Thursday, July 26, 2007

Contact!!

Dr. Favorite just called. I feel much better. She's just so calming. She talks me off my ledges without patronizing me, belittling my fears, or smoothing over risks.

Main points:

1. The uterus was about the size of a fist when they saw the previa. There aren't many places for it to sit down that *don't* threaten to or cover the cervical os.

2. The bulk of it is posterior, which means they were looking around/through all sorts of stuff when trying to see it clearly. They're looking for shadows, basically. It's possible that things are better than they thought.

3. She may have hinted that the perinatology group can be a bit, well, alarmist.

4. She thinks there's a reasonable chance it could still migrate.

5. Even if it doesn't, it doesn't really change our plans for managing the risks for this pregnancy, but adds in a c-section at 36 weeks after an amnio to check for lung maturity. Note: 36 weeks falls on December 23rd. Merry Christmas.

Then we discussed the plans for managing my old nemesis, preterm labor with a cervix that doesn't stay shut. She seemed surprised that the perinatologists don't want to put in a cerclage. I explained that they weren't convinced I really have an incompetent cervix and she practically snorted. I get the feeling her money is on a progressively shortening cervix over the next month or two followed by a cerclage. Place your bets now.

In other news, I am done with my grading. Lab reports: graded. Final exams: graded. Raw numbers input into spreadsheet: check. All I need to do now is set my curve, assign letter grades, and submit them to admissions and records. And then, I am DONE with the summer session. Hooray!! We leave on Tuesday for 2 weeks at my parents' house. H and I are hoping to leave D with my mom and sneak off for a couple days at a B&B here. Wonderful.

2 comments:

Geohde said...

It never ceases to amaze me just how different two medical opinions can be about the same freaking information. I hope your cervix behaves itself. I hope that darn placenta also behaves itself!

Spanglish said...

I'm glad you're feeling better. I hope your cervical wish comes true and all will be well... as a gesture of faith I will take your bet and choose to believe that the cervix will do what it is SUPPOSED to do rather than disappoint you.