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Q: Need Opinions About Seeing a New Doctor...
asked by: monkeygirl22 on December 10th, 2007
Extremely eHealthy
Most of you girls know what's been going on with me and the preterm labor. I am almost 32 weeks now. I had been contemplating getting a second opinion since this all started last week. I'm really torn on this issue right now so I need some help making this decision. I have been seeing my current ob for four years but this is my first pregnancy and the first time that I've really had a reason to doubt this doctor. All I saw him for before were my yearly pap smears. The first time I went in with contractions I was given two shots of terbutaline and then sent home without any meds or directions for bedrest or staying out of work. They just said to rest and drink water. The contractions started back up that same day but we didn't go back in until the next day. They tried stopping the contractions that day with procardia and it did nothing. I was given three shots of terbutaline after that and then sent home on the same medication (procardia) that did nothing for the contractions while we were there. There was still no mention of bedrest that night. I had the nurse that night call the doctor and tell him I wanted the steroid shots for the baby's lungs just in case but he told her he didn't want to give it. I called the doctor's office the next day because I felt really bad and needed to know what to do. The nurse told me that I needed to understand that I was going to feel bad with preterm labor and that I was just going to have to get through it. I told her I was still having contractions that were 3-5 minutes apart and that's when she said I needed to be on bedrest while having contractions and that if they were that close to go in to L&D. She also told me that if I ever had more than 8 contractions in an hour to go in to L&D. I did go in to L&D that night but by the time we got in the back the contractions slowed down and quit.

I called a new office today inquiring about either switching doctor's or getting a second opinion. They let me speak to the office manager. I told her about everything that happened. She was even confused as to why they hadn't given me the steroid shots and why they sent me on home on a medication that didn't work while I was at the hospital. She even said with me being 50% effaced and the nurse being able to feel the baby's head that it sounds like our little girl could be here by Christmas. She made me feel really at ease. Another thing I liked was that you don't get an automated phone system when you call this office. You reach a live person. The office manager suggested that I go in to my next appointment with my current doctor on Thursday and address all the questions I have with him. She gave me some tips on how to word them so as not to offend him. She said if I still didn't feel comfortable after actually talking with him to go ahead and call her back and she would help me get an appointment with their doctor next week.

I talked to my husband and he said he would support me if I wanted to get a second opinion. He also said though that he trusts our current doctor and doesn't think he is going to do anything to put our baby or myself in jeopardy. He thinks that since I do have a medical background and know a more than most patients that I'm freaking out a little too much and not allowing myself to trust my doctor. Sure, if I had no medical experience I might accept what the doctor says but I don't know if I would even be okay with being told that it was okay for me to have 8 contractions in an hour.

I'm sorry this was so long but I would appreciate everyone's advice. I would like to know what you would do. I'm considering calling the new office back and asking them to go ahead and make me an appointment. I can still go to the other office Thursday but a second opinion would still be nice.
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Shanyan
replied on December 10th, 2007
Extremely eHealthy
I think that you have to go with your intuition. Trust your instincts....we have them for a reason. Pregnancy and labor are crazy intense times in a women's life so you really need to have a doctor that you can trust and that you won't be second guessing everything he/she says.

It sounds to me like you have already made your choice. How long would it take to get an appointment with this other doctor?
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Idony
replied on December 10th, 2007
Extremely eHealthy
if it were me i would make the appoinment with the other doc regaurdless, i wouldnt take a chance, if you feel something is wrong id change it, to me the fact that you have experiance means you would be less inclined to freak out cause you know what is SUPPOSE to happen, if thats not happening make it happen

~alicia~
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monkeygirl22
replied on December 10th, 2007
Extremely eHealthy
The office manager said that she could probably get me in next week. That's another reason I thought about going ahead and making the appointment before I talk to my doctor so that I can get in as soon as possible.
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cln1812
replied on December 10th, 2007
Active User, very eHealthy
Go with your intuition and meet with the other doc. That's what I would do in your shoes.
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Shanyan
replied on December 10th, 2007
Extremely eHealthy
Then I would go for it. Maybe it will help you to relax a little too...just knowing that you have a second opinion and hopefully they will give you the steroid shot..just in case. It's better to be safe than sorry.

That leads me to my next question........if they give you the steroid shot and it turns out that you stay pregnant for the next 8 wks does it harm the baby in any way? I doubt that you will stay preggo for that long but I was just wondering.
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musikmaker
replied on December 10th, 2007
Extremely eHealthy
I don't think that getting the steroid shot would hurt the baby at all. I am not a medical expert anyways.

