On the infertility front, I've given a lot of thought to Plan A, Plan B, Plan C, etc. You know it don't you? The whole routine of "Well, if this doesn't work, we'll do that. And if that doesn't work, we'll try that over there."
On the grand scheme of things, Adoption doesn't figure too highly in the hierarchy of my plans. Now don't get me wrong, I think adoption is a wonderful thing, and for those who do it, I applaud you. I think adopting a child is an extremely selfless act and I believe that anyone who undertakes adopting a child is so very blessed.
Somewhere in my selfish brain though, I think that, "Well, if hubby had two children before, we can do it again. Somehow. Someway. We will be able to have a biological child of our own." So I am pursuing those options first. In Canada, those seem to be much cheaper as well. Adoption DOES figure on my hierarchy list, but as I said, not very high.
That is... I thought it didn't.
But as we progress down this road, my brain is opening up to other things, other options, other possibilities. Adoption isn't impossible. It isn't easy, but it isn't impossible.
And then I read a blog today; The Vacant Uterus (http://vacantuterus.blogspot.com/). And I cried. I sat here at my desk, in my office (yeah yeah, I'm at work; so shoot me) and cried. The pictures of those beautiful children. The smiles on their faces. The hope in their eyes. The adoration for the "foreign visitors" who'd visited them in their orphanage in Peru. And the description of the little boy who literally ran to this blogger's husband as if drawn to him, "He made a beeline for (hubby's) bright yellow fleece pullover, as though (hubby) were the sun and he a planet caught in (his) orbit." I wept.
Adoption; it just moved higher on the list of options. Thanks to her blog, I might delve into this one sooner that previously expected.
Friday, September 29, 2006
Thursday, September 28, 2006
Two days? TWO days??!! WTH?
Today is CD4 for me. But this month, I only had two days of what I would normally call AF. Huh? What's up with that? Usually I have four to five days LIKE CLOCKWORK. So two days?! I'm rather perplexed, to say the least. I'm not sure what to do with that. I'm not sure if something is wrong. I'm not sure if anything is right. I'm not sure about much obviously.
Set that aside a moment. All right, next topic: exercise. I am overweight. (Right, right, so is half of North America apparently.) I do have a gym membership to a gym that I love. Or, "loved" I suppose. I just haven't been motivated at all to actually get off my ass and GO there. Fat lot of good that card does me sitting in my gym bag in the trunk of my car. Yeah, so the sneakers will walk themselves over and do the workout for me. I wish. *eyeroll*
Anyway, I heard from a friend yesterday who is undergoing fertility treatments herself. She told me that she has lost 43 pounds. FORTY-THREE. Wow. Superb! Fantastic! I'm so happy for her. And jealous, I'll admit. I wish that was me. I wish I had that motivation right now. I joked that she needed to motivate me.
And lo and behold, she did. For the first time in absolutely months, I decided that instead of a nap yesterday afternoon (I get up at 5 a.m. EST for work at 7 and I finish around 3 p.m.), I was going to the gym. I pulled on those sneakers and I went. I did about 35 minutes on the treadmill and looked around to get my bearings. (The membership I have is for a chain here in Canada, and with that membership card I can go to any location in the country. The location I went to yesterday is new and is closer to home, so I wanted to scout it out a bit.)
I felt SO good for having done that. I burned about 350 calories apparently, or something like that. I was energized again. I felt human for the first time in ages. I felt good.
And then, as I gathered my things to walk out, in comes a woman *sighs*(you know what's coming don't you)...
... with a bump. A pregnancy bump. I'd judge her to be about 4 or 5 months along.
And it was all I could do not to break down again.
Set that aside a moment. All right, next topic: exercise. I am overweight. (Right, right, so is half of North America apparently.) I do have a gym membership to a gym that I love. Or, "loved" I suppose. I just haven't been motivated at all to actually get off my ass and GO there. Fat lot of good that card does me sitting in my gym bag in the trunk of my car. Yeah, so the sneakers will walk themselves over and do the workout for me. I wish. *eyeroll*
Anyway, I heard from a friend yesterday who is undergoing fertility treatments herself. She told me that she has lost 43 pounds. FORTY-THREE. Wow. Superb! Fantastic! I'm so happy for her. And jealous, I'll admit. I wish that was me. I wish I had that motivation right now. I joked that she needed to motivate me.
And lo and behold, she did. For the first time in absolutely months, I decided that instead of a nap yesterday afternoon (I get up at 5 a.m. EST for work at 7 and I finish around 3 p.m.), I was going to the gym. I pulled on those sneakers and I went. I did about 35 minutes on the treadmill and looked around to get my bearings. (The membership I have is for a chain here in Canada, and with that membership card I can go to any location in the country. The location I went to yesterday is new and is closer to home, so I wanted to scout it out a bit.)
I felt SO good for having done that. I burned about 350 calories apparently, or something like that. I was energized again. I felt human for the first time in ages. I felt good.
And then, as I gathered my things to walk out, in comes a woman *sighs*(you know what's coming don't you)...
... with a bump. A pregnancy bump. I'd judge her to be about 4 or 5 months along.
And it was all I could do not to break down again.
Saturday, September 23, 2006
The Christening of the Blog!
Blog... I christen thee!
Ah the irony; the whole purpose of this particular blog is to give me a place to vent about our infertility. And thus the lack of any baby to christen; funny that I have to make do with a blog ain't it?
The obligatory introductory post: this is the story of love. The love that I have for my husband. The love that he has for me. And the love that we so badly want to give to a child of our own. My story is a long one and rather convoluted. I'll tell it in steps I guess. From the beginning, seeing as that is where I am with this blog.
A Time in the Past
My husband was married before. And with his ex-wife, had two beautiful children. A girl (now almost 12 years old) and a boy (who will be 11 in February 2007). When he and his ex-wife had those lovely babies, they decided that two were enough and so he was gracious enough to offer to have a vasectomy.
In 1998, the deed was done, and so it came to pass that he was prevented from having more children. Well, a little later that year and early in 1999, hubby and his ex-wife called it quits, and when his little boy was only two, he moved out.
When We Met
I met him in December of 2000. He told me early on in our relationship about his vasectomy, so I can't plead ignorance. I knew what I was in for. "Oh, " I thought to myself, "no big deal, that can be reversed."
Yes, it's true, a vasectomy CAN be reversed. But unfortunately for us, when he chose to have that reversal in October 2003, it didn't work. The vas deferens on his right side proved to be far too short to reconnect properly. And on the left side, while it was reconnected, the surgeon felt that there may be scarring there to block the vas. So we waited, the obligatory three months before a semenanalysis could be done.
The results of that test in January 2004 revealed no sperm. None. Not even one. I got that wonderful news in a curt phone message left by the surgeon on our answering machine one cold January day. Lovely. I broke down in tears in our living room. In my mind, this stupid phone message was telling me that I was never going to be a mom. Ever. NO chance in h*ll that I could be. Nice. I was a mess. A great bedside manner is NOT what this man has... believe you me.
Now What?
During the reversal though, it was found that he still PRODUCED sperm. Bonus! At least his body wasn't rejecting them and the production gears were still working. That would come in handy.
Off to the fertility specialist we go. Testing was next on the plate. Let's see, we had the following:
Cycle day 3 bloodwork (me) -- normal
Cycle day 21 bloodwork (me) -- normal; that means that I ovulate normally, whoo hoo!
HSG (me) -- normal thank God! It was neat to see though!
Semenanalysis (him, obviously) -- still zero sperm
So our biggest problem was getting his little guys into me. Thus, the introduction of the IUI, or intrauterine insemination. They aspirate his sperm (Guys... this will be FAR too difficult for most of you to even think about, TMI incoming!!) with a needle. Then they wash it, separating the good guys from the not-so-good guys, and then they separate it into straws. Usually we get enough in one aspiration to last us for eight or nine months.
We decided to wait until after our wedding in August 2004 to commence with the IUIs. So with the fall season approaching, we gave it a first shot. In September 2004, we went for the "procedure" (as I've come to refer to it to those people who are not in the IF world).
Luck?
As it so happens, we highly suspect that first time had worked. I didn't do any any EPTs or anything, but I had symptoms like nobody's business. And then... AF arrived. And with it, absolute, severe cramping, and oh so much more that indicated to me that it was a miscarriage. Early, but a miscarriage nonetheless. Well, my spirits were still up. Because that meant I could GET pregnant. So there was hope.
Month after month we went. Month after month we tried. And each month... with the dildo cam, we saw a bloomin' cyst on my right side. The same cyst, each month. I had no idea it was there in the beginning, but we kept tracking, and watching, and waiting, and we tried birth control pills to get rid of it, we tried all sorts of things. Nothing worked. And the pain became worse.
By the summer of 2005, the pain was excruciating. I remember being in the grocery store with my hubby and I had to double over, so bad was the pain. It was evident on my face too. Hubby was amazed. I often commented that something that was growing in a man that wasn't supposed to would have LONG been removed before then.
I saw two surgeons. One of whom absolutely refused to do surgery (laparoscopy) to remove the cyst. The second agreed. It was causing us to waste precious time and sperm!!
The Wait for Surgery
In October the surgeon agreed to do the surgery. It was scheduled for February 2006. By this time, I was on daily painkillers to manage the pain. Not fun. We took a break from TTC between October and February. Good enough; time to relax and put it out of our minds. Two days before the surgery in February... I get a call at work. "Doctor HandsomeBrit has to cancel because there has been a death in the family. He's been called away. We'll call you with another time." Dear God. I broke down. No one else could do it on such short notice. There was nothing I could do but handle the pain for another while.
The lap was rescheduled for April 2006. And while I am quite able to handle a lot of medical stuff, needles frighten the bejeesus outta me. (Long story; I'll write about that another time.) Anyway, I went in, the lap was done, I came out and hubby drove me home to recover. I was never so glad to climb in bed.
Another Wait... for IUIs
I was told by the surgeon that I had to wait for a "normal" cycle before we could begin trying with IUIs again. So I waited. And like clockwork, in May, my cycle was right on! Twenty-six days, as per usual. I called our fertility doc again. And back we went.
And wouldn't you know it but THAT cycle worked too? But the same thing as the September 2004 cycle; luteal phase defect. (More on health issues later. Jeez, I have a lot to talk about "later" don't I? If you get bored... shoo. Go away. This stuff is awfully tiresome to those who aren't in the know.) So I didn't have the progesterone to lengthen my cycle, and thus... implantation failed and another early miscarriage. I was crushed. Somewhat upbeat because of the fact that I knew it had worked again (although I didn't bother with POAS or anything), but back to the drawing board.
And we continue. This is September 2006. That makes two full years, with time off for surgeries, travel (when I'm out of the province and away from the doc's office) or when my doc is out of the country. So we've had about 17 or 18 IUIs and two "sorta" worked. Do we have hope? Yes. Are we tired? H*ll yes. Do I still want this? Oh dear God yes. And I'm seriously considering the next step.
Hold on folks. This is a h*lluva ride. I need as many friends as I can get on this one. And support? I won't turn it down.
Love to you all in blogland!
Ah the irony; the whole purpose of this particular blog is to give me a place to vent about our infertility. And thus the lack of any baby to christen; funny that I have to make do with a blog ain't it?
The obligatory introductory post: this is the story of love. The love that I have for my husband. The love that he has for me. And the love that we so badly want to give to a child of our own. My story is a long one and rather convoluted. I'll tell it in steps I guess. From the beginning, seeing as that is where I am with this blog.
