So I saw him last night. Actually...I saw his this morning! Dr. ** is pretty crazy working the hours he works. But moving on.
So my appt was at 7:30pm. I got there and the front office said he is running 4 hours behind. I later found out it took him 3 hours to get to the Northridge office (405 issues). He has patients at Northridge, Santa Monica, and the big hospital in Westwood. I live close to the clinic so she said I could go home, call at 9:30 to see how the time is running. I call at 9:30pm and she says to come around 10:30pm where I can start drinking my fluid to fill my bladder for the U/S.
I get there at 10:30pm and there are 2 ladies ahead of me. I finally got in around 11:45pm. While waiting all I could think was: this is ridiculous. I can't keep going through this.
So I go in, and we meet him in the exam room. He had a cell phone, 2 pagers, and a fanny pack. He's a very busy man. I think he's a night owl because he had so much more personality than he did at the preconceptual counseling. He looked at the baby and then we went to the office to have a discussion. He spent quite a bit of time talking to me about HELLP, gave me a recurrence rate of 20%, and medication options.
At the pre-conceptual counseling appt he ordered a bunch of tests. He said there is a specific way of treating each underlying disorder. This is the first time I heard this. On the boards it's baby aspirin and lovenox. But he says if so and so test is positive, then you have to use x steroid. While baby aspirin and lovenox is common, it is because the outcomes of the test call for that. There are a lot of underlying things that may need to be treated differently from the standard aspirin/lovenox.
For me, he recommended that I stay on aspirin, add more folic acid, and...Lovenox
He also said he would like to monitor me closely because this can require dosage changes throughout the pregnancy. I will still be seeing my OB, who will deliver me. But I will see my OB once a month and Dr. ** more often to monitor.
I was unhappy with the wait. Then I saw him and I understood. Once you finally get to him, no one else is more important than you at that moment. He doesn't run off to see another patient. He doesn't shoo you away (even when it's 12:30am the next day). He provides thorough answers, and gives you plenty of opportunity to ask questions. If he has to spend an hour with you, he will. Are his waits a pain in the butt? Oh yeah. Is the inconvenience worth it? It was for me.
This appointment was different from my preconceptual appt. You can easily be dissuaded by the generality he gives you at the preconceptual counseling. But that is because there really isn't anything to talk about until you're actually pregnant. It would just be a conversation of what-ifs. And a man like that wants objective facts to make suggestions.
It was different, but I was happy...minus the Loevenox.