Hindsight is 20/20 – Hematologist visit

This past Wednesday, I went back to the hematologist for blood work results from JANUARY! Yes, January!

Now, I’m sure the doctor I have been seeing since 2011 is a good doctor.  I’m not sure we were a good fit though. Back in 2010, when I first went to the Reproductive Immunologist and he ran all of those autoimmune panels and test, a few things came back positive.  I have a few autoimmune antibodies that could be an issue in the future: ANA+, Anti-phospholipid, Anti-Cardiolipin, Lupus Anticoagulant, Anti-thyroid autoantibodies and positive for both MTHFR (C677T and A1298C) genes.  So, my family doctor, whom I’ve gone to since I was around 21 years old, immediately told me I have Hashimoto’s and that I should start seeing some specialists (Rheumatologist, Endocrinologist and Hematologist).  He gave me some names of specialists, I was pretty scared and impatient, so as soon as I could get in to see anyone, I did.  I didn’t wait to see the doctor he recommended. Until Wednesday.  Now I know why he recommended him!

I left feeling confident in a doctor.  I haven’t felt that confident in a doctor or felt that good after an appointment, in a very long time (considering how many I’ve been to, it is a huge compliment).

I got to see him by accident.  I had asked last year to switch to a different doctor in the office and I was told I couldn’t unless it was an emergency.  Luckily for me, someone made a clerical error on my blood work.  I had been calling for my results since the first week in February, I had even suspected that someone forgot to send my blood out or they did the wrong tests (I wasn’t too far off on that thought).  Finally, the day before the EndoMarch, I got a very nice woman on the phone in their call center.  She was helpful and nice, I knew she was new!  My blood work had come back and I needed to make an appointment to get my results.  I told her my only day off was Wednesday and could I come soon because these results are from January.  She started looking for an appointment with Dr. T, I asked who that was and she said “your doctor”. I was laughing.  I explained who my doctor had been up to then, she looked for an appointment, but that doctor is not there on Wednesdays anymore (Lucky me).  I asked if we could pretend that conversation never took place and to put me in with Dr.T on Wednesday.  We were both chuckling and wished each other a good day!

When I got to the office, I had planned to sit for a t least 15 minutes before going into the lab for my blood work (they usually do a Complete Blood Count and a few other general bleeding tests before your doc sees you).  I signed in, sat down and they called my name. When I first went, they’d take two microhematocrit tubes out of a pin prick in your finger, In January, they took two tubes, a purple top and a serum separator tube (CBC, Liver functions), this time there were four tubes.  I started to worry something was found in my blood work. This nicely dressed, sweet elderly woman sat next to me at that moment and I said I was worried.  She looked me in the eye and said, “there is no need to worry, that’s a waste of time, worry when you need to and not before”.  Just what I needed to hear (I’ve been having a lot of really cool coincidences happening lately, more about that another time).  Then I went back out to the waiting room and didn’t even sit down and they called me back to exam room 8.  I saw a smiling intern on the way in and smiled back.  I brought my mom with me for the results and company.  We sat there and started having a conversation, but we were soon interrupted by the doctor.  He walked in with a big smile and the smiling intern.  I immediately smiled and told my mom we were having smile therapy.  I made a great first impression.  He immediately went over my chart and asked me a lot of questions.  I told him who originally referred me to him and the doctor I wound up with.  I explained that I have MTHFR and I wasn’t sure if I needed to take an aspirin or Folic Acid and that due to my Endometriosis and Adenomyosis, it was recommended I go on continuous Birth Control Pills.  I told him that the next surgery I have for my Endo, I will have a hysterectomy and I need to know if I am able to take hormone replacement  therapy.  He gave me an exam and then went over all of my blood test results.  They were all normal. He explained that the deciding factor as to whether or not I can take anything with Estrogen or Progesterone, is the anti-phospholipid antibody. Unfortunately, someone made a mistake and the most important test wasn’t done.  So, he’s running that and checking my kidneys and a few other things.  I asked him if I have to come back for the results and he said I could ask to speak with him and then he prepared me for the worst case scenario, I may need to take an aspirin.  I love him! 

I guess I should give that Endocrinologist another chance, that receptionist was so rude, but I have yet to find one that cares about me.  The Rheumatologist told me to come back when I have symptoms.  Hmm, I wonder, which symptoms she meant?

 

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About our last embryo

I have Endometriosis, Adenomyosis and Hashimoto's Thyroiditis. I've had Lyme, Bell's Palsy and the Shingles before I was 25. I've done IVF twice, with and without immunosuppression and FET. I am married to my best friend and I am Infertile.
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