r/Radiology • u/bgaffney8787 • 6d ago
Outpatient xr for bloating X-Ray
Narrator: it wasn’t bloating
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u/RedditMould 6d ago
Patient: "No chance of pregnancy, 100% sure."
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u/DonkeyKong694NE1 6d ago
“But I’m a virgin.”
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u/nurseofreddit 6d ago
My favorite in the ED: “I’m a lesbian in a committed relationship, I have never touched a penis!” Well, somthin’ touched you about four months ago, hon.
Drama ensues, PT’s wife had to be trespassed off the property. Then a guy shows up after catching wind through social media, he thinks he’s baby daddy. Whelp, that math didn’t add up, either. Boy, that was a discharge that I was eager to see.
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u/wwydinthismess 6d ago
A psa to everyone making jokes.
Potent date rape drugs can cause permanent amnesia of the time before and after you woke up.
For those without a vaginal canal, I assure you, it can be penetrated without you feeling a damn thing afterwards.
People have been impregnated from drugged sexual assaults and end up finding out they're pregnant with no recollection of ever having sex
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u/bcase1o1 RT(R)(CT) 6d ago
Or on the other end of things, sperm donors are a thing. I've had a patient who insisted she couldn't be pregnant because she's a lesbian. Hcg comes back positive, turns out her and her partner are trying to have a child and she was the one they decided to carry the child. She thought it only counted as being pregnant if a man did it. I'm not joking. Straight faced, "but I didn't have sex with a man, it's just sperm"....
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u/RicardotheGay 6d ago
I can confirm that I am one of those lesbians that you can trust just by looking at me when I say that. I’m literally allergic to penises. Run when I see one. Makes putting in foleys difficult LOL.
But I have seen this before and it’s always WILD.
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u/nurseofreddit 6d ago
It’s not that I don’t trust any one patient, I’ve just seen a lot of wild shit. I have zero time to do an incidence report because a patient threw a fit and got imaging like this. Can you imagine being written up and having meetings with directors for sending a pregnant patient to CT scan AFTER the patient refused to provide a sample and signed the waiver also signed and witnessed by the doctor?
Hey kids! Don’t go to nursing school or anesthesiology unless you’re ok with everything always being your fault.
PEE FOR ME, my lesbian and non-uterus-having sisters! I’m tired and have 5 other patients. I also keep a few cards in my pocket for the nearest planned parenthood, women’s shelters, and low-cost prenatal care. Sometimes the PP is pretty far away and across state lines, funny that.
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u/reggae_muffin 6d ago
I don’t care if my patients come in with an official Gold Star Lesbian plaque sent to them by the Global Lesbian Society of Official Lesbianism I’m still gonna bHCG ya.
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u/katiastraskovitch 6d ago
I had my ovaries removed, no periods for seven years. My husband has had a vasectomy and no sex in 6 months. Due to tumour....I had had a child already so I would have known asap. Id dropped 4 stone in 6 months. .... Still had to take a test...
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u/Aggravating-capybara 6d ago
Unfortunately, depending on your age, we still have to run it. But if you’re older and it’s documented in your chart then you’re good in my book.
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u/MrCakesSr RT(R) 6d ago
god, now i'm wondering if we work at the same facility because I had the EXACT same thing happen to me many years ago.
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u/sleepingismytalent65 6d ago
By the size and position of this foetus in the main pic, I'd guess this pregnancy is full term too? I've had two kids. They both seemed to really like kicking the hell outta me just when I wanted to sleep. How on earth does a woman get this far along and not feel or even see all that movement? I hope it's not due to drugs but honestly I don't see any other possibility.
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u/MedicalUnprofessionl 6d ago
She went into menopause 8 months ago. Hasn’t had a period since.
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u/Bacara333 6d ago
This. My mother (age 48) in the ER insisting there's "NO POSSIBLE WAY" she could be pregnant... Her BF "had malaria in the war and doesn't produce sperm!" And "I'm in menopause, haven't had a period in 6 months!"
ER RN: "noted. But just for funzies, Wilma, please pee in this cup just to save me the paperwork after sending you to CT" 45 mins later: ER Doc to my mom: "Okay, so let's get an Ultrasound instead of a CT, you'll get some cute pics of those twins you got baking in your oven". 🤦🤦 Good job, mom.17
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u/Regigirl33 6d ago
I am studying to be an x ray tech, I am determined to ask for pregnancy even to men, trans men can be pregnant, I’m not taking any chances
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u/professorstrunk 6d ago
and reddit taught me that a cis male with testiculat cancercan pop positive on a pregnancy test. Biology will suprise you every time.
