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	<title>Paul &#38; Sarah &#187; Ultrasounds</title>
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		<title>Possible change in plans&#8230; (35w2d)</title>
		<link>http://paulandsarah.org/pregnancy/possible-change-in-plans-35w2d</link>
		<comments>http://paulandsarah.org/pregnancy/possible-change-in-plans-35w2d#comments</comments>
		<pubDate>Mon, 14 Jun 2010 22:12:47 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[changes in me]]></category>
		<category><![CDATA[development]]></category>
		<category><![CDATA[Doctor Appts]]></category>
		<category><![CDATA[emotional hoo-ha]]></category>
		<category><![CDATA[induction]]></category>
		<category><![CDATA[movement]]></category>
		<category><![CDATA[oligo]]></category>
		<category><![CDATA[pre-eclampsia]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=763</guid>
		<description><![CDATA[Today&#8217;s appointment for monitoring was pretty darned good.  I walked in feeling better than I have in a while.  Excellent blood pressure again (147/90) and after some not-so-gentle prodding, good numbers from the kid on the monitoring strip.  (He did not appreciate me chugging half a bottle of ice water to get [...]]]></description>
			<content:encoded><![CDATA[<p>Today&#8217;s appointment for monitoring was pretty darned good.  I walked in feeling better than I have in a while.  Excellent blood pressure again (147/90) and after some not-so-gentle prodding, good numbers from the kid on the monitoring strip.  (He did not appreciate me chugging half a bottle of ice water to get him to move and getting my whole belly woggled by the nurse.)  Trace amounts of protein in the urine (up from zero) but not OMG either.</p>
<p>The bad part comes during the ultrasound where they&#8217;re measuring the amniotic fluid around the boy.  The levels should be around 14 on average, with 5-25 being the extreme low and high ends of the scale.  Anything at or below 5 is cause for major concern.  I&#8217;ve been sliding down that scale and was at a 6 on Wednesday and Friday last week.  I forced fluids this weekend, making sure I was taking in well over 100 ounces a day in the hopes of bumping up that number.</p>
<p>Today all the head nurse could get was 4.8 &#8211; and that was after 20 minutes of looking and looking all over.  So the <a href="http://www.babycenter.com/0_low-amniotic-fluid-oligohydramnios_1199460.bc?showAll=true" target="new">oligohydramnios</a> is very much in affect.  What <strong>exactly </strong>this means, we&#8217;re not sure.  We know it ain&#8217;t good, but the fact that this is happening towards the end of the pregnancy as opposed to towards the beginning is good.  If it were at the beginning, it would be because of some abnormality with the baby.  Now it&#8217;s just a culmination of my pre-existing medical conditions: hypothyroidism, hypertension &#038; diabetes.</p>
<p>Dr. Schwartz is in his other office across town today and tomorrow, so they called him while we were at the office to see what he wanted to do.  We were sure he was gonna send me over to the hospital.  But he asked to see me in his other office tomorrow instead.  So we&#8217;re taking that as a sign that there&#8217;s no need to totally freak out just yet.  Mostly what oligohydramnios means at this point is that delivery is gonna be a bit more complicated and the chances of a cesarean are probably higher.  There isn&#8217;t anything they can really do to reverse it &#8211; like putting me on a saline IV to pump me full of fluids or something.  (There are some therapies that involve pumping fluid directly into the placenta, but those are mostly for use *during* labor.)  There isn&#8217;t enough amniotic fluid around the baby to *do* an amniocentesis &#8211; so we don&#8217;t know how much that will blow out next week&#8217;s plans.  With such decreased levels of fluid/cushioning around the baby right now, the chances of him laying on his umbilical cord and squashing his blood/oxygen/nutrient flow increase.  This is where I am SO GLAD that I completely trust Dr. Schwartz and his knowledge/experience in treating high risk women like me.  Whatever he says tomorrow is OK with us.  If he still wants me to try for a regular birth, I&#8217;m all for it &#8211; but if this situation necessitates a cesarean from the get-go, we&#8217;re OK with that too.  Whatever gets our little man out safely.</p>
<p>So this afternoon and this evening are final prep, just in case.  All bags are being packed (we were doing laundry this morning already) and final arrangements are being made.  I&#8217;m gonna try to go get my nails done.  Gonna get the Ragu Bolognese made and in the freezer, along with the Creamy Italian Chicken.  (There&#8217;s a lot of simmering involved there &#8211; I&#8217;m not gonna be slaving over a stove.)  We&#8217;re hoping that Murphy&#8217;s Law will kick in if we get all this stuff done tonight.  Paul is pretty anxious, but I&#8217;m doing pretty OK.  I am keenly aware that I need to stay calm, and having tasks to focus on helps me greatly with that.</p>
<p>We&#8217;ll update tomorrow after the appointment here and on Facebook. (Facebook will probably get updated faster because it&#8217;s easier to do from our phones.)  We&#8217;re halfway expecting to be told to go to the hospital from our 9:00am appointment.  I&#8217;m all the more glad that we have a 7:45am appointment to meet the pediatrician tomorrow.  Gonna be a busy day.  Prayers would be appreciated.</p>
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		<slash:comments>6</slash:comments>
		</item>
		<item>
		<title>Monday update and Office Cat (34w2d)</title>
		<link>http://paulandsarah.org/pregnancy/monday-update-and-office-cat-34w2d</link>
		<comments>http://paulandsarah.org/pregnancy/monday-update-and-office-cat-34w2d#comments</comments>
		<pubDate>Tue, 08 Jun 2010 02:11:26 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[BP]]></category>
		<category><![CDATA[Doctor Appts]]></category>
		<category><![CDATA[oligo]]></category>
		<category><![CDATA[pre-eclampsia]]></category>
		<category><![CDATA[testing]]></category>
		<category><![CDATA[Ultrasounds]]></category>
		<category><![CDATA[work]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=722</guid>
		<description><![CDATA[Today&#8217;s appointment took freaking forever, and I&#8217;m not sure why because the place seemed deserted.  But seriously, we were there for 2 hours!
