Originally posted by hfwarner3
Congrads on the twins!
If it was me, I would start with the "help me to help you" approach. I would call the doctor RIGHT NOW and have them paged. When they call you back, I would say, "I know that you are the doctor, not me, but I am confused and scared. My wife is NOT doing well and to me just appears to be getting worse by the day. Her BP just keeps going up. You have found protein in her urine. He ankles are the size of grapefruits. She is throwing up repeatedly and her headache will not go away. This sounds like pre-eclampsia but I am not the doctor, so why do you think it is NOT pre-eclampsia?"
You might be surprised at the answer you get. If that does not start the doctor in the right direction, you can follow-up with, "Well, even if this is not pre-eclampsia, the symptoms alone are scaring the * out of me and making me VERY nervous. I don't feel that I can provide the level of constant care that she needs now. At what point do we talk about getting her in the hospital?"
This will get you a trip to the hospital to "get checked out" and they will likely try to send her home again, so you will have to go through this same routine AGAIN at the hospital until her doctor (or the on-call doctor) decides that the risk of a malpractice suit is greater than the flack they will get from the insurance company for admitting her.
Sorry if this sounds cynical, but a pro-active OB dealing with a mother who is almost 36 weeks with twins, with a heart condition, and with all these symptoms would have induced by now (in my non-expert, non-medical, but been through this same thing 5 times myself opinion).
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