Showing posts with label ectopic. Show all posts
Showing posts with label ectopic. Show all posts

Wednesday, September 29, 2010

The Roller Coaster: Seeing Red

This is the second post in a special bi-weekly series.  It's a sequel to The Longest Weekend of My Life series.  Please check back next Saturday for Part 3.


Part 2: Seeing Red


Thursday morning I noticed a slight brown tinge in my underwear when I went to the bathroom. I thought “OK, it could be nothing. Stay calm. Just watch and wait.” I pushed it to the back of my mind and went about my day. Later that afternoon however, I noticed blood, like the start of a period. I said to my husband (who was in the other room) “I'm bleeding” and he said “You're calling the doctor right now!”

I didn't want to call the doctor. In my mind I was telling myself that bleeding in pregnancy can be normal and harmless, and there was no reason to panic. Even as I thought this, my mind was also reminding me that bleeding during pregnancy was NOT normal for me! I had never had a period or any bleeding whatsoever during pregnancy before. I'd had 5 completely normal, uncomplicated pregnancies, with no bleeding! If it had been a stand-alone occurrence, without the events of the previous weekend, I might not have been so worried. However, with the situation I was in I didn't know what to think. I really didn't want to overreact and end up going through pointless tests and procedures for something that could be nothing. I also didn't want to be negligent and think it was nothing, only to have it turn into SOMETHING.

I started to dial my OB's office. My husband said “Are you calling the midwife?” I hung up and said “I don't know”, but I thought it was a good idea. I called my midwife's home and was told she was gone but could be reached on her cell phone. She answered and I explained the situation . She calmly told me that it could be nothing. She said that if it was time for my expected period I could just simply have the period and be fine. She said “You could still be pregnant, and it's safe to assume so unless you have reason to believe otherwise.”  She then said that she was at a prenatal appointment and asked if she could call me back in about an hour. I agreed, thanked her, and said goodbye.

Then I thought “What in the world did THAT mean?” I hoped she would call back and could explain things a little more clearly.





Saturday, September 18, 2010

The Longest Weekend of My Life: Writing and Reading

This is the sixth post in a special bi-weekly series.  Please check back next Wednesday for Part 7

Part 6: Writing and Reading

As I was lying in bed Sunday night about to fall asleep my mind was flooded with information and I felt the impression "write". Words were flooding my mind, descriptions of what I'd been going through over the past few days, and I knew I needed to write about it all. I prayed saying I was so tired and asked if I could just sleep, and I fell asleep. Something awoke me at 6:30 Saturday morning and the impression came: "get up and write".

I sat at the computer and typed, and the words flowed effortlessly from my mind to my fingers and onto the computer screen as I wrote this. It was therapeutic, and I felt I should share it with others. The only problem was there was no ending. No resolution.

On Monday I found the card from the hospital lab on the floor with some baby bite marks on the corners, and I decided to call for my initial blood test results. I was pleasantly surprised to find out they also had the results from the second blood test. They told me my hCG level on Saturday was 471, and on Sunday it was 835. I didn't know what the numbers themselves meant, so I decided to call Instacare to get the doctor's interpretation. The nurse told me the doctor hadn't seen the test results yet and would need to call me back after he'd had a chance to look at my file. It was a different doctor than the one I'd seen over the weekend, since the other doctor had been a resident who was filling in for one of the regular doctors.

While waiting for a call back, I decided to do some online research. Since I'd never previously had any reason to do research on hCG levels during early pregnancy I honestly knew nothing about it. I found that in 85% of pregnancies hCG levels will double every 2 to 3 days. Based on the numbers the lab gave me, I became more optimistic than I'd been in 3 days.

I also learned other interesting things like how hCG helps maintain corpus luteum, which is responsible for progesterone production in early pregnancy, which in turn helps keep the lining of the uterus nice and thick for a healthy pregnancy. I remembered the ultrasound technician muttering something about seeing evidence of corpus luteum, but at the time I'd had no idea what that meant. That understanding helped me feel even more optimistic that my pregnancy was in fact healthy.

