So, I had my appointment this morning with – Dr. Bigshot!  Some of you may remember that he’s the one who failed to find the fetus still hanging around in my bleeding uterus a month after the miscarriage.  You might also remember he’s the fellow who cavalierly diagnosed “the worst case of adenomyosis” he’d ever seen, on the basis of a 2 minute US and told me that the best way to deal with it would be to get pregnant.  Not my favorite guy at the clinic, despite his Bigshot-status.

Today, he once again offered up that diagnosis, DESPITE the words “no MRI evidence of adenomyosis” being on the front page of my chart.  I mean, really, I know it’s an assembly line set-up there, but if the techs and the nurses can manage to remember my name and case, surely the doctor should be willing to read the most recent entry in a chart before letting his mouth run on?  I didn’t want his ridiculous statement to actually be entered in my file, so I set him straight and had the satisfaction of watching the nurse cross out the transcript of his words (which felt better than it should have.)  And gently (no, really!) reminded him that his last US also failed to accurately diagnose the cause of my two-month hemmorhage. 

He couldn’t find pathology results from the genetic testing after the D&C, nor could he tell me why Lovenox was prescribed this time around.  He’s guessing it’s a prophylactic measure, but I’ll wait to talk to my doctor before believing that one.   

What a putz.  But, he found antral follicles on both ovaries, and the DHEA hasn’t yet provoked any weird cysts or fibroids anywhere (at least not that he could find), so unless I hear otherwise in my bloodwork results at 4:00, we’re a go for the start of IVF cycle #2! 

I’ll start Lupron tonight, and then starting on the 2nd, I’ll move up to 2 Bravelle and 1 Menapur + the 2 Lupron each day.  Blech. 

Woohoo.  Needles and blood thinners and steroids, here I come!