Wednesday, April 17, 2024

Janelle's Journey

“Nobody prepares you for the thief miscarriage is. I feel if I can share my story, it might help somebody else from suffering alone, because they're not alone.”

Janelle took a deep breath, paused, and then apologized.

“I’m sorry if I cry."

And then she began:

It was my first pregnancy, June of 2021. We had our first appointment. I felt great. They said everything looked great. Go ahead, tell the world, we're so excited for you. And then just shy of 12 weeks we miscarried.

And there was no reason for it.

We had no bleeding or anything up until that point. I remember clearly it was a Sunday morning when I first noticed some bleeding, then called on Monday. They got me in as soon as possible. Dr. Swift was in surgery that day when we found out our baby didn't have a heartbeat. While still trying to process the loss of our baby the Dr. gave us all of our options, which is kind of overwhelming. My husband and I went home and I decided on a D&C. That day was a whirlwind as my appointment was at 8:30am and I was at the hospital for the D&C at 1:30pm.

While we were in the pre-op room for the D&C, Dr. Swift came in. You could see the genuine shock and concern on her face. She was as surprised as we were, as a couple weeks prior everything was great. She said she wanted to do some genetic testing on our baby if we were okay with it. She said, ‘I don't understand why this happened. I want to have peace of mind just as much as you do. Would you be okay if we did that?’

I said yes.

And she said, ‘We've got two options: we can either run the genetic testing through the hospital, which will cost you an arm and a leg, or, if you're okay with it, I’ll run back to my office and grab one of our kits and have it sent out this afternoon.’ So she ran from the pre-op room all the way back to the clinic to get a DNA testing kit for me and my husband. I know it's not about money, but, yes, it is about money. Because we were looking at thousands of dollars’ worth of medical bills had she not done that for us. She cared enough to run back all the way to her clinic to get this testing kit and came all the way back.

She didn't have to do that. 

I had the D&C in August of 2021; everything went well. Then at my follow up appointment Dr. Swift shared the results of the genetic testing: there was nothing wrong with our baby. It was perfectly healthy. So they don't know why it happened to us. But it did. Like it does to many. Because of that Dr. Swift wanted to do some other testing, with my permission. She said, ‘I want to eliminate if you have a blood clotting disorder or some underlying condition that we don't normally check for with low risk pregnancy.’

There's wasn't really a reason to expect a miscarriage to happen. I wasn't high risk. I had no underlying conditions. I was 29 at the time; I was a fit, healthy person, so it left my husband and me heartbroken and dumbfounded. But Dr. Swift had a game plan. ‘Here’s what we're going to do for when you get pregnant the next time, just to make sure that we've ruled out everything that we can control on our end.’

She didn't have to do that, but she cares so much for her patients.

I know people whose doctors dismissed them with a 'Yep, you had a miscarriage; happens to one in four,’ and then they expect their patients to just go about their day. Swift isn't like that; she wanted to make sure that we covered all of our bases so that my husband and I could have our family.

My miscarriage left this empty, hollow person for a long time. And to this day I still think about when we found out our first baby would have been a girl. Who would she be today? Would she look like me or would she look like her daddy? Would she have my personality? Or his? Also, a dear friend who's a photographer created a beautiful photo shoot to tell my stepson that he was going to be a big brother. We had all this excitement bursting within us, so we told the world and right after we told the world we lost her. And then we had to tell my stepson he wasn’t going to be a big brother anymore because for reasons unknown to us God needed our baby . . . 

*******

After trying for almost a whole year and not succeeding, we finally got pregnant again. As soon as they found out I was pregnant, Women’s Care was like, ‘We want you to come in. We want to monitor your levels, make sure everything is progressing the way that it needs to.’ They were with me every step of the way. If I had any questions, I never hesitated to call because Dr. Swift and her team never treated me like I was a burden. It was always, ‘We've got room for you. Let’s get you in and get you taken care of.’

I was induced two weeks early because I experienced a heavier amount of bleeding than I should have. I had my 38 week check up on December 28, 2022. I also was exhausted and very fatigued. I had to drag myself to do every little thing. Something was not right. And then the bleeding got worse. I was in the following day, December 29, to monitor for contractions. Still bleeding. 

Swift said we were going to get the baby out now.

The induction process went really smooth and I progressed nicely. Labor started at around 2:00pm. The whole time I was in labor Dr. Swift came in and checked on me. Our daughter was born at 7:43pm. She was full of life right from the start and has continued to develop that little personality (she’s 15 months old this week).

Her name is Wilomena. I call her Mena. My stepson calls her Wilo. My husband calls her Lolo. She loves our pets and her brother is the light of her life.

And she is the light of ours.

*******

I’m currently pregnant now with our second child. We’ve been quiet about it just like with Wilomena, but I think sharing my experience at this time is important. I can tell you every single day of my life, even with my daughter and now with this pregnancy, miscarriage just sits there in the back of your mind and robs a lot of joy and happiness that you should be feeling. Because there's always that what if.

What if I lose this one too?

