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Returning to "normal" after a D&C - 8/31/2011 4:39:16 PM   
siamsa24


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I understand that this is something that no one can really answer with a great degree of certainty, but I am hoping someone can give me SOMETHING.  Warning, this may get a little graphic.

I got pregnant back in April ('ish), I started bleeding the first week of June, ended up in the ER on June 3 (they told me NOTHING, just to call my doctor on Monday, well, DUH!), saw my doctor June 6 and discovered that the baby had no heartbeat.  I had a D&C on June 8 (I had to work all day on June 7, possibly the hardest thing I have ever done, working retail, still looking pregnant, still having people ask about it, but knowing that the baby had died).  Anyway, right after my doctor finished performing my surgery she went to have her baby (she was in active labor during my surgery, but knew that I didn't trust anyone else to do it, she's quite awesome) and then went on maternity leave for the next 8 weeks.
I returned to work June 12 and I was still spotting.  No big deal, I was told to expect spotting for 3-4 days.  June 15, still spotting.  June 17, I start POURING blood.  Now, I'm a fairly tough girl and this scared the ever living shit out of me.  I knew that I had to receive injections of a clotting agent following my surgery and the nurse warned me against taking aspirin or ibuprofen in the future (as in, ever again) so I was scared.  I called my doctor's office and spoke to the nurse at the desk (it was after hours, but as it's an OB/GYN they always have someone on staff) and she said that didn't sound right and that she would page the doctor on call and to call back if I didn't get a call back in about 15 minutes. 
The doctor (not my doctor, my doctor is still on leave) calls me back and sounds really irritated when I explained what was happening ("I understood the page, what do you want me to do about it?") and when I informed her that I was just worried because of my bleeding issues she told me that "it is to be expected to have bleeding following an abortion" (!!!!) and to go to the ER if I was worried.  I told her that I was told it was only normal to spot for about 3-4 days following the procedure and that I wasn't expecting an extremely heavy flow.  She said to take 800-1000mg of ibuprofen for the pain.  I told her I wasn't having much pain at this point, and that the nurse warned me against taking blood thinners.  She then exploded at me "Well, ibuprofen isn't a blood thinner and that is what I am telling you to do, if you don't want to listen I don't know what you called"
I then meekly thanked her for her time and went back (in tears) to speak to the pharmacist (I work retail pharmacy and was at work at the time).  He told me that under no circumstances should I be taking ibuprofen until after my post-op visit at the very earliest.

So, I continued bleeding until June 23. 

I had a rather long period from July 11-July 19

I had my post op visit August 8.  My doctor was pretty upset that I had bleed for so long (I told her I HAD called, but that didn't seem to really matter) and that it wasn't normal.  She scheduled me for an ultrasound on August 22, which I had.

Then nothing.

I have been doing my normal PMS thing (very sore boobies, achy cramps, bitchiness, short fuse, tiredness, all that noise) since August 15, but nothing yet.  I took a pregnancy test, but it came up negative.  I haven't heard back from the doctor's office and I want to know what-the-french-toast is going on with my freaking body!

Does anyone here know anything about this? I am so tired of being achy and exhausted all the time and not even having the excuse of a pregnancy!
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RE: Returning to "normal" after a D&C - 8/31/2011 6:20:51 PM   
Endivius


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There are too many things that could be causing this without being there to check them I cannot help you. Your symptoms are not uncommon. However, the underlying causes are widespread, and if they are not found it can lead to much more serious health risks.


Get a second opinion.

If you arent routinely excersizing start, do an aerobic excersize to help increase blood flow to the body, and raise ST production. The excersize will also help with the soreness and cramping. i reccomend cycling or jogging. If you are allready excersizing regularly, cut back on it. Too much is just as bad as none. if you drink a lot of caffinated drinks or eat foods heavy in fat, reduce thier intake. It will help increase your energy and lower stress levels.

Get a third opinion if the second one does not help alieviate your symptoms and find thier underlying causes.

