Lurker who had PE with 1st child, have ??'s

This section is for discussions with other women who have probably been through the same signs/symptoms that you may be experiencing. Please note, we cannot offer medical advice and encourage members to discuss their concerns with their doctors. New members, come on in and introduce yourself!
missgamecock
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Re : Lurker who had PE with 1st child, have ??'s

Postby missgamecock » Sat Jul 13, 637022 7:13 am

I checked with my insurance plan online and checked the websites listed above (Thanks!). There are 3 maternal fetal specialists in my area and it looks like the hospital would be Women's and Children's hospital in Buffalo. My insurance plan allows for no referral to an OB. I don't know if that extends to maternal fetal specialists, but I will call and check. It sounds like my mil would not have to know about it if I go directly to someone who is an OB. Yeah! I am a lot calmer now about the whole [:)]thing. It's just a scary thought planning it and everything with what happened the last time. At least this time I won't be naive about what is going on and I fully intend to be a very involved patient and active in my care. Thanks, Sabrina

missgamecock
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Re : Lurker who had PE with 1st child, have ??'s

Postby missgamecock » Sat Jul 13, 637022 4:35 am

Thanks for answering my post. We won't be trying till the end of summer/fall. I just didn't know how it worked with the referrals because I had always been military. Since my husband got out of the military, we havn't required any hospitalizations (thank goodness). I'll give my insurer a call and see what they say. I do have the documentation about having PE from my hospital discharge sheet and it says that I delivered a month early. I am still concerned about MIL knowing our plans. It is a small town, even though there are privacy laws, there is no way that she wouldn't find out. Sorry but I don't trust it there. Hopefully my insurer will say to go to an ob an then I can get a referral that way. I'll definitely keep you guys in the loop. Thanks![:)]

laura
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Re : Lurker who had PE with 1st child, have ??'s

Postby laura » Thu Jul 11, 637022 6:26 am

Hey there, Carolina Alumna [:D]

I think I corresponded with you a bit when you became a member a while back... congratulations on ttc!

I have similar concerns about confidentiality where I receive medical care, and if I request it, the doc will not record things I don't want recorded on my pcc, especially if I note my concern over confidentiality. I can't imagine he wouldn't be compliant, especially in light of the increased sensitivity brought about by hippa. Is that an option for you? And like the other ladies said, you may not necessarily need a referral to do a consult. I know my insurance and peri didn't require it.
Good luck!

Laura
Moderator/AK Coordinator

Mom to Alicia (severe PE) 5/98 and Camille (htn, oligo) 4/03
http://www.babiesonline.com/babies/c/camilleandallie/

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julie f
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Re : Lurker who had PE with 1st child, have ??'s

Postby julie f » Tue Jul 02, 637022 4:14 am

Hi and welcome!

Ditto to what Erin said about the insurance, the best thing to do about that would be to call your customer service number and find out what process they require you to go through. I have an HMO and require a referral from my OB or primary care to visit anyone that is a "participating provider," however, I can call the insurance company directly to request a referral to a non-participating provider. The ins co medical board reviews it and then can send me my approal (or denial) directly and I can book an appt without ever talking to my dr. Also, here are a couple links to high-risk OBs that you can use to search your area: www.smfm.org , www.nasshp.org . I agree though that you should loop your doctor in at some point soon, like Erin said although your MIL is a transcriber, I'm sure they can make arrangements to protect your privacy. There are many privacy laws for us patients but, I can still understand your concern.

Have you ever been testing for any underlying predispositions to preeclampsia? With it running in your family so much, I would have to wonder if there is something that may be contributing to it (autoimmune disorders, blood clotting disorders, etc.).

Good luck and let us know how it goes!

Julie (27)
Zachary James, 7/22/03-7/27/03, born at 26wks - severe pe

Southern California Coordinator

deerhart
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Re : Lurker who had PE with 1st child, have ??'s

Postby deerhart » Tue Jul 02, 637022 1:38 am

Okay

first off slow down a second. Many of the answers to your questions will depend on what your insurance requires.

For me, I don't need a referral to anything, I just call and go, but thats my insurance. I suspect that MOST insurances do not require a referral to an OB/GYN, thus you should technically have 2 docs. Your primary care and your OB/GYN. Thus you can go talk to your OB and ask about a peri and not have to deal with your primary care.

