DAVID F. MITCHELL, PHD
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The Rollercoaster Continues

5/5/2023

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The rollercoaster continues. This entire experience has been nonstop highs and lows. The good news is that when we to the ultrasound appointment yesterday, the doctor discovered that Baby B's ductus venosus (DV) doppler waveform had returned to normal. This is a huge relief. However, they want us to return on Monday. Due to the abnormal DV reading earlier this week, they want to continue to monitor twice a week. If things look OK on Monday, we can go back to weekly appointments. But for now they will be twice a week.

If I do decide to make this blog public one day, I hope people who are going through the same thing will be read this and know not to give up hope. We aren't even to week 19 yet and have been on the edge four times so far. The first was the absent nasal bones on both twins, the second was the high NT score on Baby B, the third was the potential for Baby B to be anemic based on abnormal blood flow to the brain that was observed, and the fourth was the abnormal DV doppler waveform on Baby B. In each of these instances things have miraculously regulated on gone back to normal. The nasal bones developed a week later, B's NT went back to the normal range after a week, B's blood flow to the brain went back to normal after three days, and B's DV waveform went back to normal after three days.

The doctors continue to monitor these things closely twice a week in case they don't regulate and continue to be abnormal, or head in the wrong direction. We are lucky that everything so far that the doctors have found concerning has managed to go back into the normal range, even when the odds were stacked against us early on. So don't lose hope if you have a bad week, as there is a chance things will return to normal. But it's a nonstop rollercoaster ride.

Our next appointment is in a few days on Monday. Below are the scans from yesterday's appointment. We were in a different room than normal using a different ultrasound machine, so the quality of the images isn't as good. They looked fine on the monitor, but the print outs are darker than they usually are. The ultrasounds tech named Baby A "Superior A". When I asked why, she said she accidently hit the superior button on the machine so that was a mistake (ha), but it is included on the image below.
Picture
Baby A at 18 weeks 4 days
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Baby B at 18 weeks 4 days
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