Another Kaiser patient here. And I've actually gotten pretty good care with them.
So....yes, what you have said is their basic protocol....3 losses in the first trimester before you are considered high risk. Yes, it is crazy. But I don't think they are the only providers to have this protocol. I have a friend who is going through the same thing with her OB. I guess, statisitcally, anything under 3 losses is considered a flook, or "just bad luck". Of course, that doesn't help you.
I'm in a different sort of boat in that yes, I've had 3 documented losses, but 2 were 2nd trimester, so that changes things a bit. They didn't do any testing on me after my first 2nd trimester loss. THey did tests on the baby but they came back "normal". So, because progesterone and that kind of stuff doesn't apply to 2nd trimester losses they treated me the same. AFTER I lost another baby in the 2nd trimester they then did every test known to man on me and they tested the baby again. Again, everything came back relatively normal. One test was off, but it shouldn't have caused fetal demise. We then did genetics testing on both myself and my dh, and it came back fine. So? What am I doing differently? I went in like everyone else at 8 weeks and had the dating u/s and stuff. And then I'm continuing my care with a Peri starting on Feb. 24th...I'll be around 12 weeks then. Basically she'll monitor me closely with u/s and try to ease my fears as really there isn't anything they can do until viability. Ya know?
In your case...was it determined that you had low progesterone and that was the cause of your miscarriages? If so, yes...demand the progesterone. Betas? Well, they can't tell you everything. Betas not doubling doesn't equal a bad outcome and Betas doubling doesn't equal a good outcome. Do you want to know if things are not right with your betas? Then insist on them. But, they will probably argue that if the betas come back "not good" there isn't anything they can do about it to help it get better. Kaiser tends to not want to do things when it won't help the outcome. I don't think any of things you are wanting are considered "Way out there", and I would question them on WHY they won't do them in your circumstances.
Try and remain calm....breathe... and state your case the best way you can. Tell them that you want to do EVERYTHING you can to insure that this baby makes it to term and that you would like their support in doing so. Hugs...momma...it can be so hard.
So....yes, what you have said is their basic protocol....3 losses in the first trimester before you are considered high risk. Yes, it is crazy. But I don't think they are the only providers to have this protocol. I have a friend who is going through the same thing with her OB. I guess, statisitcally, anything under 3 losses is considered a flook, or "just bad luck". Of course, that doesn't help you.
I'm in a different sort of boat in that yes, I've had 3 documented losses, but 2 were 2nd trimester, so that changes things a bit. They didn't do any testing on me after my first 2nd trimester loss. THey did tests on the baby but they came back "normal". So, because progesterone and that kind of stuff doesn't apply to 2nd trimester losses they treated me the same. AFTER I lost another baby in the 2nd trimester they then did every test known to man on me and they tested the baby again. Again, everything came back relatively normal. One test was off, but it shouldn't have caused fetal demise. We then did genetics testing on both myself and my dh, and it came back fine. So? What am I doing differently? I went in like everyone else at 8 weeks and had the dating u/s and stuff. And then I'm continuing my care with a Peri starting on Feb. 24th...I'll be around 12 weeks then. Basically she'll monitor me closely with u/s and try to ease my fears as really there isn't anything they can do until viability. Ya know?
In your case...was it determined that you had low progesterone and that was the cause of your miscarriages? If so, yes...demand the progesterone. Betas? Well, they can't tell you everything. Betas not doubling doesn't equal a bad outcome and Betas doubling doesn't equal a good outcome. Do you want to know if things are not right with your betas? Then insist on them. But, they will probably argue that if the betas come back "not good" there isn't anything they can do about it to help it get better. Kaiser tends to not want to do things when it won't help the outcome. I don't think any of things you are wanting are considered "Way out there", and I would question them on WHY they won't do them in your circumstances.
Try and remain calm....breathe... and state your case the best way you can. Tell them that you want to do EVERYTHING you can to insure that this baby makes it to term and that you would like their support in doing so. Hugs...momma...it can be so hard.
