exactlly and if he can't be supportive I say chuck him! Out OBGYN's need to have bedside manners and compassion and brains!
Her doctors need to calm down! That sounds like a perfectly wonderful number for less than 5 weeks. It has to begin somewhere. Also, implantation occurs within 2 weeks time so she could have a late implanter, you know? The point is that the HCG needs to start rising; it's not the initial result that should be the deciding factor on what is going on with a pregnancy.
291 only means she is very early on. The number doesn't matter as much as the doubling of them. In a viable pregnancy they should double every two to three days. So, in three days they should be close to 600, three days after that 1200, 2400 ect.