HI ladies! Where are youuuuuu? How are you doing??
Hi Amy,
I'm so sorry your body gave you a scare last night. These things happen very frequently, and even more frequently with IVFers (because we're artificially stimulated, more than necessary). I can't recommend this enough; next time you see your doc, ask her to check your cervix. My cervix is very fragile. It changes nothing to my pregnancy, but it means it's easy to make it bleed a little. So each time I find suspect discharge, I just know my cervix must have bled a tiny bit, hence the different color, and I don't worry anymore. You've seen your baby, it was big and healthy. It would take MUCH more than a little spotting to cause him/her trouble!
Thanks for asking about my apt. It didn't go well at all, it was a disaster in fact. The baby is doing fine and it's very strong and healthy. But I grabbed my file and read it while waiting for the doctor. To make a long story short, the info I read about my prenatal tests was a bit different from what the technician had told me. My due date had been calculated as April 30th, not May 2nd. Plus I saw that my uterus was "anterior". Same as my best friend. The doctor came in and she asked why I looked angry (I wasn't angry, just annoyed). I began to explain that the due date reported there was different than what they had told me. She argued right away that it had no importance because I did IVF, and because we know the exact day of the conception, the baby measurements changed absolutely nothing. In a word, that my due date was still May 5th and not May 2nd or April 30th. That didn't make any sense to me. Why, when the fertility doc signed my official papers for the workplace, he based the due date on the ultrasound and wrote May 2nd???
And then I mentioned the placenta. She said right away that, again, it made no difference because what the technician meant when she told me it was "on top" was that it was anterior. "But then," I said, "I'll have to make sure the doc knows that if I have a C-section, because bad things could happen if the doc doesn't know my placenta is on the front." Immediately she argued that, hey, come on, she had done several c-sections in her life and she didn't need patients to tell her what to do. I started feeling really bad and I started shaking. I explained that my friend, who is a doctor and who assisted many c-sections during her training, who is also pregnant right now with an anterior placenta, told me she would make sure her doc knows that fact if she has a c-section. Because, during her training, she was at a hospital where a woman had died recently because the doc didn't know the placenta was anterior and he cut right through it. It was impossible to cauterize and the woman died on the operating table. The obstetrician was super experienced and respected, and he retired right there after that incident.
By the time I had explained that, I was shaking and crying hysterically. I just couldn't stop, it was uncontrollable. I had absolutely no idea why I reacted that way, I was joking with my husband two minutes earlier. But the doc's attitude was really problematic. She didn't listen to me and she kept contradicting me and dismissing the info I gave her, each time. It made me feel really bad. And when she saw me cry like that and didn't understand what was making me upset, she repeated, again and again, "I can't work that way... no, no it can't, I can't base my medical relationship with you that way, it won't work, it won't work, I just came back from a meeting, I arrive here this morning and... no, it can't work that way, I mean, I'm usually considered the sweetest doc in the team here and... ."

And I was thinking, "So, what, you're kicking me out? You don't want to be my doc anymore? You want me to find someone else? Are you aware we're in Quebec and I'll have a super hard time finding someone else???" So of course that made me cry even more uncontrollably.
THANK GOD the secretary came knocking at the door because the doc had a phone call. She excused herself and went out. I head her giggle and laugh with her friend through the wall, and it gave me some time to collect myself. When she came back, I apologized. I told her that we wouldn't listen to anybody else than her from now on. I reminded her that, usually, I'm an easy patient and that this won't happen again. I felt so ashamed, I wanted to crawl under a rock and die. DIE!
But now I know what happened. There's the fact that I put a lot of pressure upon myself to be a good patient. To gather and give accurate info, because I've heard my father and his wife complain all my life about their patients. I work in a hospital. I know what doctors expect, what drives them crazy, and I try to meet their expectations because I want to be treated well and to be kept informed and treated like an adult. And seeing her dismiss my comments systematically, without listening much, and all her comments "won't work that way" really made me feel bad. She could have given me some time to collect myself because it was obvious I wasn't coherent, see another patient in the meantime, and come back to me and give the consult a fresh start. How difficult would that have been???
