"Dr Altman." A tech called.
Teddy and Henry stood and followed her.
They entered the ultrasound room and the tech explained what was going to happen before they saw the Dr, "I'm going to try to do an external ultrasound first. If I can't get the images I need for your Dr then we'll do an internal study."
Teddy sat on the table and pulled her scrub top up.
"Can I pull your pants down a bit," the tech asked.
"Yes," Teddy agreed untying the drawstring on her scrubs.
The tech applied the gel and began moving the wand over Teddys lower abdomen.
"Is everything okay," Henry asked.
"Just finding the embryo," the tech said, "they're small at this stage."
They waited in tense silence. They knew between Henry's condition and Teddys age problems were more likely.
"There it is," the tech smiled.
"What's the heart rate," Teddy asked.
"172," the tech answered.
"Normal," Teddy smiled.
Teddy asked about each of the measurements and they all came back in the normal range.
"I'll send this to your OBGYN," the tech said.
"It's all normal and I have to pee," Teddy told Henry as they left the ultrasound room.
Teddy went to the washroom then met Henry to go see her dr.
They sat down in the office across from Dr Smith.
"So far everything looks good," Dr smith said, "everything is in normal parameters except your iron dr Altman. It's concerningly low. I'm going to get you to do an iron infusion then stay on an iron supplement until a few months after you give birth. Your paperwork indicates that Mr Burton has von hippel lindau disease.I strongly recommend we do a Non invasive prenatal screening and a quad screen in two weeks to be safe as well as the nuchal translucency test at 12 week which is another ultrasound. If any abnormalities come up on those we the proceed to an amniocentesis for a better look."
"We did preconception genetic testing," Teddy replied, "with Addison Montgomery and Naomi Bennett is LA. They said our risk of VHL is between 25 and 50 percent. There were no other significant findings. I have a copy of the report I will send to you."
"If it is VHL what happens," Henry asked.
"Depending on the severity you two will have some decisions to make about care and possible termination," Dr smith said.
Teddys hands protectively grabbed at her belly shielding the baby.
"We will deal with the medical condition," Teddy declared, "I will not terminate unless there is something incompatible with life. This is our baby."
"Dr Altman," Dr smith said.
"I am pro choice," Teddy replied, "I believe in letting people decide what is best for them when given all of the facts. I could not live with myself if I terminated and there was even a remote chance for our baby. That is my personal choice. If a problem arises we will consult Addison Montgomery and Arizona Robbins and go from there."
Henry squeezed her hand, "it'll be okay. Baby is healthy now and will be healthy."
"We'll monitor with the tests," Dr smith said, "right now other than being anemic everything looks good on my end. Do you have any questions?"
"She's been vomiting every morning and hasn't been eating," Henry said.
"Nausea and food aversions are typical," Dr smith said, "are you able to keep anything down?"
"Bread, plain pasta, fruit, raw veggies," Teddy replied, "water and Gatorade."
"How many times a day are you vomiting," Dr smith asked.
"Five," Teddy guessed, "all in the morning. I have been able to stay hydrated there's no signs of dehydration."
"A few times in the morning I'm not worried," Dr smith said, "if it becomes debilitating let me know and we can try medications."
"I will," Teddy replied.
"Do you have any other question," Dr smith asked.
"Do you deliver all of your own patients or is it an on call rotation," Teddy asked.
"Generally we're on a rotation and there's four of us," Dr smith replied, "I'll be your primary OB but you will meet each of my partners. If having me deliver your baby is important to you we can do a planned induction or C-section."
"I'd like to avoid interventions unless necessary," Teddy replied.
"If we wanted you to be there," Henry asked.
"If there is a medical reason we do make exceptions to the rotation," Dr smith replied, "this is something we can discuss later in the pregnancy. I'm going to give you the requisitions for the next set of tests and the iron infusion."
"Thank you," Teddy smiled as the dr filled out the forms.
Their first prenatal appointment over Teddy and Henry smiled at each other. The baby appeared healthy so far and they would do the noninvasive prenatal testing in the next couple weeks once insurance approved it.
"A baby," Henry smiled.
"Shhh," Teddy whispered, "no one in the hospital can know yet. I have to tell Owen as my chief but that's it for now."
