Showing posts with label referral. Show all posts
Showing posts with label referral. Show all posts

Sunday, August 17, 2014

12 down, 28 to go!

This week I hit 12 weeks into the pregnancy. The chance of miscarriage drops greatly after this week, which is a huge relief. Baby's heartbeat is going strong and I even got a peek at baby at my OB appointment during week 11! 

Nausea is still hanging around but it's not too terrible. It's mostly just random spouts of dry heaving. It's not fun but much more tolerable than actually getting sick.

During my OB visit, my OB and I discussed a few things. One of those things is my Medullary Sponge Kidney and how it might affect this pregnancy. Of course, this is something I've had all my life but we recently found out about in the past two years. Since she wasn't sure if it would or wouldn't affect me, she put me in for a consult with Antepartum Diagnosis Center to be sure. Next, we discussed if she felt comfortable with my decision to VBA2C. While I do plan on having a home birth, I need to go into this journey knowing I have back ups if something falls through. If I become to nervous or anxious to birth at home, I want to know that I'm not signing consent to surgery just because I walk into the hospital. She seemed uncomfortable and that's mostly because she's NOT an OB/GYN. She's a family physician that delivers babies. She said she would discuss this with some high risk OBs and see if she can get someone to back her up so that I can TOLAC (Trial of labor after cesarean) and if anything goes wrong, there are surgeons and other emergent medical staff there to assist where my physician can not. I completely understand that. It makes absolute sense to me.

I saw the Antepartum OB this passed Friday and I had a WONDERFUL conversation with him. While walking to his office, he told me he is resident high risk OB. I immediately decided I would bring my plans to VBA2C. Of course we first discussed how my diagnosis could affect my pregnancy, he doesn't believe it will. He suggests that we go forward with this pregnancy just like any other normal healthy pregnancy and if something comes up at my 20 week anatomy scan then we will go from there. Then I told him about my plans to VBAC and asked what I should do since my physician seemed a little nervous about the idea. We discussed my previous births and why I had cesareans. When that was covered, he said I sound like an excellent candidate for TOLAC and that my physician will be completely backed up by OB since they're the ones on call. He even said he'd write her a note stating such. He really made me feel like I could do this! Which I was sooo happy to hear. He was such a great doctor who didn't try to scare me. He did go over the risks of a VBAC but he ALSO went over the risks of a third cesarean! He said as long as I know the risks of my choice, he and the OB clinic would support my decision. Such a wonderful and relieving visit.

To some this might sound silly that I'm so excited about this visit to see my doctors but having someone supportive means the WORLD. There was such a weight on my shoulders that I was worrying myself over how things would go if I didn't have a supportive hospital to back me up if I chickened out of the home birth. I like safety nets.

Now to move forward with my plans and prepare as much as possible before this little monkey arrives! 

Until next time! 

Friday, August 9, 2013

Fertility Specialist Appointment Update

Well, it took a little longer than we had expected to get the referral through so we had to reschedule our first appointment with the Reproductive Endocrinologist (RE). So a few days after cancelling the appointment, we get our referral approval in the mail and we were able to schedule our appointment for August 8th.

Yesterday morning we dropped Jayson off to school and headed to Tucson where the RE's office is. We get there about 30 minutes early, fill out our paperwork and get called back. We sit in a little consult room for about 15-20 minutes before the doctor comes in. He was very nice, listened to us talk and went over our history and concerns with us. Then he went over his plan of action. Since the first day of my last cycle was July 9th, he decided I should do a pregnancy test there in the office to see if I was pregnant before we proceed forward. He also ordered another SA on Jay.

The doctor's plan of action is that if we don't get pregnant on our own in a few months, we will try an IUI with clomid. I don't think he actually gave a time line for when we'll do it. I think 6 months but again, I don't remember him saying a specific time line. In the discussion he mentioned 3-4 months and 6 months but I can't remember if either of these were our time line. He said his biggest concern is to make sure we get pregnant before DH has the chance to scar over or before his counts start to decrease. The doctor wants to continuously monitor Jay to make sure everything is going well but if we see a few SAs that show his numbers declining, the doctor will fast track us to the IUI.

The SA yesterday was much better than last months so I'm happy about that! The SAs were about 3 weeks apart.
             Last Month                               This Month                      Changes
Count    5.2 mil/mL                                 19 mil/mL                        +13.8mil/ml
Motility  20%                                          31.6%                             +11.6%
Morph   90% abnormal                           50% abnormal heads       -40% abnormalities
pH         8.5                                            8.0                                  -0.5
WBC     Not tested                                 0

I'm very pleased to see the improvements across the board. This is very promising and if the improvements keep getting better I have a feeling we'll be pregnant in 2 or 3 more cycles. Unfortunately we only have 2, maybe 3 more cycles before Jay leaves for WOCS for a month. But we can pick right back up in December when he returns.

