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Re: -post: Maybe still pregnant afterall???From: Kimberly (anonymous@obgyn.net)Thu, 14 Dec 2000 20:35:36 -0600 (CST)
At Thu, 14 Dec 2000, R. Daniel Braun, MD wrote: > >At Thu, 14 Dec 2000, Kimberly wrote: >> >>LMP Oct. 3. My cycle is 26 days long. As of 9 wks, 3 days, my HCG >>level was 30,900. However, they did an ultrasound that didn't show a >>heartbeat, and it appears the embryo stopped developing at approx. 5 >>weeks. The gestational sac appeared too large for the size of the >>embryo, but there was a fetal pole and all that, just no heart beat. >> >>At first, they told me it was definitely a blighted ovum, and >>recommended a D&C. Then, today, when I went to schedule the D&C, >>another doctor told me it wouldn't be unreasonable to request another >>ultrasound a week after the first one, just to be absolutely 100% >>certain. She seemed to be saying that there is a chance, albeit a slim >>one, that this might somehow turn out ok. In other words, maybe there >>would be a heartbeat if we gave it another week. She seemed to be >>basing this opinion on the date of my LMP and my HCG level more than >>anything else. >> >>Is this other doctor just more conservative in her approach and perhaps >>more sensitive to my emotional well-being? She said another ultrasound >>would mainly be to put my mind at ease, so I wouldn't wonder "what >>if..." >> >RIGHT. No heartbeat seen in a fetus that is well seen is as close to >100% as we can get. > >>I guess my real question is, is there a chance here things are ok? > >Seriously doubt it. I hope your Doc is right and proves me wrong, but. > > Or is >>the doc just doing this for my peace of mind? I didn't request another >>ultrasound, she offered. And the thing is, I don't really have any >>hope, as it seems SOMETHING is drastically wrong, even if they do find a >>heartbeat. The size for dates is just too small. Is it impossible for >>this to turn around and be "ok" afterall? > >Not likely. > >>Also, if the embryo DID develop (which it has), and then stopped >>developing, wouldn't it be considered a "missed miscarriage" and NOT a >>blighted ovum? > >You are correct. > >Why would the doc call it a blighted ovum even though the >>embryo has obviously develeped (according to the ultrasound)? >> >Docs like other people frequently don't use the words correctly. I am a >stickler for this and our residents get very exasperated with me harping >about it. I keep on and I tell them that if they don't use the word >corrrectly they will miscommunicate sometime and it may cause a problem. >Every now and then it happens and I get to say SEE. Then they tolerate >me for a while. > >RDB > >>Thanks for taking the time to answer my questions. > >-- >R. Daniel Braun, MD FACOG FOG Dr. Braun, sometimes I hate being right! But, thank you for your honest opinion. As you can probably tell by my words, I already know what's going to happen here, I guess I'm just looking for a shred of hope where I know there really is none. Again, thank you for your honesty, and happy holidays to you and your loved ones.
-- Kimberly
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