Thursday, March 31, 2005

Baby factory

I met with the RE from the IVF clinic today, henceforth to be known as the Conveyor Doctor, or just Conveyor for short. I was NOT impressed. I felt as if she was on autopilot. After we went over M's latest SA and the meeting with the urologist from yesterday (quote from the urologist: "The only way I'd do the surgery is if you put a gun to my head"), and told her that we'd like to go ahead with the insemination at this point, she was talking about giving me injections of FSH.

Now when I met with Dr. Pulsatile last week, she had said that I would need FSH *and* LH, given that I'm not really making either of them. So I gingerly queried Conveyor on that and she corrected herself, saying that she would do Repronex.

She did an ultrasound to check things out, then while she was still in the room, before even giving M and me a chance to discuss things, she wanted to know how we wanted to proceed (options - BC followed by injections, or just starting right in on injections). This was after she tried to convince me that I should take Provera to induce bleeding, which I have tried 2x with no effect. When I reminded her of that, she then suggested the BC.

Anyway, we're not 100% sure about our insurance, so I said I supposed the BC first, although that's not really what I wanted to do, it was just what I felt she was pushing me towards, and without a chance to talk about it with M and collect my thoughts, I just went with that.

After that she basically just foisted us off on the nurse. Who tried once again to give me info on Follistim, not the Repronex, so I had to make yet another correction. She really didn't seem interested in talking with me about the timing of all this (which is important given M's travel schedule for work), so I wasn't impressed by that either.

The last straw was that she pushed a piece of paper in front of me for me to sign. Appeared to be waiting anxiously for me to sign it... well I really don't like to sign things without reading them, so I took a quick scan through it. One thing that caught my eye was that it said "20% chance of multiples"!! I don't like that idea at all. Another thing was that it said that I was agreeing that I'd taken a gonadotropin class (no, I hadn't even been offered such a thing), that I'd received training on how to give the shots (no, again)... I crossed out the class thing and then signed it. But I was feeling really uncomfortable with it.

I felt as if they were just interested in getting me in and out as fast as possible, as if I was on a conveyor belt. "Take this injection, sign this form, bada bing bada boom", and that it was leading to all kinds of mistakes. Not a problem with most people, who ARE doing the same things, but with my issues, I need things to work a little differently, and they really didn't seem sensitive to that at all.

I didn't feel like that at all when I met with Dr. Pulsatile - in fact after my ultrasound on Friday she sat down with me and wrote out a list of all my options, with the pros and cons of each (pro of pulsatile GnrH - low chance of multiples). So, given my experience with Conveyor, I'm going to look a lot more seriously into participating in the clinical trial. I called today to find out more info, they're going over my medical records to see if I'm a good candidate or not. Even if not, I might stick with Dr. Pulse ('cause she appears to have one)anyway, I felt as if she had a much better grasp of what MY problems are, rather than just pushing me through the baby factory.


Lisa said...

I am so glad that things are moving along! The one major down side to RE's is that you feel like part of a cattle herd (I did anyway). You really have to keep on top of everything they do and say because they see so many women during the course of a day. Good luck with whichever method you choose, and hopefully within the next couple of months yours will become a pregnancy blog!

Molly said...

Conveyer sounds like an ass. Listen to your gut, Nico -- it's almost always right.