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	<title>Comments on: Homework assignment</title>
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		<title>By: twirl</title>
		<link>http://gallopingcats.wordpress.com/2008/02/05/homework-assignment/#comment-6973</link>
		<dc:creator><![CDATA[twirl]]></dc:creator>
		<pubDate>Wed, 06 Feb 2008 19:04:09 +0000</pubDate>
		<guid isPermaLink="false">http://gallopingcats.wordpress.com/?p=928#comment-6973</guid>
		<description><![CDATA[If they can determine that it&#039;s ectopic, I think methotrexate is probably your best bet regardless of the s/e.  If it&#039;s in the ute, you&#039;re sure it&#039;s nonviable, and not showing signs of  I think I&#039;d go for the D&amp;C to get it over with.  But I really don&#039;t know.  

Thinking of you.]]></description>
		<content:encoded><![CDATA[<p>If they can determine that it&#8217;s ectopic, I think methotrexate is probably your best bet regardless of the s/e.  If it&#8217;s in the ute, you&#8217;re sure it&#8217;s nonviable, and not showing signs of  I think I&#8217;d go for the D&amp;C to get it over with.  But I really don&#8217;t know.  </p>
<p>Thinking of you.</p>
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		<title>By: sweetcoalminer</title>
		<link>http://gallopingcats.wordpress.com/2008/02/05/homework-assignment/#comment-6972</link>
		<dc:creator><![CDATA[sweetcoalminer]]></dc:creator>
		<pubDate>Wed, 06 Feb 2008 18:31:27 +0000</pubDate>
		<guid isPermaLink="false">http://gallopingcats.wordpress.com/?p=928#comment-6972</guid>
		<description><![CDATA[My experience:  spotting at 4.5 weeks, red bleeding at 5 weeks, empty sac, but growing at 5.5 weeks.  Presumed ectopic.  Methotrexate.  Horrible diarrhea but no bleeding.  D&amp;C found villi in the yoot, so no ectopic.  Scarring from D&amp;C that had to be fixed prior to conception of Mimi.

This is to be differentiated from your experience by the following:

unusually high hCG levels (which also characterized my pregnancy with Mimi as did the bleeding) (but I understand the risks are the same for too high &amp; too low).

Also, ultrasound tech post-methotrexate saw a &quot;flicker&quot;, which was mentally excruciating.  She also said the &quot;mass&quot; the ER tech saw was an ovarian cyst, not an ectopic.

I just hate that you&#039;re in limbo.  As I understand it, from Dr. Asshat, who clearly was incompetent, they don&#039;t know if it&#039;s ectopic unless they go in there and look.

I hope this ends quickly and without further drama for you.  ((hugs))

