Last month I had a chemical pregnancy. My first ever after a normal pregnancy 3 years ago. My OBs office had the NP manage my care instead of my actual doctor, and she was blunt and rude the whole time. She told me to just treat it like a period. No "I'm sorry" or reassurance provided. When I started bleeding heavily she had me come in and literally shuffled me around the office like cattle, and just blurted out "your lining is thin. It's empty. You'll probably stop bleeding as soon as you leave here, hahahaha, byeeeee." My doctor did later have an appointment with me at my request and was apologetic for her approach, but it hurt. So I got pregnant again this month, even though it took me an extra 10 days to ovulate this time around. The lines got very dark, and I was feeling optimistic. I went in at 4 weeks for a blood draw and his stupid NP calls me again basically telling me to prepare for a miscarriage again. My HCG was 552 but my progesterone was "low" at 13.8. They like to see it at 15+ so she ordered prometrium. Fine. But when I asked if it would really help, since data is pretty mixed, she said "nope, it's early but this doesn't look promising." My doctor wants me to come in Monday for another draw but I'm wondering if I should even bother. When I looked up normal HCG at 4 weeks it seems over 500 would be ok, but she said it's low and I must be super early. Duh! They keep assuming I'm on a 28 day cycle and they list my LMP as my miscarriage. I keep telling them I know when I ovulated this cycle and I'm 4 weeks exactly. But nobody listens. They just look at the "period" date in the chart. She literally thinks I'm 5weeks4 days when I'm 4 weeks! I hate this NP so much. No bedside manner, no tact, reading off a script. And she pretends like she's managing my care, doesn't even mention my doctor's input. It's "I want to do X with you. I want you to do Y." I never used to have to work through an NP before and I hate it so much. It would be ok if she were attentive and kind, but she's an idiot.