I went to the doctor earlier this week, it wasn't exactly a fun appointment. First off, I went in and when I told the girl that this had been a regularly scheduled well-woman check but I called to say I was pregnant and they said to keep the same appointment. She looked at me like I had just made her day infinitely more difficult and did everything short of rolling her eyes. Great start.
I waited for 30 minutes before I even went back into the room which is always fun. I was finally called back and stood backwards on the scale because at this point I DON'T WANT TO KNOW. Then, I talked to the nurse and she was the one redeeming factor. While she checked my vitals (all okay), she was really nice and listened to me explain my precarious medical insurance situation. You see, I currently have pretty crappy insurance that only covers 70% of expenses and I am about to lose it unless I pay COBRA. I told her this and she told me the same thing the doctor later told me, "Forget that, it isn't worth it. See if you can get Medicaid because if you have to pay COBRA and 30% you are going to pay a LOT of money". She just happened to come from working for an excellent doctor that takes Medicaid and assured me I can still go to the hospital of my choice and be well taken care of. So, I'm going to try to do that. If Mike gets a job with insurance soon, I'll be covered after we get married but all that is a big damn IF.
My doctor came in and surprise! She is 6 months pregnant. She also seemed like she was in a huge hurry. She said the same thing about insurance and decided it would be smarter to make this just a yearly visit, not a pre-natal one since I am likely switching doctors. I did tell her that I have been suffering from pretty severe insomnia which is making me very tired and crabby during the day. I then told her I had stopped taking my anti-depressant medicines the day I found out I was pregnant. She looked at me and said "Well, who told you to do that?" and I said "No one. I called up here to ask if I should come in and they said keep my existing appointment. So, I did a lot of research on the internet and nothing told me it was safe to continue. You can't tell me there are long-term studies showing neurological effects of introducing mind-altering chemicals to an embryonic brain." She looked at me for a second and said "Well, Prozac has been around for 40 years and I haven't heard any negative studies." I answered, "I wasn't taking Prozac." She then told me she thought I was having withdrawal symptoms and that was why the insomnia and possibly nausea were so bad. I asked her if she thought I should start up again (after 11 days off) and she said no because she wasn't going to keep treating me and I should ask my new doctor. She left me with the advice to take Benadryl if I can't sleep.
Here are my thoughts- If I am having withdrawal symptoms, wouldn't the baby? Plus, no one can assure me it is safe for a developing fetus. I'm not suicidally depressed, I'm actually doing okay- just pretty cranky. I started taking them for anxiety issues, not severe depression. I have weighed the pros and cons and I think this is the wisest avenue. Plus, I want to breast feed and I wouldn't feel comfortable breast feeding if I continued to take meds. and passing them on to an infant. So, that's that- I'm not taking them and the insomnia does seem to be getting better and that was my main concern.
Continuing with the exam, without even telling me, she poked my tender cervix with the big damn Q-Tip for a pap smear and I almost screamed in pain. Next, she casually mentioned, "Oh, don't worry if you start spotting. That would be from the pap smear." Now, that's something you want to hear when you are already paranoid about something going wrong- how bout you not poke me in the first place and prevent said bleeding?! Then, she thoroughly poked, prodded, and tenderized my already sensitive breasts with a meat clever. Okay, she used her hands but that's what it felt like.
After this, she walked away from me, scribbling on the chart and headed for the door. I stopped her with "Uh... so, can you tell I'm pregnant from your physical exam?!" and she answered "Oh, yeah- your uterus is enlarged and I didn't feel any masses. You didn't scream when I examined you. So, yes, I'd say you feel about 8 1/2 weeks, not 9". And that was all.
I was left feeling kind of--- sad?! My first appointment with Caleb was also, coincidentally, was a well woman visit already scheduled when I found out I was pregnant (different doctor). She sat down with me, talked to me, gave me a vaginal ultrasound, etc, etc, etc. This doctor and her staff almost treated me like a waste of time. Now, I know I've been very touchy and sensitive but I don't think this was right. I used to really like this doctor but now I don't want to see her again. This is also the same office where my sister went in for an ultrasound and the technician said "I don't see a heartbeat, let me get the doctor" and left her alone for 25 minutes, terrified that she had lost the baby (which she had). THAT is unacceptable but I thought maybe there was an emergency in a different part of the office and gave her a second chance. After this- no more.
What do you think?