Latest / Cry It Out Loud: Navigating Infertility, Miscarriage, Stillbirth, Infant Loss & Pregnancy After Loss / What Ultrasound Techs See in Pregnancy: Miscarriage, Stillbirth & Medical Red Flags
Transcript
- 0:11Crying Out Loud, a podcast by Chasing the Rainbows with your
- 0:19host Bernice Quisenberry. Today's episode is one that
- 0:28gives voice to a moment so many in our community will never
- 0:31forget. The moment inside the ultrasound
- 0:34room when everything changes. For many, that room is filled
- 0:37with anticipation and hope, but for some of us, it becomes the
- 0:40place where they hear the words they never imagined or feel a
- 0:43silence that says everything before anything is ever spoken.
- 0:48What many don't realize is that behind the scenes and behind
- 0:51that screen is someone else holding that moment too.
- 0:54Today we're joined by Natalie Aveny, an ultrasound
- 0:58technologist and social media influencer who is using her
- 1:01platform to share a perspective that is rarely talked about,
- 1:04what it's like to witness pregnancy loss and life changing
- 1:08diagnosis from the other side of the ultrasound.
- 1:11Natalie has cared for countless patients walking into that room
- 1:14with hope, fear, and everything in between.
- 1:16She's been present for joyful first heartbeats and for the
- 1:19devastating movements of miscarriage, still birth,
- 1:22pregnancy loss, and discovering that something may not be right
- 1:25with a pregnancy. In a role where there are strict
- 1:28boundaries around what they can and cannot do, Natalie carries
- 1:31not only the clinical responsibility of capturing
- 1:34images, but also the emotional weight of moments that stay with
- 1:37both patients and providers long after that scan even ends.
- 1:41Today we're having an honest conversation about what
- 1:44sonogrammers see and what they feel, what they wish patients
- 1:47understood, and the unspoken reality of those hardest
- 1:50moments. Natalie, thank you so much for
- 1:53being here and for helping us to bring understanding, compassion,
- 1:56and a voice to a space that many have experienced but few truly
- 2:00see. Thank you so much for having me.
- 2:02Yes, and I just can't thank you enough for being on here.
- 2:06And I would love for you to share with our listeners who you
- 2:09are, your experiences, everything.
- 2:12So I have been a stenographer for 13 years now in the Objuan
- 2:16space. But I'm also a mom of three and
- 2:19a wife, and I share everything together.
- 2:23Like, I kind of share, you know, my daily life, but also a lot
- 2:26that happens here in the room. So most of my content is at
- 2:29work. A breakdown of what I see.
- 2:32Humor, laughter, educational, real life, the sad stuff.
- 2:39And I'm sure I think this is how we came across each other that
- 2:42you probably came across one of my not so humorous and, you
- 2:47know, content that is real and raw and something that happens
- 2:50that we deal with that a lot don't see because I feel like a
- 2:55lot of patients are here in those moments.
- 2:59They're like not here anymore. Everything turns dark.
- 3:02You don't even remember what the stenographer said.
- 3:05If she was nice, if she wasn't nice, you were just told the
- 3:07worst thing. And I, I'm just happy to be here
- 3:11to kind of show another perspective.
- 3:13And I know that I can't speak for everybody.
- 3:15Just like in every career and every profession, not everyone
- 3:18is going to be as compassionate, passionate and nice.
- 3:21But it's a lot of times where we just can't be everything that we
- 3:25want to be in many scenarios that I'm just happy to show the
- 3:30raw and realness here behind everything.
- 3:33Oh, thank you, Natalie. Yeah.
- 3:34And that's what's really important, you know, is really
- 3:37that rawness realness and what you're dealing with as well.
- 3:41You know you're walking alongside lost parents as their
- 3:44journey first begins most times by getting, you know, the news
- 3:48and and things, understanding that there is a person who's
- 3:51walking alongside you there with you in that room.
- 3:56Right. To do as well, you know, to also
- 4:00protect yourself and and everything too in those moments.
- 4:05Yeah. You know, people often see
- 4:07ultrasounds as joyful moments. And I know we did until we fell
- 4:09on that bottom end of a statistic, right.
- 4:12And, you know, but you experience both joy and
- 4:15devastating loss, you know, in your career and what you do.
