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Leaving the Doctor’s Office Unsettled…


Thursday, December 3rd, 2009 we did our normal routine of hitting up one Dr.’s office and then moving on to the next.

We first had a cervical scan at High Risk OB at Delnor Hospital with Rita and Dr. Kalchbrenner. Of course the staff was awesome and the scan proved encouraging, as Julie is now measuring at 44 and is, supposedly, sporting a cervix that even women carrying singletons would admire.
The people at HROB are dependable and you never leave feeling like they don’t have their shit together.

I wish I could say the same for Focus On Women’s new merger partner Fox Valley Women & Children’s Health Partners.

We were informed of the merger about a month ago and while at the time it seemed like something that wouldn’t necessarily impact our doctor/patient relationship too much, but now it seems like the common courtesy to “READ YOUR PATIENT’S FILE BEFORE THE APPOINTMENT” went out the window with their old business cards.

Some aspects of the merger seemed convenient, like an office about 25 minutes closer to our home, and, well, that was basically it. But the addition of a dozen new doctors into the fray makes us feel like we’re on a speeding car, sitting shotgun, and the driver keeps changing spots leaving us headed towards oncoming traffic too frequently.
It’s unsettling.

While getting Julie’s blood pressure taken and the heart rates of the bebes, the MA asked Julie when her C-Section was scheduled for.

Excuse me? What C-Section? Julie looked like she had been hit with a frying pan (not that I’ve ever attempted to hit her with a frying pan, she’d kick my ass).

The MA said it was just a routine question, but it was one we had never been asked because when we first met with Focus On Women it was determined that that would be a judgment call come time to deliver. If baby A (Leah the beautiful) was head down, we’d proceed with the vaginal birth. If not, we’d move towards a C-Section. But to hear it asked of us like we were unprepared for not having one scheduled was a bit unnerving. It seems this new practice we’ve been thrown to has a policy of ONLY performing C-Section births for multiples, no matter what. We wish we would have know there was no natural option with the new doctors.

About twenty minutes later the midwife came in and did her best to act like she had read Julie’s file, but it was clear that she had no idea what the hell was going on because all of her questions raised more and more questions from us.

We immediately ask about the C-Section issue and she goes on to tell us that the two groups have not agreed on a standard for the practice yet. “But what did Focus On Women tell you?” she asks. Julie starts talking and no sooner than a dozen words come out the midwife is interrupting her telling us where her practice stands.

Did you just ask my wife a question? Will you let her finish? We understand you are more important than us, but isn’t the purpose of this appointment to see how Julie is doing and progressing in the pregnancy not hearing your opinions on which practice’s stance is better in your non-doctor opinion? This woman seemed nice, but completely snobbish to us because we had come from the other practice.

“So you’re 29, about 30 weeks pregnant, and O negative, when did you have your Rhogam shot?” the midwife asks.

Again, what? You’re the doctor/person in charge of that. “We were told at our last visit that I would receive it or set it up at this visit.” Julie replies.

“Hmmm. We’re a bit past the cut off, but it should be alright.” The midwife spits back.

So let’s just clarify something here, our original doctor group’s doctor told us we were okay to do it at THIS visit, and you are now claiming we’ve “missed the boat” and should have had it earlier? Is this some sort of professional catfighting between original practitioners of one office who have been invaded by other practitioners and there is a bit of animosity between the two groups?

The little pauses and eyes darting back and forth and eyes rolling and audible sighs after we tell you what we’ve been told by our original doctor’s group and the constant INTERRUPTING is beginning to wear on my patience. I don’t give a flying fuck what your professional beef is, your job is to be a doctor, not a politician, knock this shit the fuck off.

The midwife added quickly, “But you have to have a antibody screen within four days of getting the rhogam shot, when was your last antibody screen?”
Don’t you have the computer in front of you? Isn’t what I think I’ve had a bit erroneous? I am a layman, I could tell you they tested my wife’s testicles for fucking asbestos! You have doctor-documented information at your fingertips and you’re asking my wife questions that we trust you to know the answer to in the first place!

The entire exchange between us and the midwife was confusing, as our original questions were kind of put to the side as she created more concerns rather than quell any.

A simple question that we both had was: who do we call when we’re on the way to the hospital in possible labor?

This completely stumped our fair midwife. She actually left the room to ask someone 30 grand below her pay grade to find out the “cheat code” to get out of the phone tree. Which is ANOTHER pain in the ass coming from a practice where HUMANS answered the phone! Now we get the pleasure of selecting one of NINE options when calling. Golly! The answer she came back was “Select the one that says make an appointment and that should get you to where you need to be, if not, labor & delivery at the hospital will call the doctor on call.”

