The IVF process is a very time oriented process, I received a 2 month calendar with my "plan" mapped out. Everything has it's set day, and you can't miss it. The last injection medication I take must be injected 35 hours before the egg retrieval, they tell me the exact time and their is no cushion. I'm not the most planned oriented person, I was never good at taking a medication regularly and no matter how many daily planners I purchased and resolutions I made to use them, inevitably I would write in them the first 3 days and forget they ever existed. In fact, I just changed my desk work calendar from April to July. (This is partly due to the fact that I had so many files on the calender that I never could see it).
But this process is changing me (with the help of iphone applications). I've put all my doctors appointments in the calender and it reminds me, I've been using a fertility tracker for the last nine months so now I can tell the doctors everything they ask about my "Aunt Flow" and they always want specifics. I have my calender with the dates and times of medications, the first injection, Lupron, MUST start Monday morning between 7 -9 am. So the last 3 days have been filled with phone calls to pharmacies, our insurance company, and Connie (my wonderful nurse practitioner).
The pharmacy calls started on Tuesday, 2 different mail order pharmacies called to verify information. But Connie didn't want us to order them without performing a sonohystogram first...she wanted to make sure the doctors liked my uterus and that we would be cleared for IVF, which makes sense because these medications have a short shelf life and no return policy. I got the go ahead to order the prescriptions on Thursday. When I called the pharmacies to complete the process, I was informed that my insurance denied the claim on 13 prescriptions. My mind started racing with all the ways to fix this issue. IVF is not cheap, the process alone is $10,000 with no insurance, and that doesn't even include the medications. We have been so blessed with wonderful health insurance, seriously wonderful, that the thought didn't occur to me that it wouldn't be covered. Plus, I called the insurance company 3 times to verify coverage before we decided to do IVF, and was informed we have a $20,000 lifetime maximum infertility benefit. Then why was this happening? We don't have the extra money to spend and how was I going to convince my other half that we should still do it right now. Not that he wouldn't want to continue, but he is a little more logical when it comes to money. Where as I would probably sell everything I owned to move forward with IVF. Thankfully, it didn't come down to that. I called our insurance company and they explained that our coverage isn't under pharmaceutical but medical, and we had to go through their pharmacy Teledrugs.
Remember it's Thursday, I have to receive the Lupron by Saturday so I can start it on Monday. Teledrugs couldn't fill all 13 prescriptions in that time, and they don't normally split the prescriptions. I spoke with a supervisor and they told me they could and it would be here by Saturday for sure. Friday rolled around and I got a call from Teledrugs saying they needed some sort of authorization from my doctors office before they could send the Lupron, (umm hello - what is a prescription for if you need additional authorization?) This phone call came before my CPA exam, I tried to reach my doctors office but went to voicemail. I knew I would get a call back, but my exam was 3 hours and I had no phone. Before my panic mode fully struck in, my husband told me to forward my calls to him and he would handle it...thank God! The stress I was feeling from my exam was more then enough, but then to add possibly not getting my medication in time, which would postpone my IVF plan, was practically a freakout. We ended up having to order and pay out of pocket for the Lupron, but I'm very happy to report, I received the medication on Saturday (after another minor freakout late Friday night when I realized I had not received the tacking number by email). I really can't fully describe the sinking feeling that was starting to settle in my heart at the thought of not getting the medication in time...it's amazing how much I'm set and ready for this process to begin. The thought of post-ponement was like someone taking away my favorite thing in life...hope. If I'm really honest with myself, I realize that I've already set my heart on IVF working, I've actually planned and thought the entire pregancy though (mapped dates, trimesters, etc...) but I'm scared sh*tless that it won't work the first time. I know that if it had been postponed it would still happen, but I'm so thankful that tomorrow, Monday, July 10th will be my very first injection (even if I have to do it to myself in a hotel room way too far away from my husband). I know I'm doing this for my babies and that God will give me the strength and courage to do the injection on my own. Well, it won't be completely on my own, modern technology will allow my husband to walk me through it by using Skype.
So I'm sure tomorrows post will be full of all the details of how I conquered my fear and successfully completed my first of many injections!