Monday, November 28, 2011

Septum Surgery

Today I had blood work done, a regular vaginal u/s and a water u/s done. My last water u/s was horrific (the one in KS) so I was very nervous going in to today's appt. The vag u/s was to check my ovaries to see if I had any dominant follicles growing (I did not) and to check out my uterus. My doc thought he saw a septum (tissue dividing my uterus in half) and so the water u/s was mainly to rule that out plus to check for any polups and/or fibroids. The water u/s wasn't exactly painful, though definitely uncomfortable (think a long drawn out pap smear with a catheter like device going into your uterus with a balloon to hold your cervix open, while also having a vag u/s all while having your uterus fill with water. Yeah, fun). Anyway, a slight septum was shown. Not exactly something I was expecting since I've been through a billion infertility procedures already, I thought someone would have caught this before now. Dr. H told me that 50% of 1st trimester miscarriages happen because of septums. That was enough to convince me to have it removed. My surgery is scheduled for two days from now. YES, two days. It's a pretty simple out patient procedure, though I'll be knocked out with a tube down my throat. I'm OK with that. I want the best possible environment for my babies so I'm willing to go through all of this for them. It really is daunting to think how much I have already gone through and still there is more. It still amazes me to see couples have babies without having gone through all of this crap. Please don't take that as a "whoa is me" sort of thing. I really am OK with this and I totally understand the reason and the need if I want to have more children, which we do.
I go in for my pre-op tomorrow morning and start PIO (progesterone in oil) butt shots on Friday-the day after the surgery. I am SOOOO not looking forward to doing those again. I haven't warned DH yet about them and I'm sure his reaction will be the same as mine. BOOOOOO!!!! In two weeks, as long as I feel ok from the surgery, I'll be doing a uterine biopsy. Then I have to sit out a cycle to let my body heal. I just hope my cramping, achy cervix feels better soon...

Wednesday, November 23, 2011

Arizona vs. Texas FET

This is my 100th blog post! I've now been blogging my infertility journey for three years. Crazy how fast time goes...
We now have more decisions to make regarding the FET. *sigh*
I had been calling my RE in Arizona for TWO weeks-leaving messages for someone to call me back so that I could get the process started for transporting my embryos to Texas. Who knew that only after calling TODAY and expressing how frustrated I was that NO ONE was calling me back, I finally was called. Martha, who was my IVF nurse two years ago, called me and said that it was the responsibility of my RE in Texas to figure out transportation. Uh, that's not what I was told by my TX RE! The RE here said they don't contract with a national shipping company-only local. How nice. I was told that it would cost around $1500 to ship my babies to TX. (Three years ago when I did this, I only had two embryos to ship and it cost us over $700.) Martha said that I would be better off doing the FET in AZ. She also told me that it would cost $1645 for the FET. $1645 in AZ OR $4500 in TX+$1500 shipping? Not a hard decision considering cost, though logistically it's much harder. To sweeten the pot, she told me that I could do all of my monitoring in TX (as long as my TX RE is willing-he will loose out on the $4500. The FET would still be in January...I have until Tuesday to figure it all out. I go in Monday to my TX RE to do the water u/s and uterine lining check. I'll talk to my doc then and report back!

Thursday, November 10, 2011

A Tribute to Indy

My Indy Boy

I've been wanting to write a blog post on Indy but I needed some time before I could handle it...today seemed like a good day to remember him.

