Ultrasound question with Simmonds and Simmonds (MCA) - Mothering Forums
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#1 of 24 Old 04-26-2012, 05:06 AM - Thread Starter
 
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I am a patient with MCA (and for the 3rd appointment in a row, the midwife couldn't remember me being a midwife patient).

 

Anyway, I had my 20w u/s with Doctor Simmonds. He did the u/s himself in the frederick office...

 

I am grasping at straws, I was really hoping my 3rd and last baby would be a girl. But, he seems about 70-80% sure it is a boy, but he looked and looked for about 5 minutes trying to determine the sex. The machine is very old. At least 15 years old. I also have an anterior placenta, which doesn't help image quality.

 

Anyway, it seemed to be a case of the disappearing penis, in one image it was there, in the next it wasn't. He said "I think there is something there, but I can't tell what it is". I think if I hadn't pushed for a guess he wouldn't have given me one.

 

Anyone have any experience with these u/s machines, and is there any hope left for a girl for me?

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#2 of 24 Old 04-26-2012, 10:26 AM
 
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That sounds so sketchy. Can you ask for a 2nd opinion from advanced/American radiology? They at least have new equipment. My son's penis was pretty unmistakable on our ultrasound.

Maybe boy/girl snt something you need a second opinion for, but maybe you could come up with a better reason. Did he get all the anatomical measurements?
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#3 of 24 Old 04-26-2012, 10:51 AM - Thread Starter
 
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He showed us the measurement in the brain to be normal, but could only tell us the heart has 2 sides (not very reassuring since our oldest was born with a heart defect). I saw him measure the thigh, belly and head. I do have to go back in 4 weeks. But I don't know if that is because he couldn't see all the parts? or just because of my BP...

 

we will probably go to a pediatric cardiologist for a fetal echo.

 

I remember my second son's penis was quite apparent at his 20week scan, that was in 2008, but I think even the machine that office was using was newer than the stuff this place uses.

 

My oldest son was only an 80% chance of being a boy, and the tech didn't show us anything, so I never saw it with my own eyes.

 

Yesterday he showed us the legs, and in one frame there was no penis, and then in the next there was a white spot between the legs, then it was gone again.

 

I don't know what to think. I don't want to hope that maybe he is wrong, he himself said he would bet money on a boy, but wouldn't start painting yet. So I have no idea what to think.

 

This is our last baby, so I was really hoping for a girl, I feel like I need to get rid of all the stuff I was saving to give my daughter. Like why hold on to something that isn't going to happen.
 

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#4 of 24 Old 04-26-2012, 01:23 PM
 
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Personally, I would not be comfortable with 'the heart has 2 sides'.  With my kids I have always been able to see the valves and the chambers and make sure the spine was properly formed as well as the brain and palate.  

 

I don't have any info on the gender aspect, as we've never looked for gender in an u/s, but I would have concern about the other aspects of a healthy baby.  You could always pay for one of those gender screen type places if that was your main concern, or get a referral for reassurance to American Radiology or the like.  


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#5 of 24 Old 04-26-2012, 04:22 PM
 
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I had an U/S at 21 weeks and we couldn't see the spine or determine the sex, so my midwife ordered another U/S for 23 weeks and we asked her to include a note to the tech to try to determine the sex. We got a pic of what looks like a penis in one shot, which is what we're going by because I don't like to do too many U/S's, but it's possible it could be part of the cord. If you ask your doctor to order another to get a clearer view of the heart and asked for determination of sex, they might be willing to accommodate you. Otherwise, there are 3D U/S places that will do a non-medical study and attempt to determine the sex, which can be much more clear in 3D, and you have to pay out of pocket. The cheapest I've seen is about $100 for a 15 minute scan, and they usually ask that you wait til you are in your 28th week or later for the clearest result. I know how you feel though, I had 3 boys already when I found out I was pregnant with this baby, and we were hoping for a girl. But, as long as he's healthy, we're happy :). 

 

Good luck!