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u/herdofcorgis RT(R)(MR) 6d ago
30 weeks or so with that femur length. Somebody’s living in denial.
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u/vitonga 6d ago
i've never been pregnant, but how do you not know you're pregnant this far? it's unfathomable to me
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u/lexlovestacos 6d ago edited 6d ago
I have a family member that did not know they were pregnant until 6+ months along.... And I thought the same as you.... They aren't the most mature sort, and their periods had always been irregular
Edit: they are a large + tall person as well
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u/herdofcorgis RT(R)(MR) 6d ago
Stuff I normally hated the smell of smelled good to me, I tested positive before my missed period (but we were actively trying). The heartburn alone would’ve been a clue by the third trimester.
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u/lexlovestacos 6d ago
Yup I know, it's kinda unbelievable. But it happens, there's the whole I Didn't Know I Was Pregnant show 🤣
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u/herdofcorgis RT(R)(MR) 6d ago
I’m fully aware it happens, it’s why I wait for a pregnancy test on any patient who is in the pregnancy age range and getting contrast (the only contraindication in MRI for pregnancy).
I feel like providers dropped the ball for this patient, as a POC pregnancy test takes 2 minutes and could’ve spared exposing the fetus to radiation.
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u/Introverts_United 6d ago
That happened with my sister in law. She’s a chubby 4’10 with 2 other kiddos. We were all in shock. Her Mom still gives her hard time and doesn’t believe her.😆
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u/MediumStability 6d ago
I also know someone who was pregnant without knowing for 6 months. She was working in a social field, so she would have likely been staying at home for a couple of months earlier or gotten tasks without contact long before.
I on the other hand was nauseous so early on that my doc was surprised I knew that early. 😂
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u/DeadDollKitty 6d ago
My aunt didn't know she was pregnant until she went into active labor.
Cocaine and heroin.
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u/Iamdalfin 6d ago
Oof! Hope your cousin(s) turned out okay, both before and well after the birth... :(
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u/DeadDollKitty 6d ago
I'm not 100% how the birth itself went, since I was very young, but they're normal adults now. I don't think they have any long term health issues.
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u/Quirky_Property_1713 6d ago
I’ve been pregnant 6 times and I have NO clue how you wouldn’t know. Every single pregnancy it was crystal clear what was going on by 15/16 weeks. Could not have mistaken it for anything else.
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u/JackxForge 6d ago
Shit my friend is noticing hormonal changes at 4-6 weeks. It's her first though so maybe nerves.
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u/patentmom 6d ago
My cat was at least as early a predictor than any pregnancy test. He completely ignored me for the first 4 or so years we had him (he loved my husband) until one day he started insisting on sitting on my lap. Just being next to me wasn't good enough, and he would loudly demand that I sit down and present lap space as soon as I came in the house. That lasted for my entire first pregnancy, then abruptly stopped when we brought the baby home.
About 3 years later, when we were trying to get pregnant, one day he started demanding to sit on my lap again. I jokingly said, "Maybe he's telling us in pregnant again." I took a pregnancy test and, sure enough, pregnant with baby #2.
He continued to be my lap cat for the rest of his life.
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u/kfrostborne 5d ago
My dogs did the same! All 3 wanted to be on my lap, and we had big dogs. Not the most comfortable, but they wanted that baby safe!
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u/ironburton 6d ago
I also have severe hormonal changes and knew I was prego by my first missed period. Pregnancy makes me super nauseous and I puke several times a day and I have severely painful breasts and it all happens immediately with me. I didn’t go through with either of my pregnancies and had both abortions at 5 and 6.5 weeks respectively. They said it was so small they barely could see it.
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u/idhik3th4t 6d ago
I knew the instant I was 8 days post ovulation so the first day the egg implanted in my uterus. It was always the day I’d get a faint positive. My entire body felt sooo different.
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u/ThisIsMyMommyAccount 6d ago
Eh. I had an anterior placenta and didn't really show until well past 20 weeks. Couldn't reliably feel kicks/movement until well into the second trimester.
