Archive for the ‘appointments’ Category

Check Up
March 19, 2008

This is a TMI post… you’ve been warned.

I met with the surgeon yesterday so she could check on everything.  We found out that it was a good thing I chose to be put out completely.  Because the size of the abscess was so much larger than she thought, and because of the depth, she would have had to stop surgery and have them put me under in order to continue.  Crazy.

She removed the drain’s (extremely painful!) and looked at the incision.  She’s worried about how much milk is leaking from the incision area.  She tried to cauterize the area so that milk would not get into it but apparently it didn’t work very well.  I must admit that it’s pretty gross to change the pads and constantly have them be pink from the blood tinted milk that is seeping out of the wound.  She pushed on it yesterday and drained a ton before re-dressing the area.  If it doesn’t stop in the next couple of days I will have to stop pumping on that side so that the wound can heal.  I am debating if I should continue pumping on the other side or just call it quits.  JD is already being supplemented with formula and at what point do I decide to stop?  I’m not excited about having to stop while I have an open incision.  Engorgement would take on a whole new meaning, and I’m not thinking the pain would be fun either.

The surgeon also talked to me about getting a breast reduction.  She gave me the names of two plastic surgeons and once I stop pumping I’m calling them ASAP.  I’m so sick of my chest calling me pain and I am anxious to get a reduction.  I have a million questions to ask, How soon can I have it done?  How much will insurance cover?  Recovery times?  etc.

I still have to blog on my other blog so I hope you’ll forgive the short TMI post!   Oh here’s a picture…it’s going to be one big scar…  😦

incisionafter.jpg

Advertisements

Pregnant and Modest?
January 22, 2008

I’m a pretty modest person.  I don’t even like being fully undressed in front of Jeremy… so child birth was quite the experience.  By the time JD was born I didn’t care who was watching what.  Jeremy didn’t want to watch the actual birth, and I’m really kind of glad because now that I’m starting to heal my concern about who saw what is coming back.  He did however catch a glimpse of the doctor stitching up the episiotomy.  I think he is still having nightmares about it.

Between birth, the fact that I had a catheter in that they had to check every few hours, and that I was on Magnesium Sulfate for 48 hours (making me a bit loopy and often requiring extra help)  I had to learn not to be shy about a nurse checking things out, pushing and prodding.  I’m glad I’ve gotten some what used to it because now I have to deal with breast feeding and having a nurse help and watch with that.  Because JD is in the Level 2 Nursery NICU unit they monitor his feedings closely.  Checking to make sure he’s getting fluids, he’s “latched” properly, and I’m doing ok.  I still have my moments of self consciousness and it will be hard to adjust to feedings at home where there are people around and trying not to let it get to me.  With the nurses I figure they see it all the time and if I accidentally flash them (easy to do being so big chested) it’s not a big deal.

Today I had an appointment with my Cardiologist.  They are concerned about my massive swelling that has yet to go away.  If it’s not gone, or at least starting to get better in the next couple days they are going to start me on some Diuretics to get rid of the fluid and do a heart echo immediately.  The concern they have is that if it’s related to my heart and not just because I gave birth then it’s a sign that the labor weakened it more.  Good news is that excess swelling is common after birth in many women so that’s why he’s waiting the few days.  He is also having me weigh myself daily to see if there is excess gain due to retaining the water.  I am still going to be on the beta blockers till at least 3-6 months post delivery.  They will start doing heart echo’s then (unless they have to sooner because of the water retention) to make sure that I’m back to normal function.  If I am then we will get the green light to have more children later down the road (much later if you ask us).  With the next pregnancy we would do a heart echo before trying to conceive and then continue them throughout the pregnancy to make sure that the Cardiomyopathy doesn’t resurface, and so if it does it’s caught early.  So I guess in 6 months we’ll know the “are you gonna have more?” answer.

DilationYAY!
January 14, 2008

I know I’m only 35.5 weeks and all but I was so worried I’d go in today and find out that I was not dilated at all and walk out with a c-sec date.  I still hadn’t made up my mind what way to go, and I still want to talk to my Cardiologist about what he thinks.  GOOD NEWS:  When my OB checked me I was already 2 cm and 70% effaced.  That’s SO much better than I was thinking it would be.  I’ve been giddy the rest of the night.  It could be the Percocet they gave me for a 2 day headache I’ve had… but whatever.

The skinny on the Preeclampsia is that I was JUST over the protein level for Pre-e and so for now they are just watching me (still) and I may have to repeat the 24 hour urine collection again at the end of the week (4th time, I’m going for a record I think).  My BP was a bit high so I was sent to L&D after my appointment for yet another NST, some bloodwork (to check kidney and liver function) and to monitor my BP.  He wants me back in Wed and Friday for NST, that means I now have something everyday.  Bedrest, whatever dude.

