so, bad news first: i talked to the attending dr of maternal fetal medicine at BethNav on monday, voicing my concerns with being offered a distinctly substandard aneuploidy screen, particulary when such a policy is distinctly at odds with acog guidelines. she informed me that acog states merely that all pregnant women should be offered _A_ screen, not the _BEST_ screen...and they just simply have too many patients to do an NT on all. i told her that given the 80% detection rate for serum alone and 95% for both combined, they'd surely miss quite a few downs cases that they could have otherwise detected. she said they are aware of that, it's just how it is. she offered me a cvs though, which is essentially a core biopsy of the placenta carrying with it the attendant risk of damage to the fetus or m/c. so, i can't get a 5 minute, non invasive screen, but i can get an expensive, risky, labor intensive procedure i don't really need? interesting. maybe she offered it because she assumed i'd say no, which is of course what i'm saying.
the good news: i am getting an NT scan, paying for it out of pocket, and with the help of the lovely and talented Leah it should only be $300-$400. praise be for fellow stirrup queens with connections! the scan is next tues at 830a, wish me luck!