Unreal. If your job was to make a family feel better about the impending birth of their children, you fucking failed lady.

So we left not knowing if we were going to be forced into a C-Section, not knowing exactly how to get a hold of the doctor on call if we’re on the way to the hospital on delivery day, not knowing if the rhogam shot is going to be given too late, and we left now knowing we don’t want to see these people any more.

To any doctors or midwives reading, read the file before you meet your pregnant patients. It’s respectful and necessary if you don’t want to backtrack and confuse the people you’re supposed to be inspiring confidence in.

Piss me off, that’s one thing.

Make my wife cry and I will fucking cut you.

Love,

Dad

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3 Responses to “Leaving the Doctor’s Office Unsettled…”

  • Wow. Just, wow.

    I found you through @manhattanspeak tweets.

    First of all, on behalf of all medical professionals, I want to say I’m sorry. You are ENTIRELY correct – the midwife should have been instilling CONFIDENCE in you, not confusion. There is no acceptable reason for her to have treated you that way. Whatever her excuse might be, it’s not good enough.

    Second, working in a High Risk OB clinic like the one you’ve just experienced, there is really no reason mom can’t try for a vaginal delivery. The common requirements are that BOTH babies be head down (while some doctors are comfortable with only baby A being head down) and also that Baby A be the bigger baby. (Once mom has been pushing for a while, it would be unfair for her to be exhausted and then have to start all over with a more DIFFICULT delivery.)

    Vaginal delivery is still preferable to c-section, even though it carries higher risks with twins. One of the worst case scenarios is being able to deliver Baby A vaginally, and then requiring an emergency c-section to deliver Baby B. Hard on babies, and harder on mom who now has to recover from two different deliveries.

    That being said, and please forgive me and excuse me if I’m giving you information you already know, let it be known that you have the right to have an ultrasound at the VERY LAST MINUTE before deciding whether or not both babies are head down, and what kind of delivery is planned. Let it be known that you refuse to have a c-section unless it is proven medically necessary, and not just a, “Because I said so” situation.

    Again, I’m very sorry they’ve done such a horrible job helping you through a terribly stressful and worrisome time in your pregnancy. If you have any questions, or just want a second opinion, please feel free to email me, and I will do my best to help.

    Best of luck, best wishes, and congratulations on your double bundle.
    ~Mandy (@TempestBeauty)

  • I am so glad Mandy wrote the comment above!

    I can tell you that my entire pregnancy me wanting a vaginally delivery was discouraged at every single turn (including our local mom yahoo “support” groups.) I was all, wait, what? Why can’t I at least TRY? I started researching a tons on home birthing and water birthing because I was not getting any support at all my private OB/GYN and the hospital he was associated with. I went searching for midwifes and got the same push back. I cried to my husband, “how can this be? we live in one of the biggest cities in the world and I am not allowed to have the birth of my choice?” My husb was ready to move the sofa and let me push them out in the living room. We live 5 mins from two hospitals so I knew god forbid something went wrong I’d have an out.

    My very last saving grace was a local free women’s clinic. I do not speak a word of Spanish and while their English was really limited I received not only more high risk testing but better overall emotional and spiritual attention than I did at my smantzy “you’re just a number and hello everyone has a tummy tuck with their C-Section” Central Park West OB.

    Changing practices at 32 weeks knowing full well I could go into labor any second was scary as hell. But the best decision I’ve ever made.

    Gabriel was born vaginally – within 20 minutes, 15 pushes total. The doctors made sure to hold Stella in place so that she wouldn’t turn breech. I heard her heart slowing down very rapidly and I knew she would come via C. she did, but at least I was given the opportunity to TRY.

    My recovery from the C was the worst medical experience in my life. So many things that you are never told. If you can change doctors, please start interviewing right away! I hope your wife has the birth of her dreams!!

    xoxo
    Z

  • Lori:

    I stumbled across you from my google alerts… I just wanted to echo what the previous commenters have said. You have the right to choose or refuse a c-section. You can absolutely change care providers even at 30 weeks and beyond. If this is the “care” you’re getting now, imagine what it will be like when you’re trapped at the hospital and they start the scare tactics and manipulations. My gut feeling is RUN, don’t walk from this practice. Good luck and best wishes a healthy and safe delivery for your precious babies!

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