Sunday, November 30, 2008
So I had my ob and peri appt this past week. I see the peri every week now. Still on a every 2 weeks with my ob. Last week I was desparately ill with some wierd funky stomach flu virus that lasted a week. I was the ONLY one to get it in my family. Constant puking even sips of water. After 3 hours of this, I called my ob because I had to keep fluids down because of the stone and BH contractions. Well the nurse was giving me a hard time. For the first time ever, I really put it to my ob because I got pissed. When I first called, she said he was at the hospital and would talk to him when he came back. He comes back and orders Reglan. HELLO, I was already doing that (doubled the dose actually) and I couldn't even keep down water. So she goes and talks to him again and I request zofran. She comes back and says he will only order reglan as everything else was constrained in pregnancy. REALLY, this is news to me. I explain to her every which way that I am already doing that. In retrospect, I should have just sucked it up and gone to the ER instead of dealing with it. Anyway, she talks to him again. He says not much more to do. Drink fluids (which I couldn't keep down) and take reglan. Then she offers me a suppository. Fine and throw in a urine culture in it. Had to fight to get a urine culture. Can someone explain to me how zofran was now constrained?
Thought maybe it might be a kidney infection. So go do the urine culture. No rx at the lab. Lab calls her and she had faxed to the wrong lab. Have it now faxed to the right lab. Not sure how that happened as there are only TWO labs in town. One being the hospital. Go to the pharmacy. They know me there from when I was pregnant with Sara and on so much zofran. I must have looked bad. They had me sit down and told me if I had to puke, let them know. No rx for the suppository. The pharmacy calls the dr's office and she tells them I refused all meds. WTF. All meds? No, I refused reglan which was what I was already taking and was not working. So she gets my ob to give me the rx for compazine. Fastest rx ever filled.
Go home and take it. Finally after puking from 530am on, I stopped at 3pm. I still stayed sick from Thursday to Wednesday of the next week. Had an ob appt and the same nurse that I was on the phone with said I looked awful. Really, only been puking and nauseated for days now. She said my color looked off and really bad. Ugh. See my ob. He is not happy and I am not happy. So I ask him how come it was ok for THIS office to order 40 zofran a month when I was pregnant with Sara but now I can't take it? Also had it by iv several times this pregnancy with kidney infections. He squirmed for a bit. Then he said he that it needed preauthorization. Umm wrong again. I am allowed 10 zofran a month without authorization. Frankly, I would have paid out of pocket for the generic one. Which I found out was CHEAPER than compazine. He said with Sara he remembered it was a pain to get insurance authorization for it. Yeah but you have my records and it should be easy to copy the same thing for it. So we agreed he would start the authorization process for me. :)
He told me he really thought this was a virus and that I needed to push as many fluids as possible. I asked to get an iv so I could get the fluids. Again pesky insurance. He said insurance wouldn't pay for it as my labs from FIVE days before were ok. I think since it was Tuesday, he just wanted to be able to go home early. He did write another order and rxs for compazine and reglan. He gave advice on what to advoid to quit throwing up. He was right, it was a nasty virus. It was still miserable just the same.
As far as my peri appt, baby girls is in the 67th percentile for growth. She is huge!!! He tells me she is not huge, but good sized which is good. To me, she is huge and I am glad! They did a transvaginal US at the peri's because of all my contractions. I am not sure what is going on. When she measured my cervix, the tech acted all concerned. She wouldn't tell me anything. She said I would have to talk with my peri. Usually, they are happy to tell me everything is great. She didn't do that. The tech was also pissed I hadn't been checked yet. Apparently, nurses at my hospital are no longer allowed to do that anymore. My peri just said everything was ok for now. They didn't know what I started out with, so they were not sure. I remember the measurement as 2.04cms for the cervix. Well I went and looked that up and it shouldn't be less than 2.5cms! She did say I am on rest. I was not to be on my feet. She explained what that meant to dh. She gave us some ideas to help out at home. They told me to watch especially for extra discharge, extra mucous, any leaking or anything and it needs to be reported asap. So I guess I have some cervical changes going on. I plan to find out more on Friday when I go back. I mentioned the TV US to my ob. He asked what my peri said about it. I told him she said it was ok for now. He seemed to know I had a TV US done (maybe it was in the report). He said ok kind of relieved like. That was it. See ya in 2 weeks.
