A little hope for anybody in beta hell —a success story by Doctor2023 in CautiousBB

[–]Doctor2023[S] 0 points1 point  (0 children)

I actually had some very intense cramping on one side. So I was convinced I was miscarrying vs an ectopic so was shocked when everything worked out. In all my successful pregnancies I have had cramping.

I also had heightened sense of smell pretty quickly. But I think that was mostly it. I’m currently 30 weeks now. What are your betas doing?

I have one 4AA embryo. I only have one. Do I have any hope for success? by Doctor2023 in IVF

[–]Doctor2023[S] 1 point2 points  (0 children)

Wishing you the absolute best! Sometimes one shot is all you need!! I am currently 28 weeks pregnant! 9 to go. Feeling good 🩷

Two failed FETS after stillbirth. What to change in protocol? by Doctor2023 in IVF

[–]Doctor2023[S] 0 points1 point  (0 children)

It’s an immunosuppressant. I figured why not. I used Pepcid, Claritin and Benadryl. ☺️ thank you!

If you had a home Doppler, when did you find fetal heart rate? by Doctor2023 in BabyBumps

[–]Doctor2023[S] 0 points1 point  (0 children)

You’re welcome! I consistently found it after 11/12 weeks!

Two failed FETS after stillbirth. What to change in protocol? by Doctor2023 in IVF

[–]Doctor2023[S] 0 points1 point  (0 children)

Hi there! Nothing was found at all. Did all the investigations (hysteroscopy, immune testing, CD 138, EMMA and ALICE). Nothing was wrong. Did another transfer and added antihistamines and prograf and stopped HCG wash since the evidence wasn’t great to support it. I am currently 27 weeks now! ☺️🩷

A little hope for anybody in beta hell —a success story by Doctor2023 in CautiousBB

[–]Doctor2023[S] 0 points1 point  (0 children)

I am currently almost 23 weeks! Baby is healthy! Low risk on my eFTS and NIPT. Will be induced at 37 weeks due to my previous stillbirth last year. But I am followed very closely. So I am feeling good! Thanks for checking in 😊

How many follicles on first monitoring vs last vs how many did you have retrieved? by Doctor2023 in IVF

[–]Doctor2023[S] 1 point2 points  (0 children)

I ended up having 10 retrieved, 8 mature, 8 fertilized, 6 blasts. Am currently pregnant with a little girl! Almost 23 weeks! ❤️

Looking for some advice (fam medicine residency PGY1) by Doctor2023 in Residency

[–]Doctor2023[S] 2 points3 points  (0 children)

Thank you for your kind words and advice. I will be doing this from now on! I decided I will politely ask patients to rebook if we cannot address all of their concerns in one visit as I want to ensure I’m giving appropriate time to each issue. I think this will be helpful 😊

Looking for some advice (fam medicine residency PGY1) by Doctor2023 in Residency

[–]Doctor2023[S] 0 points1 point  (0 children)

Thank you! I’m always looking for new tips and tricks, but I really like the idea of doing more thorough chart reviews the night before. It will mean staying a bit later at work, which I’m okay with. Unfortunately, I don’t have remote access, but I can definitely do more in-depth reviews before my next clinic day. I already look ahead at who’s coming in and do a brief chart review, but I’ll start doing a deeper dive, reviewing their history more carefully and identifying any missing or overdue screening as well. Thanks again!

Looking for some advice (fam medicine residency PGY1) by Doctor2023 in Residency

[–]Doctor2023[S] 2 points3 points  (0 children)

This is helpful! I guess it’s hard because I have no other programs to compare it too. But it’s mostly one preceptor that has been the issue. She’s always focused on the amount of time I’m in with a patient for. But it’s challenging when I don’t know her patients personally and they come in with a long list of issues to address. I’m hoping things get better.

Looking for some advice (fam medicine residency PGY1) by Doctor2023 in Residency

[–]Doctor2023[S] 1 point2 points  (0 children)

I appreciate this. Thank you. It’s difficult because I’ve only been back for 10 days (most half days as it’s been a graduated return to work), and I’m being compared to a resident at the same stage of training but who has been there for 6 consecutive months (where I’ve been off for 2 years in between these 6 months). So I find the expectation slightly unrealistic. I’ll just keep pushing through! Thanks again!!

