Re: - -Dr.Amit Sengupta- HELP AGAIN PLEASE!! FOUND OUT MORE NEWS AND AM VERY CONFUSED..MISCARRIAGE.. OPINIONS NEEDED

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At Tue, 20 Jun 2000, Amit wrote: >
>I agree get a second openion, if possible get sono (TVS) and HCG to confirm
>the diagnosis. Unlikely to be an extrauterine pregnancy or miscarriage with
>a relatively very high HCG more so if it's rising.
>
>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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