More Curveballs Thrown Our Way

My slight panic started on Wednesday when I read that the new guideline from FDA for donation of any human tissues is that the donor can’t have traveled to an infected area of Zika virus within the past six months of the donation or can’t have had a sexual partner that traveled to those areas.  I immediately wrote the donor agency owner about our donor to ask if she had traveled to these areas in the last few months.  She confirmed that the donor hadn’t.  I am still thinking that we should include a clause in the agreement in the future for the donor not to travel to those areas.  I am just thinking ahead and don’t want this to be the reason our cycle could be delayed.  This Zika virus epidemic is adding a new layer of worries to egg donation.

Thursday.  My lining check day for the Endometrial Receptivity Array (ERA) biopsies that had been scheduled for next Tuesday and Thursday.  I had just gone to the bathroom and emptied out my bladder.  My trusted nurse practitioner came in and got right to business.  She knows me and she knows my uterus.  So it should have been like the usual scans that usually take about 5 minutes to finish.  This time was totally different.  The NP probably spent about 25 minutes, first vaginally, then abdominally, and finally vaginally again.  The fibroid that is in the back wall of my uterus (and not in the cavity) just really blocked the view this time for her to even visualize my lining clearly.  The fibroid measured over 7cm.  My immediate thought was that it had grown much bigger than I remembered.  The abdominal ultrasound is usually a better method to check my lining but I had emptied out my bladder so the contrast wasn’t great.  I think she did find the lining but it wasn’t very clear.  She just wanted to make sure that she measured it correctly so she used the vaginal method again.  It was just a bit disconcerting to see such an experienced sonographer having such a hard time finding a lining on a uterus that she has seen several dozen of times.  She looked at every angle and every depth.  Every time she measured, it was at least 7mm vaginally and 9mm abdominally.  But she just wanted to make sure.  I lay there quietly and patiently.  The scan took so long that she had to ask someone else to perform an IUI that she was scheduled for.

The NP reviewed my images on the computer and told me that she’d recommend checking my estrogen with a blood test to confirm that I did indeed absorb the estrogen.  I told her that this time it did feel differently as I hadn’t experienced a lot of cervical fluid so I was thinking that my lining might not have grown much.  Anyhow, I was told to meet with a nurse later to go over progesterone instruction in order to get ready for the biopsies next week.  She checked my previous measurement for the fibroid.  It was about 5mm back in 2014.

In the phlebotomy room when a medical assistant was about to do the blood draw, the NP and Dr. No Nonsense showed up.  Dr. NN explained to me that the fibroid has grown to a point where it is now interfering the ultrasound scan.  He said that whenever a fibroid grows over to 7cm, it’s hard to know its effect on getting pregnant and implantation.  Since we already failed two DE transfers, it might be good for us to consider removing it.  Since our donor is not going to be ready to cycle until end of May, beginning of June, and retrieval probably won’t be until July or August, it might be good to take care of this right now.  In terms of the biopsies next week, he said that we could still do it.  I asked if the results would be valid if my uterus is going to be different because of the fibroid removal.  He said that if the surgery doesn’t penetrate to the lining, then it shouldn’t make a difference.  But if it does, then we may have to do the ERA again in the future.  I made a quick calculation in my head.  If I cancel the biopsies, I’d only lose the medication money (which was a few hundred dollars).  If I keep the biopsies and the results turned out to not be valid because of the surgery, then I’d have wasted a lot more money.  So I told him that I’d rather cancel the biopsies.  The discovery time for fibroid surgery is 3 months.  We discussed a freeze-all vs. fresh DE cycle.  He said that the results don’t make a huge difference, but we could sync up the donor for a fresh cycle, we would do it.

The first thing I did when I walked out of the clinic was to contact Bob.  I stood next to my car and chatted with him on the phone for 15 minutes.  I was surprised that both of us could keep our calm.  However, we were both very discouraged.  It just seems to be never ending.  When we move forward one step, we seem to be pushed back a couple of steps.  How many curveballs does it take for us to make a baby?  Is this God’s way of telling us that we should not even try to have a baby this way?

I know we shouldn’t jump to conclusion.  God has His plans.  But truthfully, as much as I try to keep my faith, these circumstances throw me down time and time again.

