The Downside of a Multi-Doctor Clinic

I love the upsides to multi-doctor clinics. For instance, Bryce sees a primary pediatrician in a clinic full of 'em. So, when there's an emergency and his doc is off, Bryce can still be seen by SOMEONE there and get the care he needs, without me having to swoop him off to the ER or Urgent Care all the time.

My OB's office is similar. I have a primary OB, but in times of emergency, I can see any one of 5 (they partner two offices together in order to have that many on staff). This is nice because, I could really have this baby at any time, and it is comforting to me to know, that, if my OB is not on call, someone from her office will deliver Abbie and will know my chart.

Or so I thought.

Because of my experiences with being pregnant with Bryce and having pregnancy-induced hypertension, I'm ACUTELY aware of signs of high blood pressure and pre-eclampsia (to those of you who don't know, pre-eclampsia is a serious pregnancy complication that can lead to a whole host of problems...usually bedrest and sometimes early induction/C section follow). Last week, I gained 5 lbs in 4 days. That is NOT normal. Normal at this stage is about 1-2 lbs/week. I can assure you that I was not sucking down Tagalong Blizzards and Big Macs (though they are quite tasty). I was also swelling a lot, and Monday morning my eyes were swollen and I was having blurry vision. The weight gain and these symptoms are all signals that pre-eclampsia may be on the horizon.

My OB is on vacation. She will be back on the 4th. So, Monday, I call my OB's office, advise them of my symtpoms and as what I should do. Well, I should come in of course, only the OTHER OB in the office is out too, so I'll need to go to the downtown clinic to see Dr. P. (using abbreviations only to be kind...I'd dime these folks out in a second if I thought anything they did in the following paragraphs was gratuitous and intentional). So, I see Dr. P. Luckily, my BP is normal (GREAT sign), but they want to run some blood labs, so I oblige the vampires.

I receive a call this morning from Dr. P's office. There were some abdormal readings, so they want me to take some more blood tests. This time I ask if I can do them at the clinic near my home and ask what it's all about. THEY DON'T WANT TO TELL ME. I finally prod, and the nurse mentions something about my liver. Fan.tas.tic.

So, I rush into the lab to give the vampires a second helping of my O negative, and then await my 3PM appointment with my OB's partner, Dr. W. Untreated anxiety made today a living hell for me. All sorts of terrible scenarios floated through my head, and it was everything I could do to get through my daily alotment of work.

I get to the appointment, and Dr. W's nurse tells me that he's still in surgery and I'll be seeing the nurse practitioner. Uh, what? I have nothing against nurses, and I know that 9 times out of 10 they've got it figured out before the docs, but THIS is serious...THIS is my liver. THIS could mean inductions or a c-section if it's serious enough...can a nurse make that call?

I wait for about 20 min in the waiting room, and then another 20 min in the procedure room. All of a sudden, the nurse comes in, moves me to a different room and tells me Dr. W is there and can see me. Phew, that's a relief.

I wait another 10 minutes, before Dr W comes waltzing through the door. And he looks at me funny. I would have stood to shake his hand, but I'm 37 weeks pregnant thank you very much, and I don't feel like getting up. So, I wait for him to sit in front of the computer, and check my chart, and ask me why I'm there. EXCUSE ME? I realize you just came from surgery, but the least you could have done was read the notes the nurse wrote on the back of my chart. So, I calmly explain the symptoms I'd had which led to my Monday appointment with Dr. P. He looks at the blood drawn on Monday, and says, "well, it all looks very normal to me..." WHAT? Are you kidding me? "Well," I reply, "they called me this morning and requested that I take more tests, did you get those results?" I haven't seen a blanker stare since I asked Bryce if it was he or the cat the squeezed all of the toothpaste down the sink. "Oh!" He says, as he quickly pulls up my chart on the computer...."yep, those labs look good, too."

Well, then WHAT IN THE HELL did I need to give blood for again? Obviously, if Dr. P thought they were normal, I wouldn't have given more this morning and I wouldn't be here NOW! So, he says, "well, your platelets are a little low...normal is 150 to (some number I can't remember) and you are at 148. That is where you were at on Monday and that's where you're at today."

"So, what does that mean?"

"Well, nothing really. You're just a TINY bit low. It's really nothing to worry about. I'd just keep doing what your doing and see Dr. G (my normal OB) next Wednesday." He listed for Abbie's heartbeat, measured my stomach and then left the room.

I was SO PISSED. Not pissed that Abbie and I are healthy, mind you. I'm very grateful for that.

Pissed that I spent my ENTIRE day, FREAKING out. I had called my mom, and she was seconds from hopping a plane early. Brett was in a PANIC, coming up with contingency plans for his workload should he need to leave early.

So, I called them both, told them we were A-OK, and I was a victim of the left hand not knowing what the right hand was doing.

Funny thing is, I betcha I'll get a call from Dr. P's office, wanting to go over my results, and maybe even ordering MORE labs, because according to nonchalant Dr. W, the results from today were the same as Monday.

We'll see how they decide to play this one.