A Time in the Past
My husband was married before. And with his ex-wife, had two beautiful children. A girl (now almost 12 years old) and a boy (who will be 11 in February 2007). When he and his ex-wife had those lovely babies, they decided that two were enough and so he was gracious enough to offer to have a vasectomy.
In 1998, the deed was done, and so it came to pass that he was prevented from having more children. Well, a little later that year and early in 1999, hubby and his ex-wife called it quits, and when his little boy was only two, he moved out.
When We Met
I met him in December of 2000. He told me early on in our relationship about his vasectomy, so I can't plead ignorance. I knew what I was in for. "Oh, " I thought to myself, "no big deal, that can be reversed."
Yes, it's true, a vasectomy CAN be reversed. But unfortunately for us, when he chose to have that reversal in October 2003, it didn't work. The vas deferens on his right side proved to be far too short to reconnect properly. And on the left side, while it was reconnected, the surgeon felt that there may be scarring there to block the vas. So we waited, the obligatory three months before a semenanalysis could be done.
The results of that test in January 2004 revealed no sperm. None. Not even one. I got that wonderful news in a curt phone message left by the surgeon on our answering machine one cold January day. Lovely. I broke down in tears in our living room. In my mind, this stupid phone message was telling me that I was never going to be a mom. Ever. NO chance in h*ll that I could be. Nice. I was a mess. A great bedside manner is NOT what this man has... believe you me.
Now What?
During the reversal though, it was found that he still PRODUCED sperm. Bonus! At least his body wasn't rejecting them and the production gears were still working. That would come in handy.
Off to the fertility specialist we go. Testing was next on the plate. Let's see, we had the following:
Cycle day 3 bloodwork (me) -- normal
Cycle day 21 bloodwork (me) -- normal; that means that I ovulate normally, whoo hoo!
HSG (me) -- normal thank God! It was neat to see though!
Semenanalysis (him, obviously) -- still zero sperm
So our biggest problem was getting his little guys into me. Thus, the introduction of the IUI, or intrauterine insemination. They aspirate his sperm (Guys... this will be FAR too difficult for most of you to even think about, TMI incoming!!) with a needle. Then they wash it, separating the good guys from the not-so-good guys, and then they separate it into straws. Usually we get enough in one aspiration to last us for eight or nine months.
We decided to wait until after our wedding in August 2004 to commence with the IUIs. So with the fall season approaching, we gave it a first shot. In September 2004, we went for the "procedure" (as I've come to refer to it to those people who are not in the IF world).
Luck?
As it so happens, we highly suspect that first time had worked. I didn't do any any EPTs or anything, but I had symptoms like nobody's business. And then... AF arrived. And with it, absolute, severe cramping, and oh so much more that indicated to me that it was a miscarriage. Early, but a miscarriage nonetheless. Well, my spirits were still up. Because that meant I could GET pregnant. So there was hope.
Month after month we went. Month after month we tried. And each month... with the dildo cam, we saw a bloomin' cyst on my right side. The same cyst, each month. I had no idea it was there in the beginning, but we kept tracking, and watching, and waiting, and we tried birth control pills to get rid of it, we tried all sorts of things. Nothing worked. And the pain became worse.
By the summer of 2005, the pain was excruciating. I remember being in the grocery store with my hubby and I had to double over, so bad was the pain. It was evident on my face too. Hubby was amazed. I often commented that something that was growing in a man that wasn't supposed to would have LONG been removed before then.
I saw two surgeons. One of whom absolutely refused to do surgery (laparoscopy) to remove the cyst. The second agreed. It was causing us to waste precious time and sperm!!
The Wait for Surgery
In October the surgeon agreed to do the surgery. It was scheduled for February 2006. By this time, I was on daily painkillers to manage the pain. Not fun. We took a break from TTC between October and February. Good enough; time to relax and put it out of our minds. Two days before the surgery in February... I get a call at work. "Doctor HandsomeBrit has to cancel because there has been a death in the family. He's been called away. We'll call you with another time." Dear God. I broke down. No one else could do it on such short notice. There was nothing I could do but handle the pain for another while.
The lap was rescheduled for April 2006. And while I am quite able to handle a lot of medical stuff, needles frighten the bejeesus outta me. (Long story; I'll write about that another time.) Anyway, I went in, the lap was done, I came out and hubby drove me home to recover. I was never so glad to climb in bed.
Another Wait... for IUIs
I was told by the surgeon that I had to wait for a "normal" cycle before we could begin trying with IUIs again. So I waited. And like clockwork, in May, my cycle was right on! Twenty-six days, as per usual. I called our fertility doc again. And back we went.
And wouldn't you know it but THAT cycle worked too? But the same thing as the September 2004 cycle; luteal phase defect. (More on health issues later. Jeez, I have a lot to talk about "later" don't I? If you get bored... shoo. Go away. This stuff is awfully tiresome to those who aren't in the know.) So I didn't have the progesterone to lengthen my cycle, and thus... implantation failed and another early miscarriage. I was crushed. Somewhat upbeat because of the fact that I knew it had worked again (although I didn't bother with POAS or anything), but back to the drawing board.
And we continue. This is September 2006. That makes two full years, with time off for surgeries, travel (when I'm out of the province and away from the doc's office) or when my doc is out of the country. So we've had about 17 or 18 IUIs and two "sorta" worked. Do we have hope? Yes. Are we tired? H*ll yes. Do I still want this? Oh dear God yes. And I'm seriously considering the next step.
Hold on folks. This is a h*lluva ride. I need as many friends as I can get on this one. And support? I won't turn it down.
Love to you all in blogland!
Monday, September 18, 2006
Estradiol (Estrogen) Conversion
For future reference, and so all the bloggers know:
How do I convert my Canadian Estradiol (E2) numbers to American measurements?
In Canada E2 levels are measured in picomols and in the United States E2 levels are measured in picograms. If you want to compare numbers, here is how to convert them:
Canadian E2 ÷ 3.67 = American E2
American E2 x 3.67 = Canadian E2
Taken from IVF Connections.
How do I convert my Canadian Estradiol (E2) numbers to American measurements?
In Canada E2 levels are measured in picomols and in the United States E2 levels are measured in picograms. If you want to compare numbers, here is how to convert them:
Canadian E2 ÷ 3.67 = American E2
American E2 x 3.67 = Canadian E2
Taken from IVF Connections.
Tests and Results
January 19, 2016
currently taking the following medications:
-- (presc) Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
-- (presc) 137 mcg synthroid (hypothyroidism)
-- (presc) 0.75 mg diclofenac (psoriatic arthritis)
-- (presc) YAZ and YASMIN birth control (to regulate hormones, headaches)
-- 3 days per week, equate stool softener
-- 4 days per week, Metamucil fibre capsules
-- Vitamin D 2000 mg
-- Vitamin B12 500 mg
-- Centrum Chewables from the USA, 2 per day
-- Calcium Citrate Bariatric Advantage 1000 mg per day
-- potassium 3 days per week, 99 mg (for leg cramping)
Heart Rate: 66
Blood Pressure: 122/78
Weight: 177.6 lbs
RESULTS
Ferritin -- 66 (11-307)
TSH -- 2.26 (0.3-5.6)
Na (sodium) -- 138 (136-145)
K (potassium) -- 4.1 (3.5-5.1)
Cl (chloride) -- 102 (98-107)
CO2 (bicarbonate) -- 28 (21-32)
AGAP (anion gap) -- 8 (5-12)
Ca (calcium) -- 2.18 (2.12-2.52)
Mg (magnesium) -- 0.87 (0.74-1.03)
June 2, 2015 (16 months post VSG bariatric surgery)
currently taking the following medications:
--(presc) Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--(presc.) 150 mcg synthroid (hypothyroidism)
--(presc.) 0.75 mg diclofenac (psoriatic arthritis)
--docusate sodium with senna (stool softener/laxative 1 per day)
--Metamucil capsules (1 per day)
--Vitamin D 2000 mg
--Vitamin B12 (500 mcg)
--(presc.) Yaz birth control pills (to regulate hormones, stem loss of iron and reduce flow)
--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium citrate (Bariatric Advantage 500-1000 mg per day)
--Ferrous Sulfate (325 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--potassium (99 mg per week as needed, to help with leg cramping)
RESULTS
Ferritin -- 64 (11-307) docs say it's "okay"
Vitamin B12 -- 530 (133-675) docs are really happy
TSH -- 0.79 (0.3-5.6) prescription refilled at 150 mcg
January 5, 2015 (11 months post VSG bariatric surgery; *fasting*)
currently taking the following medications:
--(presc)Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--(presc.) 137 mcg synthroid (hypothyroidism)