But we are doers.  We process our feelings and we move on.  I let Bob vent as much as he wanted to.  He needed it.  I know as a provider of the family, his mind already went to how much more money we’d have to save up to realize our dream.  On the phone, we discussed a few possibilities and the next steps.  Definitely contact the Kai.ser surgeon who did my hysteroscopy and saline sonogram.  She is the expert at Kai.ser who does all the abdominal myomectomy.  Bob suggested getting a second opinion from another RE to see if a surgery is absolutely necessary before we could try for a baby again.  So he possibly wanted me to contact Dr. E.  He even suggested transferring the donated embryos and see if we would get pregnant.  Basically we were just throwing ideas out there trying to gain some control of the situation.

That afternoon, I wrote my Kai.ser surgeon asking about the surgery.  I had my open surgery end of 2011 to remove many tiny fibroids and don’t want to go through with such a big surgery again.  I had to stay in the hospital for one night and took 6 weeks off from work.  My Kai.ser surgeon wrote me back.  She said that the myomectomy can be done laparoscopically.  It is an outpatient surgery with much faster recovery times and disability compared to open surgery.  She set up a surgical consultation with me for April 20th.  She said that I should consider this: it takes one to two months to book a surgery, and three months of recovery time to heal before a pregnancy.  She was so nice. She told me to email her again if I had any other questions or concerns I wanted to discuss prior to the consultation appointment.

This is her title:

Director of Minimally Invasive Gynecologic Surgery
Advanced Laparoscopy and Robotic Surgery

So I am not worried about her skills.  I have 100% confidence in this doctor.  I am more thinking about that this will be my second surgery and the implication it has on my ability to get pregnant.  I don’t want to weaken my uterine wall and I don’t want a uterine rupture when I eventually get pregnant.

Bob called me at work again.  After walking around and calming himself down, he was feeling good and hopeful again.  He called to cheer me up and to let me know that we would get this done.  We always do.  I really appreciated the phone call.  I was feeling a bit sorry for myself and had a hard time making myself emotionally available for the clients that I would see that afternoon.  He told me to go ahead and contact Dr. E’s staff to schedule a consultation for a second opinion.

I confirmed with Dr. E’s finance person that the consultation and ultrasound with her don’t cost too much.  I am still trying to schedule an appointment with her next week since I had already blocked my schedule for the biopsies that will no longer take place.

After work, I stopped by my Dear Colleague’s house and told her the whole thing in person.  I just needed to talk it all out.  I thought I was going to cry, but I didn’t.  After that, I updated my various friends online on what happened.  One silver lining of this whole ordeal is that my support system is phenomenal.  My friends are available any time I want.  I feel tremendously blessed in this department.

And my husband is phenomenal as well.  He came home smiling and wanting to cheer me up.  We had a decent evening despite having discouraging news.  As we both took today off, we have this weekend to talk about what makes sense as our next steps.  We have some important questions to ask ourselves.  What do all these roadblocks mean in our whole journey?  What is our timeline now?  Do we even look at our timeline?  Are we going to continue pursuing egg donation or will embryo donation be our path?  Do we have to save up more money?  If we decide to go with embryo donation, are we okay with losing the thousands of dollars in agency fee?  I am sure we’ll have a lot to discuss this weekend.

If we get a surgery booked in May or June, we would need three months to recover.  So I hope that the donor is okay with postponing the retrieval to September so we can have a fresh transfer.  I know I can plan all I want, but it’s really not up to us for the timing of things.  There are so many variables.   I probably won’t be a mom until I am close to 43, and I am not even 42 yet.  But you know what?  We’ll push on.  It is disappointing to be delayed but it doesn’t mean it’s impossible.  I just hope that the surgery will help us clarify what is the best for our next steps.

I don’t know how many curveballs are coming our way still.  But we’ll do what we need to do to achieve our dreams.  Other than pushing forward, I don’t think there is another way to handle the situation.

God is good.  I have been praying for peace and strength and I have been experiencing both.  I hope I don’t lose sight on my source of peace and strength during difficult times.


The Lining is Ready!

I meant to write an update, but I have been swamped the last two days.  So here it is!

Right before my ultrasound, I met with my nurse for her to go over my consent.  Unlike the consent for the donor cycle which was about 30 pages requiring both of our initials on every single page, sometimes multiple ones per page, this consent form was underwhelmingly simple.  Maybe 5 pages tops, with two initials and one signature per person.

