16 week check-up and related rants

Yesterday was my 16 week Midwife appointment. Not much to report really-the baby is growing, the heart rate is normal, I feel good.

The only downsides were that since my last visit I gained 8 lbs and there was blood in my urine. If my blood pressure was elevated, it could be an early sign of pre-eclampsia, but since my BP was 100/50 it is likely an a-symptomatic UTI. They will send the urine to the lab, and have results back on Friday. If I have a UTI, its a 7 or 10 day cycle of antibiotics and then back to normal.
As for the weight gain…well, I didn’t want to gain 8 pounds in 5 weeks. But, it was not really a surprise given the amount of food I have been eating. Since the morning sickness has subsided I have been eating a more diverse list of foods (including sweets, which made me sick during the first trimester). This seems typical for this stage of my pregnancy, given the weight gain at a similar time the last go round.
On a separate but similar note, UCSD Medical Center has left a bad taste in my mouth after our horrible experience in the ER with Elliott 2 weeks ago. I didn’t write about it, because I was so traumatized about the event that I really just wanted it to disappear from my memory. It has not disappeared, and inversely has become poisonous and is tainting my feelings about the care I receive. I wrote a letter identifying my reasons for feeling this way and sent it to UCSD, but have yet to hear anything. If I wasn’t already in my second trimester, I would consider switching hospitals.
As it stands now, I am going to attempt to switch from Hillcrest to La Jolla. The facilities in La Jolla are newer and more up to date. The people are friendlier and appear more sanitary (both the staff and the patients) and it is only 10 minutes farther for us to drive. Plus, the couple times I have been there so far were WAY better than Hillcrest.
Oh, and did I mention that we changed insurance earlier this year? We were on an HMO plan for the last 6 years that was great. But, with the new plans being offered we had to choose a PPO as they were the only plan that accepted UCSD. I have never been on a PPO plan, but our CPA/Tax Planner gave us a fancy spreadsheet that demonstrated the company and personal savings we would encounter if we switched to the PPO. The PPO plan comes with an HSA account, and we are dumping the monthly cost savings from the old HMO plan into the new HSA account. All was fine until I realized that maternity care wasn’t covered until we reach our deductible (which BTW is $6000!!!!). I clearly should have taken more time to read and research this decision. I feel jilted.
Oh, and throw in an ER visit and a couple of X-rays for Elliott when he fell off the curb and couldn’t walk for 2 days and, well…we should be reaching our deductible soon (very soon). Just the preliminary blood tests alone from my first Midwife visit were $2000 (and that already includes the preferred discount). I had an Ultrasound for dating (purely elective on my part) and it cost $900, and the US tech was a cold hearted bitch with zero bedside manner. Add all of this in with my negative feelings towards UCSD and to the HUGE amount of money we will be paying out of pocket (for horrible care) and I am left feeling bitter and nervous.
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