This morning, I decided I needed another hCG
because I was definitely not feeling pregnant.
I must seem like an addict - addicted to data.
But I couldn't fathom going through the weekend
without getting some sense of my levels.
I called the nurse and told her I wasn't feeling
pregnant and that I was having a little bit of
pain on my left side. Not acute, not continuous,
just a few times yesterday and today.
After getting my blood drawn, I drove down to
Denver (2.5 hours) to meet up with some girlfriends
who I knew in New York City "back in the day."
They had flown into Denver to visit with me and
a few other female friends and NYC expats.
I got the call from my nurse the moment I arrived
in Denver.
"Your level is 2040. That's good," she said.
"How can that be good?" I asked incredulously. "My
last count was 1641. That's only about 400 points."
"But that's good for just one day."
"What do you mean one day?"
"You were 1641 on the 14th which was yesterday,"
she replied.
"No, I was 1641 on the 12th which was Tuesday.
That is only 400 points in 2 and a half days.
That's not good."
Silence as she checks my records.
"You're right. 1641 on the 12th. 2040 today."
"That's not good, is it?"
"Well, I'm more worried about the pain you are
having. Can you describe it again?"
"It isn't really bothering me. It isn't acute or
as painful as the menstrual-like cramps I've
been having every day once in a while. And I'm
not hurting right now. It doesn't last long.
I'm not that worried about it."
Then she went into a whole schpiel about ectopic
pregnancies. I already knew about this - I had
a sonogram done Monday to make sure and they
distinctly saw a little black gestational sac in
my uterus and nowhere else. But she went on and
on about it.
"It is up to you, but I think you should go in for
another sonogram. The sooner we know, the
better."
I agreed but explained I had just driven down to
Denver for lunch with friends I had not seen in
years, I was not in any pain, the sonogram a few
days ago showed no ectopic pregnancy and I wasn't
going to rush in for a sonogram at that very second.
She put a Physician's Assistant on the line who reminded
me about the possible fatality risk of an ectopic pregnancy.
We finally agreed that after I drove back to Laramie,
I'd go to the emergency room at the local hospital
for a sonogram. That would be about 8pm.
I didn't have any more pain. It wasn't even really
pain. Just a tenderness and slight ache. Believe me,
I'd be the first one to be alarmed if I had pain.
And I know I should be grateful that my medical
practitioners were actually taking everything I said
seriously unlike previous physicians who made me
feel like an actual pain I was feeling was in my head.
I drove back home in the evening and got to the
emergency room at 8pm on the dot. I was brought
back to a cubicle, undressed, peed in a cup and
then the nurse brought in a Doppler machine.
"We have to see if we can hear a heartbeat," she explained.
"It is way too early," I said.
"I know, but its the law." So she squeezed cold gel
on my belly and rubbed the device around. The sounds
emitting from the machine were like something from
outer space. No heartbeat, of course.
"I know what you're feeling," she said compassionately.
"I've had a miscarriage myself."
She told me a little of her story then left to get the
doctor.
A lab technician walked in next. She pulled about 5 or
6 vials out of a box and laid them on the guerney where
I was reclining reading an Oprah magazine. Thank God
I was smart enough to bring a magazine into the room
with all the waiting.
"Why are you drawing blood?" I asked.
"We have all kinds of tests we have to run. And this big one..."
she held up a large glass vial, "is for the blood bank in
case you go into surgery."
"What??? I'm here for a sonogram - I don't understand
why you have to draw more blood."
"I'll go ask the doctor," she said sheepishly and left the
room. I could hear her outside in the main area speaking
to the doctor. "She doesn't want her blood drawn."
"We need to check her levels," the doctor's voice came
through the glass partition.
I slid the glass aside and poked my head out. I must have
been a sight with my hairy legs, black socks and one hand
holding the hospital robe shut in the back.
"Why do you need to check my levels again?" I called out
across the main area to the doctor on the other side
of the counter. "I just had my blood drawn here today,
this morning, and my level is 2040."
Everyone was looking my way.
"I'm here for a sonogram. All you need to do is stick
the thingy in me, wave it around and look!"
Yes, I actually shouted that.
"I'll be right in to speak with you," the doctor admonished.
I waited. I read.
The doctor came in. He explained that my nurse down
in Ft. Collins left a message that my levels were taken
yesterday and were 2040.
"No, they were taken this morning and were 2040.
They were also taken on the 12th and they were 1641."
So my reproductive clinic gave the emergency room
the wrong information just like they told me the wrong
information over the phone. What am I? Chopped liver?
Do they really not know who I am after treating me
(in a rather hands off manner, mind you) for over a year?
"Okay, we won't take any more blood. We'll have to call
a technician in to do the sonogram, though. They'll have
to come from home," he said, looking at the clock on
the wall. 9:00pm.
I waited. I read.
The original nurse came in and said "I hear you are mad
at me."
"What?!?"
"The doctor said you were mad at me because we were
trying to draw your blood."
"I was absolutely not mad at you or at anyone. I just
didn't understand why I needed more blood drawn -
and that much blood drawn - just for a sonogram."
We talked for a little while. She told me more about
her miscarriage then left again.
Finally, a technician arrived with a wheelchair.
"Do I really need to ride in it? I can walk," I insisted.
She laughed. "Hop on. It'll be fun!"
I obeyed.
The technician was great. She talked me through
everything. Then, as the image of my uterus
floated in the middle of the screen, I saw the
gestational sac. It was different than a few
days ago.
Instead of being tiny, round and totally black,
it was a little more oblong shaped and had a
white spot inside. The yolk sac.
She confirmed that yes, there was a yolk sac.
I told her I know for a fact it wasn't there during
my last sonogram.
"Then it is still growing," she said, then calculated
that it would be about 4 weeks 5 days based on
the size.
I am actually 5 weeks and 6 days.
"What does this mean?" I asked, knowing there was
no absolute answer.
"Well, it means you are still pregnant," she replied.
She wheeled me back to the cubicle. I waited. I read.
The doctor came back in.
"Well, it looks like you are still pregnant," he said
tentatively.
"Yeah, but the levels are low and the size is smaller
than what it should be," I retorted.
"That doesn't necessarily tell us anything definitive,"
he admitted.
"Yeah, I know," I acknowledged. Nothing definitive.
"So my advice is that you just wait and see."
"Yeah, I know."
He left and a few minutes later, the original nurse came
in with final paperwork.
"You're still pregnant," she said warmly. "I know it is
hard to have hope but you shouldn't not have hope..."
"I know." I could feel tears welling up in my eyes.
Another nurse poked her head in the room.
"Your husband is on the phone. He's worried about you."
I looked at the clock. 10:00pm.
"Tell him I love him, I'm fine and I'll call him in a few minutes."
She left to relay the message then returned and poked her
head back in.
"He says he loves you, too."
My husband. Far away in Alaska. Worried, of course.
But I was fine. And apparently, the medical community
still considers me to be pregnant. Despite all the
not so good signs. They just really don't know.
I remembered the 2nd doctor I was seeing after my
first miscarriage and during my 2nd pregnancy.
After I miscarried that 2nd time, I had a list of over
20 questions of things I didn't understand and needed
answers to.
"You are trying to find answers where there are none,"
he said, irritated and impatient.
I was so angry with him.
But now, more than ever, I realize he was right.
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