I was pantless waiting at the ultrasound room for a whopping 25 minutes.  Thank goodness for a smart phone and friends and husband online.  Otherwise, I don’t know what I would have done.  My one and only favorite nurse practitioner came in.  She got right to business.  I spread my legs, lay down, and just watched the screen. She was searching for over a minute for my lining.  She was looking and looking and looking some more.  I was waiting and waiting and waiting some more.  The most amazingly thing is, I was just waiting patiently.  No anxiety.  No worries.  Just watching and waiting quietly.  I didn’t even ask any questions.  I don’t know where this calmness came from.  Well, I do know.  And I thank God for that.  Because of my fibroid, she sometimes has a hard time finding my lining.  This was probably the longest that had taken her.  The measurement from the vaginal ultrasound was 7.4mm.  Not impressive, but passed the minimum requirement of 7mm.  The NP assured me that 7mm and 10mm do not yield different results.  I nodded and felt at peace about it.  She went ahead to confirm the measurement with an abdominal ultrasound.  We have been doing this almost every single time.  Because the view was unobstructed by the fibroid, she could get a quick, better, and clearer measurement.  Once she saw the lining, she exhaled a sigh of relief, and declared a measurement of 9.2mm!  Wow I didn’t know that different views could yield such different results.  And she finally commented on how beautiful the trilaminar pattern of the lining looked with this view.  Looks like the estrogen patches and my body are both doing their jobs well.

What the NP said next was music to my ears.  She said, “Remind me when you come in for your pregnancy ultrasound not to look with the vaginal probe for too long, knowing that the fibroid is blocking the view of the fundal area, which is where the embryo should be.”  I smiled and told her how happy I was that she sounded so optimistic.  She said she was definitely hopeful for this.  It’s just lovely to have professionals around you who are so optimistic and rooting for you.

I met with another nurse who is responsible for scheduling procedures.  She presented the schedule to me and asked which date I would like the transfer to be.  I somehow wanted a Tuesday but she said there were already three transfers on that day.  I didn’t want to wait until Wednesday so I opted for Monday, the first day of the window.  As she was filling the dates for all the meds and stuff on the calendar, I asked a very important question: When will the first beta be?

My clinic is notoriously crazy for asking patients to wait 12 to 14 days post transfer for the first beta.  I waited 12 days for the last two transfers.  That was really long enough to drive me crazy and test my patience.  This time, 12 days post transfer falls on a Saturday.  Because my nurse coordinator doesn’t work on a Saturday, I can’t do it on that day or day 13, which is on a Sunday.  The tricky part this time is day 14 is Monday, President’s day.  It’s a holiday observed by my clinic.  So my nurse coordinator won’t be there either.  I asked for permission to do it on day 11, that Friday.  This procedure nurse was very reluctant to schedule me for Friday, because 11 days past a day 5 transfer is too “early” for a beta.  I honestly think that these people are crazy at my clinic.  That is the equivalent of 16 days past ovulation. Too early?!?  I told her that I won’t do it on Tuesday February 16, because that is Bob’s birthday.  I am not doing a beta on Bob’s birthday.  What a big dilemma.

The procedure nurse went and asked my nurse coordinator.  Another nurse of my RE actually will work on President’s day, so she would be around to give me instructions when my beta came back at my regular doctor at Kai.ser.  So guys, I have to wait 14 whole days for the first beta!  This will be the true test of my patience.  And I still think that I won’t POAS……

When I said goodbye to the procedure nurse, I said that I don’t ever want another one of these meetings before a transfer.  It sounded mean but I hope she understood….

So that’s it!  I did my last dose of Lu.pron tonight.  We’ll start PIO tomorrow.  And then we’ll be all set for Monday!

Come on baby.  We are so ready for  you to come home!

Green light!

We got the green light to move ahead!

Today was my lining check day.  I was able to maintain my calm most of the day.  There were maybe three moments of nervousness but I was really amazingly at peace.  My prayer this morning was for my lining to be good, but if also for God to keep me focus on Him rather than my circumstances if my lining wasn’t good.  I was able to focus at the kids at work.  I was not anxious when I was driving to the clinic.  All in all, I was feeling at peace and calm.