- 4:19What is it really like to walk into a room where you don't know
- 4:22yet if you'll be delivering good news or life changing news?
- 4:27So I can tell you I have a goosebumps while I'm talking
- 4:29about this because I remember when I first started and even
- 4:34though I know of everything that could happen, you don't realize
- 4:38how common it could be, right? So it's kind of like I remember
- 4:42starting every new OB scan with Oh my God, congratulations, have
- 4:47a seat. How are you doing?
- 4:48How are you feel like this, you know, pitchy, like, like just
- 4:50exciting And then seeing the the fact of me needing to switch and
- 4:57or just internally like like that, that pic that's just like,
- 5:02Oh my God, like you get punched in the stomach and it's like, Oh
- 5:06my God, how am I? How am I switching my toe now?
- 5:08And it got it got a lot of, I want to say a good year of
- 5:12getting used to how to navigate emotionally because I always
- 5:17share this. It really depends where you
- 5:18work. But here in the office that I'm
- 5:20in, the providers, the the the midwives and the doctors that we
- 5:24work with, they want us to tell the patient here what's
- 5:28happening here. And I know it doesn't happen
- 5:31everywhere. A lot of times, even in the
- 5:32hospital when I worked, I wasn't allowed to say a word to the
- 5:35patient, like not even turn the screen.
- 5:37It was like policy of this is it.
- 5:40But here, because I do end up telling them I have to do that
- 5:44switch of the high pitched voices excited too.
- 5:48Oh my God. So then within the years you
- 5:50learn to proceed with caution, right, Like a cautious
- 5:53excitement for the patient not to be a Debbie Downer and not to
- 5:56scare of you know, a patient by my look of like, Oh my God, why
- 5:59is she not excited yet? A lot of patients don't even
- 6:02know until it happens to them or to someone like I had my first
- 6:07pregnancy when I wasn't in the field.
- 6:09My son is almost 17. I was just chilling.
- 6:14I had no like not even a thought that I could miss Gary ever.
- 6:19So it's I know that speaking, coming from that aspect of
- 6:23having a pregnancy outside of being in the field, I can tell
- 6:26you my other two pregnancies were horrible because I knew of
- 6:29every single like mentally I was not in a good place like I was
- 6:33with my first because everything was rainbows and butterflies and
- 6:36I didn't think of anything. So knowing that some patients
- 6:39don't know of that is definitely something that you learn to
- 6:43navigate other, you know, just to proceed with being smiley,
- 6:46but not like talking about the pregnancy and plans.
- 6:49And is this the third? Is this this, you know what I
- 6:51mean? Like not not talking and hyping
- 6:53it up yet until I see that flicker, until I see the normal
- 6:57anatomy, even though, you know, I'm not doing an anatomy scan
- 7:00right now and we can't predict the future of the pregnancy at
- 7:02any point. And we all learn this,
- 7:04unfortunately. But at that moment, I see that
- 7:07everything is good and I can hype it up a little bit and I
- 7:10can be more, you know, high pitched and excited.
- 7:13So that really took time to navigate, but it's definitely
- 7:17something that, yeah. Absolutely.
- 7:20Oh, Natalie, you cut out. I.
- 7:23Learned that through that process, I will have this
- 7:26cautious excitement and I'll be smiley and I'll be, you know,
- 7:29just talking to the patient until I see that flicker.
- 7:32And that doesn't take a long time.
- 7:33I dropped the probe. I see.
- 7:35And then I could be like, OK, I can talk about everything right
- 7:38now and just be excited. And of course, we can't predict
- 7:41the future of a pregnancy until the end of it's just, you know,
- 7:45there's anatomy scans to go through and a lot of things to
- 7:47go through. But at that moment, everything
- 7:49is fine. I want to be that light.
- 7:50And I want to be that positivity to to not make her think of the
- 7:54possibilities to not, not, not that I don't want to be real.
- 7:58But it's just there's no need to deal with that right now.
- 8:00You know, everything looks good today and we can move on and
- 8:04until the next time. Yes, and be in those moments,
- 8:07right. And and you know what's
- 8:10interesting when you were sharing about, you know, your
- 8:12two pregnancies after becoming an ultrasound technician and
- 8:16everything, it is almost like, and I'm not trying to compare
- 8:20anything, but I know our pregnancies after loss.