--(presc.) 0.75 mg diclofenac (psoriatic arthritis)
--docusate sodium with senna (stool softener/laxative 1 per day)
--Metamucil capsules (1 per day)
--Vitamin D 2000 mg
--Vitamin B12 (500 mcg)
--(presc.) Seasonique birth control pills (to regulate hormones, stem loss of iron and reduce flow)--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium citrate (Bariatric Advantage 500-1000 mg per day)
--Ferrous Sulfate (325 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--potassium (99 mg per week as needed, to help with leg cramping)
RESULTS
Na (Sodium) -- 140 (136-145)
K (Potassium) -- 3.8 (3.5-5.1)
Cl (Chloride) -- 107 (98-107)
Glucose Fasting -- 4.5 (3.8-6.0) 10 hours fasting
HbA1C -- 5.2 (4.8-6.0)
Urate -- 199 (155-357)
Creatinine -- 80 (22-75) HIGH
eGFR (MDRD) -- >60 (>/=60)
Ca (Calcium) -- 2.13 (2.12-2.52)
Mg (Magnesium) -- 0.74 (0.74-1.03)
Albumin -- 34 (34-46)
Bilirubin total -- 24 (3-17 ) HIGH
AST -- 16 (15-37)
ALT -- 37 (17-63)
ALP -- 54 (50-136)
GGT -- 22 (5-55)
Ferritin -- 31 (11-307) *docs want to see it higher*
Vitamin B12 -- 491 (133-675)
Serum Folate -- greater than 55 (greater than 10.0)
Cholesterol Fasting -- 4.6 mmol/L (3.5-5.2)
HDL Cholesterol Fasting -- 1.89 mmol/L (>/= 1.3)
LDL Cholesterol Fasting -- 2.0 mmol/L (</= 3.5)
non HDL Cholesterol Fasting -- 2.7 mmol/L (</= 4.5)
Total Cholesterol (TC) : HDL Fasting as a Ratio -- 2.4 mmol/L (</= 6.0)
Triglycerides Fasting -- 1.59 mmol/L (</= 1.70)
TSH -- 2.81 (0.3-5.6)
Vitamin D -- to follow... (75-250)
June 4, 2014 (4 months post VSG bariatric surgery)
currently taking:
--Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--colace (stool softener, 2 per day)
--senna laxative (1 pill per day)
--Metamucil capsules (2 per day)
--vitamin D 2000 mg
--Vitamin B12 (Spring Valley, 500 mcg)
--2 multivitamins per day (Centrum Chewables from the USA) (currenly unavailable)
--Calcium citrate (Opurity 1200 mg)
--inulin fibre (5-6 tsp per day for constipation and fibre intake)
--Ferrous Sulfate (2 x 300 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg diclofenac (psoriatic arthritis)
RESULTS:
HGB (Hemoglobin) -- 144 (120-160)
HCT (Hematocrit) -- 0.43 (0.350-0.450)
WBC (White Blood Cell) -- 5.4 (4.0-11.0)
RBC (Red Blood Cell) -- 5.06 (4.0-5.10)
MCV -- 85.4 (80.0-100.0)
MCH -- 28.5 (27.5-33.0)
MCHC -- 333 (305-360)
RDW -- 14.0 (11.5-14.5)
Plaetelet Count -- 165 (150-400)
Neutrophil -- 3.3 (2.0-7.5)
Lymphocyte -- 1.5 (1.0-3.5)
Monocyte -- 0.3 (0.2-1.0)
Eosinophil -- 0.2 (0.0-0.5)
Basophil -- 0.0 (0.0-0.2)
Vitamin B12 -- 582 (198-615)
Serum Folate -- greater than 30 (greater than 10.3)
Glucose Fasting -- 4.5 (3.6-6.0) 13 hours fasting
Creatinine -- 72 (45-97)
eGFR (MDRD) --76 (60-89)
Na (Sodium) -- 139 (135-147)
K (Potassium) -- 4.1 (3.5-5.5)
Cl (Chloride) -- 107 (100-110)
Urate 331 (150-390)
Bilirubin total -- 29 (less than 22 ) HIGH
AST -- 18 (7-31)
ALT -- 23 (10-44)
ALP -- 69 (45-129)
GGT -- less than 10 (12-43) LOW
Calcium -- 2.26 (2.15-2.60)
Albumin -- 41 (35-50)
Cardiovascular Risk Assessment
Triglycerides -- 1.01 mmol/L
Cholesterol -- 3.38 mmol/L
HDL Cholesterol Ratio -- 1.12 mmol/L
Cholesterol / HDL Ratio -- 3.0 mmol/L
LDL Cholesterol -- 1.8 mmol/L
non HDL Cholesterol -- 2.26 mmol/L
TSH -- 0.84 (0.30-4.0)
Ferretin -- 38 (10-291)
Hydroxy Vitamin D -- 102 (75-250)
March 26, 2014 (7 weeks post VSG bariatric surgery)
currently taking:
--colace (stool softener, 2 per day)
--Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--Vitamin B12 (Swiss Natural) 1000 mcg
--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium carbonate (to change to calcium citrate) + Vitamin D 1500 mg
--inulin fibre (5-6 tsp per day for constipation and fibre intake)
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg diclofenac (psoriatic arthritis)
Blood Pressure = 112/70
WBC -- 6.3 (3.5-10.5)
RBC -- 4.63 (3.5-5.0)
HGB -- 133 (115-155)
HCT -- 0.411 (0.380-0.500)
MCV -- 88.8 (80.0-100.0)
MCH -- 28.7 (25.0-34.0)
MCHC -- 324 (315-355)
RDW -- 13.3 (11.5-15.5)
Plat -- 183 (130-380)
MPV -- 11.0 (9.0-14.0)
Neutrophil -- 4.2 (2.0-7.5)
Immature Granulocyte -- 0.0 (less than 0)
Lymphocyte -- 1.3 (0.8-3.3)
Monocyte -- 0.5 (0.1-1.0)
Eosinophil -- 0.4 (0.0-0.5)
Basophil -- 0.0 (0.0-0.1)
Na -- 142 (136-145)
K -- 3.9 (3.5-5.1)
Cl -- 107 (98-107)
CO2 -- 26 (21-32)
Anion Gap -- 9 (5-12)
Creatinine -- 70 (22-75)
eGFR (MDRD) -- greater than 60 (greater than 60)
Urea -- 5.8 (2.1-8.0)
Bilirubin total -- 18 (3-17 HIGH)
AST -- 17 (15-37)
ALT -- 46 (17-63)
ALP -- 69 (50-136)
GGT -- 5 (5-55)
Ferritin -- 32 (11-307)
Vitamin B12 -- 556 (133-675)
TSH -- 0.51 (0.30-5.6)
Feb. 5, 2014 (two days post-VSG in hospital)
WBC -- 7.0 (3.5-10.5)
HGB -- 111 (115-155 LOW)
HCT -- 0.343 (0.380-0.500 LOW)
RBC -- 3.76 (3.5-5.0)
MCV -- 91.2 (80.0-100.0)
MCH -- 29.5 (25.0-34.0)
MCHC -- 324 (315-355)
RDW -- 12.6 (11.5-15.5)
Plat -- 167 (130-380)
MPV -- 10.2 (9.0-14.0)
Neutrophils -- 4.3 (2.0-7.5)
Immature Granulocytes -- 0.0 (less than 0)
Lymphocytes -- 1.8 (0.8-3.3)
Monocytes -- 0.5 (0.1-1.0)
Eosinophils -- 0.4 (0.0-0.5)
Basophils -- 0.0 (0.0-0.1)
NA -- 139 (136-145)
K -- 3.9 (3.5-5.1)
February 22, 2013 (CD8)
currently taking:
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg sandoz-diclofencac (psoriatic arthritis)
Glucose Fasting -- 5.3 (3.6-6.0)
HbA1C -- 0.054 (0.040-0.060: normal, non-diabetic)
TSH (sensitive TSH) -- 0.76 (0.35-5.0)
Creatinine -- 68 (45-97)
eGFR -- 82 (normal)
Uric Acid -- 330 (150-390)
Sodium -- 141 (135-147)
Potassium -- 4.5 (3.5-5.5)
Chloride -- 105 (100-110)
Ck (aka Creatine Kinase) -- 61 (29-165)
ALT -- 26 (10-44)
Alkaline Phosphatase -- 75 (45-129)
Bilirubin -- 20 ( less than 22)
Albuminin -- 43 (35-50)
Hemoglobin -- 140 (120-160)
Hematocrit -- 0.44 (0.35-0.45)
White Blood Cell Count -- 6.7 (4.0-11.0)
Red Blood Cell Count -- 4.87 (4.0-5.1)
MCV -- 89.5 (80-100)
MCH -- 28.7 (27.5-33.0)
MCHC -- 321 (305-360)
RDW -- 12.8 (11.5-14.5)
Platelet Count -- 193 (150-400)
Absolute Neutrophils -- 4.0 (2.0-7.5)
Lymph -- 1.9 (1.0-3.5)
Mono -- 0.4 (0.2-1.0)
Eos -- 0.3 (0.0-0.5)
Baso -- 0.0 (0.0-0.2)
Lipid Assessment
Cholesterol -- 5.25 (HIGH; less than 5.2)
HDL Cholesterol -- 1.63 (greater than 1.3)
Triglycerides --3.34 (HIGH; less than 2.3)
LDL Cholesterol -- 2.10
Cholesterol/HDL-C ratio -- 3.2 (Low risk less than 10%)
June 15, 2012 (CD3)
currently taking 1.75 mcg synthroid (hypothyroidism)
0.75 mg sandoz-diclofenac (psoriatic arthritis)
1500 mg metformin (PCOS prior to cycling)
Fasting glucose -- 5.1 (3.6-6.0 normal)
HbA1C -- 0.055 (0.40-0.60 non diabetic)
TSH -- 1.0 (0.35-5.0 normal; McGill wants less than 2.5 or optimally, less than 2.0)
Creatinine -- 73 (50-100 normal)
(eGFR) -- 76 (>= 60 normal)
Uric Acid (Urate) -- 399 (HIGH; normal is 140-340)
Sodium -- 139 (135-145 normal)
Potassium -- 4.1 (3.3-5.1 normal)
Chloride -- 102 (95-108 normal)
Albumin -- 42 (35-52 normal)
Lipid Assessment
-Cholesterol -- 4.95 (less than 5.2 desired)
-HDL-C -- 1.46 (greater than 1.3 normal)
-Triglycerides -- 2.37 (HIGH; less than 2.3 normal)
- LDL-C -- 2.4 (normal)
- Chol HDL-C ratio (TC/HDL-C Ratio) -- 3.4 (low risk)
Hematology
- Hemoglobin -- 134 (115-155 normal)
- Hematocrit -- 0.39 (0.33-0.45 normal)
- RBC -- 4.35 (3.6-5.01 normal)
RBC Indices
- MCV -- 89 (80-99 normal)
- MCH -- 31 (27-32 normal)
- MCHC -- 346 (320-360 normal)
RDW -- 12.7 (11.5-15.5 normal)
WBC -- 5.8 (4.0-11.0 normal)
Platelets -- 172 (145-500 normal)
MPV -- 8.3 (7.4-11.3 normal)
Differential WBCs
- Neutrophils -- 3.42 (1.8-7.0 normal)
- Lymphocytes -- 1.86 (1.0-3.2 normal)
- Monocytes -- 0.29 (0.0-0.8 normal)
- Eosinophils -- 0.17 (0.0-0.4 normal)
- Basophils -- 0.06 (0.0-0.2 normal)
Prenatal
-ABO & RHD (Blood group and RH factor) -- A Positive
-Antibody Screen (titre and ident if positive) -- No clinically significant antibodies detected.
Prolactin -- 6.0 (<24 normal)
LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
FSH -- 6 (6-9 = good... while under 6 is excellent)
Estradiol -- 138 (a little low; local RE hoping for 150)
HIV test --
Hep B S Ag --
HCV serology --
Rubella --
Pelvic Ultrasound Report: (June 15, 2012; CD3)
Day 3 -- check cysts (LMP June 13, 2012)
Uterus:
Position -- anteverted
Dimensions -- Length 8.2 x 5.0, Transverse diameter 5.4 cm
Shape -- Regular
Endometrial Lining -- 5.1 cm
Other -- endometrial cyst of 1.2 x 1.0 xx 0.9 vs. myometrial cyst
Right Adnexa: seen
Dimension 2.8 x 4.2 x 2.9 cm; showing a cyst measuring 2.4 x 2.1 x 1.6 cm
AFC -- 6
Left Adnexa: seen
Dimension 3.1 x 3.0 x 2.7 cm
AFC -- 4
**YAY! 10 antral follicles!)
Free fluid in pelvis: No
Day 3 of cycle. The uterus is anteverted and regular with a length of 8.2 x 5.9 cm with a transverse diameter of 5.4 cm. The endometrium is 5.1 mm thick with no polyps or hyperplasia. ?? Endometrial cyst of 1.2 x 1.0 x 0.09 vs. Myometrial cyst.
The right ovary is 2.8 x 2.4 x 2.9 cm with an AFC of 6.
The left ovary is 3.1 x 3.0 x 2.7 cm with an AFC of 4.
No free fluid noted.
Scheduled for SIS on June 19, 2012.
March 23, 2012 (CD3)
currently taking 1.0 mcg synthroid (hypothyroidism) and 0.75 mg sandoz-diclofenac (psoriatic arthritis)
LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
FSH -- 6 (6-9 = good... while under 6 is excellent)
TSH -- 3.06 (personally too high for me)
Estradiol -- 185 (70-530 normal) * Note for my American readers: This converts to 50 in the USA.
Ferritin -- 42 (31-72 indicateds REDUCED iron stores, but it's better than where I was!)
