On January 8th, I had my first regular OB appointment with Dr. Shows.   We discussed the pregnancy, and she showed me pictures of her new little  girl.  She seems a little distracted, understandably so.  We discussed  doing the ultrascreen tests that I've always turned down.
Prior  to going in for this appointment, I knew I would be asked if I wanted to  do the triple screen to test for Down's Syndrome.  I knew I was at high  risk due to my age.  I've always turned these tests down in the past  due to the high incidence of false positives. I have never wanted the  extra stress.  This time I opted to have it.  I felt like if there was a  problem, it would be beneficial to know ahead of time so that we could  have the right specialists available at the delivery. Also, I wanted to  be able to prepare the children.
I also started to feel like I  needed to deliver at a hospital closer to home.  Dr. Shows only delivers  at the Northeast Baptist Hospital. I had a good experience when I  delivered Deborah there, but everyone else I talked with had negative  experiences.
I had also started to feel like I needed a new OB.   It was tough to think about that because I have really enjoyed seeing  Dr. Shows.  Additionally, she helped to diagnose 2 health problems that  had been ignored or denied by other OB's. I felt a sense of loyalty to  her, but eventually I realized that I was receiving spiritual promptings  to deliver at the hospital closest to my home.
I started the  process of finding a new OB.  I asked several women at church about  their OB's.  The Northeast Obstetrics & Gynecology practice kept  coming up over and over again.  In fact, out of the 2 dozen or so women I  spoke to, only 2 of them went to other practices.  Everyone I spoke  with had rave reviews for the North Central Baptist Hospital.  I heard  nothing but positive comments about the hospital and the nurses there.
Eventually  I settled on Dr. Tammy Murdock with the Northeast OB/Gyn Associates.  I  did not find anyone else who was already her patient. But, after  reading her bio online, I knew she was my first choice. Several things  attracted me to her.  First, she graduated Magna Cum Laude with a BS and  MS in Mechanical Engineering.  It seems most engineering majors  understand the need to be detailed and exacting.  I like that.   Additionally, she is the Chief of Obstetrics at North Central Baptist  Hospital.
When I called to schedule an appointment with her, they  took all my information and said they would call back to schedule the  appointment AFTER they had verified my insurance benefits.  So, I  waited... and waited... After about 2 weeks, I called them back to  follow up.  I was assured they were getting to me and would call me back  as soon as they could.
In the meantime, I had my ultrascreen  blood work done.  The following Monday, Dr. Shows called to discuss the  results.  It was abnormal, as we expected.    My age related risk is 1  out of 72 for Downs.  The blood test adjusted it to 1 out of 238.   (Their cut off is 270.)  Dr Shows recommended that we see a high risk OB  around 15-16 weeks.  Depending on the results, they may recommend an  amniocentesis.  She reminded me again that the tests just indicates  RISK. It is not a diagnosis.