I would go for the second opinion. Maybe your dr is right but I wouldn't want to have a bad dr and then risk going too early. It's rough being in labor and you want someone that you trust on the other end.
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monkeygirl22
replied on December 10th, 2007
Extremely eHealthy
I'm doing some research on that now. From what I've found the benefits of the shot outweigh any risks. The risks are also very rare. I also found that they only give the shot up to your 34th week because after that it doesn't seem that the drugs really aid in anything. I'm just hoping I will make it to the 34th week. Everything I've read about the drugs to stop labor says that it usually stops it for a few days to a week which may be why I'm trying to start contracting again. I wish my doctor appointment would hurry up and get here so I could find out if I'm dilated anymore.
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Mommy35
replied on December 10th, 2007
Extremely eHealthy
I would get a second opinion too. For nothing else but peace of mind.
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tinkinpink84
replied on December 10th, 2007
Especially eHealthy
I would def see the other dr, they seem more concerned about you and the babies health then your current dr, sucks youve been seeing your othe rone for so long but eh things happen, gotta do what u gotta do ya know.
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monkeygirl22
replied on December 10th, 2007
Extremely eHealthy
Yeah...I'm starting to think I probably will call it quits with the current doctor after Thursday. I have an appt with the new one on Monday. I know that my sis in law had him with all three of her pregnancies, but she had perfect pregnancies with absolutely no complications. That make a big difference. Plus I just got a new reason to be mad at them. The have me on 20 mg of procardia every 4-6 hours as needed. I called for a refill today and they called it in for 10 mg every 6 hours. Looks like I might be going to L&D because I still have contractions on the 20 mg every 4 hours.
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number game
replied on December 10th, 2007
Extremely eHealthy
I would see the oter Dr. And I would DEMAND the shots! My Dr. was gonna give them to me 2 weeks before we knew I was gonna deliver, but decided he would wait till my next appointment (which is the day he did an emergency c-section). He didn't tell me about this till THAT day! So I only had the shots in me for 4 hours before Carly was here! If I would have had the shots they said the likelyhood of her being on the High frequency vent or any vent for that matter would have been next to none! So I wished I had gotten them!

There should be NO reason for your Dr. refusing to give them to you seeing as how you are experiencing PTL!
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sunshine35
replied on December 10th, 2007
New User
When I was pregnant with both of my children my doctor gave me steroid shot because she knew that I would have my children early. Both of my children came out perfect.

If you are not comfortable with your current dotor I would see the other doctor and tell that doctor what is going on. It is alway better to get checked by another doctor and nothing be wrong than something be wrong and you don't have it checked. Hope that makes sense.

Good luck
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monkeygirl22
replied on December 10th, 2007
Extremely eHealthy
I appreciate the advice everyone. I think in my mind that I'm totally done with my current doctor. He knows that I know what I'm talking about and I guess that makes him feel a little bit put off.

Rachel-that sucks about him not giving you the shot earlier. I know they want you to at least get it 24 hours before delivery. I am glad that Carly is doing so well though.
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Sandbox Party
replied on December 10th, 2007
Especially eHealthy
do whats best for U and that baby.. if u feel at ALL uncomfortable with him, go to another one.. Theres no rule anywhere saying u cant switch.. they'll forward all of ur medical records so they wont be in the dark with the previous months.. and it sounds like the new place is much better.
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tdr
replied on December 10th, 2007
Supporter
I would absolutely seek a second opinion. When my mom was pregnant with me, she was on a terbutaline PUMP and strict bed rest from mid-April 1991 to mid-June 1991, when I was born. And I was STILL born at 37 weeks!
In my opinion, you know best in this case. This links to a site I found explaining the benefits of the steroid shot for Brina's lungs and it sounds like you're a textbook candidate. http://www.storknet.com/cubbies/nicu/exrs3 .htm
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ladylee70
replied on December 10th, 2007
Extremely eHealthy
I am so glad you made an appt with another doctor. I wish the doctor could see you even sooner. When is your appt.? Perhaps they could put you on the back up waiting list as well just in case someone cancels.
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monkeygirl22
replied on December 10th, 2007
Extremely eHealthy
I have an appointment with my current doctor Thursday. I made the appointment with the new doctor for Monday so I would have time to make my decision about switching.
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Katrinadoodle
replied on December 10th, 2007
Extremely eHealthy
Well good. And even if you decide to not switch, having a second opinion is always nice too.
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