So, apparently my HCG levels are still rising. They went from 1600-something on Monday to 2300-something on Wednesday. Much lower than they should be at this stage, and not doubling particularly quickly, but still within the “normal” range for the 4w3d ultrasound measurement from Monday. Argh. So now they want me to go back for another ultrasound on Monday, just to make absolutely sure there’s nothing in there before giving me the misoprostol to end the pregnancy.
Oh, and to add insult to injury, when I got my blood drawn for the 2nd HCG test yesterday, by the time I got to my office (a 5-minute drive from the hospital lab) my arm had swelled up to the size of a tangerine at the site of the needle stick. I freaked out and called my doctor’s office, and they said to come in, all so that the doctor could hand me an ice pack and tell me that it happens sometimes (supposedly when they drive the needle out the back of your vein so that it bleeds into the surrounding tissue). As a bonus, I do have a large and colorful bruise on my arm today!
The doctor called last night with the HCG results, and was awkwardly trying to be reassuring while not giving me false hope — she is a really funny and weird old lady with whom I’ve had awkward conversations before (like the random 3rd-trimester checkup during my pregnancy with S where she said to me, “So, just to make sure, you NEVER, EVER use your cell phone, right?” My husband and I were looking at each other confusedly, so she repeated herself… and I said, “Um, yes, I do, is that a problem?” and she said, “Oh, I mean, while driving!”) So on the phone yesterday she kept saying, “Now, I don’t want you to feel like I’m being too optimistic. But I don’t want you to feel like I’m being too pessimistic either. I mean, we’ve seen it all. But that doesn’t mean it’s going to work out this time. But it might.” And she kept going until I was like, “It’s fine, I’m glad you’re being thorough so that you can be completely sure before taking any action,” and she seemed content with that. I like her because she always says exactly what’s on her mind and is very decisive and action-oriented — she’s like a little tornado of doctor every time she comes into a room, even if her verbal communication skills could use some work. After the bad ultrasound on Monday she walked into the room and two minutes later whipped out a phlebotomy kit and drew my blood then and there for the HCG test — I’ve never seen a doctor do that before! So I’m actually kind of glad she’s been the one managing this (likely) miscarriage even though I usually prefer the younger, kinder doctor (married to one of the other faculty members at my university) who made me feel so reassured after our daughter died. I actually just want frank talk and decisive action rather than reassurance right now.
So now I’m just waiting… again. I’ve been spotting for the past few days and even had some bright red blood this morning, so maybe this will all just end on its own soon. But otherwise I’m in limbo until Monday.