_____________________________

Basically if you can't inspire someone to trust you deeply, you aren't going to be able to buy that or a reasonable facsimile thereof. -DesFIP

(in reply to siamsa24)
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RE: Returning to "normal" after a D&C - 8/31/2011 8:16:57 PM   
siamsa24


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I exercise almost daily and I also work a very physical job, but that's all normal, my doctor told me I would be able to resume my normal activities 2-3 days following the procedure (I was able to continue with my work-out routine up to 37 weeks pregnant and was able to resume only 4 weeks following my c-section when my daughter was born).  I stop if it gets painful, or even uncomfortable, and it's nothing excessive (just general MMA training, no contact, cardio and light weights, I'm not comfortable doing anything with contact until this gets sorted out).  I am on a very strict diet, low carb, semi-high protein, very low fat.  It's similar to Weight Watchers, lots of uncooked vegetables and lean proteins, but it's not for weight loss, it's designed for optimum training.   Again, I was on as similar diet during and following my pregnancy.

I do consume a bit of caffeine.  A 60+ hour work week, plus a training regiment, plus a special needs preschooler? Are you kidding me? I would die without my coffee in the morning.  I have cut back, I only drink one 24 oz coffee in the morning and a Monster Rehab after lunch.

Please don't tell me I have to give up my diet and exercise routine, they are what keep me sane.  I suffered from an eating disorder in high school and I HAVE to have a diet/exercise program otherwise it gets unhealthy again.  At least what I am doing now is keeping me fit and at a healthy weight.

(in reply to Endivius)
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RE: Returning to "normal" after a D&C - 8/31/2011 8:55:16 PM   
Endivius


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You don't need to give it up, you just need to alter it some. Lose the monster after lunch if it's a daily ritual. If you cannot survive without the kick look into some more natural stimulants that do not contain caffine.

Reduce your workouts, take two days off a week minimum, three would be better. You diet is probably fine, increase foods with more vitamine E,D, and zinc. Fish, brocoli, tomatoes, ect;. Again, though, I can't stress this enough: Get to another OB/GYN and have another sonagram as well as a BT workup done to check for the underlying causes. Make sure you explain your exercize regiment as well as diet, and symptoms. S/He will be able to give you better direction with a fresh perspective and panels to look at.




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RE: Returning to "normal" after a D&C - 8/31/2011 9:23:28 PM   
Aylee


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~Fast Reply~

OP, you are aware that stress can mess up your menstrual cycle, right?

See your doc. You might talk to some sort of counselor for some helpful hints for de-stressing. You should get your iron level checked. You might have them check your hormone levels as well. They can always give you something to kick start your period if needed.

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RE: Returning to "normal" after a D&C - 8/31/2011 9:31:20 PM   
siamsa24


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I take D (5,000 IU) and E (5000 IU) supplements, as well as a prenatal multi, Omega 3, 6, & 9, B complex, and a wheat grass supplement to my morning shake. 

Honestly, I have tried more natural supplements, but I only get about 5-6 hours of sleep per night (if I'm lucky, last night I got 1 1/2, tonight I will be getting 3-4).  That's the hazards of working multiple jobs, something else my doctor is aware of.  She told me I could return to normal (MY normal, not someone else's "normal") and hasn't told me otherwise (I did remind her of my routines and jobs at my post-op).

I will contact another OB/GYN, but I don't really trust other doctors, my doctor has been my doctor for many years and knows my ins and outs.  I have been "fired" from so many doctors that it's tough to find someone to go to that doesn't judge me before I walk in the door.  I am fully aware I'm an Aspie with some pretty serious self image issues, but I still have physical problems and need care.  Different care, maybe more difficult care, but still care.  This is one of the reasons why my doctor did my surgery while she was in labor, she understands me and knows me well enough to know that if I saw another doctor's name on my chart (and I always insist on seeing everything the nurses have) I would have said "deuces, bitches!" and walked out. 
Am I possibly (likely) a total pain in the ass? Yes, but my doctor has chosen to deal with me for quite some time.  I have told her if I make her life more difficult I will "doctor surf" again, but she said she finds me "intriguing" and is happy to continue to provide my care, even if I do cause her a few more headaches sometimes (I don't do it on purpose, it just kind of happens). 
I tried to call another OB about a week into my bleeding in June, but they called me the morning of my appointment and canceled.  Word gets around I guess.......