- 8:23I completely was a whole different person in those
- 8:27pregnancies because I knew everything from knowing other
- 8:29lost parents, hearing other stories, because once you become
- 8:32the bottom end of that statistic, you know it can
- 8:34happen again. And so now we're fully aware of
- 8:37everything that can go wrong and you're not almost in that naive
- 8:41bubble anymore of a pregnancy. And now you know, so it
- 8:44approaches is a whole different thing.
- 8:46So you really do understand from your being in your profession
- 8:50and walking alongside these losses, everything that can go
- 8:52wrong. So you're also experiencing that
- 8:55with your pregnancies as well. Right.
- 8:57And I also navigate a little differently with lost moms,
- 9:01especially when I'm the one who found the last one, right?
- 9:05And then I open the door to call my patient and I know what she's
- 9:09thinking. It's that girl that gave me the
- 9:11bad news last time. I know that it doesn't come.
- 9:14It's not personal. I just know that it's like this,
- 9:17like that's the girl that told me last time.
- 9:20Or sometimes they'll mention like you told me about my loss
- 9:22last time. If you don't Remember Me, I
- 9:24like, of course I remember you and I navigate differently with
- 9:29just immediately. Like if there is an immediate
- 9:32like I get my patients knowing that I have a heartbeat
- 9:35immediately. But if I can do it even faster,
- 9:38I'll do it even faster for lost moms.
- 9:40Like I'm not wasting time. I'm just like, let's get the
- 9:42ball rolling so I can give you that confirmation so you can
- 9:46take a deep breath, right? And then just, you know,
- 9:49spending more time, even though like, you know, again, I, I, I
- 9:53am that person that does take their time.
- 9:55And that's why scanning time is so important that I have enough
- 9:58time with my patients to be compassionate and not rushed
- 10:01through it. And I feel like when there isn't
- 10:04that ability, sometimes that's also when patients think, Oh my
- 10:08God, that ultrasound tech is so rushed.
- 10:09But it's the department that's rushing her.
- 10:13It's the policy in the office that's scheduling you every 10
- 10:17to 15 minutes instead of giving you 30.
- 10:19It's there's a, there's a reason why a sonographer might be like
- 10:24rushing and maybe seem like stressed because that could be
- 10:28the reality. She has to grab the next one.
- 10:30That's, you know, waiting for a while because she's behind.
- 10:34So there's a lot of things that come, you know, again, I'm not
- 10:37defending rude sonographers because I feel like that exists
- 10:40everywhere in every career, but just know that sometimes there's
- 10:44it looks like there's no personality because we're just
- 10:47go go, go. But with lost moms I'm.
- 10:51Yeah. I'm there extra, I don't care.
- 10:56Oh, Natalie, and that means the world, you know, 'cause you're
- 10:58walking alongside them and their losses and your understanding
- 11:01too, which is huge that you could be a potential trigger for
- 11:04them, right? Because they had, they were in
- 11:06your room last time they were with you.
- 11:08And for you to take that level of care, yes like you just you
- 11:11understand and having that is is huge.
- 11:14Right. And and when it is good news, I
- 11:16feel like I've corrected her experience.
- 11:19You know, I'm like, I did good this time.
- 11:23I gave you good results, better ultrasound experience in
- 11:28general, and yeah. Did you get to walk alongside
- 11:31them then right throughout? The whole time, yeah.
- 11:34Yeah. And not just in that other in
- 11:37their loss. Yeah, absolutely.
- 11:40And you know, that is so important to understand.
- 11:43You know, also sometimes unfortunately, because sometimes
- 11:46you're giving more bad news in one day than good news.
- 11:49And so you need to compartmentalize as well.
- 11:52So you're not as emotional as the patients are and things like
- 11:55that, you know and, and understanding that as well
- 11:58because you're there from the very beginning with the
- 12:01patients. Exactly.
- 12:03It's so important to like kind of decompress before grabbing
- 12:07the next one. And that's why again, timing is
- 12:09so important for us that we always continue to fight for it.
