Weekly Update

I promised to update more about this past week, so here goes...Before my appointment with my pulmonologist last Friday, I first had a short spirometry, which showed that my pulmonary function continues to improve! My doctor listened to my lungs and thought I sounded great. I left a sputum sample for culture, so we'll see if the MAC is still present, but either way he doesn't recommend treating it while breastfeeding. He looked in my ears and sinuses and agreed that they didn't look too good, especially the left side, so I made an appointment with my old ENT (the one who did my sinus surgery back in 2001 and who amazingly accepts my crappy military insurance even though he's kind of a big shot) for Thursday (yesterday).

At that appointment, first this other younger doctor looked at my ears and sinuses and suctioned out quite a bit from my nose, both for culture purposes and for my own relief! It felt great and I could actually smell for the first time in ages, although some of the smells that hit my nose later in the day were not so pleasant (chemical cleaning products in a public restroom, the garbage room at my mom's condominium complex). As for my ears, both tubes have fallen out of my right ear, but the hole remains open. My left ear still has two tubes, but they appeared blocked, so my doctor gave me some samples of Ciprodex. The neat thing about his office is that you get to wear these glasses that allow you to watch along with the doctor as he's looking at your nose and ears (gross but also very cool!). He also recommended increasing my nasal sprays (Astelin and Nasonex) from once to twice a day and using a couple of drops of baby shampoo in my saline rinse (sounds strange, but it's supposed to help thin really thick secretions like I have). But he said he didn't want to do anything more rigorous until after the baby's born, so I'll go back at the end of November for a follow-up, when hopefully things will have improved due to the decrease in hormones. I'm also seeing my pulmonologist again at the beginning of December. So basically the consensus is that pregnancy has been good for my lungs but not for my ears and sinuses, but hey, it would be a lot worse if it was the other way around!

I also had my weekly OB appointment with the MFM fellow since my doctor is out of town. Nothing much to report there other than that my Group B strep test came back negative and everything else continues to look good. I asked her a few questions about what to do when I go into labor and what to expect if I need to be induced. This is what she told me. I should call or go directly to labor and delivery when my contractions are coming every 5 minutes, lasting for 1 minute, and this pattern continues for an hour (the 511 rule I learned about in my prenatal classes). Other reasons to call would be if my water breaks or I think it's broken, if I have severe abdominal pain that doesn't go away, if I have any bleeding, or if there's anything else I'm concerned about or that seems out of the ordinary. They will only check my cervix if I have any symptoms of labor, if I ask to have it checked, or once I reach 40 weeks. If I have not gone into labor by 40 weeks and especially if I show no signs of going into labor, they will start talking about induction, which it turns out can take place at any time, day or night, weekday or weekend, although they usually prefer to do them in the morning on a weekday. If my cervix is not ready, they will admit me to the hospital the night before the induction and administer a cervical ripening agent. Then in the morning they would start the pitocin. I also asked her when it would be safe to try some natural methods of stimulating labor, such as acupressure points, and she recommended no earlier than 39 weeks. I had my NST after the appointment, which showed that baby is doing very well and I'm not having any contractions. I also submitted my preadmission paperwork at the hospital, so that's one less thing to take care of.

In more exciting news, the accumulation of baby gear continues. My mother's psychiatrist gave/lent me the following baby books: What to Expect the First Year, Your Baby & Child From Birth to Age Five, and The Baby Book: Everything You Need to Know About Your Baby -- From Birth to Age Two. I think I'm pretty set on reading material for the hospital and for these first few months, if I even have time to read anything once Ziggy arrives!

Then on Wednesday I went over to my cousin's house for dinner and, after she put her daughter to bed, we went down to the garage and rummaged around for some baby items. This is the haul I ended up with: a diaper changing pad, 3 receiving blankets, a pair of baby socks, 5 warmer all-in-one suits for baby for colder weather (luckily almost all of her daughter's clothes are gender-neutral or even "boy-colored"), baby Avalon Organics Soothing Zinc Diaper Balm and Protective A, D, & E Ointment, Lansinoh Brand Lanolin For Breastfeeding Mothers, 3 sets of used cloth breast pads and a bunch of disposable ones as well, a Medela Harmony Breastpump (a manual breast pump for occasional use), a book entitled Healthy Sleep Habits, Happy Child, and a Diaper Genie diaper pail. The main thing she couldn't find was the bassinet, so she's planning on contacting a friend whom she thinks she lent it to.

Anyway, that's all for now. Hope everyone has a great weekend!