Saturday, September 8, 2012

Second Time Around -- 100th post!

CD12 blood work and ultrasound revealed two "beautiful follicles"  one at 16mm and one at 20mm.

Last cycle, I tried to get them to time the IUI a little later, but my doc really likes to do 12 hours if you're only doing 1 IUI.  So, I was chatting with the nurse today about this and how everything I've read says that best practices are typically based on using fresh specimens.  We chatted about how 36 hours seems like a more common window for frozen and that many think that frozen just doesn't live beyond 12 to 18 hours.  So, I asked if there was any specific reason why the trigger shot had to be taken at night.  I was like, "couldn't I just take the trigger shot earlier in the day so that it'd be closer to 24 hours when I come in?"  She said there was no reason why the trigger had to be taken at night, but basically it was just timed on when they are available to do the IUI's and which protocol is being followed.  For some reason, they don't do 24 hours?  I don't really understand why not. I think mostly it is because by the time they call you with your plan for the cycle, it'd be too late and you'd be past ovulation by the time they were back in the office.

So, I took in all of this information, consulted with my message board friends, and then I went rogue.  I didn't wait for the call for my plan.  I sent H to the fridge to get the shot and she stabbed me.  25 minutes later, the doctors office calls....

They say, "we want you to trigger tomorrow night and come in 36 hours later on Tuesday."   Commence internal freak out!  FUCK!!!   At this point, the blood in my arms went cold and I couldn't feel them anymore.  I calmly ask why the protocol is changing because previously when I've questioned the timing, I was told that this was the best option. The nurse puts me on hold and checks my plan from my doctor which clearly is different from the on-call doc doing the plans for the day.

When she comes back on the phone, she says, you're right. Your plan does indicate 12 hours post trigger.  So, let's have you trigger tomorrow nigth and come in for the IUI on Monday morning.  We can have the doctor on-call change your plan if you feel more comfortable with that.

I'm trying to think fast and do the math, that STILL won't work because that will be like 48 hours post trigger.  What am I going to do!?

So, I do the only thing possible... I have to own it.  I have to fess up.

"Well, I'm kind of freaking out right now to be honest.  I have to admit that I already took the trigger because I wasn't comfortable with the timing.  And when I tried to discuss it last month, no one really took it seriously.  So, I wanted to be closer to the 24 or 36 hours, so since my follicles were similar in size as last cycle, I decided to just trigger now."

"Oh, honey, we really need you to wait for the doctor's order next time around. I understand why you did it, but it's really important that you wait for the okay.  Hold on a minute and I'll talk to the doctor about getting you in for your best possible chances."

An eternity goes by (less than a minute) and she comes back on the line to let me know that she's going to call me back in a few minutes.

Sure enough, the phone rings, "Okay, this is the nurse A again from your RE's office.  Now, I just have to reiterate again the importance of waiting for the okay in the future.  Having said that, we'd like to get you in here tomorrow morning at 10:30 am for your IUI.  So, we'll see you tomorrow.  Good luck, honey."

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