**Be warned. This gets a little emotional**
I don't know how to relax. I don't know how to take "vacations." As hard as I try, I always need a second vacation to unwind from my first vacation. This trip to Utah was no different. When we left Maryland we were confident that we had done everything we needed to do in order to start the next cycle of IVF. All the required tests were turned in (again), we went to orientation, we paid our deposit, and I had the saline sonogram scheduled for the third day of our vacation at the same hospital I was born at. This was gonna be great.
We left Maryland on May 10th. We had a scheduled layover in Dallas, and were supposed to arrive in Salt Lake around 1am on the 11th. We'd drive to my parents and spend the night there, then check-in to our hotel and sleep! But as we've seen over the past few months, things are never that easy for us.
We hit a storm over Dallas. The pilot circled for about an hour, then decided to fly to Tulsa to re-fuel. We made it back to Dallas by midnight, but by that time we'd already missed our connecting flight. American Airlines was nice enough to get us on a flight 12 hours later. Thankfully the USO opened at 8am, and I didn't have to sleep on the child's play area bench any more. We were able to sleep for a few hours, I found toothpaste, and they fed us breakfast. God Bless the USO.
Anyways.... We flew out of Dallas and arrived in Salt Lake. We figured it was easier to get the car and check in to our Hotel. At this point it would be good to know that I am super Cheap. I always look for the best deal, I never pay full price, and spending money gives me anxiety. I've stayed in some pretty sketchy motels and I'm still alive. I figured this one couldn't be that bad. Wrong again. The first room they put us in didn't have running water. The second one had drywall on the floor and a random door on the bed. Nope. Nope. And Nope. I don't care what Dale wants, we're staying with family. We walked out (and I think we passed a few prostitutes on the way).
I love Utah. I love mountains. I love my family. I needed all three. When we arrived I called the Hospital I was scheduled to have the procedure at to make sure everything was still good to go, the nurses were concerned that the test I had requested wasn't the right test for for IVF. That's not what I wanted to hear. So I emailed WR to confirm, they told me to go ahead with the Sonogram. The nurses were questioning it, but did it anyways. They said the results would be ready the next day, and that they would send them to WR. That's good, because I'm going camping.
The next morning I called the hospital just to confirm that they had the results and that they had sent them off. More miscommunication. They didn't have authorization to send the results because my primary healthcare physician in Utah would need to request them and then send them off themselves. Ugh. It's fine, I don't leave for Southern Utah for another 30 minutes. I drove to my clinic, explained the situation and asked for a release form. The awesome woman at the desk wasn't quite sure what to do. She told me she couldn't send any paperwork that my Doctor didn't request. At this point I might have started crying. Apparently that works, because she pulled me into the back room, printed out my results (which were all on the same database), and asked if emailing them in was a possibility. That'll work. I went home, scanned and emailed the paperwork and waited for a confirmation from WR that they were received. They responded and told me I had everything submitted, and they would contact me soon to schedule a baseline date for the IVF. I could now hike in peace.
The next few days were amazing. We hiked, we fished, we hung out with friends, and we ate at all of our favorite local spots. It was exactly what we needed.
My dad's favorite thing to do is fish. So when we go to Utah, of course I'm going to drop everything and go fishing with him. It was May 18, and we had been there for a week. We headed up to my dad's favorite fishing spot and launched the boat. I love fishing. To quote Ron Swanson- "Fishing is like Yoga, except I get to kill something." The fishing wasn't very good that morning, but I could care less. I was just happy to be there.
It was about the middle of the day when I got a phone call. It was WR, calling to tell me that they were missing the results from two blood tests and a physical. Tests that I never even knew I needed. "How is this possible? You gave me a list of everything I needed, and these weren't on the list. You told me I was done."
I lost it. I lost it in the middle of Strawberry Reservoir while fishing with my dad. I was done. I couldn't do it anymore. I had done everything I had been asked to do, and it still wasn't good enough. It was all over.
Dale and I stared at each other. Speechless. There was nothing else to say, nothing else to do. It was my dad who finally had something to say. "Well, you better call and make the appointment for those tests. You need to finish this."
