i am home now from the hospital. i told my dr that i would not take the methotrexate until another blood test was performed to determine the hcg. they told me it would not be back until tomorrow and that i would take the chance of having a ruptured tube. i told them that i could go to the ER and the result would be back in an hour or two. so, they called the hospital and ordered my bloodwork on STAT and then i waited for the results outside of the cancer center where they would give me the shot. the results came in and my hcg was now down to 72. so, it went down from 84. i knew then that no matter what happened, the baby was not going to make it. i called the dr from the hospital to see if i could still allow my body to miscarry on its own and he said that the number was still too high and too close to the 84 for him to think that it was anything other than ectopic and i would take the chance of the ruptured fallopian tube. so, with the new hcg number, i felt that i could take the meth and spare my body any further medical issues. i am feeling awful and i am now home and starting to bleed....it's just such a terrible feeling. of course the moment that i walked out of the hospital room, we passed a pregnant mom and i just lost it. i hope that it gets easier and i know that time heals, but it sure hurts right now. thanks to all of you for your responses, information and support. they were so helpful during the last few days of feeling so helpless.