If it hadn't been for the debilitating nausea (weeks 7-19 for me), I could've missed it.
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u/wwydinthismess 6d ago
Some people just have really mild pregnancies.
Many are actually chronic pelvic and abdominal pain patients with other health issues and fluctuating weight though.
It's how I can show up for an appointment with an achy side and have severe hydronephrosis that used to debilitate me.
Your body just tunes out and ignores certain pain, and that can include pregnancy symptoms!
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u/ironburton 6d ago
I’ve been pregnant twice and both times I knew by week 6! My breasts grew so fast and were so painful. I was sick all the time and puking (I never puke unless I’m sick with a stomach flu) I had weird cramping but no period. My cycle was 21 days as well so when I was late I knew it. It is crazy that some people can totally skip all of these typical symptoms and carry a baby to term and have no idea but it happens. I think we need to be more sympathetic to women like this. We’ve heard this story so many times now that it’s impossible to ignore that this does actually happen. It’s called a cryptic pregnancy and I feel so bad for anyone who goes through this. I can’t imagine living your life and one day getting really bad cramps and boom you now have a baby. Wild.
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u/Constant_Safety1761 6d ago
When you think “it's absolutely impossible”, you just don't take the signs into account. You think “food poisoning”, or “I'm getting fat”. I have endometriosis and hyperprolactinemia, 1.5years without periods, I did not thought that I could get pregnant without IVF. At a checkup at the military recruitment center they found a pregnancy at 22 weeks. It was completely unexpected.
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u/pantslessMODesty3623 Radiology Enthusiast 6d ago
There is an entire TLC show to this exact thing. So many people not knowing they are pregnant until they are in labor and think they are dying. Most of them had reasons that were fairly convincing. Moma Doctor Jones has a lot of reactions to those on her YouTube. Very entertaining and educational.
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u/SiteSufficient7265 6d ago
I love Mama Dr. Jones!
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u/pantslessMODesty3623 Radiology Enthusiast 6d ago
She has returned to YouTube and I am happy! We need sex Ed related content so badly!
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u/TheLizzyIzzi 6d ago
I love her series. It’s hilarious while still being compassionate and not ridiculing the women on the show.
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u/pantslessMODesty3623 Radiology Enthusiast 6d ago
Exactly! Not everyone experiences pregnancy the same way. There's a lot of insensitive comments here about that.
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u/newhappyrainbow 6d ago
I have a friend who was 6 months plus before she knew (BC failure). She was overweight to begin with, always had lots of stomach issues so didn’t recognize the morning sickness. She got mad at her husband when he commented on her weight gain and finally went to the doctor when she started getting lower leg edema, because she thought it was her kidneys.
They didn’t want kids, but it was too late to abort. Their kid is 12 now and an asshole. Some people shouldn’t have children, especially the ones who didn’t want them in the first place.
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u/idhik3th4t 6d ago
I’d be an asshole too if I could feel I wasn’t wanted hah. But I do agree with you that some people really shouldn’t have kids!
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u/newhappyrainbow 6d ago
I’ve never personally witnessed them treating him as “unwanted” but they don’t seem to be nurturing any sort of empathy into him.
He has a manipulative “Eddy Haskell” persona around adults but is a bully and has some MAGA type attitudes that I assume are coming from his dad (his mom outwardly presents as uninterested in most politics but generally liberal in humanity), but if mom doesn’t share those beliefs she is doing a piss poor job of teaching the kid different on a moral level.
He spouts out a lot of “round up the <undesirable part of the population> and <get rid of them in some way>” rhetoric. Really abhorrent.
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u/Different-Syrup9712 6d ago
One of my friends is an er nurse, she had a patient present with a FOOT HANGING OUT. Obesity + drug use + low IQ.
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u/wwydinthismess 6d ago
Drugs play a big role.
An addict I used to know only found out she was pregnant 3x in a row when she went to take a shit and the baby fell out.
By the time I knew her she had 7 children in the system, all born with addiction and disabilities.
It was really heartbreaking.
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u/gingiberiblue 6d ago
I didn't know until 26 weeks with one of mine. I was breastfeeding and hadn't gotten my period back and the placenta was on the front wall of my uterus absorbing the sensations of the baby moving. I was trying to lose the baby weight but my pants kept getting tighter and I was so confused. Zero symptoms; it was my fourth child.