Well, OK &#8211; some of it was our fault.  And by &#8216;our&#8217; I mean the baby&#8217;s.  He was being a lazy little putz this afternoon and *refused* to move around [...]]]></description>
			<content:encoded><![CDATA[<p>Today&#8217;s appointment took freaking forever, and I&#8217;m not sure why because the place seemed deserted.  But seriously, we were there for 2 hours!</p>
<p>Well, OK &#8211; some of it was our fault.  And by &#8216;our&#8217; I mean the baby&#8217;s.  He was being a lazy little putz this afternoon and *refused* to move around to let the nurse measure the amniotic fluid.  She jiggled the hell outta my belly with the ultrasound transducer and more roughly with her hands.  She had me chug half my ice water to dump it on his head.  She finally went and got the buzzer.  Nothing helped.  The little man was just firmly set in taking a nap and nothing was gonna budge him.  She was *finally* able to maneuver around him enough to get a measurement &#8211; which wasn&#8217;t good anyway.  The measurement was 9.68 &#8211; lowest I&#8217;ve been so far is 12.5.  They wanna see around 14.  I need to drink more, especially since it&#8217;s been so crazy hot.</p>
<p>Then on to the monitoring room.  Got me hooked up and left the room for what seemed like a longer than normal time.  Come back in, take my BP (153/95) and use the buzzer on my belly + jiggle things to try to get the little man to move around.  Fetal monitoring requires the kid to move a couple times during the monitoring so they can track his heartrate at rest and activity.  All resting doesn&#8217;t tell them what they need to know.  So, once they got him to move a bit, they left me on the monitor for a while longer.  It was a tad disconcerting that they were so concerned about baby not moving.  The phrase &#8220;decreased fetal movement&#8221; was tossed around.</p>
<p>By the time the nurse came back, it had been 90 minutes since I&#8217;d last pee&#8217;d and things were getting desperate.  I asked if anyone else wanted a sample since my last two appointments required secondary samples at the end and after WAY more hemming and hawing than I wanted while I tried not to wet my pants &#8211; they asked for a 2nd sample.  I come back and they took my BP again since the first urine dip stick test found trace protein.  Second BP of the afternoon is 162/103 which kinda sent the nurses into a tizzy.  10 minutes of squawking at the nurses station pass and the nurse comes back in with labs for me to have drawn.  I&#8217;m used to this part, that&#8217;s why I asked about the 2nd urine sample.  They asked if I had a headache or blurred vision, to which I truthfully responded that yes, I&#8217;d had a minor headache all weekend and today that tylenol wasn&#8217;t helping and a teeny bit of blurred vision.  (But honestly, I think the blurred vision is the normal pregnancy vision weirdness, not BP.)</p>
<p>So more blood work drawn today that will presumably be back tomorrow or Wednesday for sure.  I imagine that if something comes back really amiss, I&#8217;ll get a phone call.  Otherwise, my next appointment is Wednesday at 2:30, with Dr. Schwartz.  We&#8217;ll see what he has to say then.  My bag will be packed by then, just in case.</p>
<p>In the meantime, I got a lot of work done today &#8211; my first day in my home office.  Of course, the cable went out around lunchtime and has been intermittent ever since.  Cox will be out tomorrow to check it out.  Perfect timing.  Thankfully, I can work offline on payroll and accounts payable, so it&#8217;s annoying, but not terribly problematic.  I&#8217;ll get some more work done this evening to put me at full-time hours for today.  My goal is to be as caught up as possible on payroll and accounts payable every day until the baby comes so that if my boss has to take over mid-stream, things are as complete as possible.</p>
<p>Good first day home.  And yes, I have to say that having a cat and a dog in my home office while I&#8217;m plugging away at spreadsheets is pretty damned awesome.  :)  Oh, having Paul at the desk three feet away from me ain&#8217;t too shabby either</p>
<p>*To recap BP over the last few weeks for perspective:</p>
<table>
<tr>
<td><center>Date</center></td>
<td><center>BP</center></td>
</tr>
<tr>
<td><center>June-7b</center></td>
<td><center>162/103</center></td>
</tr>
<tr>
<td><center>June-7a</center></td>
<td><center>153/95</center></td>
</tr>
<tr>
<td><center>June-3</center></td>
<td><center>147/97</center></td>
</tr>
<tr>
<td><center>June-2</center></td>
<td><center>157/110</center></td>
</tr>
<tr>
<td><center>May-26</center></td>
<td><center>155/97</center></td>
</tr>
<tr>
<td><center>May-19</center></td>
<td><center>131/83</center></td>
</tr>
<tr>
<td><center>Apr-28</center></td>
<td><center>138/85</center></td>
</tr>
</table>
]]></content:encoded>
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		<title>Pre-Eclampsia (33w4d)</title>
		<link>http://paulandsarah.org/pregnancy/pre-eclampsia-33w4d</link>
		<comments>http://paulandsarah.org/pregnancy/pre-eclampsia-33w4d#comments</comments>
		<pubDate>Thu, 03 Jun 2010 06:52:31 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[blarg]]></category>
		<category><![CDATA[changes in me]]></category>
		<category><![CDATA[Doctor Appts]]></category>
		<category><![CDATA[emotional hoo-ha]]></category>
		<category><![CDATA[pre-eclampsia]]></category>
		<category><![CDATA[testing]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=696</guid>
		<description><![CDATA[We knew this was a possibility.  Just didn&#8217;t think it would actually happen so dang fast.  (But to put it in perspective, Dr. Schwartz expected to see symptoms of pre-eclampsia in me by 28 weeks or so.  It usually shows up in non-hypertensive, non-diabetic, non-obese, non-thyroid-challenged women between 32-37 weeks.  So [...]]]></description>
			<content:encoded><![CDATA[<p>We knew this was a possibility.  Just didn&#8217;t think it would actually happen so dang fast.  (But to put it in perspective, Dr. Schwartz expected to see symptoms of pre-eclampsia in me by 28 weeks or so.  It usually shows up in non-hypertensive, non-diabetic, non-obese, non-thyroid-challenged women between 32-37 weeks.  So the fact that I got to nearly 34 weeks with my medical history is astounding.)</p>
