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

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At Tue, 20 Jun 2000, Claudia Twisdale RN wrote: >
>Yes you can have loss without a bunch of blood. Called a missed
>abortion, means fetus dies, stops growing. I would still push for u/s
>and HCG levels. GOOD LUCK!!!! Let me know how things go.
>
>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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• In reply to: Claudia Twisdale RN: "Re: - Claudia Twisdale RN - HELP AGAIN PLEASE!!"