December 8, 2011
currently taking 1.0 mcg Eltroxin (hypothyroidism)
Ferritin -- 53 (31-79 indicates reduced iron stores)
TSH -- 2.45 (0.35-5.0) *a little too high to undertake IVF; needs to be under 2.0 or 1.5 to be optimal*
Hemoglobin -- 143 (115-155)
Hematocrit -- 0.43 (0.33-0.45)
RBC -- 4.83 (3.6-5.01)
RBC indices MCV -- 89 (80-99)
RBC indices MCH -- 30 (27-32)
RBC indices MCHC -- 331 (320-360)
RDW -- 12.9 (11.5-15.5)
WBC -- 9.0 (4.0-11.0)
Platelets -- 226 (145-400)
MPV -- 8.1 (7.4-11.3)
Differential WBC's Neutrophils -- 4.86 (1.8-7.0)
Differential WBC's Lymphocytes -- 2.88 (1.0-3.2)
Differential WBC's Monocytes -- 0.81 (0.0-0.8) ABNORMAL
Differential WBC's Eosinophils -- 0.45 (0.00-0.40) ABNORMAL
Differential WBC's Basophils -- 0.09 (0.0-0.2)
December 22, 2010 - bloodwork (CD 15)
HbA1C = 0.056 (normal = non diabetic)
December 13, 2010 - endometrial biopsy
Clinical Information: polycystic ovary syndrome. Endometrium thickness increased.
Clinical Diagnosis: polycystic ovary syndrome. Thick endometrium.
Specimen: Endometrium
Gross Description: The specimen is received in formalin in one container labelled with patients name. It consists of fragments of pinkish grayish tissue with blood clots measuring 2.5 x 1.2 x 0.3 cm in aggregate. Submitted in toto in one cassette.
Diagnosis: Endometrium Biopsy - Proliferative-type endometrium, slightly disorganized, with breakthrough bleeding
CODE 1
November 6, 2010- bloodwork (CD21)
1.0 mcg synthroid, +/- 150 mg iron supplements, 1500 mg metformin, b/c pills for cyst
Progesterone -- 1.0 (LOW for Luteal phase; 5.3-86.0)
October 20, 2010 - bloodwork (CD 3; Fasting since 11 p.m. night previous)
1.0 mcg synthroid, +/- 150 mg iron supplements
Fasting Glucose -- 5.5 (3.6-6.0)
TSH -- 1.19 (needs to be under 2.5)
Free T3 -- 4.4 (2.6-5.7)
Free T4 -- 16 (12-22)
Iron (Ferritin) -- 29 (LOW: 12-30 = depleted iron stores; currently taking iron supplements but anemia is still present)
FSH (may be affected by the cyst) --4.0 (4-13)
LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
Estradiol (aka E2) -- 489 (aka 113 in US measures) (46-607, somewhat HIGH for follicular; could be the presence of the functional cyst that is causing the high E2 levels)
Prolactin -- 7.0 (less than 24)
Progesterone -- 1.1 (0.6 - 4.7)
Free Testosterone -- 2.1 ((ND - 7.0)
Testosterone -- 0.6 (less than 2.0)
DHEAS -- 4.1 (1.65-9.15)
HIV -- negative
Hemoglobin -- 137 (115-155)
Hematocrit -- 0.4 (0.3-0.45)
RBC -- 4.64 (3.6-5.01)
RBC indices MCV -- 87 (80-99)
RBC indices MCH -- 30 (27-32)
RBC indices MCHC -- 339 (320-360)
RDW -- 12.9 (11.5-15.5)
WBC -- 8.9 (4.0-11.0)
Platelets -- 223 (145-400)
MPV -- 8.3 (7.4-11.3)
Differential WBC's Neutrophils -- 5.79 (1.8-7.0)
Differential WBC's Lymphocytes -- 2.31 (1.0-3.2)
Differential WBC's Monocytes -- 0.53 (0.0-0.8)
Differential WBC's Basophils -- 0.09 (0.0-0.2)
Blood group and RH Factor -- A positive
Rheumatoid Factor -- less than 20 (less than 20)
HIV1/HIV2 screen -- Negative (non-reactive)
HIV Final Interpretation -- No HIV1/HIV2 antibodies detected
Hep B Surface Antigen -- Non-reactive
Hep B Surface Antibody -- Non-reactive
Hep B Core Total (IgG+IgM) Antibody -- Non-reactive
Hep B Virus interpretation -- No evidence of Hep B infection; No evidence of immunity to Hep B Infection
Hep C Antibody -- Non-reactive
Hep C Virus Interpretation -- No evidence of antibody
Rubella IgG -- Reactive
Rubella Interpretation -- Evidence of past infection/vaccination; evidence of immunity.
Rubella (immunity) -- Reactive; evidence of immunity
August 18, 2010 - bloodwork (Fasting since 10 p.m. night previous)
1.0 mcg synthroid, anti-inflammatory for heel bursitis (to run out in five days)
Fasting Glucose -- NOT DONE (grrr!)
TSH -- 1.5
CK -- 116 (less than 190)
ALT -- 29 (less than 36)
Lipid Assessment
Cholesterol -- 4.27 (less than 5.2)
HDL-C -- 1.4 (>1.3)
Triglycerides -- 2.04 (less than 2.3)
LDL-C -- 1.93
Cholesterol/HDL-C ratio -- 3.1 (Low Risk less than 10%)
Vitamin B12 -- 272 (>220)
Ferritin -- 25 (DEPLETED IRON STORES, doctor recommended 300 mg iron supplement daily; -12 iron deficient, 12-30 Depleted, 31-79 Reduced, 80-300 Normal, 300+ Overload)
CBC
Hemoglobin -- 128 (115-155)
Hematocrit -- 0.38 (0.33-0.45)
RBC -- 4.3 (3.6-5.01)
RBC indices: MCV -- 88 (80-99)
MCH -- 30 (27-32)
HCHC -- 338 (320-360)
RDW -- 13.1 (11.5-15.5)
WBC -- 7.0 (4.0-11.0)
Platelets -- 169 (145-400)
MPV -- 8.9 (7.4-11.3)
Neutrophils -- 4.2 (1.8-7.0)
Lymphocytes -- 2.03 (1.0-3.2)
Monocytes -- 0.35 (0.0-0.8)
Eosinophils -- 0.35 (0.0-0.4)
Basophils -- 0.07 (0.0-0.2)
Free T3 -- 5.4 (2.6-5.7)
Free T4 -- 15 (12-22)
March 17, 2010 - bloodwork
0.75 mcg synthroid only
Glucose - 5.1 (3.6 - 6.0=normal)
Hemoglobin A1C - 0.054 (non-diabetic = 0.040-0.060)
TSH - 2.3 (0.35-5.0 = normal; I subsequently asked to increase synthroid to 1.0 as I wasn't feeling quite right)
LD - 142 (110-215 = normal)
CK - 62 (less than 190 = normal)
ALT - 16 (less than 36 = normal)
Alk Phosphatase - 3 (33-122=normal)
Hemoglobin - 131 (115-155 = normal)
Hematocrit - 0.38 (0.33-0.45 = normal)
RBC - 4.42 (3.6-5.01 = normal)
RBC indices
MCV - 86 (80-99 = normal)
MCH - 30 (37-32 = normal)
MCHC - 343 (320-360 = normal)
RDW - 13.4 (11.5-15.5 = normal)
WBC - 8.1 (4.0-11.0 = normal)
Platelets - 166 (145-400 = normal)
MPV - 8.4 (7.4-11.3 = normal)
Differential WBCs
Neutrophils - 5.02 (1.8-7.0 = normal)
Lymphocytes - 2.27 (1.0-3.2 = normal)
Monocytes - 0.49 (0.0-0.8 = normal)
Eosinophils - 0.24 (0.0-0.4 = normal)
Basophils - 0.08 (0.0-0.2 = normal)
Lipid Assessment - NOT DONE
Cholesterol
HDL-C
Triglycerides
LDL-C
Chol/HDL-C ratio
August 20, 2009 G (Dr. Black) 39 weeksHeartrate 140s
My weight +1.5 lbs (+9.5 lbs total)
Blood pressure = 136/76
Protein/Glucose = negative
Petit's head is still far down against my cervix and still engaged
Cervix is "far forward" and dilated a fingertip; stripping of the membranes offered but I declined
August 13, 2009 G (Dr. Black) 38 weeks
Group B strep treatment = 3 x 500 penicillin per day until labour; 1 every four hours during labour
Heartrate = 148
My weight = +3 lbs (+8 lbs total)
Blood pressure = 136/78
Protein/Glucose = negative
Petit's head is far down and engaged (based on abdominal palpitation)
August 6, 2009 G (Dr. Black)
Group B strep = POSITIVE (argh!!! How to avoid the IV?!)
Heartrate = 150s
My weight = -2 lbs (+5 lbs total)
Blood pressure = 130/86
Protein/Glucose = negative
Ultrasound:
Petit was moving and the tech said the baby is obviously "happy" with all the movement he/she does. In the last 24 hours, Petit's movements have decreased but I'm still counting and so far, all is good.
Petit's estimated weight = 5 lbs 14 oz(low normal range)
Petit's head circumference = 32.1 cms
Petit's head is engaged and very low
Petit's abdominal circumference = 32 cms
Amniotic fluid normal
Femur length = 6.6 cms
Score 8/8
Gestational age = 37.3 weeks
July 30, 2009 G (appt. with Dr. Newton)
(Dr. Black on vacation)
Group B strep taken
Heartrate = 144
My weight = +4 lbs (+7 lbs total)
Blood Pressure = 136/80
Protein/Glucose = negative
July 22, 2009 G (appt. with Dr. Rousseau)
Heartrate = 144
My weight = +3 lbs (+3 lbs gained total)
Blood Pressure = 136/84
No protein or glucose in my urine
Measuring (as usual) 4 weeks ahead at 39 cms.
July 9, 2009 G (ultrasound and then appt. with Dr. Black)
Heartrate = 152
My weight = down 7 lbs (0 lbs gained/lost over the pregnancy)
Blood Pressure = 136/74
No protein or glucose in my urine
Ultrasound:
Petit was moving as usual. Cyst on the outside of the uterus on the right side, measuring 8x6 cms. Fibroid no longer visible.
Cervix length = 3.5 cms
Petit's estimated weight = 4.7 lbs
Petit's head circumference = 30 cms (10 front to back, 8 side to side)
Petit's head is low, near the cervix
Petit's abdominal circumference = 29 cms
Amniotic fluid is high, within the range of normal
Femur length = 6.2 cms
Score 8/8
Gestational age = 33.3 weeks
June 26, 2009 G (with Dr. Haebe)
Heartrate is good, in the 140s range (listened on the doppler)
My weight = up 6.5 lbs (+7 lbs total over the pregnancy)
Blood Pressure = 138/78 (normal for me)
some trace protein in my urine, attributed to the cold, sinus infection and pinkeye infection endured over the last week
June 11, 2009 G
Heartrate is good, in the 150s range (listened on the doppler)
My weight = up 2.0 lbs. (+0.5 lbs total over the pregnancy)
Blood Pressure = 130/82
May 28, 2009 G
Heartrate is good, no rate given (listened on the doppler)
My weight = down 4.5 lbs. (-1.5 lbs total over the pregnancy)
May 12, 2009 G
Blood sugars as measured by sister in West Virginia with glucometer
Fasting = 80
2 hours post-prandial = 96
*Sis asked that numbers be below 100.
May 6, 2009 G
Bloodwork after fasting; taking prenatal vitamin, 0.75 synthroid, 3x500 metformin, docusate sodium, low-dose aspirin, 1000 mg Vitamin D
Glucose serum (fasting) - 4.7 (3.6-6.0)
TSH - 1.32 (under 2.5 is needed for pregnancy)
T4 free - 10 (10-20)
Free T3 - 4.5 (2.6-5.7)
Hemoglobin A1C - 0.048 *The presence of HB S or C may interfere with the results of this assay.