<p>Fetal Monitoring appointment today went well.  Baby was head down (again) and cooperating with holding still for the monitor.  It wasn&#8217;t strapped so tightly to me this time, so he wasn&#8217;t kicking at it.  I actually fell asleep for a little bit while being monitored.</p>
<p>But when they took my blood pressure, things got a little scary.  157/110, up from 138/83 two weeks ago.  (It was ~150/97 last week)  And that&#8217;s with hella medication.  The results of my 24-hour urine test came back in the mid 300&#8242;s, which indicates mild/moderate (as opposed to severe) pre-eclampsia.</p>
<p>None of this is a surprise.  What Dr. Schwartz told us about at the beginning of this 3rd trimester is coming true.  The hope is that the creeping up of my blood pressure stays slow/moderate, and that the protein count doesn&#8217;t skyrocket.  More labs were taken today and the results will be in tomorrow &#8211; which will give a more exact look at what the situation is.  I&#8217;m not showing many other symptoms &#8211; and especially none of the symptoms of <a href="http://www.preeclampsia.org/hellpsyn.asp" target="new">HELLP syndrome</a>.  But I&#8217;m up 2 pounds this week, so that&#8217;s a tad worrisome.</p>
<p>If things are getting worse quickly, Dr. Schwartz will have to hospitalize me for more intensive monitoring (BP readings every 15 minutes, IV therapy, fetal monitoring, etc.)  Nobody wants that &#8211; cuz it would stress me right the hell out.  Being in the hospital (by definition, uncomfortable) wasting paid leave with no baby, strapped to a bed would just suck SO bad.   And it&#8217;s possible that I could be monitored for up to a week before things reach a critical point where the baby has to come out.  So that would be a TON of paid leave down the drain.  If I&#8217;m allowed to be at home, at least I can still do *some* work, and Paul is here to keep a close eye on me.  We live like 7 minutes from the hospital if that becomes necessary.</p>
<p><a href="http://www.webmd.com/baby/antenatal-corticosteroids-for-fetal-lung-development" target="new">In preparation of the baby coming much sooner than anticipated, I got the first of two steroid shots today.</a>  (Supposedly they burn like crazy, but I didn&#8217;t feel it at all!)  For those who know or care, I&#8217;m being given Betamethasone.</p>
<p>So here we are.  I&#8217;ve been told I can&#8217;t go into the office any longer.  Dr. Schwartz didn&#8217;t get into specifics right yet, but basically I need to be off my feet as much as humanly possible, with feet elevated.  And most importantly, I need to be in a calm environment, away from stress.  I need to go into the office tomorrow to collect some things and wrap up some stuff, but I&#8217;ll be leaving at noon for my 1:00pm appointment.  I might go in for a couple hours on Friday too.  Cuz seriously, I wasn&#8217;t ready to not be in the office quite yet.</p>
<p>Dr. Schwartz is back at home in Denver until Monday, so he&#8217;ll call me during my appointment tomorrow to go over my lab results and answer whatever questions we come up with by then.  He&#8217;ll be back in the office for a 9-day stretch starting on Monday, so I have a strong suspicion that he&#8217;ll deliver me during that time, assuming I don&#8217;t need to be delivered this weekend for some reason.</p>
<p>As far as baby goes: he&#8217;s doing OK at this point as far as we can tell.  He was 4 pounds exactly two weeks ago, so we&#8217;re assuming he&#8217;s somewhere between 4.5-5lbs right now.  Our concern for delivering him soon is his lung maturity.  The steroids they gave me today (and tomorrow) are designed to kick his lungs into high gear to make surfactant to make it easier for him to breathe.  He&#8217;ll have to spend some time in the NICU when he comes, but we don&#8217;t know how long &#8211; could be 2-4 days, could be 2 weeks or more.  No way to know until he gets here.  If we make it to 36 weeks (doubtful) they can use amniocentesis to check the development of his lungs, but prior to 36 weeks, there isn&#8217;t much they can do to check.  If he comes sooner than that, it will be because my body just can&#8217;t take being pregnant anymore.</p>
<p>We&#8217;ll have a better idea of where we stand after tomorrow&#8217;s appointment.  I already have appointments for Monday, Wednesday and Friday next week for fetal monitoring.  Here&#8217;s hoping I can keep those.</p>
<p>I still need to pack my hospital bag.  I need to wash some baby clothes and put things away in drawers and in his closet.  I need to go out and buy some preemie-sized clothing and onesies.  It never occurred to us that we could have a preemie.  We knew the pregnancy would almost assuredly have a bumpy ending, but having a preemie never occurred to us.  I can&#8217;t believe I&#8217;m typing that word.</p>
<p>I don&#8217;t know how to deal with this, really.  I&#8217;m a planner, and I can&#8217;t plan anything right now.  I don&#8217;t know how things are going to go or what my options are anymore.  I don&#8217;t know how nursing/pumping gets dealt with in a NICU situation.  What do we do with ourselves when we can&#8217;t be at the NICU?  Does it make me a terrible parent that I&#8217;m still worrying about getting to work during all of this?  I&#8217;m vacillating between abject terror and a preternatural calm, both stemming the knowledge that I am in control of absolutely none of this.  I&#8217;m going with the flow, because I don&#8217;t have any other choice.  I&#8217;m doing my best to stay calm because stress really doesn&#8217;t help the situation.  Prayers would be appreciated though.  An update will happen as soon as possible after the appointment tomorrow afternoon.</p>
]]></content:encoded>
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		</item>
		<item>
		<title>Fetal Monitoring (32w4d)</title>
		<link>http://paulandsarah.org/pregnancy/fetal-monitoring-32w4d</link>
		<comments>http://paulandsarah.org/pregnancy/fetal-monitoring-32w4d#comments</comments>
		<pubDate>Thu, 27 May 2010 04:07:57 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[blarg]]></category>
