It was kind of a cluster fuck. Just to be honest. This post is going to seem jumbley because a lot happened this morning/early afternoon (I was there for a while). Bear with me.
So I woke up at 8:00 am to begin getting ready. Our appointment was at 9:45 am. Plenty of time. I get ready pretty fast, without a hitch other than the five or six women on the Today Show revealing to their moms on national television that they’re pregnant. That made me want to crawl under the bed and never come out. Seriously? Fuck you Today Show. I didn’t need that, this morning of all mornings.
But anyway, we get there around 9:20 am and the receptionist is frosty at best. She clearly doesn’t like her job. This instantly makes me feel less than fuzzy about this clinic. But I kept telling myself that doctors and nurses are what matters, and it’s the truth. She runs through all my information, seems confused about my insurance coverage (since we’re a military family that DOESN’T have tricare. In her defense, it confuses me too) and finally sends my chart back to the nurse. It’s probably 9:50-9:55 by this point.
A little after 10:00 am the technician comes and gets us. She takes my height and weight and blood pressure, and then sits us down in the “learning room” to go over my basic stuff. Confirming all the stuff I sent them just a few weeks (“Oh no-sorry about that, I HAVE taken up chain smoking and binge drinking since I sent in those questionnaires). She was nice, but serious. This is fine with me, this is serious. Then she says the nurse will be in to see me, and then the doctor.
And this is where I get pissed. off. We probably waited an hour to see the nurse. I was MAD by the time she walked in. Like ready to walk out of there and get someone and make sure they remembered we were there mad. I was short, but polite. I answered all her questions. She went over past treatments and surgeries, and then told me that my OBGYN had NOT sent over my files. Goddamnit. I was pissed. Lucky for her, my anger at his office sort of took over my anger at her, but I did ask her “Are these waiting times typical or are you having a bad day today? Because I can’t take this much time from work everytime I come for an appointment”. I was polite, but I felt okay letting them know that I don’t appreciate being made to sit in a room interminably. Especially when I’M paying THEM. She said that they were rolling out their new EMR system and the day had been hectic at best. She did say to always plan around two hours per visit, but that it would be better than today.
So maybe fifteen minutes later the doctor comes in. She’s very short (height wise) and very no nonsense. I’m okay with that. I do miss the friendly congeniality of my male OBGYN, but friendly congeniality isn’t getting me pregnant. We talked about what I’ve done in the past. She was bothered about not having my medical records to look at (as was I) but was able to get a basic idea of what I’ve been through and what we expect. She did look at Chief’s SA results and said that she didn’t like how low the rapid motility number was (24.6%). She wanted it around 40%, so that bothered me. She even said she considers this to be mild male factor. But she said the 8% morphology number was totally fine. She recommended some supplements he could take to help with motility, but between that problem and my lack of cervical mucus, she agrees that we are excellent candidates for IUI. Here’s where I got excited, she said: “Do you guys want to try and do a cycle this month?” and I was like “Heck yeah!”.
Here’s where I got sad.
She looked at our insurance coverage and said “Oh, I see you have diagnostics covered-that’s good. But I think we should wait on the IUI until I get all your tests back. Otherwise your insurance might consider you to be diagnosed since we’re doing treatment, and refuse to pay for your labs.” And she ordered a lot of labs, including a Cystic Fibrosis screen, so I definitely want my insurance to pay. I’m glad that she’s conscientious of these things, but I was bummed. I thought “Oh well, next month isn’t too far.” She did say that since I’m responding well to letrozole (although she wanted to verify this with my OBGYN reports) she would leave me on that protocol for a few cycles before we moved onto injectables. Score one in the financial column. So all of that seemed good.
They couldn’t schedule my baseline ultrasound until JUNE FUCKING 19TH. It was the mean receptionist doing it and when I asked her if we could do something different she said “It’s at the main hospital and all the clinics and departments use it, so no, that’s the earliest. Everyone has to wait.” Then I said “But that’s going to be in a whole different cycle from all my other labs, can’t I do my ultrasound here?” And she just said “We do some ultrasounds here, but no you have to go to the main hospital.” She wouldn’t budge or even ask for me. So I took the freaking appointment, scheduled my lab follow up for JUNE FUCKING 23RD and left to get my labs done.
By this point it is 12:50 pm.
So I go downstairs to do labs (CD 3’s, Cystic Fibrosis, Prolactin-five giant test tubes, not the little ones) and they’re having trouble with the new EMR system too. Nevertheless, the phlebotomists get me back pretty quickly and they are so nice. I warned them about my difficult to stick veins and I think I psyched them out. Y’all, it took FOUR STICKS in four different locations to get my blood. Left elbow pit, left wrist (hurt like a bitch), left top of hand and then FINALLY right elbow crease did the job. The guy who did the first three finally gave in and let one of the others try. The lady who finally got it was rough, but she got it on the first try, so I appreciate that. Then, at 1:20, we finally left the building.
I was never so happy to see the sun, guys. I missed it. I thought I was going to die in that place.
And then, when we got in the car I called the nurse’s direct line (she gave me her number for “questions or concerns” because we’re besties now.) And I basically told her that I know I’m impatient, but we’ve been through the ringer, so could they PLEASE do something different about this baseline ultrasound business? I mean, at that rate we won’t do our first IUI until July. I know two months is nothing in the grand scheme of this journey, but I’m so tired of waiting. And waiting. AND WAITING. I’m hoping she’ll call me back with good news. If she doesn’t it’s not the end of the world, but it sort of feels like it.
Oh, and I go back on May 22 for CD 21 progesterone.
Here’s how I’m feeling:
Receptionist/General System-Not loving it. Hoping it’s better as they get used to the new system.
Technician-Pretty great. Nothing like, super impressive, but she got her job done, was friendly, and didn’t keep me waiting
Nurse: Jury is out a little. She was REALLY nice, but she was slow. She seemed knowledgeable, and I probably can’t blame her for the clinic being too busy today. In general I think I like her. I’ll like her more of she works something out for my ultrasound.
Doctor: Seems to know what she’s talking about and seemed cautiously positive about our outlook. She even said “You’re young enough, we should be able to get you pregnant.” Whatever that means. I wish she was a little warmer, but if she gets me pregnant she can be the White Witch from Narnia for all I care. I didn’t really walk away with any information I didn’t have already, but we got the first step done and I’m hoping for more once all my labs come back. And I’m hoping I don’t have to wait for June 23rd to know the final game plan.
I’m sure I’ve forgotten something. But that’s what I’ve got for now.