Hello to the four of you still checking to see if I'm updating! I have had a busy, busy March, both professionally and personally. The week after my last post I had 9 deliveries, and this past week my mother has been visiting and spoiling me by caring for CindyLou, doing laundry, and cooking! I have also been doing a little catching up on blogs, and I've been concerned with all of the uproar regarding HIPAA and medical blogging physicians getting threatened with lawsuits. I was really leery for the last 2 weeks, because I saw that I was being frequented by an IP near to my location, but then I found out that it was just my husband checking up on me! Whew. I do want those that read here to know that details of the medical anecdotes are altered and the time frames are changed and finer points are obscured so that the similarity to the actual cases is nominal. The way that I feel about the cases and my reactions, however, are 100 percent accurate. At any rate, I'm taking a bit of a break from the professional this week.
On a more personal note, the pregnancy is clipping along very well. I am 23 and 3/7 weeks, so therefore in a state of perpetual anxiety with regards to viability. Of course 24 weeks is the "benchmark" by which the pregnancy has about a 50/50 chance of survival. Survival, that is, with significant intervention and the very real possibility of far reaching disability and devastating, lasting damage. Next to the first trimester, the weeks lasting from 24 to 32 weeks can be terribly nerve-wracking for those of us that know too much. I'm trying to keep those niggling thoughts at bay and focusing more on the Bean's ever increasing movements, punches, and kicks. I'm also noticing occasional Braxton-Hicks contractions, which, while I know it can be normal, freaks me out just a little bit.
For all I know, I may have had these in my first pregnancy, and was just unaware of what they actually were. They are not painful or frequent, so I'm chalking it up to mild over-exertion for now. I was working much harder with my last pregnancy, and I did have a pre-term contractions scare, necessitating meds and bed rest for a few weeks, so I'm hoping that I will not have a repeat performance in this pregnancy. On the bright side, my nausea is becoming less and less frequent. I don't have to take meds every day, and I only puked twice this week! Woo Hoo! I'm up a total of 6 pounds for the pregnancy, but I started out well ahead of the weight curve, so my goal weight gain is only 15 - 20 pounds. (Trust me, I have plenty of fat.) I dropped so much weight breastfeeding with CindyLou, but like a dummy, didn't keep it off after we weaned. Since this may be my last pregnancy, I vow to keep it off this time.
I have an etiquette question for you budding Emily Posts out there. What is the protocol for accepting gifts from patients? Now that I am no longer able to hide my growing pregnant belly behind bulky white coats and baggy scrubs, plus the fact that news travels fast in a small town, the word is out that I am expecting, and my sweet patients are responding by bringing in baby presents for me to their office visits. I'm truly touched by their kind gestures, but, by the same token, it makes me somewhat uncomfortable. I purchased Thank You cards this week, and I am planning on sending them to the patients' home address. Is this acceptable? I don't feel like the patients need to buy me presents, but I feel like I would insult them to decline their kindnesses. It's a sticky ethical situation, so if anyone has any insight, I would love to hear from you.
I hope you all have a wonderful April Fool's Day. I haven't had much success with April Fool's pranks, though Guinness Girl from Red Red Whine to this day holds the "gotcha" award for best April Fool's prank played on me. Today I plan to finally call one of my friends that still doesn't know that I am pregnant. I hope she doesn't think it is an April Fool's Joke! Thanks for reading and don't give up on me!