Aa
Pain in right shoulder
ok so I know I'm full of questions lately but the past 2 days I've noticed a very sharp pain on the back side of my right shoulder when I move it hurts worse but if I stay still it's ok.....it's like a pulled muscle or something......my mom said it could be a pregnancy thing but I've never heard of that .....anyone esle have this?
Sweatheart, you HAVE high blood pressure (read below from March of Dimes) and you have a doctor who is not doing anything to help you.
"A systolic reading of 140 or higher, or a diastolic reading of 90 or higher, is considered high blood pressure. "
That he is NOT helping you is malpractice...plain and simple, especially if he is not conducting the standard tests at EVERY SINGLE visit and that includes, like the gals have been saying, URINE TESTS.
You need to take this seriously and if you don't feel comfortable standing up to your doctor then go the the ER so they can run the proper tests and confirm a diagnosis. If you don't do this and something bad happens to you or your baby you will have to live with that for the rest of your life. If you DO do this and everything is normal then you have that assurance and peace of mind.
I know standing up to your doc is hard...I had to do it just yesterday regarding my blood clot history as my high risk OB was trying to pass the buck to everyone else...THAT'S WHY I GO TO THEM!!!
**link to full article and copy of relevant paragraph.**
http://www.marchofdimes.com/professionals/14332_1222.asp
How is blood pressure measured?
At each prenatal visit, the health care provider measures blood pressure with an inflatable cuff that wraps around the woman's upper arm. The pressure in the arteries is measured as the heart contracts (systolic pressure) and when the heart is relaxed between contractions (diastolic pressure). The blood pressure reading is given as two numbers, with the top number representing the systolic pressure and the bottom number representing the diastolic pressure (for example, 110/80).
A systolic reading of 140 or higher, or a diastolic reading of 90 or higher, is considered high blood pressure.
Because blood pressure can go up and down during the day, health care providers often re-check a high reading to determine if a woman truly has high blood pressure
"A systolic reading of 140 or higher, or a diastolic reading of 90 or higher, is considered high blood pressure. "
That he is NOT helping you is malpractice...plain and simple, especially if he is not conducting the standard tests at EVERY SINGLE visit and that includes, like the gals have been saying, URINE TESTS.
You need to take this seriously and if you don't feel comfortable standing up to your doctor then go the the ER so they can run the proper tests and confirm a diagnosis. If you don't do this and something bad happens to you or your baby you will have to live with that for the rest of your life. If you DO do this and everything is normal then you have that assurance and peace of mind.
I know standing up to your doc is hard...I had to do it just yesterday regarding my blood clot history as my high risk OB was trying to pass the buck to everyone else...THAT'S WHY I GO TO THEM!!!
**link to full article and copy of relevant paragraph.**
http://www.marchofdimes.com/professionals/14332_1222.asp
How is blood pressure measured?
At each prenatal visit, the health care provider measures blood pressure with an inflatable cuff that wraps around the woman's upper arm. The pressure in the arteries is measured as the heart contracts (systolic pressure) and when the heart is relaxed between contractions (diastolic pressure). The blood pressure reading is given as two numbers, with the top number representing the systolic pressure and the bottom number representing the diastolic pressure (for example, 110/80).
A systolic reading of 140 or higher, or a diastolic reading of 90 or higher, is considered high blood pressure.
Because blood pressure can go up and down during the day, health care providers often re-check a high reading to determine if a woman truly has high blood pressure
wow... Hope all turns out for the best browneyes... you have had it tough form the start. maybe you should get an another ob... good luck and let us know.
Good luck ! and Yes my dr checks my urine EVERY time too! with this baby and the last.. Girl dont let him decide .....I would step up to them and demand this test every time! or I agree with the others PLEASE start looking for another DR... you have two precious lil angels in you you rely on you and yor DR care! Good luck girl, please let us know how all goes.. I am worried about you =( I will say a prayer that all is well and you and your lil ones stay healthy!!!!
Kellu
Kellu
A manual check is better than the machines, but I don't understand why they didn't just tell you to come in THERE for them to check it. I cannot believe your doctor is not checking your urine at each visit. I go in at least 2 times a week and they check mine every time (and everyone else too). You are definitely high risk with twins and he should be taking every extra precaution with you, including LISTENING to you when you call with different symptoms. I don't know how many ob/gyn's you have to choose from in your area, but I would start looking for another, and a high risk would be your best choice. HELLP syndrome is very serious, and life threatening, and if you are having symptoms of that or pre eclampsia you need someone to take you seriously. Brandi please check into getting another doctor, one that doesn't take any chances with you, or your precious babies!!!
