The lab results from yesterday show that my hcg level actually rose to 40, which is not enough to indicate an ongoing pregnancy but is enough to indicate an ongoing problem.  The doctor has determined that now is the time to step in and do something, so I am going in tomorrow afternoon for further evaluation to determine what that intervention will be.  Although the nurse said there might be multiple treatment options, the last thing the doctor really mentioned as an option last week was a d&c.  He might do an ultrasound or more blood work tomorrow, but we should know what his plans are before we leave (at least I might not leave until I have concrete news…).