Its day 5 post start of Follistim and I had to wear my fat jeans. My mini Budha belly is relieved that my fat jeans sit low on the hips. Unfortunately, the belt that keeps them on my hips is digging into the bottom of said belly- ugh! If this is day 5, I'm not sure I'm going to make it to 10 in my current assortment of pants.
For my sanity, I'm going to log protocol details and E2 levels. I know its boring.
9/26-Stim Day 1- 175 iu Follistim (Puregon), 5 units Lupron
9/27-Stim Day 2- 175 iu Follistim (Puregon), 5 units Lupron
9/28-Stim Day 3- E2 Level 55, 200 iu Follistim (Puregon), 5 units Lupron
9/29-Stim Day 4- 175 iu Follistim (Puregon), 5 units Lupron
9/30-Stim Day 5- 200 iu Follistim (Puregon), 5 units Lupron
10/1-Stim Day 6- E2 Check?
They said the E2 level was good, but in reading online, it looks like of low for two days at that level of Follistim. Opinions? Trying not to be obsessive.
Lupron suppression with BCP's ended on Saturday and THANK GOODNESS. That stuff made me absof#$%inglutely crazy. The physical effects were mild- just a few tension headaches- but my mood- down right foul.
I totally lost it on Saturday when I was supposed to start stims- 175 iu of Follistim. As a refresher- I bought my Follistim from a European distributer to save a bit of cash- and the clinic said it was ok. It came under the brand name Puregon. The drugs had been sitting in fridge waiting for this splendid day- I hadn't opened them assuming they were vials and corresponded to the obscenely large number of insulin needles the clinic had ordered for us. Imagine my surprise when I open the package at 10:30 pm Saturday night to take my injection only to find that the vial is made for a pen- and a pen wasn't included. Then I found that my dosage was in IU and the syringes only measured cc's. Naturally my sense of self reliance kicked in and I started googling- only to be reminded that IU's and cc's aren't exactly convertable- IU isn't a volume measure. So, temporarily freaking out, I call the doctors after hours line, only to be told "I don't know how to help you...didn't the nurse tell you what to do?". I totally lost it at that moment. Janet was in the other room watching SNL and had no idea that I was crying. I don't think I have cried that hard- perhaps ever. In my emotional state all I could see was 1/4 of my 401K down the toilet and our dreams of a baby gone...all because I wanted to save some money and order from an overseas pharm. I yelled at Janet, I yelled at myself, I sobbed for what was at least 15 minutes. My beautiful and amazing wife calmed me down- just her hug brings me to clearer thinking.
Clearer thinking took over. My vial was for 600 iu- I knew that my dose was supposed to be 175 iu- that meant that there were 3.4 doses of that amount per vial. Then I figured out how many cc's was in the vial- ~75. 75cc p/vial divided by 3.4 doses means that a 175 iu dose would equal ~22 cc's. I proceeded to be very impressed with myself and did the deed! WOOOOO hoo. Sunday in the early afternoon the doctor called me back to find out if I'd managed to get a Follistim pen- at which point I informed him what I had done. He was impressed and I felt vindicated. He told me to do my thing Sunday night and then when I stopped in on Monday to have my E2 labs done that they would give me a pen from one of their sample kits. Needless to say- I made sure to ask for the pen when I got there this morning. Now I'm just waiting for the call back RE: my next dosage.
Also in queue:
Background: I grew up in Florida, which until recently had an enforced ban on adoption by gays and lesbians. While there, I knew that I could never protect my family if the child of my same sex relationship was born in Florida.
When I moved to Texas, I learned that because Texas does not specifically forbid gays and lesbians from adopting, family courts in Bexar County (San Antonio) and Travis County (Austin) have interpreted the law to allow for second parent adoptions by the non birth giving individual within a same sex couple. While Travis County only allows Travis County residents to go through the court system for second parent adoptions, Bexar is open to residents of all Texas counties. I did enough research to find at least two options for lawyers who work with Dallas area couples and have a few recommendations for social workers. Until Tuesday, I've always felt lucky to live in Texas, where though conservative we may be, legal interpretation has taken the side of permissiveness. I've even taken some bit of pleasure in providing additional feedback to blog entries that say the opposite regarding Texas. I have an issue with people not taking advantage of the legal tools available to them to protect their families/their rights and then ending up in court, putting a child through hell.
For some reason, I woke up from a dead sleep at 2:30 am on Tuesday, absolutely livid that a child that is genetically related to me and birthed by my wife, would in no way legally be connected to me until I invited a social worker into our home, paid thousands of dollars to an attorney, and stood in front of a judge in San Antonio to prove myself worthy. I know this will pass, and I'm not going to put my future child at risk by attempting to protest the system- but I'm having a moment...
On another note- we'll stop our cocktail drinking habit when we start the Lupron, so to go out with a bang, and in celebration of the recurring '70's Casserole and Movie Night we have with our friends, tonights cocktails are:
The Alabama Slammer 1/2 part Vodka 1/2 part Southern Comfort 1/2 part Sloe Gin 1/2 part Amaretto OJ to taste
Freddy Fudpucker 1 part Tequila 1/2 part Galliano (I have no idea what this is, but I guess I'll find out when I get to the store!) 4 parts OJ
The Casseroles are known as Tatertot Casserole and Open Cans Chicken Casserole. I'm sure I'll have something smart alec to say about those later.
Even though they have work to do on the actual start days of our protocol, the meds stay the same- so being the dork that I am, I through all the stuff into a spreadsheet for a cost compare:
I have already ordered the Lupron (generic) because I thought Janet had to start it today, but everything else, I'm shopping around for. Any other pharmacies I should consider?
Thus far, I'm thinking Ascend for the Follistim- I'm not sure that I want to wait around for IVFMeds to get things through customs- they also don't actually offer the 900 size that I need- would have to buy 3 600's for the price noted above. Freedom is definitely the least expensive for the Ovidrel.
So anyway, Janet started today. I let the nurse know and now am waiting for the new protocol schedule. Lets get this party started for real this time.
Before you spend time developing a protocol for your patients, you might want to make sure you have asked all of the rel event questions- like, is Janet still on the bcp's we gave her to take so that we could delay the surgery to remove her polyp- that we then told her to stop taking? Assuming that she was still on the BCP's you told her she could stop taking was probably a bad plan. We are disappointed to have to wait at least another week to start. While we understand that sometimes mistakes happen, we look forward to your more thorough attention to our charts in the coming weeks.
So, when I set up this blog, I purposefully left it open to search engines. I did this in hopes that I could make the Dallas, Texas IVF/Donor Egg/Big Gay/Lesbian/etc family creation search easier for others than it was for me. I also wanted to repay the kindness of all the blogs that I stalked/read from start to finish/still follow while planning and researching this big adventure.
A search query that someone used to here last night has grossed me out a bit and is making me question my decision. I also can't help but giggle a little in thinking about the poor schmuck that landed here thinking he was in for a treat.