Indy was a crazy, unique dog. Maybe most people would say that about their pets but if you ever had the privilege of meeting Indy, you'd know it to be true.
I had been searching the Internet for a couple weeks, looking on Petfinder and the local Mountain Home shelter for a dog for our family. While Dh was out of town one week, I saw a picture of a gorgeous yellow lab in a shelter in Boise and decided I needed to meet him. I drove the hour drive and took one look at him and said, "He's my dog."I paid $23.50 and he was mine. A couple days later, Oct 2, 2006 to be exact, I got to take him home. He was laid back and oh so sweet. He had no idea how to jump on our bed, but I soon taught him. He slept with me that night and kept me warm.
Indy proved to be, what I termed, a "high needs dog" and the reason he was so sweet that night I took him home was because he was drugged from being neutered. I should have known! He needed some obedience training in the worst way so I signed him up for a basic once weekly class in Boise. Let's just say, we both learned a lot about each other. Indy was made the example for most of the training lessons and when it came time for graduation day, Indy was so obnoxious we were asked to sit in another room so he wouldn't bother the other dogs. Yikes! That very day we signed up for PRIVATE obedience classes.
Indy could be compared to Marley from the Marley and Me book. Spitting image actually. Characteristics exactly the same. He was stubborn and strong. So strong that making him do anything he didn't want to do was nearly impossible because he would use his entire body weight against me. He would climb up in my lap (he was 80+ lbs by the way) EVERY SINGLE TIME I was on the phone to try and get my attention and when I would try to get him off me, well, he wouldn't budge.
He also loved his food. He would not go outside before he ate his morning meal and then would irritate me until I fed him his dinner. I would usually cave in around 2pm because I just couldn't stand it anymore but he'd always leave me alone as soon as he got what he wanted. His favorite was bread (and butter later in his life...he'd do just about anything if he saw some). If a sandwich just happened to be left on the counter a little too long according to Indy standards, he would jump up and steal the bread but leave the meat and cheese! He once ate an entire loaf of bread that I had thrown away...too bad it was moldy and the vet had to induce vomiting. Oh Indy...
There were several times when I would look him in the eyes and tell him that I was going to sell him but that no one would buy him so I'd have to give him away. While he was probably the most annoying dog on the planet (getting in the trash EVERY TIME we left it out on accident or when he would try to "rescue" us from the pool or just stand there and bark NON stop until we got out), he was loving, always trying to please me, and worshiped the ground I walked on. He would almost never leave my side when I was home. When I showered, he would wait for me on the bathmat, watching me the entire time. Dh said that he would pace and check every room for me when I wasn't home. When I had my wisdom teeth complications, had the LAP for endo, extreme morning sickness, and my broken pelvis, Indy never left me. He would stretch out on the bed with me for as long as I was there (and during that time, I was in bed most of the day).
While I wouldn't say he was the most gentle dog (his tail could be considered a lethal weapon and could take out small children...skittle included) he had a big heart and loved everyone. Well, everyone except the men who put in sod in our yard in Idaho. That was the first and only time I had heard Indy growl at a human.
I wish I could go on and on about Indy and his silly stories and quirks (and trust me, he had MANY...just ask about how he pulled me into a lake or how he loved to steal my towels and bathmats just to make me chase him) but I'm sure you all don't want to read for days. I deeply loved that insane dog and I think he loved me that much too. He was my first baby and I thought he'd get to see Skittle grow up. I thought we had much more time with him.
Thank you to all the people gave us well wishes after we had to put him to sleep Nov 1. My heart still hurts and we miss him so, so much. It's too quiet around here without him. It's just not the same. There's no barking when a doorbell rings on TV, no horse head banging repeatedly into the back door, there's no tail sweeping the hand towels off my oven handle, and no more cuddles at night before DH comes to bed. My heart is forever changed because he lived and because he died.
(This picture is just to show how he never wanted to be away from me. I was looking back at my pregnancy pictures and Indy was in almost every single one.)

Wednesday, November 9, 2011

Meeting Dr. H

I decided that I was going to meet with the RE doc that I was referred to and thought of it was an interview...for HIM. Before walking in to his clinic yesterday, I wasn't sure I wanted to go there or the clinic with the better CDC stats. I got a whole lot of information yesterday and I'm going to relay it as best I can.