		<category><![CDATA[classes]]></category>
		<category><![CDATA[development]]></category>
		<category><![CDATA[Doctor Appts]]></category>
		<category><![CDATA[kicks]]></category>
		<category><![CDATA[movement]]></category>
		<category><![CDATA[testing]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=684</guid>
		<description><![CDATA[Today was my first experience with fetal monitoring. They did an ultrasound to see what position the baby was in and then took me to another room with a reclining chair for me to hang out in to be monitored. It took the nurse a minute or two to find his heart with the monitor, [...]]]></description>
			<content:encoded><![CDATA[<p>Today was my first experience with fetal monitoring. They did an ultrasound to see what position the baby was in and then took me to another room with a reclining chair for me to hang out in to be monitored. It took the nurse a minute or two to find his heart with the monitor, but once she got that thing strapped on, it was clear as a bell! (Actually, the baby started kicking the monitor which was funny to feel and hear!)</p>
<p>My blood sugar took a nosedive while we were there though. I&#8217;d had a super busy morning and a board meeting right before my appointment, so I just hadn&#8217;t eaten enough. I took my blood sugar and it was at 48, so I asked for and chugged some juice.</p>
<p>My blood pressure though&#8230; not good. It&#8217;s been 138/83 or lower this whole time. Today&#8217;s lowest was 155/96, and that was after I was done with the monitoring, so I&#8217;d been chilling out for a while. So they took some blood and another urine sample, and I&#8217;ve got the 24 hour urine collection to do tomorrow. (I did one when I was about 20 weeks or so as a baseline.) We&#8217;ll see. Dr. Schwartz says he&#8217;s not worrying about me yet so I&#8217;m not to worry either.</p>
<p>I feel the same though. Swelling hasn&#8217;t gotten any worse. No pain in my upper abdomen. I&#8217;ve had a twinge of a headache a time or two in the last week, but nothing severe or lasting at all. No weight gain since last week. (Shocking since I&#8217;ve been so dang hungry!) I&#8217;m trying to think positive and assume it was the busy/stressful day at work directly before the appointment or because my blood sugar was so low. We&#8217;ll see.  If pre-eclampsia has started, we&#8217;ll figure out a way forward from there.</p>
<p>Unless something changes though, I&#8217;ve got an appointment for monitoring in a week, and then I go to twice weekly after that. FWIW, the baby monitored excellently today &#8211; Dr. Schwartz said he couldn&#8217;t be more pleased.</p>
<p>Tonight we went to our Baby Basics class, and were fairly disappointed.  I didn&#8217;t learn anything at all.  Paul at least got to change a diaper on a baby doll and we both burrito&#8217;d the doll and put a shirt on it.  Some of the information presented directly contradicted what we&#8217;ve already learned in our Prepared Childbirth classes, and what we&#8217;ve read in books and online.  So meh.  Good to have the experience under our belts, but we&#8217;re both looking forward to the Breastfeeding class in two weeks much more.  I figure between the couple of baby care books we have, my experience, and just fumbling along &#8211; we&#8217;ll be just fine.</p>
]]></content:encoded>
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		<item>
		<title>Good Enough? (32w1d)</title>
		<link>http://paulandsarah.org/pregnancy/good-enough-32w1d</link>
		<comments>http://paulandsarah.org/pregnancy/good-enough-32w1d#comments</comments>
		<pubDate>Mon, 24 May 2010 06:16:36 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[emotional hoo-ha]]></category>
		<category><![CDATA[gear]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=666</guid>
		<description><![CDATA[I&#8217;m beginning to stress a bit.  The need to get everything bought and ready for when the baby gets here is getting a little overwhelming.
YES, I know that technically NOTHING has to be purchased and/or ready except a laundry basket and some towels for a makeshift bassinet.  (And a properly-installed car seat.)  [...]]]></description>
			<content:encoded><![CDATA[<p>I&#8217;m beginning to stress a bit.  The need to get everything bought and ready for when the baby gets here is getting a little overwhelming.</p>
<p>YES, I know that technically NOTHING has to be purchased and/or ready except a laundry basket and some towels for a makeshift bassinet.  (And a properly-installed car seat.)  But that answer doesn&#8217;t really cut it.  It&#8217;s not like it&#8217;s going to be so much easier to go out and purchase stuff after the baby gets here.  So please don&#8217;t tell me that I&#8217;m concerned for no reason.</p>
<p>I want to find the perfect bouncer and washcloths and diaper pad and wipes and wetbags and baby socks and onesies&#8230;..  But there&#8217;s so many dang options for everything.  I&#8217;m getting all wound up, and I know that this has to be pregnancy hormones talking &#8211; but it&#8217;s upsetting.</p>
<p>I just want to do right by my son.  I have no way of knowing if he&#8217;ll hate a bouncer until we put him in it.  Also, I would really love a clue as to how big he&#8217;ll be when he finally gets here because I don&#8217;t know what size onesies to buy him.  (We&#8217;re totally set for rompers and outfits, but the undies part of the equation &#8211; the onesie &#8211; we&#8217;re seriously lacking in.)</p>
<p>Gah.  How the hell do you ever know if you&#8217;re good enough?</p>
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		<item>
		<title>Fetal Echocardiogram (31w4d)</title>
		<link>http://paulandsarah.org/pregnancy/fetal-echocardiogram-31w4d</link>
		<comments>http://paulandsarah.org/pregnancy/fetal-echocardiogram-31w4d#comments</comments>
		<pubDate>Thu, 20 May 2010 01:04:44 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[development]]></category>
		<category><![CDATA[Doctor Appts]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=659</guid>
		<description><![CDATA[Today was a good appointment, if sightly underwhelming from what I was expecting.
