The Never-Ending Journey

Round 23

Round 23 has been an interesting and yet again an unpredictable experience. I mean you can’t make this shit up!!!….. I think all the unknowns have been sent to test me because when you think there couldn’t possible be another curve ball or decision to be made, there is! Its like the never ending journey!

To set the scene…. I have 19 frozen eggs, my number is 20 (don’t ask me why, was just a round number that I though gave me a good solid chance of a pregnancy in the future) and I have one more prepaid round in my package of three rounds with my “new” UK clinic. I am also traveling a lot over the next couple of months and am planning to leave the UAE in May so I really do want this round to be my last round, to get that 20th egg and put this chapter of my egg freezing journey behind me.

Stimulation Starts

Day 3 of my period was Monday 5 February and I went to see my UAE doctor for a scan.  There was one small follicle on the right and one larger one (10mm already) on the left. The doctor put me on 150 IU of Menopur to start stimulation. He asked me to come back on Thursday.

On Thursday the 10mm follicle was at 13mm and not much else was going on. It was…..go away and keep taking the same medication (with the addition of cetrotide on Saturday morning – to stop me ovulating) and come back on Sunday.

On Sunday the follicle was 16mm and so the doctor told me to come back on Monday and then he would make a decision as to which day collection would be.

All this time I had been informing my UK clinic of the progress  I let them know collection would be Wednesday, Thursday or Friday.  At no point did they tell me that any of these days would not be possible.

My blood tests were all indicating that there was an egg in the follicle but as I have learnt only too well there are never any guarantees in tha process.  The dilema I had was, do I continue with this round and try and get one egg and be done with this process, knowing that there would only be one at best, OR do I cancel it and try again next month? Of course part of me knew it was a “no brainer” of course I had to give it a go, but another part of me was seeing all the signs that weren’t good  the follicle was large right from the start, it hadn’t grown that much during stimulation (usually 2mm a day), no other follicles were growing and there was only one follicle and thus only one possible egg.  It was risky.

After a discussion with my UAE doctor I decided to move forward and try and get this one  I didn’t want to look back and regret not trying but I also wanted to be making this decision rationally and I knew right now with all the hormones in my body that it was likely i was going to be making an emotional decision not a rational one.

After my Monday scan the doctor informed me that collection should be Thursday as the follicle was 17mm on Monday.  I quickly emailed my UK clinic to confirm they agreed and went about starting to make plans for travel, time out of work etc.  I was going to travel Wednesday morning to limit my time out of the office but I held off booking my flight until I had confirmation from my UK clinic which I had asked them for urgently.

No Sense of Urgency

SEVEN hours after my email to my UK clinic I got an email saying they couldn’t do Thursday and did I want Wednesday or Friday! Did I want!?!?!? Like this is a “choice” thing….. for anyone who might think it is a ‘choice’ thing…. its not!…. this is a “my body will ovulate when it wants” thing, so asking me what day I might want the collection for was a crazy thing to ask someone especially someone paying two doctors in two different countries for their expertise.

I called my UK clinic to ask then why they couldn’t do the collection Thursday as advised by my UAE doctor.  They told me they just couldn’t, they were too busy!!! I pay this clinic £3500 a round and I see them once during that round, not like every other patient who has 6-8 visits to the doctor during the round! I actually double pay for this privilege,  so the one and only thing I ask my UK clinic for is to beable to do my collection on the day it is required.  It’s not like it’s Chriatmas Day or a national holiday or anything and they knew it may be Thursday, so to only tell me a few hours before I would have to fly with no sense of urgency, has left me exceptionally unimpressed, to put it mildly.

I couldn’t get hold of my UAE doctor to get his opinion as it was now late evening in the UAE, so I told my UK clinic that they were going to have to advise on this and they had better hope for a positive outcome.

They advised Wednesday would be best and so with that in mind I needed to get on a plane tonight. I got the ball rolling, made some calls and bookings and within 5 hours of collection day confirmation I was on a plane to the UK having already taken the trigger shot before I flew (a shot that needs to be taken exactly 36 hours prior to collection).

