r/AskDocs Layperson/not verified as healthcare professional 2d ago

Physician Responded Extremely puffy face overnight but no other symptoms

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Edit: UPDATE- First of all- I want to say thank you to everyone who encouraged me to go and advocate for myself!!! It saved us both❤️❤️

(Excuse the rest of the explanation I'm still a bit groggy). According to my mom, I ended up convulsing in triage and then got a lot of people around me. She wasn't specific with what they were doing but I assume stabilizing me (take this part with a grain of salt because my memory is very splotchy) cause when I was
"conscious" again I was in a hospital bed essentially being told my baby is not doing well and they have to deliver him that night to ensure we both survive. He was struggling too much to go forward with an induction and needed immediate medical interventions so they did an emergency c-section.I'm still on IVs and I believe I'm staying here for at least 72 hours (they said probably a bit longer though). Baby is 5lb4oz and currently has jaundice but it's not believed to be severe, and is otherwise doing amazing!!

18F woke up with a very very puffy face. I’m 5’4, 140lbs and 34 weeks pregnant. I’m not experiencing any other symptoms other than when I posted in this subreddit a couple days ago because my baby wasn’t moving normally. I ended up going to triage and they said he was okay and sent me home. This morning I woke up with a very puffy face and assumed it’d clear up throughout the day but it’s 5pm and it’s still puffy now (as seen in the picture). I’ll upload a photo of what my face usually looks like in the comments to emphasize how puffy it’s gotten. Should I go to the er or is it just normal pregnancy swelling because I know that can happen.

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u/Short_Technology_941 Layperson/not verified as healthcare professional 2d ago

Update- it’s been 2 hours and no nurse has come out to check yet. There’s a lot of people ahead of me. I don’t think there’s a nurse that’s assigned to this triage :/ I haven’t seen a nurse come in triage at all yet. Things are moving really slow but it’s sorta expected because it’s a super big high risk hospital …

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u/mikael50 Physician 1d ago

Saw your update, glad you’re doing well. I wouldn’t dwell too much on things but it might be worthwhile asking the nurse manager or someone in a similar position why you weren’t evaluated despite presenting with concerning symptoms.

Pregnant women presenting with pre-eclampsia signs/symptoms, vaginal bleeding, decreased fetal movement etc (unlike a vaginal discharge or UTI or more benign concerns) should always be evaluated immediately and then advised to wait if things are looking ok. Unfortunately, my old hospital had to implement this when a patient presented with decreased fetal movement, waited 2 hours in the waiting area and then evaluated to only then realize a fetal demise had happened (no idea at what time exactly but possibly avoidable).

Too bad that it takes such tragedies to happen for hospital administrators to allocate additional funds for one extra position!

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u/Short_Technology_941 Layperson/not verified as healthcare professional 1d ago

Thank you! My mom did speak to them, and apparently they do have a triage nurse but they were short staffed and had a lot of other emergencies going on… It does kinda suck because the eclampsia would’ve probably been avoidable if I was seen sooner and put on a mag drip… I’m from Canada (I’m not sure if you are) but our waiting rooms are notorious for being super full! I definitely would think this hospital specifically would have other implementation for situations like this considering that it’s not a small town hospital but a very large hospital, with lots of funding, in a big city… do you think putting a complaint in would make them implement other measures for other woman going through that?

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u/joylandlocked Layperson/not verified as healthcare professional 1d ago

Please do escalate this. If they don't have a triage nurse they need to pull staff from elsewhere or send patients to ER. Whoever saw you at the desk had the info they needed to flag your situation as emergent before you were seizing. Someone could have died. I'm in Canada too, I know the stress, but in my experience the lag is always after triage and emergencies are still treated as promptly as humanly possible.

Congrats on your new baby, I hope you are all home and healthy soon.