Saturday, June 6, 2015

IVF Cycle 5 - Lost Blood Work & Ultrasounds

Monday, May 11, 2015
This has been kind of a wild few days.
 
Friday, I went to Dr. Nilson’s office for a blood draw.  Simple enough, right?!  Nope.  Substitute phlebotomist = no good news.  First of all, I had to tell her what I was there for.  Then, she didn’t know which vial to use.  Next, she told me that they couldn’t have my results back that day.  Hormotional Laura almost came out at that point, but I kept my cool.  I calmly explained to her that Dr. Nilson has retrieved these results the same day in the past.  She said she would call the coordinator, Cora, and get it worked out.  I didn’t trust the situation, so I had the receptionist check with Cora before I left.
 
And then, the results were never returned…until today.  You know what happened today?  I had a new estradiol blood draw that negated the results from Friday.  Dr. Ahlering basically had to guess on what my protocol should have been over the weekend.  Not cool at all.  Hormotional Laura cried in Dr. Nilson’s office today as she explained to Cora and Nilson how things should not have been like this.  For the record, I’m not sure either of them really cared.  Dr. Nilson tried to explain to me that those results weren’t that important.  I didn’t fall for that malarkey.
 
I had my blood drawn this morning at St. Francis Hospital in order to make sure I didn’t have to wait for anything.
 
Dr. Nilson did my ultrasound this morning, and it was just okay results.  It seems I have 9 follicles on the left ovary that are growing very well.  I have only 3 on the right ovary that are not growing very well.  Based on these results, I will not be leaving for St. Louis on Wednesday morning.  Instead, I will return to Dr. Nilson’s office for another ultrasound on Wednesday.  Todd will be home on Thursday, so I get to drive with him to St. Louis that day.  The flight and car rental that we booked ahead of time are going to not be needed.
 
That’s about all there is for an update on the cycle.

Friday, June 5, 2015

IVF Cycle 5 - Flights, Sedation, Shots, & Girl Party

Thursday, April 30, 2015
We booked my flight to St. Louis last night, so decision made there.  Just as I was about to book, I realized that the “Wanna Get Away” fare on Southwest was less miles than Todd had in his account.  Score one for a free ticket…not!  They were going to charge us $60 to transfer those miles from his account to mine.  That would only save us $50 on the ticket, so we passed in order to utilize those miles for free in the future.

Then, this morning, we found out that the urologist isn’t going to fully sedate Todd.  If I could insert an emoticon of a ticked off face right here, I would.  This is something we had discussed with Dr. Ahlering months ago.  He had said it would be no problem.  How do I take this news?!  I immediately start to think that it’s another sign that we should postpone the cycle.  Level-Headed Toddly brought me back to Earth and made me realize that at this point in the ballgame, I’m always going to wonder if we’re making the right decisions.  We’re in deep in this IVF stuff.  Planning round 5 is much harder for us than planning round 1 when we were hopeful and bright-eyed newbies.

Anyway, this made me think how I wish I could give my personal opinion on the three doctors we have used in this process.  Then, I realized that I could do just that on the blog.  Why not?!  It’s my blog, and you’re all my captive prisoners!  Mwah ha ha ha ha!!  <evil laugh>

Stay tuned for that blog entry after this cycle is complete.
 

Thursday, May 7, 2015
Shots have begun!  Actually, I’ve had 3 of them.  I’m doing Gonal-F this round instead of Follistim.  That’s like saying I’m eating bread instead of a roll.  Same difference.  However, the pen is a little different.  It dials a little differently, and the vials are already inside of the pen.  They really aren’t that big of a difference, though.  (This only means something to you if you have or ever will use Follistim or Gonal-F.)

Tomorrow, I have my first blood draw to check my estrogen levels since I started the shots.  Hopefully, everything is progressing nicely. 

Monday, we have our first ultrasound since these little follies started growing, and I’m pretty excited about that.  It will be after that appointment that I will know when we need to be in St. Louis.  I’m very excited about that!

As far as my anxiety goes, I’ve had a few instances that are out of my control that are causing it to rise.  Todd and I are working together to find ways to creatively eliminate those outside forces.  Hopefully, I’ll be back to cool, calm, and relaxed in no time.  He gets home from a business trip tonight, so I can’t wait to see him.

I spent Monday and Tuesday night at my mom’s house because Todd and my dad are out of town.  We had a grand old girly time.  We ate dinner.  We went for a walk to Sonic to get our dinner.  Yes, that’s a thing.  We watched TV.  She scratched my back.  I even took two shots at her house.  And she deserves props for doing a great job of keeping me chill and not bugging me with too many questions.  Thanks, Mom.  You’re the bestest.

