Tuesday, July 19, 2016

Medical ring-around-the-rosy

         

            Good morning! So, as I have indicated on facebook, there has been a lot of medical stuff going on the last few weeks. I’ve gotten a lot of yes, no, and then maybe answers over the same issue; and I have been sent like a football from doctor to doctor. However, after a complete emotional breakdown, and a change in OB/GYNs; I am finally starting to get prompt and accurate answers. So, this post is to bring everyone up to speed with what has been going on.

            I had my regular monthly check up on June 30th with my original doctor. Since my Spanish is still developing, Jonathan was present to translate for me. The only real information I got was that I had put on too much weight, got diet restrictions and that my blood pressure had dropped due to the heat. As a result she wanted me to get a halter (heart monitor) for 24 hours to verify, and to not gain more than 3 pounds this month. I had brought in the results from the blood work she ordered and I expressed concern about my blood sugar (I am normally hypoglycemic so I was not surprised at the low blood sugar). She was unconcerned as I had been fasting and should have had a lower number. She then asked if I knew I was hypoglycemic which I said yes too (even though I had told her I was at two previous appointments). She ordered a steroid shot to help with Amos’ lung development and sent us on our way.

            When the shot was ordered my original reaction was “oh heck no” but I agreed to get advice as I had a whole week before I was required to take it. I also bought a glucose meter to track my blood sugar numbers and we set about the process of getting the halter…which took a while, and I started the diet right away. After a week of strict dieting and 5 or 6 testings a day, my blood sugar was actually remaining quite high. I consulted 4 different medical professionals I know to figure out what my numbers should be and got conflicting answers. Amos did not appreciate when my blood sugar fell below a certain number and when I started feeling the hypoglycemic symptoms that I recognize; I was still in “normal” range. I asked Jonathan to contact my doctor just to update her on the halter process and let her know I was getting high numbers. She referred me to a diabetic doctor ASAP (without asking what my numbers actually were) but we were unable to see the doctor due to both her and our work schedules. (I was referred on a Thursday night we went Friday but she did not work until Monday morning.)   

            After we got the halter results and Jonathan translating what he could and my parents knowing cardiac pretty well, I was able to translate (for the most part) the results. The halter showed PVCs and Tachycardia, which is basically unexplained rapid heartbeats. My doctor was again immediately contacted (via text as requested) and I was referred to a cardiac doctor. Because of all of this, I went ahead with the steroid shot in case of early labor, which was/is fully possible if these conditions were as bad as I thought.

            Jonathan happened to run into the sister of a former church member after a pastors meeting that weekend who happened to be an OB/GYN and talked to her a little and gave her some basic info on my blood sugar. She said then and there that I had Gestational Diabetes. Just longing for some kind if an answer, I jumped at that and was like “finally, I have an answer”. She suggested a few changes in my restricted diet and I implemented that right away and we continued to work on the cardiac issue. All this time Amos was unhappy because I was not eating what I was, as often as I was, and I was constantly feeling bad, as well as being constantly hungry. I kept telling Jonathan, “This can’t be right; it cannot be healthy or good for me to be feeling like this. Obviously, Amos is unhappy, and pregnant women should not always be this hungry. I know they get hungry fast so it seems like they are always hungry, but this cannot be healthy.” So we kept trying for answers.

            I was on the brink of returning to the States because I was so discouraged. I even talked to Jonathan about it. I didn’t want him to miss Amos’s birth, but I was not getting answers and was just going in circles wasting time and money to not find out anything. After a very emotional evening, he asked me to trust him and let him try to get some answers. I had exhausted every resource I had, and done everything I knew to do, so I relented.

            We had been in contact with one of Jonathan's sisters for the last several days as she seemed to be the only one we could get a hold of regularly. Although not an OB/GYN she is a pediatrician with two children, so could answer some of my endless list of questions. Jonathan called her on a Tuesday night, and Wednesday morning Paula had an appointment booked for us with her friend and colleague of hers at the clinic she works at. Dr. Jenny is an OB/GYN that has expertise in pregnancy hormones and is a very well respected OB/GYN. We went after work that day and I handed over my folder of medical papers. She took my weight, measurements, checked my thyroid, looked at my papers and asked basic questions. 10 minutes into the appointment she had already put some of my fears at ease. The cardiac was normal considering my pregnancy stage and activity level. I was cleared to keep teaching ballet, but to just be slow and careful, so getting down on the floor and such was probably better left until after the baby comes.

            She felt the baby move and was pleased with my weight and size. She removed a good portion of the diet restrictions even after seeing my blood sugar numbers. Although they were high, she said they needed to be there because Amos takes a lot of my protein and sugar. This confirmed what I physically felt as well. If I keep my blood sugar higher both Amos and I are happier and feel better. (He ALWAYS lets me know if it gets too low!) However, just to be sure I was not in the early stages of Gestational Diabetes (because this is the time it shows up), she went ahead and ordered a 2 hour fasting glucose test and told us to return yesterday. She also told us to get a 3D sonogram since it has been a while since we have seen Amos. So, Saturday morning we rose bright and early and headed to the lab for my test.

            Yesterday I handed my results to her knowing they were not ideal. My fasting blood sugar was fine but the ending number was not. She did not diagnose anything but has ordered a longer, more in depth glucose test (this time 3 hours) because she thinks there is an anomaly somewhere. She also told us to come back on Monday with both the sonogram done and the glucose results. However, she did remove all dietary restrictions for two reasons 1) to have a better/more accurate glucose reading, and 2) because I have put on no weight and my weight is fine. Unless there is a really good reason she doesn’t like “pregnants” to be on a diet. That made me so happy! I have missed certain foods!

            I am of course still keeping the clean and unclean food restrictions, but at least pizza and pasta are back on my menu!

            In addition to finally giving me answers and being a friendly and well-informed doctor, she is not charging us the copay to see her. This is a huge financial blessing because we have been to the doctor so many times this month already. Although it isn’t a lot of money every time, considering we have been to  4 or 5 different medical things already this month, and we are on lowered income because of the summer, it is a huge help. Adonai is working things out and it is really releasing my stress.

            Although there are still questions to be answered, I at least am getting somewhere and no longer feel that I have no choice but to go to the States. I feel like I can stay here for the rest of my pregnancy and Amos will be well cared for.

            Another week, another dollar, and more doctor’s appointments. At least the sonogram will be pleasant! As of now, Thursday looks like sonogram day and Saturday glucose day…again. Thank you all for your continued prayer and support.


            Until next week. Blessings to your homes.      

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