How Come A Gynecologist Didn T Come To See Me In The ER

7 Replies
hameeda81 - May 15

I had a miscarriage on 5-14-08. I had a couple pelvic exams, but in all of them they only showed a gestational sac and no yolk sac. My Hcg Numbers were increasing but not doubling the way they should. I had gone to ER twice during this pregnancy. The first time when I went to the ER the Physician on call told me, he didn't know if it was normal not to see a yolk sac in your fifth week. My reason for going the first time was because I saw drop of red blood and was spotting. At the end I had him call my gynecologist and she said it is normal. Before I was leaving he said he must be a bit uneducated about that. Yesterday when I went again I told them that I want see a gynecologist, all I got what was they come for a real emergency. I couldn't believe the nurse telling me the fact that I was going through a miscarriage was not considered a true emergency. One would think that their own gynecologist or another one from the same practice would come check on what is going on, but that didn't happen. The physician on call end up giving me pain killers for cramps and checked HCG. Didn't do any type of exam to see from the inside what's going on. To make things worse I called my gynecologist today to see her, they told me she couldn't see me because she was in the hospital all day. I end up seeing another gynecologist who is in the same practice who I had read the worst reviews I ever had came across. Thank god I didn't need to go through D and C. I just have some tissue left which she said would naturally go away. The gynecologist didn't tell me, but I believe I had blight ovum from my own research. I am planning to file a complaint in the ER department regarding not giving the chance to people who are going to through something and want to see a specialist not just any doctor. Has this happen to any of you guys?

 

MissingDestiny - May 15

all I can tell you is that it was in fact a blighted ovum, I don't understand why a gyno did not go see you at all, when this happen for me they did an ultrasound , then they did a pelvic exam with the speculum and all to see If I had pa__sed all of the tissue which they confirmed i did and then they did another ultrasound to make sure everything had come out and this was all done in the ER so you really got some c___py service, I'm sorry you had to go threw that...Also if you do have some tissue you need to make sure that it does come out on its own bc alot of times it doesn't and causes infections so please make sure they do a follow up check up on you to make sure nothing is left or else you are going to need a DnC, so if your Dr told you that the tissue will come out on its own it lied to you bc that doesn't happen a lot of time and thats when you worry about infections so again make sure you get a follow up to make sure that all is gone..Good luck to you..

 

hameeda81 - May 15

Well they did a ultrasound and pelvic exam on my first visit to the ER when I saw a drop of blood but not when I went yesterday and told them that I had cramps and a big clot had came out. I had several pelvic exams done in the my gynecologist office but nor once they told me I have a blighted ovum. I am getting some blood work done tomorrow to see if the level is going down. She told me being that my body is doing it naturally their is no need for me to get a D and C. She told me I will bleed for two weeks so when do you think I should go follow up to get another pelvic exam? Thanks.

 

ChattyKathy - May 15

Most ERs don't have gynecologists waiting on staff. Honestly, unfortunately miscarriages are SO common that they are not considered "emergency" unless you are having excessive bleeding. I'm sorry you had to go through that, and I know it seems insensitive. Unfortunately, it is just hospital policy and there isn't much you can do. Further care beyond being seen for the bleeding requires that you see your own doctor.

 

hameeda81 - May 15

chattyKathy respond to what you said, Don't you think they will come running when someone is giving birth, but they won't come if you are going through a miscarriage? Emergency is emergency no matter how common it may be. For me it was my first miscarriage.

 

ChattyKathy - May 15

Nope. Once you reach a certain gestation you are sent to labor and delivery, but until that point they will care for you in the ER with standard ER doctors. As heartless as it seems, a miscarriage is a natural process that usually doesn't require medical attention unless the mother's health is at risk (even though I know it is traumatic). There is nothing they can do for a miscarriage if it is to happen, no care that needs to be given, so it receives none except to confirm it and possibly give the mother pain medication.

 

AMB - May 16

I am so sorry that happened to you and I understand that you feel that your gyn should have come in to see you....I have also had a miscarriage and know how difficult the loss can be......I can not speak of your hospital personally, but I work at the county hospital and can tell you how it works there.....Like ChattyKathy said a miscarriage isn't considered an emergency and once it has started an ultrasound nor ob/gyn can do anything to help you...... It is very common (especially if it is your first pregnancy). There are no ob/gyn doctors in the hospital they usually just take call. You can request that the ER call your doctor, but they will most likely not come in for typical miscarriage (bleeding and pa__sing clots). It is only considered an emergency if they think that you are having an ectopic or if you are hemmorrhaging. I am a sonographer at the hospital and take call...the ER doctor isn't even allowed order an ultrasound unless it is an true emergency...at our hospital a true emergency is defined as something that is life threatening or needs immediate surgery.....again I know that you have had a tramatic and I hope that you will be able to TTC again very soon....I just wanted to let you know that the way you were handled in the ER is common practice and that you were not singled out.....Keep your head up and again sorry for your loss :)

 

kalokairi - May 17

first let me say i am so sorry for your loss. that being said chattykathy is absolutely correct, unless you are hemorrhaging, and early pregnancy mc is not an emergency. i am glad you didnt need a d and c. keep your chin up, you can try again soon, usually after your first normal period. feel better.

 

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