Re: - Claudia Twisdale RN - HELP AGAIN PLEASE!!
From: dawn (anonymous@obgyn.net)
Mon, 19 Jun 2000 20:13:08 -0500 (CDT)
Hi,
I just found out more info today and would appreciate your opinion and
what you think if you don't mind. Due to unplanned circumstances today
I was not able to make it to my doctor before they closed to get the HCG
done. However, I just got back from the hospital where I got my
pictures of the ultrasounds that they did and the report. The report
from radiology reads:
"Transabdominal scanning demonstrates probable intrauterine gestational
sac with fetal pole. No free fluid is seen."
"Endovaginal Scan: Endovaginal scanning demonstrates intrauterine
pregnancy with crown-rump length of 1.3 cm suggesting a gestational age
of 7 weeks 4 days. Fetal heart rate is measured at 160 beats per
minute. No free fluid or abnormal mass is seen. The adnexa are
normal."
"Impression: At 7 weeks 4 days intaruterine gestation with fetal heart
rate of 160 beats per minute"
How could I have miscarried when the ER just saw the baby on June 7th
and it had a heart rate of 160 beats per minute?! I have the ultrasound
pictures also. I went to my doctor June 16th and was told that I
miscarried so between June 7th and June 16th something happened or did
it? Could I really have miscarried and now bled even after the ER saw it
and it's heart rate?? Or have I yet to miscarry? My doctor said that he
didn't think the ER really saw anything, well I have proof today that
they did and that they had a fetal heart beat. How likely is it that I
miscarried within a week and didn't know it and without bleeding? Plus
my HCG was almost 45000.
dawn
At Mon, 19 Jun 2000, Claudia Twisdale RN wrote:
>
>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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