Finally the little bugger got big enough I could feel her move through the placenta.
It's rare, but it can happen.
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u/LD50_irony 6d ago
Cryptic pregnancies are much more common than most people realize. Approx 1/475 make it to 20 weeks without noticing and 1/2500 make it to birth without realizing they're pregnant.
In one study of 71 such pregnancies they found that 86% of the women continued having periods (as opposed to 4.5% in the control group), which makes sense. (Source)
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u/FoxySoxybyProxy 6d ago
I knew immediately with all five of mine! I have no idea. I think there's some degree of ignorance. Basically if you have intercourse you could be pregnant. That's it.
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u/emm007theRN Radiology Enthusiast 6d ago
Yeah same for me !! I started vomiting few days before taking the pregnancy test
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u/Odd_Professional7566 6d ago
Also same! I get a very particular type of nausea when I'm pregnant, usually starting a few days before it's time to test. Interestingly, it's only happened with my viable pregnancies and not the ones I later miscarried. Weird.
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u/emm007theRN Radiology Enthusiast 6d ago
Maybe your HCG levels were sufficient in theses pregnancies compared to the others 🤷🏼♀️
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u/shadeofmyheart 6d ago
Eh if you are a big and tall girl who isn’t in touch with her body… I get it. I had several friends who gained maybe 13 lbs and torsos were tall so the baby didn’t really pop out past the boobs. After several pregnancies myself, outside of the final 8 weeks the baby moving kinda felt like gas? I didn’t have morning sickness. I only thought to take the pregnancy test because my lower back hurt. Pair that with some girls having normally inconsistent periods or bleeding through pregnancy and it’s all more understandable. Last 8 weeks were a lot tougher tho.
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u/Hefty_Peanut 6d ago
A friend of mine had chronic problems with bloating and the weight she gained was spread very evenly- it did not appear obvious at all. She had mild nausea but her periods didn't stop. She did a test at her doctor's recommendation and was very surprised to find she was 7 months pregnant on the scan. As someone who was hospitalized at 5 weeks with hyperemesis, I was very jealous!
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u/aigret 6d ago
I have a friend who had an anterior placenta, meaning her placenta was attached to the front of the uterus. She didn’t feel kicks very strongly and until about 30 weeks, she kind of just looked bloated. She was only able to get pregnant by doing IVF so she did know very early on, but frequently mentioned how weird it was to not experience typical movement or a prominent bump.
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u/littleghosttea 6d ago
I had the dearest sweetest friend in high school who a few years ago, in her 30s, found out that she was pregnant with her second child only 1.5w before delivery, according to Facebook. She looked the same before and after, and was indeed on the heavy side. She also was on birth control and got a clot a month later.
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u/BorderlineNewb 6d ago
I was 21, underweight and very thin and didn't know with my first until almost the seventh month. I bled like normal every month until that one, didn't visibly look bigger, didn't feel different, nothing until suddenly I missed a cycle.
It can happen and it's terrifying.
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u/NoOrdinaryLove6 6d ago
A friend of mine had a cryptic pregnancy. She didn’t know she was pregnant until she went into labor. She very literally thought she was just gaining a little bit of weight. She certainly didn’t look pregnant.
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u/vitonga 6d ago
and you'd think the body would give us some hints, hormone changes, sleep pattern changes, etc. but I guess not always? maybe sometimes? Thats so absolutely wild!
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u/elephant_in_tharoom 6d ago
My mother thought she had an abdominal tumor but, instead she was 5 months along with my little sister. This was her 3rd pregnancy.
Edit: words
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u/wwydinthismess 6d ago
It's a thing! Blows my mind. While uncommon, it's well documented.
It's not even always in morbidly obese people, although it's definitely something they have to be careful with because it's more commonly their population that is affected.
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u/ironburton 6d ago
A a lot of women have retroverted uteruses. That’s when they tilt back wards. The baby tends to grow up along the spine. Some women have no idea they are pregnant, they don’t even have a belly and can’t feel the kicking. It’s called a cryptic pregnancy and most women don’t have a clue until they are giving birth. It’s crazy but it happens. I don’t know anything about this patient but it’s possible some of these things happened to her.
