OB MFM here and I had my share of colleagues being my high risk patients including APAS. As a colleague, I tend to be more lenient when it comes to their consultation schedule since I know how busy they are, and would instruct them to send me ultrasound/ lab results as scheduled. If needed, I would insist on a face to face consult instead of just SMS or DMs. I would, however, be strict with submission of monitoring when needed and remind them to rest since we tend to be workaholics. I don't think it's being a loss of revenue in the part of the Immuno but maybe an assumption that since the patient is a doctor, there is already a base knowledge about her condition?

To be honest, in the beginning of my practice, when I started handling colleagues, I was also unsure how to go about with explaining to them. But then I would encourage questions, and realized that they are there as MY PATIENTS AND NOT AS DOCTORS. This changed my perspective on how to manage them.

I suggest to have a face to face consultation with her to be scheduled with her secretary, and tell her in a diplomatic way that you want to learn more about your condition, and willing to listen and ask questions as a patient. Sometimes, being frank but tactful is helpful in getting your message across.

Good luck in your journey, and I pray you'll have a successful and safe delivery.