Ramblings

I woke up at 6:45 am on a Sunday. It would be entirely horrifying but for the fact that its a pregnancy symptom, hence it makes me ecstatic. Yes, pregnancy brain is a very weird thing indeed.

This next bit is a rant.


My  perinatologist flatly refused to get me tested for any of the thromobophilias (factor V leiden/ MTHFR) saying a) that the test results are hard to interpret and b) I've only miscarried once. Its like saying, lets wait till you do it once or twice more (because each time is so much fun) before we test you further. Its the same attitude my old OB had when she refused to order any more tests after they got the normal fetal karyotype result back. She assured me that in 99% of the cases (even the repeat miscarriers) they *never* find a cause, despite running all these oh-so-expensive tests.  Then I come back positive for the anti-TPO antibodies which are found in 10 % of the population AND are linked to miscarriage. Even more damning are the facts that a ) I do have an incredibly strong family history of hypothyroidism and b) TPO antibodies are found in  a lot of women with TSH levels in the normal range! If they had ordered those tests and stated treating me, I think there would have been the slight possibility that my first baby would have made it. Still, that is water under the bridge now, but when I think of all this, its only natural when I feel like I SHOULD be now second guessing my doctors.  Still, I think the possibility of me testing positive for the thrombophilias are really, really low, so I'll let this one go.

But still, I think this is a topic that strikes close to home to a lot of people- how much do you have to go through before your doctors 'waste' some of your insurance's money and decide to test you? Are series of wasted tests worth it for even the slightest possibility that one might actually find something?