Hemoglobin - 120 (115-155)
Hematocrit - 0.35 (0.33-0.45)
RBC - 3.94 (3.6-5.01)
RDW - 13.3 (11.5-15.5)
WBC - 10 (4.0-11.0)
Platelets - 172 (145-400)
MPV - 8.2 (7.4-11.3)
Differential WBCs:
Neutrophils - 7.9 (1.8-7.0) HIGH *frequent with p/g women
Lymphocytes - 1.3 (1.0-3.2)
Monocytes - 0.6 (0.0-0.8)
Eosinophils - 0.10 (0.0-0.40)
Basophils - 0.10 (0.0-0.20)
RBC indices:
MCV - 89.7 (80-99)
MCH - 30.4 (27-32)
MCHC - 339 (320-360)
May 1, 2009 G (23 wks 3 days; Petit measuring 23 wks 2 days)
BP = 135/85
Weight = -1 lb (+3 total)
Petit's Heartrate 146
Cervix Length = 3.5 cm
Small cyst on the brain; usually a soft marker for Down Syndrome but after the amnio, we know it's no problem. This is common and frequently disappears before birth.
Got some great shots of the face; we can see cheeks and a chin now! And it looks to me like Petit is gonna be wearing PINK although I can't be 100% sure.
Petit moved, flipped, got a great profile and side view. Felt lots of movement. Tech says the baby is just gorgeous!
April 9, 2009 G (20 wks 3 days)
BP = 138/78 (first was 140/80)
Weight = +2.4 (+4 total)
Petit's Heartrate = 154
Petit was moving, punching, kicking but wouldn't flip for the spinal measurement; another ultrasound is scheduled for May 1)
March 7, 2009 G (15 wks 4 days)
AFP level = 10.9 ug/L (0.54 MoM... **LOW**)
uE3level = 2.47 nmol/L (1.02 MoM... normal)
Total hCG level = 28.7 kiu/L (1.45 MoM... **HIGH**)
NT measurement = 1.7 mm (1.06 MoM... normal)
PAPP-A level = 0.38 iu/L (0.39 MoM... **LOW**)
Risk of Down Syndrome = 1:75
Amniocentesis scheduled for Tuesday, March 17, 2009
*High hCG could be because of IVF.
*TSH is not regulated at the moment; it's high at 3.3.
*OGTT not yet done.
March 5, 2009 G (15 wks 2 days)
BP = 138/78
Weight = +1.5
Easy to hear heart on fetal doppler
February 18, 2009 G (13 wks 2 days; IPS testing, Part 1)
Crown to rump = 7.08 cms
Heartrate = 154 bpm
Moving, wriggling, flipping; I could see fingers and the spine, the nasal bridge as well as major bones, the brain and a number of facial structures.
NT = 1.7 mm (excellent; low-risk)
same day, blood work
TSH - 3.33 (0.35-5.0)
T4 Free - 12.0 (10-20)
Free T3 -insufficient sample!
Hemoglobin -129 (115-155)
Hematocrit - 0.37 (0.33-0.45)
Red blood cell - 4.19 (3.6-5.01)
RBC indices
-- MCV - 88.3 (80-99)
-- MCH - 30.7 (27-32)
-- MCHC - 348 (320-360)
RDW - 13.9 (11.5-15.5)
WBC - 11.6 (4.0-11) **HIGH**Platelets - 225 (145-400)
MPV - 7.7 (7.4-11.3)
Differential WBCs
-- Neutrophils - 8.35 (1.80-7.0) **HIGH**-- Lymphocytes - 2.44 (1.0-3.2)
-- Monocytes - 0.46 (0.0-0.8)
-- Eosinophils - 0.23 (0.0-0.4)
-- Basophils - 0.0 (0.0-0,2)
HIV screen - non reactive HIV 1 & 2; no antibodies detected
Hep B - non reactive Hep B; no detectable Hep B surface antigen
Rubella IGG - Reactive Rubella; evidence of past infection/vaccination. Evidence of immunity.
T.palladium (IgG/IgM) - non reactive
Syphilis - Negative Syphilis; no serological evidence of current or past infection.
February 6, 2009 G (IPS testing, Part 1)
Crown to rump = 4.29 cms (needs to be 4.5 cms min to do the test; postponed)
Heartrate = 171 bpm
Moving legs and arms
February 5, 2009 G (Dr. Black, OB/GYN)
BP = 136/80
Weight = + 3 (+1.5 from original weight; first time with digital scale)
No ultrasound
February 4, 2009 G (Dr. B's)
BP = 128/80
Weight = -1.5
Crown to rump = 4.08 cms
Heartrate 168= bpm
Bouncing up and down!
January 20, 2009 G (Dr. B's)
BP = 134/82
Weight = maintained
Crown to rump = 2.05 cms (8 wks 4 days +/- 4 days)
Heartrate = 164 bpm
Recommended 3 weeks stress leave (3 days taken)
Bloodwork:
Glucose Serum Random - 4.0 (3.6-7.0)
Ferritin - 41 (31-79= reduced iron stores, 80-300=normal iron stores)
T4 Free - 13 (10-20)
Free T3 - 4.1 (2.6-5.7)
Hemoglobin - 135 (115-155)
Hematocrit - 0.39 (0.33-0.45)
RBC - 4.43 (3.60-5.01)
RBC indices: MCV - 88.6 (80-99)
RBC indices: MCH - 30.5 (27-32)
RBC indices: MCHC - 344 (320-360)
RDW - 14.1 (11.5-15.5)
WBC - 13.1 (4.0-11.0) **HIGH**
Platelets - 264 (145-400)
MPV - 8.3 (7.4-11.3)
Differential WBCs: Neutrophils - 9.69 (1.8-7.0) **HIGH**
Differential WBCs: Lymphocytes - 2.49 (1.0-3.2)
Differential WBCs: Monocytes - 0.66 (0.0-0.8)
Differential WBCs: Eosinophils - 0.26 (0.0-0.4)
Differential WBCs: Basophils - 0.0 (0.0-0.2)
Folate, RBC - >3000 (>775)
MISSING TSH!!!
January 16, 2009 G (Dr. F, family doc)
BP = 122/76
Recommended 2 weeks stress leave
January 13, 2009 G (ultrasound clinic)
Heartrate = 175 bpm
Only one embryo (VTS?)
January 5, 2009 G (Dr. B's)
BP = 130/90
Weight = initial weight taken
Heartbeat visible; possibly two embryos!
December 22, 2008 G
17dp3dt; synthroid (50), metformin (1500), prenatal vitamins, low-dose aspirin, B6/12 + folic acid complex, estrace, PIO injection, folic acid 5mg
Beta HCG - 355 (still p/g), doubling time of 55.92 hours
December 18, 2008 G
13dp3dt; synthroid (50), metformin (1500), prenatal vitamins, low-dose aspirin, B6/12 + folic acid complex, estrace, PIO injection, folic acid 5mg
Beta HCG - 108 (p/g!!!)
August 29, 2008 G
CD7; synthroid (50), metformin (1500)
TSH - 1.74 (0.30-4.70) Recommended for P/G is under 2.5
T4 Free - 13.4 (9.1-23.8)
T3 Free - 4.6 (2.5-5.7)
Cholesterol (Random) - N/A
August 27, 2008 G
CD5; synthroid (50), metformin (1500)
Blood pressure - 114/92
May 7, 2008 G
CD23; synthroid (50)
TSH - 2.0 (0.30-4.70)
T4 Free - 13.5 (9.1-23.8)
T3 Free - 3.0 (2.5-5.7)
March 25, 2008 G
CD5; synthroid (25), 12-hr fasting
Insulin Fasting - 180 (40-190)
Insulin 2 hour - 1290 (120-1240) **HIGH**
Glucose Tolerance Fasting - 5.0 (3.6-6.0 normal; 6.1-6.9 impaired; >6.9 possible diabetes mellitus)
Glucose Tolerance 2 hour - 7.7 (3.6-7.7 normal; 7.8-11.0 impaired; >11.0 possible diabetes mellitus)
APTT - 34 (26-37)
INR - 1.0 (0.9-1.3)
Homocysteine - 9 (5-15)
Anti dsDNA - 5.0 (0-19.9 negative)
Antinuclear AB (ANA) - 1:40 (**POSITIVE**); Titre - 1:40, Pattern - homogeneous, speckled
Anti-Thyroid peroxidase - negative
Anti-Thyroglobulin - negative
Lupus anticoagulant - negative
Russell Viper Venom - negative
Protein S Free - 1.04 (>0.40)
Protein C Function - 1.35 (0.75-1.60)
Act. Prot. C Resist. Ratio - 2.8 (2.3-3.6)
March 24, 2008 G
CD4; synthroid (25 mg)
TSH - 3.24 (0.3-4.7)
T4 Free - 14.0 (9.1-23.8)
T3 Free - 1.3 (2.5-5.7)
LH Serum - 1.3 (follicular = 2.4-6.6) **LOW**
FSH Serum - 4.4 (follicular = 3.0-22.0)
Testosterone 1.9 (adult female = 0.3-4.0)
Estadiol - 181 (follicular = 0-921)
Prolactin 7.6 (3.3-26.7)
January 25, 2008 G
synthroid started later that day... (25 mg)
TSH - 2.95
T3 Free - 4.0
January 8, 2008 G
Thyroglobulin AB - negative
Microsomal AB - negative
TSH - 5.02 **HIGH**
T4 Free - 11.2
September 12, 2007 G
HIV 1/2 - nonreactive
HIV1 & HIV2 - no antibodies detected
HTLVI & HTLVII - no antibodies detected
Varicella-Zoster IgG EIA - reactive (evidence of past infection/vaccination; evidence of immunity)
March 26, 2007 G
CD23, luteal phase
TSH - 3.82 (0.30-4.70)
T4 Free - 11.2 (9.1-23.8)
Insulin Random 117 (30-1980)
T3 Free - 4.0 (2.5-5.7)
Vitamin B12 - 235 (>131)
RBC Folate - 1516 (>372)
Ferritin - 28 (13-145)
LH Serum - 1.1 (0.9-9.3) **LOW**
FSH Serum - 2.0 (1.0-14.0)
Free Testosterone - 6.8 (<9)>
March 6, 2007 G
CD3, follicular
LH Serum - 1.4 (follicular 2.4-6.6) **LOW**
FSH Serum - 4.8 (3.0-22.0)
Estradiol - 232 (0-921)
April 20, 2004 G
Syphilis Reagin Screen - non reactive, negative
April 17, 2004 G
Free Testosterone - 4.0
March 9, 2004 G
CERVIX CULTURE: No neisseria gonorrhoeae isolated. G.C. Culture reincubated for 24 hours. Further report to follow only if positive.
MYCO/UREAPLASMA GEN CULT: No mycoplasma isolated. No ureaplasma isolated.
CHLAMYDIA URO-GEN SWAB: Negative for Chlamydia trachomatis by Nucleic Acid DNA probe Hybridization.
March 5, 2004 G
HSG
Contrast was introduced into the uterus which showed normal appearances. There was good filling of both fallopian tubes with bilateral peritoneal spill indicating bilateral tubal patency.
CONCLUSION: Normal examination.
~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
September 12, 2007 D
HIV 1/2 - nonreactive
HIV1 & HIV2 - no antibodies detected
HTLVI & HTLVII - no antibodies detected
September 13, 2007 D
HEP B Antigen - negative
HEP C AB - negative
July 5, 2007 D
Semenanalysis
Colour: Normal
Viscosity: Normal
Sperm count: 0
Viability: N/A
Fructose: Present (Absence of fructose in seminal fluid indicates bilateral absence of the vas deferens and/or seminal vesicles or an obstruction fot he vas deferens distal to the seminal vesicles.)