- 12:13And it's not possible everywhere because I just told someone the
- 12:17worst news and I don't want to come in with that face for a
- 12:20person that's doing great today, you know, and the other way
- 12:24around, like sometimes I can go just fast-paced because
- 12:27everything is like fine, fine, fine, fine.
- 12:29And then wait. I have, I have a loss.
- 12:31I need time. I need to deal with this right
- 12:33now. Like I'm not gonna let her go
- 12:35back to the waiting room. I'm gonna have her stay here in
- 12:38this room until the doctor can come and discuss.
- 12:41Cuz I'm not letting her sit in the waiting room with a bunch of
- 12:43pregnant, you know, women that are out there right now and
- 12:46happy, happy joy, joy, you know, so.
- 12:50Yeah, exactly. And recognizing that is huge
- 12:52because you're right. And that's something that, you
- 12:54know, is talked about a lot in our support groups is that
- 12:56they're put into a room, even waiting, you know, or depending
- 12:59on what's going on with them. And they're seeing all these
- 13:02joyful people holding their pictures, all of those things
- 13:05while they're sitting there, not knowing if there's something
- 13:08wrong before they even get scanned, but knowing or feeling
- 13:10like something could be wrong. And then they get that news, you
- 13:13know, it's all just so it's a lot.
- 13:15And right on top of what else you're navigating in pregnancy.
- 13:19Right. And there needs to be a priority
- 13:21for these patients. I feel like there should be a
- 13:25priority. And yes, I can tell you here,
- 13:27I've been working for the same office for 13 years.
- 13:29I mean, different locations were the same people, the same
- 13:31providers. And I can tell you that there is
- 13:35a huge urgency if she's about to see someone, if one of the
- 13:38midwives is about to see someone.
- 13:40But I'm dealing with a loss that comes first.
- 13:44And that has to be, we can't look at a patients like, you
- 13:47know, a number or robots or it's it's not, it's just we have to
- 13:51deal with every case differently.
- 13:53And the same goes with the patient.
- 13:55Like I handle every single loss differently because you have to
- 13:59learn to read the patient. Not every patient wants a hug.
- 14:03Not every patient wants to talk a lot right now.
- 14:07Not a lot of patient wants to be, you know, held or spoken.
- 14:11Like sometimes they just want to say, OK, there's no heartbeat,
- 14:13OK, Like sometimes it's their third time.
- 14:15They don't want more of the mushy, mushy.
- 14:18Like they're already on a on a mission to get pregnant.
- 14:21That's not successful. OK, just shush, let me move on,
- 14:25deal with this. And it's just different.
- 14:27And some patients need that. It's their first time.
- 14:30They want to be hugged, they want to be held.
- 14:33They have nobody with them today.
- 14:35So I'm their support person all of a sudden.
- 14:38Yes, exactly. And especially during COVID, you
- 14:41know, when there was only one person in the room and it was
- 14:44you, you know the one. Yes, yes.
- 14:46Or they're already moms and they're partners with the babies
- 14:49and they can't come, you know, together like it is with the
- 14:53first so and, and nobody thinks that something could happen.
- 14:57No, I'm just coming for an ultrasound, not thinking that
- 15:00that could be something that they might need support for.
- 15:04Absolutely, Yeah. Now, Natalie, do you also, you
- 15:08know, just talking through, sometimes the only thing we get
- 15:12are pictures or our medical records to say that validates
- 15:17that we were pregnant and, you know, with a baby and things
- 15:20like that. Do you find in those moments
- 15:22that the people that would want that to remember this baby by
- 15:27still want the pictures even if the baby has passed?
- 15:32Same thing as far as like how they react.
- 15:35I feel like it's the same thing. Some do and some don't.
- 15:39Yeah, some want ask me to turn the TV off.
- 15:43Some do want to see it. Some, you know, for our new
- 15:46pregnancy, they don't want the TV on they that triggers them
- 15:49because they don't know what what I'm going to see you and
- 15:52I'm going to drop the pro. But I always get the option and
- 15:57I make it seem like in a way of like it's normal if you don't
- 16:03want to see, you know, because I don't want her to feel weird for
- 16:06not wanting to see. So I'm like totally up to you.