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#6 of 24 Old 04-27-2012, 07:00 AM
 
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Our son was born with a heart defect as well, so our 20 week was automatically at an MFM place with someone who could look at the heart to be sure things looked mostly right. We're also moderate/high risk for other reasons, so have been getting high resolution ultrasounds regularly since 20 weeks, but the heart thing the MFMs definitely wanted to see! Not sure why Simmonds is doing this U/S, especially with an old machine? Insurance should cover it at a good place, esp. with a history of heart issues.
 

We go to the midwives at the White Flint office and have never even noticed any of the doctors.. funny that the midwives don't remember you.

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#7 of 24 Old 04-27-2012, 10:06 AM
 
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I had a u/s with the midwives at Simmons and Simmons in Frederick. They sent me across the street to Maryland Perinatal Associates, Dr Hoder's office. They said they did all the U/s there (I used the midwives, wonder why they changed??) Anyway I was told they used them because they were "the best" and "most accurate" The office is literally across the parking lot. I am shocked they didn't do that if you were in the Frederick office. I would ask them about it because I didn't think they could even do them in office, or else why would they send me out? That office has a LONG wait, I am not kidding, the wait is over an hour in the waiting room, but once in, everyone is very nice and the sonograms are long. Maybe because I was of advanced maternal age? I don't know, I know I actually had to fight with them to turn down the sonograms because after 30 weeks they wanted to do them WEEKLY! Crazy. I had no history of issues and every u/s (I had one at 8 weeks and 13 weeks and 20 weeks) was coming back as normal. Something about low fluid (which wasn't an issue either) Insurance was willing to cover every single one as long as a doctor deemed it medically necessary. (I called and asked because I felt the sonograms were excessive)

 

That being said - I was told I was having a boy. Until I think it was 30 weeks, and I was a told I was having a girl. I had a girl : )
 


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#8 of 24 Old 04-27-2012, 02:26 PM - Thread Starter
 
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Thanks for all the input. The midwife (terri) did want to send me to the perinatologist, but my husband and I declined, because we are coming from Martinsburg and I jsut can not afford to drive up there all that often, the more visits we can pack into one day the happier my gas tank is and the happier my husbands boss is, since I don't drive or have child care.

 

I am of course kicking myself for declining the referral, but at the time it seemed a good idea. I saw a peri for my last pregnancy, but the office was only 10 minutes from home not 2 hours away.

 

I am not all the impressed with Terri so far, she can't remember me from one visit to the next and unless my husband is in the room she is down right mean to me.

 

I will have to ask about the referral. I may talk to my husband tonight see if I should call them and get the referral and cancel the next appointment with Dr Simmonds.
 

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#9 of 24 Old 04-29-2012, 11:52 AM
 
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Originally Posted by Amink1979 View Post


 

I am not all the impressed with Terri so far, she can't remember me from one visit to the next and unless my husband is in the room she is down right mean to me.


 

 

Same thing with me! Thought it was my imagination and I made a comment to my husband that she must have a crush on him! I met with her 2 or 3 times. Then I met with another one for most of my visits that I didn't like her at all (she is gone now), and I just felt that I would end up with her in the delivery room and didn't want to chance it. You could ask to make an appointment on the same day, call MD perinatal and explain the situation, I am sure they would work with you. But if you had other kids, you do have to make plans because I would personally add an extra hour or two onto how long you actually think it might be. One time I had the sonogram where I had to have a full bladder, and my drive was about 30 minutes, and I was sitting in the office waiting room for over an hour, had to meet with the geneticist first for 30 minutes and then go back and wait again and I told them if they didn't see me soon I would pee on the floor. Very long waits, but once you are in there, the doctor is very very nice.


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#10 of 24 Old 04-29-2012, 07:48 PM
 
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Frankly, I would talk to Dr. Simmonds and let him know your issues with Terri and make it clear that you DONT want to see her anymore now or for the birth.  See what they say.  Being treated meanly in prenatals would absolutely mean I needed to not see her or change to another practice!  Unacceptable.  I have been with a couple of the MCA midwives but not with her.  Not happy to hear that.  In the past MCA when it was the Maternity Center had one midwife who was just awful and they did fire her.  I knew because she happened to live across the street from a good friend of mine. Bought the house when she took the job and sold and went back where she came from soon after getting canned.
 