No spermatozoa noted in the seminal fluid.
Doctors
Urologists
--Dr. Peter Chan (McGill), March 31, 2008: intends to do aspiration near the head of the testes rather than in the vas, 99.9% plus positive that we can use hubby's sperm with no trouble at all. Hubby's testosterone is a little low but won't affect the sperm.
--Dr. Stuart Oake (Riverside), November 2006: reiterated that a second attempt at reversal would likely not work because vas is too short and can feel some scar tissue
--Dr. Collins (Ottawa), October 23, 2003: performed vasectomy reversal. Failed.
OB/Gyns
--Dr. Doug Black (Appletree Medical on Bank), Fall 2005-Spring 2006: agreed to remove cyst via laporoscopy, cyst removed April 2006.
--Dr. Beshara, Fall 2005: refused to do laparoscopy to remove ovarian cyst (right side 5x5 cm)
Bariatric Surgery
-- Dr. J.-D. Yelle (Ottawa Weight Management Centre), February 2014
REs
--Dr. Arthur Leader (Ottawa Fertility Centre), March 2008
--Dr. Seong Tan (McGill), February 2008
--Dr. Norman Barwin (Ottawa, February 2004)
Other
--Dr. Patricia Gervaize (Ottawa Fertility Centre), Infertility Psychologist, May 2008
GP
--Dr. Nicolette Fellegi (Greenboro Medical Centre)
currently taking the following medications:
-- (presc) Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
-- (presc) 137 mcg synthroid (hypothyroidism)
-- (presc) 0.75 mg diclofenac (psoriatic arthritis)
-- (presc) YAZ and YASMIN birth control (to regulate hormones, headaches)
-- 3 days per week, equate stool softener
-- 4 days per week, Metamucil fibre capsules
-- Vitamin D 2000 mg
-- Vitamin B12 500 mg
-- Centrum Chewables from the USA, 2 per day
-- Calcium Citrate Bariatric Advantage 1000 mg per day
-- potassium 3 days per week, 99 mg (for leg cramping)
Heart Rate: 66
Blood Pressure: 122/78
Weight: 177.6 lbs
RESULTS
Ferritin -- 66 (11-307)
TSH -- 2.26 (0.3-5.6)
Na (sodium) -- 138 (136-145)
K (potassium) -- 4.1 (3.5-5.1)
Cl (chloride) -- 102 (98-107)
CO2 (bicarbonate) -- 28 (21-32)
AGAP (anion gap) -- 8 (5-12)
Ca (calcium) -- 2.18 (2.12-2.52)
Mg (magnesium) -- 0.87 (0.74-1.03)
June 2, 2015 (16 months post VSG bariatric surgery)
currently taking the following medications:
--(presc) Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--(presc.) 150 mcg synthroid (hypothyroidism)
--(presc.) 0.75 mg diclofenac (psoriatic arthritis)
--docusate sodium with senna (stool softener/laxative 1 per day)
--Metamucil capsules (1 per day)
--Vitamin D 2000 mg
--Vitamin B12 (500 mcg)
--(presc.) Yaz birth control pills (to regulate hormones, stem loss of iron and reduce flow)
--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium citrate (Bariatric Advantage 500-1000 mg per day)
--Ferrous Sulfate (325 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--potassium (99 mg per week as needed, to help with leg cramping)
RESULTS
Ferritin -- 64 (11-307) docs say it's "okay"
Vitamin B12 -- 530 (133-675) docs are really happy
TSH -- 0.79 (0.3-5.6) prescription refilled at 150 mcg
January 5, 2015 (11 months post VSG bariatric surgery; *fasting*)
currently taking the following medications:
--(presc)Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--(presc.) 137 mcg synthroid (hypothyroidism)
--(presc.) 0.75 mg diclofenac (psoriatic arthritis)
--docusate sodium with senna (stool softener/laxative 1 per day)
--Metamucil capsules (1 per day)
--Vitamin D 2000 mg
--Vitamin B12 (500 mcg)
--(presc.) Seasonique birth control pills (to regulate hormones, stem loss of iron and reduce flow)--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium citrate (Bariatric Advantage 500-1000 mg per day)
--Ferrous Sulfate (325 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--potassium (99 mg per week as needed, to help with leg cramping)
RESULTS
Na (Sodium) -- 140 (136-145)
K (Potassium) -- 3.8 (3.5-5.1)
Cl (Chloride) -- 107 (98-107)
Glucose Fasting -- 4.5 (3.8-6.0) 10 hours fasting
HbA1C -- 5.2 (4.8-6.0)
Urate -- 199 (155-357)
Creatinine -- 80 (22-75) HIGH
eGFR (MDRD) -- >60 (>/=60)
Ca (Calcium) -- 2.13 (2.12-2.52)
Mg (Magnesium) -- 0.74 (0.74-1.03)
Albumin -- 34 (34-46)
Bilirubin total -- 24 (3-17 ) HIGH
AST -- 16 (15-37)
ALT -- 37 (17-63)
ALP -- 54 (50-136)
GGT -- 22 (5-55)
Ferritin -- 31 (11-307) *docs want to see it higher*
Vitamin B12 -- 491 (133-675)
Serum Folate -- greater than 55 (greater than 10.0)
Cholesterol Fasting -- 4.6 mmol/L (3.5-5.2)
HDL Cholesterol Fasting -- 1.89 mmol/L (>/= 1.3)
LDL Cholesterol Fasting -- 2.0 mmol/L (</= 3.5)
non HDL Cholesterol Fasting -- 2.7 mmol/L (</= 4.5)
Total Cholesterol (TC) : HDL Fasting as a Ratio -- 2.4 mmol/L (</= 6.0)
Triglycerides Fasting -- 1.59 mmol/L (</= 1.70)
TSH -- 2.81 (0.3-5.6)
Vitamin D -- to follow... (75-250)
June 4, 2014 (4 months post VSG bariatric surgery)
--Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--colace (stool softener, 2 per day)
--senna laxative (1 pill per day)
--Metamucil capsules (2 per day)
--vitamin D 2000 mg
--Vitamin B12 (Spring Valley, 500 mcg)
--Calcium citrate (Opurity 1200 mg)
--inulin fibre (5-6 tsp per day for constipation and fibre intake)
--Ferrous Sulfate (2 x 300 mg)
--Vitamin C (500 mg, with the Ferrous Sulfate)
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg diclofenac (psoriatic arthritis)
RESULTS:
HGB (Hemoglobin) -- 144 (120-160)
HCT (Hematocrit) -- 0.43 (0.350-0.450)
WBC (White Blood Cell) -- 5.4 (4.0-11.0)
RBC (Red Blood Cell) -- 5.06 (4.0-5.10)
MCV -- 85.4 (80.0-100.0)
MCH -- 28.5 (27.5-33.0)
MCHC -- 333 (305-360)
RDW -- 14.0 (11.5-14.5)
Plaetelet Count -- 165 (150-400)
Neutrophil -- 3.3 (2.0-7.5)
Lymphocyte -- 1.5 (1.0-3.5)
Monocyte -- 0.3 (0.2-1.0)
Eosinophil -- 0.2 (0.0-0.5)
Basophil -- 0.0 (0.0-0.2)
Vitamin B12 -- 582 (198-615)
Serum Folate -- greater than 30 (greater than 10.3)
Glucose Fasting -- 4.5 (3.6-6.0) 13 hours fasting
Creatinine -- 72 (45-97)
eGFR (MDRD) --76 (60-89)
Na (Sodium) -- 139 (135-147)
K (Potassium) -- 4.1 (3.5-5.5)
Cl (Chloride) -- 107 (100-110)
Urate 331 (150-390)
Bilirubin total -- 29 (less than 22 ) HIGH
AST -- 18 (7-31)
ALT -- 23 (10-44)
ALP -- 69 (45-129)
GGT -- less than 10 (12-43) LOW
Calcium -- 2.26 (2.15-2.60)
Albumin -- 41 (35-50)
Cardiovascular Risk Assessment
Triglycerides -- 1.01 mmol/L
Cholesterol -- 3.38 mmol/L
HDL Cholesterol Ratio -- 1.12 mmol/L
Cholesterol / HDL Ratio -- 3.0 mmol/L
LDL Cholesterol -- 1.8 mmol/L
non HDL Cholesterol -- 2.26 mmol/L
TSH -- 0.84 (0.30-4.0)
Ferretin -- 38 (10-291)
Hydroxy Vitamin D -- 102 (75-250)
March 26, 2014 (7 weeks post VSG bariatric surgery)
currently taking:
--colace (stool softener, 2 per day)
--Lansoprazole (30 mg) for reflux/heartburn (a problem after VSG)
--Vitamin B12 (Swiss Natural) 1000 mcg
--2 multivitamins per day (Centrum Chewables from the USA)
--Calcium carbonate (to change to calcium citrate) + Vitamin D 1500 mg
--inulin fibre (5-6 tsp per day for constipation and fibre intake)
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg diclofenac (psoriatic arthritis)
Blood Pressure = 112/70
WBC -- 6.3 (3.5-10.5)
RBC -- 4.63 (3.5-5.0)
HGB -- 133 (115-155)
HCT -- 0.411 (0.380-0.500)
MCV -- 88.8 (80.0-100.0)
MCH -- 28.7 (25.0-34.0)
MCHC -- 324 (315-355)
RDW -- 13.3 (11.5-15.5)
Plat -- 183 (130-380)
MPV -- 11.0 (9.0-14.0)
Neutrophil -- 4.2 (2.0-7.5)
Immature Granulocyte -- 0.0 (less than 0)
Lymphocyte -- 1.3 (0.8-3.3)
Monocyte -- 0.5 (0.1-1.0)
Eosinophil -- 0.4 (0.0-0.5)
Basophil -- 0.0 (0.0-0.1)
Na -- 142 (136-145)
K -- 3.9 (3.5-5.1)
Cl -- 107 (98-107)
CO2 -- 26 (21-32)
Anion Gap -- 9 (5-12)
Creatinine -- 70 (22-75)
eGFR (MDRD) -- greater than 60 (greater than 60)
Urea -- 5.8 (2.1-8.0)
Bilirubin total -- 18 (3-17 HIGH)
AST -- 17 (15-37)
ALT -- 46 (17-63)
ALP -- 69 (50-136)
GGT -- 5 (5-55)
Ferritin -- 32 (11-307)
Vitamin B12 -- 556 (133-675)
TSH -- 0.51 (0.30-5.6)
Feb. 5, 2014 (two days post-VSG in hospital)
WBC -- 7.0 (3.5-10.5)
HGB -- 111 (115-155 LOW)
HCT -- 0.343 (0.380-0.500 LOW)
RBC -- 3.76 (3.5-5.0)
MCV -- 91.2 (80.0-100.0)
MCH -- 29.5 (25.0-34.0)
MCHC -- 324 (315-355)
RDW -- 12.6 (11.5-15.5)
Plat -- 167 (130-380)
MPV -- 10.2 (9.0-14.0)
Neutrophils -- 4.3 (2.0-7.5)
Immature Granulocytes -- 0.0 (less than 0)
Lymphocytes -- 1.8 (0.8-3.3)