When the Instacare office called me back, the nurse relayed the doctor's prognosis. She told me that my hormone levels are apparently multiplying at a good rate, but with the inconclusive ultrasound there's no way to completely rule out an ectopic pregnancy. She said the doctor recommended that I follow up with my primary care physician or obstetrician in the next few days.

I was upset. I didn't know whether to call my former obstetrician's office or to try to find a new doctor. My obstetrician was always good to me in the past, but during my last pregnancy I wasn't up-front about my plans for a home birth, and I clashed with the nurse-practitioner when I declined the gestational diabetes screening. I worried about any negative backlash I might face if I were to go back to that same office, and whether or not they would work with me in getting the care I desired.

I didn't know what to do next.

Wednesday, September 15, 2010

The Longest Weekend of My Life: Waiting

This is the fifth post in a special bi-weekly series.  Please check back next Saturday for Part 6.

Part 5: Waiting

I was planning to take the kids to church on Sunday. They had all recovered from their stomach troubles and I wanted to stay on a normal schedule. There was nothing I could do about my situation, and I felt it best to provide normalcy for the kids. I had also decided not to say anything to my older children about what I was going through. I'm normally very open with them about everything, but in this case I wanted to have more information before I said anything to anyone. My husband and I had decided to keep it between us. We also didn't want to risk the possibility that one of the kids might say something to someone else.

I woke up Sunday with a horrible sore throat. I couldn't speak without intense pain, and I decided it was best that I stay home from church. My oldest son made a couple of phone calls for me to let the Primary presidency know I wouldn't be able to play the piano that day, and to make arrangements for his grandparents to take him and two of his brothers to church.

We had a relaxing morning at home. I read my book and rested as much as I could. I couldn't talk to my kids but with a whisper, and I found the house was quieter than usual as a result. I was grateful I'd borrowed a couple of books from my sister in-law just 2 days earlier, because those books were helping me stay focused on something other than the potential crisis at hand, and because of the nature of the books it was also providing me with spiritual strength and peace through what could have otherwise been a very difficult waiting period.

I thought about calling the hospital lab for my initial test results, but when I checked my purse the little card the lab tech had given me was nowhere to be found. I did a little bit of online research about ectopic pregnancy to make sure that what I was thinking was accurate. My thoughts were confirmed as I read that termination of the pregnancy is necessary, and the longer it goes undetected the higher the risks are. If the fallopian tube is damaged it can potentially be life-threatening, requiring major abdominal surgery, and that confirmed my suspicions as well. I was comforted to find that surgery isn't always necessary, if the problem is detected and treated early. I was hopeful that if it turned out to be an ectopic pregnancy I had a good chance of a non-invasive treatment and comparatively easy recovery, because it was still quite early.

I also reached out to my small community on Facebook. Without disclosing my personal situation, I asked for experiences from other women who have gone through similar struggles. I found great strength and comfort in their words and in reading about their personal experiences.

Sunday afternoon came, and it was time to go back to Instacare for my next quantitative blood test. By then my pelvic pain was completely gone. I was hopeful for some conclusive information, but as I thought about it I realized the lab work might take some time, and with it being a Sunday I had no idea when I would receive the results and possible diagnosis. I dropped my husband off at an appointment and I drove myself and our 5 children to the Instacare building. One of my kids got a bloody nose on the way, but the oldest was able to help him get the bleeding stopped and cleaned up. The boys were content to stay in the waiting room while I followed the nurse back with my little girl on my hip. The nurse poked my right arm with the needle as I practiced my breathing and looked away. She explained that the sample would be sent by courier to the lab that evening, and the results would likely be in by Monday afternoon.


Part 1: Preface
Part 2: Bittersweet
Part 3: Numb
Part 4: Peace
Part 6: Writing and Reading
Part 7: Decisions

Wednesday, September 8, 2010

The Longest Weekend of My Life: Numb

Due to reader request, the Saturday series is now a bi-weekly series, published each Wednesday and Saturday. This is the third post the series.  Please check back next Saturday for Part 4.

Part 3: Numb

Wait, back up. What?

I knew what ectopic pregnancy was, and I certainly had never imagined it would ever be something I would experience. I'd never had any reproductive issues in my life, and I'd always been very grateful for that. I'd even felt guilty for that in the past as I'd watched friends and family struggle with infertility problems and pregnancy complications. I don't pretend to understand God's will and purpose for each individual. I just know that each of us has our own struggles, and comparing them with the trials of another person usually only serves to evoke more questions and lead to feelings of discontent.

