Monday, January 18, 2010

scalpel

(In reference to the title: Are there any doctors out there? Do surgeons really say "scalpel" like they do in TV shows right before they are about to cut someone open? Sorry, I've just always wondered this.)

It was a long appointment, but here's the gist of it:

We met with the financial counselor first. It's the same drill as the last clinic: My insurance will cover everything but the meds and the procedures themselves. Then we met with the nurse. She took my vitals (good) and both of our medical histories (also good). My favorite interaction with the nurse:

Nurse: Did Dr. Quack [old RE] ever talk to you about endometriosis?
Me: No, because Dr. Quack doesn't believe that endo causes infertility.
Nurse: [smirking] Well, that's why we have all of his patients.

Then we went in to meet with the RE. Super friendly guy. He used to teach reproductive endocrinology at HARVARD. Sold. He will be the only doctor that touches me unless he's in surgery or something major when I need follicle scans. He went over the records and thinks we have a combo of male (low count, abnormal morphology) and female factor (annovulation, endometriosis). Joey has to get another SA next week. After that, he took us into an exam room. He did an ultrasound on me and pointed out large amounts of fluid. What is that a sign of? Endo. Big shocker.

He tried to break the "you need surgery" to me part gently, but I was so excited, I wanted to jump off of the table and hug him. But then I remembered I didn't have pants on, so I refrained. They want me to call them on CD 1 and they will try to do the LAP between CD 5 and 10. If they can't get me in then, they will put me on birth control until they can fit me in. But most likely we are looking at mid to late February. They also ran more b/w to test egg quality while I was there.

The best news I heard all day? He said that depending on the amount of endo and the SA results, we may be able to get pregnant only using meds. The only med he refuses to prescribe? Clomid.

22 comments:

Jen said...

That is great news! Sounds like everything went as good as can be expected. Yay for Harvard docs!

Kelli-Sue said...

I am crying for you. Like real crocodile tears! Thats fantastic! wow!!

Fertility Chick said...

Fantastic! Sounds like you're in good hands!!

Kelly said...

Yay, yay, yay! What fabulous news!

Kelly said...

Oh, I've always wondered about "scalpel" too!

JC said...

YAY! Katie I'm so excited for you! I like the gist of how it went, sounds like knows his stuff. Yay for no more Clomid too!

Jin said...

Nice. Love the nurse's comment. Did he say why he doesn't do clomid? Yay for finally getting some answers regarding endo.

Basic Girl said...

YAY, so happy to hear the appointment went so well. Your RE sounds like he's on the ball, and Harvard...not too shabby!!!

Hayley said...

Oh honey! I'm so happy for you and Joey!!

Stefanie Blakely said...

Wahhooooo!! What a great doctor's appointment-- I'm so glad that the new RE was so encouraging and progressive in regards to your treatment. And no Clomid? Thank God, since it was such a horrible experience for you before. I'm so happy for you, Katie!!

Bean stalk ballads said...

Fantastic news... i am so glad.

mummydr said...

In answer to your questions, yes and sometimes. I'm a doctor and sometimes surgeons do call out scalple.
Sounds like a great appointmet I hope he can help.

ifcrossroads said...

As I already said on your FB page, I LOVE this Dr. Love, love, love him! He seems aggressive, on the ball, and totally on-par with what your needs are right now.
Clomid is the devil for severe Endo (christ, don't I know?!?!?!?!) so I'm glad he feels that you won't need to go back on it!
Here are my suggestions (take them or leave them)
- Make sure if you do have Endo, when he's removing it during the LAP that he uses the excision method for the removal ... not just ablation - this is REALLY important. Only a very small % of Dr.'s remove this way but it's critical and fertility sparing.

Of course I have way more assvice that I can offer on the topic of Endo if/when you get to that point!

GL and I'm rooting for this LAP :) If you have any questions about the surgery itself, just ask!

Crossed Fingers said...

Wow wonderful news! I hope this doc is correct in saying it may only take meds to get you KU! How wonderful would that be?! Here's to CD1

bumpsalongtheway said...

Sounds like a fantastic appointment! I am so excited for you and cannot wait to see the outcome :-)

Al said...

YAY!! Great news Katie. This doc sounds so much better than your old RE. I think you're in good hands!

Dawn said...

Yay! It sounds like you are in much better hands! I'm so happy for you!! Your doc sounds awesome.

suchagoodegg said...

This new RE sounds fantastic. I'm so excited for you!!!

Interesting he doesn't do Clomid. Does he only do injects? Or do they use Femara instead?

Astrid said...

Oh thank goodness - funny about the new doc having all of dr. quack's patients! I'm sure it must feel good to be in good hands finally. So glad things are moving forward.

I worked for a vet once and during surgery he did used to say things like 'scalpel' and 'suture' and the names of other instruments at the point when he needed them so the tech would know what to hand him.

Littlest True Blue said...

This is great news! An awesome RE that you are comfortable with is a major bonus! My doc totally won't prescribe clomid either! I went straight to injectibles! Let me know what med you start when you are injecting! I get no side effects until ovulation with my injections!

Littlest True Blue said...

P.S. let me know how the lap goes...my last doctor recommended I get one but I switched doctor's and the new one doesn't. So i'm curious how it goes!

Nixy said...

wow, this is fantastic news! Congrats!