I&#8217;m up three pounds over the last three weeks &#8211; continuing my steady single-pound-a-week trend.  Dr. Schwartz is very happy with this.
Blood pressure was 131/83 when he nurse finally did as I said and took it on my bicep.  She did [...]]]></description>
			<content:encoded><![CDATA[<p>Today was a good appointment, if sightly underwhelming from what I was expecting.</p>
<p>I&#8217;m up three pounds over the last three weeks &#8211; continuing my steady single-pound-a-week trend.  Dr. Schwartz is very happy with this.</p>
<p>Blood pressure was 131/83 when he nurse finally did as I said and took it on my bicep.  She did it at first on my forearm (which I appreciate because it doesn&#8217;t hurt as much) and came up with 161/89.  Nothing doing, says I.  I know I can do better.</p>
<p>The fetal echocardiogram was basically a detailed ultrasound watched by the cardiologist and Dr. Schwartz, but mostly the cardiologist.  The nurse worked hard to get weird angles &#8211; we didn&#8217;t recognize most of what was on the screen.  Apparently they were getting a good look at various organs.  Cool views of our little man&#8217;s heart, with all four chambers doing their thing.  The cardiologist said that everything looks good at this point, no thickening of the muscle, and all the parts seem to be in the right place and hooked up correctly.  They couldn&#8217;t get all the angles necessary to rule out a VSD (<a href="https://health.google.com/health/ref/Ventricular+septal+defect">ventricular septal defect</a> &#8211; the condition I was born with) but he said that&#8217;s very hard to do before birth anyway.  The fact that our baby has had an echocardiogram now means that he&#8217;ll have one before we leave the hospital after he&#8217;s born: standard procedure.</p>
<p>After the echo, the nurse did a regular ultrasound, taking measurements of random stuff and trying to get measurements of the pockets of amniotic fluid.  I wasn&#8217;t able to pay attention to the screen as much as I&#8217;d like because Dr. Schwartz was talking to me &#8211; but what I did see looked good.  Our little guy is weighing in at 4 pounds exactly and is measuring 4-5 days ahead, which Dr. Schwartz says is just fine considering how tall Paul and I are.  We didn&#8217;t get any pictures or anything, the nurse said he wasn&#8217;t cooperating at all and she never saw his face.</p>
<p>The pains I&#8217;ve been feeling along the bikini line are apparently my pelvic bones opening up and widening in preparation for labor.  It&#8217;s the ligaments that hold those bones together stretching &#8211; which explains why things tighten up down there and then stretch out again.  All normal parts of pregnancy.  As are the pains I&#8217;ve been feeling at my waistline with hardly any exertion.  I&#8217;m relieved to hear that it&#8217;s all normal &#8211; makes it easier to put up with for the next 4-6 weeks.  And that&#8217;s how I look at all this &#8211; just stuff to get through for the next little while.  And there&#8217;s really nothing I can&#8217;t put up with for that long.</p>
<p>It was funny how Dr. Schwartz asked about my swelling &#8211; he said &#8220;I can see by your new footwear that the swelling is continuing.&#8221;  I&#8217;ve switched to Crocs sandals and flip flops, mostly because my hot feet are even hotter now.  The swelling is as bad as it has been, but no worse.  Again, Dr. Schwartz isn&#8217;t worried and neither am I.</p>
<p>Next week starts fetal monitoring and weekly visits.  I&#8217;m hoping to keep the appointments at weekly, but I know they&#8217;ll go to twice-weekly fairly quickly.  We&#8217;ll see how things go.  We&#8217;re at the first of several milestones now: 32 weeks.  It feels really good to have gotten this far.  If the little guy came today, he&#8217;d have nearly the same chances as a 40-week baby.  We&#8217;re hoping that things stay calm for the next four weeks &#8211; 36 weeks is our main goal.  Anything past that is just gravy!</p>
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		<title>Limited Engagement (28w6d)</title>
		<link>http://paulandsarah.org/pregnancy/limited-engagement-28w6d</link>
		<comments>http://paulandsarah.org/pregnancy/limited-engagement-28w6d#comments</comments>
		<pubDate>Thu, 29 Apr 2010 05:49:36 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[changes in me]]></category>
		<category><![CDATA[Doctor Appts]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=602</guid>
		<description><![CDATA[Great appointment today, and apparently Dr. Scarypants was only available for a limited engagement &#8211; cuz he was nowhere to be seen today.
