Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.

She's already been discharged from care due to being high risk (insulin dependent, out of control blood sugars, macrosomia) and her original OB cannot care for her anymore, it happens. She has already been referred, but doesn't want to see that OB for whatever reason. Your advice would make her seem crazy.

OP It doesn't seem like you understand you are a high risk patient, and both you and you baby can have serious outcomes during pregnancy, birth, and even after birth. You really should see who were referred to.

Op here. The baby hasn't been diagnosed with macrosomia yet btw and my blood sugars are 95% under control. I am only on bedtime insulin at a low dosage and my MFM said my case isn't that serious at all. My last growth scan was 32 weeks and baby was measuring in the 99th percentile (he's also very tall btw). I will have another growth scan soon to see where he is at. I may be diagnosed with macrosomia then, but not yet.

It's not possible to diagnose macrosomia until after the baby is born, because late pregnancy prenatal measurements can be wildly inaccurate. All they can do until s/he is born is make an educated guess.

There is a great article on Evidence Based Birth about macrosomia and the shoulder dystocia risks for a baby whose mom has insulin-dependent GD.

Anonymous wrote:

Anonymous wrote:That's really weird. Maybe his insurance lapsed or recently had a traumatic delivery or something.

That his job!!!!

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.

She's already been discharged from care due to being high risk (insulin dependent, out of control blood sugars, macrosomia) and her original OB cannot care for her anymore, it happens. She has already been referred, but doesn't want to see that OB for whatever reason. Your advice would make her seem crazy.

OP It doesn't seem like you understand you are a high risk patient, and both you and you baby can have serious outcomes during pregnancy, birth, and even after birth. You really should see who were referred to.

Op here. The baby hasn't been diagnosed with macrosomia yet btw and my blood sugars are 95% under control. I am only on bedtime insulin at a low dosage and my MFM said my case isn't that serious at all. My last growth scan was 32 weeks and baby was measuring in the 99th percentile (he's also very tall btw). I will have another growth scan soon to see where he is at. I may be diagnosed with macrosomia then, but not yet.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.

She's already been discharged from care due to being high risk (insulin dependent, out of control blood sugars, macrosomia) and her original OB cannot care for her anymore, it happens. She has already been referred, but doesn't want to see that OB for whatever reason. Your advice would make her seem crazy.

OP It doesn't seem like you understand you are a high risk patient, and both you and you baby can have serious outcomes during pregnancy, birth, and even after birth. You really should see who were referred to.

Health outcomes are worse for people who just take the doctors word on everything. OP seems like she understands the situation fully and is trying to figure out what to do.

The sibley ob dropped her with no notice and no conversation. That is bad medicine. OP is allowed to chose another hospital that meets her needs that isn't in line with their suggestion. Georgetown is 5 minutes from sibley and more than equipped to deal with her. It makes no sense to not refer her there.

Anonymous wrote:

Anonymous wrote:I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.

She's already been discharged from care due to being high risk (insulin dependent, out of control blood sugars, macrosomia) and her original OB cannot care for her anymore, it happens. She has already been referred, but doesn't want to see that OB for whatever reason. Your advice would make her seem crazy.

OP It doesn't seem like you understand you are a high risk patient, and both you and you baby can have serious outcomes during pregnancy, birth, and even after birth. You really should see who were referred to.

Anonymous wrote:Op I just want to add my voice of support to say your doctor is crazy, and I’m so sorry you are having to deal with this at this point in your pregnancy. It absolutely sounds like patient dumping and for the life of me I can’t imagine why he would be doing it at this point! Midwives can co-manage the care of Insulin dependent GD moms. Yes there are additional risk factors, but you’ve had care along with an MFM. I have to imagine that this isn’t about you and your level of risk, but something that is going on with him, his privileges or insurance or some such thing. Or he’s just a bastard.

I also would hope if you called another local practice and explained the situation they would slot you in. This isn’t that unique of a complication factor that other docs are likely to run away screaming.

Here’s hoping this gets quickly resolved and you have a straight forward, healthy birth.

Anonymous wrote:I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.

She's already been discharged from care due to being high risk (insulin dependent, out of control blood sugars, macrosomia) and her original OB cannot care for her anymore, it happens. She has already been referred, but doesn't want to see that OB for whatever reason. Your advice would make her seem crazy.

OP It doesn't seem like you understand you are a high risk patient, and both you and you baby can have serious outcomes during pregnancy, birth, and even after birth. You really should see who were referred to.

Health outcomes are worse for people who just take the doctors word on everything. OP seems like she understands the situation fully and is trying to figure out what to do.

The sibley ob dropped her with no notice and no conversation. That is bad medicine. OP is allowed to chose another hospital that meets her needs that isn't in line with their suggestion. Georgetown is 5 minutes from sibley and more than equipped to deal with her. It makes no sense to not refer her there.

Anonymous wrote:Shady Grove has a level 3 NICU. Why don't you want to deliver there? Also, you will most likely be induced prior to 40 weeks, so waiting and walking in while in labor (unless it happens naturally before 39 weeks) is unlikely.

Anonymous wrote:

Anonymous wrote:I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.

She's already been discharged from care due to being high risk (insulin dependent, out of control blood sugars, macrosomia) and her original OB cannot care for her anymore, it happens. She has already been referred, but doesn't want to see that OB for whatever reason. Your advice would make her seem crazy.

OP It doesn't seem like you understand you are a high risk patient, and both you and you baby can have serious outcomes during pregnancy, birth, and even after birth. You really should see who were referred to.

Anonymous wrote:I would call this doctor back, say no OB would take me at this late date and let him know that you’ve decided to have the baby at home. Preferably leave that as a message.

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Shady Grove has a level 3 NICU. Why don't you want to deliver there? Also, you will most likely be induced prior to 40 weeks, so waiting and walking in while in labor (unless it happens naturally before 39 weeks) is unlikely.

Probably because if she originally planned to deliver at sibley she doesn't live remotely close to shady grove and doesn't want to drive for an hour in labor when there are two excellent hospitals, one with a level IV NICU near sibley in the city.

There's a reason her care was transferred by her MFM to that specific doctor, though. With an induction she'll have plenty of time to plan travel time etc.

Anonymous wrote:

Anonymous wrote:Have you tried Dr Christine Colie at Georgetown? With that practice whoever is on call will deliver your baby, but there are many doctors.

Have you thought of just showing up in labor at Georgetown?

Op here. I haven't heard of her but will definitely check her out. I will pretty much go to whoever is willing to take me at this point.

Last resort is to show up in labor at Georgetown.

Anonymous wrote:

Anonymous wrote:I had GD and had to take a pill (elected for this rather than insulin). Foxhall never mentioned inducing me early and I was measuring ahead 2 weeks the whole time. They were wonderful. I delivered at Sibley.

OP here. Ob officially dropped me and is sending me to find a doctor through my MFM who's recommending a doctor that delivers at Shady Grove. I really don't want to go there....was there a particular doctor you liked at Foxhall? Thanks!