If you've never met my dad, that's really all you need to know about him. Buck up, and do what you need to do. He didn't say much else, but with a few simple words he was able to inspire me enough to keep going. To remind me that the Lord doesn't go back on His promises, and that He wouldn't ask us to do something without providing a way to accomplish it.
I don't remember much of the rest of the trip. I called my doctor in Maryland and made the appointment for the physical and blood tests. I put on a happy face for my family and friends. Then we got back on the plane, and left.
Part 2- Fake it 'till you make it.
****Disclosure**** This is me venting. It in no way reflects how I feel about Healthcare providers and WRNMMC. I'm soo eternally grateful for them and the services they offer. Once we got through the miscommunication and craziness of it all, we haven't had a single problem****
When we called Walter Reed National Military Medical Center (WR for short, cuz I'm lazy) in February I was motivated and ready to do whatever they needed me to do. I knew it wouldn't be easy, but I had no idea that the next five months would be some of the worst of my life.
After talking with a secretary on the phone, I learned that in order to be accepted into the program, there were a few things we had to do. 1-Perform all the necessary blood/urine/semen tests 2- Pay a lot of money 3- Attend an orientation meeting.
We had already taken most of the blood tests, every doctor had done the same ones for the past two years. Unfortunately, they needed to have been done within the year. Not a big deal, Shady Grove Fertility had all my results and paperwork and they could send it to WR. So I called them up and explained the situation. Of course they could send my paperwork. It would be $30, and it would have to be mailed. Seriously? Not even faxed? Of course not. That's fine, I'm not in a hurry.
Unfortunately, without that paperwork I had no idea what tests were outdated. I had no where to start. So we waited. And waited. I called WR about twice a week to see if they'd received the package, and I called Shady Grove to confirm that they sent it. During this time I'm getting all the routine forms filled out (that I've already filled out at least 4 times at each doctor...).
A month later I get an email saying that they have received my paperwork from Shady Grove and they listed out all the tests that had expired and needed to be re-taken. I finally had a place to start, and I could finally get going.
I called my Ob/Gyn to schedule the appointment. She's not my favorite. It was difficult from the beginning. After waiting weeks for the results of my routine "womanly" exams, I went back to check on the result of the referrals my gyno was supposed to make for the blood work I needed. When asked about them, she initially refused to write them out for me. If she wasn't doing the procedure, why should she write the referral for the blood work? But she gave in, eventually. I waited another week for her office to call me back saying I could come pick them up. They never called, so of course I called them asking what the deal was. They put me through to my doc, who was not happy. Me- "Ma'am, I just need a referral for blood work and a saline sonogram."
Doc- "I don't know the code for requesting any of that, and it's a lot of work for me to look it up."
Me- "That's fine, I can wait on the line."
Doc- "I'll have it ready for you to pickup tomorrow."
But no, It's not ready when I get there. And the Doctor isn't even in. I'm angry. I'm tired. I'm sick of being referred to as "the infertile one" by the front desk staff (yeah, that happened). To their credit, they worked fast when I got angry. Five minutes later I had all the paperwork I needed. I had already taken off a few hours from work, so I headed to the Laboratory. Check that off the list.
Meanwhile, we started working on Dale's requirements. These were pretty routine tests that the Marine Corps does every year anyways. But such is our luck, his doctors weren't willing to put in referrals for his blood tests either. If WR wanted to tests done, then the doctors there could write them out. Of course I called WR to see if that was a possibility, and I was told no. I also asked that because Dale had done all these tests recently already, and that they were all in the military healthcare database, if they could just look them up. Of course not. That would be to easy. So we managed to convince his doctors, he did the blood tests. And we filled out the required paperwork to have the results send to WR.
I needed a vacation. Thankfully my sister had planned a great one, I just needed to fly back to Utah. Totally worth it. We were leaving for Utah on May 10th. Our goal was to have this all done by then so I wouldn't have to stress about it. That's laughable now.
The last thing I needed was another Saline Sonogram. Unfortunately, this procedure needs to be timed with my menstrual cycle. And of course at this specific time of my cycle I'd be in Utah. Not a problem. I have some GREAT doctors in Utah, so I'll call them up and explain the situation. I can't even begin to explain how refreshing it was to talk to a healthcare provider who gave a damn. I made the appointment (it was a few weeks away). And turned my attention to making sure the rest of our results had been send to Walter Reed.
