Dr. Huxtable, where are you???
On Tuesday Riaz and I went to my first appointment with the new OBGYN. Touted as "the best in the city" by various sources, I had high expectations of this doctor which were, of course, crushed fairly soon after waiting 45 minutes with Lua in the lobby just to get into the exam room - where I had to wait 20 more. I don't want to sound overly negative about this woman, I'm sure she is an excellent physician and I would be in good hands if I ever needed any serious medical interventions. However, seeing a healthy, normal pregnant woman didn't seem to rate high on her list of priorities. Dr. X was in the room with us for all of seven minutes. She unceremoniously plopped me on the table, pulled the top of my pants down and talked loudly over the first sounds I will ever hear my baby make - his/her heartbeat (which I got to listen to for approximately 15 seconds). When Riaz asked her how many beats per minute the heartrate should be - remembering that the midwife that we had with Lua always timed them and told us they were in the normal range - Dr. X explained that she was so experienced that she didn't need to time the heartrate. She just KNEW. Okay, whatever. So here's the deal, and it's really at the crux of all this ranting and raving. What ever happened to the Dr. Huxtables of the world? Where are those doctors who will see you from zygote to full-term baby and then actually show up, possibly in their pjs, for the delivery? I mean, even if I see Dr. X for every one of my prenatal visits (which, by the way, she deemed unnecessary to schedule for another two months), the reality is that she will probably not be the one to attend the delivery. In fact, the actual delivery will probably be done by a resident unless I specifically request an MD (which Dr. X was not supposed to tell me, but did). Are you getting tired of all the parenthesis yet? Cause I'm not done! As you can tell, I was quite disheartened after my visit with Dr. X and I started thinking about the midwife that I saw for my prenatal visits with Lua. Let's call her Ann. She was great. Really sweet, competent, thoughtful. I always felt like she was listening to my concerns and she made me feel like my (relatively normal) pregnancy was still interesting and deserved attention. You might be wondering why I decided not to go with her again, and the answer is simple: she did not deliver my baby. There are eight midwives working in this practice and they rotate so that whoever is on call is the one delivering the baby - no Huxtables here either. The woman who ended up being there was very nice but evidently inexperienced because she screwed up on the "repair" work after the delivery and it caused me a lot of pain and several extra months of recovery time. SO not wanting to go through that again, I decided to go with an MD and here we are.
DEEP BREATH. I am sure you are all ready for me to finish this post so I will appease you just this once. I decided to call Ann the midwife today to see if she had any suggestions for me. She told me that although she understood my concern, she felt it was a shame to give up the whole midwife experience (which includes extra time and attention in prenatal visits and a midwife attending you throughout the entire delivery) just for fear of the repair going badly at the end. She told me that I could go with the midwives and still request a doctor to do the repair work if I wished, and that she would talk to Dr. X to see what she thought about it. Dear, blessed Ann also said that she has occasionally come in to be there for a patient's delivery even if she wasn't on call and that she would be willing to do that for me although she couldn't promise (since she has small children at home and her husband works a demanding job as well). The only hitch is that the midwife I had last time who screwed up is still working there, so if for some reason I ended up in labor and she was the only one on call (and Ann couldn't be there), I would have to feel comfortable with that. So now I guess I have some thinking to do. I do feel a lot better about the whole thing though, even though it's not perfect. Healthcare is complicated, no?


