In the last two days I’ve had two doctor’s appointments. Both of them went well, thank goodness! If you’re interested in details, continue with my ramble-y post below.
Yesterday, I visited the endocrinologist. I’ll call him Dr. McMumbles (thanks for the namespiration Puffer and Eva!). A little background on him: He’s at the top of his field, British, mumbles, is pretty negative and is the one who FINALLY diagnosed me as insulin resistant. Without him I would not be pregnant. I don’t really enjoy seeing him b/c of his pessimism, but he’s just too darn good at what he does to leave.
I see him every six weeks. He has me monitoring my blood sugar once a week both fasting and two hours after a meal. He also has me going to the lab for a blood draw a week before each appointment for some sort of blood panel. I have chosen not to learn the intricacies of this panel b/c frankly, I’m tired of knowing too much. My appointments usually go like this:
- Walk into office as first appt of the day and it appears no one is there
- Dr. McMumbles comes out to greet me smelling like cigarettes
- He asks about my home glucose monitoring and looks at my most recent blood panel. He then expresses SHOCK and amazement that my blood sugar is under control
- He mumbles something about keeping up with my exercise and low glycemic index diet as they are the only things keeping me from developing diabetes
- He reminds me that there is a 99.9% chance that I will develop gestational diabetes and how that will double my chances of developing type II diabetes post pregnancy
- He weighs me and no matter how little I have gained it seems to be too much (note that in my first three weeks seeing him I lost 9lbs due to a drastic change in diet+metformin)
- He takes my blood pressure and expresses SHOCK and amazement that it is 116/79 and reminds me how important it is to continue exercising
- He tells me that I can only breast feed for one month b/c he wants me back on the Dostinex to manage the prolactin producing pituitary tumor I have, as he’s afraid that breast feeding will cause the tumor to grow
Well yesterday’s appointment was a little different! When I got to his office there were other people there and I actually had to wait. (Gasp!
) He was in very good spirits and asked me about our trip to Ireland. He looked at the results from my glucose tolerance test that I took with the OB and the blood panel I had done last week and declared that my body was managing sugar wonderfully! For the first time, he’s conceeding that I just might not develop GD! He even said I don’t need to take another glucose tolerance test this pregnancy. Hooray! He weighed me and congratulated me on gaining only 11lbs since my lowest weight dip in August.
Then we went back to standard appointment discourse when he mentioned for the billionth time that he didn’t want me breastfeeding for more than a month. Now, I don’t even know how long I want to breastfeed, but the fact that he keeps dictating that I can’t has been burning me. For some reason I’ve been afraid to challenge him on this. Probably b/c when I envision myself challenging him on it I see myself reaching across the desk and smacking him. I just get so frustrated and upset about it. I’ve spoken to C about this and we’ve agreed that she will come to an appointment so that she can be the calm rational negotiator. She will be the breast negotiator. We’ve even begun discussion some alternatives the doctor may be amenable to. Yesterday, I got the courage to throw one out there. I asked him if he would consider “allowing” me to breastfeed for more than one month if I went for CAT scans to monitor the size of my tumor. I held my breathe, waited for his answer and asked the universe to give me the strength to stay calm. Well, McMumbles surprised me when he agreed that was a reasonable course of action. Yahoo! I decided to leave the door open by indicating that we’d continue the breastfeeding discussion at our next appointment. (Read: the appointment where I bring the weapon of my choice, C.)
The appointment ended with him saying that I was doing so well that I didn’t need to come back until sometime in January (or earlier if I’m worried about something). I left the appointment feeling optimistic. A first.
This morning I had a growth scan at the hospital. I have to go for these every 4 weeks as part of monitoring my insulin resistance and ensure that the baby isn’t growing too big, which could be a result of getting too much sugar. This is the appointment where I aim for average.
The appointment was off to a rough start when the tech told me to undress from the waist down. C and I were confused and told her that we hadn’t had a transv u/s since around 10 weeks. She then explained to us that since we were having two babies the rule was that we would be needing a trans vag. (Insert the sound of a Mack truck hitting me.) The Mama Bear rose up in C and she assertively explained that it’s not acceptable that they can’t keep their records straight and how she’s had numerous conversations with them to ensure that they were aware that one of our twins passed. The tech stammered about how it needed to be in my file as part of my medical history and apologized for not reading my chart thoroughly enough. I am tired of reiterating that one of my twins is dead to someone who is holding my fucking medical chart. Especially since we learned this fact at this very office. Sheesh.
/rant
Anyway, the tension in the room dissipated once we saw little Isadora. She is measuring in the 47th percentile and weighs 2lbs5ozs (+/-4ozs). She’s getting a little more meat on her. Her legs and cheeks have some chub now.
My cervix is more than 4cm long (anything over 3 is great) and Izzy has gone from being transverse to being head down! I hope hope hope to heck that she stays head down as this is step one towards my goal of being one of the rare women in my family to avoid a C-section.