I thought Dale's tests would be the easiest part. About a week after he had the blood tests I called WR to see if they had received them. Nope. Nothing. Ok, I'll just call the clinic and see if they can re-fax them. Maybe I gave them the wrong number. Tried again a week later. Nothing. This time, Dale's clinic got annoyed and decided to make the call themselves. "We've received 3 copies of his records from you guys over the past two weeks." F.M.L.
Oh, and those blood tests that I had to fight for? The results were never sent back to my Gyno's office from the lab. Which means they could never forward them to WR. We were getting awfully close to our Utah trip, and I was soo ready to never talk to any humans again. But I knew I had to talk to the peeps at WR and figure out what was going on.
This was May 6th. I'm glad I called. First, I learned that the May/June Cycle was going to start while we were in Utah. If we could get all our stuff done before leaving (except the sonogram, those results just needed to be faxed as soon as the results came in), we could possibly make that cycle. If not, we'd have to wait until September. Second, when I told the secretary that my last blood test result had never been received, she answered "Oh, not a problem. Just come in here and we'll do all the blood work at our lab." I nearly cried. Right there on the phone. I could have just done all the lab work there? Instead of dealing with crazy people for a month? It's not possible. Third...
WR- "Mrs Thompson, have you attended the Orientation Meeting?"
Me- "You said we couldn't go until we had all our paperwork in."
WR- "No, you can come at anytime before the paperwork is done."
Me- "Ok.... when is your next orientation meeting?"
WR- "May 10 at 11:00am. And if you don't make it to that one, you won't be able to do the next cycle."
Me- "Ok, our flight leaves at 6:00 pm, sign us up for orientation. And I'll do the blood work while we're there. Can I confirm that you have everything else you need?"
WR- "Absolutely... It looks like we are still missing all of Dale's test results."
Me- *Awkward Silence* "Are you serious?"
WR- "Do you want me to schedule blood work for him too while you are here?"
*I don't want to be on this planet anymore.*
I guess I'm learning the hard way that if you want something done, you have to do it yourself. So Monday morning Dale stopped at his clinic and had them print off his results. I went to my gyno's office and asked them to print off all of my results. If my paperwork was going to be lost, it would now be my fault.
Tuesday May 10 was easy. We drove to WR at 8am. We handed in all of our paperwork, I did the blood work I still needed, we sat through Orientation, and we paid our deposit. Before we left, Dale went to the office one more time just to confirm that all of our tests results were in, and that once we sent in the labs from my saline sonogram in a few days, we were good to go. We could start the IVF process when we got home. They told us we were done. We walked out the doors knowing that in 24 hours we'd be hiking, fishing, and definitely not doing any blood tests.
When we called Walter Reed National Military Medical Center (WR for short, cuz I'm lazy) in February I was motivated and ready to do whatever they needed me to do. I knew it wouldn't be easy, but I had no idea that the next five months would be some of the worst of my life.
After talking with a secretary on the phone, I learned that in order to be accepted into the program, there were a few things we had to do. 1-Perform all the necessary blood/urine/semen tests 2- Pay a lot of money 3- Attend an orientation meeting.
We had already taken most of the blood tests, every doctor had done the same ones for the past two years. Unfortunately, they needed to have been done within the year. Not a big deal, Shady Grove Fertility had all my results and paperwork and they could send it to WR. So I called them up and explained the situation. Of course they could send my paperwork. It would be $30, and it would have to be mailed. Seriously? Not even faxed? Of course not. That's fine, I'm not in a hurry.
Unfortunately, without that paperwork I had no idea what tests were outdated. I had no where to start. So we waited. And waited. I called WR about twice a week to see if they'd received the package, and I called Shady Grove to confirm that they sent it. During this time I'm getting all the routine forms filled out (that I've already filled out at least 4 times at each doctor...).
A month later I get an email saying that they have received my paperwork from Shady Grove and they listed out all the tests that had expired and needed to be re-taken. I finally had a place to start, and I could finally get going.
