Ok, let me say this first. I've been wondering in the last couple of weeks why I was still trying to work with Dr. B's office. It was frustrating, felt obstructionist, and the bureaucracy was killing me. Admittedly, I didn't go back for awhile; but the last thing I'd been told was not "You need to come in every year to maintain current patient status, so whatever happens, we'll see you in November!" It was "Call when you get a positive pregnancy test so we can start running labs." I don't blame them for wanting to keep their patients current, given that it is a busy practice and given that it gives them the opportunity to work on helping their patients stay healthy. But the fact that there was no recourse for me was beyond frustrating.
However, the moment she stepped into the exam room, I remembered why I wanted to work with Dr. B. She's awesome. She gets it. In fact, this is how that went down:
Dr B walks in and asked, "Ok, so how are you doing?"
"Um, terrified? That's a good word for it," I responded.
She plopped down on the wheelie stool and said, "Well of course you are! But you're going to be fine." She immediately proceeded to say that she's looked over my labwork and thought the numbers looked fantastic, and that she's not too concerned about the progesterone because the hcg looks so good. Of course, she is giving me a prescription for progesterone suppositories, so if there is a problem, those will take care of it.
Relief, blissful relief. (btw, what I think she meant about not being concerned was not that progesterone was fine, but that the pregnancy seemed otherwise viable at this point. There was nothing concerning in the hcg that suggested progesterone would merely delay a spontaneous miscarriage.)
The rest of the visit was equally reassuring. She talked to me like I was an intelligent woman who knew what she was talking about; at no time was she condescending or patronizing. There was no discussion about my weight (which, thank you. I know I'm morbidly obese, but there isn't much to do about it now, is there? Thank you for treating me, and not scolding me about my size!). She discussed needing to find a high risk doctor to do concurrent care with, and I told her I already have an appointment with Dr. K and she was pleased. She said she'd get my records over to him before then. We talked about a scan (scheduled for 9/20) - she didn't want to try yesterday because of the likelihood we would not see a heartbeat and how worrisome that would be for me. She talked about the likelihood of a prophylactic cerclage and said I should probably prepare myself for some bedrest or at least modified work schedule.
She was just . . . perfect. Understanding, reassuring without being overly positive, talked with me as if I am a partner in this endeavor. Exactly what I needed. It was a relief. When I was wrapping up with the appointment lady, she walked by and gave me a big squeeze and that summed it up. I get the sense that she cares about me and understands why I'm a wreck right now. I wish her practice were less bureaucratic, but I can work with it now that I'm a re-established patient.
I got the prescription filled yesterday (which was it's own adventure as there was a big debate between the pharmacy and the doctor's office about whether or not the standard prometrium were ok to be used vaginally and then about whether I required capsules or tablets and it all ended with a sheepish call from the nurse explaining that capsules were actually just fine and sorry for all the confusion). First dose last night and at first I thought I was fine. Then I tried to go upstairs and I was extremely sleepy and very dizzy. I slept very, very well last night and woke up feeling groggy and a little out of it. Hey, whatever, as long as it works and gives this pregnancy a chance to succeed.