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VENT! How could a NURSE say this...

posted 1 year ago in Babies
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    angela2011bride    March 19, 2011  

    So I was diagnosed with PCOS 9 months ago and haven't been trying to get preg, but was going to the doctor to get treatment to get me ovulating regularly so that I could get preg once I was ready to start trying.  I recently had an ultrasound, and was called today to be given the results.  The nurse said "The cyst is the same size as it was two months ago, so that's good.  We'll check it again in 4 months and go from there.  In turn I informed her that we are now trying to get pregnant, and that I didn't want to just wait and see.  I want to get preg.  She said that the only thing that will help me ovulate is Clomid but they can't prescribe clomid because I have a cyst and it could rupture if I take Clomid, so I should just stop thinking about fertility.  WHAT?  THEN she proceeds to tell me that the ONLY option would be to go back on birth control.  Umm, no it's not.  She said, (Doctor's Name) is a fan of taking a wait and see approach to things like this.  I informed her I don't want to wait and see, I want to get better so I can get pregnant.  I just can't even believe they could be so uncaring.  I feel now like I have no chance.

     
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    kitzy    June 2011  

    i'm sorry she treated you rudely. most doctors will ask you to try to conceive for 6-12 months, and if you don't get pregnant in that time they'll start to consider your options to help you along.

     
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    littlenikki    October 29, 2011  

    I would definitely look at another doctor if I were you. You want a doctor who is concerned for your health but also who listens to you.

     
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    mrs.peters.to.be    April 12, 2011   Northern British Columbia, Canada

    Hmm I would speak to the doctor directly if you can. At my clinic it's actually against protocol for a nurse to give information like that to a client because technically she doesn't have the PHD to back up your questions like, "why?" and to explain your condition and treatment more in depth (not to say that nurses aren't highly educated and well informed to health care issues and treatment, but they do have a different role than the doctor).

    I don't think it was her place to discuss your condition with you like that. You definitely need to discuss it with your ob/gyn. If you want to try to get pregnant that's your choice and your health care providers need to support you unless it poses some serious threat to your health, in which case they should provide you with multiple options.

     
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    EleanorRigby    June 2011  

    How bad is your PCOS?  PCOS is very common, and lots of people have no problems conceiving.  The nurse shouldn't have been rude to you, but it might be best to try for 6-12 months as PP suggested, and see what happens.

     
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    angela2011bride    March 19, 2011  

    @kitzy: i understand the whole 6-12 months in a normal situation, but I've been going to the doctor for 9 months about this, and they KNOW i'm not ovulating, so it doesn't make sense to "try" for another 6-12 months, when, there's nothing to try for. lol.  if you don't ovulate, you can't get pregnant.

    @littlenikki: i am making an appointment with a different one as we speak.

     @mrs.peters.to.be: i totally agree with you.  she shouldn't have, but she did.  this is just one of the many problems i had with this office, and they aren't going to even get another chance with me. i feel like doctor's offices need to be advocates for their patients health.  it's their job.  and i don't feel like this one is.

     
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    Mrs. DG    July 18, 2009   Seattle/Tahoe

    @littlenikki:  I wouldn't switch doctors.  The doctor didn't do this... The nurse did.  Please report the nurse in a letter to the doctor and speak to the doctor directly.  Of course there are things that can be done!

     
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    angela2011bride    March 19, 2011  

    @EleanorRigby: bad enough that i am annovulatory. i have been charting for 10 months and have had no fertility signs and no ovulation detected, and have not had an unassisted (without progesterone) period in 15 months.

     
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    julies1949      

    I'm not an expert in PCOS so I don't know whether the information she gave you was correct or not.

    I won't be jumping on the nurse because I don't know her qualifications in this area. If she has the knowledge , it is perfectly within her scope of practice to have this discussion with you.

    Although I'm sure the conversation was upsetting to you, and perhaps she could have been more sensitive, if indeed her words were exactly as spoken, I don't see where she was rude.

     

     
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    mrs.peters.to.be    April 12, 2011   Northern British Columbia, Canada

    @Mrs. DG: I agree.

    Have you had problems with the doctor as well? If that's a yes then I'd be switching pronto! You don't want to mess with fertility so if this office isn't working for you than find one that can. Good luck :)

     
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    angela2011bride    March 19, 2011  

    @Mrs. DG: This isn't the only experience I've had like this at this office, and the dr. is just as bad.  This is just the straw that broke the camel's back. If it was only the nurse, I definitely wouldn't switch.

     
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    angela2011bride    March 19, 2011  

    @mrs.peters.to.be: Thanks!

     
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    angela2011bride    March 19, 2011  

    @julies1949: It's rude to ignore a patients request, and tell me that there is nothing to do when in fact there is.  The tone in her voice was snarky and condescending.

     
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    Engaged_With_Love    April 2011  

    I am sorry she was so rude about it. Perhaps she should have just let you talk to the doctor about it.

    I am not sure if that nurse knew exactly what she was talking about. I'm not a doctor but my friend just got diagnose with PCOS. She apparently has had it for a while and has many cysts on her ovaries. Her doctor is very optimistic that she could get pregnant within the next few months. First she has to take a drug to reduce the size of the cysts then she can take clomid. I don't remember what the name of the first drug it.

    If your doctor has the same attitude I would go get a second opinion. My friend had been to a couple doctors complaining about horrible period pains and other things and none of her doctors even offered to do tests to find out what the problem was.

    I am just trying to give you some hope. I have read about MANY women with PCOS getting pregnant. Good Luck!