So the next day another peri appt for a NST. Baby was non reactive on the NST although she was moving tons. The nurse said that happens at this age. 50% are non reactive and that I will be scanned every week. Umm ok. From what I read, non reactive NST are 50% up to 28 weeks. Then 28-32 weeks, 15% are non reactive. After 32 weeks, it is delivery time for a non reactive NST. Fabulous. So I had a BPP done. She scored 8/10. She lost 2 points because of the NST. See ya in a week.
So next peri appt is next Friday and it will be a long appt because I have all the stuff done at this one. I have decided when I see my ob on the 9th that I am asking him to take me out of work completely. I am very fortunate and grateful to be able to work from home the last 2 months. However, it is getting harder to control my bp and I have to lay on my left side to do it. I also have a lot of swelling going on. Still have some nausea. TONS of heartburn. Besides I have decided I am about sick of new boss.
I have been relegated to intern status. I am used to running my own projects. I have him interfering on every single project, micromanaging every single thing I do. He is inexperienced and does not know what he is doing. We have an entire office full of people and from what I understand, they are all sitting on their asses sleeping because he does not have enough experience to train them. He seriously has a GS 5 admin tech training people many grades above her. On what I have no idea. He thinks I am going to start all these contracts in the next couple of weeks for them to follow. I did feel sorry for him at first. When he continually asks my advice and then says that's nice and does something opposite. Well figure it out. I heard that one of my coworkers that is at another agency is trying to get a job in Maine and has interviewed for it. If she gets it, I am applying for her job. There is nothing keeping me here now. My new boss asked if I were coming back. Umm for now. Are you actively seeking a job (for me to know and for him not to find out), no. If I happen to see something, I will not let it pass me by. Guess that is honest enough. Things have just swung too far in the other direction. I have a real problem when I see something that is not correct, standing by and watching it happen. I think it is time to part ways. I won't do it till I have another job lined up. I also told new boss, I will not be back till the middle of May. Good thing the union allows us to stay out for a year! I guess in some ways, God works in mysterious ways. So I am thinking I am going out on 12 December. I will not be available by phone or email.
So I snuck out Thanksgiving day and went to Kmart. What joy it was to go to a store!!! I knew that I could get in and out. We wanted a WII. I got it with several board games, wii games, ect. I was home in an hour. I paid for it with contractions for the rest of the day!!! BAD GIRL. I have been good since then.
Oh and why is my peri's new office located right next to a MALL. So not fair.
I stayed up on Thanksgiving night. I ordered a new nintendo ds with games for me and dh to share. HOORAY. Got it on Amazon with free shipping. Amazon rocked it this year. I also have a bike/jogging stroller coming for 50% off and free shipping and bunches of other things.
DH has now taken over most things. He goes grocery shopping with lists that I make. This time only one call. He buys the girls shoes. He is helping with Kirsten's school projects. He is being Mr. Mom. All he wants is a thank you once in a while.
So that's my update. On rest as much as possible and completely off my feet for now for bp issues and preterm labor. Pray she stays in for another 7 weeks please till 36 weeks. Can't deliver at my hospital unless she is 35 weeks.
Monday, November 17, 2008
Also tonight I noticed I had leukocytes and blood in my urine. So I called my urologist's office. So now I am wondering if I have an infection and that is why I feel like crap. They call in the urinalysis to the lab. However, any meds will be ordered by my ob. Which is NOT what they told me. The plan was that if I thought I had one they would call in a rx for antibiotics to the pharmacy and have me do a urinalysis for culture. If the culture came back negative they would stop antibiotics. If they came back positive, then I was good. So that is pretty frustrating. I'm going to test in the morning and see if the strip is coming up.
My head feels better now. It is not completely gone.
