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Waiting to try:Question 4 Archie
2006-03-07
Name: K.Radha



Dearest Archie,

I was wondering if you think it would be appropriate for me to try and conceive again? My husband has left the decision up to me to make. My counsellor is against it but I think differently. I just can not bring myself to see my doctor because the hospital where Ishani was delivered believes the knot formed early on & that Ishani's death could have been prevented had my doctor paid more attention. Ishani hiccuped several times a day for only a few mins, she almost never moved on the last few weeks, I had an u/s to see the problem & she had gone from being in the 50th percentile to well below the 5th. The doctor at the hospital says that these are classic syptoms of cord compression & the u/s results should have been investigated further. It is no ones fault but I think we all should have been better informed. It has almost been 4 months since Ishani's silent birth and I wondered if you thought it would be ok if we tried again soon. I can't thank you enough for all your help these past months Archie, you're a doll! Thanks in advance for your advice. Take care

Love kate
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2006-03-11
#1
Anonymous Name: K.Radha
Subject:  all clear apparently



Hi Archie,

I went to the doctor friday. I saw my friends ob/gyn who is treating her pregnancy, she asked if he could squeeze me in and he had an opening. He didn't suggest I go for a u/s but gave me a pelvic floor exam & pap-smear. I'm still waiting on the results of the p/s but I am assuming that will be ok as I had one done in jan with good results. He has said everything is in order and has gone back into place since the pregnancy. There is a little more toning I could do with my pelvic floor muscles but they are at a point where he would expect them 4 months after a pregnancy and has suggested I just keep up with my kegals as normal. Otherwise he is confidant that I ready to conceive again physically. Aside from the usual advice of folate & avoiding anything unhealthy he's recommended I seek some kind of counselling in my pregnancy which I am receiving anyway. Oh and I spoke with him about what happened with Ishani and he also feels that it might not be a problem again but we should have the cord checked espec after week 26 along with a kick chart. I think that is about it Archie, I really value your opinion which is why I am asking you when I can have a child. Thanks again Archie, for everything

Love Kate
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2006-03-07
#2
Anonymous Name: archie
Subject:  Please comment on aspects I address here.



Dear Kate,
Let me know following things from you:
Do you want to change OB? Personally I think you should. Even the hospital if you have that option. Why I am saying this is because I want you not to remember Ishani's demise when you carry absolutely new life. I have said it several time, new life will have his/her own existence and meaning. It would not be to replace Ishani. Therefore you may want to think on this point and I think you can do this now rationally.

Also just to be on safer side also want to get your pelvic ultrasound once before you get on ttc part. This to confirm everything is perfect and healthy to harbor new life.

I also want you to check your weight, I remember you lost a huge amounts right after Ishani's death. I want you to tell the difference between that, before you conceived Ishani and today. This is going to help me judge your emotional status. I hope you have cut down on your extra work out at gym, which you had after Ishani's departure.

This is not I usually ask but let me know your current diet plan.

As I get these comments back from you will help judging your situation.

Having given birth to healthy babies and just had lost Ishani should assure fertility part and we are not judging that, but what we need to judge is this, there should be no rush and you should be physically and emotionally ready to handle new pregnancy. Needless to mention how pregnancy takes toll on emotion, at least to you.

I would be happy to assist you further.

may have told but try not to remember so much ridiculous mistakes made by professionals, these are all if's and but's the truth is you lost precious and uncontable wealth in the form of Ishani, no one can replace or reimburse that. Regardless of other if's and but's you will have to carry this truth throughout life with you and family.

let me know your comments.

Archie
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2006-03-10
#3
Anonymous Name: archie
Subject:  hang in there



Dear Kates,
I want to do good justice to your message. Will wait for your reports and then have my final word on ttc and also judgement.
Please let me know your pelvic ultrasound data.
Archie
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2006-03-08
#4
Anonymous Name: K.Radha
Subject:  answers for you



Hi Archie,

Thank you for your message, your help to me is invaluable. I've called to make an appointment for a pelvic exam and will give you results as soon as that is done. With regard to a new OB I think you are correct about finding one. The same would a negative reminder of Ishani's pregnancy. I spoke with the hospital after Ishani's birth and they said they'd like to do my obstetrical care but have said they'll refer me to another Doc if need me. I was thinking that I might have all my care done at the hospital because I would like to deliver there and they do have the best equipment. Do you agree that this would be a good option?

Abhi & I would like to have another child of our own, a second child. Ishani is irreplaceable Archie, I know this. Another child is not going to take her place or fill a void if you are concerned about that. I am very aware that Ishani was & is an entity of her own, I have her ashes in an urn here and it reminds me everyday of how seperate she is.

I admit that right now I am feeling kind of depressed but I am ok. According to my counsellor it is not depression itself, but the normal feelings of grief. She is concerned that another pregnancy may trigger actual depression and has asked that I stay in counselling if I do conceive to try and avert that happening otherwaise she is fine with me trying again.

I am now at 55kg and I'm 5'1, I did loose to the point where I was 48kg. I was was 65kg when I fell pregnant with Ishani and i was 75kg after I delivered. My breakfast is usually cereal or 2 slices of toast with fruit or perhaps with eggs. Lunch is a sandwich with yoghurt & fruit or sometimes I'll have a light meal. At dinner I have about 3 serves of veges, a serve of carbs (rice, potato or pasta, and a serving of meat. I generally have dessert as well. In between meals I usually have fruit or yoghurt.

I don't feel like I have any worries about my fertility as you have said. I've not had problems conceiving before. Also I believe that Ishani's accident was more of a fluke than a continuing concern. The hospital said that their records show Sid,Steph & Ishani had long cords by their standards which can be a factor but isn't necessarily what caused the knot in Ishani's cord. It will be monitored though.

I love Ishani and all my children. Were Abhi and I to have a child it would be because we'd like to raise a child ouf our own together not because we want a child. We already have that in Ishani. My kids REALLY want another brother or sister. In a sense I feel like I am standing still emotionally because for me children bring this sense of emotional growth and we missed part of that with Ishani. Instead we grew in other ways.

Ultimately Archie I'd just like to move forwards, put my loss behind me, keep Ishani & my family beside me and our life in front of me. Another child would be just that, another child. The child can not replace Ishani, her place is taken by her. I didn't say goodbye to ishani we just changed the way we have a relationship with her. I think this would be good for us Archie and I hope that if I get the all clear on my pelvic exam you will agree. I apprecaite all your help Archie. Thank you
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