Last Wednesday I “worked” from home and so was able to make some phone calls that I needed to make before we start this IVF cycle. First I called my insurance company to find out if some blood tests are covered – and the woman told me that they are not because they are considered experimental. These are the $800 worth of blood tests that the clinic wanted me to put on my credit card. They also told me that whether or not the rest of the tests are covered are based on which diagnosis code is submitted with the bills. Then I called the doctor’s office to find out what my diagnosis code is.
Digression: There is something really wrong with the medical system in this country, where the pain (physical and mental), heartache, and tears that I have been experiencing over the past 4 months (though, really, over a year) can be summed up by the insurance company as Diagnosis Code 628.2. Maybe I would be better off if I had 628.3 – though who the hell knows what any of this means?
Anyway, I got the diagnosis code and called the insurance company back again to confirm. This time they told me all the tests would be covered. I was so happy! Then I decided I better call back one more time and see who the next person sided with. So I called again, and was told that definitely none of these tests are covered.
One of the things that I have learned, both with my gallbladder surgery six years ago, and hospitalization earlier this year, is that you can not trust people in the medical field to do what you need them to do. It is up to you to be agressive and get what you need. It is so sad to see people in the hospital (like my roommates this past August) who don’t have anyone there to advocate for them and make sure they aren’t poked and prodded any more than they really need to be, and to make sure that they are getting proper medication to make them well and keep them comfortable. I am so fortunate that my husband and mom and inlaws and a couple friends were there so much to take care of me.
But, it is never ending. I guess it makes sense – in some way you are ultimately responsible for your own health and making decisions about your body. But I used to have a lot more confidence and faith in the medical profession than I do now. Between incomplete care and misinformation and just blatant guesses about what is going on inside my body, doctors (except for you Dr. Palmer and Dr. L - I do love you!) have not really been doing me right.
I am happy that we found an IVF clinic that seems to be the exception to this too. They are very responsive and communicative and compassionate. I feel like I am in good hands there. This past Friday M. and I went to see them for our ART consult and injection teaching session. I thought there woudl only be one big shot in my ass. Turns out those are daily shots – twice or three times a day… Hmmm. I guess I’ll get used to it. M. looked pretty freaked out when he realized how many shots he was going to have to give me. I am a little nervous about that, but mostly because I know he is nervous. Hopefully he’ll just go for it. I feel adrenaline in my body just thinking about it.
We have officially started this first IVF cycle – our medication schedule is being prepared, we have completed a lot of the tests, I am on birth control to suppress my system, and I’ll be starting injections at the end of December. I haven’t thought a whole lot about what this means for me in the big picture – I have been so focused on the little things and putting one foot in front of the other so that I at least feel like we are making some sort of progress in the ultimate goal of starting a family. I want to do this now, but I also wonder if I am rushing in too fast. I have always been in a big hurry in my life to get to the ‘next thing’. With so many of my friends having babies, I want to be at that stage so much, and I want to start our family. Thinking about it now, though, I don’t think there is really any reason to wait. We were ready to be pregnant over a year ago. We are financially stable (and will be even after I quit my job in four weeks, which is another story… ) and insurance covers the majority of the treatment. I think waiting to start IVF would have just drawn this process out and kept me wondering longer. So, I definitely am ready for this. M. is totally on board too – I think he just worries about my health and my mental state sometimes when this situation is getting to me, like it did last Wednesday.
I got so frustrated with the insurance company giving me three different answers and then I also was talking to an acupunture practitioner and she said that it isn’t a good idea to do the acupuncture “half-assed” and that it is most beneficial if you go once a week and then once right before embryo transfer and once right after. That’s a lot of money when you figure $100 per session. So then I was worried (more like feeling guilty) about spending that kind of money on this process when I am voluntarily giving up my paycheck soon.
M. has a really good attitute about it, I think (maybe because it is working out in my favor…), and he says that he wants me to pursue my Personal Chef business and we didn’t spend all this money on tuition this year so that I would stay at my current job that I don’t even like. I am trying to stay positive and confident and know that it will work out and that I will make some money. I am super fortunate that there isn’t a certain amount that I have to make in order for us to be able to pay the bills. We just won’t be saving as much money if I am not making as much. In some ways I am so excited about leaving this job and starting my business, but I am also struggling with guilt over giving up this job that pays me well to go into something that I have no idea how it will work out. It is scary but exciting.
I started a knitting project this weekend, for the first time in months and months and months and I feel myself becoming obsessed with it again, which isn’t necessarily a bad thing. I’ll write more about that tomorrow since it is the end of my lunch hour, and also this novel needs to end.