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teachingmyown
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| Posted: Sept 20 2007 at 12:03pm | IP Logged
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Any of you other grand multips a bad OB patient? I just don't feel like following the "plan" this time around. 
As it is I spread out the time between my last two appointments to 6 wks instead of 4 wks. Then, my appointment was too late in the afternoon to do the GTT, so they told me to come back within the week to do the test. That was two weeks ago! 
I was planning on going this afternoon when my oldest gets home to babysit. But I am debating it because I know it will be at least 2.5 hours of my time. I am rationalizing, looking for reasons not to go. I haven't had GD with any other pregnancy. Does it need to be done now and not in two weeks? Maybe I can just put myself on a GD diet until I get in there next to take the test.
Am I alone? Does anyone else just lose patience with going through the hoops? I certainly would never do anything to endanger my baby. I am just tired.
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Molly
wife to Court & mom to ds '91, dd '96, ds '97, dds '99, '01, '03, '06, and dss '07 and 01/20/11
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Maryan
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| Posted: Sept 20 2007 at 12:16pm | IP Logged
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 I definitely stretch appointments out!! Going with four boys is not fun and finding a sitter for EVERY appointment is a pain, so stretch we do too!
I did have GD with first, so I do those one hour tests (actually I "get" to do two!!). But I joked with the technician that I REALLY would need insulin if I failed a one hour sugar test, after drinking a drink, hauling in four boys, watching them in the waiting rom, etc. If that didn't burn off extra sugar, I don't know what will!!
But I do jump the noninvasive hoops -- but golly they are a pain!
ETA: Although I'm not a grand multip!! By the time I get to 8...
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Maryan
Mom to 6 boys & 1 girl: JP('01), B ('03), M('05), L('06), Ph ('08), M ('10), James born 5/1/12
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MarieC
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| Posted: Sept 20 2007 at 12:21pm | IP Logged
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I, too, am a "bad OB patient".
My midwives are about an hour away and I stretch the gaps between appts. I have found that they've even been ok with it when I've asked about waiting longer. Sometimes I just tell the scheduling person that I can't come and push the appt. further out.
I've been blessed with healthy pregnancies and babies and easy deliveries. I think the stress of making it to the appt. as well as the dangers of repeated long trips is more detrimental than not getting weighed and having my urine checked.
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Marie
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Lisbet
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| Posted: Sept 20 2007 at 12:39pm | IP Logged
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I would be an ob's worst nightmare!
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Lisa, wife to Tony,
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Mark, 5
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chicken lady
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| Posted: Sept 20 2007 at 1:05pm | IP Logged
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Lisbet wrote:
| I would be an ob's worst nightmare! |
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I am!!!
I refuse those GD test. Even the midwives that I ahd to use connected to a hospital find me "challenging". They go along with me, as they can tell I am not being irresponsible. But I can tell I push the envelope  So now I just stick with my original Amish midwife!
You have my prayers today, be strong!!!!
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Elizabeth
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| Posted: Sept 20 2007 at 2:01pm | IP Logged
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I don't do the GD test, either. But I do go to appointments on time. I like them . It's nice to see my midwife and chat a little. I even like the waiting room and a chance to read. But I haven't had to take my little ones with me in a long while.With the GD thing, I put myself on the diet and then I keep track of my blood sugar for a week. I bring that chart to them at 24 weeks. Then, we agree that I will check fasting every day and keep track if there's a blip.The information is useful to me. The GD drink is not useful...
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Elizabeth Foss is no longer a member of this forum. Discussions now reflect the current management & are not necessarily expressions of her book, *Real Learning*, her current work, or her philosophy. (posted by E. Foss, Jan 2011)
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teachingmyown
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| Posted: Sept 20 2007 at 2:04pm | IP Logged
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So, Elizabeth, what is the diet? And do you just have a monitor from the drugstore? This sounds more productive than going in for the test.
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In Christ,
Molly
wife to Court & mom to ds '91, dd '96, ds '97, dds '99, '01, '03, '06, and dss '07 and 01/20/11
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Maryan
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| Posted: Sept 20 2007 at 2:35pm | IP Logged
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Molly --
Here's my two cents on the diet -- which I think is great! I never felt better than when I was on it with my first son. I too automatically put myself on it at 7 months when my sugars are most likely to be a problem.
Most endocrinologists cater your diet to your blood tests results, weight, etc., so they know how many calories a day you should eat. Frankly, I had a hard time eating THAT MUCH FOOD.
