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Sunday, July 08, 2007

Why Can't Biologists Just Bow Down and Worship IUPAC?

My LH surge came a few days ago and the folks at the clinic have calculated that I'll start my oral estrace on the 11th. So two days until it begins. The financial lady at the clinic called today, no doubt to ask where our money was. We haven't sent it in yet. A bit of procrastination mixed with a lot of hesitation makes for a non-payment of our IVF fees. Back to estrace though, as that's my rant for today.

At first I was happy that I wouldn't be subjected to the birth control pills, aka: ethinylestradiol. But I just went and looked up the chemical formula of estrace and we're looking at micronized 17 beta-estradiol. Hmmm....ethinylestradiol? 17 beta-estradiol?

I dug further. Biologists have come up with a cornucopia of terms to refer to estrace:

1,3,5(10)-Estratriene-3,17b-diol
(17b)-Estra-1,3,5(10)-triene-3,17-diol
cis-estradiol
3,17-epidihydroxyestratriene
dihydrofollicular hormone
dihydrofolliculin
dihydroxyestrin
dihydrotheelin

None of them tell you much about what the hell estrace really is.

All I can say is "leave it to the biologists to f*ck up chemical nomenclature". IUPAC created a sensible process whereby one names a chemical according to how things are "stuck" onto it, or in which order they're stuck on. Biologists, on the other hand, create odd names like toluene that us chemists would call methyl benzene. How much more simple can that be? Methyl benzene: a benzene ring with a methyl group stuck anywhere you wish on it. Remove one H- on each the benzene and the methyl, stick together, and viola! Methyl benzene! Damned easy. But toluene? Unless you have the name memorized, you will have no idea what you're looking at. (Yeah, I've got that one memorized thanks to the biologists). [Note: Biologists might not be responsible for the toluene naming convention, but it's just to illustrate an example, one of MANY, that I found in my pre-med college years].

So why am I all pissy about biologists and their bastardized naming conventions? For instance, the biologists call the substance in birth control pills "ethinyl estradiol".

The chemists? 17-ethynyl-13-methyl- 7,8,9,11,12,13,14,15,16,17- decahydro-6H-cyclopenta[a] phenanthrene-3,17-diol.

Scary? Yes. But this is what it IS. You could build the damned molecule based using the IUPAC name. But what does the name "ethinylestradiol" tell you?

Not a damned thing except that you have an ethinyl stuck onto an estradiol, a diol meaning a "di alcohol" (or two -OH groups on it). But "ethinylestradiol" is shorthand. Who on earth wants to memorize the sequence of carbon and hydrogen atoms in the example above? Not me. So I do see the need for a shorthand version whereby we can all say that "ethinylestradiol" is the same as the huge assed molecule above.

Liken it, if you will, to hieroglyphic versus alphabetized languages. With an alphabet you can break down a word to it's fundamental elements (ie sounds and syllables). With a hieroglyph, there may be nothing that tells you that you are looking at a 3 syllable word that starts with "z". Instead, you have to memorize all 65,000 symbols, or how many the language contains, in order to communicate. With an alphabet, you need only memorize 26 or so, give or take a few depending on which alphabet you're working with. You memorize the sounds to the letter clusters and you're at least phonetically saying something, even if you don't know what the hell you're saying.

So it's twice the work to memorize both the IUPAC version and the biologists' I-want-to-be-a-chemist version. But why the hell do the biologists need to go out and create 8 other names which state the same thing?

That just drives me batty.

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

dq-α:
me: 1.1, 4.1
dh: 1.2, 3.1 we parted

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.

SMA Carrier

IF Treatments:
-Clomid #1: Sep 2005
-Clomid #2: Sep 2005
-HSG (tubes barely open): Oct 2005
-Lap/Chromo (cyst removed; tubes clogged): 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: Jun 2006
-LIT#2: Jul 2006
-FET #1: Sep 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#3 Take 2: Apr/May 2007 Canceled due to dominant follicle
-IVF#3 Take 3: Aug 2007, β1<2.0
-IVF#4: Mar 2009 - Canceled due to my flipping out over donor sperm
- Hysteroscopy - Jul 2009 -IVF#4 Take 2: Jul 2009 - Canceled due to fibroid found during hysteroscopy - Myomectomy: Jul 2009
-IVF#4 Take 3: Aug 2009 - Canceled due to ovarian cyst
-IVF #4 Take 4: Oct 2009 - Antagon Cycle β1<1.0
- HSG, Cyst Aspiration on Left Ovary, Sclerotherapy on Endometrioma on Right Ovary: 29 Oct 09
-IVF #5: Nov-Dec 2009 - Adding in HGH one way or another

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
40mg Lovenox, 1X's/Day, 2X's a day if BFP
0.0375mg Synthroid
Lexapro
Prenatal
Folguard 2.2Methyl folate
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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