Monday, April 18, 2011

Doctors Appointment Update

I decided this was the best way to give all the info from today's appointments.  Yes, I said appointments!  My appointment with Dr. B was at 10am this morning.  I went in for the NST (non stress test/heart monitor for Lil Man) and my BPP (biophysical profile/US to check amniotic fluid).  My NST looked great...the baby was very active and everything looked great.  When I went back for my BPP, the dr came in and started and said that it appeared that my fluid was low again...below 5.  I of course got very upset...I haven't left the house since I got home from the hospital Thursday and have been very good about drinking plenty of water and I have either been lying down or in the recliner with my feet up.  Thank God Jeff was there with me this morning...I just broke down and said that I have been doing everything that I was told and that I was just so frustrated with it because now I was thinking it was something with me that was causing this.  Dr B's first response was that he wanted to admit me to the hospital...enter more crying from me.  Dr. B said, I know you don't want to have to go and Jeff said, well mostly it's thinking of the cost since we had just heard from the Billers at the hospital this morning.  My less than 24 hour stay cost us a very large amount of money and we haven't met our deductible yet.  Dr B said that he could have me come in for daily monitoring and then decided to send me back to Maternal Fetal Medicine, where I had gone in December and February upon the initial findings of low amniotic fluid.  If I couldn't get in there tomorrow, then I would come back to his office.  Chris, the receptionist at the office called and I was actually able to get into MFM today...just come on over and they would work me in. 

Jeff and I were confident with them since we had been there twice and saw that they knew what they were doing.  We only wound up waiting about 15 or 20 minutes and then were in a room having more ultrasounds done.  Since February was the last time I was there, measurements/views of the vital organs were taken before the amniotic fluid was measured.  As with Dr B's findings, Lil Man's head it a little large...nothing to be worried about since the brain looked great and everything.  His head measurements are about a week ahead...at least it isn't too big!  Our tech, Sharon measured the amniotic fluid pockets two separate times and the average was coming up about 8, which put Jeff and I at ease.  She also really took her time and got us some more great shots of Lil Man...some 3D face shots, a foot shot and of course, he was showing off the goods!  She said that if she could put a smile on our face after the morning we had, then she was doing her job.  God bless her for it!  After she was done, we saw Dr McCurdy.  This was not the doctor I had previously seen when at MFM, but Jeff and I are SOOOO glad that he was there today.  He deals primarily with amniotic fluid issues...he doesn't deliver babies, isn't an OB...he is THE man to talk to when you are having amniotic fluid problems.  He came in and checked the levels again himself, getting three sets of numbers which he compared to the two sets taken by the tech.  My average wound up being between 7.1 and 9, which is in the low to normal range.  He explained that I could very well just have low to normal amniotic fluid with any pregnancy that I have but that my numbers were still good today.  Why, Dr B's numbers were so low could be a combination of things...it could be his machine (which he told us today was from 1993), his technique or a combo of both.  Dr McCurdy actually assisted on the initial studies of amniotic fluid indexing in the 70's and really took the time to explain everything to Jeff and I.  We both feel a lot better after seeing him and discussing everything with him.  Dr McCurdy suggested following up with him next week for another check of my amniotic fluid and go from there.  Jeff and I both are on board with this, as we are frustrated that my numbers continue to be low when Dr. B has been checking, which makes us both wonder if I really needed to be admitted to the hospital last week.  I am not saying that Dr. B doesn't know what he is doing or talking about, but MFM is a specialist office and they have better equipment and they have THE amniotic fluid man (at least that's what I am calling Dr McCurdy from now on.)  I have an appointment at MFM Monday morning and will hopefully continue to hear good news.  I am sure that I will have an appointment at Dr B's next week, but I have not heard back from his office as to when.  I will be sure to pass it along to you as I hear more. 

So overall, my fluid levels are good (for now) and the baby is looking great.  The tech gave us an estimated weight of 5lbs 13 oz right now..if he bakes for the next four weeks like he's supposed to, we could have a very big boy on our hands, since they can gain up to a pound a week!  I have attached some new pics from today's ultrasound...he was being a stinker again and wouldn't give us a great face shot, but we still got some great ones!  I will continue to update and keep everyone in the loop as much as I can!  Love to all!!! 



Look at those lips!! Such a cutie!!

Almost profile shot...can see his nose and lips again

This is his pouty face...he is sticking out his bottom lip at us!  The tech was trying to get him to move and apparently, he didn't like that too much!

Kinda hard to see, but towards the top left you can see his nose and his little birdie mouth is open like he is waiting for food!

Foot

And it wouldn't be an US session without him showing off the goods!!!  He is gonna hate me for this one day!

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