I haven't done any infertility treatments or testing since Dec 2009. Things have changed. Now, before I can do an FET I have to have all sorts of oh so fun testing done, AGAIN. I guess the new regulations say that all the testing has to be done within six months of any embryo transfer. I have to repeat my water u/s (sonohysterography), have a uterine biopsy, a mock embryo transfer, blood work, physical, pap smear, and a uterine lining measurement performed. I am not thrilled but I've been through it all before-except the biopsy. I understand why all of it is necessary-to have the best possible environment for the embryos-but that doesn't mean that I have to like it. Dr. H and I talked about everything infertility and I liked him...and trust me, it takes a lot for me to like a doctor. I've done this three other times, in three other states and had just about every fertility treatment and test done to me. I loved the fact that he was straight out about everything...he promised he wasn't going to do anything unnecessary and only does the minimum medications for the best possible outcomes. Before, for my first FET, I was on 10 units of Lupron injections and vaginal Estrace every day for like 45 days. Dr. H told me that Lupron does the same thing as the Estrace and it's overkill. He no longer uses Lupron for FET's. Music to my ears. Obviously, if I ovulate with only the Estrace, I'll have to do Lupron too but it's unlikely so why use both if you don't have to? I liked his reasoning a lot. He took close to an hour and a half with me, asking and answering questions. I asked how long he would follow me if I did get pregnant. He said 12-14 weeks gestation. Again, I was THRILLED to hear that. He was open and honest and reasonable. He was someone I could easily talk to and I felt like he actually worked FOR me. By the end, I was convinced this was the clinic for me and my 12 babies. I asked/talked about the CDC stats and while I didn't get a firm percentage on his live birth rates, he told me he's done hundreds of FET's (which is not what the CDC had on record for 2009) with great results. I'm going to trust him on that. I could always change docs (once the testing is done so Tricare will pick up the tab) and go with the other clinic. But for now, I am completely at peace about this decision. (oh and if you want to check out his book-one he gave me free yesterday-click here)

Now the fun begins. I've called my AZ RE to arrange transport of the embryos and have heard NOTHING back from them all day. I'm not surprised but still annoyed. I'll try again tomorrow.

I'm supposed to start 4mg of Estrace when I get AF, which is due to happen next week sometime. (yes, this is all happening this fast!!!) I went to Randolph AFB to try and fill it, but they don't carry it. Neither does Wilford Hall/BAMC...Walmart does, but get this: Tricare won't cover it. Yeah, remember how I said they would cover all my meds? Apparently, it has to be generic Estrace or they won't...and I can't have anything but the brand name according to my doctor. (which by the way I can take orally this time not vaginally so I do not have to leak the blue nastiness!!!) Walmart's Estrace: $429 for one month...ouch. I've been hooked up with Freedom Pharmacy and their cost is $329/month. I'll take it.

The FET is set for January...as long as I can pass all the testing and get it all done before then. Here we go!

Friday, November 4, 2011

Referrals are in!

I got my referrals! I requested a referral to a rheumatologist and I was matched up with the busiest rheumy around. My appt date is Feb 2! That's 3 1/2 months away from when the appt was scheduled. How nice. I'm used to the pain, though I'd like to have it somewhat controlled and waiting another 3 months wasn't exactly MY plan...
I also got my infertility referral. However, there is good news and bad news. Good news: I don't have to deal with BAMC! And I got an appt for NEXT WEEK. Bad news: Tricare is not contracted with the clinic I wanted. I looked up the CDC stats for the one I was matched with and it isn't so great. For 2009, they only did 3 frozen transfers which resulted in ZERO live births. And, here's the kicker...it will cost us $4500 each transfer. That is more than double what I was expecting. I called Tricare about it and they said I could still go to the clinic I wanted ($2850 for an FET) but EVERYTHING is out of pocket. I will typically have lab work every other day for the first two weeks costing us $80-120 a pop. That also doesn't include u/s's which run $150-220 every other day plus doctors fees. I'm sure each cycle would end up being close to $4500 anyway...what would you do??? Ah the hold insurance companies have on us...
I'll let you all know what happens next week.

Tuesday, November 1, 2011

Halloween

I'm not sure where I stand on Halloween as a holiday. My sister and I got to pick out a Halloween costume pattern with my aunt every summer and then she would ship the final elaborate product to us every October. We grew up going to Halloween parties (and winning ALL the costume contests) and trick or treating. I loved it as a kid. I want Skittle to have fond memories of dressing up and getting candy but I also know that Halloween has a much deeper meaning, one that I don't agree with. I'm really torn on it. Until we decide, I've gone a little crazy with Halloween outfits (and even pajamas). Here are some pictures to prove it.