I didn't know what to expect this morning but it turned out really well.
First, they completely redid my u/s. Really wasn't expecting that. I thought I would just have a consult with the dr. and he would look over my my last u/s report and send me on my way. It was so much more than I was expecting. I told my husband not to come because I didn't think I'd have a u/s so he was at home, although I'm sure he would have liked to come (he's still not allowed at dr. appointments with me after his unwanted contributions last time he came with me to the old ob).
The baby looked fine. He was actually head down already. The tech said that sometimes they like being head down and will stay that way and sometimes they don't at this point, so we will see. He only measured about a week ahead (weight was 1lb 11oz) this time, but still fine. He was really cute on this u/s and and was a lot easier to follow where she was and his position and what he was doing. We saw him open his mouth a couple times and put his fist up to his head. We also took another look at his 'pee-pee'. Definitely still a boy.
Then a nurse came in and got a fairly detailed history from me. And then I moved to a small consult room and waited for the Dr. (By the way, this was the nicest dr. office I have ever been in, bar none. I thought RE's had fancy offices, but this blew that away.)
He came in and we talked. He thinks everything looked good but he still wanted to put me on a high risk schedule. I was surprised that he would do that and he said that he offers it pretty standardly for patients that have been through infertility and also have PCOS since both of those put you at a higher risk for complications, but also because of the HETEROZYGOUS MTHFR (that's right, he was surprisingly concerned about the hetero MTHFR even though a great deal of the population has it and most people don't worry about it as a complication).
I'm not sure what all is involved with a high risk schedule, but on top of my regular appoints with McSoothy I will see him and my next appointment is in a month and we will do another u/s at that time, I think. And then I will have weekly biophysical profiles from there on out plus more appointments with him. I will be a busy girl.
He described PCOS in a different way than I have ever heard a Dr. talk about PCOS. He said it is really, at it's heart, an inflammatory problem and should be treated at such. (Anyone else ever had it put to them like this?)
For instance, I've always wondered if the baby aspirin made the difference with getting pregnant, he thinks it probably did since it helps with inflammation. AND he wants me to stay on it the WHOLE time (everyone else told me to quit at 35 weeks). He's not concerned and says you really only need to quit if you're on heparin too or if the anesthesiologists are really picky at your hospital. I'm hoping for a natural birth, so hopefully this won't be an issue, but it will be good to know that I can safely get an epi if I need one.
He also wanted me to increase some of my supplements. McSoothy called me in extra folic acid, he said that was good and to do 5mg per day (on top of my prenatal). I take a 300mg vegan DHA supplement and he wants me to triple or quadruple it! Now, those stupid pills cost me at $30 per month, so I think I will only triple it, cause that's pretty expensive. And he wants me to add 1,000 IU of vitamin D on top on my prenatal. So, I will be popping a lot more pills now. (By the way, this is all standard for his patients, he had little neon pink cards sitting in the consult room with all of this on it and made sure to check all of them for me).
I'm also suppose to start kick counts which I figured was coming. I also got my thyroid drawn since it's been awhile and I was going to ask someone to check if no one offered it soon... that's a pretty important one.
He was very complimentary to me. He really praised me for being proactive and he made me feel really good about being there. I really liked his whole office. And I'm not sure if all of this is overkill or not, but it feels good that someone is interested in my pregnancy like this. The goal is a healthy baby so hopefully this is just helping to improve the odds.