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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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