician s office building but i ve been working a lot from home and i only expect that to increase so it won t be convenient forever hopefully i won t have to go that route it would be lovely to have a doctor at some point wouldn t it posted in uncategorized 7 comments proof december 13 2009 by chezperky just so you don t think i ve been making this whole pregnancy thing up i m including proof of my status in this post personally i think i just look fatter but my husband assures me that i look pregnant i guess we can compromise and say i m a bit of both i was quite surprised at how quickly i popped out this time around i think i ve got a more prominent pregnant belly than i did at this point with the triplets go figure i will say this though shopping for maternity clothes is much more fun this time around my pre pregnancy weight with the triplets was about 70 pounds higher than my current weight and i m down 4 dress sizes literally so the variety of comfortable somewhat flattering clothes is exponentially better than the last time i loathe spending money on clothes that you ll only wear for a few months but i ve found some good sales plus sized maternity clothing seems to never go on sale so i had no such luck with the triplets old navy had maternity tees for 1 50 each my little monster is definitely still hanging out s he is kicking a lot but there s no real pattern to it yet still its reassuring especially considering how dreadful i feel and the fact that i still don t have an ob i m seeing the perinatologist on friday though so hopefully i ll get some more answers then okay too tired to post more but i don t have anything interesting to say anyway posted in uncategorized 9 comments building a yurt december 10 2009 by chezperky i admit that i m not sure how to build a yurt though wikipedia did provide excellent step by step photographs on how to build a yurt i m clearly going to have to brush up on the technique though because right now i think i might have to take my friend s advice to deliver this baby in the wilderness in a yurt i m definitely keeping it as a back up plan so the ob i met with on monday talked with the perinatologist reviewed his notes from our meeting and reviewed my records and he definitely won t take me on at this point in the pregnancy my perinatologist had recommended another practice as well i called them today and had to leave a message with their ob coordinator because the practice has a policy that women coming into the practice past 16 weeks must have their records reviewed prior to them deciding whether to take that patient on i m guessing that ll be a strikeout also i ve left a message for the perinatologist s nurse to find out whether they will take me on directly or if they have other recommendations right now i m just frustrated and a little scared about what to do next i have another doctor to call but she s at a hospital that is just really hard to get to from here it s not far it s just not easy to get to i wish i knew what to do i m really a very nice person and a good patient i just i feel awful and i d like to know where i m supposed to go on the bad days meanwhile i ve still got the excellent back up plan i just have to build that yurt posted in uncategorized 7 comments unpopular december 7 2009 by chezperky okay so it s not like i was ever one of the cool kids i got left behind when people were picking teams for kickball most of the time my red headed nemesis in 6th grade used to pull on my pigtails to harass me on the playground joke s on him we ended up dating half a dozen years later but popular or not no one likes to be openly rejected when someone you thought was a friend stops speaking to you with no explanation in high school it s easily attributable to the whims of teenagerhood but as an adult well no one likes to be disliked so i ll admit it my feelings are still a little hurt by having been fired by my ob last month sure i m worried about what to do about my care sure i d like to move on but let s face it mostly my ego is bruised my feelings are hurt i feel rejected and i hate that no one wants to be broken up with it s much better to be the breaker upper than the break ee but since i am currently ob less because the cool kids kicked me out of their practice i need to suck up the hurt feelings and move on which is precisely what i ve been trying to do oh never mind that my former ob has failed to send me my medical records yet it s not like i requested them two weeks ago or anything oh wait yes i did see another fine reason for me not to be there anymore their loss not mine right right so i had a consult appointment with a new ob today everybody loves him four separate women referred me to him independent of one another and the perinatologist had him on the top of his list for people for me to talk to i couldn t have asked for better recommendations everyone has high praise for him and i was particularly pleased with the fact that he is a sole practitioner so i wouldn t have to worry about getting lost in the shuffle at a big practice i didn t have my medical records with me to provide him because my former ob s office still has not sent the records to me so i gave him a quick sketch of my medical history and brought him up to date on what s been going on with my current pregnancy he asked a lot of questions clearly didn t love the answers and i don t think he cracked a smile once well he smiled when he introduced himself to me but nothing after that and essentially he s not sure he can take me on as a patient it s a lot to take on especially this far into your pregnancy he thinks i should be on tpn but won t order it himself because he hasn t done so since he was a resident instead he d want me to get in with a gi doctor pronto to get them to order it and manage it from there that would mean juggling three doctors the ob my perinatologist and a gi doctor nevermind my primary care pracitioner and my neurologist he s not opposed to a vbac but definitely didn t sound thrilled about it he said he would insist on an epidural at 4 5 centimeters and i d have to be in active labor no induction or 2 3 cm dilated by 40 weeks i would love to get to 40 weeks right now i m just trying to get to next week he can and does handle a hyperemesis patient he can and does handle a patient at high risk for ptl he can and does manage a patient with underlying medical issues etc but with me it s rolling all of that into one patient and that well that s a lot to take on frankly i appreciated his candor a lot of doctors would have said no problem instead of really thinking about the impact of taking on a patient like me he seemed to think i d probably just be better off seeing only the perinatologist i m all for it but he said he d talk to dr p tonight or tomorrow and he d call me to let me know how he thinks i should proceed honestly it was both overwhelming and a bit of a relief to have a doctor look at it all down on paper and admit that it s just a lot and an extremely complex pregnancy my old ob made me feel like i was hysterical over nothing i was never hysterical for what it s worth they made it out to be a pregnancy that was no higher risk than any other and that i was making a bigger deal than i needed to at least someone is taking me seriously meanwhile i m still ob less honestly i m beginning to get a little worried how long can i go without a primary ob to turn to how long can i hold off on making other decisions about my care e g should i do progesterone shots to mitigate some of the risk of preterm labor before it s too late i m too high risk for a midwife i can t possibly have a home birth not safe for me though i totally dig the idea and absolutely understand why other women do it i clearly need solid prenatal care i just wish i understood exactly what led to my old ob firing me so that i could at least not do it again the ob i saw today has worked a lot with my old ob s practice and he said he has never heard of them sending a letter terminating care without a detailed explanation and a signature from one of the doctors taking credit blame for the decision my letter was unsigned just listed the names of the members in the practice and did not provide sufficient explanation for the termination just we feel that you need to find a provider with whom you can have a more communicative relationship so i m left with a whole lot of nothing i see the perinatologist again on the 18th i plan to suck it up and ask him to please just take me directly i don t know how much longer i can handle uncertainty like this posted in uncategorized 5 comments still ob less december 7 2009 by chezperky i ll write more later but the long and the short of it is that i m still for the moment ob less s...