That’s about all there is for an update on the cycle.  Mother’s Day is Sunday, and this year, I’m going to focus on it being about my mom, Mimi, and Todd’s mom.

Happy Little Friday!  (Sorry, Princess Burlap.  Can I steal that one from you?)

Thursday, June 4, 2015

IVF Cycle 5 - Secrets, Ultrasounds, and Travel Plans

Thursday, April 16, 2015
We are on a countdown to IVF!  Our baseline ultrasound is Tuesday, April 28.

Today, I received approval for the time off of work.  I’ll either have to make-up some of the days or take them unpaid.  I’m really hoping my boss sticks to the plan of letting me make-up the hours.

Last night, we told Mom and Dad about our plan.  Sorry for those that are just finding out that they have known all along.  I knew it would be hardest to lie to Mom through all of this, especially with a multi-day stay in St. Louis.

We also made a plan for what we will tell everyone else.  I want you all to know that I am not enjoying the thought of having to hide this cycle.  At the same time, I’m enjoying it immensely.  The plan is that we are going to be as low-key and normal as possible during the May cycle.  We are going to go to appointments when necessary and then just leave them behind us.  We are going to take shots when my alarm tells us to and then just move on with what we were doing.  I don’t want to talk about it a lot.  I don’t want to analyze every number the doctor gives me.  I don’t want to worry.  I know you’ll all understand and appreciate why we kept it from you, now.

I do apologize if you feel we lied to you, but my dad said it best last night when he reminded me that this was our information to tell or to keep quiet.  I couldn’t agree more, Daddy.  Thanks for bringing me back to center.

I’m feeling really excited about this cycle.  I can’t wait to see what happens!!

 
Wednesday, April 29, 2015
IVF Cycle 5 is underway.  Let me just say that hiding this is becoming increasingly difficult.  I don’t enjoy not being able to tell family and friends about this.  However, not talking about it a lot has been a nice change.  Although the cycle is always in the back of my head, I feel like I’m able to distract myself from it quite a bit because I’m not talking about it as much as I have in the past.

We had our baseline ultrasound yesterday.  Everything went fine.  Dr. Nilson counted 16 follicles.  I’m not getting my hopes up or getting disappointed at all.  I have been through this enough to know that 16 follicles today could be 12 or 20 at the next appointment.  You just never know.  Plus, I also know that not all follicles contain eggs and not all eggs will be mature enough for fertilization.  If I stress that 16 follicles could only yield 5 or 6 fertilized embryos, I’ll be a complete mess.  Instead, I choose to realize that 16 follicles could end up being more fertilized embryos than that if he couldn’t see some hiding follicles, they all have eggs, and they all fertilize.  Miracles do happen, people.

Dr. Nilson asked me, again, if this was my first cycle.  I told him this was my fifth, and he said, “Well, shut up Dr. Nilson.”  Basically, he realized that everything he was telling me was old news.

We have spent the last several days trying to make arrangements for our trip to St. Louis around May 13.  Todd will have to be in Austin until the morning of May 14, so I’m going to have to trek to St. Louis on my own until he can join me.  We are trying to decide if:
·         I should drive myself and he fly there to meet me.  This is the most cost effective option because his company will pay for him to fly directly from Austin to St. Louis since he’ll be flying anyway.  However, I’m a terrible long-distance driver.  I fall asleep on the way home from work, so this option is our least favorite.
·         I should fly up there and he drive there to meet me.  This option isn’t really fair to Todd because it leaves him with the driving after a flight from Austin to Tulsa.  Plus, I’ll have to rent a car for 2 days.  Plus, we have to pay for my flight.  This will cost us $222 + airline fees and 2 free car rental days that we have banked.  I don’t love this option, either, because of the unfairness to Todd and the added expense.

Who knows what we will do.  I’m not worrying about it.  I’m just ready to get a plan in place, so I don’t have to think about it anymore.  This conflict in schedules has caused me to wonder if we should postpone this cycle.  Plus, we are going to have a day trip to Searcy next weekend for graduation that’s going to be very taxing and tiring.  I have been flip-flopping on switching to a later month, and it’s been difficult on us both.  I’ve cried a lot of tears out of frustration.  (There are a few other details causing me to wonder.)  I second-guessed this process on cycle 3, too.  It’s frustrating when you question every decision you make.  We have started the cycle, now, so we aren’t looking back.

