WELL.....if i get ttts prior to 24 w, we are doomed. That is nice to know, huh? I called the mfm office again, argued with them, again.....finally got a nurse on the phone who told me they do.monthly scans until 24 weeka and there is nothing tk be done prior to then if they get ttts anyway. And yes, still no referral, but it is.not sounding like a referral.would get me anything anyway if standard practice at the mfm is one scan a month until 24 weeks.
I would phrase it as "If you have TTTS before 24 weeks and are not aware of it, you are doomed."
I agree that you need to figure out a way to find a referral to an MFM specialist who knows what they are doing.
One way to finesse this is to arrange for CVS (as opposed to amniocentesis). Since CVS happens earlier in the pregnancy, you will end up having the diagnostic ultrasounds earlier as well.