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#11 of 24 Old 04-30-2012, 05:05 AM - Thread Starter
 
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Since I am a VBAC patient I opted to go with the Midwives, I just have a fear of the OB's bullying me into a RECS. I do miss my midwives from New Jersey, I wish I could go back to them. Anyway, I have been trying to see the other midwives in hopes that I like them more, but it seems no matter what day I schedule my appointments for, Terri is the one on. My only option for now is the Frederick office, the other office is 2 hours away, this one is only about 90 minutes. I was told the other midwives only cycle at the Frederick office on Fridays, but I have yet to see any of them.

 

The upside, she is very nice when DH is in the room, and he will be with me while in labor and knows that he needs to back me up, so if I do end up with Terri, at least he will be in the room. I told him he has to go in with me for every appointment!

 

I am going to call this morning to see what I need to do to see the specialist for the follow up u/s.

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#12 of 24 Old 05-09-2012, 06:04 AM
 
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I just wanted to chime in here... I'm seeing the MCA midwives in the Frederick office.  The other midwives are in on Fridays.  I usually go first thing on Friday mornings and have seen Terri a few times.  I've also been in with Caitlin, Angel, and Karen.  I actually haven't gotten a warm and fuzzy feeling from any of them however I was very pleased with the hospital tour at Shady Grove.  DH and I pretty much plan on doing things our way as much as possible when it's time to deliver (end of May!)  As long as I have him with me for support I'm comfortable with any of the midwives.

 

Anyway, when we first started talking about my 20 week u/s they told me they had a tech in the office one day a week.  When I called to schedule my appointment the tech was no longer there so they gave me a referral to American Radiology just up the street.  My experience there was great - minimal wait time and a very thorough and knowledgeable tech.  The equipment I've seen at the MCA office in Frederick does seem dated and perhaps Dr. Simmonds is not the best person to be doing u/s... I would push for an actual radiologist.

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#13 of 24 Old 05-09-2012, 06:18 AM - Thread Starter
 
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I have scheduled most of my visits on fridays, I still only ever see Terri. The problem I have with going in the mornings, is I can not be 2 hours from home and still pick my son up from school at 11:30, and DH needs to work at least half a day so my appointments have all been in the afternoon.

 

I did ask for a referral, I was told "they don't do that" and the closest place they would recommend me to is in Rockville - I just can't go that far for an u/s. I am panicked about going all the way to Shady Grove to Deliver.

 

DH is pretty ticked and plans on giving them an earful.

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#14 of 24 Old 05-09-2012, 09:44 AM
 
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I have scheduled most of my visits on fridays, I still only ever see Terri. The problem I have with going in the mornings, is I can not be 2 hours from home and still pick my son up from school at 11:30, and DH needs to work at least half a day so my appointments have all been in the afternoon.

 

I did ask for a referral, I was told "they don't do that" and the closest place they would recommend me to is in Rockville - I just can't go that far for an u/s. I am panicked about going all the way to Shady Grove to Deliver.

 

DH is pretty ticked and plans on giving them an earful.

What? Did they change insurance? Because my whole pregnancy I went to Perinatal Assoc and even asked if I could do them somewhere else and they told me no. It might be an insurance thing, as to what you insurance covers, so I would call your insurance company first and ask what places are covered and what they do cover, if your insurance covers it, you can go anywhere YOU want. I only saw Karen every single Friday, and then my baby was due around the holidays, so they were closing the office during the month of Dec and I was told I had to go to White Flint to meet the other ones. At around 30 weeks Karen wanted me to have weekly sonograms to check for low fluid - and told me if it was low, yes I would need a repeat c-section, non negotiable.

 

I decided I would not want to risk her at my deliver and I had a very bad experience with the L&D nurses at Shady Grove and left AMA after a horrible visit and a shot of (probably unneeded) Tubertuline.

