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 13:04:14 -0500 (CDT)

At Tue, 20 Jun 2000, dawn wrote: >
>I am. I have an appt at 3:30 today. I know what he's going to tell me
>though.. "you're uterus is tiny and not what it should be for 9 weeks.
>you miscarried after you went to the ER and you can miscarry without
>bleeding and just have a strange discharge" I'm sure that's what he'll
>say. Can you really miscarry without bleeding and just have a strange
>discharge like he told me? Also I'm getting awful pain and acheness in
>my shoulders and back... any relation to miscarrying?
>dawn
>
>At Tue, 20 Jun 2000, Claudia Twisdale RN wrote:
>>
>>Call MD this AM, be a pain and push to be seen today! Bring all your u/s
>>reports to MD. You need u/s and HCG level. OB and ER are not on same
>>page.
>>
>>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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