Today was (once again) a short, boring, good appointment.  Highlights:

Blood Pressure was 138/85 on the first attempt (granted, the machine pumped up twice) which was VERY happy-making for Dr. Schwartz.  Usually [...]]]></description>
			<content:encoded><![CDATA[<p>Great appointment today, and apparently Dr. Scarypants was only available for a limited engagement &#8211; cuz he was nowhere to be seen today.</p>
<p>Today was (once again) a short, boring, good appointment.  Highlights:</p>
<ul>
<li>Blood Pressure was 138/85 on the first attempt (granted, the machine pumped up twice) which was VERY happy-making for Dr. Schwartz.  Usually we have to take it again at the end of my appointment to get it that low.  So Dr. Schwartz was very happy to see that.</li>
<li>I lost a half a pound.  I was expecting to show a gain of at least a pound.  So that was surprising.  None of it makes any sense to me, cuz I&#8217;m totally eating.  A lot.  My belly is getting bigger.  But whatever, I&#8217;ll take it!</li>
<li>Holy Cats!  My kid is getting big!  Misty (my favorite nurse) took a minute to have a look around and I was SHOCKED at how big my little boy is getting!  I was convinced that Misty had the ultrasound zoomed in, because he looked SO BIG, and I couldn&#8217;t see all of him on the screen.  His spine looked huge, with easily visible vertebrae!  And OMG, he has HAIR!!  Misty got a picture for me &#8211; but there&#8217;s no doubt he&#8217;s got quite a bit of hair already!  And honestly, I don&#8217;t want to think about how big his head is already.</li>
</ul>
<p>A little bump in my insulin, but that&#8217;s the only change.  It&#8217;s expected, really &#8211; just part of the insulin resistance that comes with pregnancy.  Dr. Schwartz cautioned me that if I&#8217;m starving when I&#8217;m up in the middle of the night to pee, that I should probably be eating something.  He asked me to take my blood sugar if I think about it &#8211; just to make sure that the middle-of-the-night cortisol boost isn&#8217;t making me dip too low.  He&#8217;s OK with my current blood sugar readings &#8211; even though I think they&#8217;re trending too high still.</p>
<p>My next appointment was set for two weeks, but had to be bumped to three weeks because of a scheduling conflict.  The next appointment will be for a fetal echocardiogram, with Dr. Schwartz and a cardiologist watching the ultrasound as they check out every little part of our little man&#8217;s heart.  Should be a great appointment to get new measurements of our (not so) little guy.</p>
<p>I&#8217;ll be 31+ weeks by the next appointment, which means that the non-stress tests will probably start the next week.  Twice a week, at an hour or so each.  Here&#8217;s hoping I can get them scheduled first thing in the morning so I won&#8217;t miss much work.</p>
<p>All in all, it was a great appointment.  Dr. Schwartz said he hoped he didn&#8217;t scare me too much at my last appointment, and that the way things are looking right now, maybe his dire predictions wouldn&#8217;t come true.  I told him that I&#8217;d christened him Dr. Scarypants, and he requested I give him another name now that he wasn&#8217;t preaching fire and brimstone.  I explained that Paul and I are aiming to have everything ready at home and at work by the 36 week mark (June 19th) so that whatever happens, we&#8217;re ready.  Dr. Schwartz was very happy to hear that.</p>
<p>Hooray for short, mostly boring appointments.  And seriously, I do love Dr. Schwartz.  I totally trust him and his judgment as to what&#8217;s best for me and the baby.  He gets that life goes on, and that as great as being pregnant is, life doesn&#8217;t revolve *entirely* around the pregnancy.  I have every confidence that no matter how things shake out over the next several weeks that the little man and I are in the best possible hands.   </p>
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		<title>Appointment Update (23w6d)</title>
		<link>http://paulandsarah.org/pregnancy/appointment-update-23w6d</link>
		<comments>http://paulandsarah.org/pregnancy/appointment-update-23w6d#comments</comments>
		<pubDate>Thu, 25 Mar 2010 04:57:21 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[appointments]]></category>
		<category><![CDATA[changes in me]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=532</guid>
		<description><![CDATA[Boring appointment with my little jerk.  :)
He refuses to cooperate with the nurses to give a decent ultrasound.  They wanted to take more measurements today, but he wasn&#8217;t having any of it.  They were finally able to check out his heart, but not as thoroughly as they&#8217;d like to.  He just [...]]]></description>
			<content:encoded><![CDATA[<p>Boring appointment with my little jerk.  :)</p>
<p>He refuses to cooperate with the nurses to give a decent ultrasound.  They wanted to take more measurements today, but he wasn&#8217;t having any of it.  They were finally able to check out his heart, but not as thoroughly as they&#8217;d like to.  He just will.not.move into a position that gives them what they need.  He likes to hide directly under *my* belly button.  But our little guy is looking good, and is measuring only like 2 days ahead at this point &#8211; so that&#8217;s fantastic.  He&#8217;s weighing in at 1lb 4oz.  (Dr. Schwartz says his growth probably slowed down a touch because we have an even tighter grip on my blood sugars now.)</p>
<p>But my BP was good (for me) especially considering that I was in so much pain in my boobs this morning I was near tears.  So a 138/84 was cause for celebration.  (Dunno what the crazy breast pain is&#8230; but it&#8217;s tear-inducing.  I was literally in tears on the drive over this morning.  Heat seems to make it better, after a while.  Dr. Schwartz says it&#8217;s basically normal, nothing can be done.)</p>
<p>I gained 6 pounds.  So that&#8217;s two pounds a week since my last appointment where I was positive I&#8217;d gained 5 pounds and had only gained a half-pound; for 11 total in 24 weeks.  I don&#8217;t know how I feel about that.  Except that I&#8217;m saying at least one pound is in my swollen feet &#038; ankles, and another pound in each of my boobs.  Dr. Schwartz said not to be concerned about it when I emailed him this afternoon.</p>
