I am having an ultrasound on Wednesday, as I mentioned. I have been having a long discussion with Gwynne, about the length it takes to get an appointment in our lovely university system. I’m wondering, for those of you who have had subsequent pregnancies after loss, when did you get seen?
Dr. M. saw me with our second pregnancy at 6.5 weeks because I was cramping and bleeding a bit. Although we have this scheduled ultrasound and a nurse’s appointment, I will not have a conversation with him until May 23rd unless I call and argue with the nurses and reception. I suppose I could make up a problem for some attention. It turns out the ultrasound is in the ultrasound clinic, not his office.
It seems that if I switch doctors, I cannot get an appointment with anyone else until that point unless I self-diagnose as “high risk.” And then I have to have a referral. If I want to switch to a private practice where I might get seen faster, I also need a referral, which requires an appointment with my PCP, for which I will also have to wait, unless I suppose, I pretend to have a more pressing problem than a history of pre-term labor, like the flu perhaps.
Apparently high-risk pregnancies require referrals but “normal” ones do not according to my insurance. My PCP has not diagnosed me as high-risk yet, because I have actually not seen her since 2005 (I was out of the system for a year and then I went straight to Dr. M since as a “normal” pregnant woman I could self refer).
In some ways it seems it might be easier to stay with Dr. M since I don’t have to fight with insurance then, and to just act as if I’m in a crisis every time I call the office so that the nurses have to talk to him. What do you all think?
Tomorrow I plan to put together a list of questions for my ultrasound on Wednesday. I used to just close my eyes until someone said, “there’s the heartbeat,” but now I want to know more, lengths, widths, movements, everything.