Thursday, December 16, 2010

thank you and an update

Thanks so much for your sympathy (and profanity) about the postponed FET. It was just exactly what I needed. Here’s the rest of the story:

I called the clinic on Monday to sort out this early ultrasound business. It turns out the nurse was wrong about me needing a CD2/3 scan, but she was right about the bottom line - there was no way to cycle off my next AF. It has to do with the fact that the embryology lab is closed for the holidays from 12/17 through 1/14 (how do I get a job there?!) and the fact that no patients can be “on the calendar” while the lab is closed. The nurse originally told me I couldn’t even be on estrogen while the lab was closed, but that changed after my meltdown, so I’m still a little confused on what the actual policy is. The non-negotiable part is that the absolute earliest they can thaw embryos for a transfer is 1/21, if my period happened to fall on a day to allow that, which of course it was not set to do.

I had already done some quick EDD calculating and figured out that if I needed to skip a cycle, I’d be due too late to use my flex spending dollars for the ridiculous insurance deductible I’ll have to meet at the time of delivery. When we funded my FSA this year, we put in the full $5000 figuring we’d spend more than that on either 1 FET + 1 delivery deductible OR 2 FETs, and back when we were making this decision, it seemed impossible that either of those possibilities wouldn’t fit neatly into the benefit year. I explained this whole thing to the nurse (tearfully, at times) and she felt bad enough for me that she agreed to talk to the doctor and get back to me with some ideas.

While I was waiting to hear back from her, I did some further research of my own and learned a couple of things: First, my period came early last time but I hadn’t updated the CD1s I’d penciled in for the next few months. That alone bought me a few extra days, let alone any more that would come if my period happened to be early again. I also discovered that the FSA grace period is 75 days rather than the 60 I’d been using in my calculations. The end result was that leaving everything as it was and skipping a cycle would lead to an EDD of 10/28/11 and an FSA grace period run-out of 11/14/11. As long as NOTHING ELSE went wrong, we should be okay.

Armed with this new information, I was considerably calmer when the nurse called back. And then it got even better. She talked with the doctor and they’d come up with the plan of putting me on BC pills starting on my next CD1 to throw my cycle on ice, so to speak. Then, they could take me off BC to induce a period at the right time for a transfer on 1/21 – the earliest possible date after their closure. If AF takes her sweet time coming or my lining isn’t up to snuff, I could get pushed back to 1/28, but hopefully no further than that. I explained what I’d learned and asked if there were any physical or other drawbacks to going the BC route and she insisted there is not and they do it all the time to get people’s cycles lined up correctly.

The final square in this comic strip of my day shows AF arriving a mere two hours after our call. I wasn’t expecting her for at least 4 more days, but there she was, and I have to admit I was thrilled to have someone to blame my rollercoaster emotions on. Fortunately, the nurse had already called in the BC and I was able to start them right way.

So, that’s the new plan. I’m popping BC pills like a high school student and watching the days pass by, again. Looks like we’ll have news of some kind by mid-February. Please, please let it be of the BFN/P variety.

God forbid it ever just be simple.

Tucking myself back underground now.

In other news, we got our ornament from the swap and it’s adorable! E hung it on the tree himself and checks on it nightly. I’ll snap some pics tonight so I can share them with you all. I also finished mine and it will be going out in tomorrow’s mail. Late, I know. We haven’t sent out our holiday cards either, so you’re in good company, oh undisclosed ornament recipient. It’s been a challenging couple of weeks. Sorry.


anofferingoflove said...

i must confess...i was reading this post on the edge of my seat and i actually cheered out loud when i got to the part about the nurse calling you back with news of being able to get you on track for the earliest possible thaw! hurray!!!

my FET with bird was very similar, drama with AF starting on time, bcps for several long weeks, the clinic closing for two weeks, etc...and look at the awesome result :) hoping yours has a similar happy outcome! fx!!

(ps. thanks for keeping us updated!!)

Anonymous said...

I'm so glad you were able to get your cycle sorted out. So stressful! I am pre-sending good thoughts your way for your FET and soon-to-be pregnancy :-)

AdventuresInBabyMaking said...

All great news - and thank goodness for not losing all those FSA dollars!

I'm glad E likes the ornament!


Meegs said...

Oh thank goodness that things got sorted out a bit! Its so nice when you get a nurse/doc who are willing to work with you to find a solution. Good luck!!

Emily said...

how crazy frustrating. the BC sounds like a good plan though. I hope Jan lines up nicely for you!!

Strawberry said...

Glad to hear that things are progressing nicely for you despite the hiccup. Very exciting stuff!