Because who doesn't love a good ol' Christmas miracle? This patient really restored my faith in the fact that even when things aren't looking so hot, something positive can still prevail.....
We had a patient who recently called and told us that she had gotten an at home positive. She had previously experienced quite a few miscarriages, and wanted us to monitor her more closely than a "normal" pregnancy. She came in for her first blood work, and her HCG was extremely low (like less than 10). After getting dates from her last cycle we figured it wasn't looking good. She came in a few days later, and the rise was complete crap. We told her signs to look for in an ectopic pregnancy, and continued to monitor her through blood work.
After monitoring her levels for a couple weeks the doctor brought her in for her first ultrasound to see if there was even anything to see! When she came for her appointment, we could see a tiny, tiny little spot in her uterus, and I mean TINY. Her HCG level still wasn't rising appropriately, and her progesterone level was complete shit. When you see this stuff every single day, you just kind of know when it isn't going to work.
Even if it wasn't an ideal level, she still had a level, and we knew it was an IUP (even though it was microscopic) so we kept on supplementing her with medication. The next week she came back in for blood work and ultrasound. Her levels were still below par, and her ultrasound looked awful. Yet we didn't give up, and she was still motivated to keep on truckin'.
She came in a week later (yeah, I know by this point you think we would have an 8-week old fetus in there) the sac was a little bit bigger, and if you squinted your eyes and looked 90 degrees to the left you could see what kind of looked like a fetal pole that had the tiniest little flicker. At this point, if you're thinking what the shit, you're not alone. Her progesterone and estrogen were super crappy this whole time (for those of you who are always worrying about your numbers, keep on reading).
The next week we were approaching what should have been about 10 weeks from her LMP. What do you know, there was an actual fetus (that somehow grew at an astronomical rate), a great heart rate, and her labs came back with her progesterone, estrogen, and HCG levels off the charts. I think her baby was saying, "I have a mother F'ing purpose in this world."
Obstacles are put in our way to see if what we want is worth fighting for (and boy did this mom keep fighting). Now she is off to her OB, like we didn't just go through the most exhausting 12 plus weeks EVER.
There are a few things in life I feel this way about currently. When everything is going against me, when it seems like nothing can go right, I just dig a little deeper. The path is already set for me, and I just have to trust that the obstacles in my way are here to help me continue to grow into a compassionate, understanding, patient person (because Lord knows I am still in need of some damn patience).