PARINTS Update

So I had my appointment at PARINTS yesterday. The person I met with was Becky Kubula, who is the executive nurse/owner of PARINTS. She was also the same person that I called and made an appointment with and she will basically be the person I have most of my communication with, although I may have some of the procedures done by the other staff. She is the only full time employee, her staff is only part time to keep costs down. She seems really easy to get ahold of, I have her phone number and she is there from about 7am-7pm and on Saturdays, and I have an email and she responds really quickly to both of those methods. She also reads bloodwork results and responds to the patient within 24 hours.

The first thing she wanted me to do was have a full blood workup. This included some tests for my insulin and glucose levels to see if I'm insulin resistant, chem panel to see if my kidneys/liver are responding ok to the Metformin I've been on, also a pregnancy test and progesterone levels to see if I ovulated. I'm assuming it will come back negative for both of those. Assuming that, I will then get started on the prometrium to get my period. After that, I will have a base ultrasound to see the position or appearance of my uterus, ovaries, etc. I think she will be looking for any obstructions or abnormalities that would cause me not to ovulate with Clomid. If everything checks out with the ultrasound, I will start another round of Clomid 100mg. This time I will be taking it for 7 days which Becky thinks can have a positive effect on PCOS patients. I'm not sure of the specifics but I believe that I will have several more ultrasounds as it gets closer to O time. Becky thinks that the Clomid may not have "worked" because I was getting the bloodwork too soon (because that's what the doctor ordered - remember he wasn't monitoring me?). I don't care if I ovulate "later" than most people as long as I ovulate! She will also give me an HCG trigger shot when it appears my eggs are ready to be released (I suppose that could have been the problem too).

I'm really excited and happy about working with Becky. She is very helpful and supportive. She has also helped us understand our insurance and what it covers (not a lot!). Also because they are not a doctor's office, they are able to offer very cheap prices for their procedures and drugs. Hopefully my insurance will cover some of the more basic tests (bloodwork and ultrasounds) though. I will update tomorrow when I hear more about my bloodwork.