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Archive for September 7th, 2007

An anonymous poster (it’s odd that I can actually tell the difference between several distinct anonymous posters… I wish I had something else to call you… I’ll call you A1, for Anonymous the First)… ANYWAY… A1 asked a couple good questions:

1. Why wouldn’t the labs from Wed. be back? That’s again my failure to explain properly. I’m so tired I can’t speak (write) English anymore. Since Dr. P. ordered a 24-hour urine (standard with suspected pre-eclampsia), all the labs were put on one order, including the 24-hour collection. I couldn’t start that until Thursday morning, so it was taken to the lab this morning and the rest of the blood labs were drawn while I was there. The rest of the labs he ordered were urine-based labs which will be run from the 24-hour collection. Had my BP been a lot higher on Wed, he probably would have put them on two orders so that the rest could be run immediately. However, he didn’t think I was pre-eclamptic YET. He just thought I was creeping that direction, so I don’t imagine there was any serious urgency in any of the labs. The important thing was that everything looked okay, my cervix was stable, and that things were put in place to get more answers about the labs.

UPDATE: A1 was surprised they didn’t do at least a urine strip test to test for protein in my urine on Wednesday. They did. They do every week (or more often if I’m there more often). Honestly, I have no idea what the result of that was. I never thought to ask, because they did it at the end of my visit on Wednesday, not the beginning, which isn’t the order they usually do it, so I wasn’t around when they looked at it, and by Friday it didn’t occur to me to ask. END OF UPDATE

2. Did I have an ultrasound Wed or Today? Yep. I forget to mention such things because I have them at EVERY appointment. Every appointment has a transvaginal ultrasound to check cervical length (and I thought I was done with the cooter cam after the fertility clinic… drat!) and an abdominal ultrasound to at least check the heart rates and amniotic fluid levels. Every 3 weeks they do a “growth” ultrasound with more specific fetal measurements. On Wednesday and today they did a BioPhysical Profile (BPP), which all three babies passed, though two of them were uncooperative at first today (they were sleeping, the little rats). They are doing fine as far as I know, though the real question is what’s going on with the baby whose growth curve slowed down, but they won’t know that until the next growth ultrasound. I don’t remember if that’s next week or the week after. I think it’s the 19th.

For the moment, Dr. P. is pretty pleased with how I’m doing, so I’m happy. He’s pretty conservative, so I know if he were really worried right now, he’d be telling me. So far, so good. All I can do is keep waking up each morning, grateful for another day.

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First of all, my Pajama Gram arrived today! Go me! I’m very happy about this.

I saw the doctor again this morning. As compared to Wednesday, I’m relatively stable… my cervix is still about 1.5cm at its longest, which is what it was on Wednesday, so that’s good. Dr. P. gave me a prescription for some extra Nifedipine so that I can take it twice a day, in hopes that it will help my blood pressure (today’s was totally normal, but yesterday was 136/111…I didn’t know BP numbers WENT that high). Other than that, I get to wait for test results to come back (labs that were ordered from Wed’s appt. plus the fetal fibronectin they checked today).

Dr. P. didn’t want to make any final decisions on admitting me to the hospital next week until they see me next week, so he had me change my appointment from Wednesday to Tuesday. His preference would be to keep me at home and have me in the office Tuesday and Friday, but a Friday appointment would be complicated at best, since that’s the 2nd day of Rosh Hashana. By Tuesday all the labwork will be back, and they’ll also have a better idea of how carefully I’ll need to be monitored through the week, so it makes sense to wait to make a decision, and I’m comfortable with that. I’m totally happy being ABLE to stay home for Rosh Hashana, provided that he thinks it’s prudent to do so. His feeling is that he doesn’t have all the information today to be able to make a real determination about whether it’s prudent to do so, but will know more on Tuesday. That’s completely reasonable. He (Dr. P.) will actually be out all of next week (*gasp!* He can’t abandon me!!), but I’m seeing Dr. G. on Tuesday and I love Dr. G. so I have no concerns.

Meanwhile, I’m exhausted, so I’m going to take a nap. I have a terrible headache, so I’m hoping it will go away by sleeping some more. I’m not counting on it. It’s astounding how much energy growing three babies can take out of a girl. Maybe I’ll go put on my new snuggly pajamas. Probably not. That would take a lot of energy. *yawn*

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First of all, my Pajama Gram arrived today! Go me! I'm very happy about this.

I saw the doctor again this morning. As compared to Wednesday, I'm relatively stable… my cervix is still about 1.5cm at its longest, which is what it was on Wednesday, so that's good. Dr. P. gave me a prescription for some extra Nifedipine so that I can take it twice a day, in hopes that it will help my blood pressure (today's was totally normal, but yesterday was 136/111…I didn't know BP numbers WENT that high). Other than that, I get to wait for test results to come back (labs that were ordered from Wed's appt. plus the fetal fibronectin they checked today).

Dr. P. didn't want to make any final decisions on admitting me to the hospital next week until they see me next week, so he had me change my appointment from Wednesday to Tuesday. His preference would be to keep me at home and have me in the office Tuesday and Friday, but a Friday appointment would be complicated at best, since that's the 2nd day of Rosh Hashana. By Tuesday all the labwork will be back, and they'll also have a better idea of how carefully I'll need to be monitored through the week, so it makes sense to wait to make a decision, and I'm comfortable with that. I'm totally happy being ABLE to stay home for Rosh Hashana, provided that he thinks it's prudent to do so. His feeling is that he doesn't have all the information today to be able to make a real determination about whether it's prudent to do so, but will know more on Tuesday. That's completely reasonable. He (Dr. P.) will actually be out all of next week (*gasp!* He can't abandon me!!), but I'm seeing Dr. G. on Tuesday and I love Dr. G. so I have no concerns.

