Wow, today was… in some ways very hopeful and in some ways very tedious and frustrating.
We met with the doctor, she was wonderful. I’m so grateful we found this clinic. The tech told me to get undressed for another ultrasound (?) and I did as ordered, but the doc said, ‘‘Uh, you didn’t have to do that.’’ (I didn’t think so.) She asked me if I wanted to do one last ultrasound. I said no. I saw my dead baby once, that was enough. It wasn’t just a matter of there being no heart beat, you could see on the ultrasound that there had been no growth past 7 weeks 3 days, and this would have been week 10.
I told her it was so hard to wait and she understood. She gave me the option of the inducing pill (miso…something) and the D&C. At that point I was pretty sure I wanted the D&C. I confirmed I will be out under general anesthetic during the procedure, that she was going to give me strong pain meds for the recovery, and that we can start trying again as soon as I am able. She said some sources recommend waiting 1-2 cycles before trying again, but she wasn’t sold on the evidence and given that I have endometriosis she said it would be better for me to get pregnant sooner rather than later (both for the pain factor and that childbirth often helps improve symptoms.) I asked her if there was any increased risk of miscarriage since I’d never even had a cycle when I went off the pill and she said none whatsoever.
Then I asked her about depression. (I have a long history of severe chronic depression.) I had been on 4 meds and tapered down to 1 when I got pregnant, and she gave me the go ahead to taper off the final one about a month ago. I asked her if being on the meds or going off the meds could have killed my baby, she told me absolutely not, there is no evidence that antidepressants increase the risk of miscarriage. I told her I was worried about a depression relapse when the HCG hormone starts dropping rapidly following the procedure, and she was worried too, so we are going back on one of my medications, Wellbutrin, the one that frankly I think had the most impact on my mental health. She told me to stay on it once I get pregnant again because it was way worse to be pregnant and depressed than pregnant and taking antidepressants.
Finally I asked her about an issue I have not yet shared on the Dope, I suppose it’s relevant here so I will share. I have pain with intercourse. Always have. For years we worked around it in other ways, but you can’t really get pregnant without doin’ it so I just sucked it up. It was bad enough that we had stopped trying which is why getting pregnant was a surprise even though we were trying because it was literally the last time we tried before giving up pending medical intervention. She referred me to a pain clinic, now that I don’t have a job I actually have time to get this addressed properly.
So even though we were discussing the D&C, we were also discussing the possibility of trying again in a way that I didn’t have to suffer every step of the way. That is when I felt hopeful for the first time since this started. Since we are having a hell of a time getting proof of our insurance right now, she waived the consult fee for the appointment today, gave me her cell phone number in case I need anything, and scheduled the D&C for Tuesday. Then in the waiting room we saw two adorable babies and couldn’t help but feel joy about them.
Then we spent the entire rest of the day (not kidding) waiting in pre-op registration in a different building. That was the tedious part. At one point on the anesthesia form it said, ''Is there any possibility you may be pregnant?" I started giggling because I had no idea how to answer that question. So I circled ‘‘yes’’ and then an arrow that added ‘‘not alive’’ with a frowny face. It was the frowny face that sent us over the top. We were laughing like loons and getting some curious looks.
The tedious day was followed by my husband calling once again to get our insurance situation straightened out. Tuesday we sent a $90 check via certified mail to an intermediary in Tampa who refused to send our info to the insurance company until we did (we were not notified this payment was due in the two months prior to them having all of our info.) The guy on the phone refused to check the mail to see if the check had arrived, and said the only thing we could do was personally deliver a different check to the UF HR department in Gainesville and request that HR send an e-mail to the intermediary confirming receipt of the check. We were NEVER TOLD about this option when we first called about this four days ago. So we had to drive there personally to deliver a second check, we won’t know until Monday if our insurance information is in the system and we can get coverage for Tuesday’s surgery. It will cost $7,000 out of pocket.
JOY!
TLDR: We left at 9:30am for the doctor’s appointment and didn’t get home until 4pm. Doctor addressed ALL my current health concerns and was really nice, then there were cute babies, then we were in pre-op registration for 5 hours, then screwing around with the insurance company. I will be getting D&C procedure on Tuesday and am looking forward to getting this over with so we can start trying again. I’ve had a few bouts of half-assed crying since getting home but honestly I’m too tired to grieve.