Tomorrow I head into the Periantologist.  I am excited to see how big Uno is now, if he’s still measuring ahead 2.5 weeks.  The OB’s also want me to get her opinion on when I should be induced.

No Surprise For Me
January 11, 2008

So much for wondering when I’ll go into labor, because odds are really good that won’t happen before I’m 38 weeks and the doctor told me today that I will NOT be able to carry longer than that.  I’ve been on the fence about asking if they will just let me go till Labor starts or at least 40 weeks but today I was told that there is no way I will be able to go past that 38 mark.   They will start checking my cervix on Monday.  If I stay closed and it looks like my body isn’t going to prep itself for a normal delivery then I will opt for a c-section.  I will be put on some extra medications during labor for my heart and when you add pitocen to that it’s like one drug helps start labor and one stalls it so it’ll increase my chances of having a c-sec by 5x anyway.   Dr. Melendez said the choice on schedueling to be induced or c-sec is up to me and was fine with me waiting to make the decision.  I figure once they start checking me it will help me decide either way.  I plan on talking to my Cardiologist about it next week as well as the Perientologist to gather their insite and advice.  If you had a choice between a c-sec and natural birth what would your choice be?  Anyone out there had both?

I get to repeat the 24 hour urine test.  He was so funny when he told me.  I think he knew how THRILLED I would be to have to collect urine for the 3rd time this pregnancy.  I also go in 2 times a week for NST (nonstress tests) now starting tomorrow.

Next week is my perfect storm:

  • Monday: Normal OB (start checking cervix)
  • Tuesday: Perientologist (Big ultrasound to check Uno)
  • Wed: NOTHING?!?  Maybe NST
  • Thursday: Cardiologist and Normal OB
  • Friday: Nothing?  NST?
  • Saturday: My Baby Shower!
shower.jpg

All my doctors in one week, so fun.  I am getting excited for my shower on Saturday, it’s what will keep me going the rest of the week.  Steph, Trish and Mom are putting it all together.  It’s the only one we are having so it’ll be fun to see people I haven’t seen for a while.  Glad I’ve started to feel better towards the end of the pregnancy (yay for good medication!)  If you haven’t gotten your evite (via email) just let me know and I’ll pass the info on to Steph.

37 Weeks
January 4, 2008

No, I am not 37 weeks along (34 weeks) but today we talked to the OB and they may be inducing/c-sec the baby at 37 weeks.  To me that’s better than 36 weeks, but it’d be nice if we could hold out till 38.

On top of going into the OB apparently I was supposed to be going to the Hospital and doing non-stress tests on the baby once a week.  Oops.  We went in today after our appointment and Labor and Delivery was so full that all the triage rooms they normally use were being used.  After waiting for a while they put us in a normal room (so much nicer) and Jeremy got to watch TV for an hour while they chatted with me and monitored the baby.  The nurse was funny and asking me all kinds of questions about Cardiomyopathy.  She had apparently watched Beaches and asked me if that’s what the woman in the show died from.  I told her I wasn’t sure.  I came home and googled it and sure enough, thats what killed Barbara Hershey’s character.  I told her that even if that’s what it was the medication and monitoring now days is really good and it was caught early for me so hopefully we can avoid it getting worse or needing anything crazy like a transplant or a pacemaker.  I feel like it’s probably good that I’m educating one nurse at the Hospital each time I go in.  It’s a constant reminder that they don’t know a lot about the condition with Pregnancy.

More Medication
January 3, 2008

I met with my cardiologist today and he has doubled my heart medication.  My blood pressure has been climbing very slowly and my resting pulse is hanging out around 100bpm, it’s not too bad but on the meds it should be much better.  The big drawback I’m worried about is that the higher dosage of medication may make me even more tired.  I already feel like I have NO energy and sleep as much as possible.  I go back in to see him in 2 weeks to check on how things are progressing with my heart.  He shared the same concern about the Pre-eclampsia that the OB’s are worried about and seemed glad that I was going in to see them twice a week.  He made a comment about having me deliver no later than 38 weeks if things don’t seem to get better.  That is only 4 weeks away, and while I’d love not to be pregnant anymore there is still a lot to do before we have Uno.  All in the Lords time I guess.  I’m not even sure if he’s breech still.  I plan on asking the OB tomorrow when I see them.

On Monday the OB that I saw (it’s a practice, I see 5 of them and love them all) said they would discuss my “options” at 36 weeks.  I’m now confused if he meant that at 36 weeks they would talk about the labor and what not, or if they are going to give me options to actually deliver at 36 weeks (uh, only 2 weeks away).  Mom thinks he meant delivery at 36 weeks but I’m not sure.  Just another thing to ask about tomorrow.