The beginning part of my pregnancy hasn't been easy. I had bleeding once again and those very same thoughts were present. But we’ve had a few extra appointments and ultrasounds. We’re at 15 weeks now and the baby is healthy and developing appropriately. As I said, nobody prepares you for the thief miscarriage is. I’d like to say I’m fully healed, but part of that grief is always in your heart.

If sharing my story can help one person not suffer in silence, I think that would be wonderful.



Wednesday, April 10, 2024

Protecting Yourself from STIs

With the spread of sexually transmitted infections (STIs) on the rise, we want to make sure every person in our Circle of Care has the information they need to live a safe and healthy life. April is STI Awareness Month, so we're breaking down the most effective ways to prevent contracting an STI and the symptoms that require a prompt visit to your OB/GYN.

What are STIs?
Sexually transmitted infections (STIs) are infections or viruses spread from person to person by intimate physical contact or through sexual intercourse. Common STIs include chlamydia, gonorrhea, HPV, genital herpes, and syphilis.

Aside from colds and the flu, STIs are the most common contagious (easily spread) infections in the United States. The American College of Obstetricians and Gynecologists reports that there are millions of new cases each year, so it's important to know the facts when it comes to protecting your body.

How Can I Protect Myself?
The good news is, that there are a lot of different ways you can protect yourself. You can reduce your risk of contracting an STI by:

  • Limiting your number of sexual partners. 
  • Using protection (such as condoms) every time you have vaginal, oral, or anal sex. 
  • Making sure you are up to date on all of your immunizations. Vaccinations are available for hepatitis B as well as some forms of HPV.

Regular screening is also key to catching an STI early if you do contract an infection.

"It's recommended that sexually active women between the ages of 15 and 25 have at least annual gonorrhea and chlamydia screening," says Dr. Valary Gass of Women's Care of Wisconsin.

There are some STIs that can be cured but could cause long term problems like pain and infertility, so early detection is important.

"Additional screening can be offered for HIV, syphilis, and hepatitis B or C," Dr. Gass says.

What are the Most Common Symptoms of an STI?
Some of the most common STI symptoms to look out for include:

  • A burning sensation when urinating
  • Sores, bumps, rashes, or blisters in the genital or anal area
  • Abnormal discharge 
  • Redness or swelling in the genital area
  • Pain in the pelvic or abdominal area
  • Pain, soreness, irritation, or other discomforts during intercourse
  • Bleeding after intercourse
  • Recurring yeast infections 

If you believe you are at risk for contracting an STI, it is very important to schedule an appointment with your healthcare provider.

During pregnancy, STIs can also cause harm to the fetus. If you are pregnant and you or your partner have had -- or may have -- an STI, be sure to inform your doctor so you can work out a treatment plan that will decrease the chances of your child getting the infection.

Schedule An Appointment
If you have concerns about STIs or believe you need screening, please talk to your healthcare provider," Dr. Gass says. 

At Women's Care, our providers are devoted to you and your health. That means having the most advanced techniques, up-to-date educational information, and compassionate, caring staff.

To schedule an appointment with one of our providers to discuss STI screening or any other health related topic, please call or text us at 920-729-7105.

 

Wednesday, April 3, 2024

Meet Gretchen Augustine DO, Women's Care of WI

“Pretty much every visit I have with a patient starts the same way,” said Gretchen Augustine. “I ask them to tell me in their own words, in their own time, why they are here.”

Perhaps that’s why the Women’s Care of Wisconsin OB/GYN develops such a strong connection with them.

“Those first minutes in a first appointment are crucial,” said Augustine. “My patients know their bodies better than anyone else, so I provide them the time, opportunity and space to share what they’ve been through. Details they provide can be very powerful.”

The Michigan native actually started her career in journalism. Her decision to follow a very different path was rooted in being able to connect with people at a deeper level. She returned to school to pursue a degree in osteopathic medicine (Doctor of Osteopathic Medicine, or DO). That means she’s trained exactly as an MD, but with additional training in manipulative medicine.

“An osteopath is trained to view the patient holistically, to take care of the patient’s mind, body and spirit,” Augustine said. “It’s about finding and treating the root causes of issues rather than simply assigning a medicine to fix a problem.”

A staunch advocate for patient empowerment, Augustine insists that the education of those she serves be a top priority in her practice.

“It’s important patients understand the best options available to them,” said Augustine. “And they need to be comfortable with the treatment and have confidence that it is right for them and that it will be successful.”

Fundamental to women’s medicine, said Augustine, is developing relationships.

“We take care of women throughout the spectrum of their lives, and those of us in the field embrace that role,” she said.

Her patients describe Augustine as genuine, kind, astute, supportive, and funny.

“I laugh with my patients a lot, and I think that’s important,” said Augustine. “Most important of all, though, is that my patients feel heard and know that we’ll be working together on a plan to get them to where they want to be.”

Dr. Gretchen Augustine sees patients at Women's Care of Wisconsin locations in Appleton and Shawano. To schedule an appointment with Dr. Augustine, please call or text 920.729.7105.