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Re: 16 weeks pregnant with twins, hypertension, numbness on left side of body

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 2 Nov 1999 20:05:59 -0600 (CST)

At Tue, 2 Nov 1999, Jody wrote: >
>Well, I am 16 weeks along now with twins and my blood pressure has been
>tolerably well controlled with 500 mg of Aldamet 3 times a day. Even on
>that, it's been averaging about 148/100 at my office visits. I have
>also been suffering from severe migraines 3-5 times a week.
>
>On Wednesday afternoon, I began to experience numbness and tingling in
>my left arm, hand, leg and foot. I also started to fall when I would
>step on my left foot. It just gave out at random. I went in to the
>hospital and they kept me for 2 days and were unable to determine
>exactly what was going on. They did an MRI and said it did not appear
>to be a TIA or early MS, but I did experience optic neuritis during my
>last pregnancy and they did not completely rule out early MS. The
>tentative diagnosis I was given was complex migraines.
>
>I have continued to experience all of the symptoms so I went to see my
>PCP today and he wished to refer me to a neurologist. However, when he
>called my OB's office to get a referral, she asked to speak with me and
>told me that she does not feel I need to see a neurologist. According
>to her, my symptoms do not fit any neurological disorders and they seem
>to be stemming from stress or unhappiness at home. Bearing in mind,
>that I have seen this woman three times in the office for under 30
>minutes total, I was appalled by what she said. Especially since just
>this morning, she told me to call a neurologist and refused to see me
>herself. Her final advice was that I go to a local army hospital and
>"talk to someone" there who might make me feel better.
>
>I feel my medical problems have been completely ignored and am seriously
>concerned about the quality of my care. My PCP was also surprised by
>her diagnosis and he has known me for 7 years. I'm not sure what
>exactly to do in this case and could use some advice, especially from a
>doctor.
>
>Thank you.

I f I had the option, I'd refer you to a neurologist for a full workup and refer you to a perinatologist due to twins, chronic hypertension (not controlled well enough for my liking) and unexplained neurologic symptoms. 

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York


**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.


**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.


**Thank you for your understanding ;-)



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