Thursday, November 13, 2008
1) He has a sailor's mouth and a drill sergeant's bite. Everything that comes out of his mouth is a curse word. Which our lovely 3 year old daughter has so lovingly picked up. FABULOUS. I am not innocent in this either. However, I TRY really hard not to. EVERYTHING is done in Mr. Drill Sergeant's voice. These are little kids. You screaming at them for doing a kid thing or not moving fast enough or not whatever scares the living beejees out of them. I don't like hearing it, so why would they. They are small. You are big. Get it? This morning, I can hear him clearly yelling at Kirsten at 7:50am that she was to go get her coat. Not hey go get your coat. YELLING IT. When Kirsten came inside (because now I am contracting AGAIN), I told her to tell her dad to please stop yelling the neighborhood can hear him. He comes in yelling at me and says he was not yelling. I said yes you were I could hear every word you said clearly. If I can hear it, so can the neighbors. No wonder our one neighbor moved. He asked me what he said. I repeated it verbatim. He didn't say anything. Then he said we needed to talk tonight. Um no, you just need to STOP. It's easy. He has a xanax rx but has NOT been taking it.
2) I am sick of him saying it must be nice to be on the couch. Yeah. I am vegetating on the couch to keep this baby in for another 9 weeks. Sorry it's an inconvenience to you. It would be better than not being admitted to the hospital for the duration. Which would you prefer?
- 3) Sewer line. I have no idea why my dh requires massive amounts of toilet paper to wipe his butt. He will seriously go through an entire double roll of Charmin in ONE FREAKING TRIP. I keep wet toilet wipes in the bathroom for that oh so nice clean feeling. Yet he uses an entire roll. Tuesday, I noticed our washer was backing up. It empties into the laundry sink which empties into the sewer line. Hmmmm. We have ONE bathroom (Our next house WILL have 2 1/2 or more). Dh just came back from tdy again. I am sure he has CLOGGED the line again with his excessive toilet paper useage again. This time it is in the line. There is a small root at the city line that needs to be fixed. It is on city property. It is not on mine. However, they refuse to fix it. I refuse to dig up lines and spend 2k. So the solution is to dump root killer in once a month. No problems for several years till I got lazy last winter and didn't do it. Then after we lost the baby, the sewer backed up too. So fil and I track down to the local rental place and get a sewer snake. It costs $35 to rent. It is very heavy and dirty work. DH has NEVER EVER snaked the sewer. Nor has he cleaned the mess up. So we snaked it. Fil helped me clean up. Line fixed. Till last week. Again, lazy over the summer combined with being home all the time and not using the root killer. Made up for a slow line on Monday. I immediately dumped root killer in and did not use the water for 5 hours. Lines were running great by nighttime. Then this morning I awaken to him plunging the lines AGAIN. Except he does not know what he is doing and does a half assed job in doing it. My toilet is all scratched up from the snake because he doesn't know what he is doing. He comes in the bedroom and tells me my bathroom is unusable and he will take the kids to his parents. WTF AGAIN. This happens about once a week where I have to get involved. He plunges the toilet EVERY SINGLE DAY. Get a freaking clue. USE LESS TOILET PAPER. Of course I am pissed now. As usual I have to take care of it. Go in the bathroom and he has made a mess. Toilet water EVERYWHERE. Bowl scratched even more and overflowing. I grab the toilet snake and have it cleared in 15 mins. He needs to learn that in order to use a snake that you have to work it and rotate it to clear a clog and punch through it. Then you have to flush it enough to flush the clog through. I was also treated to him cussing me out and calling ME nasty names because I had to fix it. Which really has me pissed off because I have about had it. The clearing of the toilet has now sent me back into contractions and I am sure my bp is through the roof now. Which is NOT good because I have an ob appt at 10. I have a feeling I am going to be sent to the hospital for a NST and possibly admission if it doesn't come down. When I tried to express to him when I was done that THANK YOU was an appropriate response. He decided to be an ass and be all patronizing. We should worship the ground you walk on. I think part of this is I grew up in a house where we didn't have money and had to make do. If we didn't fix it, it didn't get fixed. I can fix a toilet. I can replace a toilet. I can unfreeze pipes and know how to fix one when it breaks. His dad took care of everything. Clogs the toilet, dad is there to fix it. You know what, for once, I would like to have someone take care of me!
