The Follow Up

Standard

Once I received my positive beta numbers I was sent into a tizzy with the next steps I needed to manage. After speaking with my clinic, the nurse advised me that I needed to get in for my next beta (that she couldn’t send me for), as well as a 7 week ultrasound (which she couldn’t book for me). My clinic has had their hand slapped by Big Brother (the Governmental overseeing body) and is no longer allowed to do any prenatal monitoring as they are specifically a fertility clinic and not an OB/GYN. So, the clinic advised me to contact my family doctor to order my next beta and arrange an ultrasound.

I don’t like my family doctor (she was very flippant and dismissive when I came to her after a year of trying to conceive), plus she only works 2 days a week and her location is no longer convenient to me as she is in a suburb of the city I currently live in (I used to live in said ‘burb, funny how I moved out of the ‘burbs and into the city to start a family). I don’t trust her to give me the care and attention I crave, since being under the watchful eye of the clinic. I’ll admit my fertility clinic is far from perfect but I know the people, the routines, what is expected of me and what I can expect from them. All of this prenatal stuff is new to me, and I’m struggling. My GP is away until Jan. 6 and her office was unwilling to help me, so I went to a walk in clinic.

A walk in clinic at Christmas time (well anytime really) is never a place I want to be spending my evening, because I know I will be trapped there for hours of unending boredom. I wasn’t wrong about that as I endured listening to the most odd couple pair of nurses manning the counter for 2 hours, before I finally got moved to an exam room, where I sat for another half hour. I feel badly for the doctors in walk in clinics. Most people are not super happy after they’ve been left to wait for several hours while generally feeling unwell so I tried to be patient.

When he finally came in, he asked what he could do for me. I explained that I was newly pregnant as a result of IVF and my clinic needed to pass me off to a doctor, but that I didn’t have one to be passed off to. I told him my clinic wanted me to have another beta done, and that I needed to be referred to an OB. There was supposed to be a fax sent to the walk in clinic with instructions from my clinic but there was some confusion and it went to the wrong clinic (that was my fault) and the clinic it went to shredded it, so I couldn’t even get it forwarded to the correct place. So I did my best to just ask for what I thought I needed. Once the doctor grasped my convoluted situation, he offered his congratulations, took my blood pressure, and checked my throat and lungs. He offered me some pearls of wisdom for pregnancy including (but not limited to); “no crazy sex, try to avoid potholes (so as not to jolt myself too hard), no heavy lifting, and don’t let myself get too physically or mentally exhausted”. Thank you for the vague, generic advice…

Afterwards he ushered me into his office to ask about my medical history, get me a bunch of requisitions and refer me to an OB. As he began filling out my medical history, he asked “why I had to do IVF, as I’m only 27” (his words). I gave him a sort of vague answer, concerns on my husband’s side of things. He asked how long we tried before IVF and I told him a little over a year naturally, then 3 IUI’s then IVF. He then asked me what an IUI was, I am not shitting you. I answered his questions, he gave me a requisition for an early pregnancy work up, my next beta, an ultrasound and a referral to an OB. Not only that, he asked me if there was an OB in particular that I wanted. Seeing as I had just spent two hours sitting in a waiting room, of course I had done some searching on rate my MD. The doctor I chose didn’t have the highest ratings, but she is at the same hospital as my clinic (which I very much wanted) and a lot of complaints with the doctor actually had to do with her staff so I think it will be fine. I appreciate that he gave me a choice.

I spoke to my clinic the day after I went to the walk in clinic and told her what transpired, and that I just asked the doctor for everything I needed and got him to refer me to an OB. She told me I did so good, not having had any of the paperwork from the clinic with me, so I’m glad that all worked out. She advised me to do my beta next week to see that it is over 1000, rather than just checking to see if it was doubling (since I only had the one requisition for another beta). She told me to book my ultrasound for the week of Jan. 11, we get home from Hawaii on Jan. 13 so I will have to miss a bit of work right after returning from holidays, but I don’t care. Though the clinic can’t monitor me anymore, the nurse is sending me a requisition for my nuchal translucency testing to complete between weeks 11 – 13 and referring it back to my OB (now that I have one). She told me I can stop progesterone at 10 weeks, but I am hoping I can see my OB before then so I can chat to the doctor about it, as I don’t want to just stop on my own.

The whole situation is still so surreal. Having a conversation with the walk in clinic doctor about my pregnancy just seemed so far-fetched. I toggle between trying not to get too excited, and my mind being blown. I feel a little like I am back in that naive spot of when I first started TTC. I’m a pro at infertility now, but I don’t know how to handle this whole pregnancy situation. J is so so excited. I sort of want him to take the enthusiasm down a notch, but really, can I blame him? I’m terrified of something bad happening, but if I try to remain stoic, is it really going to hurt any less if something does go wrong? If this had happened naturally I would have thrown myself into pregnancy books, and researching everything I could right from day one, but now I am hesitant and reserved. I will probably wait until at least having our 7 week ultrasound before I do much of anything. No sense in getting ahead of myself. I am going to enjoy this time, but take it day by day.

And on that note, Merry Christmas to all, and to all a good night.

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17 thoughts on “The Follow Up

  1. Wow, that is seriously confusing! I can’t imagine being immediately kicked out of my fertility clinic. I don’t ever want to leave them as is, but to immediately have to do next steps with someone you don’t know must be very difficult. Wishing you the best and a very Merry Christmas!!!

  2. Sweetie! I’ve been meaning to say this but CONGRATULATIONS!! Your news made me so damn happy! This is incredible, best holiday gift ever!! Yay!!! And I hope the Dr. change goes much more smoothly!

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