PREGNANCY-BIRTH Messages for June, 2000: Re: - Claudia Twisdale RN

Re: - Claudia Twisdale RN - HELP AGAIN PLEASE!!

From: Claudia Twisdale RN

anonymous@obgyn.net

Tue, 20 Jun 2000 07:14:36 -0500 (CDT)

At Mon, 19 Jun 2000, dawn wrote: >
>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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