“Egg Collection” Prayers

I think I asked everyone who knew about my egg freezing journey to say a prayer for me for this collection.  I can’t tell you how much I wanted this to be my last round and I didn’t let myself think about it that way but there was a little part of me that could picture myself celebrating the end but there was also a small part of me that knew deep down this was not going to be a successful trip.

9:30am Wednesday 14 February (Valentine’s Day) was when collection took place.  I came around quickly to be told that they collected one egg.  The nurses all knowing that I only needed one more started to smile and be happy for me.  Me on the other hand knowing I was not out of the woods yet said ‘I can’t be happy until I know that it is mature’.  Secretly I knew if they had collected one that I would be exceptionally unlucky if it wasn’t mature, but then it had been collected earlier than my UAE doctor had recommended so you never know.

The Waiting Game

I waited for a mere 20 minutes and the lovely Embryologist came in to inform me that the egg was in fact NOT mature and thus couldn’t be frozen.  I almost thought to start with she was joking when she told me the news but a few seconds after she said ‘I’m so sorry….’ i realised that this wasn’t a time to joke and she wasn’t joking.  It was bad news.  There was no egg that could be frozen.

Without any ability to stop them, tears started to roll down my face, a lump appeared in my throat and I felt heart broken.  I thought Valentine’s day was ‘heart’ day, not broken heart day, but mine was broken, well and truly shattered today. I was SO close, but am now I am SO far.

I knew I would be ok but I needed a bit of time to regroup and decide if I was going to try and do another round or not.  I think my friends and family think I should stop at 19 but I don’t know.  I don’t need to decide today, today I just need to let myself grieve for what could have been.

 

 

Moving my most prized possessions

Now that I have safely changed clinics and have had a couple of rounds with the new clinic I thought it would be a good idea to move the eggs that I have already frozen at my “old” clinic to my “new” clinic.  A few reasons for this decision. 1) I think it’s probably best to have them all in one place so I don’t loose track of them (not that there is much chance of that happening! 2) having experienced so many problems with “old” clinic, I don’t really trust them to keep my most prized possessions and the thing I have worked most hard for in this world (my frozen eggs) safe.   This being the case I decided I should get all my eggs safely in one place and do this as soon as possible.

I spoke to “new” clinic who were very helpful and told me the process I needed to follow. Pretty straight forward (albeit not cheap). Pay “new” clinic £150 admin fee, “old” clinic £200 admin fee, transportation company £150 fee, fill out a handful of different bits of paper work and that starts the process.

It wasn’t quite as easy as that as “old” clinic wanted to use their own transportation company who were charging more than the “going rate” and it was quite a struggle to get them to use the transportation company i had chosen. The transportation company I chose came recommended from “new” clinic and interestingly they told me they had had many problems with “old” clinic with previous clients as “old” clinic had someone working for them who moonlights as a transportation company!!!! Doesn’t surprise me at all to be honest but all I care about is getting my eggs safely to their new home with “new” clinic.

Its one week on from having paid the various fees and filled out the various forms and the move still hasn’t taken place. I have allowed myself just a few milliseconds to think about a scenario that during transportation something happens…. a car crash or something and my eggs….. no…. no…. I can’t even go there, that would just be too cruel and unimaginable, so I am going to stay positive until the move is complete (I am told this week).

One thing that the move has uncovered however, is some more “old” clinic deception!!! I don’t say that lightly as I am not one to want to throw blame around, but in this case I think what I uncovered wasn’t a case of “human error” but more “intentional error” to benefit an organization whose only objective or care seems to be to make money from emotionally vulnerable people. Patient care and wellbeing don’t seem to be words that exist in the vocabulary of my “old” clinic!  Let me explain.