I honestly don't try to be a pain, but it comes with the territory.  I'm not trying to make excuses, and I am almost never rude or mean at the office, I am just trying to say that I understand working with me is a unique challenge.  I question EVERYTHING, I will never just trust a doctor (or nurse) blindly.  Even if she is talking about taking a different brand of vitamin she better be prepared for 20 questions (and possibly a call to the office the next day to ask a few more that I hadn't thought of the first time).  This isn't me trying to be an annoyance, but many medical folks see it that way.

(in reply to Endivius)
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RE: Returning to "normal" after a D&C - 8/31/2011 9:45:01 PM   
Endivius


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Asking questions is what you are supposed to do. Most medical practitioners have to base thier questions on thier experience. And this sometimes causes a certain case to fall through the cracks on being caught in time to prevent a more serious condition from developing. The very best thing you can do is ask questions, it's important you do this. It doesn't matter if it is annoying, do it anyway.

Now go get a second opinion!

_____________________________

Basically if you can't inspire someone to trust you deeply, you aren't going to be able to buy that or a reasonable facsimile thereof. -DesFIP

(in reply to siamsa24)
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RE: Returning to "normal" after a D&C - 8/31/2011 10:02:08 PM   
siamsa24


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I will get a second opinion, don't worry 


Then I will bring those charts and records to all my other appointments and look back on them to find more questions (I bet you never knew what those 5"+ binders could possibly be used for, right?). 

And yes, I bring all previous records to current appointments, just in case I have an additional question or have to reference them for some reason.

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RE: Returning to "normal" after a D&C - 8/31/2011 10:03:25 PM   
siamsa24


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And you would be amazed at how many people in the medical profession what their patients to just follow their advice without question, it's a little shocking and more then a little disturbing.  

(in reply to siamsa24)
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RE: Returning to "normal" after a D&C - 9/1/2011 12:21:45 AM   
CynthiaWVirginia


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That was awful.  I cannot imagine having to have a dead fetus removed and then not getting good medical follow up.  With the extended time of bleeding, and your gyn being in labor while taking care of you...some of it could have been missed.  Through some D&Cs I heard that the womb could even be punctured.  You were right to want some answers.

Your gyn sees tons of people and that new baby is probably making her lose a lot of sleep...so why not phone that office and remind them that you had an ultrasound on Aug. 22 and that you really would like to know the results.  (With my oncologist's office, no news after a test like that is definitely good news.)

The bleeding has stopped, right?  And you are feeling back to normal except for feeling tired and achy and having your period be delayed and just want it to come and be over with.  Get your second opinion if you want to, or make another appointment back with your usual gyn now that she is back.  Maybe the receptionist messed up and should have called you for another appointment.

Your body has a right to be achy and exhausted all the time.  Your iron might be low from all that bleeding, have you been tested?  I had many miscarriages before having my son (special needs; early infantile autism) and I was physically and emotionally exhausted from all the hormone changes, pain, and...having a death in my family.  I loved and wanted each baby and I needed time to grieve with each loss...and it sounds like your schedule pushes you to almost insanity and beyond.  Honestly, I don't know where you find the time just for you, to recharge your batteries.

Sorry to hear that other doctor treated you so badly.  I was horrified when a doctor called my miscarriages abortions, though technically they do call them spontaneous abortions, maybe she did not understand why it was absolutely necessary (there would be no living baby from this) and had an attitude problem.  Like a cousin of mine who is a militant pro-lifer.  Sorry that for whatever reason, she chose not to do her job and take care of you in your gyn's absence.

I hope you are feeling better soon, and that one doctor or another (or nurse) will answer your questions.

