If I lived in Durham, they would be my doctors of choice. I went there for my referral today. Basically, my OB/GYN office here in Cary wanted me to have them review my records and the treatment I got during my last pregnancy and make recommendations as to the course of treatment if I get pregnant again.
I got there about 15 minutes before my appointment and was taken right back. Yes, you read that right...I DID NOT HAVE TO WAIT. The doc, Dr. B, who reviewed my records with me was really nice and courteous. Then, he was going to do a quick review of my case with the head doc, Dr. J, and she would brief me as to her recommendations. Well, Dr. J was running a little late (she was teaching a seminar) and Dr. B came back and apologized for the wait not once but twice.
Dr. J believes the same dosage of lovenox will be perfect but wants to add one baby aspirin a day beginning with the second trimester. She says that their is evidence that simply adding a baby aspirin a day helps protect against pre-eclampsia and blood pressure problems during pregnancy. She is also going to recommend monthly ultrasounds to check for growth rate and fetal health. And, I think she said she will recommend weekly appointments start at 32 weeks.
Then, while Dr. B was getting my check out papers, Dr. J herself (aka the head of the clinic) got me the clinic card with all the phone numbers and took me to meet the nurses they have on staff so I would know who I was talking to when I call in...WOW. Dr. B was going to hand me the check out papers but stopped himself and said, "You don't need these. You've already paid your co-pay. Let me take care of checking you out." Double Wow...talk about good customer service. I am so glad these are the high risk specialists we will be dealing with.
I think the current plan will be to wait one more cycle (just to make sure its regulated) and then start trying in earnest.