I arrived at the clinic early and found a free parking spot (yay!).  I wrote a huge check for the cycle, the most we have paid for one single cycle.  I really hope that the end result is a baby for us.  When I was done checking in, it was not even my appointment time yet.  I barely warmed my seat in the waiting room before a male nurse led me into the exam room.  Not even two seconds after I undressed and covered myself up before my favorite nurse practitioner (NP) walked in.  She asked me how I was doing.  I told her that I had been quite calm all day  until that moment, not knowing if the estrogen patches were working.  She told me that it is some pretty powerful stuff.  Apparently if the patches don’t work, the clinic would recommend injections.  Being on the table, I started to feel a little nervous.  I am thankful that she was very good at putting me at ease.  With me lying down and the light dimmed, she inserted the wand and reminded me that because of my fibroid, it usually would take her a little while to find the lining.  After looking for a few seconds, she said, “I can tell you now that it’s looking good”.  What a relief that she told me that first.  She proceeded to measure the lining.  It was 7.8mm.  I was slightly disappointed because last cycle my lining was the same and I didn’t get pregnant.  But like last time, she told me that anything above 7mm is good.  I remember her telling me that the trilaminar pattern looking shiny is what they would want.  I could totally see the shininess of my lining on the screen.  Both ovaries were quiet, which was what we wanted.  The NP wanted to make sure she got the best view of the lining, so she asked for permission to do an abdominal ultrasound.  That measurement was even better: 8mm.  She said that it would be a more accurate one because the view was not obstructed by the fibroid.

I felt relieved, calm, and happy that we are moving on, finally.  It has seemed like a long wait since our last transfer.  A total of nine months.  We went through a lot in the last nine months.  It just feels good to get the Okay to move forward.

One of the in-cycle nurses situated me in this office with a great view of the bay.  We went over all the instructions for the sample collection, the changes in medication, transfer, and pregnancy test.  I knew ahead of time that Bob would have to clear his semen without anyone telling us.  So I had him do that yesterday morning.  He is scheduled for his semen specimen collection tomorrow at 11am.  The eggs will be thawed tomorrow and fertilization will happen.  We will get a fertilization report on Saturday with the number of eggs thawed and the number of eggs fertilized.  On day three, which is Monday, we will get a call about the number of embryos remaining and the transfer details for Wednesday.  I made sure that on the lab order it says to thaw ten eggs and transfer one blastocyst on day five.  I also made sure that the lab order in the system said my donor’s name and number.  It’s never too much trouble to double and triple check.

Today is our last dose of Lup.ron.  I hope I will not have to do another Lup.ron injection again until the transfer for baby number two.  Tomorrow we’ll start our progesterone in oil injections.  Yup.  PIO is finally starting.  Somehow I have never gone to the injection class that U.CSF puts together, mostly because I knew how to do my subcutaneous injection, so my own nurse never told me to do one.  The in-cycle nurse went over a bunch of instructions with me.  Basically to relax the muscles for the injection.  She told me the correct areas to inject.  I requested for her to draw the areas for me which she did later.  The key, she said, is to jab the needle in quickly, pull out the plunger for a little, then slowly inject the liquid in.  She told me to do it between 7 to 11pm, massage the area afterwards, and walk around if I can.  I am quite sure Bob and I will have a fantastic time doing this.  The dosage is 1/2cc for two days, 1cc for two days, the 1 1/2 cc for the rest of the first trimester.  The nurse said I could do it lying down or standing up.  She also showed me how to do it myself, by leaning the non-injection side of my body on the wall to relax the injection side, jab, and inject slowly.  I am not going to tell Bob just yet that he may not have to inject for me.  I will prefer for him to do it for me so let’s hope that it will go well.

I am to switch out my old estrogen patches with three new patches tomorrow.  Three days after that, I’ll replace them with two new patches and continue that every three days until I am told to stop.  The nurse told me to talk to my own nurse about refills for these meds.  I told her that hopefully if I get pregnant, my OB/GYN will order them for me so it will be covered under my insurance.

I am to start steroids tomorrow and continue my prenatal vitamins.  The in-cycle nurse instructed me to tell Bob to take his  I told her that since Bob usually would get a stomach problem from the, Dr. No Nonsense gave an Okay for him not to take it. She told me to make sure with my nurse about it.  (I later forgot to ask my nurse after I left so I had to go back to the clinic and wait for her to meet with me again.  She remembered this whole thing about Bob not taking the meds so she didn’t order it for him.)

