I took my 24 hour urine collection to the doctor's office and they drew more blood.
Then, the nurse called to tell me that Tanya (my doc) had sent me a message on the patient portal system, but I hadn't gotten it yet.
Here's Tanya's message:
Bridgette
Your liver enzymes are stable but still remain elevated - other testing for preeclampsia is still normal range. It does not exclude this as a developing condition - so we need to recheck labs often. I mentioned to you that I added an additional test called bile acids to check for another possible cause of your liver enzymes being elevated. That test came back today elevated to 13.5.
I had Dr Taavon review all of your results and we are working on a plan for you as I am typing. I will send a copy of all of your labs to Dr Decker as well. It may help her differentiate the differences in measurements knowing that you have more than one thing going on that affects fetal growth. I want to see you tomorrow to discuss all of this and formulate a plan - too complicated to do via email.
One of the nurses is working on an appointment for you tomorrow - I want to do another ultrasound to look at fluid volume and a non-stress test for a baseline on your baby's heartrate patterns. I will send another message when we have a time for you.
Have you started your 24 hour urine test yet??
Tanya
Your liver enzymes are stable but still remain elevated - other testing for preeclampsia is still normal range. It does not exclude this as a developing condition - so we need to recheck labs often. I mentioned to you that I added an additional test called bile acids to check for another possible cause of your liver enzymes being elevated. That test came back today elevated to 13.5.
I had Dr Taavon review all of your results and we are working on a plan for you as I am typing. I will send a copy of all of your labs to Dr Decker as well. It may help her differentiate the differences in measurements knowing that you have more than one thing going on that affects fetal growth. I want to see you tomorrow to discuss all of this and formulate a plan - too complicated to do via email.
One of the nurses is working on an appointment for you tomorrow - I want to do another ultrasound to look at fluid volume and a non-stress test for a baseline on your baby's heartrate patterns. I will send another message when we have a time for you.
Have you started your 24 hour urine test yet??
Tanya
On the phone, the nurse told me that Tanya is going to do further testing to see if I have Intrahepatic Cholestasis of Pregnancy. This is basically a pregnancy related liver disease. From my dear friend, Google, I've learned that the greatest risk of this is stillbirth. So, maybe no pre-eclampsia (although we can't rule it out just yet)- yay... But now this???
I'm trying to look at the positive side if things and be hopeful that all of the testing will give us further insight as to what is going on with his growth, and thankful that we have caught all of this, whatever it may be, early enough and that they are keeping a good check on him.
So until tomorrow afternoon, I wait some more.
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