- 16:10Some do, some don't like I completed like do you want
- 16:13these? Totally understand if you don't
- 16:14want them. I just wanted to give you the
- 16:15option. And if she's not sure, I'm like,
- 16:18I'm going to keep them aside. If you ever want them reprinted,
- 16:21we can reprint it because sometimes patients leave angry
- 16:25like angry like because why is this happening to me?
- 16:29What did I do wrong? Or that they can't think or make
- 16:32a decision even as far as like grabbing the pictures.
- 16:35So. Absolutely.
- 16:37You got to you got to just let them understand that it's normal
- 16:40because the last thing you want them to do is go home and feel
- 16:43judged. Like, oh crap, I was so mean to
- 16:45this person. Or oh, I should have grabbed the
- 16:47pictures. Now I look like a bad mom or I
- 16:50should, you know, just stuff completely normal.
- 16:53There's no way of grieving. There's no right or wrong way of
- 16:57handling this at all. So.
- 16:59But even having the option to be able to get your pictures later
- 17:02and educating them on that because you're right in those
- 17:04moments, well, if it feels like you're having an outer body
- 17:06experience, like you're looking down on that.
- 17:09And like I remember I could not hear.
- 17:11I could not speak. I didn't know what to say or
- 17:14what. Like I was like, what is
- 17:15happening? And I swear people would talk to
- 17:18me like and say it different ways and a few people and I
- 17:21still couldn't hear and like, it's just it was a lot to take
- 17:24on. But then later shut down would
- 17:26go back. Yes, your body just goes like
- 17:28fight or flight, right? And like in those moments, but
- 17:32recognizing that if eventually you want these, but you don't
- 17:35need to have them, you know, and, and feeling that from the
- 17:38person who's doing it too, because that shame, blame and
- 17:41guilt that we do that game that like is played in our head from
- 17:44those immediate moments with like, what did I do wrong?
- 17:47How could I prevented this? Like, what could I do more of?
- 17:50And, and then you're right, like getting home.
- 17:53Like sometimes we question things, we go and Google deep
- 17:55dives about it. But then to know like, oh, I can
- 17:57call them and get those pictures if I decide to, you know, when
- 18:00I'm ready to go back into that office or ever or have them
- 18:03mailed to me. But even understand that is huge
- 18:06just because, like I said, we don't get a lot of those
- 18:09memories or recognition of our babies if we want them.
- 18:13Sometimes it's, you know, some baby loss survivors really need
- 18:16to compartmentalize. They and one day they may want
- 18:19to compartmentalize, the other day they may not.
- 18:21But they, you know, some of them we look at and they say, you
- 18:24know, I look at this as a chemical pregnancy and that's
- 18:26what I'm calling it. I don't want to call it a baby.
- 18:28And it's like that's where they're at.
- 18:30But then others, you know, want the recognition.
- 18:33And so it's really important, Natalie, that you're
- 18:35understanding that though, and that you walk alongside them in
- 18:37those moments. Yes, cuz I've seen all of those
- 18:41things you listed. Some can just take it
- 18:45differently and some don't want and I think it really is a
- 18:49personality. Find myself as an overthinker
- 18:53like if I can have a situation right now trust me I will have 6
- 18:58different analyzations for you of what this could be.
- 19:01But someone else I have a friend like it's just black and white
- 19:06and and if God, I know that if God forbid she would ever have
- 19:10something like that, she would be able to rationalize it and
- 19:12make it as simple as possible. For her.
- 19:16Right. So it's kind of like, I want to
- 19:18think of that as like I can scan a blighted ovum.
- 19:20A blighted ovum. There's no baby in the SAC yet.
- 19:24It's just the the body to simplify it.
- 19:26The body prepared itself for a pregnancy and created that SAC,
- 19:30but nothing grew in it. I can have someone say OK, cool,
- 19:34what can I do? Like, and I can have someone
- 19:36sobbing because they had the idea of them being pregnant.
- 19:39They have a pregnancy test that's positive they are
- 19:42pregnant, but nothing developed further.
- 19:44It's a form of a miscarriage. It is a miscarriage.
- 19:47But some, you know, some patients can look at it
- 19:50completely different and that's why reading the room is
- 19:53important. If someone decides to simplify
- 19:55it, I'm game. I'm not.
- 19:57I am not letting you think differently.
