We're at the doctor's office
where I'm going to get my ultrasound and my exam.
Today I'm gonna take a full history,
do a complete physical exam and do an ultrasound
in order to find out if these women are pregnant.
What I'm hopin' to learn today is that one day
cryptic pregnancy won't be a mental case, it's real.
(knocking)
Hi, Shayna!
Hi!
How are you?
Fine.
I'm Dr Aliabadi.
I'm Shayna, nice to meet you.
Nice to meet you.
All right, Shayna, let's start your ultrasound.
Are you comfortable?
Yeah.
(suspenseful music)
We'll be done in a minute.
I'm just glad that you're takin' the time
to do this and to help.
It's emotional and it shouldn't be, you know?
It's a blessing, not a bad thing.
This is my doppler and this is the only thing that I have
to make sure that baby's okay, hear the heartbeat.
It's the only thing that keeps me sane.
Is this where you usually find it?
Depending on how I'm laying.
No luck today, huh?
No.
There is babies in here, I know for a fact.
There it is, you barely hear it.
Bam, bam, bam, bam, bam, bam, bam, bam, bam.
I know there's babies in here.
I got a doppler, I know there's babies.
Sounds good.
Do you have any questions for me?
I'm disappointed in the exam and I don't think
you're thorough enough and that's just my opinion.
Okay, in addition to the exam,
you also did lab work, correct?
I did.
Let's talk about Shayna.
So her blood pregnancy test was negative.
Her hemoglobin A1C, which tells us about her blood sugar
in the past three months, was very elevated.
She's 0.1 away from being diabetic,
which explains her weight gain.
Six percent of patients suffer from a condition
called polycystic ovarian syndrome, or PCOS.
And that's exactly what Shayna has.
These patients usually have insulin resistance,
which make them gain weight.
They have elevated insulin, which stimulates testosterone
or androgen, which is a male hormone production,
which can cause irregular periods.
So when these patients don't get their period
or their periods become irregular
and they're gaining weight,
the first thing they think is pregnancy.
What do you think about what she's saying?
I don't think she, I'm sorry, but I don't think
she did the ultrasound, looked for a baby.
I don't think she looked for a baby,
just like all the other ultrasounds that I had.
You look for a baby?
I did.
Uh huh.
And this is the ultrasound from the other day.
It was like two seconds long.
Well, she's delivered 8,000 babies.
It doesn't take her very long
to see an empty uterus is the issue.
If you tell yourself, Oh, she doesn't know what she's doing,
I'm not gonna listen to her, then you're ignoring things
that are ticking time bombs with you
that you need to attend to.
I didn't come on here to get it backfired on me.
What is backfired?
This pregnancy is real.
They're not looking, that's the problem.
But she did look.
For two minutes.
But in addition to that, she found some other things
that she's telling you that you need to attend to
so you can protect yourself and have a return to health.
If you're pregnant and you're gonna be a mother,
don't you think you should take care of your child's mother?
Yeah.
I mean, whatever--
It's kinda hard to do that when you can't get a doctor.
That's a very smug and glib thing to say
about somebody you don't even know,
but the fact of the matter is, she has a compassionate
and caring physician that has identified
some life threatening things for her--
You're right.
And you can make glib and smug comments
about it all day long, but you're talking about
her life and a caring physician that is reaching out
to her in a way that can protect her.
You're right.
And to serve your own needs and beliefs,
you're making smug comments about her
and that is not appropriate.