Doctors and communication

This was posted on June 30th. I swear regularly in real life, I usually try to keep it out of my blogs, especially the *f* word, but it does slip in occasionally. More than occasionally when I am very mad, like I was when I wrote this post. Consider yourself forewarned.

On May 17th we went to see a new doctor for my annual and to discuss our fertility journey. I wasn't horribly pleased with the outcome of the visit even though I really liked the dr herself, I just didn't feel confident that we were making a whole lot of forward progress as far as checking to see what was going on. She gave us a prescription for Clomid and wanted me to have some bloodwork done. Beyond that my instructions were to use opk's to confirm ovulation and...well that was it. Beyond a vague gameplan of what we were overall doing (get an egg, have somewhere for it to go and something to fertilize it with) that was it. I came away hoping the round of Clomid did it's job and we got pregnant so I wouldn't have to try to figure out what to do next.

At the time of the appointment AF was already a few days late. I came back in for bloodwork on the 23rd and still no sign of AF. Finally she reared her ugly head on the 26th which was cycle day 46, longer than any cycle I had had in quite a while. I had not yet heard back the results of the bloodwork so I called the clinic and said I wanted to check on the results of my bloodwork, wanted the dr to know that my cycle had been 46 days long and if that information, along with anything in the bloodwork, indicated a different gameplan than starting Clomid on the 29th. The nurse (or receptionist or whoever called me back) pulled up my chart, said the dr had "signed off" off on my bloodwork and therefor, yes, go ahead and start the Clomid.

Well the Clomid did it's job. I had some pretty big hot flashes and, right on schedule, the opk's agreed with my temps regarding ovulation and I even had ovulation cramps! First of all this was my first positive opk EVER and also my clearest temperature shift. We were stoked! We did what was necessary and then waited the most agonizing two weeks (my first official 2ww ever since I've never had any signs of ovulation, therefore no specific time period of "this could be it"). My temps climbed and climbed for 12 days, then started dropping and AF showed up right on time. :(

Mr TCI  and I talked about what to do next and decided to go ahead with round two of the Clomid and see if maybe we should get an appointment for near the end of the cycle to either confirm pregnancy or discuss where to go from here. This was a few days ago. I started the Clomid on Monday.

Today is Wednesday. This morning I awoke at 8:30 to my phone ringing. It was the clinic, calling to inform me that the bloodwork I had done showed a sky high dhea level "which is common with pcos" (wtf?? I was under the impression that, other than symptoms, nothing was pointing at pcos?? When exactly did pcos come back into the picture??) and that the dr wanted me to come in for another bloodwork to recheck and, if it's still elevated, schedule a ct scan of my adrenal gland.

Now I am not the most with it person on the planet when you wake me up and all I could do was pretty much nod and grunt. It wasn't until well after I got off the phone that my brain woke up and had some questions.

#1 WHY THE FUCK DID IT TAKE A MONTH TO TELL ME MY BLOODWORK SHOWED A PROBLEM??? ***ESPECIALLY*** since said problem is something I mentioned in the original appointment had shown up on previous bloodwork but it hadn't gotten any attention AND I CALLED IN TO ASK ABOUT THE RESULTS OF MY BLOODWORK??? Why wasn't I told THEN that something was off and further testing needed to be done?

#2 Back to the pcos. The nurse on the phone implied I had pcos so this elevated dhea level was no surprise. I have never been diagnosed with pcos. In fact we specifically discussed at the appointment that while I have classic symptoms of pcos, no testing had shown any indications of it at all and that she would be specifically checking the bloodwork results for indications and I was sent home with the prescription for Clomid to take "unless the bloodwork showed signs of pcos in which case we would go in a different direction".

So after stewing on it today and talking to Mr TCI tonight, tomorrow I need to call the clinic and find out what the hell is actually going on. I was not happy about starting the Clomid to begin with, I am so NOT pleased at the possibility of having started it not only once but am half way through the second round, if something else is awry that makes the Clomid pointless at this time. I hate doctors. Why couldn't my body just do it's fucking job and get pregnant so I didn't have to deal with them.