Then he had the audacity to sit there and tell me this morning that I had not cleaned house. Yeah you are right. Because yesterday I made cupcakes for my family to enjoy. It was too much. Oh wait, just because I am not home doesn't mean I don' t have a job to do. Because I do work even though it is from home. You forget that I ran to the bank, mailed out bills, paid bills, took Kirsten to dance, picked Sara up from daycare, made dinner, got the girls ready to eat, cleaned off the island where they ate, took the trash bag out of the trashcan and tied it off, gave Sara a bath and meds, checked Kirsten's temp and gave her meds, mediated fights, and other things that I have forgotten about. I did absolutely nothing yesterday. This isn't a 10th of what I do in a day. Then he said maybe I should leave. You know what, pack your ass up and go to your momma. I really don't care right now. My life will be much easier.
He is bent out of shape because some of the stuff that I take care of he had to do this weekend. Kirsten's girl scout cookies came in. So I spent Monday night sorting through them all, putting each set in a separate bag with a sticky note that had name, what they ordered, what they owed, and how many boxes. Why did I do that? Because I knew he couldn't handle reading an order form and giving them the right boxes. Again rush rush rush, do it halfassed and it is wrong. Sorry, I can't walk around and do that right now. You need to spend some time with your daughter to do this. I asked him to help me go to BJ's for more tp (surprise) and some other things. He decided that now all of a sudden it was imperative to clean my car out. He would not get off of it. He doesn't drive my car (at least now anyway) because a NORMAL person would move a POWER seat back when getting into it. Not my dh. He gets in stretches his legs, leans back as hard as he can and broke my seat. I am 5'5. He is 6'4. So it is quite a gap. I can fix my seat. I just have to superglue the knob that holds the seat together back on and super glue the lever. I cleaned the kitchen from top to bottom on Friday night. I did not do the floor. It was too much. I asked him if he could please mop the floor. It is still not done. I asked him several weeks ago to please clean the toilet. He goes and it goes EVERYWHERE and I am not his momma. It sat for three weeks till I got so disgusted I cleaned it. Only to have him mess it up within 2 hours. he got mad and said it wasn't him but the girls. Umm sorry but we don't have aimers. The bathroom stayed SPOTLESS for 6 weeks while you were gone this summer.
Oh and his mother expects me to go testify in her deposition. I have nothing to say. I never talked with anyone but dh. I have to take an entire morning off to deal with this. Wonder if I can get a medical excuse and get out of it.
Don't get me wrong, I love my dh. He just needs to chill and HELP.
Wednesday, November 12, 2008
It is much better today. I still have intense pain at times in my right ribs. Very scary for this previous PE/HELLP patient. The contractions are sucking big time. I have an ob appt tomorrow so I will find out more then. Why didn't I call the office today? My ob is off on Wednesdays and I was afraid that the midwives would send me to the ER first and then on to L&D for evaluation. Quite frankly, I have had it with the ER. I keep having the words of the urologist in my head. You can go 100 times and it be nothing, if it is the ONE time that it is something, you need to be evaluated. I wish there was an easier way and I am tempted to tell them to take that stupid stone out. Of course, the urologist was right because every time except this last was something that needed to be dealt with urgently.
Monday, November 10, 2008
I have been thinking about how I would feel about a csection if this one doesn't turn. I know they can. Ummm, time is starting to run out here. I am 26 1/2 weeks. Every single US has had her breech.
So back to Adam could live without a rib. So if Adam can live without a rib, can we just go ahead and take out 2-3 of mine? Surgery would be a couple weeks recovery versus 9-14 weeks of pregnancy left.
Saturday, November 8, 2008
Yesterday, I started having terrible pain under my right rib. Seeing I have had pe before, I called my ob at 10pm. He thought it might be my gallbladder, but it wasn't tied to eating. In fact, I had barely anything to eat yesterday because I felt like crap. I was worried about my liver. However, my bp while up was not crazy high. My urine dip was negative last night and trace protein today. He told me to take some tylenol, pepcid, and use a heating pad and get some sleep. See if that would help. Call back if it is worse. This afternoon, after I couldn't take it anymore and after dh told me to call or he will, I called. My ob said I needed to get checked out in the ER and have some labs run and an US done.
