A week has passed since my last post, and much has happened. But I've been too exhausted to blog - work has been tense and busy. I've discovered that dehydration is not the cause of my migraines - or rather, it's not dehydration alone. Last weekend in Istanbul (yes, it was Istanbul, congratulations to the one person who spotted it) I didn't drink much water at all on Saturday, and felt fine. All week at work I've been chugging water, but on Friday afternoon I got so ill I had to return home at about 1430 and go to sleep for an hour before I could continue with calls - I had a headache that felt as if a metal band was being tightened around my head, and horrible nausea. So I reckon the real cause is lack of sleep, since I was working til 11pm several nights last week.
My challenge for this week is how to keep that under control, since in the end my productivity is lower if I have to conk out early one day due to a migraine after a few days of working late, than if I just don't do the late nights and get home each night in time for dinner. I've already decided to drop out of our company's management boondoggle this week - or most of it - so that I can help control the situation at my client. The one part of the boondoggle I will turn up for is the part where what I've been doing is on show - apropos the political stuff last week, I decided I would be well advised to ensure I was seen to be clearly in the lead there.
I had an interesting discussion with my new mentor early in the week about the political shenanigans. He and I have been allocated to each other in a scheme that aims to improve women's position in business in the UK. He told me that he thinks that nice guys in business do finish first - that sharp elbows and people who mess around behind the scenes do get their dues. It's what I want to believe, so I'm going to keep believing it. Instead of getting too worked up about what is going on, I just made sure that I was incredibly well prepared for the meeting with the big guns on Thursday, and demonstrated with no shadow of a doubt that I was in the lead. I also had a conversation with the head honcho to tell him what I thought should happen and he mostly agreed with my take on things. I think it went pretty well. I know this is probably overly cryptic for anyone else to understand, but it helps me work through this if I write about it, although I don't want to be too explicit. So that's all you're getting.
In other news, this week we had our consultation for the IVF cycle. I can now go ahead and order my meds. Including the dreaded PIO. The nurse who did it was a real flake - I much prefer Nurse Earnest, who we got last time, and who was the nurse who answered the phone to me the morning I started bleeding after the IVF. She is a sweetie. Nurse Flakey forgot to show us how to do IM injections, so I'll have to get someone else to demonstrate. She also told us that with an antagonist protocol, they don't do blood draws. She announced it as if we should be delighted:
"No poking, won't that be nice," she exclaimed. I heroically refrained from pointing out that plenty of other kinds of poking are involved, but instead tried to understand why they, seemingly alone in all other infertility clinics that I've ever heard about, decide they can live without blood work during IVF. She, of course, didn't really answer me.
"Well, we got this protocol from another clinic about 8 months ago," she told us, in a tone of voice that indicated that she thought she'd answered my question.
"Don't you need the information on E2 levels to decide when to trigger?" I asked, getting increasingly desperate.
"No, we just go on the scan information." she assured me. After two and a half rounds of this I decided to give up. H and I hightailed it out of there, pausing briefly to hand over £2,400, and I immediately wrote to Dr Candour to understand what the hell his clinic is playing at. I know that on the last cycle my low E2 on day 5 led to an increase in my Puregon dose, so what would have happened if they hadn't done that test? Dr Candour is on holiday til Monday (he seems to take a lot of holidays, no?) so I'll wait to see what he says. He's already told them that I can be scanned as often as I like (ha! take that you scan-rationers) - Nurse Flakey wrote it on my scan sheet while I was looking - so I hope that he might force them to draw my blood too. It may make no difference to what they decide to do with me during the cycle, but I'm a qualified infertile with a degree from Dr Google University, for goodness sake, you can't deny me my E2 numbers and massive obsession during stimms, can you?
Speaking of forcing people to draw my blood, I went yesterday to get the whole miscarriage panel done. Dr Candour sighed as he wrote out the prescription last time we saw him, but he knows enough to humour me now. It's taken me til now to organise going to get the blood drawn. It took 8 vials of blood - he's karyotyping me too - so we'll see if anything happens. I'm not thinking that there is anything wrong, it's just that I don't want to have to miscarry before they figure out that there's a problem. £540 well spent, if you ask me.
Finally, I found this a few days ago. Very cool. It would be even cooler if it was based on a real analysis of in what way writers are similar. Instead it goes on what people read, but it still whiles away an enjoyable 5 minutes or so. Have fun.