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RE: Returning to "normal" after a D&C - 9/1/2011 4:01:12 AM   
zephyroftheNorth


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quote:

ORIGINAL: siamsa24

And you would be amazed at how many people in the medical profession what their patients to just follow their advice without question, it's a little shocking and more then a little disturbing.  


Yeah not to mention those who get annoyed when the patient doesn't cooperate and heal in the time they think you (general) should have healed. That's what happened after my hip surgery. I think your asking endless questions is a good thing. If anything the doctors are wrong for not accepting that. Do get another opinion though even if it means seeing several doctors.

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RE: Returning to "normal" after a D&C - 9/1/2011 5:52:55 AM   
wandersalone


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hi Siamsa

My heart goes out to you ad your family after the loss.  I just wanted to check, have you called your doctors rooms to ask about the results of the ultrasound or made another appointment to see your doctor?

I hope you get some answers soon


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RE: Returning to "normal" after a D&C - 9/2/2011 4:15:49 PM   
MHAP


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There are too many things that could be causing this without being there to check them I cannot help you. Your symptoms are not uncommon. However, the underlying causes are widespread, and if they are not found it can lead to much more serious health risks.


Get a second opinion.

If you arent routinely excersizing start, do an aerobic excersize to help increase blood flow to the body, and raise ST production. The excersize will also help with the soreness and cramping. i reccomend cycling or jogging. If you are allready excersizing regularly, cut back on it. Too much is just as bad as none. if you drink a lot of caffinated drinks or eat foods heavy in fat, reduce thier intake. It will help increase your energy and lower stress levels.

Get a third opinion if the second one does not help alieviate your symptoms and find thier underlying causes.

_____________________________

I totally agree with ENDIVIUS

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RE: Returning to "normal" after a D&C - 9/2/2011 11:41:57 PM   
DeviantlyD


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quote:

ORIGINAL: Endivius

There are too many things that could be causing this without being there to check them I cannot help you. Your symptoms are not uncommon. However, the underlying causes are widespread, and if they are not found it can lead to much more serious health risks.


Get a second opinion.

If you arent routinely excersizing start, do an aerobic excersize to help increase blood flow to the body, and raise ST production. The excersize will also help with the soreness and cramping. i reccomend cycling or jogging. If you are allready excersizing regularly, cut back on it. Too much is just as bad as none. if you drink a lot of caffinated drinks or eat foods heavy in fat, reduce thier intake. It will help increase your energy and lower stress levels.

Get a third opinion if the second one does not help alieviate your symptoms and find thier underlying causes.


ST production?

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RE: Returning to "normal" after a D&C - 9/3/2011 7:44:22 PM   
Sanguinarian


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OP, I have some tips, but since I don't know what your current symptoms are, if you wish, you can message me, and I can give you a more detailed response.

I have had herbalist/apothacary training so I can give you some useful remedies, of course, supervised by your doctor, and I was training to be a nurse.

So, feel free to message me.

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RE: Returning to "normal" after a D&C - 9/7/2011 9:36:39 AM   
siamsa24


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I got a letter from my OB, all it said was "ultrasound results = normal"

I didn't even know how to respond to that, although when I called she said that everything was fine (no missed tissue, no perforations, just normal insides )and that I shouldn't worry unless my periods aren't back to normal by October, then they will do blood work.
I did eventually get a period, and a more normal one at that.  She said my body was just re-regulating itself and that because I work with mostly women (there are about 25 employees at my place of employment and only 2 men) that my cycle is likely to change because I'm not on birth control.  She said it's like hitting ctl+alt+del on your computer, everything will eventually go back to normal, but it takes a while. 
She also said my body is hyper-fertile right now so I am likely to have much harsher PMS until my body either goes back to normal or I get pregnant again.   She said that if I get concerned to just call and she will either talk to me over the phone or make an appointment to see me, but that so far everything looks pretty normal.  She can't really explain the bleeding in June, but she said whatever it was is either gone or healed now and that everything looks like it should.

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