And there's something else. It's my best friend. You remember, that friend had to go through three IUI with donor sperm before she became pregnant. She went through a year and a half of failed ttc before she went to see a doctor. And she learned only last February that her husband's sperm was the problem. So she had to adapt to a lot of stuff during that time and everything went quite quickly. There are some things in my friend's personality that really don't help her adaptation process. She's a person that is really cautious and, when she's been hurt, she won't trust easily because she protects herself 200%. Plus she doesn,t let go easily, it's her biggest flaw.
So since February, I've been there for her. I've listened to her and I tried to be a good friend. But to be honest, it was difficult for me, and sometimes a burden. it's one thing to listen to a friend, be empathic, maybe give some advice, discuss, and then have the impression that you're lifting her spirits, or helping her feel better, grow, adapt more. But with that friend who doesn't let go and protects herself a lot, I've almost never had that reward since February. Or if I had it, we had to do it all over again two weeks later because she was right back at square one, emotionally. She doesn't realize how much help she needs right now; she sees the clinic's psychologist... but it's one apt every, what, 3 months? Not nearly enough.
Take last weekend for example. We went shopping all day for baby stuff. All morning she went on and on about her worries about her husband's attitude, about the fact she isn't showing much even if she's 19 weeks, about how she feels breathless sometimes for no reason and worries despite the fact her doc dismissed it as something minor, about her anterior placenta, about her mother-in-law, about the inappropriate comments she heard from a patient and from co-workers about her maternity leave. I let her vent for hours, and I tried to be patient. But it all came down to the fact that these events and these comments tap right into her own worries and her own feelings of guilt. And that's why she just can't let go. If one of my patients was frustrated at the fact I'll be away for a year, said he understood but still found it unacceptable, let me tell you, I'd let that slide right off me. It's obvious that patient had unrealistic expectations. Just because I don't feel guilty about leaving. Not my friend.
The problem is, my friend is a family doctor, and she's still inexperienced. So when she worries about a gazillion things with her pregnancy (she started worrying the second she held a positive HTP in her hand... "OH, I felt pain in my right side last week... maybe I'm doing an ectopic pregnancy, oh no!!!"), she infuses a lot of medical facts and horror stories in her speech. And of course I hear all that, because she confides to me. Like that anterior placenta thing. And, despite the fact I've been quite relaxed with my pregnancy since the ultrasound, that info makes its way into my brain and I become vigilant to unnessary things. For example, the doc told me that you can't properly evaluate the final position of the placenta before the 20-weeks ultrasound. My friend sure forgot that fact when she worried about the nightmarish c-section she heard about.
Again, my doc jumped too fast to the conclusion when she said my friend and I were too close during our pregnancies. We don't speak every day, and we don't only talk about that. Since the ultrasound, I only babbled about buying stuff for the baby, the decoration theme, my knitting and sewing projects, and so on. Fun stuff. My friend mostly vented about her anxiety. But my doc was right about one thing. My friend will keep worrying all the way to her delivery, make scenarios and mix in a lot of distorted medical knowledge in it. And after that, she'll worry and make scenarios about the development of her child. He rolled over at x months, the norm is xx, he had his first tooth at x months, the norm is xx and xx things could go wrong at that point, he started eating this and that at this stage... and, even if I don't want to, I'll look at my own child with all the medical facts she'll throw at me while worrying, and I'll evaluate and compare our kids unnecessarily. I SO don't want that!!!
So tonight, we have a date. We'll have dinner and then we'll see the Lord of the Dance show. I have to talk to her, or I'll go crazy. I've given it a lot of thoughts, and I think I've found a good way to talk to her. It's delicate, because I still want to be there for her, and friends discuss their fears, it's okay. But venting that goes nowhere, and especially medical venting... I can't accept that anymore.
And to top all that, I finally talked to the doc about something quite intimate and delicate. And my worst fears were confirmed. It means I'll have to go through more interventions that will invade my intimacy, and I cried for two hours straight after we got the news. My husband was a bit discouraged and frustrated that we'll have yet another problem to deal with. Plus it has to wait until after the delivery. But I'm starting to feel better. I know we'll soon have a plan and things will improve. I just didn't need that now. Anyway.
So on this happy note, dear, I hope the big scare never comes back! Enjoy your weekend,
Sophie xxox
