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We Are Not Amused

Not even a little bit.  Not a hint, not a smidge, not an iota.  Not even the vaguest whiff of a stray ester floating down the breeze.

I'm scheduled to be induced.  Unhappy?  Oh my, yes.

I'd feel better about this if I felt like I knew where the line is between "we're terrified of malpractice suits and hen-pecked by the hospital legal staff so we're going to push this so that we can say we took all the appropriate precautions" and "we're really legitimately concerned and this is our honest recommendation as professionals."  But I don't have the knowledge base to see the line through the murk, so here I am.  Taking what I hope are appropriate precautions and being VERY unhappy about it.

It was Dr. "don't be a wimp, you're pregnant, suck it up and wait it out" Walsh who was pushing it, so I feel a little more confident in the degree of medical necessity.  But not enough to feel good about it.  I mean - if she were actually done, I'd be in labor, right?  Ergo, no labor - not done.

I loathe this, and therefore I'm going to end up going into it with an extremely bad attitude.  Oh well - these last eight months have been emotionally the most miserable of my life, so I suppose it fits.  Kind of like the line from Zathras: "Very sad life.  Probably have very sad death.  But at least there is symmetry."

Grumpy.  Very, very grumpy.  AND my father is insisting on picking up the laptop tomorrow to try to fix the cursor drift problem.  Not that I don't appreciate it, but it couldn't wait a week?

Did I mention that I have to go in for this little horror show at 5:30 AM?  And that I'm not supposed to eat or drink anything after 10:00pm the night before?  Why not just say "we're only going through the motions and we're already planning the c-section?"  At least be honest about it.

Oh, and the library isn't ready for Mom (who has already been ALL over me about how much worse this is going to be,) because apparently the only sense of urgency around here is mine.  We don't have a pediatrician.  Ditto.  Childcare?  Don't get me started.  I'm sure that logic will dictate that I handle all of these things the day we get home from the hospital.  After all, I'll be home with all this time on my hands...

Be impressed that I'm not on here exploring the outer limits of my vocabulary for modifiers.  Be very impressed.

Cranky?  You bet your bippy.  Expect it to last for the next few years.

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Comments

( 36 comments — Leave a comment )
jdulac
Sep. 16th, 2008 03:24 am (UTC)
5:30 in the morning might seem hellish, but it is really best to get the hospital staff when they are fresh, and you aren't the 19th case today, and everyone is backed up and crabby... really, it is.

it will all be over soon enough, and then you can get on to the rest of it :)
kls_eloise
Sep. 16th, 2008 11:53 pm (UTC)
Believe me - after dealing with me at 5:30, the hospital staff will be crabby...
kamau_d_lyon
Sep. 16th, 2008 05:49 am (UTC)
Thoughts and prayers are with you. I hope all goes well.
kebbykate
Sep. 16th, 2008 02:15 pm (UTC)
It may not be ultimately terrible...
They don't f*** around with pre-eclampsia and that's for good reason. You're going to get through this and you're going to have a baby at the end. Keep your eyes on the prize!

Now, this is how it worked for me...I went in when the office (high-risk OB) at Hartford Hospital opened for the day and they stuck a vaginal suppository in to "soften and ripen" my cervix. (A nectarine, I was a nectarine!) I sat around, with the occasional non-stress test thrown in to keep me awake, reading magazines and twiddling my thumbs until a little before 4 p.m. when the office closed (Actually, they even let me get up and wander around for a while at lunch time. I bought stuff at the hospital gift shop.) Then they moved me in to the hospital proper on the GYN (as opposed to OB) floor. Not long after I was settled in there, Casey's mother showed up (unasked, uninvited, unwanted) "to keep me company" and not too long after that labor pains started. (Coincidence, I think not.) So then I got moved to Labor and Delivery and eventually she came. (I won't tell you about that part. Yet.)

Good luck and my sympathies.
kls_eloise
Sep. 16th, 2008 07:27 pm (UTC)
Re: It may not be ultimately terrible...
No they don't, and "death" is a very compelling reason.

