Re: - Claudia Twisdale RN - HELP AGAIN PLEASE!! FOUND OUT MORE NEWS AND AM VERY CONFUSED..MISCARRIAGE.. OPINIONS NEEDED

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Dr.Amit Sengupta, MD; Ph.D. This is for educational purpose only

>----- Original Message -----
From: Claudia <anonymous@obgyn.net> To: Multiple recipients of list PREGNANCY-BIRTH <pregnancy-birth@forum.obgyn.net> Sent: Monday, June 19, 2000 4:09 PM Subject: Re: - Claudia Twisdale RN - HELP AGAIN PLEASE!! FOUND OUT MORE NEWS AND AM VERY CONFUSED..MISCARRIAGE.. OPINIONS NEEDED

> 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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