On the day of the transfer, my acupuncturist will do pre- and post-transfer session with me at the clinic.  Apparently we get a transfer room where we will do the acupuncture session there, stay there for the transfer, and stay there for another session.  Sounds like a nice set up.  I will notify the clinic ahead of time when I get the day 3 fertilization report.  I remember that I will take a Val.ium one hour prior to the transfer, but I totally forgot that I will need to have a full bladder.  The memory is slowly coming back about how a transfer works.

First beta will be on December 7th, 12 days after our day 5 transfer.  I think it’s torture that my clinic makes people wait for so many days before beta test can be done.  I am known for not testing ahead of time, so we’ll all be guessing together.  Plus I am sure progesterone is going to make me feel pregnant and tired.  It will probably be some very difficult two weeks to wait.  I have yet to decide whether to go to Kai.ser, my own insurance, or to go to U.CSF.  Kai.ser does ASAP instead of STAT.  So really, who knows how quickly ASAP is.  My nurse said that I may find the test result online sooner than she does.  If I go before 9am, there is a 50/50 chance that she could find out the result before 6pm.  I don’t know if I can last all day without knowing the results.  So the choice is to pay for the test at U.CSF and get the results sooner, or go to Kai.ser for free but potentially have to wait longer.  I am still undecided.

After the in-cycle nurse drew the cycles on my lower back, my own nurse came in to go over the consent form with me.  It was very nice to see her.  When I brought up Dr. NN not being able to do my transfer for me, her reaction cracked me up.  She was like, “I know!  When he told me, I was like What the heck?”  HAHA!  Yeah he can’t do it for me because he is going out of town before Thanksgiving.  I am fine either way.  My uterus is a straight forward organ so I am sure the other doctor is fine.  We went over the consent form and we were done!  When we said good bye, she told me that she’d talk to me in three weeks.  I just looked.  It’s more like 2.5 weeks.  In 2.5 weeks, we’ll find out if we are pregnant in 2015.

Bob is very excited.  When I wrote him a text, he said, “Praise the Lord!  Let’s do it.”  I love that!  All the glory and honor go to the Lord.

So here we are!  After so many years, this is the best chance that we have for a baby.  I am very grateful for getting this close.  I have been praying for the perfect number of embryos to complete our family.  Whatever that number is, I will be happy.  So please pray that the eggs thaw well, fertilize well, and we’ll have the perfect number of embryos waiting for us.

Like what Bob said, Let’s do it!

Counting Down to Lining Check

My lining check is coming up soon.  This coming Thursday in the afternoon we’ll know if the lining is thick enough and trilaminar for us to thaw the eggs on Friday to fertilize them.

How have I been feeling?  Amazingly well.  Still calm.  Not anxious.  Carrying on my life like usual and taking it one day at a time.  My daily prayer has been to be anxiety free and calm and to depend on God fully.  I pray that God continues to carry me through.

I may feel differently come tomorrow or Thursday.  But I will just focus on the present and am very thankful that I am not more nervous than I am.

I have been on my Lup.ron shots daily.  That tiny little vial seems to be lasting forever.  I hope it does the very important job of making my ovaries quiet.

Today I still have my two estrogen patches on my tummy.  Tomorrow morning I will replace them with four new patches.  Has anyone ever had trouble finding the right place for these patches?  For my first patch, I just put it somewhere below my belly button.  What I found out was that its placement was right where my jeans’ waistband was.  I found myself constantly checking to make sure that the patch was still there.  The instructions also say to avoid putting the new patch on the same area as before.  The second time around, I placed the new patch lower, which made it easier to avoid rubbing.  But it became a little bit tricker to place two patches and to avoid the previous areas as well as to make sure that they are between the panty and my pants’ waistband.  I can only imagine how fun it will be to constantly have to find room for four patches.

It feels kind of funny not feeling or knowing what is going on inside my uterus.  I naturally want to help the lining in any way I can.  But I just don’t know if it needs help or not.  One thing I was planning on doing was to do castor oil pack thinking that it would help with the blood flow.  I was waiting to start it after my bleeding was totally gone.  One lady on a FB DE group told me to be careful about it as she used it only to get rid of ovarian cysts.  Another lady told me that she used it for days before her transfer.  I wasn’t really sure who to listen to.  Luckily, my Mayan massage person who is currently on maternity leave returned my email just in time.  She said that castor oil is quite moving and is not the best of growing a lining.  She told me to avoid it.  Good thing I wrote her as I was about to start the pack that same night.  She told me that self care (a massage that I can do myself on my stomach area) is good for lining growth and can be done up to transfer.  I tried it once, but abandoned the idea because the oil that I applied to my stomach and the movement of the massage actually created air bubbles in my estrogen patches.  It was hard to avoid touching the patches as where they were was the exact same area I needed to massage.  It would be a bummer for these patches that cost $10 each to fall off my stomach.  Instead of doing self care massages, I have been applying a hot water heat pad on my belly area for 20 minutes a night.  After I am done, I pass it onto Bob who also places it on his stomach as he says “To keep my uterus warm”.  Instead of sympathetic pregnancy, this is sympathetic lining growth. Haha.

