Saturday, September 5, 2009

Update on PUPPP

I had a very disappointing appointment yesterday regarding my PUPPP. I go to a pretty big practice with about 5-6 OB/GYN doctors and unfortunately, I couldn't get an appointment in with my doctor of choice yesterday. I ended up with my least favorite doctor for my appointment. He walks in the room and doesn't even remember that he prescribed me the Prednisone steriod for my PUPPPS the other day. I started to explain and talk about what I had been going through and he pretty much cuts me off and asks if I've seen a dermatologist. No one told me that I needed to see one so "NO", I have not. All he says is that I need to go see a dermatologist and doesn't even take a good look at my rashes. He seemed distant and did not seem to care for my PUPPPs at all. I felt like he was trying to rush us out of there again, like he always does. Out of no where, my tears started to flow down and I was crying uncontrollably in front of the doctor. I felt so stupid, but I could not help it at that time. I felt like he did not care and was not going to do anything for me. Well, it's a good thing Shawn went with me to this appointment. He took charge and was firm on what he wanted the doctor to do. First, with only a couple of weeks left of my pregnancy, there is pretty much no way of getting an appointment in with a dermatologist any day soon. Shawn's had many experiences of dealing with dermatologists since he has eczema on this face. He asked the doctor to make his own calls to dermatologists that he knows or can refer us to, and make an appointment for us. Also, with the 3 day holiday weekend coming up, there is basically nothing I can do until next week, at best. Even though I've been downplaying this PUPPPs, I've had a very difficult time dealing with this the past week. I've been an emotional wreck and haven't really talked to anyone about it and trying to deal with it myself, but it's making me more and more emotional and even feeling depressed at times. I can't help wonder why I have to be that 1% that had to get diagnosed with this, but I'm also trying to look at all this on the brighter side and am thankful that it's not something that is harmful to the baby's or my health.

Ok, back to my appointment. The doctor made a call to a dermatologist he knew and all he's going to do is increase the Prednisone steriod dose. He said the dermatologist wants me to get a higher dose since the very low dose that I've been prescribed isn't doing much for me. I feel hesitant to take a higher dose, but I have been assured from both him and my sister (she's a pharmacist) that it's safe to take. So, I start taking the new dose today and see if it'll help with the itching and redness.

Doctor also said he would induce me next week if I don't feel better (because delivery of the baby is the only real cure), but after much thought, I think I would rather suffer with this for a bit longer to have the baby come when the baby is ready to come. I know an induction is ok, especially after 38 weeks, but I would feel awful if the baby came out and was not fully developed and has to go to NICU because of a choice that I made. I know the chances of anything being wrong with the baby at 38 weeks are slim, but there is always that "chance". I kept going through the many scenarios in my head and I know I'm making the right choice. As much as this PUPPPs have taken a toll on my body, physically and emotionally, I am going to try my best to handle it on my own and will decide against induction. I'm hoping the increased dose of Predisone will help in the next few days, too. And who knows, she might decide to enter this world early on her own.

1 comment:

  1. oh i know the feeling of seeing an non-compassionate and rude doctor! sometimes i can't believe that they can be so rude. hang in there...don't be sad.

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