One of the nurses from my local RE clinic called me today. When I saw the number on caller ID I thought it was the scheduler calling to schedule our meeting with our RE before we cycle there again. I called a couple of days ago and left her a message that I wanted to having a meeting with our RE to discuss a couple of thing with him prior to cycling there again--namely, our results of our one day work-up at CCRM.
DH and I have all but decided for sure that we will cycle again locally since we have paid for one more cycle locally. With the logistics of running two businesses and having our busy work time be in the summer, we thought it would be best if we cycle locally this summer instead of flying to CO to cycle at CCRM. We are about 95% sure that this is what we will do. If we don't have success with our local cycle, we will cycle at CCRM next winter when work isn't so busy and we will be able to run both of our businesses long-distance.
When I picked up the phone it was actually the head nurse calling me. She was curious as to why we wanted to schedule a pre-IVF consult and asked if we had some specific questions. She said that our local RE would meet with us, but that he realizes that the consult would be more $$ out of our pockets and wanted to avoid having to charge us by getting our questions answered over the phone.
Since I had not yet thought of how I would approach the situation with our local RE I was a little tongue-tied (which rarely happens to me!). I ended up telling the nurse more about our one day work-up with CCRM. I told her that it is not my intention to tell our local RE how to do his job, but that after having L and now having four failed IVF cycles that I wanted to have more answers. I explained that I didn't want to step on our local REs toes, but that I wanted to help them make me a success story of someone who cycles three times and gets pregnant (yep, I was laying it on thick).
I told her that CCRM found that I had restricted blood flow to my uterus and that they recommend that I do electro-acupuncture and mentioned the study on Randine Lewis's website. I also mentioned that I had read in an article that Vi.agra could help with blood flow too. She looked at my meds order and noted that my local RE was going to put me on Vi.agra for this cycle in addition to heparin and baby aspirin.
I also mentioned that I was waiting for my endometrial biopsy results to come back to see if I had the beta 3 integrin.
She was curious as to what protocol CCRM would recommend putting me on. I told her that I would ask when I have another phone consult with Dr. School.craft in March. She said to call her when I got the biopsy results and we would go from there. She told me also that she would touch base with my RE regarding our phone conversation.
It is a really fine line working between two clinics. ART/IVF is a really competitive business out there with lots of $$ involved. I was taken off guard by her phone call because DH and I had not fully discussed how we would handle our meeting with him before we cycle. I did tell my local RE in December that we were going to get a second opinion from CCRM and I don't think he was too pleased about it. Actually, I think he was surprised and shocked. I really do respect my local RE and I actually told him that I loved him during one of my transfers (yes, val.ium does weird things to you!). I also think that if I am logistically unable to transfer with CCRM until the winter months that it would be a long wait if I couldn't cycle locally. Even though I don't have high hopes of it working locally, I figure, Why not? We've already paid for the cycle and it is one more chance to make it work.