I have been ill myself (nothing serious, just miserable) for the past week and have had a hard time writing much except to respond to some of your questions. When I can get my brain to work again, I promise to finish up my series on “Hypertensive Disorders of Pregnancy” in the near future, but before we do, let me digress for one day…
Yesterday, I received a very nice comment from JRae who had read my series on “Recurrent Early Pregnancy Loss.” She said, “Thank you so very much for taking the time to put this series of blogs together. I especially appreciate that even after concluding the series you are still responding to those leaving questions on the posts…. I think many…would benefit from your blog as I have (if they haven't already found you!). Thanks again. –Jrae.” Her commment reminded me that for awhile now I have wanted to pass along some comments regarding comments to my readers.
In my very first post, almost a year ago, I said “…my goals for this site are fairly straightforward. I would like to provide you with accurate information related to normal and complicated pregnancies. As I tell all my patients, NO question is insignificant, although you may be surprised that the answer is often much more complicated than the question itself. Where the facts are known, and well-established, mainstream information will be provided. When the issues are more controversial, or do not have widely agreed upon answers, I will make an honest attempt to provide unbiased information, presenting the various opinions on “both sides of the fence,” reserving the right in the end to tell you where I stand on the issue and why. I look forward to beginning a dialog with you on this blog. And, above all I would like us to have some fun as we exchange experiences and communications over time.”
Unfortunately, this site is not set up in a way that we can easily have a running dialog with readers. Quite frankly, since I have a ‘day (and frequently, night) job’, that would be difficult anyway since I write these posts in my free time. I have tried to respond to as many comments and questions as possible, but since my ‘comments’ only appear in the comments section of the blog in which the original comment was made, I never know if the original ‘commenters’ ever find their way back there to read my responses. It is also a shame that many of my responses would probably make, or provide the basis, for a ‘blog’ in and of themselves and I am sure there are many other readers that might benefit from the questions who never have the opportunity to see my answers.
Anyway, I would like to continue to respond to your questions, but have several comments of my own! First, I have found that many of your questions are already answered in the posts or in the comments of other readers, so please check out the original post and related ones as well. If you do need clarification or have a question about a post, or about your own situation, please provide me with thorough and accurate information and as specific a question as possible. Remember, I can only work with what you give me and have no delusions of grandeur with regard to being able to read minds or between the lines!
When I do respond, please be aware of the limitations of my answers. I can provide some thoughts, some information, some clarification of something you do not understand, some questions you might ask your providers, and maybe even a correct solution (given enough information) to your particular problem, but I cannot possibly understand your entire situation and I certainly CANNOT replace your own doctors in providing all the answers for your care. As wonderful as the internet is, it does not take the place of the face-to-face and hands-on attention of a physician who knows you well. So, don’t be afraid to ask them your questions, the same ones you are asking me! If they tell you something and you do not understand, then ask them to explain it a way that you do. Don’t ever leave your doctor’s office with big questions lingering in your heads, unless of course your doctor tells you up front that “I don’t know myself at this time.”
Anyway, thanks to all of you for reading and for the feedback and questions you have raised in response to the posts. I hope you have gotten as much out of this blog as I have!