My pain was an easy 8 out of 10. Worse than when I had a kidney stone. Worse than having a baby. They asked me if I wanted pain relief. HELL YES. They offered tylenol and zofran. Except one thing. I had tylenol at 12 therefore could not have more tylenol. I remember thinking in that haze of pain today, they can't be seriously offering me tylenol. The dr pressed under my rib. I had tears because it hurt so bad. When I went to have the US. OMG, that was excruciating. It was so bad that I was crying during it and the tech kept saying how sorry she was. I did NOT cry when I had a kidney stone. I did NOT cry when I had a kidney infection. I have NOT cried when in labor with EITHER of my girls. Now, Kirsten, I had an epidural at the beginning because my bp was so high. With Sara, my epidural did not work. I got it too late because I went too fast. I did not cry with either. I didn't cry when I tore all the cartlige in my knee. This, this hurt.
I have NO idea why I was not given pain relief. I am quite pissed about it. I have an idea that all you scumsucking people that claim to have a migraine or whatever just to get drugs makes it difficult for the people who really do have pain.
All I have to say is THANK GOD for the little lock on the cabinet on the wall at the end of my bed. That little lock served as a focal point for the excruciating pain that was going on. I was quite pissed when I left the ER. I was relieved it was not my liver or gallbladder. It was muscular skeletal pain (costochronditis) from the uterus pushing into my ribs. As soon as I got home and I knew it was not my liver or gallbladder, I went searching for the prescription that I did not use with the kidney stone of Tylenol 3 and finally got some relief. Threw up some because codeine does that to me. It was a small price to pay to get relief. While it didn't kill it, it has taken the edge off of it so I could deal with it.
This is the one time that I hope like hell the hospital sends me one of those stupid little press ganey things. I usually try and do a really nice job on it for doctors and nurses because I know there are people that are asses and drug seekers out there. This time, I fully intend to let the administration know exactly what happened. While I didn't say anything to the nurse or doctor or make demands. I never rang the call bell or anything. I think they got the point I was quite pissed when I left because of the here is tylenol that I had ALREADY freaking taken. Which meant that I didn't get tylenol because you can't take a double dose of it. I am just so pissed. I still don't understand WHY the nurse thought that I shouldn't have been in pain. It made me wonder if they had ordered something and SHE FORGOT TO GIVE IT TO ME. I did hear the dr say he wasn't sure what I could have being pregnant. I heard the nurse mention the midwife in my ob's office was on duty and that they could call her. Nothing after that. Why in hell would she think after I had an excruciating US where I was BAWLING because the wand was pressed right where it was excruciating pain that I would have been suddenly cured.
All I have to say is please God, don't let me get a blockage from that stupid stone that is stuck in my ueter. I don't want to have to go back for to the ER for that. My drs have advised that if I have severe back pain where the kidney is I have to go get evaluated. Unfortunately, it is not something that can be waited on via US. I have to get in and get a renal US and iv fluids right away. Although, my urologist's office has told me if anything like this happens with the kidney stone, I am to instruct the ER to please call the oncall drs for my urologist so that they can confirm what is going on. Please God, don't let me be back in the ER again. I didn't ask for this to happen and I am so done. If my ob thinks he is going to be pressing on that area when I have my appt next week, he is nuts. Our appt will start out with don't touch this area unless you are prepared to do something about it. Hell, I would have LOVED a nice big shot of toradol. Anti-inflammatory for this type of thing and it rocks. Unfortunately being pregnant, I can't have anti-inflammatories.
Oh and the tech (love her, she did my us when I thought I was miscarrying at 6 weeks and did the US when I had the kidney stone) did a quick check on the baby because the US was so rough. I think she felt bad. Baby is still a girl. HB was 136. She is STILL BREECH. She asked me if I had thought about a csection. I said only if I get as sick as I was with Kirsten. I hadn't thought about it if everything was ok.