- 19:59I support your thought. Go for it.
- 20:02You're going to see the doctor and then you know they're going
- 20:04to be able to handle and tell you how to treat it.
- 20:07If it's taking a pill, sometimes it does need AD and C.
- 20:09It just depends. But if that's your train of
- 20:12thought, I'm supporting you because I'm actually proud of
- 20:16you for for being able to simplify it and to rationalize
- 20:19because I couldn't do it. And maybe that's why I'm so
- 20:21compassionate about this scenario because I, I never had
- 20:25a miscarriage. I never had a loss, but my
- 20:27sister did and a lot of my friends did.
- 20:30And I always and I always talk about because even as their
- 20:33ultrasound tech, it was so hard to deal with it and to be the
- 20:36one to be like, I can't see what I want to see and to find the
- 20:41words to someone you know is. But yeah, you know, so they want
- 20:48you to do the scans, of course, because they want you to be a
- 20:50part of their journey and and the ways we can, Natalie.
- 20:54And I'm happy to be there because I'm happy that it was me
- 20:58that was able to be there as their support person at the same
- 21:01time too, you know, I'm not happy that, you know, this was
- 21:05the scenario. I would love to have a different
- 21:07kind of outcome, but in a way, imagine them going somewhere
- 21:11else. And then I wish it was Natalie
- 21:13who found it or, you know, there's also a positive about
- 21:16that. But yeah, some patients just
- 21:18take it differently. And I'm supportive about it no
- 21:20matter what because. Right.
- 21:23Well, and a lot of times you're meeting your ultrasound tech in
- 21:25the same breath, like you barely know them.
- 21:27You're not building a report yet until you're really like getting
- 21:29into the scanning, then you're building more of a conversation.
- 21:33So really, unless they've scanned you before or you've
- 21:36known them and they're like in your private clinic and things
- 21:38like that, it really is, you know, with, with someone who is
- 21:43just an acquaintance and, you know, and then depending on how,
- 21:48you know, things happen and reactions and things like that.
- 21:51Yeah, I, I think it would be better to be with someone that I
- 21:54know who is part of our support system and support team that
- 21:59we've had. But I think that's also too, you
- 22:01know, important if you can control it to have, you know,
- 22:05your your team of people who know you and including your
- 22:09ultrasound tech, you know, and being able to request them are
- 22:12ones that are able to give you. Like for me, I'm the type of
- 22:15person like, I would need the news immediately if something
- 22:17was wrong. So I would want to go into an
- 22:20office knowing that that could be a possibility to be with
- 22:23somebody who can do that. And you can find that out.
- 22:26I mean, when you first have your initial appointment here,
- 22:28whatever it may be, you can ask the doctor, like, is there any
- 22:31way that the sonographer can give me the results?
- 22:34Or if, if you can come in the room, I need it.
- 22:36And that's why I always like, you know, from being a creator
- 22:39and reading comments, I see a lot of the things that happen
- 22:43and a lot of people don't understand that they can ask for
- 22:47things. A lot of times we can't assume
- 22:50that this is what you need, right?
- 22:52So from coming from the professional, I, I'm telling all
- 22:56patients, it doesn't hurt to ask for whatever.
- 22:59Ask me for coffee. I don't care what it is.
- 23:02The randomest things ask me because maybe it's an easy yes,
- 23:07maybe by asking the the doctor, do you mind being in the
- 23:10ultrasound room while they scan? Because I'm terrified of this
- 23:14happening again or whatever it is.
- 23:18And if they can't support you and if you can't find that, that
- 23:21team where the ultrasound tech is going to give you the results
- 23:25there and that's what you need, change your doctor.
- 23:29There are a lot of different doctors that might, it might not
- 23:32be the what's familiar to you, but sometimes change is good.
- 23:35Sometimes you think you have the best team until you hear other
- 23:38people talking about other things that they're going
- 23:41through and stories like, Oh my God, my doctor did this, my
- 23:43midwife did this. And then you're like, wait, mine
- 23:45didn't. And I'm not here to, you know,
- 23:47bash or whatever, just just to be that support person to tell
- 23:51you if you're not getting what you need, change it if you feel
- 23:55like you should. Nobody can always guess what you
- 23:58need or what your needs are. It's like a lot.