Meanwhile, I'm exhausted, so I'm going to take a nap. I have a terrible headache, so I'm hoping it will go away by sleeping some more. I'm not counting on it. It's astounding how much energy growing three babies can take out of a girl. Maybe I'll go put on my new snuggly pajamas. Probably not. That would take a lot of energy. *yawn*

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An anonymous poster (it's odd that I can actually tell the difference between several distinct anonymous posters… I wish I had something else to call you… I'll call you A1, for Anonymous the First)… ANYWAY… A1 asked a couple good questions:

1. Why wouldn't the labs from Wed. be back? That's again my failure to explain properly. I'm so tired I can't speak (write) English anymore. Since Dr. P. ordered a 24-hour urine (standard with suspected pre-eclampsia), all the labs were put on one order, including the 24-hour collection. I couldn't start that until Thursday morning, so it was taken to the lab this morning and the rest of the blood labs were drawn while I was there. The rest of the labs he ordered were urine-based labs which will be run from the 24-hour collection. Had my BP been a lot higher on Wed, he probably would have put them on two orders so that the rest could be run immediately. However, he didn't think I was pre-eclamptic YET. He just thought I was creeping that direction, so I don't imagine there was any serious urgency in any of the labs. The important thing was that everything looked okay, my cervix was stable, and that things were put in place to get more answers about the labs.

UPDATE: A1 was surprised they didn't do at least a urine strip test to test for protein in my urine on Wednesday. They did. They do every week (or more often if I'm there more often). Honestly, I have no idea what the result of that was. I never thought to ask, because they did it at the end of my visit on Wednesday, not the beginning, which isn't the order they usually do it, so I wasn't around when they looked at it, and by Friday it didn't occur to me to ask. END OF UPDATE

2. Did I have an ultrasound Wed or Today? Yep. I forget to mention such things because I have them at EVERY appointment. Every appointment has a transvaginal ultrasound to check cervical length (and I thought I was done with the cooter cam after the fertility clinic… drat!) and an abdominal ultrasound to at least check the heart rates and amniotic fluid levels. Every 3 weeks they do a "growth" ultrasound with more specific fetal measurements. On Wednesday and today they did a BioPhysical Profile (BPP), which all three babies passed, though two of them were uncooperative at first today (they were sleeping, the little rats). They are doing fine as far as I know, though the real question is what's going on with the baby whose growth curve slowed down, but they won't know that until the next growth ultrasound. I don't remember if that's next week or the week after. I think it's the 19th.

For the moment, Dr. P. is pretty pleased with how I'm doing, so I'm happy. He's pretty conservative, so I know if he were really worried right now, he'd be telling me. So far, so good. All I can do is keep waking up each morning, grateful for another day.

Read Full Post »

An anonymous poster (it's odd that I can actually tell the difference between several distinct anonymous posters… I wish I had something else to call you… I'll call you A1, for Anonymous the First)… ANYWAY… A1 asked a couple good questions:

1. Why wouldn't the labs from Wed. be back? That's again my failure to explain properly. I'm so tired I can't speak (write) English anymore. Since Dr. P. ordered a 24-hour urine (standard with suspected pre-eclampsia), all the labs were put on one order, including the 24-hour collection. I couldn't start that until Thursday morning, so it was taken to the lab this morning and the rest of the blood labs were drawn while I was there. The rest of the labs he ordered were urine-based labs which will be run from the 24-hour collection. Had my BP been a lot higher on Wed, he probably would have put them on two orders so that the rest could be run immediately. However, he didn't think I was pre-eclamptic YET. He just thought I was creeping that direction, so I don't imagine there was any serious urgency in any of the labs. The important thing was that everything looked okay, my cervix was stable, and that things were put in place to get more answers about the labs.

UPDATE: A1 was surprised they didn't do at least a urine strip test to test for protein in my urine on Wednesday. They did. They do every week (or more often if I'm there more often). Honestly, I have no idea what the result of that was. I never thought to ask, because they did it at the end of my visit on Wednesday, not the beginning, which isn't the order they usually do it, so I wasn't around when they looked at it, and by Friday it didn't occur to me to ask. END OF UPDATE

2. Did I have an ultrasound Wed or Today? Yep. I forget to mention such things because I have them at EVERY appointment. Every appointment has a transvaginal ultrasound to check cervical length (and I thought I was done with the cooter cam after the fertility clinic… drat!) and an abdominal ultrasound to at least check the heart rates and amniotic fluid levels. Every 3 weeks they do a "growth" ultrasound with more specific fetal measurements. On Wednesday and today they did a BioPhysical Profile (BPP), which all three babies passed, though two of them were uncooperative at first today (they were sleeping, the little rats). They are doing fine as far as I know, though the real question is what's going on with the baby whose growth curve slowed down, but they won't know that until the next growth ultrasound. I don't remember if that's next week or the week after. I think it's the 19th.

For the moment, Dr. P. is pretty pleased with how I'm doing, so I'm happy. He's pretty conservative, so I know if he were really worried right now, he'd be telling me. So far, so good. All I can do is keep waking up each morning, grateful for another day.

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