I called my Ob/Gyn to schedule the appointment. She's not my favorite. It was difficult from the beginning. After waiting weeks for the results of my routine "womanly" exams, I went back to check on the result of the referrals my gyno was supposed to make for the blood work I needed. When asked about them, she initially refused to write them out for me. If she wasn't doing the procedure, why should she write the referral for the blood work? But she gave in, eventually. I waited another week for her office to call me back saying I could come pick them up. They never called, so of course I called them asking what the deal was. They put me through to my doc, who was not happy. Me- "Ma'am, I just need a referral for blood work and a saline sonogram."
Doc- "I don't know the code for requesting any of that, and it's a lot of work for me to look it up."
Me- "That's fine, I can wait on the line."
Doc- "I'll have it ready for you to pickup tomorrow."
But no, It's not ready when I get there. And the Doctor isn't even in. I'm angry. I'm tired. I'm sick of being referred to as "the infertile one" by the front desk staff (yeah, that happened). To their credit, they worked fast when I got angry. Five minutes later I had all the paperwork I needed. I had already taken off a few hours from work, so I headed to the Laboratory. Check that off the list.
Meanwhile, we started working on Dale's requirements. These were pretty routine tests that the Marine Corps does every year anyways. But such is our luck, his doctors weren't willing to put in referrals for his blood tests either. If WR wanted to tests done, then the doctors there could write them out. Of course I called WR to see if that was a possibility, and I was told no. I also asked that because Dale had done all these tests recently already, and that they were all in the military healthcare database, if they could just look them up. Of course not. That would be to easy. So we managed to convince his doctors, he did the blood tests. And we filled out the required paperwork to have the results send to WR.
I needed a vacation. Thankfully my sister had planned a great one, I just needed to fly back to Utah. Totally worth it. We were leaving for Utah on May 10th. Our goal was to have this all done by then so I wouldn't have to stress about it. That's laughable now.
The last thing I needed was another Saline Sonogram. Unfortunately, this procedure needs to be timed with my menstrual cycle. And of course at this specific time of my cycle I'd be in Utah. Not a problem. I have some GREAT doctors in Utah, so I'll call them up and explain the situation. I can't even begin to explain how refreshing it was to talk to a healthcare provider who gave a damn. I made the appointment (it was a few weeks away). And turned my attention to making sure the rest of our results had been send to Walter Reed.
I thought Dale's tests would be the easiest part. About a week after he had the blood tests I called WR to see if they had received them. Nope. Nothing. Ok, I'll just call the clinic and see if they can re-fax them. Maybe I gave them the wrong number. Tried again a week later. Nothing. This time, Dale's clinic got annoyed and decided to make the call themselves. "We've received 3 copies of his records from you guys over the past two weeks." F.M.L.
Oh, and those blood tests that I had to fight for? The results were never sent back to my Gyno's office from the lab. Which means they could never forward them to WR. We were getting awfully close to our Utah trip, and I was soo ready to never talk to any humans again. But I knew I had to talk to the peeps at WR and figure out what was going on.
This was May 6th. I'm glad I called. First, I learned that the May/June Cycle was going to start while we were in Utah. If we could get all our stuff done before leaving (except the sonogram, those results just needed to be faxed as soon as the results came in), we could possibly make that cycle. If not, we'd have to wait until September. Second, when I told the secretary that my last blood test result had never been received, she answered "Oh, not a problem. Just come in here and we'll do all the blood work at our lab." I nearly cried. Right there on the phone. I could have just done all the lab work there? Instead of dealing with crazy people for a month? It's not possible. Third...
WR- "Mrs Thompson, have you attended the Orientation Meeting?"
Me- "You said we couldn't go until we had all our paperwork in."
WR- "No, you can come at anytime before the paperwork is done."
Me- "Ok.... when is your next orientation meeting?"
WR- "May 10 at 11:00am. And if you don't make it to that one, you won't be able to do the next cycle."
Me- "Ok, our flight leaves at 6:00 pm, sign us up for orientation. And I'll do the blood work while we're there. Can I confirm that you have everything else you need?"
WR- "Absolutely... It looks like we are still missing all of Dale's test results."
Me- *Awkward Silence* "Are you serious?"
