"When a soul recognises the will of God and shows a readiness to submit to it entirely, then God gives Himself to such a soul and renders it most powerful succour under all circumstances." - Rev. Jean-Pierre de Caussade

Wednesday, March 17, 2010

Answers, finally? I think…

After what seemed like an eternity, I finally got some answers about what probably happened that dreaded day in December. The high-risk doctor who ordered the tests didn't call me back last week, so my primary doctor ended up telling me the results. He didn't know what it meant, so he met with the specialist to chat about it. I still have not yet talked to the high-risk doctor (it takes an act of congress, apparently), but thankfully, my primary OB/GYN is wonderful and has been really good at calling me. The ACA test that came back positive last time came back negative this time – which is good, because that is what increases the risk for blood clots. Only one test came back positive (whew!) and it was for one copy of the gene mutation for methylenetetrahydrofolate reductase (otherwise known as MTHFR). It impairs my body’s ability to absorb folic acid, therefore causing a folic acid deficiency. Folic acid is pretty important, especially during pregnancy, because a deficiency can cause neural tube defects in the baby (which I knew) and are also known to cause placental abruptions (which I did not know). So, everything happened (or so they think) because of a damn vitamin deficiency. Crazy, eh? Now I have to start taking a different prenatal vitamin – something is different with the folic acid, I think – as well as a folic acid supplement. I was pretty confused after hearing about all of this, because the high-risk doctor kept going on about blood-clotting issues, and now it’s all about the folic acid. My primary doc did say though that they still want me to take the baby aspirin every day, and he said that the high-risk doc still thinks I should have a daily shot of Lovenox whenever I’m pregnant. He thinks she’s erring on the conservative side. I don’t know what I think about that, because while I understand the idea of just playing it safe and treating for 2 conditions, I don’t like the idea of doing something for nothing (especially when it’s an injection!). But of course, we won't know if we're doing it for nothing or not. And then my doctor told me that another high-risk doesn't think Lovenox is necessary and that baby aspirin in enough. So, who knows? I think it's a matter of opinion. Whenever I am pregnant, though, they’re going to retest me for the antibodies that can cause clots (ACA). And of course, they’re going to keep a watchful eye on everything. Hopefully that and the folic acid supplements will lead to a successful outcome.

I thought that finding out some answers would make me feel better, but if I’m honest, it hasn’t. Maybe it’s because they seem like they’re still not 100% sure, since they want to treat me for 2 conditions. And plus, I’m always going to have flashbacks of my last experience and will worry that it could happen again. I do have to say, though, that the results could have been worse – and for that, Logan and I are very thankful.

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