4/24/2011

Should I be feeling this way about my doctor?


Should I be feeling this way about my doctor?Hi..... I'm currently 35.5 weeks along with my son, and the story goes like this:
I was born with a rare genetic disorder called Larsen Syndrome. It's a congenital dislocation of the joint, and mine particularly affected my hips and my right knee. Because this is a genetic disorder, studies have shown I have a 50 % chance of passing it on to my son.
I've had only two ultrasounds - the first one at 6 weeks to check for a heartbeat, and the second at 19 weeks to check for gender. Both came back normal, and I've had a relatively great pregnancy so far.
I asked my doc today about the possibility of a "medically necessary" u/s to check his development now that he's fully developed - to check for any signs of Larsen's. This is basically just to ease my curiosity, I guess. But more so, I keep thinking that it might be useful info to determine my chances of a c-section (like he gets caught in the canal druing birth). He declined, and said I'd have to pay for it.... whatcha think
? I was actually mad - I felt like he didn't take my concern seriously.

He's a great doctor - just doesn't know much about Larsen's and since he knows he can't do anything to "fix" the baby if he has Larsen's in the womb, I guess he doesn't see the point of why I'd want to know now.....

I don't wanna be pissed, but I am a little! LOL
Very cool "Justclicktherubyslippers" - yeah, he mentioned that - but I guess any reasurrance at this point would ease my mind. Then again, knowing now would just make me worried. I'm torn, obviously! It's just pre-birth jitters, I guess! :-)
"Nikki" - I have no intentions of shopping for a new doc at this point. He's a great doc, as I said, and it's not that ... it's just a natural concern and a curiosity to see my baby (partly bc I'm so close to giving birth) involving this genetic trait.

**And nobody needs to say "I shoulda thought about this before I got pregnant" - I've known these statistics since way before I got pregnant! It's just like diagnosing Down's in a baby who's mother is 40 when she conceives .. know what I mean? :-)

- justclicktherubyslippers
The ultrasound won't be helpful in this situation. The baby can be checked after delivery. The bone development can not be determined in utero by ultrasound that well. We can see the hips and the joints but not that well to make a diagnosis of Larsen Syndrome.

- IOLA
I would be angry also. My doctor with both my pregnancies did an ultra sound towards the end to check the baby size and position. Maybe ask if he is going to do one at 38 weeks or so. You being stressed about it is not healthy either. Maybe call and stress your concerns to the nurse, she/he may have a better chance of changing his mind.

- Nikki
I can see why you would be angry. However, if your doc feels that the procedure is not needed at this time, then respect that. He may be no expert on Larsen, but i'm sure he's done his share of research since you are his patient. Since you seem to like this doc and trust him with your pregnancy, don't switch at this point. You're too far along to be shopping around for someone else. If your concerns are still too much, have the doc explain why the test isn't needed. Explain to him again why it would ease your mind, and see if he will do it later on. He may if you bring it up again.
Best wishes on your new baby!

- Connors Mommy
I would be a little upset, but i do see it from both sides.
I only had 3 u/s during my pregnancy. One at 8 weeks, one at 20, and then one around 36 or so.They are expensive, and i do see how he said you would have to pay. Unless it's deemed necessary, then insurance would pay.
None the less, i would be upset, because if i were in your shoes, i would be wanting to know now!
I would call your Dr's office tomorrow, and just ask the receptionist how many u/s you would get during a normal pregnancy, just to see if you are entitled to another one before the baby is born.
Best of luck to you.

- akleba
if you get an extra unltrasound like you want, you wouldn't have to pay for it. Your doctor says you would but if you explain to the insurance company that if was for health purposes they cannot charge you for it. I would call your insurance company first and tell them why you want to do it. Don't tell them that the doctor said you would have to pay for it though. If you tell them that, they will agree. Tell them that it is medically necessary but that you just wanted to double check with them that they will cover it.

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