Where do you go when you stop trusting your OB

canavara

*giant rant incoming*

So I had my D&C on 7/21. And had a follow-up appointment today. Last night, I wake up from a nap and go to the bathroom and discover that I'm bleeding a ton of bright red blood. I tell my boyfriend, he freaks out, which freaks me out. I hadn't bled in about a week and a half so this was out of nowhere. I put a pad on, wait 20 minutes, half the pad becomes filled with this blood. So we head to the ER... and their staff was amazing, kind, supportive, and very empathetic about my loss. Vitals were fine, no fever, but a lot of blood lost so they put me on a fluid IV and then come in to perform a cervical exam--the bleeding had died down by then some and the nurse said things looked fine, just some old blood was on the cervix, but nothing too bad. 

They did a urine pregnancy test first but then also did a blood test anyway since they were doing the IV. Both were returning positive, so they recommended I have an ultrasound performed just in case there was any leftover conception material. Only problem is that it was 2AM by this point and it would be a few hours before they could probably get an ultrasound tech to me, so I said, "That's fine. I have my scheduled OB follow-up tomorrow anyway, we can just do that then. No need to have me stay here and waste your resources that should be going to people with more serious problems." So they discharged me.

I go to my OB this morning and tell her what happened. Her reaction: "You got your period." I ask, "How could I have gotten my period and had a positive pregnancy test?" She then tells me that because the hospital is using a high sensitivity test that I'll see a positive where it's just leftover HCG in my system... and then refuses to do the ultrasound saying it's "highly unlikely" and insisting that the bleeding from the night before was a period. I also was put on birth control pills right after the D&C to help regulate my period but said I didn't want to stay on them because I wanted to try to conceive again and she reacted with a rather unprofessional: "How old are you?" I'm 30 but I look way younger than I am, and it really just struck me as a very weird, judgmental, and pompous thing to say to a patient.

I don't know where to go now. I don't know if I need to find another OB who can help with follow-up care since it's been 3 weeks now. I don't know what my HCG levels are. And this wasn't my *normal* OBGYN, just one I saw two or three times total between finding out I was pregnant and my miscarriage. My existing gynecologist before the pregnancy doesn't deal with pregnancy (also weird to me!). So I'm just left in this weird helpless place where I have no idea who to trust or what to think?

katempar

I'm sorry you're going through this! What a frustrating situation. A good doctor makes all the difference. If you don't trust/aren't comfortable with yours, it's definitely time to see someone else. Is the OB you are having problems with part of a practice? Is there another doctor at the practice you could see? If not, you could ask coworkers/friends for a recommendation -- that's how I found my OBGYN.