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Update from new Ob appointment (xposted)

Forum: Recurrent Miscarriage and Pregnancy Loss


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March 11th, 2014, 11:11 PM
plan4fate's Avatar I may bend, but not break
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Location: Wisconsin
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this is also in a few other places... but I didn't figure Meagan and Rachel would find it unless Rachel's still stalking TTCAL.

I really should have recorded everything they said, I'm sure I'll screw something up trying to explain it.

It's Game On.

To avoid typing all this out, I took pictures of what she wants done. I apologize if they are huge.

Step one is to call my insurance and find out which of these are covered (if any), if not covered, this is $2000 worth of bloodwork that I don't think will go towards my deductible (insurance newbie) :/ At least they gave me all the codes to make it easier to discuss it with them.

This kinda works out good for me, since my GP didn't want another thyroid draw until pregnancy occurred OR September, and that made me nervous. The way they have it worded is that they want answers for extremely heavy periods and recurrent pregnancy loss, NOT infertility. The chromosome test is 100% optional and DH wants to skip it for now, and I'm ok with that.

They want this done as well, there is absolutely no reason this wont get covered.

They also want to do a Sonohystogram and ultrasound (they only bill for the hystogram since they do the ultrasound with it). They'd also like to do something called Femmeview, which is pushing air bubbles through my tubes to see if they're open. They admitted, they've never seen it covered by insurance before, BUT (don't you love a but?) where I had an untreated STI known to cause scarring of the tubes, so they'll push the company a bit. If they won't cover, DH and I will discuss the cost since this has been a concern of mine from the start.

Right now they are not asking for actual CD 3 labs. They didn't say why other than "one step at a time." They said they will do them though, just starting with this.

They gave me a handout on both Clomid and Femera, and that the results of everything would determine which they would give me IF I needed it.

They also gave me a req for a SA for DH, no urologist needed, they can do it and give the results to me (with a signed form of course) with out us having to pay for an office visit for DH. Soon as he's back he will go get it done, since the "next step" depends on what that SA says.

I also need to schedule a new pap, a follow up to the abnormal one last year to see if I need yet another colposcopy. We've already decided that an OB will be doing the next one, because they can take more samples (I could throw up even thinking about another one.. that thing was terrible).

Progesterone is definitely on the table. Depending on what future labs show for cd 3 and cd 21 progesterone it could be start on day of BFP, or start 4dpo.. and baby aspirin is an official "prescribed" medication until further notice... she was horrified that the last OB had told me to stop it. They did say that Lovonox is also possibly on the table if anything comes back with the clotting tests. I knew this... but hell, I can't even give myself a freaking finger poke for an A1C! *cries* Hopefully if it comes to that I will be able to get past it because it's the difference between being pregnant and miscarrying... right? (someone reassure me here.. of all the things they talked about.. this was the one that got me)

I'm sure I missed something. It was a long appointment (was there over 2 hours between three people) and there was a lot of information. They were very glad I went in there having a decent idea of what to expect to happen, and understood what they were saying.

What really struck me was.. I told her that the last doctor said that everything was related to my weight, that if I'd just lose the weight, I'd be fixed. And I said that nothing like being told it's all my own fault for being fat, that nothing else could be working against me. She said "Ashley, I'm going to use your own words here. Yes, you are "fat", and it is good that you recognize that, and know that you have to lose some weight. And yes, your infertility could be caused by you being "fat"... but your being "fat" could also be caused by your infertility as well. It is my job to hopefully fix both your weight and your infertility all at the same time. Nothing would please me more than to never write you a prescription for a fertility medication because you would up not needing it." (she even used air quotes every time she used the word fat )

Something I thought was really cool.. I mentioned to them that it was going to suck getting pregnant and having to pay full price for OB appointments until I reached my deductible. They said that they don't usually send the bill to insurance until the end of pregnancy, the end of the year or until advised by the patient. So I could pay for all appointments at full price and hit my deductible then only pay 30% for delivery (my oop max is $6300), OR I could hit my deductible with delivery, then only pay 30% for the remaining plus my copay for appointments. Seriously, this new place is AWESOME!

Oh.. DH is in Texas for at least the next 12 weeks. He's been advised they might have a foreman position opening in the next week or so and if that happens they want him to take it. It's a raise, but it means working longer down there (like... end of year or further). Nothing's ever for sure with his work, but that kinda puts a kink in TTC. Does give me longer to lose more weight though

ok.. I'm going to shut up now.
1798 Days to Conceive our Miracle!
Baby Girl Due August 7th 2017!!

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March 12th, 2014, 08:35 AM
Mega Super Mommy
Join Date: Mar 2010
Location: Illinois
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These are times I wish I would have kept all my bills from my blood work, because I don't think everything was covered. I was tested for what I have 3 or 4 times, because that's just how its done & the bills I got were insane!

