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OB visit #2 - Elizabeth Unexplained
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greyautumnrain
greyautumnrain
OB visit #2
Yesterday was my second visit as an actual OB patient, though again it was with nurse Pollyanna and not my OB. Fetal heartbeat was present at a nice healthy 160 beats per minute. I've also shed a little weight; I'm now only one pound up on my retrieval weight, and that was with my sweater on. I should write a diet book about the wonders of the ginger ale and pickles diet.

Nurse Pollyanna was acting very excited about my NT screen on the 20th. Her basic attitude seems to be that the main event here was getting to look at the adorable little fetus, not checking to see if it's likely to have Downs Syndrome or some other major genetic problem. When I brought up the actual purpose of the screen she assured me that she was sure the fetus did not have Downs. I refrained from pointing out to her that she was also sure that I could conceive on my own if I just charted my cycles and kept on going. Sure, a healthy heartbeat is reassuring, but there is a reason why they do the ultrasound measuring thing to actually check for risk of serious problems.
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Comments
kirisutogomen From: kirisutogomen Date: December 6th, 2007 04:44 am (UTC) (Link)
It's just bad practice to assure patients of things you don't actually know for sure. You can say things like "It's very unlikely the fetus has Downs," but what can she say to someone if she has said "I'm sure the fetus doesn't have Downs" and it turns out that it actually does?

I understand why she's doing it; a lot of expectant mothers are very anxious. Heck, who wouldn't be anxious? It's the most important thing you'll ever do, and you don't get many tries. But it's perfectly possible to reassure someone without deceiving them about what we actually know.
psychohist From: psychohist Date: December 7th, 2007 06:12 pm (UTC) (Link)
I have to admit, I've taken to interpreting "I'm sure" comments as follows:

"The fetus doesn't have Downs" means "I'm sure the fetus doesn't have Downs".

"I'm sure the fetus doesn't have Downs" means "I'm not sure the fetus doesn't have Downs".

Basically people say "I'm sure" to reassure themselves when they're not actually sure.
enugent From: enugent Date: December 6th, 2007 06:33 pm (UTC) (Link)
When do you get to see your OB? And is s/he really good enough to make it worthwhile dealing with this nurse?
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