I felt numb. I didn't want or need to ask any questions, so I just listened to the doctor. She recommended having an ultrasound to check where the embryo had formed, whether it was in the uterus where it should be, or somewhere else like the fallopian tubes or ovaries. Since their office didn't have an ultrasound machine she had her nurse schedule an appointment at the hospital at 4:00 pm. I had enough time to go home and talk with my husband.

I came home to find that the baby had been crying most of the time I'd been gone, and I felt bad that my husband hadn't been able to get out of bed to help him. I was grateful to my oldest son for helping to comfort his little brother, even if it had been between playing levels on a computer game.

I didn't know what to say to my husband. I considered trying to be funny by saying something like “Well, we can have unprotected sex as often as we want to!”... I wasn't feeling very funny.

I walked into our bedroom, closed the door, sat on the bed, and told my husband what had happened and what I'd been told. Neither of us knew what to say, and we both let the feelings of shock and bewilderment settle in. How are you supposed to handle such news? You're pregnant, but you may lose it.

We both felt afraid to be excited about the pregnancy because of the possibility of what we might be going through if it did in fact turn out to be ectopic. My husband asked “If it turns out to be tubal, do we have to... terminate?” I said “I think so”, and we cried together. I only hoped that the ultrasound would show something conclusive so we wouldn't have to wait for confirmation one way or another. I continued to pray in my heart that all would work out, and that the medical professionals who were helping us would be guided to find the right answers for us.


Part 1: Preface
Part 2: Bittersweet
Part 4: Peace

Saturday, September 4, 2010

The Longest Weekend of My Life: Bittersweet

This is the second post in a special Saturday series.  Please check back next Saturday for Part 3.

Part 2: Bittersweet

It was Friday. My family had been sick. Three of the kids and my husband all had the stomach flu, and I was doing my best to take care of everyone. That night, shortly before going to bed, I developed sudden severe pain on the right side of my pelvis. I suspected I was constipated and joked with my husband that my body was doing the opposite of what everyone else in the house was going through. It was a different kind of pain than anything else I remembered feeling, and it worried me a bit that it was so severe.

I did what I could to try and ease the pain, but I struggled all night long to get any sleep as the pain didn't change. It only stayed, steady, strong and sharp. I worried alone in the middle of the night that I might have appendicitis, and in my mind tried to work out who to call for help and how to get myself to the hospital for the help I might need and also ensure that my family was well taken care of in the meantime. I prayed and asked for comfort. I asked Heavenly Father that if it was safe for me to wait until morning to please allow me to fall asleep. I think it was close to 4:30 am when I finally drifted off and managed to sleep fitfully for a few hours.

I woke in the morning and had an uncomfortable bowel movement. The pain in my pelvis was still there, but it seemed to be bothering me slightly less so I decided to wait and see if it would ease through the day. My apparent constipation turned to diarrhea as the day went on, but instead of easing, the pain intensified. Finally, around 2 o'clock in the afternoon I told my husband “It's not getting any better. I have to go to Instacare and at least get checked out.”

With my poor sick husband weak and in bed, I took my little girl with me and said a quick prayer that the boys would be alright while I was gone. Especially the baby. I also prayed that the doctor would be guided to ask the right questions and find the answers I needed.

I made full disclosure to the medical staff about what was going on. When the doctor met with me I explained the nature of the pain, and she first suspected kidney stones. She decided to do a urinalysis, and I asked her to include a pregnancy test with that just in case. She had mentioned the possibility of doing an x-ray to look for any bowel blockages, and she and I agreed that we should rule out the possibility of pregnancy before moving forward.

I took my little girl with me, gave the urine sample to the nurse and went back to my room to wait for the news.

The doctor returned, and the first thing she said was “Well, it's not kidney stones, but you're definitely pregnant.” All I could say was “Oh wow”, as I sat dumbfounded in my chair. In the next breath the doctor told me that because of the pain I was experiencing, there was a possibility it was a tubal pregnancy.


Part 1: Preface