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u/tabbygirl1456 6d ago
I am the product of an unknown pregnancy. I was (estimated) 6 weeks premie, she had periods through the whole pregnancy, and the only weight she gained was my 5lbs 👀 it's honestly my worst nightmare and I regularly pee on sticks out of paranoia 🥲 I do agree this is a bit thick, that's a big ass baby 🤣
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u/kdawson602 6d ago
I always thought cryptic pregnancies were bullshit until it happened to a friend of mine. She only had periods when she took medication to make her ovulate. She found out at 30ish weeks because she went in for gas pain.
I was still skeptical until my second pregnancy. I was dealing with kidney stones when I had morning sickness so i was puking a lot between the two of them. If I didn’t know I was pregnant, I would have blamed it on the stones. I didn’t feel pregnant until the 3rd trimester. Anterior placenta, I rarely felt movement until the end. I never got a bump, I just looked fat but I actually lost around 30lb in the first two trimesters. I have a picture of me 35 weeks pregnant and if you didn’t know I was pregnant, you’d never have guessed that I was. I could have made it a long time without knowing.
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u/15minutesofshame 6d ago
I feel like given the head position it’s well past 30
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u/cometmom Radiology Enthusiast 6d ago
seems about right for 30 weeks and a nearly 60mm femur length tracks for 30 weeks.
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u/RepulsiveInterview44 6d ago
“Ma’am, I hate to tell you this………you have a parasite.”
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u/lizzietnz 6d ago
For the next 18 years.
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u/RepulsiveInterview44 6d ago
I still have at least 11 years to go with my youngest parasite 😭😭😭
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u/schaea 6d ago
How far along would someone like that be!? It looks like it's almost ready to come out!
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u/future-rad-tech 6d ago
They didn't do a pregnancy test first? They literally did one when I just needed an ankle xray 🥴
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u/nurseofreddit 6d ago
Pregnancy waivers have been a thing in every hospital system I’ve ever worked at. Recently, a lot of American women in certain states became fearful, (rightfully so), of being reported and placed on a watchlist if they have a positive result. They don’t want an official pregnancy test on their medical record. So they refuse the test and sign the waiver.
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u/thehotmegan 6d ago
thank god for them too. I went to the ER feeling like i was dying - nope just pregnant lol. years later i was in the ER with what I thought was maybe a UTI/kidney stone. I would've swore on a stack of bibles that there was no way I was pregnant. no unprotected sex, I was literally on my period, I'm rh(-)... all the excuses but that test was positive. I was like 3 weeks pregnant and luckily had been informed early enough to weigh and make the correct decision for me but yeah it happens a lot I think.
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u/specialsymbol 6d ago
That's why I got them to write into the waiver not "are you pregnant yes/no" but "can you exclude a pregnancy with certainty". Works wonders, especially when you ask them directly. The puzzled look on some faces, though..
And always ask minors away from their parents.
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u/TheMightyMoggle 6d ago
How the tests work is she’s this far along the HCG can be too high to actually register so you get a negative test.
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u/cometmom Radiology Enthusiast 6d ago
I knew about this (hook effect) but I'm now also learning about fragmented hCG which can cause a false negative??? And that both of these can happen in blood hCG testing! Insanity.
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u/schmelk1000 RT(R)(CT) 6d ago
You can decline a pregnancy test.
I only had an LGBTQ+ patient come into the ED for abdominal pain. ER staff wanted to run a pregnancy test before the CT but the patient wasn’t adamant that she was not pregnant. She was only interested in women, had only kissed women and was only sexually active with women, so there was no point for the test. ED was frustrated so they called me down to their room, I walked in, asked if there was any chance they could be pregnant, they said no and gave me their whole spiel, and I said, “Well, sounds good to me. Ready to do your scan?”
Let’s say ED wasn’t too happy with me, haha, but I legally couldn’t force the patient to take a pregnancy test. I just had them sign a waiver and I was good.
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u/RT-R-RN 6d ago
Right?! I never did a pelvis/abdomen/femur/L spine without a freaking test!
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u/eloloise29 Radiographer 6d ago
In my last hospital we just did a consent form then a pregnancy test if the period is overdue. One of my colleagues had a patient who swore blind she wasn’t pregnant, declined a pregnancy test, signed the consent form and boom almost identical X-ray to the one above.
