Wednesday, November 26, 2008

PIH, or not...

We had a follow up visit this morning. She'd lost weight from the previous reading after the miraculous 7 lbs in 3 days weight gain. BP was 102/94... I have never seen a pulse pressure that narrow before--if I got a reading like that I'd have taken it again, but no, she was just happy to record it in the chart. *sigh* That's when we whipped out our home BP logs and handed them over. She made a copy and stuck them in the chart.

The midwife wasn't in the office, but the overseeing MD was, so we visited with him. Turns out he's the guy that caught our 2 y/o, pretty cool 'coincidence'. He looked through her chart, and looked over the labs. 24hr urine was negative. Creatinine clearance was just fine, as were all other labs. He took her BP himself, and of course it was elevated because she was worked up over the whole situation. But he said, "Ah, you're completely normal. We just make you nervous in here."

He wrote a note clearing her to return work, but to restrict her work schedule to two shifts a week. All this with the caveat that we're to monitor her BP and if it shows signs of going over 130 systolically (haha, is that a word?), and 85 diastolically, she's to limit her activity and catch the next available appointment.

All in all I think it's a reasonable solution. Allowing my wife back to work puts the control back in her hands, but gives us good guidelines to monitor too. It also buys us another 2 weeks of FMLA post partum for mommy time, which can only be a good thing.

I just want to say thank you to all of you that have commented and generally cared about Mrs. Drofen and Baby Boy Drofen. It's greatly appreciated.


  1. YEA! Sounds like you spoke w/ someone sensible whom you trust!!! Glad things are ok!

    Have a happy turkey day, Drofen!

  2. Sounds like things are looking up! I'm glad another person was available to peruse the chart, go over the lab results and help create a good plan of care that you can do at home.

    Happy Turkey Day!

  3. Whew, I didn't get a chance to comment on the last post but I'm glad the appointment went well. I hope you have smooth sailing to the end.

  4. Checked my BP at work tonight...116/77. Passed with flying colors.

    Mrs. Drofen