{"id":923,"date":"2007-11-16T13:24:58","date_gmt":"2007-11-16T17:24:58","guid":{"rendered":"http:\/\/lunardreams.net\/ttc\/?p=923"},"modified":"2007-11-16T13:29:41","modified_gmt":"2007-11-16T17:29:41","slug":"20-week-appointment","status":"publish","type":"post","link":"http:\/\/lunardreams.net\/baby\/?p=923","title":{"rendered":"20 Week Appointment"},"content":{"rendered":"<p>When I booked the appointment I was later kicking myself for making it at 8:45 in the morning. Just so happens that this week my sleep has completely flipped and I&#8217;m up by 6am every morning, so it worked out perfectly. (I&#8217;m also asleep by 6pm, unfortunately. If I don&#8217;t actively go to bed by 6, then I&#8217;m falling asleep wherever I&#8217;m sitting!) I feel nice and bright-eyed and busy tailed. Well, as much as I can be when my back is hurting so I have to hobble around.<\/p>\n<p>I will skip over the fact that my car had a little run-in with someone&#8217;s tire in the parking lot. The other car doesn&#8217;t have a scratch (thank god for hitting their tire!). Mine however&#8230; well my poor car is a little dinged up. :( It was my own stupid fault too. So glossing over that&#8230;<\/p>\n<p>Checked in, sat in the waiting room. I think the nurse called me in at around 8:55. She apologised for being behind, they had to organize my records. I&#8217;m wondering why they didn&#8217;t do that earlier &#8211; I dropped them off last week &#8211; but I wasn&#8217;t in a rush and it was no big deal to me.<\/p>\n<p>I felt a little rushed during the initial stuff&#8230; you know, the pee-in-a-cup (&#8220;Do you mind if we get to you give a urine sample first?&#8221; &#8220;Please?!!?!!&#8221;), blood pressure, weight thing. I was given a little cup thing and sent to the bathroom. I had no idea what their usual proceedure was, and I think I did it wrong (I didn&#8217;t do a clean catch, and now that I think about it I probably should have), and I had to carry the little cup back to the nurse&#8217;s station. That was a little&#8230; weird. (The old practice had a little door you put the urine cup through, no carrying.) Blood pressure was 118\/60. Weight was 140.2, so I am now back at my starting weight at least. (Which I knew, according to my own weekly weigh-ins, but it&#8217;s nice that they have it on record now, LOL.)<\/p>\n<p>I then was put in a room and the nutritionist came in to see me. Now I don&#8217;t know what it was about her&#8230; she was very friendly and nice&#8230; but there was just <i>something<\/i> about her that mildly irritated me. I kind of got the feeling that maybe she&#8217;s a little new at this? I don&#8217;t know, maybe it was just little mannerisms that irked me. We talked about eating habits. Umm, yeah, I don&#8217;t know if any of you are aware of this, but my eating habits <i>in general<\/i> suck. I hate veggies and don&#8217;t touch them with a ten foot pole if I don&#8217;t have to. I have very limited taste in fruits (and apparently I don&#8217;t like the &#8220;citrus fruits&#8221; that I&#8217;m supposed to be eating). I&#8217;m bad about eating meat &#8211; I LIKE it, I just can&#8217;t exactly afford a nice filet mignon every evening. Well, that and I&#8217;m supposed to cook my meat really well, and that ruins it for me. Even like ham. I like a COLD ham sandwich. So maybe it was just the fact that I didn&#8217;t like the questioning. But actually I eat lots of grains and lots of dairy, so there&#8217;s just a few things I need to do better about.<\/p>\n<p>But yeah, she wasn&#8217;t thrilled with my lack of weight gain. She didn&#8217;t outright lecture me, but she had a graph thing that showed the recommended weight gain range by months along. I&#8217;m sitting at the very bottom of the graph, heh. I&#8217;m apparently 10-15lbs underweight, did you know that? So she said I need to aim for gaining 5lbs a month until delivery. Yikes. That seems like a lot to me. And the idea of forcing myself to gain weight doesn&#8217;t sit any better with me than forcing myself to lose weight! I&#8217;m going to really try to eat more protein and snack more throughout the day so as not to make myself sick, but I&#8217;m not going to force myself to eat just for the sake of eating. Besides, I don&#8217;t want to turn into a blimp. ;) Now that my appetite is gaining I think I&#8217;ll be fine with it.<\/p>\n<p>The nutritionist also gave me a bunch of handouts on dealing with nausea. But she didn&#8217;t really know the material you know? Like she told me B-12 vitamins, then when I mentioned B-6 vitamins she was like, &#8220;Oh that&#8217;s the one! Here I&#8217;ll get that handout.&#8221; And she was talking about chewing on ginger when I&#8217;m feeling nauseated and stuff. I don&#8217;t know, it just didn&#8217;t inspire a lot of confidence. She had no clue about using Unisom for nausea, she looked totally blindsided and confused by that and remarked, &#8220;Wow, that must really knock you out!&#8221; Ummm, no not really. :\/ She was talking to me as if I am nauseated 24\/7, but she didn&#8217;t seem to get that the Unisom keeps it really manageable, I know what to avoid, and I just have a few days here and there where it&#8217;s REALLY bad. And I&#8217;m sorry, but when it&#8217;s REALLY bad sniffing a lemon is not going to help &#8211; I&#8217;ll be too busy hanging over the toilet. Thanks.