Friday, June 18, 2010

Phone Call From the Nurse

The nurse that was handling my file yesterday (my primary nurse is off on vacation) called me to follow-up from yesterday. She said that the doctor had no additional information as to what could be going on and she reiterated to me that the first ultrasound was done to early which could cause inaccurate results.

I took the opportunity while I had a clear head to ask the difficult questions that I don't really want the answers to, but need to know.

1. What exactly was seen on the ultrasound?
The saw a small sac measuring around 5w2d (I should have measured 5w4d-5w6d) and what appears to be a polyp either near my ovary or attached to it. I didn't really understand this part and my local RE said nothing of this. I will definitely need to investigate this further on Monday. I don't even know what that means, is it really awful?

2. How often does this happen?
They have an 80% live birth rate so in 20% of their patients. She said it is split 50/50 between known causes (chem pg, blighted ovum, ectopic) and unknown causes.

3. What is the protocol is this turns out to be a blighted ovum?
The doctor will have me stop all meds and I will hopefully miscarry naturally. This can take upwards of a week. I will probably bleed heavy for seven days.

4. What about a D&C?
I feel that if this pregnancy is not viable, I want it over as fast as possible. The dr. is usually very conservative and doesn't like to use surgical intervention unless necessary as it can cause scar tissue. It all depends on the ultrasound findings.

5. What is the recovery time until I can try again?
Usually about two months.

I have spent the day in bed, reading and rereading your comments of support to help me get through this so thank you. It is going to continue to be a long weekend and I hope that I will be able to make it through in one piece.

Oh and fyi- my pregnancy symptoms are of course out of control- fatigue, headaches and nausea and I have noticed veins on my breasts. FML.

-R.

10 comments:

  1. I am so sorry for not being supportive; because of our dog's surgery, I've been offline more and am just now getting caught up on your recent events. It sounds like much is up in the air right now, so please try not to give up hope. You are so early on in your pregnancy, I'm not sure an ultrasound is all that conclusive. I will be very anxious to hear what transpires next week. Praying that all will be okay!

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  2. I can certainly understand that you are preparing yourself for the worst outcome, it's self preservation and it's normal. You've been to hell and back, thought you landed in heaven and now your in the land of uncertainty. I know you hold a glimmer of hope in your heart that this may all turn around and I hope for you my friend, that it will.
    Try not to think about your sister, although I know from personal experience this will be impossible. I know this just doesn't seem fair and it's not. You didn't do anything to deserve this, please erase all thoughts of that from your memory. It just happened and there is no explanation.
    Keep doing what you are doing to take it easy and pamper yourself. Sending lots of love to you.

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  3. While I know you write about a D & C, you do not want it. If they do it, then you have to have another exam, and if it determines that you have scar tissue (this happened to me) you will have to have another surgery. Regarding my last pregnancy, I did not have a D & C and it wasn't bad at all - like a regular period. It was really early too. When you are close to the end of the first trimester, it will be much worse. If things don't end up well, ask your nurse how painful she thinks it would be.

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  4. I wanted to share my story at 5w5d I went in for an u/s and was told (and seen) that there were two sacks but they measured small like 5w2d and there was no heartbeats and they looked empty. I was told to come back in a week and to be ready that one or both may not make it. Well long story short I am today 32w 1d with Both twins. So I know the felling and that you want to be ready if it doesn't work out I wanted to give you a little hope!
    good luch

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  5. I am sure hoping for the best for you. Please take care of yourself.

    RJ

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  6. SOOOO praying for a happy outcome, you're in my thoughts and prayers each and everyday...

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  7. my only thought about a D&C is that it could weaken your cervix. trust me, you don't need cervical issues when you get into a successful pregnancy.

    that being said, i didn't realize you weren't 6 weeks at the time of the u/s. this changes things in my mind, but i won't say them because i promised i wouldn't be hopeful for you anymore. people are probably reading that and thinking im an asshole! but i know that when my IVF failed the last thing i wanted to hear was people and their stupid "maybe" platitudes.

    it is what it is and will be what it will be.

    im just saying that you were earlier than i thought. and that im thinking about you. and T is too. you remember my offer if you ever want to send your DEs down here.

    xoxo
    lis

    ps my word verification is cheapho i thought maybe that would make you laugh. in this economy i can be a bit cheap, yes but i am no ho!

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  8. I second what everyone has already said. I'd hope for the best, but I always plan for...you know what. Let's just see what Monday brings. We are all rooting for you.

    Sunshine

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  9. I'm so sorry you're going through this. I hope so much that you're wrong and somehow this turns out in your favour in the end. I won't blow sunshine up your a** but know that I am thinking about you.

    I completely understand about how you're feeling regarding your sister...it seems so easy for some people. You've done everything humanly possible and it's even more devastating for you. IVF was supposed to be the big gun that smoked IF and DE + IVF was supposed to be the definite fix right?

    My heart is aching for you...

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  10. Ugh, I wish you had more clear answers - this uncertainty on top of everything is just too much. I hope you are resting, taking care of yourself, being good to yourself (with ice cream or other yummy treats).

    Monday can't come soon enough. (((hugs)))

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