YAHA (Yet Another Hospital Admission)

[estherchaya]

Saturday I got admitted to the hospital again for contractions that wouldn't quit with multiple and frequent terbutaline boluses.  Fortunately, I was allowed to go home mid-morning on Sunday as I hadn't dilated any more and the contractions stabilized.  We discussed using Mag Sulfate, but ultimately decided the risks outweighed the benefits.  I had

Comments

[estherchaya]

Doesn't sound odd at all - I quite agree with you. Frankly, if they all acted like the issues I have with this pregnancy were completely textbook, I wouldn't trust them.

I saw a different doctor in the practice today (I like them both) and I said, "Dr. B. said he can't figure out how I'm having blood sugar craziness if I don't eat." Dr. S. looked at me and said, "It's because you're diabetic. Very diabetic. And now we have to treat that." In my appointment with Dr. S. last week, we'd spent some time trying to figure out the root cause, and he ultimately ended with, "Ultimately, it doesn't matter WHY you're having these issues, though it's obviously an intellectual curiosity. At this point, the important thing to remember is that hyperglycemia isn't good for mom or baby, and we have to fix it, regardless of the cause."

I felt like that was a very reasonable approach. They're being rather aggressive about treating it, so I'm not super worried, and I *do* know that they're giving me the best care I could be getting. Frankly, I appreciate that they're just as confused as me, because at least they're taking me seriously, whether my body makes sense or not!

[kalki]

I have to completely agree. I knew my MFM was amazing the day he told me that he didn't know whether doing a cerclage on twins was a good idea or not. That the research is so few and that he would go back and reread it all b/c he wanted to make sure he made the best decision for me.

That to me, shows that he was literally "the best".

And I see that in your doc too K. *hugs*

[estherchaya]

cerclage with twins is actually pretty common. Not as common as with HOMs, mind you, but if you've got preterm cervical shortening, and it's not past 22/23 weeks, the benefits of trying the cerclage generally outweigh the risks. (after 22/23 weeks, the risks of the cerclage do NOT outweigh the benefits - that's why I didn't get one with the triplets; my cervix went to just under 1cm at 23+ weeks - really too late to make that call).

But I definitely prefer a doctor to tell me, "I don't have all the answers, but here's what we're going to do and why, and I'm going to check with some colleagues/research literature/etc. in the meantime" than to have him tell me "I am G-d! Do not question my methods!"