AW: CNM

[elliecat17]

So as many of you know I have been bounced around the office from OB to OB the last few months. I met with a new one in August and she tested my thyroid. Then she went on maternity leave leaving me with the knowledge that I have hypothyroidism and a high thyroid antibody count. ? Then I get ass-hat. He meets with me twice. First time drops the you have Hashimoto's and PCOS bomb. That's the end of the appointment. Stands up, shakes my hand, walks out. Next time I see him it's all well thyroid meds seem to be working (down to 2.8 from 5.5). See you in January either pregnant or to discuss infertility. Now let's add here, the practice has not EVER done an ultrasound...
So following my most recent loss (see siggy) I call the office, they tell me, well we can schedule a blood draw if you want, but you aren't bleeding enough to warrant a visit. We did the blood draw 3 days after I started bleeding and it was at 0. Nothing else was said or done. No advice, no wait this long. Well I called and they scheduled me with a 3rd OB. So I decided to talk to the ladies at work to see if anyone has used or know of a Midwife in the area. Got told of one at the other hospital here. Today I called them up and not only does she work with women who are trying to have children, her first question was: any losses? I replied yes 3. She said, I will see you tomorrow and we will start running RPL testing. So now I'm excited, but also really nervous. 
Therefore I ask all you brilliant ladies: What sorts of questions should I have ready for her? I have so many, I want to make sure I am asking the really important ones!
Thanks!
Elliecat

[leloyd]

No advice but lots of ((hugs)). I am so glad you have found someone to move forward with since it sounds like your doctors office was ridiculous. I hope that when you meet with the mw tomorrow she will be able to help you formulate a plan that you are comfortable with.

[elliecat17]

They work in the same practice and work together. She's just the one I got in with, and also because I am hoping for more natural support. My body doesn't do well with meds of any sort. And I need to be referred to the RE and the OBs at the other practice obviously aren't ready to do that.

[eurydicenymph]

I am a little skeptical of how much a midwife can do for you, but I am glad that you are seeing someone and I hope that she can help you find answers and formulate a plan.

I would make sure that she knows of and investigates your diagnosis of Hoshimoto and PCOS. I would ask to know every test being run.

Gl tomorrow!!

[therealbug]

I'm glad you are getting in to see someone. I would make sure you have as many as your existing test results with you as possible and ask if she agrees about the Hashimoto's and PCOS dx. With Hashimoto's (I really wish MsAmandaPants was here), I would see if they want you to see a specialist for that.

Your RPL test should be really extensive - like 18 vials of blood taken extensive. I would check out the blog at the old site for a list of tests so you can compare to what the midwife says needs to be run. If your prior practice did not do an u/s, I would assume they did not do any tests to check your ute such as a sonohysterogram or a tubal dye study. That should be done as part of an RPL workup.

I would also ask her what next steps would be if the RPL testing comes back with everything okay. With 3 losses, would she refer you to an RE?

[elliecat17]

Thanks ladies. And eurydicenymph I am seeing her 1. because I still hold onto the hope that I will need a midwife in the future, and also because she works in conjunction with the only Dr up here who is an RE and he's really really busy. Thanks therealbug , I will go check out that list!

[rmpar29]

I have no advice on RPL, but I'm so glad that you've gotten into someone else. I wish you the best for your appointment today!

[grneyes]

I'm glad they are starting to look into things. Send me a PM - I can email you some helpful resources about RPL testing. Hope the apt goes well!

[readinglove]

I'm so glad you're able to get in to see someone after the run-around with the OBs. I hope it goes well, and that you get some answers and/or a plan.

[agpjt413]

FX that all goes well!! I hate getting the run around, ugh!! Lots of ((hugs)) lady!!

[nikolie93]

I hope you get some answers! *hug*

[4furrypaws]

I hope they can give you some answers hun! GL, let us know how it goes!

[elliecat17]

Well that was a wonderful meeting! She did a full pelvic exam, told me she's not sure why I was Dx with PCOS and Hashimotos since they never did ultrasounds. Ordered said ultrasounds. Said she would like to see my thyroid numbers lower. Explained what 'thyroid antibodies' meant (which hadn't been done yet). Told me I had a beautiful vagina (why doesn't my husband tell me that?!?!) and finally ordered RPL testing. I had the blood drawn today.