Wednesday, May 10, 2006

Gut reactions

I had an appointment with my doctor today. He said it sounded like one of three things:

1. gallstones
2. esophogeal spasms from reflux
3. both gallstones and esophogeal spasms

So, he poked and prodded in my belly and mentioned that if I had gallstones I would feel pain radiating forward from my right shoulder blade area. As longtime readers of The Ark might recall, I have had a long quest for an appropriate babycarrier, since all carriers I had tried caused (guess what's coming here) pain in the area between my shoulders, but more on my right side. So much for thinking that my ginormous baby was the sole cause of my back pain.

But, the doctor did a blood draw to check liver function and a few other things, gave me a sample of Protonix to help with potential spasms, and ordered an ultrasound. As I left, he said, "Well, the Protonix should be OK for breastfeeding. It's a Category B drug for pregnancy, so you should be fine."

Thankfully, I told him I would clear it with my pediatrician's lactation consultant before I took it.

As it turns out, the PDR online says not to take it while breastfeeding. I guess I'm not surprised that a doctor who specializes in adult internal medicine wouldn't be up on prescription drugs and breastfeeding. However, I was disappointed that he even asked me if I was breastfeeding (the OB and ped assumed I was) and I was disappointed because he is the father of four children, all under the age of 10, and should, therefore, be more aware of the breastfeeding relationship.

So much for trusting that the doctor knows best. I have too often been disappointed with the care he provides me, particularly surrounding my GI issues. (He's great for my asthma and knee issues). I think that this seals the deal, and I will be changing doctors. I guess I'll start seeing the flamboyant queen who saved Dyke Two's life after her "episode."

4 Comments:

At 6:58 AM, Blogger Lo said...

a) Many, many people I know have been diagnosed as having "gallbladder issues." Is that what they say when they don't know what else to say??

b) My friends recently purchased a carrier from http://www.ergobabycarrier.com -- you may have tried this, of course, but thought I'd give you the rec. just in case.

 
At 1:55 PM, Blogger hope said...

I can't believe he just assumed the drug was ok -- can you say malpractice?!? I would be SOOOO angry!

 
At 10:08 PM, Blogger Northwoods Baby said...

I trust my doc to know about his specialty and nothing else. I get this from asking my dad about everything and hearing, "I don't know, I forgot it after I didn't need it," or something along those lines. Of course, he tells me I need an amputation if I get a hangnail so I tend to take his assvice with a full shaker of salt. So go to specialists for special needs. Peds know babies and kids. Dermatologists know skin. Internists know ... insides?

Anyway, going to see a flaming queen just has to be way more fun. Just be sure you wear fabulous shoes.

PS, Sutemi pack! See if you can't get ahold of one to try out. It freaking rocks, man. Rocks!

 
At 8:53 AM, Blogger SandraMort said...

I'm reading your blog for the first time today (followed a link from MommyMama) but wanted to point out that the PDR is *often* wrong about breastfeeding information. It is overly conservative to the point that drugs that pass through the milk in way subtherapeutic doses are considered unsafe... even when they're used routinely in pediatric care and postpartum care.

If you want accurate information on breastfeeding, the book to go to is by Dr Hale. It's very likely that your dr was using that book rather than the PDR. If you don't have access to a copy, feel free to email me and I'll get the reference from a nurse practitioner friend of mine. Far be it from me to push drugs, but if it's helpful and needed, and safe, there's no reason to abstain if you don't want to. YK?

Feel free to email me at worfanddax at aol if you need it. I've been nursing (eek!) for 7.5 years running now... :)

 

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