Meeting with the MFM

I made a pre-conception consultation appointment with the MFM that first diagnosed Jack with his Dandy Walker. At first I was so intent on making everything different for a future pregnancy including all new doctors maybe a new hospital but then I really thought about it.... I put a TON of time and effort into researching my care providers for Jack and if I thought they were good enough for him then why not another baby? With that in mind, I needed to meet with that MFM who first saw me just to make sure I knew what I was doing so we're all on the same page.

Have to say... I was in such a great mood after leaving her office and actually (maybe...possibly... a little bit) excited about getting pregnant again. Kind of like "I can bring home a baby, hear me roar" kind of feeling!! 

Basically here is a summary of what we talked about:

- Jack may have had some very rare genetic disorder that was so rare its not even known about how to test for. This in turn could have caused my pre-e... regardless, the reoccurrence would be sooooooooo unlikely it wouldn't be cause for concern.

- Perhaps I do have APA, although I did tell her I was tested twice and came back normal. However, if that were the case (as that is like the main reason for Pre-e and HELLP this early) it would be treated with Lovenox and baby aspirin. Well...already doing that so boom, roasted.

-Maybe the Dandy Walker caused the IUGR which in turn with the placental insufficiency caused the pre-e to come on. In which case again, the reoccurrence is so very low for this to happen again its not of concern.

-If the Dandy Walker and pre-e were two separate and unexplainable events then I'm just going to be monitored very closely starting at 12 weeks with weekly MFM scans to monitor the baby's brain development and also my bp/proteins. If pre-e comes back without the platelet issues or liver enzyme issues we can buy a few weeks with bed rest and blood pressure meds so we would just have to hope in this scenario that the pre-e struck later in 2nd trimester or early 3rd.

That was my appointment in a nutshell. I feel a lot better after meeting with her and getting this plan of action set in place. Also , I asked her what her thoughts on twins were since the other MFM suggested selective reduction. While she did say transferring two is protocol to ultimately end up with ONE baby... she would NOT suggest selective reduction for twins I would just have to be monitored THAT much more closely. Before she gave me her opinion on it I flat out told her... I don't want twins but if we get twins I'm having twins. I'm not killing another one of my babies. Soooo, yeah glad she's not on the SR page with the other guy!

Friday is my post op appointment from my hysteroscopy last week. I'm anxious to get a move on things and get this over with. My meds are being sent for approval to the insurance company but I've already got the Estradiol, aspirin, and Lovenox ready. All I need is that Lupron and I'm good to go!!! 

This all seems so surreal!!!