I know you&#039;re not me, but the whole &quot;is it ectopic&quot; thing was so hard for me and they kept warning me I could die any minute if I blow my tube (hence my several day stay in the hospital), that I would just take the methotrexate.  But my numbers at 5 weeks were around the 8 week avg, as they were with Mimi.]]></description>
		<content:encoded><![CDATA[<p>My experience:  spotting at 4.5 weeks, red bleeding at 5 weeks, empty sac, but growing at 5.5 weeks.  Presumed ectopic.  Methotrexate.  Horrible diarrhea but no bleeding.  D&amp;C found villi in the yoot, so no ectopic.  Scarring from D&amp;C that had to be fixed prior to conception of Mimi.</p>
<p>This is to be differentiated from your experience by the following:</p>
<p>unusually high hCG levels (which also characterized my pregnancy with Mimi as did the bleeding) (but I understand the risks are the same for too high &amp; too low).</p>
<p>Also, ultrasound tech post-methotrexate saw a &#8220;flicker&#8221;, which was mentally excruciating.  She also said the &#8220;mass&#8221; the ER tech saw was an ovarian cyst, not an ectopic.</p>
<p>I just hate that you&#8217;re in limbo.  As I understand it, from Dr. Asshat, who clearly was incompetent, they don&#8217;t know if it&#8217;s ectopic unless they go in there and look.</p>
<p>I hope this ends quickly and without further drama for you.  ((hugs))</p>
<p>I know you&#8217;re not me, but the whole &#8220;is it ectopic&#8221; thing was so hard for me and they kept warning me I could die any minute if I blow my tube (hence my several day stay in the hospital), that I would just take the methotrexate.  But my numbers at 5 weeks were around the 8 week avg, as they were with Mimi.</p>
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		<title>By: hydrogeek</title>
		<link>http://gallopingcats.wordpress.com/2008/02/05/homework-assignment/#comment-6971</link>
		<dc:creator><![CDATA[hydrogeek]]></dc:creator>
		<pubDate>Wed, 06 Feb 2008 16:05:04 +0000</pubDate>
		<guid isPermaLink="false">http://gallopingcats.wordpress.com/?p=928#comment-6971</guid>
		<description><![CDATA[I had this same scenario. Exactly. At the same time of year, almost (LMP at the beginning of December, 2003). Because nothing really showed up on the u/s until about 6 weeks past ovulation, we kept waiting to see what was happening. It was the above suggested case of development being behind schedule, so at about 6WPO we finally saw a sac, but nothing else. Within a week after that, I naturally miscarried, at home, with no medical intervention. It was not fun, but SO SO SO much better than being in a hospital. Because there was never any confirmation that (wow, I don&#039;t know how to say this, so I&#039;ll just say that the baby was dead, even though I know at that point it was more of an embryo/collection of cells/whatever) my doctors and I just waited it out for a few weeks, even though I felt from the beginning that things were doomed. All I can say is I&#039;m sorry. Take care of yourself, keep chocolate on hand, and a heating pad if the cramps start. Also, I recommend you not move to a new house in the middle of this, because holy crap that sucked.]]></description>
		<content:encoded><![CDATA[<p>I had this same scenario. Exactly. At the same time of year, almost (LMP at the beginning of December, 2003). Because nothing really showed up on the u/s until about 6 weeks past ovulation, we kept waiting to see what was happening. It was the above suggested case of development being behind schedule, so at about 6WPO we finally saw a sac, but nothing else. Within a week after that, I naturally miscarried, at home, with no medical intervention. It was not fun, but SO SO SO much better than being in a hospital. Because there was never any confirmation that (wow, I don&#8217;t know how to say this, so I&#8217;ll just say that the baby was dead, even though I know at that point it was more of an embryo/collection of cells/whatever) my doctors and I just waited it out for a few weeks, even though I felt from the beginning that things were doomed. All I can say is I&#8217;m sorry. Take care of yourself, keep chocolate on hand, and a heating pad if the cramps start. Also, I recommend you not move to a new house in the middle of this, because holy crap that sucked.</p>
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		<title>By: Melissa</title>
		<link>http://gallopingcats.wordpress.com/2008/02/05/homework-assignment/#comment-6970</link>
		<dc:creator><![CDATA[Melissa]]></dc:creator>
		<pubDate>Wed, 06 Feb 2008 11:31:59 +0000</pubDate>
		<guid isPermaLink="false">http://gallopingcats.wordpress.com/?p=928#comment-6970</guid>
		<description><![CDATA[I know nothing, but I&#039;m so sorry you&#039;re going through this.]]></description>
		<content:encoded><![CDATA[<p>I know nothing, but I&#8217;m so sorry you&#8217;re going through this.</p>
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		<title>By: Day</title>
		<link>http://gallopingcats.wordpress.com/2008/02/05/homework-assignment/#comment-6969</link>
		<dc:creator><![CDATA[Day]]></dc:creator>
		<pubDate>Wed, 06 Feb 2008 05:27:17 +0000</pubDate>
		<guid isPermaLink="false">http://gallopingcats.wordpress.com/?p=928#comment-6969</guid>
		<description><![CDATA[I&#039;m thinking it&#039;s a chromosomally-challenged embryo in the uterus trying its best to hang in there.  The bleed?  Implantation (suppositories could also have been the culprit).  I&#039;m for natural resolution or D&amp;C - depends on how far this thing goes.  If your betas start falling in the next week or so, then natural might be the way to go...your body really does know how to absorb it and move on, though that of course is time-consuming. Until all this shakes through though, your symptoms are very real - it&#039;s nature at her cruelest.  

I am really sorry about all this.]]></description>
		<content:encoded><![CDATA[<p>I&#8217;m thinking it&#8217;s a chromosomally-challenged embryo in the uterus trying its best to hang in there.  The bleed?  Implantation (suppositories could also have been the culprit).  I&#8217;m for natural resolution or D&amp;C &#8211; depends on how far this thing goes.  If your betas start falling in the next week or so, then natural might be the way to go&#8230;your body really does know how to absorb it and move on, though that of course is time-consuming. Until all this shakes through though, your symptoms are very real &#8211; it&#8217;s nature at her cruelest.  </p>
<p>I am really sorry about all this.</p>
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