Monday, February 16, 2009

Sharing News

Ok, so here is what I want to share....

News#1
After last Sunday, I had another heart palpitation episode which was stronger, longer and scarier. It woke me up in the middle of the night and we went to the ER right away. They immediately did an EKG without me even signing in. They caught the palpitation on the EKG unlike last time. Then over the next few hours I remained hooked up to the monitor with an irregular heart beat, with the monitor alarming every few minutes saying I was in VTACH or Non-sustaining VTACH or some other acronyms I don't remember. They did a few more EKGs while I had an even "funkier" rhythm, as my nurse called it.

The ER doctor ordered lots and lots of blood work, I was given an IV and put on oxygen. He then ordered a chest x-ray which I was very hesitant to agree to because I am ...

News #2
...Pregnant again (just 5 weeks so I probably shouldn't say anything but I am because that's what I do and I have crap to talk about here)

After finally getting them to let Eric back to talk to me, and the radiology tech expressed his concern, we called Eric's friend who is a cardiologist and gave him the low down and he said it didn't sound like I needed the chest xray and he advised we refuse it. After much todo, the ER Doc talked to the on-call cardiologist who said it was fine to skip the xray. I also emailed my OB, who responded that it would have been fine to do but sounded like the cardiologist felt it was also fine to skip.

A bit later, they tried injecting calcium as it can help the heart. Did nothing.
Then they tried injecting a beta-blocker. Slower heart rate, but still palpitating. I did feel the immediate change though. Then they gave me a pill form of the beta-blocker and an hour later..... regular beats between palpitations. YAY! And then all regular beats.
and then it became really boring as my phone battery was dying so I could no longer check email or update Facebook which was the only thing entertaining me because Eric was asleep at this point (he can sleep through anything!).
Since I was stabilizing they decided not to admit me, and a few hours later they discharged me and sent me over to cardiology for a Echo cardiogram and to meet with my brand new shiny Cardiologist. I'm 34 and have a Cardiologist. Oh and by the way, an Echo with pregnant boobs... PAINFUL!

My Cardiologist, cute little blond pregnant thing that she is, felt the Echo was normal but wanted to consult her colleagues and the Electrophysiologist about my EKGs to figure out where the irregular beats were coming from. She also switched me to a different beta-blocker medication which has been studied more with pregnancies. She felt the palpitations are being triggered by the pregnancy and should go away after I deliver.

Since Thursday, I've only had one little heart flutter and have mostly felt ok in the heart department. I'm a little lightheaded and really tired, but that could be a symptom of the pregnancy or the medication. Hard to tell.

Ok, so on to the pregnancy. YAY! First try after the miscarriage last December!
BUT.....
With these heart palpitations, my doctor is a little concerned about Eptopic pregnancy. Since the first episode stopped on its own, she was less worried but still wanted me to do a round of quantitative Beta-hCG testing to make sure the pregnancy is progressing normally. First test was at about 18 DPO and was 615, which is pretty high for that far along. My doctor emailed me and said to go back in 48 hours and then we'd see how it's going. I did the test but didn't hear back from her. Waiting through Friday and the weekend. Then today I went to email her but the email system said she was out until Wednesday. So I decided to call her office to get the results myself which I am now regretting. 48 hours later the hCG level should have doubled, but it was only at 782. Poooo

Could be a vanishing twin.
Could be Ectopic.
Could be I'm miscarrying again.
Could be I'm in that 15% who's levels do not double every 48 hours but even those usually have complications.
Could be no problem at all.
(Stupid internet providing me with more information than I wish to have at this moment)

I should have waited to let my doctor tell me her thoughts but now I get to try not to worry for the next 2 days.

So that's my news. Off to ice my wrists. Too much typing.

3 comments:

Starshine said...

Oh, Cherry!

Booo to the heart palps!
Booo to hurting wrists!

YEAAAAA to pregnancy! Congratulations, friend. I hope all is well. I'll be checking in for updates.

Love to you and E,

Tracy

Autumn's Mom said...

I'm thinking of you. xoxo

J at www.jellyjules.com said...

Crap on the confusing results! Gosh I hope that it's nothing, and your little bun thrives.

One thing that's good...we know you don't have trouble getting pregnant!

Sorry about the palpitations, that sucks. And your wrists. That sucks, too. :(