Wow. Leave it to me to continue to be the difficult and bizarre patient. After my D&C at the end of October, I felt better for a while. After a few weeks of recovery, the bleeding had never subsided. It wasn't much, but after 8 weeks postpatrum and 6 weeks post D&C I was still having at least some each day. I was crampy and just knew something wasn't right for weeks. I had called the doctor's office on various occasions to ask about signs of infection, bleeding, etc. I just didn't have enough wrong to justify my concerns. So, I did nothing. At the end of November, I had a day of intense cramps followed by a day of a 102.5 fever. No other symptoms. I went in to see the doctor the next day.
The fever was attributed to a "bug". She did an ultrasound because of the continued bleeding and saw that my uterus looked the exact same as it did before my last D&C! It was enlarged and full of "junk". Not normal at all. Instead of jumping in and doing another D&C, we discussed the option of going on progesterone for 4 weeks and then going off, causing a pseudo-period. This would work to decrease the lining and then cause it to all release, in the theory. Well, I didn't want to go in for another D&C, so I took my prescription and went on my way.
By the weekend, the pain was increasing to the point that I was no longer just taking prescription strength ibuprofen, but I was having to take a half of the left over Percocet from Ivey's birth and the previous D&C to get through. Jeff was going out of town the first week in December, so Dad came to help me out with the kids. He came on Monday and boy was I glad he did. I was having to take the Percocet and didn't want to drive while taking it. So, he stayed with us Monday through Thursday. Throughout the week, I was doubled over in pain. I called the doctor and she told me to stop taking the progesterone, thinking it was the cause of the pain. I knew this wasn't the case. I was having the pain before the progesterone. The intense cramps were what finally pushed me to go to the doctor last week!
By Thursday, I was unable to go 4 hors without the Percocet. Unlike after having Ivey, the Percocet was unable to totally kill the pain. Something was very wrong and I knew it. Jeff came home from his trip and Dad left on Friday. I did not take the Percocet and relied on the ibuprofen so I could get the boys to and from school. Jeff was at work. I was in such excruciating pain that I spent the whole day on the phone with the doctor, trying to get help. At first they dismissed me completely. I panicked. As the pain increased I tried to make them realize how bad it was. By noon, Roland was planning to come here to take me to the ER. Instead, I got the doctor herself on the phone. She said that she would see me on Tuesday. For some reason, probably because I was incapable of rational thought at this point, I agreed. Within 30 minuted of hanging up the phone, I began shaking uncontrollably anf was freezing. I don' mean that I was a little chilled. I was freezing. I couldn't talk because I would chatter so badly. I couldn't dial the phone. I was so cold that all I could do was curl up in a ball in bed with blankets and blankets.... but only for about 45 minutes. That's when the fever began. In 1 hour I was up to 102.5. I called Jeff and made him come home. I called Susan to come watch the boys. I called the doctor and didn't ask... I TOLD them I was coming in. The nurse told me it was too late in the day to come to the office and I should come right to the ER. When she asked me what I'd taken for the fever I yelled, "NOTHING. I will not take ANYTHING for this fever so that you can SEE that I really HAVE it when I get there and take me SERIOUSLY." She asked how far away I was and said she would let the doctor know.
When we got to the ER, I didn't have to sit through all the registration. I was obviously so bad they sent me right back to triage, no wait. After some work up in the ER, I was given Tylenol and Percocet and was admitted. I was poked and prodded and given a catheter to collect a "clean" specimen. They said I could refuse the catheter, but at this point I didn't want to make ANY decision that would make anyone dismiss any facts that were collected. So, I screamed and sobbed my way through. I felt like I was going to die. Pain plus fever made me dilusional. Jeff said I made some comment about how Ivey's birth was like the Clinton staffers leaving the White House. I tried to explain that it was like how they took the pictures off the walls and left a mess as they left... it made perfect sense at the time... not so much when the fever left. I was put on three different IV antibiotics to try to get the fever down. They needed to keep me on them for 48 hours. When the fever was down, they could work on fixing me.
Well, after 48 hours, my fever was still in the high 102's. It ended up taking percocet, morphine and tordol to finally get rid of the pain. I cried. I was scared. Ivey and Jeff stayed with me so I could continue to nurse. The only time I couldn't was when they gave me the contrast for the CT scan. That stuff had to get out of my system for 12 hours before I could nurse her. I wanted Jeff to take her home to use my frozen milk, but I was too scared for him to leave me. I thought I was going to die. The nurses called our pediatrician and found out what kind of formula she recommended. They supplied us with the formula, diapers, everything we needed. My little breastfed baby was a trooper and did just fine.
By Sunday, the doctor realized that the fever was not going to come down. She scheduled me for surgery the next day. A D&C. But, this wasn't the typical D&C. She explained that this was a D&C on an enlarged, infected uterus. The risks go up. There was a higher risk of perforating the uteran wall. She wanted to make sure that I knew that it was very possible I could go under for one thing and wake up being told that they had to do an emergency hysterectomy. I was scared. I was sick. I hurt. It was no fun.
The next day, they wheeled me to surgery, leaving Ivey and Jeff in the room. I went by myself, trying very unsuccessfully to hold it together. The nurse in pre-op read my sheet and looked at me with a concerned look on her face. As soon as she asked me, I knew what she was doing. "What do you think they are doing today?" she asked with a funny tone. I explained that I knew it was a non-routine D&C with a scope, guided by ultrasound, and had a risk of a hysterectomy. She looked relieved that I knew the risk. I wasn't relieved at all. I told the anesthesiologist that I was breastfeeding but was going to "pump and dump" so please give me anything you can to make me feel better. They started me on the anti-nausea med and then whatever it is that puts you to sleep. Unlike the last D&C, I didn't want to get wheeled back wide awake only to go under when I was back there. I wanted to be out. I wanted to stop being scared.
I woke up and vaguely remember freaking out that I had to pee so bad. I couldn't stand it. Looking back, I know it was probably because they gave me a catheter and I just felt that urge. I also know now that I was loopy from being put under and probably looked like a lunatic demanding to get up and finally begging for a bedpan! I don't even remember if I went in it... I probably just fell asleep on top of it.
It turned out that I was able to keep my uterus. They went in and found quite a surprise. We always knew that Ivey had a "vanishing twin". That is, there was a second little sac in there from the beginning, but a baby never grew inside it. There was never a fetal pole or anything large enough to be detectable on ultrasound. It was odd that the sac was always evident on the later ultrasounds... I always wondered if it would be a problem. Well, it was. That empty sac grew its own placenta. A round placenta the size of a golf ball. The doctor, nor any of the colleagues that she consulted, had seen anything like it. It was attached to the roof of my uterus by a string of some sort, and did not come out easily at all. After a lot of effort, it came loose. When it did, my fever and pain completely went away.
I left the hospital the next day, after a 5 day hospital stay, feeling much better. Since I left I have had no pain, fever or bleeding. I was able to come home and decorate for Christmas, sing carols and read stories to the boys. It feels so good to feel good!