I go straight to labor and delivery, and I have no idea *what* the procedure is. I figure that if they want me to sign anything, someone needs to run through it for me first. That usually gets their attention. :-)
Re: It may not be ultimately terrible... - kebbykate - Sep. 16th, 2008 09:27 pm (UTC) - Expand
Re: It may not be ultimately terrible... - kls_eloise - Sep. 16th, 2008 11:55 pm (UTC) - Expand
ladypeyton
Sep. 16th, 2008 02:34 pm (UTC)
I mean - if she were actually done, I'd be in labor, right? Ergo, no labor - not done.

Not necessarily. Once the baby hits the approximately 2 weeks late point the risk of merconium in your amniotic fluid increases exponentially and merconium causes lung problems.

Laura was induced at 2 weeks late to the day (we had a very solid conception date) and they found merconium. She needed nebulised albuterol treatments for the first 6 months to a year after she was born and she still gets periods of hacking coughs. In fact she's in one right now that kept me up all night listening and wincing.
kls_eloise
Sep. 16th, 2008 07:28 pm (UTC)
Hmmm. Point well taken. On the other hand, this is early. Not by much, but it IS early.
(no subject) - ladypeyton - Sep. 16th, 2008 07:49 pm (UTC) - Expand
hugh_mannity
Sep. 16th, 2008 02:53 pm (UTC)
How close are you to your due date? If you're not real close can they put it off a day or two?

If you really don't want the induction, you can always get a second opinion. But they'll probably tell you the same thing and asking for a second opinion gets you branded a "troublemaker". (Don't ask how I know that!) They also get snippy if you ask them what the *actual* risk to you is, as distinct from the *relative* risk for the general population.

There's a huge amount of "ZOMG!!Malpractice!!!We'reallgonnabesued" in Obstatrics. They're terrified that if you or your baby come out of this at less than 100% you'll sue them into the ground (and they pay massive premiums because other people have sued other OB/GYNs).


Also -- check the "don't eat or drink" thing. Unless you're prepping for surgery, the last thing you need is to be dehydrated. Even if they think you'll need a section, it's unlikely to happen before the afternoon and you'll have had plenty of time to digest breakfast by then.

Question Authority! They have a protocol that they work through by rote and not all of it always applies, so question everything that doesn't appear to make sense. They'll hate you, but you'll be happier.
kls_eloise
Sep. 16th, 2008 07:34 pm (UTC)
It's five days from my due date. He allowed as to how they had appointments on Monday and Tuesday, but it obviously made him very unhappy. And from a purely financial viewpoint, going in on Friday means two days of pay that Bob doesn't lose. That's huge in our household.

I'm not screaming for a second opinion because I basically do understand the problem, and preeclampsia is nothing to mess with. The blood pressure, while up and down is showing a stead upward trend, as is the protein count. Those aren't good things, and he's quite likely correct that the upward trends will continue.

I feel for doctors in Obstetrics. Everyone whose baby/experience isn't perfect has an ambulance chasing lawyer on tap, and no one will accept that sometimes things really do Just Happen.

He was really, really clear about the no eating or drinking, which is one of the things that's got me down. That sends a very clear message to me about how *they* think this is all going to go down. On the other hand, I'm going to make them explain *everything* to my satisfaction before I sign *anything.*

You know what they really hate? When you sit down and read the paperwork they shove at you. Eight years in the legal department. I'm reading it. I don't care if it screws up their schedule.
(no subject) - hugh_mannity - Sep. 16th, 2008 07:46 pm (UTC) - Expand
(no subject) - kls_eloise - Sep. 17th, 2008 12:00 am (UTC) - Expand
pippagrey
Sep. 16th, 2008 04:21 pm (UTC)
Can't blame you; Katy was post due date without and they wanted to schedule an induction. I got them to hold off since there were no problems and she showed up on her own time. But she was definitely "done" and we had meconium in the waters.

With pre-eclampsia you're in a whole 'nother ball park, and from my basic reading the risks of inducing would appear to indeed be far less than the risks to both you and the baby of letting the pregnancy continue. So I'd go with the induction and be happy. Remember the whole point of the exercise is to come home healthy with a healthy baby. The exact details of the journey to that point aren't really important.

