Thursday, April 16, 2009

Ommmmm OB.S.......

I haven't even wanted to acknowledge the reality of this week, but now with 3 days passed I feel I can begin to really feel what's coming up for me. Our ultrasound on Monday didn't give us the results we had hoped for. I had hoped for. In fact, the doctor who read the ultrasound said dooming news. That my cervix is completely covered, not partially, not marginally, but fully covered by the placenta. This is soooo not good. Sooooo beyond anything I'd expected to hear. What does this mean? As he put it, it's just bad luck.

And what is doubly painful is how hard it was to find this ultrasound appointment with this doctor. I'd spent all of April 1 on the phone trying to get an appointment ANYWHERE. I called the Hospital of the University of Pennsylvania, Lankenau Hospital, Thomas Jefferson University Hospital, and finally Bryn Mawr. And the only date I could get was 3 days AFTER the date the birthing center wanted me seen by. Also, I was sure that in 2 weeks not much would have changed in the realm of my placenta moving upward. So, I was becoming more comfortable with the idea that I would likely birth under obstetric care in the hospital, but NEVER did I think I would be facing a cesarean birth with no option or possibility for labor. Complete placenta previa, complete bummer...

And now the calls begin again. How do I find an OB to deliver my baby when I don't even have a gynecologist? Today, 2 full days into calls, I still don't have an appointment. I've called everyone that's been recommended to me. And what is apparent is that if you are on medicaid you aren't gonna be seen by a private practicing obstetrician. As one lady put it, there's just no money in state reimbursed insurance. She also said she would look into a place that might take Keystone Mercy and call me back, but she didn't. So if it wasn't my insurance that was the issue it was that doctors were no longer taking new patients or they weren't taking someone (me) at 31 weeks! So, I'm too far along to get the care I need! This is completely stressing me out!!!!!!

Finally, I got a helpful piece of advice. The clinic at HUP, the hospital of the University of Pennsylvania. So, I called them to see if I could be seen....sure on May 13th! Wow, that's nearly a month away! And wouldn't it be nice to know who's going to be delivering this boy a little more than a few weeks before he's likely to be born.... well, great!

I did, on the recommendation of the scheduling operator, speak with the triage nurse and she said she would speak with the doctors and see if there was anyway to get my appointment moved up to an earlier date. I explained that I had all my records and would be seeing my midwives this Friday and will then have my complete chart. So, she said for me to bring this by after my appointment and they will looks it over and perhaps be able to move my appointment up.

Soooo, maybe HUP is where I will be delivering baby Deming Bird.
That's ok... you see I can only take what I can get right now. May 13th! At the clinic at HUP.
I'm exhausted....

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