WR- "Do you want me to schedule blood work for him too while you are here?"
*I don't want to be on this planet anymore.*
I guess I'm learning the hard way that if you want something done, you have to do it yourself. So Monday morning Dale stopped at his clinic and had them print off his results. I went to my gyno's office and asked them to print off all of my results. If my paperwork was going to be lost, it would now be my fault.
Tuesday May 10 was easy. We drove to WR at 8am. We handed in all of our paperwork, I did the blood work I still needed, we sat through Orientation, and we paid our deposit. Before we left, Dale went to the office one more time just to confirm that all of our tests results were in, and that once we sent in the labs from my saline sonogram in a few days, we were good to go. We could start the IVF process when we got home. They told us we were done. We walked out the doors knowing that in 24 hours we'd be hiking, fishing, and definitely not doing any blood tests.
What Not to Say
We've been trying to get pregnant for over 3 years. To some, that's an eternity. To others who have been trying to 15+ years, it's just the beginning. Eventually people are going to find out that you are trying to conceive. Well meaning people always have the best advise on how to get pregnant, or what to do when you can't get pregnant. Here are some of my favorites...
1- "Are you sure you're doing it right?" No. Please tell me. Because I've obviously wasted a lot of money already.
2- "It'll happen when you aren't trying." Wait... I thought I was supposed to be doing it?
3- "Go buy a bottle of wine. I only get pregnant when I'm drunk." I'm just gonna walk away now... but can I take your kids with me?
4- "Take a Vacation! That always helps!" My vacations are anything but relaxing... no one has time for baby making when Disney World opens their doors at 7am!
5- "Do you want my sperm? It works really well." I don't even KNOW you!!!! At least take me to dinner first.
6- "Why don't you just adopt?" I'd love to adopt. Can I have $40,000?
7- "Kids aren't all that great, wanna take mine?" You just might regret saying that...
8- "You're young, you have plenty of time." I know I look 18, but I promise I'm not.
9- "Is it your fault or his?" It depends on the day.
And my favorite advise of all...
10- "You need to Relax!" Oh.... I'm soo gonna go to jail for this....
1- "Are you sure you're doing it right?" No. Please tell me. Because I've obviously wasted a lot of money already.
2- "It'll happen when you aren't trying." Wait... I thought I was supposed to be doing it?
3- "Go buy a bottle of wine. I only get pregnant when I'm drunk." I'm just gonna walk away now... but can I take your kids with me?
4- "Take a Vacation! That always helps!" My vacations are anything but relaxing... no one has time for baby making when Disney World opens their doors at 7am!
5- "Do you want my sperm? It works really well." I don't even KNOW you!!!! At least take me to dinner first.
6- "Why don't you just adopt?" I'd love to adopt. Can I have $40,000?
7- "Kids aren't all that great, wanna take mine?" You just might regret saying that...
8- "You're young, you have plenty of time." I know I look 18, but I promise I'm not.
9- "Is it your fault or his?" It depends on the day.
And my favorite advise of all...
10- "You need to Relax!" Oh.... I'm soo gonna go to jail for this....
Part 1- In The Beginning
"What do you want to be when you grow up?"
"A Mom!"
I heard this question and answer a lot in elementary school. It's not a bad answer, it just wasn't mine.
I wanted to be an Archaeologist. I planned on traveling the world, studying ancient cultures, meeting a dashing young officer and having grand adventures together. If we had kids.... great. If not... oh well.
That was 20 years ago. I've traveled, I've studied more ancient cultures than I'd like to admit, and I did indeed marry a young Marine with whom I've had lots of adventures. The trouble started when, for the first time in my life, I wanted to be a mom.
The plan was to go off birth control, go back to Utah for 6 months while Dale was training in Texas, move to Maryland, and get pregnant. Super easy.
One year passed, I was a little concerned. Something should have happened by now... So I did some research. People usually don't talk about what to do in case of infertility. I found a Reproductive Endocrinologist (didn't even know what that was...) and she immediately recommended Artificial Insemination. I wasn't ready for that... surely it was just a matter of getting my hormones balanced, or jump-starting my ovaries a bit. Short version? A few surgeries, lots of tests, and an 8 month period of "call me if you get pregnant" after a laparoscopy to test for endometriosis. It was time to move on.