"I'm excited," Henry smiled hugging her.
"So am I," Teddy agreed, "a baby. It's real we saw it."
"It is," Henry smiled, "but I have to get to work."
"I'll see you at home," Teddy smiled before giving him a kiss.
Teddy walked downstairs to Owens office.
"Why did you turn down Med Com," Owen asked as Teddy walked into his office.
"My family is here," Teddy replied.
"Henry could go with you," Owen argued.
"You can't tell Christina," Teddy said, "I can't take it now Owen, it's not a good time. I'm 8 weeks pregnant."
"You're," Owen asked.
"Ya," Teddy smiled, "we're excited. Henry is thrilled. Uncle Owen?"
"I can be the baby's uncle," Owen asked.
"Really Hunt," Teddy asked, "why are you asking?"
Owen hugged her, "congrats Teddy. You'll be a good mom."
"That's why I turned down med com," Teddy replied, "I could try to defer a year but I don't want army life with a baby. Why don't you apply?"
"Christina," Owen said.
"She can cut anywhere," Teddy replied, "the surgeries alone will thrill her."
"I'm chief here," Owen said, "my marriage is failing. She wants to leave Teddy."
"You are as broken as I have ever seen you," Teddy sighed, "but you can work this out. Make it right with Christina, fix it. Keep her here. She can be an attending in all but name. She's already my right hand."
"I can't make her stay," Owen said, "and I already learned last year that what she wants she does anyway. Maybe we end it amicably? I can be single for awhile and I've been looking into fostering and foster to adopt and I can do that on my own."
"Or you meet someone," Teddy suggested, "I want you to be happy and have your family. You've been going to church with your mom, maybe there's a nice woman there. A bit younger than us maybe."
"I don't know," Owen said, "but I'm happy for you. You've wanted to be a mom as long as I've known you. You're going to be a good one. Henry is good for you."
"He is," Teddy smiled.
"A baby Teddy," Owen said.
"I know," she beamed, "it's good Hunt. Your the only person we've told."
"How are you feeling," Owen asked.
"Gross and tired," Teddy admitted, "but we just had the first ultrasound and everything looks good. I need to pace myself. Use residents and fellows more."
"Teddy," Owen asked.
"It's good," Teddy beamed, "I'm happy."
"With Henrys VHL," Owen asked.
"It's a risk between 25 and 50 percent but we'll do genetic testing and hope for the best," Teddy replied, "it's a risk we're willing to take as a couple."
"But you said he wanted to go back to school," Owen said.
"We'll make it work. If we have to move we will," Teddy replied, "the university of Washington is our best choice but I can work where ever he goes to school. Everywhere needs cardio surgeons or I can go into private practice."
"You would never do private practice," Owen said.
"No but I would do inner city hospitals working on mainly Medicaid patients," Teddy replied, "my husband and child need me. I like it here but I'm not going to say we won't move if we have to."
"How would I run this place with out you," Owen asked.
"You hardly need me I'm just a sounding board," Teddy replied, "you can always call for that."
"I was going to see if you guys wanted to grab drinks to celebrate Henry feeling better," Owen said, "but."
"We can still get burgers," Teddy replied, "thinking of it fries sound really good."
"I want to celebrate with you," Owen smiled.
"Wait until we tell the hospital in a month or so. Let me get to 12 weeks and the first genetic tests back," Teddy replied, "I don't want to say anything and there be something wrong."
"Okay," Owen agreed, "but we will celebrate when you're ready."
"We will," Teddy agreed, "I want to tell everyone but we need to wait and be sure it's all okay and baby is doing well. I wish there was one woman I could trust with this. I have Henry and you."
"What about my mom," Owen asked, "you guys come to Sunday dinner all the time and spend time with my mom."
"Maybe," Teddy replied, "Torres but she'll tell Robbins."
"Bailey doesn't gossip," Owen replied.
"I'll figure it out," Teddy replied, "I only told you so you understand if I'm off."
"Ask for the help you need," Owen replied, "do you want off nights?"
"Not yet," Teddy replied, "I have to do my share of the on call nights and weekends. I'd rather wait until closer to the end to try to get out of them."
"Okay," Owen agreed, "I have to go to a meeting but I'm really happy for you Teddy."
"Thanks," Teddy smiled.