When paying for a round of egg freezing there are a number of different fees… fees for blood tests, fees for anesthetic, fees for scans, fees for medication etc. one of the fees is called “HEFA fees”. This is an £80 fee that the clinic collects on day 2 of your period and regardless of if a round is successful or not they submit a form and pay this fee to HEFA (the governing body of Ivf in the uk). This is what I had thought and been told by “old clinic”. I was told that it was a formality and there was nothing they could do about this.  Now keep in mind these people are supposed to be “experts” in what they do. They do this day in and day out. You would THINK they would know the correct process to follow, unless of course they were being deliberately deceptive…. right???

So for the 20 rounds I had done at “old” clinic I’d paid this £80 fee each time and not thought much about it, it was just more money adding to the total of this extremely expensive journey.

Fast forward to a few months ago when I started treatment at my “new” clinic and they weren’t charging me this HEFA fee, they did make me fill out the paperwork for HEFA but no fee.  I raised it as a question to “new” clinic but was told no fee was required,  I questioned this a few times but the answer was still the same.

Fast forward to a few weeks ago and trying to “move my eggs” and I wanted to make sure I wasn’t going to have to “double pay” this HEFA fee in the future if and when I decided to use my eggs that had been frozen at “old” clinic.  I enquired about this with “new” clinic who called HEFA on my behalf and confirmed that they do not charge this fee unless the eggs are actually thawed and used, they also confirmed that the had received all my paperwork from my “old” clinic but none of the fees at all (so none of the £80 x 20 rounds!)  “new” clinic told me that “old” clinic owed me a refund!

I don’t know why I was surprised at all to be honest, this was exactly the kind of thing I expected from “old” clinic, I could just see a “fight” having to take place in order to get this money back and I was tired and worn down from this whole process, but also knew that this is exactly what “old” clinic wanted. They wanted the wool to be pulled over the eyes of emotionally charged people who would never know to  question this fee, the relied on patients to be “spent” from the process and not have the energy to fight for what was rightfully theirs! Well they picked the wrong person this time!

Out of principle I sent an email to the clinic saying I had spoken to HEFA and that both they and “new” clinic informed me that i was owed a refund.  I honestly didn’t expect to hear anything positive back.

About four days later I got a reply from the head nurse at “old” clinic, a lady who had been involved in my treatment and to be honest had been one of the main culprits who made me feel like a business transaction during the process not a patient.  The email stated that this was the first time they had heard of this (that’s a worry if they are the experts) and that of course they would look into it and refund me and all patients who had been wrongfully charged if infact these £80 fees had not been paid to HEFA  (how they could NOT know that they hadn’t paid this fee blows my mind, but anyway).  They said they would get back to me once they had spoke to HEFA to confirm this.

The next day I got an email from them apologizing for wrongly charging me and stating they would refund me. I knew at this time that this had been way too easy but I told myself not to be so cynical and just take the refund and acknowledge it as a good win.

I asked for them to confirm the total amount being refunded prior to putting it back on my credit card (apparently too difficult for them to do a bank transfer to my UK bank account)!! They emailed over the breakdown of the refund and it was only half what I was expecting,  I questioned this and they showed me that they had decided not to refund the occasions where I purchased a “package round” as it was all inclusive!!!!!!! Can you believe the audacity of this! Not only have the deceived me and likely many other patients for years, or that this had been for me over a three year period (so technically they owe me interest) but now they are saying that the “package rounds” don’t count!!!!

I have decided not reply at the moment. I want to get my eggs safely to their new home but once they are there I am going to fight this.  Out of principle honestly I’d like to take them to court and name and shame them and if it gets to that point I think I might but I just can’t believe that this clinic has been allowed to get away with a) treating people the way they have and b) that they have got away with it for so long.  They prey on emotionally vulnerable people who trust in the experts and to treat them fairly and as a paying patient.  This level of service is morally unacceptable!

I don’t know if this is a legal thing or a HEFA thing but once I hit my 20 and my eggs are safely moved I am going to escalate the unethical way this clinic has been doing business if not to help me as I think for me it is too late, but then to protect others from having a similar experience and being deceived in this way!