<p>We talked about my swollen feet, ankles, and wrists.  Dr. Schwartz checked the swelling (so glad I remembered to shave this morning) and pronounced that &#8220;Yes, you&#8217;re just one of those lucky ones who swells!&#8221; which isn&#8217;t great news, but sure beats &#8220;OMFG, you&#8217;re swelling to a crazy, worrisome extent!&#8221;  He assures me that the carpal tunnel will go away once I pop this kid out.</p>
<p>We talked about my crazy dreams &#038; nightmares.  I have a really strong family history of depression, so I&#8217;m on the alert for PPD and am concerned that if my brainmeats are responding to pregnancy hormones in this way now, does that mean I&#8217;m more susceptible to PPD later?  He doesn&#8217;t think this is a indicator, but he wants to keep a close eye on me and wants me to tell him if the timbre of my dreams changes to any darker than it is now.  (For example, the corpses that I&#8217;m trying to hide of the people I&#8217;ve killed&#8230; I didn&#8217;t *see* myself kill them, I just know I did.  If I start to actually see myself kill someone or want to kill someone&#8230;. Dr. Schwartz wants to know.)  So I find it really reassuring that he&#8217;s taking this as seriously as I am.  I&#8217;m willing to go on meds if he thinks it&#8217;s necessary, but for right now I just want my husband and OB on alert to help me be watching for changes.</p>
<p>Other than that, nothing to report.  We got pics on a CD from the ultrasound, but I haven&#8217;t had a chance to look at them.  Our little man looked at us several times, so I think we have a face shot or two.</p>
<p>Next appointment is in three weeks on April 14th, and then I&#8217;ll prolly go back to every 2 weeks.  Non-stress tests will start between 32 and 34 weeks.</p>
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		<title>We&#8217;re having a BOY!!  (21w2d)</title>
		<link>http://paulandsarah.org/pregnancy/having-a-boy-21w2d</link>
		<comments>http://paulandsarah.org/pregnancy/having-a-boy-21w2d#comments</comments>
		<pubDate>Sun, 07 Mar 2010 02:31:48 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[changes in me]]></category>
		<category><![CDATA[development]]></category>
		<category><![CDATA[emotional hoo-ha]]></category>
		<category><![CDATA[girlfriends]]></category>
		<category><![CDATA[kicks]]></category>
		<category><![CDATA[movement]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=438</guid>
		<description><![CDATA[So this week has been kinda a rough week, with Paul&#8217;s job going bust and all.  (It was a hellish 2 weeks, actually.)  Combined with our slight annoyance/disappointment that we didn&#8217;t get confirmation of the baby&#8217;s sex at this week&#8217;s appointment; and well&#8230;. we were looking for a happy.
I was looking into 3D [...]]]></description>
			<content:encoded><![CDATA[<p>So this week has been kinda a rough week, with Paul&#8217;s job going bust and all.  (It was a hellish 2 weeks, actually.)  Combined with our slight annoyance/disappointment that we didn&#8217;t get confirmation of the baby&#8217;s sex at this week&#8217;s appointment; and well&#8230;. we were looking for a happy.</p>
<p>I was looking into 3D ultrasound places here in Las Vegas and found one with great rates AND a coupon!  They were able to get us in this morning at 10:30 for a basic package of 2D and 3D images and a guaranteed gender confirmation.  (Seriously, if they can&#8217;t tell 100% for sure you get to come back for free and if they&#8217;re wrong you get your money back or another free 4D session.  We were pretty stoked about our chances of finding out with policies like that!)</p>
<p>So this morning our friends Sibyana and Cheri met us at <a href="http://www.miracleinprogress.com/" target="new">Miracle in Progress</a> (it was like 5 minutes from their house &#8211; on the other side of the valley for us) and we had ourselves a little viewing party!  The tech was really great &#8211; more gentle than the nurses at Dr. Schwartz&#8217;s office to tell the truth.  She ended up working with us for 30 minutes instead of the 15 minutes our session was supposed to be.  She wasn&#8217;t able to really do any of the 3D or 4D stuff because of the placement of the baby in relation to the placenta.  The baby was laying *on* the placenta, using it for a pillow.  But she kept trying and trying to get the baby to turn and &#8220;look&#8221; at her so she could get some 3D images.</p>
<p>So even though we only got one 3D image, we&#8217;re still stoked because we got the one thing we came for:</p>
<p><a href="http://paulandsarah.org/v/ultrasounds/21wboy" target="new"><img src="http://paulandsarah.org/gallery/d/143-1/BABY+BOY_2-labeled.JPG?g2_GALLERYSID=2109c65be59f62431304aebb3983a3fc" alt="It's a BOY" /></a></p>
<p>It&#8217;s a boy for sure.  I commented on the &#8216;tiny wang&#8217; and the tech replied that it wasn&#8217;t small at all.  Paul, ever the proud Papa, was beaming as we all collapsed into giggles.</p>
<p>We got a great view of our son as he waved his arms, yawned, gulped amniotic fluid, kicked, and wiggled.  It was the first time that I&#8217;ve watched him moving around and was able to feel some of it.  SO COOL.</p>
<p><a href="http://paulandsarah.org/v/ultrasounds/21wboy" target="new"><img src="http://paulandsarah.org/gallery/d/158-1/BABY+BOY_15.JPG?g2_GALLERYSID=2109c65be59f62431304aebb3983a3fc" alt="3D image of baby's profile" /></a></p>
<p>So we have a DVD of the whole 28 minute session, and a CD with some pictures.  I&#8217;ve culled the best of the pictures and put them in a <a href="http://paulandsarah.org/v/ultrasounds/21wboy" target="new">gallery</a>.  I label one picture and then place the original behind it in the gallery so you can flip back and forth to see what&#8217;s what.  For most of the session, the baby kept his back to us, so that&#8217;s why some of the best shots don&#8217;t have his face in them.  (We&#8217;re gonna see about editing down the DVD of the ultrasound and posting some of that.  A lot of it is kinda boring, but some of it is amazing &#8211; like watching him yawn right at us.)</p>
<p>Afterwards, we had brunch with Sibyana and Cheri,  and then Paul let me hit the nearby Target to add blue things to the registry.  :)</p>
<p>But yep.  We&#8217;re having a Boy.  And no, we have no idea for names yet at all.</p>
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		<title>Good appointment (20w6d)</title>
