I need advice! (switiching docs at 31 weeks) - Mothering Forums
Forum Jump: 
 
Thread Tools
#1 of 5 Old 04-19-2004, 08:44 AM - Thread Starter
 
spatulagirl's Avatar
 
Join Date: Feb 2002
Location: Harpers Ferry, WV
Posts: 4,739
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
So you might or might not know we are a military family and are living in Sicily. As a result our birth options are severely limited. When you first move here you are assigned a doctor. Luckily our assigned doctor is amazing. I adore him so I wanted him to do my prenatal care AND deliver the baby as well (he is family practioner).

Everything has been great. I love him, he listens to me, answers my questions and even when I choose to go against his advice and refuse a test or something, he understands and supports my decision. He is a DREAM doctor.

Well, he is PCSing (moving) in July/August. His wife is due around the same time as me. He may or may not be gone for househunting leave, etc. He also has three other women due all in June. There could be a very real chance he may not be here for the delivery. I don't want to continue with him and then have some random doc deliver our baby when it is time. That happened with DS and it was awful. But I don't want to switch. Last appt. I brought up the idea of finding a back-up doc just in case Dr. M couldn't deliver the baby. He thought it was a good idea and mentioned Dr. T who was new to the base and didn't have any patients due for awhile. He said he would talk to him and we would talk at the next appt. (which is this week).

I ran into Dr. T in the emergency room (I volunteer with rape victims and this was a case that had come in) and after we had finished business I talked to him a bit. He said Dr. M had talked to him and that they were going to just switch my care over to Dr. T. Without consulting me! I highly doubt Dr. M would do this but I didn't say anything. I did some more research and I don't think Dr. T is a good doc. Won't listen to your concerns, accidently stripped someones membranes at 34 weeks (what was he checking for anyway!?!?!), etc.

Of course, he is the only one who has the time as a back up doc. So my choices are

a) stay with Dr. M and hope he can deliver the baby... if not take my chances with the on-call docs

b) only agree to have Dr. T as a back-up doc and make sure he understands what I want and don't want and risk the chance of him saying no unless he takes over my care.

b) Just switch over to Dr. T even though I haven't heard good things about him

None of them are great options... but my choices are very limited out here and I just don't know what to do. I am so sad there is a good chance Dr. M won't be able to be the one delivering this baby. Here I thought I might even get a good birth experience at a military hospital!

Mom to 4! Welcomed Aila Wren on Friday, February 25th!
spatulagirl is offline  
#2 of 5 Old 04-19-2004, 09:00 AM
 
candiland's Avatar
 
Join Date: Jan 2002
Location: Waiting for Calgon to take me away.
Posts: 4,107
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I'd go with option B.

If I were you (ha, famous last words), I would write up your ideas about birth and review them with Dr. T at the next possible opportunity. It sounds like there's a good chance he might be catching your baby.

For example: "It is very important to me to have a private environment in which to birth. That means I would like low lights, soft music, and the ability to walk around and change positions as I feel necessary. I also believe strongly in intermittent monitoring so that I can move freely, and a heplock instead of a continuous iv."

It would make you feel better if this doc knew your preferences well in advance, I would think. I would also strongly advise that your husband be prepared to take a strong stand as your advocate. A simple signal from you would do: for example, a nurse comes in to check you and your water has already broken. A look and a small shake of your head at your husband could tell him that he needs to speak up for you and say no if you are unable to do so at the time. Etc. etc.
candiland is offline  
#3 of 5 Old 04-19-2004, 09:43 AM
 
curlygrrl's Avatar
 
Join Date: Jan 2004
Location: Outside Asheville, NC
Posts: 264
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
((hugs)) Gosh, I'm sorry you're going through this. I guess I have to go with b) as well. At least with Dr. T you will have the chance to discuss your preferences. With the on-call docs you might get put in the position of arguing with them during labor, which would SUCK!

Do you have someone strong to advocate for you at the birth? I'd also suggest staying home as long as you can after labor starts to help avoid interventions.

Hope everything works out for the best! :
curlygrrl is offline  
#4 of 5 Old 04-19-2004, 10:48 PM
 
rubelin's Avatar
 
Join Date: Feb 2002
Location: los Angeles, CA
Posts: 5,777
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 2 Post(s)
Well, having had an OB who gave good lip service during the prenatals but when it came down to it was really all about what she wanted (and she did everything she wanted and NOTHING I wanted), I'd say to avoid Dr T if you can. There is a possibility he is better than your impression and it might be good to have a couple of appts with him since he's most likely to be the one called if Dr. M isn't around for your birth, but I'd stick with Dr. M for your primary and just create that he will be there for the duration and all will be fabulous

Robin~ single, work-at-home momma to my WonderBoys
YoungMan (6/00) & LittleBoy (6/04)
rubelin is online now  
#5 of 5 Old 04-22-2004, 08:17 PM
 
ksjhwkr's Avatar
 
Join Date: Apr 2003
Location: Texas
Posts: 1,341
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 0 Post(s)
I have to agree with what others have said, option b sounds the best of the 3. But, that is so hard when you know who you want to attend you and there is a big possibility they won't be there. Is Dr. T just inexperienced and that is why he isn't the best? Maybe this is a good teaching opportunity for him. I know, we never want to be the teachers while pregnant and in labor...I just want it the way I want it dangit!
So sorry you have to go through this!

Kim, Mama to 4 and 1 more on the way!
ksjhwkr is offline  
Reply

Quick Reply
Message:
Drag and Drop File Upload
Drag files here to attach!
Upload Progress: 0
Options

Register Now

In order to be able to post messages on the Mothering Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
If you do not want to register, fill this field only and the name will be used as user name for your post.
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



User Tag List

Thread Tools
Show Printable Version Show Printable Version
Email this Page Email this Page


Forum Jump: 

Posting Rules  
You may post new threads
You may post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are Off