My BPs have been pretty much great - as they well should be since they only take your BP after you have been laying down for a while. I had one spike of a 160/78 Friday night, but everything else has seemed to be not too shabby and actually kind of low ( like 120-140 / 70-85).
The on-call doctor came in today and we discussed the fact that my BPs are so much higher at home. My average had been 135/95. In my doctor's office they got 142/100 - so I know my machine is accurate and I have brought it in to compare a few times. The doctor explained how these pressures are still important - even though my pressures here are better. I think they are shocked at how well lying on my butt all day brings down my pressures. She said that based off my home readings we are borderline for needing a med adjustment - but based off my pressures here - a med adjustment may make my pressures go too low and bottom out. She was going to call my MFM (who I guess wants to be consulted ) then see if I could go home. I was excited with the idea - but did tell her I wanted a plan about how to try and avoid coming in every weekend - I mean it's not really my choice of a weekend retreat :p She laughed and just said it may be unavoidable - so I proposed a blood pressure check at home every two hours so we see the spikes go down (when waking of course). She mentioned it will be a long next few weeks since I may be in and out of here a lot. I told her a long few weeks is so much more preferable to me than no more weeks and she quickly agreed.
I think a lot of my management has to due with the fact that I never presented very ill before my last horrid bout with PE. On Monday I had an o.k. appt with elevated pressures of 160/100. Thursday I called and asked to have my swelling looked at and BP was ~200/110-120, kidneys leaking protein and liver enzymes elevated. It was so quick. This - thank god - whatever it is - is not progressing quickly. At least not yet. Everyone keeps telling me that can change at any minute. But..... I am so happy in a hour I am beta complete - meaning baby boy has received the benefits of his steroid shots! Since I have GD this time - I am thrilled he has that boost for his lungs since I am hearing the longest I will probably be pregnant is 37 weeks and if my BP acts up - it will be less obviously. That is crazy to think off. So soon.
So I never saw the doctors again tonight, at least not yet. The nurse came in though and told me my doctor has squashed any and all plans of me leaving tonight. He wants me added to a new med and monitored so we can try and get it so I do not have stroke range spikes when not here - which could also lead to fatal placental abruptions. He wants the new med to be monitored with my pressures here- since my BP is so low at times - he needs to make sure I do not go too low.
Honestly, I was a little sad for a minute because I do miss the dogs. My hubby is happy because me BPs were terrifying him at home - plus he is working on our new room and is terrified of setting off my asthma again. So he feels bad not being in the hospital that much - but on the other hand, he is getting so much work down that we need - and doing it with the least impact on my breathing! Honestly, I am not the high maintenance type in the hospital - I mean it is boring here - he doesn't need to be bored as well ( especially when he is making me a new bedroom!).
On the other hand, I am thrilled. So many women with all sorts of issues need to demand care from the doctors. Especially I have noticed this with PE, where I am not diagnostic right now - most women would have their doctors dismissing everything. It feels good to have my doctor being more proactive then me even. I am not in a position where I have to fight for care. THAT is some piece of mind.
Now we just need to think of a way to get these hospital beds ways more cozy......
OH - and HAPPY VALENTINE'S DAY!!
Jamie, your docs sound wonderful. I have a friend who uses Brigham Women's for maternity. She loves it there. Thinking of you.
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