Universal Assistance asked me to see a young woman with abdominal pain at the Airport Hyatt. According to the dispatcher, she had no other symptoms.
Arriving in the room, I learned things the insurance
dispatcher hadn’t mentioned. The woman was three months pregnant and had
noticed vaginal bleeding. It’s
surprising how often doctors know the diagnosis as soon they set foot in the
room, but it looks bad to blurt it out, so I asked questions, performed an
exam, and then delivered my conclusions. She was having a miscarriage and had to go to an emergency room.
The following afternoon, the lady’s husband called.
They were back in the hotel. The emergency room doctor had diagnosed a
miscarriage. Then he had discharged her. But she
was still bleeding. Was that normal?...
Bleeding stops when a miscarriage is complete; if it
continues, a doctor performs a D&C to scrape away remaining tissue. I have no
explanation of why the doctor sent her out still bleeding. I told the husband
that, sadly, he would have to take her back. The second time she received her
D&C.
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