Shots start on Monday.  I just hope that I can keep up this momentum of staying busy and not dwelling on every little step.

Wish us luck!

Wednesday, June 3, 2015

IVF Cycle 5 - Paying Bills & Organizing Meds

Tuesday, April 7, 2015
I haven’t updated this blog log as often as I had planned.  It’s been a busy few weeks.

Since the March 20 appointment, a lot has happened.  We took the kids on a cruise for Spring Break.  When we returned, we hit the ground running.

Let me just say that keeping this IVF planning so quiet has been really difficult.  I don’t enjoy lying to people.  However, I know that this is a good plan because Todd and I have said this is how we would do cycle 5 for quite a long time.

Anyway, since the cruise, I have been emailing with Dr. Ahlering’s IVF coordinator, Shawnie, about my cycle.  She’s fast and detailed.  We work well together.  I send her a list of my questions, and she responds to every. single. one!  That’s actually a really big deal because I’m used to no communication from Bundren, pretty good communication from McKinney, and decent communication from others in Ahlering’s/Nilson’s offices.  Shawnie takes the cake, though!

Anyway, we paid our deposit for a May IVF cycle last week.  I’m excited and nervous.  It seems so close.  I will have a baseline ultrasound on April 28 and probably head to St. Louis for appointments around May 13.  We even paid for nanoselection beads, which is some sort of new technology that helps to pick the strongest sperm.  At $500 per cycle, we felt that was quite a bargain.  Plus, Ahlering’s embryologist suggested we use them, so we called in the payment without even thinking twice.

I also received pricing from 2 of the 3 pharmacies that I’m having quote my meds.  A couple of months ago, I had a very kind stranger offer to give me her leftover medications for free.  I was completely shocked.  After speaking to Shawnie, it looks like I may only need to order the trigger shot, Ovidrel, to get through this first cycle.  Last cycle, we paid just over $6,000 for my meds.  This cycle, we will start by only paying $69.50.  Don’t worry, that decimal is in the correct place.  J  There is a chance I will have to order a little more of one medication, Gonal-F, but at this point, we are good with what I have.  Todd and I were floored and felt that was God telling us that this med donation was a good thing.  (I have anxiety about my meds and how they have been taken care of.  Normally, I would be nervous about taking free meds from anyone in case they forgot to keep something refrigerated.  Not this time.  Worry is nowhere to be found with this decision.)  This donation was such an act of kindness and love.  I could never thank this stranger enough.  Joanna is quite an angel to us!

Tomorrow is my D&C.  I’m ready to have it complete, so I will know for sure that we can move forward with a May cycle.  For the record, in May, we plan to go through with stimulating me, retrieving eggs from me and sperm from Todd (surgically for both), fertilizing the eggs with the sperm, allowing them to grow for 5-6 days, and freezing them for later use.  That is what Dr. Ahlering feels will be our best option.  I feel like he’s told us why he likes this plan, but I can’t seem to remember what it was.  Anyway, we will do the same steps in August.  Then, we will transfer some of the frozen embryos back into my uterus in September or October.

I believe that captures everything that has happened over the last week.  I’m excited for tomorrow.  I wish this workday would end!  J

Tuesday, June 2, 2015

IVF Cycle 5 - Working Out the Details

As I mentioned yesterday, all of these blog entries are back-dated.  I wrote them as we were going through the cycle.  The date that I wrote them is shown below.

 
Friday, March 20, 2015
It’s been a really good 24 hours! 

Yesterday, Todd and I had a phone consultation with Dr. Ahlering.  We were nervous when he didn’t call within 30 minutes of our appointment time.  However, he made up for it.  We ran through our questions, and Todd and I were feeling much better about the path we were about to take with him.  We set a tentative plan to do our first cycle in May, our second cycle in August, and our frozen embryo transfer in September or October.  We should be good and cookin’ before Christmas this year!

Our next appointment was with Megan this morning.  She’s Dr. Nilson’s physician’s assistant.  She did a “Wandy” ultrasound this morning to check the debris in my uterus.  It was still there.  She said she would visit with Dr. Nilson when he returned to the office on Monday but would be suggesting we move forward with the hysteroscopy after we return from vacation.

I had mentioned to Dr. Ahlering that I had calculated this cycle would cost at least $36,000 with the financial emails I had received from his staff.  He wanted to see how I was calculating that.  This afternoon, I sent a price breakdown to Marybeth, Dr. Ahlering’s financial person.  Within a few hours, I had a revised pricing plan that was $26,000 with medication.  What?!  That’s unheard of and so exciting!  The only piece I needed to finalize was what Dr. Nilson would charge to monitor me in Tulsa. 

