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Follow Up Appointment - Karen's Musings
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estherchaya
estherchaya
Follow Up Appointment
I saw the doctor again this morning.  As compared to Wednesday, I'm relatively stable.  He 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).

Doctor didn't want to make any 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.  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.

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Comments
either_or From: either_or Date: September 7th, 2007 06:42 pm (UTC) (Link)
i've seen BP numbers much, much higher. like, when people use the machines at the market and leave their scores on the machine. i've seen people with top numbers close to 200!

personally, i've gotten at least a 136 on top, but my bottom number has always been less than 85 or so.
estherchaya From: estherchaya Date: September 7th, 2007 06:55 pm (UTC) (Link)
it's the bottom number (diastolic) they're concerned about with me right now. Once it starts going above 90 they start watching closely. It's been in the mid-90's all week (until today) except for yesterday when it was 111, which is even worse. Ugh.

Fortunately, I know this is temporary. My non-pregnancy BP is generally about 110/65 on average.
From: geekosaur Date: September 7th, 2007 07:17 pm (UTC) (Link)
FWIW, 180/120 is considered "go to the ER right now" territory. You bet it gets higher.

(I've been monitoring myself lately. Annoying as my BP has usually been pretty good.)
estherchaya From: estherchaya Date: September 7th, 2007 07:39 pm (UTC) (Link)
Oh, I technically know it gets higher (I used to be an EMT). It's just that before I was pregnant, my BP was generally no higher than 110/65 unless I had a migraine, when it would be somewhat higher (but the diastolic still wouldn't be above the 80s). So seeing a diastolic at 111 kind of freaked me out.
kalki From: kalki Date: September 7th, 2007 10:46 pm (UTC) (Link)
I'm glad you're stable hon!
hannahsarah From: hannahsarah Date: September 7th, 2007 11:46 pm (UTC) (Link)
That is awesome that your doctors are feeling confident enough that they are taking a wait and see attitude. I figure, if they're not going "OMG admit her NOW!", then you are hanging in there pretty well. Have a restful Shabbos. I'll continue davening for you and your little ones.
batya_d From: batya_d Date: September 9th, 2007 07:22 pm (UTC) (Link)
I met a grandmother of 14-yr old triplets at shul this week, and I thought of you. She said her daughter carried them to 38 weeks!! I guess at that time they didn't know that triplets were better off being delivered at 34. B"H they're all healthy teenagers now.
estherchaya From: estherchaya Date: September 9th, 2007 07:28 pm (UTC) (Link)
different doctors also have different philosophies, and I'm not saying other philosophies aren't valid. In my doctor's experience, he doesn't see a true advantage to carrying triplets past 34 1/2 weeks, and sees that as that point where you start facing potential disadvantages.

This is particularly true in my case because I'm so short, have had so much difficulty controlling contractions (probably BECAUSE I'm so short), and am starting to show signs of developing pre-eclampsia. All these things point to not wanting to try to push my luck when there may be no serious advantage to keeping them in longer. This makes sense to me and my doctor's got a very strong track record with triplets (he delivers about 15 sets of triplets per year, which is more than any other perinatologist in the area, so far as I know).

It's always nice to hear about older triplets, though... it implies that someone lived to tell the tale! :)
ikrissi From: ikrissi Date: September 25th, 2007 10:52 pm (UTC) (Link)
Hi and Congrats about the babies :) I found you through a friend of a friend (ouiserboudreaux and wondered if I could add you, too? I'm a mommy of one kidlet, age 7, adopted from Ukraine in 2000 @ 4 months of age. I'm also a blogger nut and a newly converted WebKinz addict. Maybe we have a few things in common?

Krissi
http://www.krississippi.com
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