In general, this is the diet-only type plan:
- 3 meals and 3 snacks (one in the evening)
- at least two hours between meals and snacks but not more than four
- no fruit at breakfast. No fruit juice. Fruit as a snack? Include a starch or milk.
- no simple sugars (aka no coffee with sugar) 
- Evening snack should include a protein
Here's what my day was like:
Breakfast: Egg/toast and butter/Milk
Snack: Fruit and milk
Lunch: Turkey & Cheese sandwich with mayo on wheat/fruit/string beans/milk
Snack: Fruit & milk
Dinner: piece of chicken, piece of wheat bread with butter, salad, veggie, milk
After dinner: Bowl of cereal OR graham crackers with milk
Doctors personally set different blood level goals for each patient for various times of day. For me, I think fasting I couldn't be above 90 and after meals -- around 120?
Also, I had a prescription for my monitor, so I don't know how you get one without a prescription.
Sorry so long -- but I have this on the brain since I'm 24 weeks and at 28 weeks I switch to this!!
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Maryan
Mom to 6 boys & 1 girl: JP('01), B ('03), M('05), L('06), Ph ('08), M ('10), James born 5/1/12
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Aggie gal
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For the last two I was a *bad* OB patient. That really pushes the military doc's buttons. From the Triple Screen to the GD test, I'm a "No thank you" kind of gal. I am more careful with my diet during pregnancy. For some reason it has always been easier/more enjoyable for me to eat very healthy during all of my pregnancies. Heck, I even like to, and do, excersise more. (Weird, I know...)
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doris
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I think I would like more appointments, not fewer!
Here in the UK I've been seen ONCE (for booking in, dating scan and blood tests) and I'm now at 21 weeks. I'm having my 2nd scan next week and an appointment with the midwife, and then roughly once every four weeks after that.
I think they've scaled down the number of times mothers are seen here. The powers that be have done research into which appointments are really effective/necessary and found that they just don't need to see us particularly often.
They don't do a GD test here unless you've had problem in previous pregnancies. Fine by me...
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Martha
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My ob actually knows and likes me and still hates me has a patient. We both figure it'll knock some purgatory time off for both of us.
I hardly do anything they ask. Pee and get on the scale every 6 weeks or so, 2 ultrasounds (1 ea for 2nd and 3rd trimester) that's it. I might let them do a pelvic once I hit my due date.
I do go in VERY frequently in the early stages because of my HMG sickies, but that's not even really an ob appt. They're "do we need to send her to the hospital again for hydration" appts. 
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JodieLyn
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Look up what Henci Goer says about the GTT. Basically, it's a pretty worthless test.. Get a monitor.. monitor at the fasting and 2 hr post meal level for a bit and see where you are.. it'll give you a much clearer picture of anything going on than the GTT. And not only that it lets you adjust yourself.. oh.. you're a bit high after eating dinner and 2 cookies.. but hey.. you do fine with just one cookie.. where using the GTT would be very extreme.. first you're told not to eat anything, they dump sugar down you.. then want you to not drink any water.. and sit still.. ummm are any of those things, things you're told are GOOD for you at ANY other time???? And then if you do react.. you get to do the whole thing over again.. for longer!! And then if it's a problem.. they go totally the opposite and tell you never to do any of those things again and cut out all sugar etc etc etc. 
All because, they (as a whole, not as individuals) don't trust the patient to do things that are good for them. Just like NFP.. oh it's "too much trouble" for most women to be bothered with 
oh and my midwife is fine with me.. though between my babies either deciding that I'm not really in labor and waiting a bit and the last one that decided to rush things ALOT.. I'm sure I'm not the easiest person
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JennGM
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| Posted: Sept 25 2007 at 12:10pm | IP Logged
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I do have to disagree somewhat, Jodie. For one thing, the home glucose monitor isn't as accurate as blood tests.
For those women that are borderline and can control the GD by diet alone, your approach makes sense. For me, though, for my first pregnancy the GTT was a Godsend. I thought I was experiencing hypoglycemia early on in pregnancy, but the GTT showed that I was actually hyperglycemic and insulin resistant.
Buying a monitor and the test strips out of pocket (no prescription) is expensive, and so a GTT is a quick, perhaps inconvenient and uncomfortable, way of determining if things are wrong. The 3 hour is particularly helpful to record the fasting numbers...those truly indicate nothing about what you eat, but how your body is or isn't insulin resistant.
For me it's not just about what I eat. The pregnancy hormones kick in and I'm on insulin by 19-20 weeks.
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Topic: Bad OB patient