My blood pregnancy test came back negative but it's quite possible that the numbers just weren't good enough two weeks ago. I'm not late for my period yet. I'm not expecting it until Monday or Tuesday. Yesterday I was 11 days past ovulation. Not trying to say I'm pregnant and the blood test was wrong, but there is a slim possibility. I'm not holding my breath though. I'm just not the type of person that can ignore facts.

Since I believe the blood test is probably acurate, I had a nice big glass of wine last night. It was my first drink since the 4th of July and it was DELICIOUS! lol I think I might need to indulge a little bit more often so I don't feel so deprived of so much. I've been so good while trying to conceive that it's actually starting to stress me out which I believe is probably more harm to the cause than some of things I've cut out. So no more stressing (I'm gonna try) and more relaxing! Just gotta find the ways.

We left the doctor's office after we gave our samples but with out any guidance as to when to schedule our follow up. So Jay called yesterday and the doctor was out on an emergency, (What kind of emergency could a fertility doctor have?) and the office staff said to call back to schedule when I started my period. Alright... but why? What are we doing? I'm so confused. Not that the doctor was confusing but because I forgot to ask when we left the office and that was my bad. Ugh. So hopefully we'll get some answers today.

On to cycle #3 of trying! I'm going to take a new approach to the whole thing this time. Relaxation, no stressing out about getting pregnant. I'm sure I'll stress but hopefully about everyday things like school work and bills instead of pregnancy tests and ovulation kits! lol

Until next time!

Wednesday, July 24, 2013

New doctors and Fertility Specialists

Last week was rough. Jay had his SA, the numbers weren't great and his doctor didn't have any insight for us at all. There was a referral put in, referral denied by the case manager, Jay fought with her and finally got everything ironed out. Well, today we received the referral in the mail. It's been APPROVED!

Since the referral is for an office in Tucson, we're going to try to get an appointment for after August 7th so that way Jayson will be in school and we'll only have to worry about Eli being in child care. We'll probably put him in hourly care while we make the trip up for the appointment. Hopefully we will have some answers after seeing Dr. Gelety at The Arizona Center for Reproductive Endocrinology and Infertility. 

Today is Jay's 30th birthday but we celebrated this past weekend. We really had fun with our friends and it was nice to hang out and not think about getting pregnant for an afternoon. But of course after everyone left we were back to obsessing about it all.

I should be ovulating soon which means after that, we'll just be waiting around to find out if we "caught the egg"! This month seems to be dragging on far slower than last month but at the same time, it seems more relaxed to me. I don't know if Jay feels the same way but we're just enjoying ourselves and hoping it works out for the best.

This month, we've been discussing the possibility of twins a lot more. Yesterday I was even wracking my brain to think of 2nd names if there were twins. I don't know why it's on my mind as of lately but it really is stuck there for the time being. I think it'd be fun and exciting. Something new and challenging for me to conquer. I don't think it'll be easy but I do think it's something out of the ordinary and I like the idea of that. I'm always looking for new challenges though this isn't one I get to decide on. 

In the end, I just hope for a happy, healthy pregnancy and baby or babies. Everything else in between and after will sort itself out in due time. 

Now please excuse me while I check for the 2nd time today for an ovulation LH surge...

Friday, March 29, 2013

Hurry up and wait!

Yesterday, Jay got an email from his patient advocacy manager to let him know that the denied vasectomy reversal referral to Fort Lewis was overturned. The excuse they gave was that the cost of travel, lodging and food would have to come out of pocket. Uh... I was under the impression that we would have to pay for travel, lodging and food no matter where he went. Thankfully the patient advocacy already knew we were willing to pay to go where ever was best and explained this to the Col. who denied it in the first place. 

So, they put in a referral yesterday for Fort Lewis. Hopefully in the next 6 months or so we will receive a call to schedule Jay's pre-op and surgery. Jay called Fort Lewis Urology Department today but they still haven't received the referral. He'll probably call again on Monday to check again and from there we'll play the waiting game. It's going to be a long and stressful time, I'm sure. But we'll try to not stress about it. We have so much other stuff going on that I'm worried that his time with come when he's not able to go and we'll have to wait longer. 

Fortunately and unfortunately, he leaves for training in October. I say fortunately because this means he'll be working towards becoming a Warrant Officer but unfortunately because we have no idea when the phone call will come. He'll return from training early December but start another class here in AZ in January. Which means he won't be able to leave from January to March but again, we have no idea when this phone call will come and if this training schedule will interfere. All we can do is wait on the list and pray that it works out. 

I want to start collecting baby stuff but I know it's still premature to do so. Plus we have no idea what we'll have. Though most people that know us believe we'll have another boy. lol Once we know when the surgery will be and where our next duty station will be, I can start planning out the birth. I'll have to do lots of research on the location, available service and costs. I'm going to fight for a natural birth as hard as I can. I just hope it won't be in vain. 

You're welcome to leave any comments of support and love below!

<3 Traci