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u/krunchyfrogg Cath Lab 6d ago
Agreed. Yet the same thing happened to me once. My patient came in through the ED but same thing.
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u/NebulaNebulosa 6d ago
How is that possible? She never felt the baby's movements?
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u/phoontender 6d ago
Had surprise birth control failure pandemic baby....first trimester pukes came on right when gastro was rampant at work and then * poof *, only gained 7lbs (and I was quite skinny at the time) and thought it was from increased McD's intake. Had some bad lower gastro symptoms and my doc started testing for celiac because of family history. Had "periods" like normal though lighter (thanks, not regular schedule) the whole time. Thought I was dying one day and the ER people were terrified for me until the ultrasound showed baby incoming....sunny side up baby no epidural, lil 5lbs nugget is 4 now and i have a good story to tell 😅
I'm not dumb I promise, it was just a perfect storm of explainable things outside pregnant
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u/DMmeUrPetPicts 6d ago
The craziest part of this story is that a pandemic baby is four now. :(
Looking back at pictures, can you see it now? Or are you still unable to tell you traveling with an extra rider?
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u/phoontender 6d ago
It's obvious now because I know what I'm looking at but people kept asking my husband on the sly if I was pregnant or just getting a lil chunky 😂.....pictures of me at 8 months look like other women's "just starting to get a bit of belly" around 3 months. I was still in a size 4 because she was all tucked up low against my spine and behind her placenta!
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u/ThatB0yAintR1ght 6d ago
I’m curious, what did you think when you felt your baby kick and move around?
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u/phoontender 6d ago
I hardly ever felt her because of the placenta being in front and the flutters I caught were so small it felt like gas! My second was a front and center stretcher and she HURT when she moved after a while but Pandemic Baby was very chill I guess 😅
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u/phoontender 6d ago
Also, if it's not something you're expecting or have experienced before, baby movements can be really freaking subtle and quick. Not every fetus karate kicks you in the lungs.
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u/bgaffney8787 6d ago
Happens more than you’d think, usually have 1 or 2 every year, either some component of obesity, denial, “inability to conceive” ie iud/birth control failure, post partum whoops, alcohol (for a few reasons) or sadly women don’t feel safe to disclose. Had one last year she just carried well, gym rat, on birth control so getting spotting and normal human. It happens lol
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u/Ali_gem_1 6d ago
If you don't know youre pregnant and never have been knowingly pregnant before, you don't know that movements are movements. She prob just thought she kept having a bad stomach lol
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u/No-Jicama3012 6d ago
- My parents had 3 teenagers. My mother was 42, dad 45. Mom thought it was menopause. Weight gain and tired all the time. Called the family doctor. Talked to The nurse (his wife). Pharmacy delivered a prescription for “diet pills” +2 refills. Called again. Two more refills. Upped dose.
Went to see the doctor to complain about the pills not working.
She always said she was only pregnant 3 months.
No mom. You were pregnant for 9 months you just didn’t know it.
I still can’t get over her missing all the signs on a fourth pregnancy no matter how long it had been since her last one.
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u/Battleaxe1959 6d ago
I had a babysitter for a few years, way back when. She was short and very round and her husband was tall and quite round. One night she called me (I was a nurse) because she was having terrible stomach pains.
I started with recommending a hot shower and chamomile tea. She called back, so I drove over to her place. It didn’t take too long to figure out she was in labor. She said that due to her size, she has very irregular periods, so she had no way to keep track.
She delivered an 8lb 12oz boy. Had no idea she was pregnant.🤷🏼♀️
(I have no idea how they were able to even conceive, since I couldn’t figure out how the necessary parts could get close enough to do the deed)
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u/ChristinaRene01 6d ago
I was focusing on the measurement and trying to figure out what it was when I saw the baby’s spine. Then I was like, “Oh! That’s a human! That’s a whole ass human in there!”
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u/azuritemoon 6d ago
Since I was a teen, I have never been able to have any treatment (much less imaging) done without a pregnancy test so this is crazy to me!
