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Wednesday, January 10, 2007

CD20: Consult with Dr. Pompy

We had our consult with Dr. Pompy today. He was his usual bright and cheerful self. I felt guilty that we were arriving on his doorstep after 2 failed IVFs and 1 failed FET with Dr. Moustache. Dr. Pompy was one of three REs that we met with before deciding on an RE for our first cycles. So to come full circle and wind up back with him I felt, well, I felt as though I had egg all over my face. You know?

A part of me was terrified that he might say, after reading our charts from Dr. Moustahce, "You know, he did everything known to ART and we really don't think we can help you." or, "I'm not in support of this stuff you are doing with Dr. Hungarian and we're just not on the same page. Sorry but we're not treating you."

But it went more like, "Wow, you made higher than normal embryos for your age in your first IVF, then you doubled that in your second IVF. This is phenomenal!" and when I told him about Dr. Hungarian he said (paraphrasing, of course): "You know, there's probably something to that!"

Needlesstosay, J and I were both pleased and stunned. Not only was he fully on board to treat us, he thought we produced amazing embryos and would support our decision to work ith Dr. Hungarian. Whoa.

Our protocol will be a hybridized version of the MDF protocol. The difference is that there won't be a lag between BCPs and the lupron. It will still be a microdose of lupron and it might be for a longer time. He said that he might also increase my gonadoptropins by a day or two at most and that he felt that a bit of LH was in order, so he'd add in some menopur for that. Okay, I understand all of this. I can live with this. I only hope that I can scrounge up enough gonadotropins without breaking the bank. I have about six or seven days worth in the refrigerator, but I am near certain that some of it has expired. I haven't even looked to check on this, but I should.

So in 7 days I should get AF and then we need to decide whether to cycle THIS month or NEXT. Dr. Pompy urged us to not wait too long as time is a major factor for us. I agree. Hell, I'm 42. But I am starting my PICC line tomorrow, then 10 days of clindamycin, and I'll actually be on my IV when I do my challenge test. It feels a bit soon, but you know, it always feels a bit soon when I'm about to start a cycle. I start to panic and freak out that I didn't eat well enough, or I didn't take enough supplments to ensure good egg production, etc, etc.

Which is true this cycle. I've still got extra weight on me from my last cycle. I have been sporadic, at best, with taking my vitamins. I drank wine in Italy and didn't stop til Christmas. Oh the horror of it all.

So since I don't know when we'll be cycling for sure, it's back to the usual prenatals, folguard, 4+ grams of fish oil a day, no dairy, no wheat, no caffeine, no alcohol, easy on the sugars, only organic meat if/when I indulge, and loads of acupunture. I feel guilt that I haven't kept this up between my failed FET and now. I just couldn't do it though. I really felt I had to "let go" for a bit to regain some sanity, but I regained about 10 pounds instead. The sanity is nowhere to be found.

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Anonymous statia said ... (7:17 AM) : 

I miss Dr. Pompy. I sent him a Christmas card this year.

 

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Ultrasound of a 9 week old fetus

Diagnosis:
elevated NKs, NKUs, 3 +APAs (2 borderline), heterozygous for MTHFR A1298C. Slightly low thyroid.

dq-α:
me: 1.1, 4.1
dh: 1.2, 3.1

Low LADs were treated in Mexico and elsewhere with LIT.
Anti-sperm antibodies
Article: LIT and the FDA

No: ANAs, normal TH1/TH2 Cytokine ratio, or x-DNA/Histones.

IF Treatments:
-Clomid #1: Sept 2005
-Clomid #2: Sept 2005
-HSG: Oct 2005
-Lap/Chromo: Oct 2005
-Nat'l IUI: Nov 2005
-IVF #1: Jan 2006, β1=2.0, β2=0.9
-IVF #2: May 2006, β1=<1.0
-Myomectomy (5), salpingectomy (both), & endo removed via lap on 6.6.6
-LIT#1 in Nogales: 6.16.6
-LIT#2: July 2006
-FET #1: Sept 2006, β1=2.48, β2=<2.0
-Dr. Hungarian Dx Oct 2006
-Dr. Hungarian Tx Dec 2006-Mar 2007
-IVF#3: Mar 2007 Canceled myself right before retrieval
-IVF#4: April/May 2007 Canceled due to dominant follicle
-IVF#4: August 2007, β1<2.0
-IVF#5: December 2007

Pre-ET
Feng Shui'd the House
500mg Zithromax starting with stims
4 LIT Treatments
17 Weeks of Humira or Enbrel
30g IVIg CD5 of IVF cycle (day 2 or 3 of stims)
30g IVIg 2 days before transfer
1mg Dexamethazone starting with stims
30mg Lovenox, 2X's/Day
0.0375mg Synthroid
Lexapro
Prenatal
Folguard 2.2 2x's/day
Extra 1g C (Stop at ET)
Extra 1g Calcium
Extra 400mg E (Stop at ET)
Nettle Tea & Capsules
2g Bromelain
Extra D3
Keep BMI<24
4-6g Fish Oil/Day
Baby Aspirin
Eating Loads of Protein!
Nettle Caplets
Femoral Massage (Stop at ET)
Acupuncture (Stop at ET)
TCM Diet: No cold or slippery foods
Immune Friendly Diet: No non-sprouted wheat, sugar, starches. Little fruit.
No nightshades
No caffeine
No coffee, not even decaf
No soy when in cycle
10 days Doxycycline

Day of Transfer
Light activity

Post ET Changes
Visualization
200mg progesterone capsules
Take it easy days 2&3
No sex til beta#1
Cut out egg yolks (contains immunogenic acid)






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