Everything is starting to get a little more real.  I’m excited.  I’m just happy we have a plan.  We are leaving for vacation tomorrow, and I feel like I really have a grasp of the steps we will be taking when we return.  I cannot wait!  I’m kind of shocked that I feel so hopeful, again.  All smiles here.  Happy Spring!

Monday, June 1, 2015

IVF Cycle Numero Cinco

It sounds less sadistic to put "number 5" in Spanish.  Can you believe we have actually attempted IVF FIVE times?!

Well, I have a secret.  Back in March, I blogged about how I was seeing Dr. Nilson with the idea of possibly going down the path of IVF with Dr. Ahlering in St. Louis.  I was also secretly blogging about other appointments.  I needed to do them more silently than I have in the past.  My goal was to focus on something besides the cycle.  Now, I am ready to post those entries.  I apologize for the ones that are long.

 
Friday, March 13, 2015
This morning was unfamiliar territory for me.  Telling so many people about all of our IVF cycles has become natural but rather difficult.  We love being open and honest about our stories.  However, when the failure after the cycle comes, it is so hard to continue to repeat over and over that it didn’t work.  Last cycle, we tried a new game plan and decided to try “The Ignorance Plan.”  It worked great for us.  I was the most relaxed I have ever been in an IVF cycle.  Anyway, we decided that we would do cycle 5 in silence.  Therefore, we kicked off “The Silence Plan” today, Friday the 13th.  I was technically born on a Friday the 13th, so maybe that will be a new lucky number.

It was unfamiliar territory because I was going to a new doctor, and I was keeping it a secret from so many people that I loved.

Todd was out of town today.  I just set the appointment with Dr. Nilson (the monitoring physician for Dr. Ahlering in St. Louis) this week, so he couldn’t change his schedule to be here.  When I set the appointment, they said they would do a follicular ultrasound and a fluid ultrasound.  I told Todd not to worry about flying home for that because I can do ultrasounds on myself if they want.  J  It wasn’t until last night that I realized what the fluid ultrasound was.  Ugh!  I’ve done three of these, now.  Last time I did one was with Dr. McKinney, obviously.  That was the appointment where there was a spider in the vent above my head.  By the time she came in, I was hysterically crying from the fear of the spider dropping through the grates onto me and the fear of a third IVF cycle.  It was pretty fantastic.

Well, today wasn’t much different.  I stepped into Dr. Nilson’s office and headed for the check-in desk.  The lady behind it reminded me a lot of Whitney from the current season of “The Bachelor.”  Don’t judge me.  I already judge myself.  Seeing her actually put me at ease a little because TV Whitney is an infertility nurse.  What?!  Could this be???  It wasn’t, but she was as sweet as TV Whitney.  She started gathering my paperwork and told me that they had to take a picture.  As she looked back up at me, she said, “Oh, honey.  We’ll get your picture next time.”  I was characteristically in tears.  Thank goodness I had my special handkerchief.  I apologized a gazillion times for losing my mind at her check-in counter, and she informed me that she had to go through IVF, too.  It’s strange that you can be comforted by knowing that a stranger had prior pain.  She informed me she would absolutely be praying for me, and I went to complete my paperwork.

Unfortunately, Dr. Nilson is an OBGYN.  He’s the doctor that does all of the ultrasounds leading up to retrieval and transfer in St. Louis with Dr. Ahlering.  The reason I say ‘unfortunately’ is because OBGYN offices are scattered with babies and baby bumps.  Fabulous.  I buried my head into Facebook until my name was called.  After all, what better way to distract yourself from real-life babies than to scan baby announcements on Facebaby…er, Facebook?!  Nice idea, Laura.

The nurse called my name, and I felt a rush of freedom flow through me.  I headed towards the door and realized that this nurse was dressed in the most stylish set of scrubs I have ever seen.  And by scrubs, I mean street clothes.  She was a doll.  Hair all curly, some funky headband that I can’t pull off, skinny jeans, cute top – you get the picture.  At that point, I realized I was stepping into a completely different dimension of infertility.

The nurses’ station had rock music playing.  There was a pile of items in the floor where it seemed that a teenager may have unloaded his/her backpack, jacket, and a few other belongings.  I later started to wonder if that might have been Dr. Nilson’s drop point.  I felt slightly out of place but also welcomed the change.

