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Re: - Claudia Twisdale RN - HELP AGAIN PLEASE!! FOUND OUT MORE NEWS AND AM VERY CONFUSED..MISCARRIAGE.. OPINIONS NEEDED
From: Claudia Twisdale RN (anonymous@obgyn.net)
Mon, 19 Jun 2000 05:38:26 -0500 (CDT)
You need a second opinion, this week. You are obviously not getting the
answers you need. Good luck!
At Sun, 18 Jun 2000, dawn wrote:
>
>My OB seems to be absolutely sure that everything is out of my uterus
>with just a pelvic exam. But how can he know for sure?? I asked him if
>he was going to do a sonogram and he said no. He just told me that my
>uterus was small and no where near what it would be for 9 weeks and then
>he pressed on my right side and said "is that tender" and I said yeah a
>little and he said that it felt thick. He feels confident that I will
>start my period in a week. When questioning the high number of my HCG
>last Wed. and how I could have had a miscarriage between then and now
>without bleeding etc.. he just told me I could have just had a
>discharge and no blood and that would have been the miscarriage. Is
>this true??
>
>I know with a molar pregnancy, your uterus expands faster then normal,
>correct? I did some research on the possibility of a molar pregnancy but
>it doesn't seem to fit whats going on with me. Also what are the
>chances that this could be a blighted ovum? My stomache seems to be
>expanding as if I were pregnant. I told my OB this and he looked at me
>funny and said that it could be stress from all this.. that stress can
>make your stomache bloat up. I'm going to have a HCG done Monday and
>should get the results Tuesday. When I went to the ER, I had a urinary
>tract infection and they refused to give me anything for it. Now it has
>gotten very bad. I urinated in a clear cup and saw TONS of huge pieces
>of tissue like stuff floating around which I'm assuming is from the UTI.
>I was finally given antibiotics yesterday. Yes, I have been through
>absolute hell over this. I dont think I've even had time to stop and
>think about what has happened because I'm too busy questioning it.
>Certain things just dont add up and make sense to me. I've come to the
>realization that I'm not pregnant, or at least to the point where its
>viable. I'm just not getting the answers I want. Several people,
>including my OB, told me to quit being so worried and I know they think
>I ask too many questions but how can I not? I would have to be someone
>that didn't care to not want to find out exactly whats going on.
>Especially since I still have the possibility of an ectopic which should
>have been ruled out at the ER but I don't know if I can trust them.
>Sorry I'm just ranting.. I guess you can tell I'm very confused. >:/ I
>appreciate the time you have taken to respond to my posts and answer my
>questions. It is very much appreciated.
>
>At Sat, 17 Jun 2000, Claudia Twisdale RN wrote:
>>
>>Perhaps there was fetal demise, as in yes a fetus began to develop, and
>>then for some reason died in the uterus. Are they absolutely sure
>>everything is out of uterus? The other reason HCG levels can raise
>>rapidly is from what they call a molar pregnancy. I bet you are like
>>totally confused and freaked out by whatever is going on! Anyway to get
>>a second opinion? Also, really think you should have another u/s and HCG
>>level this week. Also could have been a recording error on part of ER
>>on HCG values. You sound like you have been through hell with this,
>>struggling with "Am I pregnant or not?" If your OB can not give you some
>>answers Monday I would push for a 2nd opinion. Did you use any
>>fertility treatments? Or was this pregnancy without medical
>>intervention? I am so sorry you are having such a crummy time. I
>>remember with my pregnancy loss It took almost a week of back and forth
>>HCG levels to determine the loss. I was so sad, but a part of me just
>>wanted to know one way or another. I am sending you many thoughts and
>>prayers!
>>
>>At Sat, 17 Jun 2000, dawn wrote:
>>>
>>>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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