Medical Ethics Question...silly but...

Medical Ethics Question...silly but...

CocoBoston
CocoBoston

March 5th, 2013, 4:43 pm #1

I'm getting my pretesting done for DE cycle. My gyn is a sweetheart and did the b/w and put through the saline u/s for me. Because I'm 46 I also have to get a physical w/ EKG from my PCP.

I'm really scared to go.

He's an older physician (almost 70) and conservative...could he stop me from doing this? Does he have a right to say it's a bad idea for me if I'm physically OK to move forward?

I have this fear that he will sit me down and tell me I'm too old. I'm not sure of the medical ethics around this - does anyone know?

Thanks!
CocoBoston

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Joined: December 21st, 2011, 7:41 pm

March 5th, 2013, 5:41 pm #2

No worries - He can't stop you from doing your cycle. Ethically, I'd say he can only recommend against it if there's a medical reason that is apparent in your physical or EKG - he can't simply say you're too old. Good luck!
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Joined: November 28th, 2012, 12:12 am

March 5th, 2013, 7:08 pm #3

I'm getting my pretesting done for DE cycle. My gyn is a sweetheart and did the b/w and put through the saline u/s for me. Because I'm 46 I also have to get a physical w/ EKG from my PCP.

I'm really scared to go.

He's an older physician (almost 70) and conservative...could he stop me from doing this? Does he have a right to say it's a bad idea for me if I'm physically OK to move forward?

I have this fear that he will sit me down and tell me I'm too old. I'm not sure of the medical ethics around this - does anyone know?

Thanks!
CocoBoston
NOT his/her opinion with RE. I'm sure you'll pass with flying colors. Best of luck.
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Mrs. M
Mrs. M

March 5th, 2013, 8:07 pm #4

I'm getting my pretesting done for DE cycle. My gyn is a sweetheart and did the b/w and put through the saline u/s for me. Because I'm 46 I also have to get a physical w/ EKG from my PCP.

I'm really scared to go.

He's an older physician (almost 70) and conservative...could he stop me from doing this? Does he have a right to say it's a bad idea for me if I'm physically OK to move forward?

I have this fear that he will sit me down and tell me I'm too old. I'm not sure of the medical ethics around this - does anyone know?

Thanks!
CocoBoston
RE required a note from my PCP or GYN stating I was healthy enough to carry a pregnancy because I was over 45. If your GYN is supportive of idea then it will not be an issue no matter what PCP thinks. Just request a copy of your records from PCP so you can submit to clinic. My OB/GYN saw 150 OB patients last year. She told me at 45 I was the second most fit/healthy of her OB patients (first was a marathon runner). If you are healthy age doesn't matter. I had an easy pregnancy with low BP's the whole time and a very quick recovery from a c-section (had c-section because baby's head was too big for my pelvis). If PCP is not supportive, then maybe time to look for a new one.
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CocoBoston
CocoBoston

March 5th, 2013, 8:23 pm #5

NOT his/her opinion with RE. I'm sure you'll pass with flying colors. Best of luck.
Thanks AC! (nt)
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CocoBoston
CocoBoston

March 5th, 2013, 8:32 pm #6

RE required a note from my PCP or GYN stating I was healthy enough to carry a pregnancy because I was over 45. If your GYN is supportive of idea then it will not be an issue no matter what PCP thinks. Just request a copy of your records from PCP so you can submit to clinic. My OB/GYN saw 150 OB patients last year. She told me at 45 I was the second most fit/healthy of her OB patients (first was a marathon runner). If you are healthy age doesn't matter. I had an easy pregnancy with low BP's the whole time and a very quick recovery from a c-section (had c-section because baby's head was too big for my pelvis). If PCP is not supportive, then maybe time to look for a new one.
I was in the top 1 to 2% of healthy 46 year olds he's seen. I find that VERY hard to believe but reassuring. He warned me that I could gain weight if I got pg, but also mentioned that menopause causes weight gain as well.

I'm glad you had an easy pregnancy - my SO has a panic disorder and is really scared something will go wrong and I will die (!). Gyn says if you're healthy age isn't so much a factor under 50, after 50 still possible though uterus a bit less flexible...



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CocoBoston
CocoBoston

March 5th, 2013, 8:32 pm #7

No worries - He can't stop you from doing your cycle. Ethically, I'd say he can only recommend against it if there's a medical reason that is apparent in your physical or EKG - he can't simply say you're too old. Good luck!
Thanks green.elephant
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Joined: August 16th, 2011, 10:08 pm

March 6th, 2013, 7:58 am #8

I'm getting my pretesting done for DE cycle. My gyn is a sweetheart and did the b/w and put through the saline u/s for me. Because I'm 46 I also have to get a physical w/ EKG from my PCP.

I'm really scared to go.

He's an older physician (almost 70) and conservative...could he stop me from doing this? Does he have a right to say it's a bad idea for me if I'm physically OK to move forward?

I have this fear that he will sit me down and tell me I'm too old. I'm not sure of the medical ethics around this - does anyone know?

Thanks!
CocoBoston
I certainly understand your concerns. I've seen situations with 'old school' PCP who feel it their job to give personal input. BUT as others have said, he has a professional obligation to base his decision on physical health not his belief system.

For what it's worth, I'm also doing pre-testing for my DE cycle. I have a couple of risk factors, so thought I would be proactive and see some specialists before cycling (my biggest issue being excess weight). My OBGYN who delivered my son wasn't concerned said it 'wasn't ideal' but it wouldn't stop him signing off to okay a cycle. I asked to see a cardiologist who said the same. Yes, weight an issue, but he could see no other medical indications as a result of the weight. He got me an appointment with the top MFM specialist in our State to discuss the risk factors (given that age, weight AND donor conception are all risk factors for pre-eclampsia). I was certain they would say a downright NO for me cycling. To my surprise, they gave me the stats for my circumstances, but in a very non-judgemental way. I said I was very surprised and the MFM told me that she rarely says an outright 'no' as women/ families all have different levels of risk they are willing to accept and need to make decisions that suit their family. She says she only says no in extreme health conditions.

So... if you Dr isn't willing to sign off on your cycle, it might be time to find another PCP who bases decisions on facts not opinions.

Best of luck!

I'm your age too by the way!
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Dee
Dee

March 6th, 2013, 4:11 pm #9

I'm getting my pretesting done for DE cycle. My gyn is a sweetheart and did the b/w and put through the saline u/s for me. Because I'm 46 I also have to get a physical w/ EKG from my PCP.

I'm really scared to go.

He's an older physician (almost 70) and conservative...could he stop me from doing this? Does he have a right to say it's a bad idea for me if I'm physically OK to move forward?

I have this fear that he will sit me down and tell me I'm too old. I'm not sure of the medical ethics around this - does anyone know?

Thanks!
CocoBoston
If your doctor says "no" then you could always find another doctor who would give a different opinion.
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Becky
Becky

March 7th, 2013, 12:58 am #10

Don't thing he can stop you. Yes he can make comments about your age but laugh it off. My gyn gives me a lecture each time I see her about me being old (45 in May) and one day I'm going to tell her off...lol It's not her business!

Good luck!!
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