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Re: - Claudia Twisdale RN - HELP AGAIN PLEASE!! FOUND OUT MORE NEWS AND AM VERY CONFUSED..MISCARRIAGE.. OPINIONS NEEDED
From: dawn (anonymous@obgyn.net)
Sat, 17 Jun 2000 13:38:42 -0500 (CDT)
Well, the ER says they did see something and told me I was pregnant in
the uterus.. I guess the radiologist who read my scans saw something.
If I did miscarry at almost 5 weeks then why at 7 weeks 4 days would my
HCG be almost 45,000? I mean, your HCG level at almost 5 weeks should
not be that high.. and well according to the hospital I was still
pregnant last Wednesday with an HCG level of 45,000 and so it seems that
between last Wednesday and yesterday, I miscarried WITHOUT bleeding. So
if I truly did miscarry on May 20th at about 4 weeks 6 days my HCG
wouldn't have been 45000 nor higher then that because thats too high.
And that would mean that my HCG levels are rising even after a
miscarriage OR I really did miscarry within the past week without
bleeding. Is that possible? I was told that I could have miscarried and
just had a strange discharge. The ER did a pelvic exam on me also at
almost 8 weeks... wouldnt he have made the remark that my uterus seems
small or maybe it wasn't small last Wed? One of the nurses told me
yesterday that since I'm 9 weeks that we can pretty much rule out an
ectopic because it would have burst by now.. and since the ER didn't
see anything in my tubes apparently and saw something in my uterus.. I
brought my ER records to my OB and they made copies and still said it is
very possible for me to have an HCG of 45000 last week and just have
miscarried within the week without bleeding and they are firmly sticking
to the fact that he says I miscarried. He said I should start my period
within a week and if I do not start it within 2 weeks to then be
concerned. Also said I don't need a D&C because he said he thinks
everything is out. Isn't 45000 HCG high for 7 weeks 4 days? How could I
have just miscarried within the week without any signs? I still have
cramping and such.. maybe I havn't fully miscarried?
dawn
At Sat, 17 Jun 2000, Claudia Twisdale RN wrote:
>
>so, let me see if I have all this straight, ER really did not see
>anything in uterus, but HCG levels were pretty high?
>Sometimes it mat take a while for HCG levels to return to 0 after
>miscarriage. I think a few important points here are: OB did pelvic
>exam and said (for 9 weeks) that uterus was not enlarged, some fullness
>on one side. Could have been an ectopic all along which resolved
>itself, or is still in tube. Suggest: Follow up u/s and HCG levels.
>Review with OB u/s reports and HCG levels. Also, could have been that
>the beeding you had in May was truly miscarriage. If any tissue was
>left in uterus, D&C may be needed. I wish I could give you a nice cut
>and dry answer here but there is not one. Good luck!
>
>At Sat, 17 Jun 2000, dawn wrote:
>>
>>A lot of the doctors on here should remember my situation since I've
>>posted here so much but now I need more help and advice please. To
>>recap, I had the worst cramps and pain on May 20th and bled for 10-15
>>minutes in several gushes of blood at almost 5 weeks. This was the one
>>and ONLY time I have bled.. not even spotted since. I have been
>>getting bad cramps off and on since then and to this day still have
>>them. LMP was April 14th. At a little over 6 weeks LMP I had a
>>sonogram and the doctor saw nothing and the following week I had another
>>sonogram and the doctor still saw nothing but my urine pregnancy test
>>that they were doing was still showing a very dark strong pregnancy
>>line. I was told to go to ER after in case of ectopic so I did on June
>>7th last Wednesday. The ER did a vaginal ultrasound and a regular
>>ultrasound, drew blood, urine etc.. I was first told that nothing was
>>there but fluid then later told that I am definitely pregnant and it is
>>in the uterus. The ER doctor said it was just a threatened miscarriage
>>and pointed to a number and said "See you are definitely pregnant" The
>>number I read looked like 2090 which I thought was my HCG since they did
>>a blood test. Today I went back to my original doctor for a sonogram
>>and they first did a urine test and found the lines to be faint so the
>>doctor did a pelvic exam and not a sonogram. Today I would be 9 weeks
>>pregnant. He felt my uterus and said it is tiny and not at all the size
>>it would be at 9 weeks. Then with 2 fingers in me he pressed on my
>>right side and said "Is that tender? It feels rather thick" What does
>>that mean? Is that bad?
>>
>>He said I miscarried and he really doesn't think the ER saw anything and
>>since my HCG was 2090 last week that he thinks I might of miscarried on
>>May 20th. I went to the hospital and wanted a copy of my records
>>because I wanted to know why they told me I was still pregnant last week
>>and that they saw a fetus in my uterus. Looking at my records I find
>>that my HCG was NOT 2090 but almost 45,000 at 7 weeks 4 days LMP
>>pregnant. Isn't that rather high???? So now my doctor is saying that I
>>could have had an HCG of 45000 last week but miscarried between then and
>>now WITHOUT bleeding or anything. I had cramps off and on and STILL
>>have cramps. Can you really miscarry and not bleed? I'm so confused.
>>Have I miscarried yet?? With an HCG of almost 45,000 it seems strange
>>that in 9 days I can miscarry that fast and have my HCG drop from 45,000
>>to so low that at the doctors the urine test line is faint. I went home
>>and took a HPT and the lines were very dark. Whats going on?!?!?!
>>dawn
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