When I call them back with my bp I'll ask why he hasn't done a urine test....and tell them I'd rather come in and have one done to help calm my nerves and heck while im there I want another u/s...(you can never have to many pictures) LoL I just hope they don't get mad but I'm worried and that's one thing they don't want is a worried pregnant woman that is big enough to sit on them and do damage.....well only 15 more minutes and i'm off work then I have a 30 minute drive home or should I say to the health clinic...I don't know why they want me to go to a clinic and no just have me come in and have it checked.....the nurse said a manual check is better than those machines....
oh and u/s doesn't show your liver function! be strong girl.. I know it is hard when you are young to demand.. as you get old you just don't care what anyone thinks haha... good luck
I would do what you think is right for you! If I were you I would see if maybe you can be seen sooner. And I would ask him why he hasnt done any testing and or urine.
don't wait! you would never forgive yourself if something happened.. you have twins which increases your risk... the 24th is a long time from now.. just go in..
I actually switched to him over another lady I was going to b/c he's supposively the best in town....and almost everyone goes to him...I figured since he was doing the u/s everytime maybe that's why he hadn't done the other testing...
yeah he's done no blood work or urine testing.....although he said at my 18 weeks appt he was gonna do the triple whatever blood testing.....So do you think I should demand to come in for the urine testing today or wait til my next appt the 24th?
Urine testing is performed at all prenatal visits. Specifically, the urine is checked for the presence of sugar and protein. Sugar in the urine could indicate gestational diabetes and the presence of protein could indicate toxemia, a pregnancy complication.
No offense, but yoru doc sounds questionable. to me :0)- My doc does urine test EVERY TIME no matter what as they check for protein in the urine and other things that can diagnose blood pressure probs since everyone's "normal" is different.
Get a 2nd opinion and quickly, in my opinion. Stay safe. It's their job to answer your questions.
Get a 2nd opinion and quickly, in my opinion. Stay safe. It's their job to answer your questions.
I agree with melimli!! Who cares.......And he should be checking that urine!!!!
haha,... who cares!! it is your baby and he should be checking your urine.. mine has always done it even with my first 11 years ago...
wow I thought all dr did a urine test at every check up for pg... you need to have it checked.. kaiser does all patients every time
Wow, i though urine test was the normal routine in check ups. I would have him check it!
so they can check for hellp with the urine test too? My dr has done no testing except BP and u/s no urine or blood testing....
HELLP syndrome is a life-threatening liver disorder thought to be a type of severe preeclampsia. It is characterized by Hemolysis (destruction of red blood cells), Elevated Liver enzymes (which indicate liver damage), and Low Platelet count.
Between 4% and 12% of women who have severe preeclampsia or eclampsia develop HELLP syndrome. But women can have HELLP without having either preeclampsia or eclampsia first.1 In most cases, this happens before 35 weeks of pregnancy, though it can also develop right after childbirth.1, 2
HELLP syndrome often occurs without warning and can be difficult to recognize. It can occur without the signs of preeclampsia (which are usually a large increase in blood pressure and protein in the urine). Symptoms of HELLP syndrome include:
Headache.
Vision problems.
Pain in the upper right abdomen (liver).
Shoulder, neck, and other upper body pain (this pain also originates in the liver).
Fatigue.
Nausea and vomiting.
Seizure.
HELLP syndrome can be life-threatening for both the mother and her fetus. (Most fetal deaths that follow HELLP syndrome are actually caused by complications of premature birth before 28 weeks of pregnancy.3) A woman with symptoms of HELLP syndrome requires emergency medical treatment.
so it looks like it would be hellp syndrome if you don't have the high blood pressure they need to check your liver... girl sometimes you have to take charge of your health care especially when it is a nurse that may never have seen hellp before
Between 4% and 12% of women who have severe preeclampsia or eclampsia develop HELLP syndrome. But women can have HELLP without having either preeclampsia or eclampsia first.1 In most cases, this happens before 35 weeks of pregnancy, though it can also develop right after childbirth.1, 2
HELLP syndrome often occurs without warning and can be difficult to recognize. It can occur without the signs of preeclampsia (which are usually a large increase in blood pressure and protein in the urine). Symptoms of HELLP syndrome include:
Headache.
Vision problems.
Pain in the upper right abdomen (liver).
Shoulder, neck, and other upper body pain (this pain also originates in the liver).
Fatigue.
Nausea and vomiting.
Seizure.
HELLP syndrome can be life-threatening for both the mother and her fetus. (Most fetal deaths that follow HELLP syndrome are actually caused by complications of premature birth before 28 weeks of pregnancy.3) A woman with symptoms of HELLP syndrome requires emergency medical treatment.
so it looks like it would be hellp syndrome if you don't have the high blood pressure they need to check your liver... girl sometimes you have to take charge of your health care especially when it is a nurse that may never have seen hellp before
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