Dr. Jamie Krashnin: I had a patient, I was covering labor and delivery, because we deliver babies. My last call shift had come in, her cervix was too short, and she was not viable yet, and she had just gone in for her anatomy scan, and her OB told her that she has cervical insufficiency. I think she was on the phone with high risk maternal fetal medicine doctor, who said you’re not a cerclage candidate, so put a stitch in the cervix to try to keep it closed until viability. She drove to New Mexico. She had an appointment with another clinic, but came to our obstetrics triage because she wanted a second opinion on whether this highly desired pregnancy could be saved, but she didn’t trust anyone in Texas to provide her with that second opinion. I mean, I just cannot imagine what it is like to be a doctor in Texas. I mean so many things on what they have to do and that erosion of trust, what is your agenda and the patient is trusting your agenda. So our MFM weighed in and she ultimately chose to have a dilation and evacuation. Our nursing team is so amazing and were able to get her in the operating room on labor and delivery that night and provided her with the care she wanted. We talked to her about how she should see an OB high risk doctor before her next pregnancy. That she may be a candidate to have that cerclage earlier. you want to get pregnant and we want her to have what’s best for her. I hope that helped, the way our entire team cared for her. I hope that helps her and her husband regained some trust in the medical system it was just so heartbreaking to think that she felt she couldn’t trust anyone, any medical provider, and her state to be honest with her.