- 23:59I feel like patient care is also a relationship and, and a love
- 24:03language. I might scan someone who doesn't
- 24:06want to talk at all and I can just read it.
- 24:08And I, I'm fine with that. And sometimes I feel like, Oh my
- 24:11God, I wish you could just like talk to make this more
- 24:14comfortable for you just so I can talk with, but that's not
- 24:17what they want and they want to just so you kind of just have to
- 24:21find what, especially after a loss on your rainbow baby to
- 24:25make this the best, the best experience really so.
- 24:30Absolutely and educate to advocate for yourself, right?
- 24:33And like absolutely say, not say or ask for, but it is so
- 24:37important your life and your baby's life are in your doctor's
- 24:41hands. And really, you know, it was
- 24:44interesting just after, you know, our pregnancies after loss
- 24:47and hearing from our doctors are like you listen, you hire us,
- 24:50right? You choose us to walk alongside
- 24:52of you. We are part of your care team.
- 24:55Like we care about you. Like we honor this, you know,
- 24:58journey that you selected us. I think understanding like, oh,
- 25:02we selected you like and you're going to walk alongside of us
- 25:05and that you are our like, you know, our lives are in your
- 25:08hands that that is such an important decision to make in
- 25:13your life because of something and you know, we experienced it.
- 25:16Something goes completely wrong and delivery and things like
- 25:19that, that you have that team that you're like, I trust
- 25:21exactly what they're doing. They know our plans, they know
- 25:23exactly what we want, what we don't want, and they're ready to
- 25:26move on it, right? It's a whole different thing,
- 25:30right? Right.
- 25:32That's so important. But I just can't thank you
- 25:35enough, you know, for explaining this, like what, you know, what
- 25:38happens in the room, you know, the level of care and compassion
- 25:43that you take with the patients, especially lost parents and
- 25:47walking alongside of them and also letting them lead.
- 25:50That is one of the biggest things we discussed with medical
- 25:52providers is going off of the the parents.
- 25:56For sure, for sure. I feel like it's, it also helps
- 26:00the providers I feel because there's no guessing games of
- 26:03what you look forward to, what you expect, what you prefer, not
- 26:07prefer. Like it's it's helping everybody
- 26:10together. So definitely think it's all a
- 26:12collaborative work with everybody in the team.
- 26:15So true. Yeah.
- 26:17If you could change one thing about how pregnancy loss and
- 26:22difficult diagnosis are handled in the ultrasound room, what
- 26:25would it be? I would want that one rule where
- 26:31sonographers cannot always give results to change.
- 26:37I would want every office to be run in a way where I'm not
- 26:41saying I'm giving them a detailed report and dealing with
- 26:45what's going to happen next. And what are either the steps of
- 26:47just just giving them reassurance or letting them know
- 26:51that something is wrong without the wondering.
- 26:53Because online I see that a lot where patients are like my, my
- 26:58sonographer was so mean, she couldn't tell me anything.
- 27:01And the understanding of it's really it really depends on the
- 27:04office policy. Something could lose their job
- 27:08if they say anything like in the hospital, there's no way there's
- 27:12no way that I could have even showed the patient something.
- 27:15So if that one specific coming from a stenographer, that one
- 27:20specific thing to be changed where every the doctor's office
- 27:25would be like, you know what, we have to establish a trust
- 27:28because it does come with experience.
- 27:30So you know where we maybe in the first couple months we can
- 27:34see how that goes. But then giving them as a
- 27:38sonographer, I can tell you we either see a heartbeat or we
- 27:40don't. And that's why because I
- 27:42understand that that every, it's, it's not, I'm never going
- 27:46to call our job easy, but something as letting you know if
- 27:49I see a heartbeat or not. We are the ones who are going to
- 27:52tell the doctor right now that we don't see it or see it.
- 27:55So just giving us that, that ability, because I feel so
- 28:00fortunate that I have that, that my doctors allow that and my
- 28:02midwife's allow it. And because I get to be that
- 28:07person for the patient and immediate, like an immediate
- 28:10support person immediately to let them know what's going on.
- 28:13And that's what I wish could change with dealing with that.