What other things have I been doing to help my blood flowing and to help myself keep warm in order to grow my lining?  I finally contacted an acupuncturist to get a few sessions in.  My original acupuncturist moved across the bay, so I can no longer go to her.  My Mayan massage therapist, who is also an acupuncturist, is about to give birth to her second baby.  I was in need of an acupuncturist.  At first I just wanted one for pre and post transfer.  A friend of mine gave me a name of an acupuncturist who did the pre and post transfer sessions onsite for one of her friends who got pregnant with donor eggs after a day-three transfer of two embryos.  The pricing is reasonable for an onsite session at the clinic.   I texted the acupuncturist who promptly returned my texts.  She is available for my intended transfer day.  When I thought more about it, I knew that I wanted some acupuncture support for the lining growth as well.  I like that she has a practice 15 minutes away from work and from home.  It’s basically half way between my work and my house.  She is available after work unlike some other acupuncturist who has no availability for a couple of weeks.  I went to my first session last Friday.  My impression was that she is not as knowledgeable as my other acupuncturist, but she is good enough.  She didn’t seem to immediately grasp the idea of donor eggs or frozen donor eggs, but she does see patients with fertility issues.  She also told me that castor oil pack should be okay, although later I learned that it wasn’t.  She took her time in feeling my pulse and applying the needles.  She also did moxa on my belly area.  All in all, it was a pretty good session.  The interesting thing was that the stomach area where she had applied needles and moxa bruised up and felt hard the next two days.  I wasn’t alarmed.  I was more puzzled why it happened.  The acupuncturist sent me an email to check in on me so I told her about it.  I had another session today.  She explained to me that it was probably a blood vessel that was nicked by the needles.  She said that it was definitely not because of the moxa.

One thing that she recommended, which I used to do, is to drink bone broth. I still had three pieces of marrow bones in the freezer from a while ago that I had been too lazy to deal with.  Bone broth is good for my body type and helps with keeping me warm.  I made a whole pot and so far had finished half of it.  I love bone marrow and consider it a treat.

It has been colder here recently.  (I know Maddie would laugh at me for saying that it’s cold here.)  I have been doing a good job keeping myself warm.  Bob keeps the heat on.  I have been wearing socks and wearing layers.  Since I don’t want to exert myself too much during these two weeks, I haven’t been going to fitness bootcamp.  In order to keep my blood flowing, I have been taking a walk for 20 to 25 minutes after eating lunch.  I choose to go up hill and sweat a little.  I find it a much better way to spend lunch than listening to pregnant ladies and new moms talk about breast feeding, labor, and other things that I cannot chime in yet.

Oh!  Bob and I finally signed the consent form for this upcoming cycle.  The 31-page consent goes over everything from frozen eggs to ICSI to the favorable number of embryos to transfer.  It also talks about the risks of pregnancies from IVF and the potential complications of pregnancies with multiples.  And then there is this whole section about freezing the embryos and what to do with the embryos if there is death, separation, or other things going on in our marriage.  Some heavy duty stuff.  Bob won’t be there with me at the lining check so we had to notarize his signatures.  Originally I thought about going to our church administrative assistant who is a notary public, but I didn’t want her to know what we are doing.  Thanks to my friend Jane who reminded me that getting signatures notarized is inexpensive at UPS.  That was exactly what we did over the weekend.

So this is it for all the things that I am doing to get ready for the lining check.  My nurse just emailed me today to let me know that Dr. No Nonsense, my RE, won’t be there to personally do the transfer on November 25.  Another RE, who happens to be one of my friends’ RE, is going to do it.  It’s a bummer but I am not overly sad.  I believe that I will be in good hands.

Two more days before the lining check!  Think thick, fluffy, and cushy!