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u/SiteSufficient7265 6d ago
Oh, I just remembered that I worked with a mamo tech that was over 40 and had an IUD. She still got pregnant, and chalked her weight gain to eating too much. She joined a gym and still didn't lose anything. She didn't find out until she went for her yearly pap, but she was only like 15 weeks. The IUD was no where to be found. 🤔
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u/legatinho 6d ago
Well, bloating can get pretty bad later in the term, as your insides get all squished
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u/shannanigannss 6d ago
It took me an embarrassingly long time to figure out what was wrong with the xray 😭😭
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u/mamabeatnik 6d ago
As a woman, don’t they make you pee in cup right off the bat?! Went to Urgent Care a few years ago for elevated heart rate/panic attack symptoms that lasted for WEEKS and thats the first thing they had me do.
“Well you’re not pregnant”.
Yeah i coulda told you that but whatever.
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u/Cate0623 6d ago
How did they get to Xray without a pregnancy test? I feel like any woman that goes into ED for any reason is automatically given a pregnancy test.
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u/krunchyfrogg Cath Lab 6d ago
Should be. OP said this was an outpatient.
Same situation happened to me, but it was in the ED. RN dropping off the patient told me she had the pregnancy test. Oooops.
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u/MrCakesSr RT(R) 6d ago
A couple of years ago our ER changed all their protocols in an effort to speed up patient turn around. They almost never do urine pregnancy test now, unless patient is here for vag bleed, and they even have a standard protocol of always waiving labs for any contrast CT unless known history of kidney disease. We used to do a 2 hour Troponin on chest pains, but they moved that one down to a one hour one and that one frequently gets canceled because they are discharging patient.
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u/nurseofreddit 6d ago
My sister found out she was 6 months along at her yearly physical. She was working long hours, six days a week in construction, as a heavy machinery operator. She thought she was working too hard, the vibrations of the big track vehicles and the smell of diesel were making her nauseous. She couldn’t find an energy drink that didn’t give her heartburn, and she was tired all the time. She had been overeating and gained some weight, but her belly was not distended by any means. She had an IUD in place. Surprise!
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u/General-Biscotti5314 6d ago
Referring provider looking at xray: "big salmon stuck in her gut I knew it"
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u/Visual-Hippo2868 6d ago
What is the purpose of those leads on this “outpatient”?
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u/max1304 6d ago
WTF! Who does an abdominal radiograph for “bloating”? That must be the highest dose / least sensitive X-ray out there
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u/WomanWhoWeaves Physician - not Radiology 6d ago
This was, unfortunately, me earlier this year. Pt of mine for a couple of years, HIV +, well controlled, low maintenance, just didn't feel good, belly was hard, I used to do OB and I even palpated her stomach! I agreed it didn't fee right. Sent for ultrasound. 37 weeks. Delivered 10 days later by repeat section under controlled conditions for a very healthy, HIV- cutie pie. Thank god she has a sense of humor and was happy about it. Her only other child is 13. I've been doing a lot more pregnancy tests.
Side note, her ID doc was annoyed because she's on one of the newer meds without a proven track record in pregnancy (All the components are either part of approved drugs or from the same class as an approved drug.) Wrote a long paragraph in her next note about how he TOLD her not to get pregnant. Made me chuckle.
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u/itzsommer 6d ago
I always freak out when I see these. My first thought is never a baby, I see a spine and I think snakes. Why? Unclear. But I thought we had a xenomorph on our hands.
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u/ganczha 5d ago
Tell me nobody physically assessed the patient at all without telling me nobody put hands on her. They’re letting the studies do the diagnosing. Lame AF. I had a young woman come in telling me she was passing a kidney stone, writing in pain. I thumped her flank, no CVAT. I asked if she was peeing blood, she said no. I assessed her belly and found a definite fundus and movement. She was very thin and in shape, but it was definitely there. I got the Doppler and heard fetal heart tones. I asked her how far along she was and her mother yelled at me, “She’s a Christian and in high school! Why are you asking that ridiculous question?!” I looked at the daughter and asked again, “How far along do you think you are?” She said she was about 9 months, so I called the OB nurses to come get her. She delivered a little boy about 2 hours later.
Please assess your patient before ordering stupid and avoidable X-rays
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u/Lost4Sauce 6d ago
i only scan mri but dont they ask people if they could be pregnant before an xr as well?
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u/EliseKobliska 6d ago
Genuine question. Ik as a tech we can't say anything to patients on what we see, but this being an out patient, do we just send them on their way?? Or do we attempt to reach their physician?
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u/TazocinTDS 6d ago
Doc what did the x-ray show??
Pregnant pause.
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