     
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    Mrs. DG    July 18, 2009   Seattle/Tahoe

    @angela2011bride:  Sorry I didn't know that...  It's always ok to switch if you are unhappy with your doctor.

     
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    sweetkate    August 29, 2009   San Jose, CA

    @angela2011bride: I agree with Mrs. DG, talk to the Dr. about it. It really wasn't her place to say anything like that.

    ETA: If you are not happy I would definitely switch if you can! Are you seeing an RE or an OB/GYN? It may be best to try and get in to an RE.

     
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    angela2011bride    March 19, 2011  

    @Engaged_With_Love: Thanks.  I've done alot of research myself which is why I get so frustrated with medical professionals who don't listen, and who tell me they can't do anything.  I understand that it may be more difficult, but I just didn't feel the support from the doctor or the nurse in that office. 

     
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    angela2011bride    March 19, 2011  

    @Mrs. DG: No need to apologize! :) I appreciate your input. 

     
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    angela2011bride    March 19, 2011  

    @sweetkate: I am currently seeing an ob/gyn and am looking for a re, but will be switching ob/gyn's first because i think i need a referral.

     
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    nyebride    nyebride  

    My step mom is a nurse and the things she tells me makes my jaw drop.  I do not know how she has old employers asking her back and will pay her whatever she wants.

    I'm sorry you have to go through this but the bright side is that you may end up with someone fantastic!

     
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    angela2011bride    March 19, 2011  

    @nyebride:Thanks! :) I hadn't really thought of it that way, but it's so true!

     
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    missmouse29    July 2011   NWOntario, Canada

    @Mrs. DG:

    Took the words out of my mouth! :)

     

    eta: if there is an issue with your doc, then by all means seek a referal.

     
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    RR    October 2012  

    The only advice I can give is, when it comes to your health, YOU are the boss.  You have every right to switch until you can find a good doctor/patient relationship.  It's your body, it's your future! Best of luck.

     
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    ja7975    May 29, 2011   MA

    That nurse stepped over the line imo whatever her qualifications are. I'm sorry but unless you're an MD or  DO, you're not qualified to deliver such harsh and final judgement.

    So back to your PCOS. The two things you're usually asked to do off the bat is go on Metformin and lose weight. I'm assuming you've been doing that. After that, you must TTC for 6 months. I understand this is frustrating but it is protocol and probably right to see if your body can do it without extra chemical assistance. Women without PCOS are asked to try for 12 months before they get help so you dont have to wait as long. Anyway, you try for 6 months and then you go on Clomid and see if you concieve. I think you are going to be just fine but you have to be a little patient (although I can totally understand the whole "I want to be pregnant NOW!" feeling).

     
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    Twista    October 2, 2010   Roanoke, VA

    My GYN told me that when someone with PCOS is ready to TTC she'll take them off birth control and replace it with metformin to treat the insulin resistance and hopefully kick start your period. 

     
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    HisIrishPrincess    March 23, 2012  

    I have PCOS and i'm going to an endocronologist that is a fertility expert.  I would suggest not listening to the nurse and find an fertility expert.  I'm always surprised at the lack of bedside manner in situations such as  these.  there are a ton of threads about PCOS check them out ... they made me feel better! Good Luck 

     
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    angela2011bride    March 19, 2011  

    UPDATE: The doctor called me HERSELF (she was left a note apparently that I was seeking a second opinion.) and apologized to me for the things that the nurse said and the way I must've felt.  She explained EVERYTHING to me and explained how she wanted to handle the situation and asked me how I felt with what she had suggested.  She answered all my questions and was incredibly patient and thorough.  I couldn't believe it.  It meant so much to have her apologize, and even more to get the explanations I really needed.

     
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    AmeliaBedelia    March 3, 2012   Georgia

    @angela2011bride: I'm glad the Dr called you, but honestly, the nurse was super insensitive. You would think she would have more tact since PCOS is a fairly common issue. I have it myself. It sounds like she just doesn't AGREE with some of the things you can do to conceive and was letitng her opinion cloud her judgment. :/ Sorry about that.

    I'm glad your Dr called, and I hope the suggestions were more inline with what you have in mind to ttc. The whole clomid thing is false, I believe? I have PCOS and am planning on taking metformin or clomid when I start ttc... Not sure your cyst situation though, and I'm sure it is different depending on that. I've actually heard clomid is one of the MOST helpful treatments....

     
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    angela2011bride    March 19, 2011  

    I believe the Clomid thing is because I have one larger simple cyst (not really large, it's only 2.9cm) on one ovary, the other ovary is polycystic.  Once we get rid of the simple cyst, I can take Clomid.  It's not on interaction with being polycystic, but with the simple cyst on the other side.

     
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    AmeliaBedelia    March 3, 2012   Georgia

    @angela2011bride: It can be removed surgically? Yeah my largest is 2 cms right now. It kind of freaks me out that "2 cm isn't that big." <-- What the Doc told me. I said "that's almost an inch, how big are my ovaries??" I felt a little strange.

     
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    sweetkate    August 29, 2009   San Jose, CA

    Actually 2cm isn't that big, my best friend had a cyst removed in highschool that was the size of a grapefruit. And she was able to conceive no problem after that. So there is hope that things will work out!

     

    @angela2011bride: I'm really glad the Dr. called you back! That is great. Hopefully things will be better at that office.

     
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    AmeliaBedelia    March 3, 2012   Georgia

    @sweetkate: I know it just feels big when you think about the size of the ovary itself. It was during my shocked and uninformed stage, for sure. We do have hopes that we'll still get pg pretty easily. Thank you for the friend-story. It's always nice to hear the "it worked out" stories.

     

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