She took me into an exam room.  Again, I began to cry when the nurse asked if I needed to empty my bladder.  For some reason, I felt the need to inform every professional in the office that this was my fifth IVF cycle.  It’s as if I thought they would have more sympathy or try a little harder for me if they knew the pain I had already felt.  Luckily, she too was sympathetic, but I’m pretty sure she’s still too young to have needed IVF.

I sat and waited for Dr. Nilson to arrive in the room.  When he did, I was relieved to find out that he wasn’t nearly as abrasive or in-your-face as I had been told.  Maybe I had exaggerated the stories in my head, or maybe I was desensitized to the awkwardness of being unclothed from the waist down and only covered by a sheet.  Regardless, I quickly realized that I liked him.  He sat with me and comforted me, since of course I was crying again.  If you’re keeping track, this was the third set of tears for the day.  Don’t worry, it won’t be the last.  He explained to me that he and his wife did 6 IVF cycles, so I’ve “almost caught up to him.”  Ha.  He asked me what was wrong with me…literally, in those words.  It didn’t bother me, though.

He was very talkative through the entire procedure, so I really didn’t feel like this one was as painful.  Unfortunately, he found what he thinks is “debris” from my miscarriage and a cyst on my left ovary.  I start birth control pills today for the cyst.  I go back next Friday for another scan to see if the “debris” has cleared itself.  If not, we will schedule a hysteroscopy for after Spring Break.  Le sigh.

After he finished, he assured me that I was in the right place and gave me a side hug.  It was comforting.  I feel like I could potentially connect with him almost as well as I connect with Dr. McKinney.  Regardless, I felt like my first appointment with him went much better than I had anticipated.

Before I left, I stopped by to see the phlebotomist.  She drew my blood and my tears.  I told you I would cry, again.  She was almost as painless as the TFC phlebotomist, and I was pretty dehydrated…no, not from all of the crying.  I was glad that she seemed to do a good job because the Lord knows that I love the phlebotomist at TFC.  That woman is the best ever.  EVER!

I set my appointment for next Friday and left.  As I walked out the doors, I cried, again.  I’m starting over.  I’m back at ground zero.  I know where I’m headed if we follow this path, and I’m just not sure I’m ready for all of it.  At this point, Todd and I have to make a decision if we want to use Dr. Ahlering or Dr. McKinney.  Do we want to go through with another cycle with my eggs or use donor eggs?  Do we want to jump right in and start soon or wait for a few months until I can make some improvements to my health?  It’s all overwhelming.  I kind of wish I could flip a coin and let someone else decide it for me.

I have to admit that I do feel like I’m cheating on Dr. McKinney, too.  I never felt that way when we left Dr. Bundren because I was sure we were finished with him.  I don’t like cheating.  J

I feel like I can close my eyes and see this monster standing there, staring back at me.  I’ve battled this monster before, but he always wins.  Sooner or later, I deserve a victory, right?!

Tuesday, May 12, 2015

LifeChurch.tv Sisters Blog

During National Infertility Awareness Week, I decided I wanted to find a way to spread awareness about infertility in a big way, so I wrote a letter to Amy Groeschel.  This was 100% out of my comfort zone.  Amy is the wife of our senior pastor, Craig, AKA The First Lady of LifeChurch.  J  She’s awesome.  I have heard her speak, and she just has the biggest heart for God.  Anyway, I found a way to have this letter delivered to Amy, and she read it!  Even better, she loved it.  She emailed me last week and asked if she could post it on the LifeChurch.tv Sisters Blog on Mother’s Day.  I actually cried.  I know, I’m a nerd.  I was so excited, though.

The next morning, our campus pastor and his wife stopped me separately to tell me that Amy had contacted them about my letter, too.  They were really moved by it.  I told Nicole, the wife, that I was so excited that Amy listened.  She told me that Amy listens to the Holy Spirit.  That’s why she knew to move on this.  What powerful and encouraging words!

Here is what Amy said in the blog she posted:
Lovely sisters, the saying, “God’s timing is perfect” is absolutely true, yet for many, His timing seems anything but perfect. My dear sister-in-Christ, Laura Provence, is a part of an incredible LifeGroup for women who battle infertility. Today (just this morning, actually), I received a touching letter from Laura regarding this sensitive subject. And I’m extremely grateful for her allowing me to share it with you.
~ Love, Amy

And here is the blog entry in its entirety:  http://lcsisters.tv/2015/05/10/220/

I am so moved that she wanted to post my letter.  I hope to be able to find more avenues to raise awareness about infertility.  It’s such an important topic for me.

Thank you, Amy, for helping me to spread the word.  You’re such an inspiration to so many of us.