Monocytes -- 0.5 (0.1-1.0)
Eosinophils -- 0.4 (0.0-0.5)
Basophils -- 0.0 (0.0-0.1)
NA -- 139 (136-145)
K -- 3.9 (3.5-5.1)
February 22, 2013 (CD8)
currently taking:
--1.75 mcg synthroid (hypothyroidism)
--0.75 mg sandoz-diclofencac (psoriatic arthritis)
Glucose Fasting -- 5.3 (3.6-6.0)
HbA1C -- 0.054 (0.040-0.060: normal, non-diabetic)
TSH (sensitive TSH) -- 0.76 (0.35-5.0)
Creatinine -- 68 (45-97)
eGFR -- 82 (normal)
Uric Acid -- 330 (150-390)
Sodium -- 141 (135-147)
Potassium -- 4.5 (3.5-5.5)
Chloride -- 105 (100-110)
Ck (aka Creatine Kinase) -- 61 (29-165)
ALT -- 26 (10-44)
Alkaline Phosphatase -- 75 (45-129)
Bilirubin -- 20 ( less than 22)
Albuminin -- 43 (35-50)
Hemoglobin -- 140 (120-160)
Hematocrit -- 0.44 (0.35-0.45)
White Blood Cell Count -- 6.7 (4.0-11.0)
Red Blood Cell Count -- 4.87 (4.0-5.1)
MCV -- 89.5 (80-100)
MCH -- 28.7 (27.5-33.0)
MCHC -- 321 (305-360)
RDW -- 12.8 (11.5-14.5)
Platelet Count -- 193 (150-400)
Absolute Neutrophils -- 4.0 (2.0-7.5)
Lymph -- 1.9 (1.0-3.5)
Mono -- 0.4 (0.2-1.0)
Eos -- 0.3 (0.0-0.5)
Baso -- 0.0 (0.0-0.2)
Lipid Assessment
Cholesterol -- 5.25 (HIGH; less than 5.2)
HDL Cholesterol -- 1.63 (greater than 1.3)
Triglycerides --3.34 (HIGH; less than 2.3)
LDL Cholesterol -- 2.10
Cholesterol/HDL-C ratio -- 3.2 (Low risk less than 10%)
June 15, 2012 (CD3)
currently taking 1.75 mcg synthroid (hypothyroidism)
0.75 mg sandoz-diclofenac (psoriatic arthritis)
1500 mg metformin (PCOS prior to cycling)
Fasting glucose -- 5.1 (3.6-6.0 normal)
HbA1C -- 0.055 (0.40-0.60 non diabetic)
TSH -- 1.0 (0.35-5.0 normal; McGill wants less than 2.5 or optimally, less than 2.0)
Creatinine -- 73 (50-100 normal)
(eGFR) -- 76 (>= 60 normal)
Uric Acid (Urate) -- 399 (HIGH; normal is 140-340)
Sodium -- 139 (135-145 normal)
Potassium -- 4.1 (3.3-5.1 normal)
Chloride -- 102 (95-108 normal)
Albumin -- 42 (35-52 normal)
Lipid Assessment
-Cholesterol -- 4.95 (less than 5.2 desired)
-HDL-C -- 1.46 (greater than 1.3 normal)
-Triglycerides -- 2.37 (HIGH; less than 2.3 normal)
- LDL-C -- 2.4 (normal)
- Chol HDL-C ratio (TC/HDL-C Ratio) -- 3.4 (low risk)
Hematology
- Hemoglobin -- 134 (115-155 normal)
- Hematocrit -- 0.39 (0.33-0.45 normal)
- RBC -- 4.35 (3.6-5.01 normal)
RBC Indices
- MCV -- 89 (80-99 normal)
- MCH -- 31 (27-32 normal)
- MCHC -- 346 (320-360 normal)
RDW -- 12.7 (11.5-15.5 normal)
WBC -- 5.8 (4.0-11.0 normal)
Platelets -- 172 (145-500 normal)
MPV -- 8.3 (7.4-11.3 normal)
Differential WBCs
- Neutrophils -- 3.42 (1.8-7.0 normal)
- Lymphocytes -- 1.86 (1.0-3.2 normal)
- Monocytes -- 0.29 (0.0-0.8 normal)
- Eosinophils -- 0.17 (0.0-0.4 normal)
- Basophils -- 0.06 (0.0-0.2 normal)
Prenatal
-ABO & RHD (Blood group and RH factor) -- A Positive
-Antibody Screen (titre and ident if positive) -- No clinically significant antibodies detected.
Prolactin -- 6.0 (<24 normal)
LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
FSH -- 6 (6-9 = good... while under 6 is excellent)
Estradiol -- 138 (a little low; local RE hoping for 150)
HIV test --
Hep B S Ag --
HCV serology --
Rubella --
Pelvic Ultrasound Report: (June 15, 2012; CD3)
Day 3 -- check cysts (LMP June 13, 2012)
Uterus:
Position -- anteverted
Dimensions -- Length 8.2 x 5.0, Transverse diameter 5.4 cm
Shape -- Regular
Endometrial Lining -- 5.1 cm
Other -- endometrial cyst of 1.2 x 1.0 xx 0.9 vs. myometrial cyst
Right Adnexa: seen
Dimension 2.8 x 4.2 x 2.9 cm; showing a cyst measuring 2.4 x 2.1 x 1.6 cm
AFC -- 6
Left Adnexa: seen
Dimension 3.1 x 3.0 x 2.7 cm
AFC -- 4
**YAY! 10 antral follicles!)
Free fluid in pelvis: No
Day 3 of cycle. The uterus is anteverted and regular with a length of 8.2 x 5.9 cm with a transverse diameter of 5.4 cm. The endometrium is 5.1 mm thick with no polyps or hyperplasia. ?? Endometrial cyst of 1.2 x 1.0 x 0.09 vs. Myometrial cyst.
The right ovary is 2.8 x 2.4 x 2.9 cm with an AFC of 6.
The left ovary is 3.1 x 3.0 x 2.7 cm with an AFC of 4.
No free fluid noted.
Scheduled for SIS on June 19, 2012.
March 23, 2012 (CD3)
currently taking 1.0 mcg synthroid (hypothyroidism) and 0.75 mg sandoz-diclofenac (psoriatic arthritis)
LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
FSH -- 6 (6-9 = good... while under 6 is excellent)
TSH -- 3.06 (personally too high for me)
Estradiol -- 185 (70-530 normal) * Note for my American readers: This converts to 50 in the USA.
Ferritin -- 42 (31-72 indicateds REDUCED iron stores, but it's better than where I was!)
December 8, 2011
currently taking 1.0 mcg Eltroxin (hypothyroidism)
Ferritin -- 53 (31-79 indicates reduced iron stores)
TSH -- 2.45 (0.35-5.0) *a little too high to undertake IVF; needs to be under 2.0 or 1.5 to be optimal*
Hemoglobin -- 143 (115-155)
Hematocrit -- 0.43 (0.33-0.45)
RBC -- 4.83 (3.6-5.01)
RBC indices MCV -- 89 (80-99)
RBC indices MCH -- 30 (27-32)
RBC indices MCHC -- 331 (320-360)
RDW -- 12.9 (11.5-15.5)
WBC -- 9.0 (4.0-11.0)
Platelets -- 226 (145-400)
MPV -- 8.1 (7.4-11.3)
Differential WBC's Neutrophils -- 4.86 (1.8-7.0)
Differential WBC's Lymphocytes -- 2.88 (1.0-3.2)
Differential WBC's Monocytes -- 0.81 (0.0-0.8) ABNORMAL
Differential WBC's Eosinophils -- 0.45 (0.00-0.40) ABNORMAL
Differential WBC's Basophils -- 0.09 (0.0-0.2)
December 22, 2010 - bloodwork (CD 15)
HbA1C = 0.056 (normal = non diabetic)
December 13, 2010 - endometrial biopsy
Clinical Information: polycystic ovary syndrome. Endometrium thickness increased.
Clinical Diagnosis: polycystic ovary syndrome. Thick endometrium.
Specimen: Endometrium
Gross Description: The specimen is received in formalin in one container labelled with patients name. It consists of fragments of pinkish grayish tissue with blood clots measuring 2.5 x 1.2 x 0.3 cm in aggregate. Submitted in toto in one cassette.
Diagnosis: Endometrium Biopsy - Proliferative-type endometrium, slightly disorganized, with breakthrough bleeding
CODE 1
November 6, 2010- bloodwork (CD21)
1.0 mcg synthroid, +/- 150 mg iron supplements, 1500 mg metformin, b/c pills for cyst
Progesterone -- 1.0 (LOW for Luteal phase; 5.3-86.0)
October 20, 2010 - bloodwork (CD 3; Fasting since 11 p.m. night previous)
1.0 mcg synthroid, +/- 150 mg iron supplements
Fasting Glucose -- 5.5 (3.6-6.0)
TSH -- 1.19 (needs to be under 2.5)
Free T3 -- 4.4 (2.6-5.7)
Free T4 -- 16 (12-22)
Iron (Ferritin) -- 29 (LOW: 12-30 = depleted iron stores; currently taking iron supplements but anemia is still present)
FSH (may be affected by the cyst) --4.0 (4-13)
LH -- 1.0 (LOW for Follicular phase; 2-13 = normal)
Estradiol (aka E2) -- 489 (aka 113 in US measures) (46-607, somewhat HIGH for follicular; could be the presence of the functional cyst that is causing the high E2 levels)
Prolactin -- 7.0 (less than 24)
Progesterone -- 1.1 (0.6 - 4.7)
Free Testosterone -- 2.1 ((ND - 7.0)
Testosterone -- 0.6 (less than 2.0)
DHEAS -- 4.1 (1.65-9.15)
HIV -- negative
Hemoglobin -- 137 (115-155)
Hematocrit -- 0.4 (0.3-0.45)
RBC -- 4.64 (3.6-5.01)
RBC indices MCV -- 87 (80-99)
RBC indices MCH -- 30 (27-32)
RBC indices MCHC -- 339 (320-360)
RDW -- 12.9 (11.5-15.5)
WBC -- 8.9 (4.0-11.0)
Platelets -- 223 (145-400)
MPV -- 8.3 (7.4-11.3)
Differential WBC's Neutrophils -- 5.79 (1.8-7.0)
Differential WBC's Lymphocytes -- 2.31 (1.0-3.2)
Differential WBC's Monocytes -- 0.53 (0.0-0.8)
Differential WBC's Basophils -- 0.09 (0.0-0.2)
Blood group and RH Factor -- A positive
Rheumatoid Factor -- less than 20 (less than 20)
HIV1/HIV2 screen -- Negative (non-reactive)
HIV Final Interpretation -- No HIV1/HIV2 antibodies detected
Hep B Surface Antigen -- Non-reactive
Hep B Surface Antibody -- Non-reactive
Hep B Core Total (IgG+IgM) Antibody -- Non-reactive
Hep B Virus interpretation -- No evidence of Hep B infection; No evidence of immunity to Hep B Infection
Hep C Antibody -- Non-reactive
Hep C Virus Interpretation -- No evidence of antibody
Rubella IgG -- Reactive
Rubella Interpretation -- Evidence of past infection/vaccination; evidence of immunity.
Rubella (immunity) -- Reactive; evidence of immunity
August 18, 2010 - bloodwork (Fasting since 10 p.m. night previous)
1.0 mcg synthroid, anti-inflammatory for heel bursitis (to run out in five days)
Fasting Glucose -- NOT DONE (grrr!)
