Dear NP, I'm Breaking Up With You

Dear Prenatal Nurse Practitioner that belittles my pains and complaints at every appointment,

I understand that you deal with many pregnant patients day in and day out. I'm trying to see your point of view when you dismiss my nausea (that still hasn't completely gone away at 18 weeks), or my concern with my blood work, or one of fifty other complaints that I brought up at the appointment that you told me was "normal". In your mind, in your training, in your world- it probably is. Those twinges and cramps are just my uterus growing to make room for baby. My excessive tiredness is fine, because once again- I'm growing a baby and in a few months, I'm going to be wishing for these naps. But, can I explain my point of view to you? Can I try to recreate the world in my mind that is the reason that I'm worried about these issues?

My chart should tell you that I have an anxiety disorder- what it doesn't tell you is what that means, or the fact that I've had one since the day I was born. This anxiety monster that lives in my brain makes me assume the worst in every twinge, every symptom. Yes, the rational side of my mind will try and reassure the other side by asking "Self, isn't this a completely normal part of pregnancy?". But, most of the time, I'm too tired to fight, too tired to listen. So, that twinge becomes cramping which leads to a miscarriage which leads to a dead baby. That headache becomes a brain aneurysm. The migraine combined with back pain becomes preeclampsia.

What my chart doesn't tell you is that I know the pain of miscarriage all too well, even though I've never personally had one. You may see that this is my first pregnancy- that much is true. But, I've seen many women that I love suffer through the pain of losing a child. I've loved a child that was carried within someone else's womb, only to have to hear that the child was gone. I've loved children that were born prematurely, that had to spend months and months in the NICU, fighting various complications. Miscarriage and prematurity are a part of a "normal" pregnancy in my mind- thus, I fear them greatly. Even at 18 weeks, I'm still afraid to get too attached to the baby that I'm carrying inside of my, afraid that it could be taken from me at any moment.

What my chart doesn't tell you is that I'm a scared 25 year old newlywed that moved 600 miles from the only home that she's ever really known three months ago, at 7 weeks pregnant. My chart doesn't tell you how hard of a time that I'm having adjusting to life in Ohio. It doesn't tell you how my anxiety makes it hard for me to make friends. It doesn't tell you how much I'm struggling with being a military wife, being thrust into a whole new world. It doesn't tell you about the adjustment issues that I'm having from moving away from the town that I knew as home. It doesn't tell you how hard of a time that I'm having that I can't just go over to my mom and dad's house and ask my mom, "Is this normal?" and hear her tell me honestly a yes or no. It doesn't tell you how hard it is to have to share these pregnancy milestones and first kicks through Facetime, rather than in person. It doesn't tell you about all of the times that I've laid in bed with my husband crying over the fact that I "just wish things could go back to how they were before we moved". I'm new to the military lifestyle- I don't think I really understood what being a military wife was until we PCSed in August.

What can you do? 

You can offer me grace and compassion. I'm begging you to stop just telling me that everything is normal, and show me actual tests and lab work that prove that it's normal. I need to see concrete evidence that everything is normal. The first two doctors that I saw in the ER this pregnancy and the OB in L&D got this- I'm a nervous, anxious first time mom, you can't win me over with false promises- I need evidence, I need proof. I get it- this takes time. But, don't tell me that there's not a way to make this work- I've seen multiple doctors that pressed forward and offered me compassion in these situation and found ways to make it work. The ER doctor that pulled out the ultrasound and showed me that my baby was okay, and explained that his wife was the same way with their first child. The L&D doctor that went through the process of measuring my cervix, even though all signs pointed to everything being "fine"- just to give me some proof that it was indeed "fine". I get that you've had two children- that's great. But, please don't play the role of Super Preggo with me- it's fine if you didn't have issues, or if you pressed through and persevered through them with no worries- that doesn't mean I don't.

(Oh- and you can quit telling me horror stories of babies born to moms that took Zofran. I told you, I've done my research, weighed the risks, and I feel that it is perfectly appropriate- given that the alternative is puking up my guts all the time. Just because you were Super Preggo and you didn't need medication and you were able to go all natural, doesn't mean that I have to or want to.)

That's why I'm breaking up with you, NP. That's why I'm valuing myself and my complaints and standing up to say that enough is enough and asking for a different provider at my next appointment. I was afraid to ask, for fear that you might "get mad at me" or something crazy like that (blame the anxiety disorder). But, when I think about it, I realize that it wouldn't be my problem- that would be on you. I'm standing up with confidence and proclaiming that I'm worth quality prenatal care and I have a right to ask for someone that respects me. I'm realizing that I'm worth it.