I am SO SO SO HAPPY you are someone working in your favor!

And thank you for posting this here because I don't stalk other boards out :-P

Also, I had a SUPER hard time with the Lovenox, so much so I did one shot & couldn't do anymore. The RE told me I was borderline enough to not need it, which is why she didn't give it to me. But the hematologist wanted to have all bases covered, which is why I was given it. I was told to numb the spot with ice first, to pinch the fat, to this & to that. The needle itself doesn't hurt, its getting past shoving a needle into yourself. I didn't trust DH to do it. Now, the generic ****, burns! So, if you end up on it, remember, INJECT SLOWLY!

Did I miss...where you are starting? Besides with the insurance company. I told the people I talked to, pretend I'm a child your explaining this to, because I'm new to this crap. Still don't understand it!

When I was pregnant with Zoe, I paid a co pay for blood work & ultrasounds. My appointments I didn't pay anything & my ending bill was....$200??? The hospital bill for her & I sucked.

Last edited by ZoeChloeMommy; March 12th, 2014 at 08:43 AM.
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March 12th, 2014, 12:14 PM
plan4fate's Avatar I may bend, but not break
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My go copay is $30. Specialist is $60. But they dont consider them as visits until deductible is reached if youb are pregnant. Thats why the office holds off on billing.

If I dont need blood thinners I have 0 intention of giving birth with the ob..im goin with the birth center.

Lora has offered to do any jabs I might need if woody cant handle it. Im not afraid of needles. I dislike injections and the actual poking part....cant even do a finger jab (I will likely have to order one of those sugar monitors you can test off your arm with lol). To quote her "who wouldnt jump at the opportunity to stab their ex husbands new wife with a needle over and over?" Lol.

You were at the re for your testing right? This is just ob and the reason behind the visit is coded along the lines of "failure to maintain pregnancy due to severe abnormal bleeding during menstrual cycle". She does doubt I have a concerning disorder since baby aspirin makes me bruise badly sometimes...but better to know.
1798 Days to Conceive our Miracle!
Baby Girl Due August 7th 2017!!

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March 14th, 2014, 08:20 PM
geogeek's Avatar Marsi's Mommy
Join Date: May 2009
Location: In yonder mountains
Posts: 9,339
I am really glad they are trying to find out the causes of your losses and to give you the baby you so desperately want. I hope you find something. And I hope that Woody does well with his job. It sucks he is so far away for so long, but the foreman job would be awesome!

Thank you *kiliki* for my beautiful siggy!

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March 15th, 2014, 10:11 AM
Halloween81's Avatar Mega Super Mommy
Join Date: Oct 2008
Location: Alberta, Canada
Posts: 1,236
This is great news. It makes me smile to hear you sound less frustrated and more hopeful. KUP on all your results.
Kimberly, wife to Jamie
Miscarriage at 10 weeks - February 14, 2009
Miscarriage of twin boys at 11 weeks - September 21, 2009
Chemical pregnancy - January 9, 2010
Miscarriage at 10 weeks - April 21, 2010
Miscarriage at 7 weeks - October 22, 2010
Miscarriage at 10 weeks - May 14, 2011
Miscarriage at 17 weeks - December 7, 2011 (My sweet little Joshua had Achondrogenesis type 2)
Miscarriage at 5 weeks - June 5, 2013

All test results normal. Reason for RPL unknown.

Annabel born healthy at 35 weeks - May 22, 2014
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March 21st, 2014, 10:39 PM
Happy Song's Avatar Nicole
Join Date: Jan 2010
Posts: 11,023
Just so you know I have weighed 232lbs and 5'4" for at least 13 years and I was always told the weight caused the infertility. I still weigh 232 and I have been pregnant nine times. I have five living children and a blighted ovum, an early fetal demise, a chemical and my still born angel. So I love what she said about being "fat"
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March 21st, 2014, 11:41 PM
plan4fate's Avatar I may bend, but not break
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yeah she was really awesome. And really motivating. I'm down almost 7lbs from that appointment.

I'm going to call my insurance company Tuesday and go over the bloodwork to see what's approved and what's not. We aren't in the position to drop 2k on bloodwork, but I will do all the ones that are covered first and the rest once we're a little more financially secure (so sometime in middle of may.

the big concerns right now are my bloodsugars. My a1c was high last fall, so we need to see if that's improved or not. To go along with all that is her worried I have PCOS.

I just want answers, and I want to start addressing them before DH comes back. There's not much to be done if I have a clotting disorder until I actually GET pregnant.... but the weight, and the sugars.. those I do have control over.
1798 Days to Conceive our Miracle!
Baby Girl Due August 7th 2017!!

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