But, you will want to tell your primary care doc that you are trying to concieve, especially if they are placing you on meds so that they can place you on meds that would be safe if you became pregnant.
The bigger issue with that is your MIL shouldn't find out what you tell your doctor because that would be breaking doctor patient priveledge and a big NO NO, but you should also express that concern to your doctor as well.

WHat happens after you become pregnant depends upon the care schedule your doctor determines. It does vary quite a bit between doctors. Also, where you go to deliver will also depend on what you need at the time (and most insurances may cover transfers for medical emergancies to better facilities).

So first, you need to find out what your med insurance benefits and requirements are.
Erin

Moderator - First Time Moms, Parents of Preemies
Missouri State Coordinator
Mommy to Alex and Mason

missgamecock
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Lurker who had PE with 1st child, have ??'s

Postby missgamecock » Mon Jul 01, 637022 10:42 pm

Hi,

I have been lurking on this site since my daughter was born 5 years ago. My husband was staioned overseas with the military and my daughter was born in the local hospital in Belgium (not a military hospital). There was a huge language barrier, I didn't speak french and they didn't really speak english. Because the military hospital did not have maternity/labor/delivery facilities, they had OB's follow up the Belgian OBs. The military OB noticed my bood pressure creeping up long before the Belgian OB. They actually were testing urine and blood at around 23 weeks. The military OB told me I was developing PE, reducing work schedule and telling me to tell the Belgian OB to put me on BP medicine. Finally the Belgian OB got around to diagnosing it after the military OB constantly sent me to the local hospital for monitoring and testing. At 35 weeks, I was put into the hospital. I showed up for a dr's appt and the Belgian OB took my BP and sent me up to labor and delivery. 4 days later, I delivered my daughter who was very healthy. The night before my daughter was born, I got extremely sick with severe headaches, nausea, vision problems, extreme reflexes. They had already decided to induce the next day because of blood tests. Me on the on the hand was sicker than I had ever been and had ivs in both arms and all of the little hooks filled with bags of medicine. I got blood drawn like every hour. So much so that all of the veins in my arms had collapsed and no blood could be drawn from them. After that they satrted drawing blood from my hands. It was pretty traumatic for me. I was in the hospital for another week and was finally let out with a round of medications, etc. When I followed up with the military OB, they told me tonot have any more children in Belgium. They felt that the Belgian hospital waited too long to diagnose and they felt that I should have had an immediate c section the night before my daughter was born when I got really sick. Now the problem. It is 5 years later and my husband and I really want another child. We live in Batavia, NY. Which is halfway between Rochester and Buffalo, NY. Our health insurance covers Buffalo and Batavia, not Rochester. My mother in law works for my primary care doctor. We don't want her to know that we are starting to try soon because we want to keep it to ourselves for a while. How do I go about getting a high risk ob dr without letting my primary dr know for a few weeks? I would like to do a consultation, but don'w want my primary to know about it because I want to get it to ourselves for a little while. How does one go about and get a high risk ob? Do you have to schedule an appointment with a regular ob and then get a referral. My family history has PE all over the place on both sides. My mother had it with all of her pregnancies, aunts, grandmothers, etc. I was told by the military OB that my chance was 40/60 % in getting it again. What should I expect the next time around? I am assuming that all of my bloodwork will be done for baseline readings. I do know that my liver and kidney functions tests at the Belgian hospital were extremely bad, which was why they induced a month early. The only records that I have of the PE are the BP records from the military OB and the discharge sheet from the Belgian Hospital that said that my daughter was induced at 35 1/2 weeks with severe PE (that is in french of course but pre eclampsia in french is nearly the same as the english version). I tried doing an online search for a perinatal specialist in Buffalo NY but didn't see any listed. One of my daughter's pre k friends mom said that she had PE and her 1st child died from it. She said that with her daughter, that she was only allowed to deliver in Buffalo (the hospital in town wouldn't take her) and that it was at Women's and children's hospital. I did an online search and there are maternal fetal specialists there. Could I be treated by this type of specialty. I would ask my dr, but my mother in law transcribes medical records and she would know. That is the one person that I really don't want knowing. Any advice would be appreciated. There are not many drs in town here and I don't get sick very often and I am pretty healthy, so that is why I never changed my primary. I really don't want to change my primary now, she is a good dr and always gives me samples so I don't have to pay for meds.


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