Sunday, July 21, 2013

Follow Up Part 2

Now that you know all about what happened in the hospital, I can go into what we talked about medically at my follow up with my OBGYN.

First she asked how we were doing emotionally. Still pretty much the same. More bad days than OK days at this point, but that was normal. Then she asked about me physically. I still had some bleeding, but it was changing the way it was supposed to. My cramping was almost gone. At this point my milk had been pretty much reabsorbed too. Nothing out of normal to report.

The first thing we talked about was the result of the tests on the placenta. She said there had been signs of an infection. I was floored. We'd done so much to ensure that wouldn't happen and I hadn't shown any signs. How and when had it happened? Did it have anything to do with the outcome? Unfortunately these really ended up being rhetorical questions. She said it was hard to know when it happened. She didn't seem to think it happened before my cervix opened (thus it wasn't the initial cause). It was a case of having more information but not more answers.

Next we started talking about the future and my list of questions. She said she wasn't sure who would get the genetic results, her or the high risk doctor, but whoever got them would discuss them with us. It would still be several weeks before they would come in though. She wanted to do the ultrasound of my uterus with the fluid at the end of my first period. That could be a few weeks or months, depending on what my body did. She explained that I would come into the office, she would inject saline into my uterus and then do an ultrasound there. That would tell her about the shape of my uterus and if I had a wall.

Then we got to the other questions on my list. She said I should start my metformin again. I should keep taking my prenatal vitamins. She also cleared me for physical activity (thus my start of C25K). She was going to have me referred to the high risk doctor for a follow up with him (that happens on the 23rd). She also wanted me to get an ultrasound of my gallbladder and that day have my blood drawn to check my liver enzymes. It was a lot to take in, but at least we had a couple answers and a plan for the next couple months.

I had my gallbladder ultrasound the following week. They got the results and determined I have gall stones and a polyp. My blood work showed my liver enzymes were still slightly elevated. Gallbladder issues and pregnancy seem to go hand in hand for lots of women. She said if I had issues this time I would always have issues. Better to get it taken care of now when I'm not pregnant and won't be for a while. These things led her to refer me to a surgeon. That appointment is on the 26th. One month. Somehow it seems fitting. We'll see what he has to say. For someone who is not often sick, this year's medical issues are more than out of control.

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