Other fun pregnancy news, the sciatica seems to be coming back off and on.  I can also tell my hips are starting to get ready to give birth because they hurt a lot.  All the muscles seem to be getting prepped.  Emotionally I am ranging from fine to crazy lunitic woman.  I also seem to have lost my kindness filter.  I am SO SORRY to anyone I’ve offended recently.  Good thing I have no energy and stay in bed all day I guess or that list would be much longer.

Just think, soon you’ll all be able to see my little Uno!  We prayed so much that we’d make it this far, and now we have.  It’s an amazing feeling.

Weight Loss
January 1, 2008

I had an appointment with my OB yesterday.  I lost 4 pounds since the last visit (a pound a day?) I’m assuming its just water weight and I was actually shocked I hadn’t gained because I’ve been swelling a lot more.

The baby sounded good and they are still wanting to see me twice a week. I took in the Blood Pressure results I have kept since the last appointment and they are thinking the Cardiologist may up my medication since the numbers are still staying high.  We will see on Thursday when I meet with the Cardiologist.

The Doctor joked about how his mom is “trying to die” in the hospital right now and her EF % is better than mine.  I laughed, but deep down you just don’t wanna hear stuff like that.  Mom and I just laughed it off.   I just haven’t been feeling great the past few days so I’m a bit moody.  Sorry.

Christmas Miracle
December 26, 2007

 I went to the Doctor today and he didn’t send me to the hospital to get monitored!

I have to share with you all that after the last few times of being in the hospital without thinking I would be I have learned and developed a routine.  I make sure to shower, shave and eat before I go.  I know it doesn’t sound like a big deal but when I was admitted last Sunday after being in the ER I hadn’t eaten since that morning.  Jell-o at 2am was a treasured delight!

Anyway, back to the appointment.  I was so excited.  The doctor told me to continue to keep an eye on my blood pressure.  The reason they want me checking it so often is because they are worried that I’ll develop Preeclampsia and it will be missed because the beta blockers are “masking” my blood pressure.  If that makes sense.  Apparently if my bottom number (Diastolic) stays above 90 for a full day to let them know ASAP.  I’m not too worried about them missing anything since they have decided to see me twice a week.  Mondays and Thursdays.  I’m SO glad that they wait is never that bad, and we live so close to the office and Hospital.  I even went in 30 min early today and was out of there before my normal appointment time.

I did gain 6 pounds in the past week.  HOW ON EARTH?!?!  I know I’m pregnant but it took all I had in me not to burst into tears right then and there.  Especially eating low sodium icky food most days.  Doctor said that it could be water weight, and that it is Christmas.  I laughed at him and said it was dumb.  Uno once again decided to play hide and seek with the Doctor.  Dr. Melendez (one of my favorites, saw him today) said he’s a stinker for always hiding from them.  I agree, I’ve told Uno it’s not nice, but he doesn’t listen.  I also had a bunch of contractions over the past two days and I asked him about that.  He said I wasn’t having enough to warrant concern.  I had assumed this was the case, that’s why I just waited till my appointment to ask.  He said if I go into active labor in the next 8 days they will do their best to stop it.  However, if I go into labor after the next 8 days then they will just let me go.  Could you even imagine?!  Geepers.  I’m thinking little Uno is comfy and not planing on coming out in January, so don’t start to worry.  I am also trying to do a better job at staying down after doing a lot more than normal during the Holiday weekend.

Heart Update
December 10, 2007

I just posted a large update HERE on my other blog.

I don’t really have the heart (ha ha, pardon the pun) or the energy to post more here right now.  I love you all.

Check Up
November 28, 2007

The doctors appointment today went well.  I maintained my weight from last week (even after Thanksgiving).  All the tests they ran last week came back with no abnormalities.  YAY I’m normal.  The doctor told me to stay down like I have been since it is helping my blood pressure and wants to see me every other week instead of every week unless I start having a lot of problems again.  Jeremy and I were happy to agree.  Since it was the specialist that actually wanted me to be seen weekly I wonder if she’s gonna tell me I still have to go in weekly when we see her.  I still have to have the heart echo and wear the 24 hour heart monitor but I’m thinking everything will be fine.

prodshot_max_strength.gif

I talked to him about my heartburn also.  Told me to start trying a combination of meds like Tums, Pepcid and Mylanta.   I started off this morning with a pepcid and then after breakfast heartburn started I tried the Mylanta.  It made me gag going down but it helped instantly!  I found a Mint Chocolate Chip Ice Cream recipe online that uses Mylanta.  Now wouldn’t that be a good way to take it!  Wonder if it helps relieve the heartburn or not?  Anyway today has been good.  I even had some Dorito’s for lunch and no heartburn since the Mylanta.

icecream.jpg

Anyone wanna test the recipe with me?!