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Still OB-less - Karen's Musings
Random Rambling
Still OB-less
I saw a new OB today, who is (as it turns out), not certain he's comfortable taking me on as a patient at this point in my pregnancy. "It's a lot to take on." He can (and does) handle patients who have hyperemesis, or patients at increased risk for PTL, or patients with underlying medical conditions, etc. But rolling them all into one patient. Well, it is a lot to take on.

He's going to talk to the perinatologist tonight or tomorrow and let me know what he thinks I should do.

Honestly, it's all extremely disconcerting. If he won't take me on, I have little faith that I'll find another OB willing to take me on. The one bright side is that I think when he talks to the perinatologist, he's going to push for him to just take me on directly. That would certainly make things easier.

I'm seeing the perinatologist, Dr. P. on the 18th. I hope to have this issue resolved long before then, but if not, I'll talk to him again to figure out what to do, and see if he'll just take me on.



8 comments or Leave a comment
mindycl From: mindycl Date: December 8th, 2009 02:59 pm (UTC) (Link)
I dont understand why youre not going ot the peri for OB care. Or go to anothr Maternal-Fetal medicine specialist.
arosoff From: arosoff Date: December 8th, 2009 04:27 pm (UTC) (Link)
Some just don't do that, and Karen's mentioned that her MFM rarely does sole care because he's so busy. I've been told I'll probably require MFM consult next time, but I know that both MFM practices here (1 at each of the 2 main hospitals) only take patients by referral and only do sole care when the referring OB transfers.

FWIW, you do seem like this would be the best situation for you... but it's not easy when your OB pulls an idiot move like this!
kalki From: kalki Date: December 8th, 2009 05:12 pm (UTC) (Link)
That's interesting to know that. I appreciate the explanation b/c I wondered the same thing. I saw a MFM solely from the beginning (ivf, twins and a LEEP procedure done on my cervix in the past) and it's a good thing too. But I wondered why they didn't just take her on solely to begin with. I figured I just missed the explanation :)
estherchaya From: estherchaya Date: December 10th, 2009 12:04 pm (UTC) (Link)
MFMs here typically only take patients directly under extraordinary circumstances (triplets, for example). For me - not a single ONE of my issues is too complex for an OB to handle with concurrent care with the perinatologist. However, it seems that putting it all together into one patient is just too much for typical obstetricians to deal with appropriately.

I plan to talk to the perinatologist when I see him again on the 18th for a cervix check.
estherchaya From: estherchaya Date: December 10th, 2009 12:05 pm (UTC) (Link)
Right - what you said.

As for being the best situation for me - yes, it would be. I just have to get the perinatologist to agree to taking me on. sigh. I'm fairly certain he'll do it - his practice delivered my triplets. But I didn't want to ask if I didn't have to, because I know there's a reason they don't take on a lot of patients - they just don't have the time.
estherchaya From: estherchaya Date: December 10th, 2009 12:01 pm (UTC) (Link)
almost none of the MFMs in this area take on direct patients. They do concurrent care. The exception is triplets/quads/dodecatuplets and situations like that.

Up until now, it wasn't urgent enough that I be seen directly. However, since I'm having such a hard time getting an obstetrician to take me on at this point in the pregnancy, I may not have much choice. I see the perinatologist on the 18th for another cervical check in light of all the contractions I'm having. When I see him then, I will ask him to just take me directly.
From: atimesif Date: December 8th, 2009 06:38 pm (UTC) (Link)
Good luck! Is this tagged #5 - as child #5? :)
estherchaya From: estherchaya Date: December 10th, 2009 12:01 pm (UTC) (Link)
yes, that's the reason for the tag. Thanks for the well-wishes.
8 comments or Leave a comment