A series of events that has left me longing for my overworked West Virginia OB/GYN who never had quite enough time for me and his other healthy patients:
-I'm old (technically AMA, of "advanced maternal age") so my (generally great) obstetrician schedules an appointment for me with the super-duper sonogram (in Norman, an hour and a half away) and the MFM specialist (maternal fetal medicine), which is now routine for all old mothers.
-I start bleeding and am diagnosed with a subchorionic hemorrhage the week before the appointment (January).
-Super-duper ultrasound reveals a baby growing great, but blood in the uterus which should be tracked (January).
-Return to super-duper ultrasound end of February. Blood is gone. Hooray! Baby is a great size, hooray! But wait, doctor may have seen a hole in Rutherford Robinia's heart. Look again. Baby is uncooperative, can't see anything. Come back in six weeks and we'll check out this possible hole.
-Return to super-duper ultrasound first week of April. Heart is intact. Heart is pumping great. Hooray! But wait, one of the ventricles on Rutherford's brain is enlarged. "Your baby has ventriculomegaly but don't worry, it's not hydrocephalus yet. Do you want to do an MRI?*" "No, okay, come back in three weeks."
Grrrr. It seems that RuthRob could have a brain tumor, a brain hemorrhage, major developmental problems, a fetal infection, or chromosomal abnormalities; or, much more likely, extra fluid in the ventricle in the brain that needs to be shunted after birth; or, much much more likely still, a slightly enlarged ventricle in the brain that will never lead to any observable symptoms.
How the next visit next week could go: Heart still great! Brain normal. Hooray! But wait, what's that? Your child has three tails! Want amnio? No? Okay, come back in three weeks and we'll see how well the wings are developing!
*I'm not exactly sure when a doctor is supposed to offer further diagnostic options, but immediately after alerting someone to the presence of a condition she's never heard of is not the time that she's most likely to make a well-informed decision. Still, I did ask the pertinent question, "Would we do anything differently based on the MRI?" and, the answer being, well, we'd still need to monitor it closely, I think I made the correct choice for us.