Dear Doctor...

Sorry for the letter, but I can explain myself more clearly in writing and I couldn’t wait three more weeks to discuss this with you.  When you told me that the pubic symphysis ligaments are some of the strongest in the body, that really made me think.  Because the SI ligaments are also some of the strongest in the body, and mine failed me last pregnancy.  My SI Joint Dysfunction was not due to a fall, a car accident or any kind of trauma – it was just relaxin.   Pregnancy hormones alone ruined my SI ligaments, I ended up with a hypermobile joint and excruciating pain for 3.5 years, visits to 20 specialists, fights and appeals with insurance, and ultimately ended up having a violent, brutal surgery with a year-long recovery.  And I am still not up to par.  So, unfortunately, the fact that the PS is supposed to be so strong didn’t assuage my fears.  In the general population, I’m sure that’s true.  But I’m already a part of the 0.001% of the population who needed SI fusion due to my tendency towards excessive ligament laxity.  And that’s something 2 orthos and a physical therapist have told me as well.

I’m just not willing to risk being a statistic again.  I spent 4+ years disabled and incapacitated.  Because of this, I would like to discuss scheduling a c-section.  In fact, I am concerned about diastasis from simply carrying a baby, let alone delivering one, considering my ligament history.  It’s possible I’m just being paranoid, and I realize there are risks with a c-section as well, but it’s the only decision I’ve entertained so far that doesn’t leave me anxious at this point.

I realize you don’t know me, and so have no reason to trust my judgment, but please know that I am not someone who believes everything she reads online.  I know my own body very well after what I’ve been through.  That being said, of course I have no medical degree.  Just feel like I could have one, having gone to hell and back once already.

I hand selected you as my doctor because your reputation in the community is one of being able to effectively and calmly handle high-stress/high-risk situations.  I have already found that to be true, from the way you cared for me during my appendectomy.   I didn’t want you to take this letter as a question of your judgment, but just as a clarification because I feel I may have not fully explained my laxity/ligament history.

Sent this letter today.  I'll let you know how she responds.