If it wouldn't be prying too much (just ignore me if it is) what led them to this decision, and when is this scheduled for?
kls_eloise
Sep. 16th, 2008 07:36 pm (UTC)
Rising blood pressure, rising numbers for protein in urine, truly impressive edema. Also, technically full term.

That would be Friday.
pippagrey
Sep. 16th, 2008 04:25 pm (UTC)
Also, when you get home afterwards, if you and your mother need help, or a break from each other, call someone!

Re: pediatricians. Your OB's office might be able to recommend a practice convenient to your house and/or work. You don't have to stick with them if you decide you don't like them after the first few appointments.
kls_eloise
Sep. 16th, 2008 07:37 pm (UTC)
The practice they can recommend is the one that attends at the hospital. They're in West Hartford, which is convenient to nothing. On the other hand, I just got another recommendation for one of the two that we're looking at.
Suggestions - kebbykate - Sep. 16th, 2008 11:21 pm (UTC) - Expand
Re: Suggestions - kls_eloise - Sep. 17th, 2008 12:02 am (UTC) - Expand
galingale
Sep. 16th, 2008 08:51 pm (UTC)
And then there's what happened to me... scheduled for induction on Thursday, but Monday I had to skip work because I just didn't feel well. And I didn't realize until my water broke that --hey-- I'd been in labor for some indeterminate period of time.

Do remember that "don't eat" is because of the epidural itself--which you may also choose w/o a C-section.

And I can testify that food + epidural can cause unpleasantness. Unless you want to ask for details, that's where I'll leave it.

You're almost there--yay! I bet you can hardly wait to meet that little girl!
kls_eloise
Sep. 17th, 2008 12:05 am (UTC)
I'd believe that the "don't eat" was for the epidural if anyone had ever discussed pain management with me. I've got a whole list of things that have never been discussed:

Pain management
How to tell when I'm in labor
When to call the doctor

Heck, I get six weeks of leave unless the doctor doesn't clear me - and my post-partum appointment is seven weeks out.
(no subject) - kebbykate - Sep. 17th, 2008 03:31 am (UTC) - Expand
(no subject) - pippagrey - Sep. 17th, 2008 01:25 pm (UTC) - Expand
(no subject) - kls_eloise - Sep. 17th, 2008 03:53 pm (UTC) - Expand
(no subject) - pippagrey - Sep. 17th, 2008 04:09 pm (UTC) - Expand
(no subject) - pippagrey - Sep. 17th, 2008 04:10 pm (UTC) - Expand
(no subject) - kls_eloise - Sep. 17th, 2008 10:50 pm (UTC) - Expand
(no subject) - kls_eloise - Sep. 17th, 2008 03:48 pm (UTC) - Expand
zfarcher
Sep. 16th, 2008 10:25 pm (UTC)
*Hugs*
kls_eloise
Sep. 17th, 2008 12:05 am (UTC)
Thanks hon. I'm not trying to be unreasonable, I'm just cranky.
isabeau_lark
Sep. 16th, 2008 11:34 pm (UTC)
Honey, not to belittle your absolutely, totally real frustrations and anxieties. You know me better than that. Just remember...I'd give absolutely anything to be in your position right now. You're living a dream some of us have had to abandon, even though it's the one nearest and dearest to our hearts.

I'll be thinking of you Friday morning and waiting for Mush-for-Brains to call me with the good news. Of course, I'm assuming he's on the contact list.
kls_eloise
Sep. 17th, 2008 12:07 am (UTC)
I understand completely.

"waiting for Mush-for-Brains to call me with the good news"

For one brief, shining moment I truly believed that you meant my husband... Yes, he's on the contact list.
(no subject) - pippagrey - Sep. 17th, 2008 01:27 pm (UTC) - Expand
(no subject) - galingale - Sep. 17th, 2008 05:07 pm (UTC) - Expand
pippagrey
Sep. 18th, 2008 07:24 pm (UTC)
In case you get to read this before tomorrow morning - may everything go quickly, easily and painlessly for you, and we look forward to hearing good news soon!

( 36 comments — Leave a comment )