Friday, October 03, 2008

I want a new drug

I was really a lot more upset than I let on in yesterday's post. I didn't just cry in the doctor's office -- I cried on the way home, and on the phone to my mom, and later when my mom came over, and before going to bed. When I woke up this morning, got out of bed, and still hurt as much as ever, I found myself at the end of my rope, and I couldn't stop crying this time.

After bawling my way through a long hot shower, I decided it was time to do something about it. If there was a physical thing to fix, I wanted to get working on it; if not, then maybe it would be time to start talking about postpartum depression. In any case, though, I didn't have a week's worth of patience left. I called the doctor's office and told them I wanted to have bloodwork and an ultrasound done today instead of next week. That involved tears too, but I think those were actually useful, since they realized what kind of shape I was in and told me to come in ASAP.

Lo and behold, turns out I have a uterus swollen full of blood. I'd stopped bleeding before I even left the hospital, and while that was different from my previous pregnancy (in which I bled for eight weeks straight), I didn't think it was anything to be concerned about. Nobody even asked me about my bleeding, so I never mentioned it to anyone. However, the doctor thinks that is very likely the root cause of the problem.

We discussed doing a D&C today, but Dr. Pro was pretty clear that she wants to avoid that if possible. It involves anesthesia and surgical risks, and would cause breastfeeding problems too, so she wanted to take one more shot at fixing it surgically. I left with a prescription for a different antibiotic, as well as one for methergine, which will cause my uterus to contract and expel all the junk. Since that's probably going to be unpleasant, I have more pain medicine too, which is good because I'd run out. We're going to try that over the weekend, and if I'm not substantially improved by Monday, we'll do a D&C then.

I already feel better just knowing that we've got a different strategy in place. I'm not the world's most patient patient, and I have just about reached the limits of my ability to cope with crap, but I can hang in there for a couple more days. The space of a weekend, with enough pain medication to be comfortable and a new Plan B in place, is an entirely different prospect from waiting an entire week just to begin investigating.


Jody said...

I'm getting the shivers just imagining a uterus full of post-partum blood. I really REALLY hope this works, and that if it doesn't, the D&C on Monday is as trouble-free as possible.

HEATHER said...

Honey, I don't want to offend you, but, you have got to get yourself better, and if that would mean no longer breast feeding so that you could take a stronger antibiotic, I would certainly do some thinking about it. Giving birth and the whole recovery process is difficult enough without putting yourself through not getting the proper medicine to help you heal quickly.
I will be praying for you and this new medicine to work for you.

Emma B. said...

Heather, breastfeeding is pretty important to me emotionally -- it's hardly the only consideration, but it is something I'd like to continue to do if at all possible. Thankfully, there are alternatives like pumping-and-dumping, if it comes to that. We all know the #1 thing the baby needs is a healthy mother, and your prayers are appreciated.

Jody, I'm kind of afraid that we're heading for a D&C after all. I've had two doses of the methergine, and I expected... I dunno, a uterine explosion or something. So far, I've had nothing more than some spotting, certainly not the kind of massive cramping and clot-passing the doctor prepared me for.

HEATHER said...

OH I never thought of pumping and dumping. Can you tell I didn't breastfeed? LOL!!
I would definately ask the doc for some stronger antibiotics, if you can dump it.
I'll keep praying. Hang in there!:-)

Yehudit said...

One thing that leaps out at me with this post is that no one asked about your blood loss. You weren't bleeding AT ALL when you left the hospital?