Shady Grove Fertility boasts the best fertility success on the east coast. Plus they have catchy radio commercials. I called to make an appointment, and on the first visit with this new Endocrinologist he didn't hesitate to recommend In Vitro Fertilization (IVF) as our first choice. Again, I wasn't ready. But the idea of intrauterine insemination (IUI) intrigued me. Never mind the fact that IVF was $20,000, while the IUI would only cost about $1,200. Oh, did I fail to mention that Insurance doesn't cover most Infertility costs? Weird.
So we went ahead with the IUI. For those of you who don't want (or have never wanted) to know, here's a basic run-down from Shady Grove Fertility-
"A Mom!"
I heard this question and answer a lot in elementary school. It's not a bad answer, it just wasn't mine.
I wanted to be an Archaeologist. I planned on traveling the world, studying ancient cultures, meeting a dashing young officer and having grand adventures together. If we had kids.... great. If not... oh well.
That was 20 years ago. I've traveled, I've studied more ancient cultures than I'd like to admit, and I did indeed marry a young Marine with whom I've had lots of adventures. The trouble started when, for the first time in my life, I wanted to be a mom.
The plan was to go off birth control, go back to Utah for 6 months while Dale was training in Texas, move to Maryland, and get pregnant. Super easy.
One year passed, I was a little concerned. Something should have happened by now... So I did some research. People usually don't talk about what to do in case of infertility. I found a Reproductive Endocrinologist (didn't even know what that was...) and she immediately recommended Artificial Insemination. I wasn't ready for that... surely it was just a matter of getting my hormones balanced, or jump-starting my ovaries a bit. Short version? A few surgeries, lots of tests, and an 8 month period of "call me if you get pregnant" after a laparoscopy to test for endometriosis. It was time to move on.
Shady Grove Fertility boasts the best fertility success on the east coast. Plus they have catchy radio commercials. I called to make an appointment, and on the first visit with this new Endocrinologist he didn't hesitate to recommend In Vitro Fertilization (IVF) as our first choice. Again, I wasn't ready. But the idea of intrauterine insemination (IUI) intrigued me. Never mind the fact that IVF was $20,000, while the IUI would only cost about $1,200. Oh, did I fail to mention that Insurance doesn't cover most Infertility costs? Weird.
So we went ahead with the IUI. For those of you who don't want (or have never wanted) to know, here's a basic run-down from Shady Grove Fertility-
Intrauterine insemination is the process whereby your physician will
place a concentrated specimen of sperm in your uterus. For this
procedure, he or she will insert a speculum into your vagina in order to
better visualize your cervix. He or she will then pass a soft, thin
catheter through the cervix opening and into the uterus. The clinician
will introduce the washed sperm into the uterus through this catheter.
The procedure is done in our office and takes 1 to 2 minutes. It is
not painful and does not require anesthesia. You can return to normal
daily activities immediately after an IUI.
The best part of the IUI? The magical medical called Clomid. I loved waking up at 2am with hot flashes. I've always wanted to know what menopause felt like. And the mood swings? Dale was the lucky one with that. He got the crazy wife he always wanted. Unfortunately, that's where the good times ended. The IUI was unsuccessful, and no one could tell us why. We were pretty bummed. To cheer myself up, I planned a trip to New York for my Birthday.
The best part of the IUI? The magical medical called Clomid. I loved waking up at 2am with hot flashes. I've always wanted to know what menopause felt like. And the mood swings? Dale was the lucky one with that. He got the crazy wife he always wanted. Unfortunately, that's where the good times ended. The IUI was unsuccessful, and no one could tell us why. We were pretty bummed. To cheer myself up, I planned a trip to New York for my Birthday.
About the time we started the IUI, I heard about a program offered at a few military hospitals in the country. Procedures like IUI's and IVF are offered to military and their family for significantly cheaper than civilian clinics. By significant, I mean a quarter of the price. Turns out one of these hospitals was in DC, about 45 minutes away from us (without DC traffic...). When we got back from New York, I made the first of thousands of calls to Walter Reed National Military Medical Center. It was time to bring out the big guns.
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