Thursday, July 30, 2009

First Appointment

I had my first appointment with the RE. He is the same one that got us pregnant with A. When I pulled into the parking lot I immediately felt nauseous. I knew I would have nerves, but the emotions and the history all came flooding back. Walking in to the office it all just really felt weird. Checking in, filling out forms. All the same as last time, but totally different. For one, R came with me the first time for the consult. Today he was home with A. I had a 2 hour blood test so I was fasting. I was sent back for the first blood draw, then sent back to wait.

I was called back for the consultation with Dr. A. I went over my plan with the nurse, which is to get on metformin for about 6 months, try to loose weight and get my PCOS more under control. So obviously I am starting this second journey along time before actually trying to get pregnant. When Dr. A came in he was just as kind and soft-spoken as I remembered. He looked through my chart and kept saying that he remembered this or that, even though I was a pretty unremarkable case. Two months on metformin, a few med changes, a (whatever it is called to clean my uterus because I had a cyst), trying on our own, injectables added, one IUI, a chemical pregnancy, a break to recover, another round of injectables, a second IUI and I was pregnant with A. I know I've forgotten a ton of details, and that is fine with me. I just think that he remembered all the medical things, not me per se. We talked briefly about A and I showed him a picture. He kept remarking that the first time we had the consultation was in September of 2006. 3 years ago. We both agreed that time flies.

He agreed with my plan, gave me a prescription. We talked about my weight. I was 216 at the first consult. I lost about 10-12 lbs on the metformin (wish it could have been more, but the stress and emotions of trying to get pregnant were just too much and it was too hard to restrain myself). He said I was 203 at my last appt with him at 11 weeks. By that time I was losing weight due to being nauseous. I got down to about 190 before I started gaining weight again. When I delivered A I was around 213. He asked what I weigh now (I never had to weigh in, which was a big source of nerves for me) and I told him sheepishly, "220". Ugh. That is terrible. I can't believe I weigh more now than I did when pregnant. I am just having such a hard time controlling myself. To my surprise he didn't bat an eyelash. He said that it wasn't too bad, considering I was just 4 lbs up from 3 years ago. His kindness was appreciated, but still. He gave me the prescription for metformin and that was it.

I next had my appt for the pelvic ultrasound. She had me empty my bladder beforehand, but her first comment when looking at the screen was about how full my bladder was. I asked if it was blocking her view, but she said she could see. We talked about my tricky bladder and how I don't empty all the way. Her comments on the ultrasound was that everything looked "normal". But I sort of took that to mean "normal for your PCOS conditions". But I had my second blood draw at 10:25 and I couldn't be late. Not that I expected her to give me much more information than that. Second blood draw, then an hour to wait for the third. I sat and watched Veronica Mars on my laptop. I went to my happy place! Did the third draw and was out of there in 2 1/2 hours. Not a bad time, considering previous waits of over 3 hours. The office seemed much slower this time around. Last time it seemed no matter what time I was there it was so busy. I was wondering if it was the economy, but then I heard someone telling someone else that Dr. A was only going to be in the office until 10. I'm interested to see what the next appointments bring as far as the wait. It will be much harder this time with A. Even though I had to work around a job last time, this time I have a little person to take care of. Since I still have a good 4-5 months before we really get into the thick of scheduling ultrasounds all the time, I'm trying not to worry about it right now.

And there ends my first visit. I will wait for the prescription for metformin to arrive and then begin taking it. They said that if there was anything that showed up in my blood work they'd let me know. And that's where we stand!

Thursday, July 23, 2009

Step 1

Make appt with RE. Done.