 

If you have reservations, you can change, I found a new place at 37 weeks, and walked into L&D with my papers in my hand at 39 weeks in labor. They even said though if I didn't have them, they were ok with that.

 

That being said, I know many people who have had wonderful vbacs with them. I don't know what the difference is, so you can take my story with a grain of salt, if you want : ) I have no idea why I was referred to perinatal assoc (maybe my age? nothing else about my pregnancy was even remotely worrisome, even the OB at perinatal assoc asked why I was there so often)


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#15 of 24 Old 05-09-2012, 10:25 AM - Thread Starter
 
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My insurance does cover Dr Hoder, but they won't write me a referral, as far as I am aware I need a referral for my insurance to pay for it.

 

May I ask what new practice you found? I am getting a "bait and switch" vibe from them (even though I have successfully VBAC'ed before. I would like to have a back up plan, just in case.
 

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#16 of 24 Old 05-09-2012, 03:58 PM
 
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My insurance does cover Dr Hoder, but they won't write me a referral, as far as I am aware I need a referral for my insurance to pay for it.

 

May I ask what new practice you found? I am getting a "bait and switch" vibe from them (even though I have successfully VBAC'ed before. I would like to have a back up plan, just in case.
 

I ended up going with the midwives at University of Maryland in Baltimore. I felt the bait and switch vibe too. I would make sure to call your insurance and talk with them, on the phone. Sometimes they are very very helpful and helping you find out how to get it covered. I have found insurance companies better to deal with than doctor's offices most of the time.


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#17 of 24 Old 05-09-2012, 04:11 PM - Thread Starter
 
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uggg, baltimore is soooooo far. At least 3 hours each way... I think I will have to take my chances with MCA, DH knows we may be in for a fight, I will flat out refuse a c/s. Uggg.

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#18 of 24 Old 05-09-2012, 04:42 PM
 
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My insurance does cover Dr Hoder, but they won't write me a referral, as far as I am aware I need a referral for my insurance to pay for it.

 

 

Also if the insurance is through your husbands work, ask if they have someone who coordinates the insurance, sometimes they can work with insurance to make special exceptions.


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#19 of 24 Old 05-09-2012, 04:58 PM
 
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I am so sorry you are having a hard time with MCA.  I am seeing them and have been pretty happy so far.  They referred me out to American Radiology for my ultrasound because they said the only one on staff who can do them is Dr. Simmonds.  I would ask to speak with an office manager or something, find someone to express your unhappiness to.  I have heard similar things about Teri P.  I haven't had her be mean to me, but I kind of have a bitchy attitude anyways, so maybe she senses that.  I don't know how far Hagerstown is for you, but I have heard about some midwives up that way, if you are thinking about switching providers.

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#20 of 24 Old 05-10-2012, 04:39 AM - Thread Starter
 
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Hagerstown is much closer, but I think our chances of VBAC are much less, I contacted the offices up there, and due to my weight I would be "high risk" and not allowed to see the midwives.

 

I really feel like DH and I will be going this alone. I desperately wish I could go back to NJ! Never thought I'd say those words!

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#21 of 24 Old 05-14-2012, 02:27 PM
 
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Do you have a doula?  I think a doula could help you feel less alone.  Also, don't be afraid to complain about the treatment you are receiving.  They may not realize how unhappy you are, and most places are willing to work with you to make you happy.

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#22 of 24 Old 05-14-2012, 02:31 PM - Thread Starter
 
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:)

 

We can't afford a doula, And I know my hubby is pretty mad at the different stories we are being given, luckily he will be going with me to my appointments, since I asked him not to leave alone with them anymore.

 

I don't know how to approach the subject of her less than awesome bedside manner.

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#23 of 24 Old 05-14-2012, 03:49 PM
 
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When are you due?  I know a student doula who is looking for certifying births, would be free of charge.  Send me a private note, or whatever they call it on Mothering.com and we can talk more.

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#24 of 24 Old 05-27-2012, 03:35 PM - Thread Starter
 
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i had my follow up, looks like it is boy # 3 for us. But he still can't see the heart very well, and won't refer us out. I'm not terribly confident in this office.

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