Tuesday, January 8, 2013

Satisfaction

Those of you who have been reading for a while may recall that I was harangued at practically every visit with my Ob about my weight gain during my pregnancy.  I found this very upsetting since I've always been naturally thin, because my overall weight gain was around 31 lbs (depending on when you measured), and because I always try really hard to do what I'm supposed to do and be a good patient. 

The haranguing happened for a couple of reasons:

1. The practice gets up EVERYONEs a$$ about their weight gain.  This has been confirmed by several friends of mine who have gone there as well.  Practically all of us were and ARE thin even after giving birth, and practically all of us were really upset by the constant haranguing.

2. They intentionally calibrate their scale at 3.5lbs heavier than you really are.  I know this is intentional because I brought this up with one of the NPs, and her response was, "I know."

3. I didn't know with any degree of certainty what my pre-pregnancy weight was.  If I had to guess, I'd say it was 125 or 126 lbs.  However when I told the nurse I didn't know, she wrote down that I was 122 lbs because she assumed that I must have gained 5-10 lbs during the first 15 weeks, when I had in fact gained 2-3 lbs.  I didn't bother to correct her because I didn't anticipate that they would be so far up my ass over this, and I didn't realize that they had just recorded my current weight at 131 lbs because of their f*cking miscalibrated scale.  I *did* try to correct the misinformation at subsequent visits, but I am fairly certain my  corrections were interpreted as "making excuses."  Eventually I gave up because I saw a new provider most visits, and it was exhausting having to correct my stats to each one, and being blown off every time with a giant eye-roll and some condescending (not to mention unhelpful) advice.

4. Some months I gained 6 lbs (!).  Apparently that trajectory meant I *might* end up gaining 36 lbs over my pregnancy (the horror).  The lectures I received were typically justified based on my "trajectory."

5. Don't even get me started on the almost lecture I received when I was 39 weeks and had somehow gained something like 5 lbs in a single week.  Fortunately my husband was there so it didn't actually happen.  Interestingly, I noticed that I rarely received lectures at all when he was present.  Perhaps because they felt that they couldn't be as awful to me with someone else present?  I don't know.  If anything like this ever happens to you, I wholeheartedly recommend bringing along someone to be with you at your appointments for this reason. 

So, almost a year after giving birth, I am posting this chart that I created MYSELF to track my weight gain.  I did this because if I was going to ignore the advice I was receiving at every visit (stop eating!) I wanted to make sure that I was still within normal limits.  Week zero is my estimated day of conception.

I have an Ob visit in a few weeks and am 5 lbs below my pre-preggo weight.  And I would really like it to stay there until then just so that I can rub their smug little faces in it.  They'll probably insist on weighing me in my clothes (jeans, sweatshirts, etc.) though, so I doubt I'll get the satisfaction.
That's right, b*tches.  You can go right ahead and bite me.
You can also see how much of the weight gain was fluid (and impacted poo -- yay pregnancy!).  Note the precipitous drop after 40 weeks.  Three to four weeks post-partum I was down to 134 lbs.  During that time you would not believe the amount I peed.  And sweat.  Seriously.  We kept our bedroom at like 55 degrees, and I'd still wake up every 45 minutes soaking in a pool of my own sweat.  It was completely revolting.  Six weeks post-partum I was down to 131 lbs (134.5 according to their scale -- of course), and so on. 

Oh yeah. I'm 5'7".  My BMI today is 18.8.  I suppose if this registered with them, I'd get a lecture on eating disorders and why I need to eat more.

Sometimes a girl just can't win. 

I suppose there is a silver lining of sorts:  The experience gave me a new found appreciation for what people who are overweight or obese go through every. single. time. they see a doctor.  Guys?  You totally have my sympathy.  I would probably stop going to doctors entirely if this happened every time I went.  Doctors need to do a better job of listening and not being dicks.  It really does make a difference.

12 comments:

  1. GAH! That is SO horrible. Why is it that doctors' offices always have scales that overestimate your weight? Especially when they weigh you with your clothes on! I've had nurses give me a look when I take off my heavy Dansko clogs before being weighed, like I'm trying to cheat the system or something. And then they base drug dosages on your (higher) weight, which can cause more issues!

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    1. And so true about those Danskos. Those things weigh at least 1 lb each. Also the dirty look like you're "cheating" for wanting to be weighed with less on.

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  2. They sounds like a**holes. 25-35 lbs is normal weight gain and given that you're thin to start with, your weight gain should be at the higher end of the range. I never got the lecture from my OB and my weight gain when I delivered at 28 weeks was 25ish lbs (10 gained in 1 month and probably water). I'm athletic and fairly lean but bmi is 22 at baseline.

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  3. so interesting. our OB practice was the complete opposite - they never said anything when my weight gain was on the higher end (in the beginning) or nonexistent (2nd half of 3rd tri). like you, i'm below prepreg weight by about 7 lbs. and interestingly those were the 7 lbs i purposefully gained to GET preg in the first place. ahh well! ('fertile' BMI seemed to be 21 for me. 'natural' BMI is 19-20.)

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  4. You know I know exactly what you are talking about! Unfortunately I did NOT have that kind of success to rub in their faces. This must feel so deliciously good!

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    1. I'll definitely let you know how it goes. I suspect it will not be nearly as cathartic as it is in my head.

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  5. You know, when you said that your BMI is 18, it made me so angry, that I had to throw my computer across the room, and now it's broken and it's all your fault. Seriously, why are you so obsessed with your weight? You mention it ALL THE TIME. I hope you realize that you're going to give Dylan an eating disorder by talking about this.

    :P

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    1. Lol maybe OMDG has nicer readers than a Cartoon Guide

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  6. I remember those post-baby night sweats - they were awful!!!!!! Some people just gain more weight than others.... I was one of those. I gained 40 lbs with every kid regardless of what # I started at. But my doctors office never said a word. I would think there would be more of a problem with women not gaining enough weight. But good for you for losing it all. I kept a chart too... when am I ever going to lose that kind of weight again so quickly:-)

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    1. I remember waking up one morning after getting up to pee 4 times and sweating all night and weighing 5 lbs less than I had the night before. It almost made up for the fact that I'd barely slept otherwise.

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  7. Sounds like a recipe for creating anorexic/bulemic mothers...SHAME on them for being so callous and judgmental!! These physicians need a course in Bedside Manner 101!!

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  8. Good Lord! My mum is a gynecologist and I´ve worked for her plenty of times and whenever I had to do the routine (weighing, blood pressure etc) I would ask the lady to please take off her shoes, check the weight, put it in the chart and go on with measuring the bp.
    Some would comment about it, because they felt bad about their weight and what do you do then? Be nice about it (not my job to talk about it anyway) and NOT give anybody crap of course.
    God dammit, many had older children with them and being a working/pregnant mum and leading a life like that is stressful. So why add to that, if somebody is not beyond what is healthy for her and the fetus?
    If they are concerned or the weight gain is concerning then they can talk to the doc about it. But fat-shaming someone is most definitely not an option.
    Honestly, when you were writing about it then I really didn´t understand why you continued to see that doc. Didn´t you have an alternative? Because I wouldn´t want to spend my whole pregnancy being anxious about my weight and being scared of going to the doctor because of behaviour like that.

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