OB in UCSF or Sutter for High Risk Pregnancy?
FTM here :) and deciding between UCSF and sutter (Alta bates) for a high risk pregnancy (also did ivf treatment at UCSF).
1. I did my ivf treatment at UCSF--i know people said it's less personal, very busy, and people don't have lots of time for you..and it took a long time to get appointments/questions answered. But I loved it (note it was during pandemic). Because I like having nurses/doctors--even if i never saw the same person--- who are steeped in the literature and research, and can explain to me without talking down to me (I am comfortable reading journal articles myself as I'm a researcher by trade and I design research experiments professionally)
2. I hate the drive, always get carsick, so tried to go with an OB in Sutter. Well, I think my OB is fine clinically - but I was frustrated with our last 2 interactions, and here's why. i) first, my thyroid levels are supposedly suboptimal for pregnancy, but not terribly so ii) I'm at risk for pre-eclampsia.
My current OB in Sutter just went you know you have to take aspirin? okay just take it then. Then for thyroid issues, I said I haven't done research into this area so don't know anything about this. What is the problem with my thyroid levels and why does it matter for me and the fetus? She went straight into the worst case scenarios (mental retardation etc) while being really impatient.
I was a bit alarmed, so went home to read the journal articles and I realized my level were suboptimal but certainly not really that extreme so was kinda annoyed after spending a few hours and days reading up all the different journal articles.
Went to UCSF today, and i loved the clinician I saw today! She asked - what dosage I was taking for pre-eclampsia, and explained what dosage she wanted to adjust me to, and why based on the research (whereas the other OB never checked what dosage I was on..and when I dug into the journal articles it corresponds to what she says). She also explained SO clearly to me about my thyroid levels, what levels she would prefer me to be at, and at what levels they would actually worry about the impact to the fetus, rather than just on me.
The few things that makes me hesitant -
1) I've rarely avoided a doctor just for bedside manner, most of the time if I switched, its due to carelessness or I actually don't trust their clinical judgement. This time it's a bit more of a grey area.
2) the drive is awful, and the thought of going back weekly in third trimester because I'm high risk isn't fun :/
Are there OBs you've have locally who you trust who are keeping up with the latest research and can communicate clearly?