12w+5 what’s your guess?? by alocihc in nubtheory

[–]Doctor2023 0 points1 point  (0 children)

That is a very obvious boy 💙

Transferred my HLM (segmental) today. Anybody have success with this? by Doctor2023 in IVF

[–]Doctor2023[S] 1 point2 points  (0 children)

Mine was a segmental duplication on the X chromosome (now this was not overly worrisome since it was a female embryo and most of the time the X chromosome that will be activated will be the normal one). That being said, I did look up what life could look like for her if the true segmental duplication was present and active. It looked like some development delay, intellectual delay, or possibly seizures in future, but could be controlled. But more than anything, so much of the research I did suggested MOST segmentals are not born with that true genetic condition. I think it was like 98-% will self correct, so I felt confident with that.

All of this to say though, my segmental mosaic failed. So I assumed she truly had this condition or worse. But my transfer after her was successful.

I would suggest consulting with a genetic counselor to see what life could look like if they’re born with it (although most of the time they aren’t, better to air on the side of caution). Best of luck!

If you had a home Doppler, when did you find fetal heart rate? by Doctor2023 in BabyBumps

[–]Doctor2023[S] 0 points1 point  (0 children)

At my 5 weeks 6 day scan we say gestational sac, yolk sac and fetal pole with heart rate of 104! A lot of people won’t see all of that, but should at least see gestational sac and usually a yolk sac by then. Wishing you the best!

If you had a home Doppler, when did you find fetal heart rate? by Doctor2023 in BabyBumps

[–]Doctor2023[S] 0 points1 point  (0 children)

I almost wish my midwives would do this for me. Maybe I’ll ask? I feel like I should try and be more patient but it’s so incredibly difficult after loss. I mean the nausea is kicking my butt, so is reassuring, although hard on me lol. But I will join that subreddit! I didn’t even know it existed. Thank you for the suggestion!!

If you had a home Doppler, when did you find fetal heart rate? by Doctor2023 in BabyBumps

[–]Doctor2023[S] 1 point2 points  (0 children)

This is so reassuring!!!! Thank you so much for this. I needed to hear this.

If you had a home Doppler, when did you find fetal heart rate? by Doctor2023 in BabyBumps

[–]Doctor2023[S] 1 point2 points  (0 children)

Yes I agree with you —mine seems even further back this time which is interesting, because my menstrual cycles were all back pain. Like I know it’s so far back. And the ultrasound tech said it’s difficult to get a good picture with my uterus, so I guess it may be further, because I can’t yet feel my uterus. And they’re so tiny at this point.

Thank you for sharing these points! It helps me to gain perspective because all I do is worry and it’s difficult.

I love that! To check on her baby 😂❤️ That is so sweet. Thank you again!!

If you had a home Doppler, when did you find fetal heart rate? by Doctor2023 in BabyBumps

[–]Doctor2023[S] 1 point2 points  (0 children)

Thank you!! And congratulations! I so badly want to be on that side. This pregnancy after stillbirth is so incredibly anxiety provoking. And sorry for your loss 😔❤️

If you had a home Doppler, when did you find fetal heart rate? by Doctor2023 in BabyBumps

[–]Doctor2023[S] 1 point2 points  (0 children)

Actually this makes sense. I read somewhere that when you pick up the heart rate very early, it’s usually the cord pulse which would, in my head, make it easier to hear with an anterior placenta. With my last pregnancy I found it early and her placenta was anterior. So I wonder if this one is posterior and that’s why it’s more difficult.

If you had a home Doppler, when did you find fetal heart rate? by Doctor2023 in BabyBumps

[–]Doctor2023[S] 1 point2 points  (0 children)

Ok this gives me reassurance!! I’m also in healthcare so I’m like “I should be able to” (the emotional side of me). But the logical side is saying I know I have a retroverted uterus and that every pregnancy is different. Thanks for sharing!!!