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Thread: Headaches

  1. #11
    Join Date
    Sep 2011
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    Wishing for Greece, stuck in the US
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    6,070
    Woa, those things sound intimidating :P

    The doctor (again, this hospital was terrible), said they wouldn't contact me again or see me again until I was 20 weeks (I was 12 weeks, 4 days on Tuesday) and that I shouldn't expect to hear anything from them, and she didn't tell me what the BP was, she just said "Well that looks good" and ushered me into the other room. I was experiencing the headache at the time, but when I mentioned it she just said "Well that might be serious" and then refused to answer any question and left the room. I don't know what's normal for the first visit, but the only thing she did was the urinalysis, blood pressure, and the pelvic examine then said "We'll do an ultrasound to make sure you're pregnant and see how far along you are" then told me to leave and that I wouldn't hear from them again till I was 20 weeks.

    I'm going to my "real" doctor on Wednesday, so hopefully I can get some real answers.

    Can you tell me what that stuff you just mentioned was at then end there? I have no idea what any of that is but "blood count" :P
    Mother, Hellenic Pagan Priestess, and Resident Greek name expert ^_^ Call me Dantea or Remy

    http://covertocoverediting.webs.com/ -- Editing services available for cheap.

    Proud Mama to:
    Persephone Elysia Willow -- June 5th 2013
    TTC #2 by Christmas 2014

  2. #13
    Join Date
    Sep 2012
    Location
    Los Angeles
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    4,598
    My goodness, that is really shoddy prenatal care.

    Normal first visit care:
    - either abdominal or transvaginal u/s confirming viable interuteine pregnancy
    - urine sample to test for infection, protein and glucose
    - pap smear with cultures to rule out STDs (which can be lifethreatening to Baby); offer HIV testing
    - blood sample for: blood count (r/o infection, anemia); Rh antibody screen; blood type; immunization status to hepatitis, rubella; early glucose testing in at-risk patients

    Normal between 12-15wks:
    - triple marker or quad screen to rule out fetal anomalies; offer amniocentesis if indicated and genetic counseling as necessary
    - blood pressure and urine samples at each visit (these should be occuring monthly in normal pregnancies)

    Normal at 18-20 weeks:
    - screening ultrasound AKA "anatomy scan"

    Normal at 26-28 weeks:
    - Rho-GAM shot as needed
    - formal glucose tolerance test to r/o gestational diabetes
    - repeat blood count to rule out anemia
    - start fetal kick counting
    - baby's heartbeat measured at each visit

    Normal at 36 weeks:
    - Group B Strep rectovaginal swab
    - weekly appointments
    - close attention to signs/symptoms of preterm labor
    - repeat STD screen in at-risk women
    - assess fetal position and size

    As far as evaluation of your headaches-- it could so many things. In medicine you start with the most likely, while simultaneously ruling out the most dangerous or lifethreatening. In pregnancy a new headache is gestational hypertension until proven otherwise. The most dangerous thing could be the development of full-blown eclampsia from pre-eclampsia, which results in seizures, and maternal and fetal death. This is not the most LIKELY thing but it's certainly not uncommon and MUST be excluded. Pre-eclampsia is hypertension with protein wasting from the kidney; on an eye exam with an ophthalmoscope I would see characteristic swelling (called 'papilledema') from high blood pressure banging into your optic disk; I might see a lot of protein spilled into your urine, and anemia/low protein in your blood. Conversely, pregnant woman can certainly develop problems that have absolutely nothing to do with being pregnant. This could include scary intracranial problems like bleeding or tumors. A sign of bleeding or tumor is a progressive headache, present without cessation, for 2+ weeks which is debilitating, is present in the AM upon awakening, and occasionally awakens the patient even from sleep. This would mandate a head CT (or in the pregnancy, a MRI due to the radiation risk).

    I am NOT trying to suggest you have a brain tumor and I am NOT trying to diagnose you over the internet. I wanted only to illustrate the thought processes and pathways that any competent doctor should be going down for a young pregnant woman with this story. If I were a betting woman, I would suspect you have tension headaches which might be amenable to NSAIDS, but I would never feel comfortable with your story until I had excluded intracranial pathology and gestational hypertension.
    Blade, MD

    XY: Antoine Raphael
    XX: Cassia Viviane Noor

    Aurea * Emmanuelle * Endellion * Fleur * Jacinda * Lysandra * Melisande * Myrrine * Rosamond * Seraphine * Sylvana * Thea * Verity / Blaise * Cyprian * Evander * Jules * Laurence * Lionel * Malcolm * Marius * Quentin * Rainier

    كنوز الصحراء الشرقية Hayat _ Qamar _ Sahar _ Maysan _ Farah / Altair _ Fahd _ Faraj _ Khalil _ Tariq

  3. #15
    Join Date
    Sep 2011
    Location
    Wishing for Greece, stuck in the US
    Posts
    6,070
    Mkay. I'll certainly ask some questions of my new doctors. You're certainly not scaring me or making me feel like I have a tumor, only answering the questions I had in the first place that the doctor wouldn't answer.

    And yea, it was awful. The blood pressure test, she made the cuff so tight my fingers went numb and I had slight bruising and busted blood vessels (which has never happened before as I don't bruise easily). They barely asked any questions. and this:

    "HIV testing
    - blood sample for: blood count (r/o infection, anemia); Rh antibody screen; blood type; immunization status to hepatitis, rubella; early glucose testing in at-risk patients"

    They said they wouldn't even take blood or do any of that until 20 weeks...which I thought seemed way too late to do anything about.

    This new doctor, he was my moms OB when she was pregnant with my sister 10 years ago and had a wonderful experience with him, and 2 of my friends have used him in the past year and loved it, so I'm very hopeful he'll do everything he can for me.
    Mother, Hellenic Pagan Priestess, and Resident Greek name expert ^_^ Call me Dantea or Remy

    http://covertocoverediting.webs.com/ -- Editing services available for cheap.

    Proud Mama to:
    Persephone Elysia Willow -- June 5th 2013
    TTC #2 by Christmas 2014

  4. #17
    Join Date
    Apr 2012
    Location
    New England
    Posts
    1,912
    Dantea I do hope you feel better soon. I know how excited you are about this baby! Hopefully, your new doctor can get this all straightened out for you.

    Blade- you are without a doubt the most thorough responder on NB. Truly awesome.
    Mi corazón
    Zoe Milena

  5. #19
    Join Date
    Sep 2012
    Location
    Los Angeles
    Posts
    4,598
    I have a general medical licensing exam tomorrow and actually responding to these questions is very helpful for me, too! I'm not training in obstetrics or general practice, so don't think much about things like headaches and routine prenatal care.

    Dantea, again, your prenatal care is very odd. The only thing I can possibly think of is that you were a victim of our dreadful two-tiered payor system, where the insured get the care they deserve, and the uninsured/government insurance do not.
    Blade, MD

    XY: Antoine Raphael
    XX: Cassia Viviane Noor

    Aurea * Emmanuelle * Endellion * Fleur * Jacinda * Lysandra * Melisande * Myrrine * Rosamond * Seraphine * Sylvana * Thea * Verity / Blaise * Cyprian * Evander * Jules * Laurence * Lionel * Malcolm * Marius * Quentin * Rainier

    كنوز الصحراء الشرقية Hayat _ Qamar _ Sahar _ Maysan _ Farah / Altair _ Fahd _ Faraj _ Khalil _ Tariq

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