I just got a call from her and it appears that she is going through yet another miscarriage. My heart is breaking for her. I am so very sad.
***Updated to say that Pam's bloodwork shows her hcg levels have more than doubled...but her u/s yesterday didn't show a yolk sac or fetal pole. Please say lots of prayers that this is just a slow starter and that the next u/s shows a beating heart.