		<link>http://paulandsarah.org/pregnancy/good-appointment-20w6d</link>
		<comments>http://paulandsarah.org/pregnancy/good-appointment-20w6d#comments</comments>
		<pubDate>Thu, 04 Mar 2010 05:02:54 +0000</pubDate>
		<dc:creator>Sarah</dc:creator>
				<category><![CDATA[Pregnancy]]></category>
		<category><![CDATA[changes in me]]></category>
		<category><![CDATA[clothes]]></category>
		<category><![CDATA[development]]></category>
		<category><![CDATA[Doctor Appts]]></category>
		<category><![CDATA[testing]]></category>
		<category><![CDATA[Ultrasounds]]></category>

		<guid isPermaLink="false">http://paulandsarah.org/?p=423</guid>
		<description><![CDATA[Great appointment today.  Confirmed something important about our baby: it’s a little punk.  Misty (Dr. Schwartz’s nurse) spent a good 15 minutes trying to coerce the little critter to show us the goods.  We were looking up at it’s bum, like we were under the invisible little chair it was sitting on. [...]]]></description>
			<content:encoded><![CDATA[<p>Great appointment today.  Confirmed something important about our baby: it’s a little punk.  Misty (Dr. Schwartz’s nurse) spent a good 15 minutes trying to coerce the little critter to show us the goods.  We were looking up at it’s bum, like we were under the invisible little chair it was sitting on.  But the baby just wasn’t about to open it’s legs and confirm what we thought we saw.  The baby was flip flopping and bouncing around (maybe because of the two sips of OJ I had right before the ultrasound) but not about to show us what we wanted to see.  DANGIT.  Next time…  (Misty and I both thought we saw something, but she wasn’t confident enough to call it.)  It continues to seem odd to me to see the baby doing crazy acrobatics and I still can&#8217;t feel ANYTHING.  Hopefully soon.</p>
<p>Dr. Schwartz was great about answering questions today, having been prepped by my e-mail last week.  We covered a lot of things today:</p>
<ul>
<li>I only gained half a pound!!  Holy cats!  I was totally shocked.  I was honestly expecting a gain of 4-6 pounds because my clothes are totally fitting different (way tighter) and well…. I’ve been eating more than I ever have cuz I’m starving all the time!!  Dr. Schwartz was happy to see the small gain, but cautioned me that I need to make sure that I actually am eating enough since the baby does need a fair amount of nutrition for all the growth it’s doing these days.  He totally gets that my brainmeats are making it hard for me to eat as much as I apparently need to.  At my next appointment he’ll be checking to make sure that the baby is growing and gaining weight as expected.  But he was supportive (as always) that I must be doing things pretty well as far as nutrition and calories because my blood sugars are consistently improving, and my a1c results (like a 3-month diabetes report card) were down to 6.0 (from 6.5 and 6.3 the last two times it was checked.)</li>
<li>Speaking of proper nutrition, my <a href="http://www.cytosport.com/products/muscle-milk/muscle-milk-ready-to-drink" target="new">Muscle Milks</a> are TOTALLY FINE.  Contrary to what the morons at GNC and Vitamin World yelled at me last week, there’s NOTHING of concern whatsoever for pregnant women to have protein shakes.  The L-Arginine in the shakes (as a form of protein) is also found in most nuts.  L-Arginine has been found to help with placental growth retardation, as well as preeclampsia: both of which I’m at risk for!  (The lady at GNC was yelling at me that I was going to have a GIGANTIC, over-grown baby because of drinking protein shakes, and that my doctor was stupid for allowing them.  Dr. Schwartz asked which GNC it was cuz he wants to have a word with them.)  So I can happily keep drinking my yummy High-protein, Low-carb, vitamin-rich shakes.  Hooray!!</li>
<li>The swelling in my ankles/feet is nothing to worry about yet.  Dr. Schwartz thinks I’m just prone to swelling.  (I’m getting a fair amount of swelling in my wrists too.)  He encouraged me to continue to keep my feet up as often as possible.  He agreed that striving for good hydration is a good idea, but that it won’t help this kind of swelling as much as it does for regular hot-weather swelling.  He cautioned that it’s not gonna be fun towards the end of my pregnancy when it’s hot, cuz then I’ll have both types of swelling working together.  Oy.  (Oh, and apparently a restless legs / ants under the skin feeling in the evenings is normal too.  Wheeeee.)</li>
<li>He also commented that towards the end of my pregnancy, he expects to see me twice a week for <a href="http://www.babycenter.com/0_nonstress-test_1272943.bc" target="new">nonstress tests</a> and whatnot.    So I’m gonna have to work something out with him for scheduling, and work something out at work so that I burn as little of my paid leave as possible.  (Maybe I can just not take a lunch EVER AGAIN.)   I’m really concerned about my maternity leave.  I’m taking as little leave as possible for my appointments, but any leave I take comes directly out of what I’ll be able to take when the baby is born.  I have to take 8 weeks off because the daycare won’t take infants under 8 weeks – but there’s no way I’ll have that much paid leave saved up – especially if my appointments move to once a week or more.  Unfortunately, we need both our salaries – so I’m not sure what we’re gonna do for several weeks that I’m gonna have to take off unpaid.  I guess that’s what credit cards are for, right?</li>
<li>So, because I’m doing so well (blood pressure was lowest it’s ever been, blood sugars are consistently lower, weight gain is very small) I’m cleared for another 3 week appointment.  No changes to my insulin or blood pressure meds for the 2nd appointment in a row!  So I’m set for Wednesday March 24th at 3:00pm.  (Dr. Schwartz is taking me as his last appt from now on so I can burn as little paid leave as possible – he just has to leave by 4:00 to catch his flight home.)  Edit: I changed my appointment to the first of the day at 8:00am, because I actually lose less work time by going in the morning.  Those first-thing appointments go fast tho, so I can&#8217;t always get them.  There will be a full ultrasound at the next appointment to check growth and (hopefully) confirm sex for us.</li>
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