24 week check-up in Pokhara

We thought we would do this one locally as it is not really a big check-up. I feel great, the baby is moving around all the time and we will go to Kathmandu next month. It hit me walking up the stairs to the second floor out-patient ward why we are definately not having this baby in Nepal - anywhere in Nepal. There is just this all pervasive feeling of chaos in the corridors, of people not knowing where to go or what is happening to them, who is supposed to be in charge and hours spent looking at the filth in the corridors.
People in Europe find me strange because I do not have a great trust in medical personnel, in fact I tend to use them to perform the tests I want done and supply me with medication I know I need, feeling that the general responsibility for my own well being and health lies with me and no one else. This mistrust is bred by the attitude of third world doctors to be fair and I am not putting all medical personnel on the same level. But it is hard to give up the reigns to someone else even in first world countries when I am used to feeling that if I don’t pay attention and check up on all the procedures suggested I have only myself to blame if anything goes wrong.
The first question asked by the Ob Gyn in attendance was when my last period was: my reply of 26 June, prompted her to repeat as she was writing in the book:  "26 January?" Making me the most pregnant woman in human history, but this anomaly did not particularly perturb her.
A few prods and listening to the baby's heart beat later and her only suggestion was that I go downstairs to take a tetanus shot and am I taking my re-natal vitamins? I informed her that I had had a tetanus shot 2 years ago and as I have adverse reactions to the shot I only take 75% of the doses and do not want to subject the baby to the chance of anything going wrong now so I will decline. I did however want a glucose screening test I said and she sent me on to another room. This should be a semi controlled test where you consume a quantity of glucose, wait an hour while sitting still in the waiting room and then have some blood drawn to test your blood sugar levels. Here however they proceeded to draw blood right away as I was and said to come back in an hour and a half for the results. Making the whole exercise generally pointless - in terms of picking up on gestational or pre-diabetic conditions. They would be able to pick up on it only if my levels were squarely in the diabetic category. I could have consumed 4 Mars bars 10 minutes before and they would not have a clue. So I did go back for my results but did not wait to have them interpreted for me...79 is well within the normal range - I don’t need a doctor to tell me that. I will however have another piece of liquorice!

Yes, you are seeing it right - she is talking on a cellphone!
We will try again at the CIWEC clinic in January, until then I can trust my general diagnosis of being just fine!