<\/p>\n<p>Oh, and the, &#8220;What do you do?&#8221; &#8220;I&#8217;m the assistant manager at a cat sanctuary.&#8221; &#8220;A ca-&#8230;&#8230; what??? What is that?&#8221; *scratches head* Now I know it&#8217;s unusual, but I think &#8220;cat sanctuary&#8221; is rather self-explanatory? I get a lot of varied responses when people find out what I do, but I&#8217;ve never quite seen a blank, clueless face before. &#8220;We have cats. Stray cats&#8230; unwanted cats&#8230; sick cats. We take care of them.&#8221; I need to learn when to say &#8220;shelter&#8221;. People understand that term far better, even if it isn&#8217;t completely accurate in this case. (A shelter has a much higher in\/out rate, animals are usually caged, and their focus is on adoptions. A sanctuary may have some adoptions, but the main focus is taking in the animals that the shelters can&#8217;t handle\/don&#8217;t want, and caring for them for life.)<\/p>\n<p>Plus as she was leaving she asked me if I&#8217;d gotten my flu shot yet. &#8220;No, and I won&#8217;t be getting it.&#8221; She blinked. &#8220;Oh. I always get it. Just seems like one less thing to worry about.&#8221; I just nodded and smiled, because I didn&#8217;t feel like explaining my motivations to the nutritionist. Nodding and smiling gets me through a lot.<\/p>\n<p>Anyways. I spent a long time with the nutritionist answering questions and going over nausea management techniques and what I should be trying to eat. When she was done I waited a few minutes for the midwife to come in.<\/p>\n<p>The midwife was really nice! Like the other one I interviewed, she was very relaxed. We went over my chart. They always ask if my LMP is correct, and I usually just kind of stare and say, &#8220;Umm, if that&#8217;s what it says, sure.&#8221; I get a blink. &#8220;This is an IVF pregnancy.&#8221; &#8220;Oohhhhh. So what were those dates?&#8221; LOL So I gave her my retrieval and transfer dates. They go by my EDD for everything, so it doesn&#8217;t really matter anyways. I know the EDD is [mostly] correct (off by one day). She went through all my lab results, and since everything came back normal\/negative there wasn&#8217;t much to talk about. She did say that my iron had come back slightly low, but she said iron usually drops a little in pregnancy so it&#8217;s nothing to be concerned about. She said they&#8217;ll re-check it at 28 weeks, when it usually takes a harder hit, and go from there. All fine with me.<\/p>\n<p>I mentioned my Celexa, which as you know was my big concern since I had forgotten to bring it up during the interview last time with this practice so I didn&#8217;t know what their policy was. But the Midwife totally reassured me, she said if it was prescribed before and it&#8217;s working, then they are totally fine with staying on it, and she repeated what other doctors have told me about the greater good. She said they&#8217;ll look into if I should switch or not for breastfeeding, and that they&#8217;re happy to provide my refill prescriptions or whatever, so YAY!!! My big worry eased!<\/p>\n<p>Then it was up on the table for a quick feel of my uterus (up to my belly button, yup), and then a listen with the doppler. She found it quick, the wand was about an inch and a half below my belly button, but tilted up and to my right. So Devin&#8217;s sitting up high! Heartrate is in the 150&#8217;s this week.<\/p>\n<p>Oh, and the Midwife asked if anyone had offered me the flu vaccine yet. I said, &#8220;No, but I know about it and I&#8217;ve decided not to get it.&#8221; And she said, &#8220;Okay then! Sounds good.&#8221; YAY for not having to argue!!<\/p>\n<p>My next appointment is set for December 14, at 24 weeks. :) I hope it&#8217;s the same midwife, I&#8217;d like to see the same one and develop a bit of a relationship.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>When I booked the appointment I was later kicking myself for making it at 8:45 in the morning. Just so happens that this week my sleep has completely flipped and I&#8217;m up by 6am every morning, so it worked out perfectly. (I&#8217;m also asleep by 6pm, unfortunately. If I don&#8217;t actively go to bed by [&hellip;]<\/p>\n","protected":false},"author":71,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[64],"class_list":["post-923","post","type-post","status-publish","format-standard","hentry","tag-preg-drappt"],"_links":{"self":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts\/923","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/users\/71"}],"replies":[{"embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=923"}],"version-history":[{"count":0,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=\/wp\/v2\/posts\/923\/revisions"}],"wp:attachment":[{"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=923"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=923"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/lunardreams.net\/baby\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=923"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}