- 28:18Really, it's so true, though, because it could be minutes or
- 28:21even 1520 thirty minutes until the doctor comes in from the
- 28:25time. Yes, which is like hours, right?
- 28:29And just like it's grueling. They're sitting there spinning
- 28:32out like what is happening? What is going on?
- 28:34Especially if there was silence. Just like, oh, I'll be back and
- 28:37then like. Oh my God, the I'll be back.
- 28:40Yes. You know, even sometimes like
- 28:42when we need a second set of eyes on something to do with a,
- 28:45you know, anatomy, You know, we do see abnormalities with
- 28:49fetuses all the time. And we, we establish a thing
- 28:53where, you know, if something is a little more challenging just
- 28:56to bring the other stenographer to, you know, and I always even
- 29:00that I communicate, everything's just letting you know, here's
- 29:03the heartbeat, here's this. Just so they don't think that
- 29:06it's something to do with that. I just need the sonographer to
- 29:09come and take a second look at these pictures just so to make
- 29:12sure that I got the right picture.
- 29:13Now, I've been doing this for 13 years.
- 29:16The patients don't know this. And it's kind of reassuring
- 29:19where I'm not coming up as like, cuz maybe I'm just like an
- 29:22inexperienced tech and I just want someone to come and look at
- 29:25it. You know, I'm not giving it as
- 29:27a, oh, something's wrong. But I feel like just even
- 29:30communicating that, that second that I'm leaving and coming back
- 29:34with another tech is like what's happening, you know?
- 29:38So communicating that is also important that I just need a
- 29:43second eye because like you said, waiting, going and come
- 29:46back with the doctor is. Yes, absolutely.
- 29:51Yeah. Yes, if there's anything that
- 29:55you would like to leave our listeners with, I would love for
- 29:58you to share with them. Yes.
- 30:01I just want everyone to know that we as a whole, coming from
- 30:05the sonography community, we have so much love and so much
- 30:11compassion. And even if we can't show it,
- 30:14sometimes it's there. Sometimes a lot of sonographers
- 30:17are overworked and they don't even have and it's sad that they
- 30:21don't even have the chance to be extra compassionate because they
- 30:24don't have the support at their workplace.
- 30:27And I want to direct it because it's not always.
- 30:29And again, not defending every stenographer, A personality is a
- 30:32personality. Some people are dry, some people
- 30:35don't have emotions and they might be in the wrong field
- 30:38absolutely, but just know the majority of it to lead with, oh,
- 30:42that stenographer probably can't tell me anything because she'll
- 30:45lose her job versus she's so mean.
- 30:48She can't even tell me what's going on.
- 30:50Like just to understand that we're there for you, rooting for
- 30:53you and like a lot of times we can't do much, but I don't, I
- 30:58don't stop thinking about a lot of my patients with loss and
- 31:01know that you're within our hearts.
- 31:03Like we carry you for a while. I follow up, I want to see what
- 31:07ended up happening if you ended up miscaring on your own or if
- 31:10you needed to do surgery. I follow up, even though I can't
- 31:13pick up the phone and talk to you, I follow your journey and I
- 31:17make sure that just know that that that that's the case.
- 31:20So. Natalie, thank you so much for
- 31:26everything today. Thank you so much to have you.
- 31:30Thank you for having me. Yes, to everyone listening who
- 31:33may be navigating infertility, reoccurrent pregnancy loss,
- 31:36miscarriage, still birth, infant loss, please know this.
- 31:39Your story matters, your baby matters and your grief matters.
- 31:42Healing doesn't follow a timeline.
- 31:44Trauma and loss don't have a schedule, and you deserve
- 31:46compassionate care through every step of this journey.
- 31:49At Chase and Rainbows, we provide free daily support
- 31:51services in a community for families impacted by these
- 31:54losses. Because every loss matters.
- 31:57If this conversation resonated with you, please share this
- 32:00episode with someone who may need it.
- 32:02And if you are looking for support, want to
- 32:04volunteerdonateorhostaneventyoucanlearnmore@chaseandrainbows.org. Thank you for being here, for
- 32:09listening and continuing to break the silence around these
- 32:12traumatic losses. Until next time, this is cried
- 32:15out loud. Thanks again, Natalie.
- 32:17Thank you.