Long day :(

Ugh, started off with a rough morning. I’d just given myself my progesterone injection, and was holding pressure on the site with one hand, and putting the PIO bottle back in its box with the other. Except somehow the bottle slipped out of my hand, and rolled off the counter, falling on the floor with a sickening crack. Glass and precious medication on the ground! Quickly cleaned it up, which meant I didn’t hold pressure on the injection site for very long, and by the time I looked again, there was blood all over my glute!

That was my last bottle of PIO, and I’d just started it yesterday. My own clinic’s pharmacy didn’t carry it, so I called the hospital pharmacy, and it took them a while, but they did find some. Placed an order myself, but couldn’t make it over there until after work and my desperately-needed yoga class – it’s been almost 2 weeks since I last did any sort of exercise! So by the time I checked in at the pharmacy it was 8:15. At 8:30 they called my name and said they didn’t have it – huh?! The tech said this morning’s tech must’ve put it somewhere she can’t find, but that I should sit down and the rest of my meds would be ready soon – which made no sense since that was the ONLY med I’d checked in for. She checked with another tech, who I could see holding the right box – the first tech said never mind! It’ll be ready soon. Half an hour later, I’ve seen at least a dozen other patients check in and pick up their meds! Go up again, am told will be just 2 more minutes. 9:10, and the pharmacist calls me up, with many questions – the dose is different from their standard (dunno what standard that is – 1 mL once a day seems pretty kosher for IVF), and was I sure I’d taken this medication already since I ordered it? Um YES, I explained the dropped bottle fiasco, and he finally seemed satisfied. So I finally picked up my bottle and got out of there an hour later.

I am so going to crash tonight – I have a 12-hour work day tomorrow! 😦

Money talk, and why I’m not in a procedure-oriented specialty

For those interested, I started a page tabulating the costs of IVF so far. I wanted to keep track somewhere, so figured why not here. I’ve found it very interesting to hear the wide range in costs. The lowest I’ve heard is $9K (from the NP who did my last IUI’s – she also used my RE), and the highest I’ve heard is $25K – for one round! My acupuncturist says it can be a total racket with some doctors, who may not be upfront about a certain woman’s chances and will just tack on every possible test and procedure to rake in the money. Scary… I feel confident that my RE won’t rip me off, and though he is a man of few words, he hasn’t made me feel dumb for asking all the crazy questions rolling around in my head. Even so, I’m pretty certain I would not be doing this if I didn’t have insurance covering most of it!

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Wheeeee!! Now the real fun begins!

I’m actually pretty competent at the few procedures I have to perform in my specialty, but there is a reason I could never be a surgeon – I can be a real klutz sometimes, and I stress myself out way more than I like with procedures. I decided to make up the Gonal-f solution last night, so it would be one less thing/needle to worry about this morning – see the contents of one full package in the top left photo. The 2 morning injections of Lupron and Gonal-f went very smoothly as a result (top right photo).

The evening Menopur injection was a hot mess – see bottom left photo. 3 bottles of powder, 1 bottle of diluent… thank goodness for the Q-Cap (bottom right photo), without which I would’ve unintentionally stabbed myself a few times. Of course, I still managed to screw it on the wrong end the first time. Yikes… It also took me a few tries to determine how much force I needed to insert then remove from each bottle. After almost 10 minutes of messing around, I finally had a syringe filled with 225 IU of Menopur in 1 mL of diluent. Popped on the injection needle, carefully pushed out the air bubble, jabbed it in, and HOLY-MOTHER-OF-ALL-THAT-IS-EVIL-THAT-SHIT-STINGS!! I mean, I’d read that it stings, but I still wasn’t expecting THAT much of a burn. I had to bite my lip to keep from screaming/crying out since I was at work. There is no way I’d be able to give myself Menopur at a concert tomorrow, so I’m glad I chose to give it in the early evening to avoid that trauma outside of home and work.

My belly now has quite a collection of tiny red blood spots and small bruises. Only 10 more days of injections to go!

Overall smooth with a little bit of spazz

My first Lupron injection went pretty well this morning. Woke up 15 minutes earlier than usual to make sure I gave myself plenty of time, but the whole thing took less than 5 minutes. I don’t draw up medications and give injections much in my practice, but have done so enough times in the past that it wasn’t tough to go through the motions. Of course, I had to have ONE spazzy moment! I had the needle in the bottle and had drawn up the 10 units of med I needed, and without thinking, I withdrew the needle while the bottle was still upside down. Small stream of medication jets out. Oopsie, should still be plenty for what I need left! At least from there on, it was pretty quick and painless injecting into my tummy – one good part of the weight gain is I’m not lacking for injection sites. This needle is the smallest one possible, the same ones diabetics use to give themselves insulin injections. I can imagine that it’ll get tougher once I add the stim injections into the mix – I hear those burn like a mofo. Yay!

Oh yes, Freedom Fertility Pharmacy has a great phone app with information on all the various medications, including written instructions and videos on giving the injections. It’s available on both Android and iPhone. I found it simple to navigate and review the steps beforehand, and I plan to share it with my husband before he has to give me IM injections.