TSH -- 1.5
CK -- 116 (less than 190)
ALT -- 29 (less than 36)
Lipid Assessment
Cholesterol -- 4.27 (less than 5.2)
HDL-C -- 1.4 (>1.3)
Triglycerides -- 2.04 (less than 2.3)
LDL-C -- 1.93
Cholesterol/HDL-C ratio -- 3.1 (Low Risk less than 10%)
Vitamin B12 -- 272 (>220)
Ferritin -- 25 (DEPLETED IRON STORES, doctor recommended 300 mg iron supplement daily; -12 iron deficient, 12-30 Depleted, 31-79 Reduced, 80-300 Normal, 300+ Overload)
CBC
Hemoglobin -- 128 (115-155)
Hematocrit -- 0.38 (0.33-0.45)
RBC -- 4.3 (3.6-5.01)
RBC indices: MCV -- 88 (80-99)
MCH -- 30 (27-32)
HCHC -- 338 (320-360)
RDW -- 13.1 (11.5-15.5)
WBC -- 7.0 (4.0-11.0)
Platelets -- 169 (145-400)
MPV -- 8.9 (7.4-11.3)
Neutrophils -- 4.2 (1.8-7.0)
Lymphocytes -- 2.03 (1.0-3.2)
Monocytes -- 0.35 (0.0-0.8)
Eosinophils -- 0.35 (0.0-0.4)
Basophils -- 0.07 (0.0-0.2)
Free T3 -- 5.4 (2.6-5.7)
Free T4 -- 15 (12-22)
March 17, 2010 - bloodwork
0.75 mcg synthroid only
Glucose - 5.1 (3.6 - 6.0=normal)
Hemoglobin A1C - 0.054 (non-diabetic = 0.040-0.060)
TSH - 2.3 (0.35-5.0 = normal; I subsequently asked to increase synthroid to 1.0 as I wasn't feeling quite right)
LD - 142 (110-215 = normal)
CK - 62 (less than 190 = normal)
ALT - 16 (less than 36 = normal)
Alk Phosphatase - 3 (33-122=normal)
Hemoglobin - 131 (115-155 = normal)
Hematocrit - 0.38 (0.33-0.45 = normal)
RBC - 4.42 (3.6-5.01 = normal)
RBC indices
MCV - 86 (80-99 = normal)
MCH - 30 (37-32 = normal)
MCHC - 343 (320-360 = normal)
RDW - 13.4 (11.5-15.5 = normal)
WBC - 8.1 (4.0-11.0 = normal)
Platelets - 166 (145-400 = normal)
MPV - 8.4 (7.4-11.3 = normal)
Differential WBCs
Neutrophils - 5.02 (1.8-7.0 = normal)
Lymphocytes - 2.27 (1.0-3.2 = normal)
Monocytes - 0.49 (0.0-0.8 = normal)
Eosinophils - 0.24 (0.0-0.4 = normal)
Basophils - 0.08 (0.0-0.2 = normal)
Lipid Assessment - NOT DONE
Cholesterol
HDL-C
Triglycerides
LDL-C
Chol/HDL-C ratio
August 20, 2009 G (Dr. Black) 39 weeksHeartrate 140s
My weight +1.5 lbs (+9.5 lbs total)
Blood pressure = 136/76
Protein/Glucose = negative
Petit's head is still far down against my cervix and still engaged
Cervix is "far forward" and dilated a fingertip; stripping of the membranes offered but I declined
August 13, 2009 G (Dr. Black) 38 weeks
Group B strep treatment = 3 x 500 penicillin per day until labour; 1 every four hours during labour
Heartrate = 148
My weight = +3 lbs (+8 lbs total)
Blood pressure = 136/78
Protein/Glucose = negative
Petit's head is far down and engaged (based on abdominal palpitation)
August 6, 2009 G (Dr. Black)
Group B strep = POSITIVE (argh!!! How to avoid the IV?!)
Heartrate = 150s
My weight = -2 lbs (+5 lbs total)
Blood pressure = 130/86
Protein/Glucose = negative
Ultrasound:
Petit was moving and the tech said the baby is obviously "happy" with all the movement he/she does. In the last 24 hours, Petit's movements have decreased but I'm still counting and so far, all is good.
Petit's estimated weight = 5 lbs 14 oz(low normal range)
Petit's head circumference = 32.1 cms
Petit's head is engaged and very low
Petit's abdominal circumference = 32 cms
Amniotic fluid normal
Femur length = 6.6 cms
Score 8/8
Gestational age = 37.3 weeks
July 30, 2009 G (appt. with Dr. Newton)
(Dr. Black on vacation)
Group B strep taken
Heartrate = 144
My weight = +4 lbs (+7 lbs total)
Blood Pressure = 136/80
Protein/Glucose = negative
July 22, 2009 G (appt. with Dr. Rousseau)
Heartrate = 144
My weight = +3 lbs (+3 lbs gained total)
Blood Pressure = 136/84
No protein or glucose in my urine
Measuring (as usual) 4 weeks ahead at 39 cms.
July 9, 2009 G (ultrasound and then appt. with Dr. Black)
Heartrate = 152
My weight = down 7 lbs (0 lbs gained/lost over the pregnancy)
Blood Pressure = 136/74
No protein or glucose in my urine
Ultrasound:
Petit was moving as usual. Cyst on the outside of the uterus on the right side, measuring 8x6 cms. Fibroid no longer visible.
Cervix length = 3.5 cms
Petit's estimated weight = 4.7 lbs
Petit's head circumference = 30 cms (10 front to back, 8 side to side)
Petit's head is low, near the cervix
Petit's abdominal circumference = 29 cms
Amniotic fluid is high, within the range of normal
Femur length = 6.2 cms
Score 8/8
Gestational age = 33.3 weeks
June 26, 2009 G (with Dr. Haebe)
Heartrate is good, in the 140s range (listened on the doppler)
My weight = up 6.5 lbs (+7 lbs total over the pregnancy)
Blood Pressure = 138/78 (normal for me)
some trace protein in my urine, attributed to the cold, sinus infection and pinkeye infection endured over the last week
June 11, 2009 G
Heartrate is good, in the 150s range (listened on the doppler)
My weight = up 2.0 lbs. (+0.5 lbs total over the pregnancy)
Blood Pressure = 130/82
May 28, 2009 G
Heartrate is good, no rate given (listened on the doppler)
My weight = down 4.5 lbs. (-1.5 lbs total over the pregnancy)
May 12, 2009 G
Blood sugars as measured by sister in West Virginia with glucometer
Fasting = 80
2 hours post-prandial = 96
*Sis asked that numbers be below 100.
May 6, 2009 G
Bloodwork after fasting; taking prenatal vitamin, 0.75 synthroid, 3x500 metformin, docusate sodium, low-dose aspirin, 1000 mg Vitamin D
Glucose serum (fasting) - 4.7 (3.6-6.0)
TSH - 1.32 (under 2.5 is needed for pregnancy)
T4 free - 10 (10-20)
Free T3 - 4.5 (2.6-5.7)
Hemoglobin A1C - 0.048 *The presence of HB S or C may interfere with the results of this assay.
Hemoglobin - 120 (115-155)
Hematocrit - 0.35 (0.33-0.45)
RBC - 3.94 (3.6-5.01)
RDW - 13.3 (11.5-15.5)
WBC - 10 (4.0-11.0)
Platelets - 172 (145-400)
MPV - 8.2 (7.4-11.3)
Differential WBCs:
Neutrophils - 7.9 (1.8-7.0) HIGH *frequent with p/g women
Lymphocytes - 1.3 (1.0-3.2)
Monocytes - 0.6 (0.0-0.8)
Eosinophils - 0.10 (0.0-0.40)
Basophils - 0.10 (0.0-0.20)
RBC indices:
MCV - 89.7 (80-99)
MCH - 30.4 (27-32)
MCHC - 339 (320-360)
May 1, 2009 G (23 wks 3 days; Petit measuring 23 wks 2 days)
BP = 135/85
Weight = -1 lb (+3 total)
Petit's Heartrate 146
Cervix Length = 3.5 cm
Small cyst on the brain; usually a soft marker for Down Syndrome but after the amnio, we know it's no problem. This is common and frequently disappears before birth.
Got some great shots of the face; we can see cheeks and a chin now! And it looks to me like Petit is gonna be wearing PINK although I can't be 100% sure.
Petit moved, flipped, got a great profile and side view. Felt lots of movement. Tech says the baby is just gorgeous!
April 9, 2009 G (20 wks 3 days)
BP = 138/78 (first was 140/80)
Weight = +2.4 (+4 total)
Petit's Heartrate = 154
Petit was moving, punching, kicking but wouldn't flip for the spinal measurement; another ultrasound is scheduled for May 1)
March 7, 2009 G (15 wks 4 days)
AFP level = 10.9 ug/L (0.54 MoM... **LOW**)
uE3level = 2.47 nmol/L (1.02 MoM... normal)
Total hCG level = 28.7 kiu/L (1.45 MoM... **HIGH**)
NT measurement = 1.7 mm (1.06 MoM... normal)
PAPP-A level = 0.38 iu/L (0.39 MoM... **LOW**)
Risk of Down Syndrome = 1:75
Amniocentesis scheduled for Tuesday, March 17, 2009
*High hCG could be because of IVF.
*TSH is not regulated at the moment; it's high at 3.3.
*OGTT not yet done.
March 5, 2009 G (15 wks 2 days)
BP = 138/78
Weight = +1.5
Easy to hear heart on fetal doppler
February 18, 2009 G (13 wks 2 days; IPS testing, Part 1)
Crown to rump = 7.08 cms
Heartrate = 154 bpm
Moving, wriggling, flipping; I could see fingers and the spine, the nasal bridge as well as major bones, the brain and a number of facial structures.
NT = 1.7 mm (excellent; low-risk)
same day, blood work
TSH - 3.33 (0.35-5.0)
T4 Free - 12.0 (10-20)
Free T3 -insufficient sample!
Hemoglobin -129 (115-155)
Hematocrit - 0.37 (0.33-0.45)
Red blood cell - 4.19 (3.6-5.01)
RBC indices
-- MCV - 88.3 (80-99)
-- MCH - 30.7 (27-32)
-- MCHC - 348 (320-360)
RDW - 13.9 (11.5-15.5)
WBC - 11.6 (4.0-11) **HIGH**Platelets - 225 (145-400)
MPV - 7.7 (7.4-11.3)
Differential WBCs
-- Neutrophils - 8.35 (1.80-7.0) **HIGH**-- Lymphocytes - 2.44 (1.0-3.2)
-- Monocytes - 0.46 (0.0-0.8)
-- Eosinophils - 0.23 (0.0-0.4)
-- Basophils - 0.0 (0.0-0,2)
HIV screen - non reactive HIV 1 & 2; no antibodies detected
Hep B - non reactive Hep B; no detectable Hep B surface antigen
Rubella IGG - Reactive Rubella; evidence of past infection/vaccination. Evidence of immunity.
T.palladium (IgG/IgM) - non reactive
Syphilis - Negative Syphilis; no serological evidence of current or past infection.
February 6, 2009 G (IPS testing, Part 1)
Crown to rump = 4.29 cms (needs to be 4.5 cms min to do the test; postponed)
Heartrate = 171 bpm
Moving legs and arms
February 5, 2009 G (Dr. Black, OB/GYN)
BP = 136/80
Weight = + 3 (+1.5 from original weight; first time with digital scale)
No ultrasound
February 4, 2009 G (Dr. B's)
BP = 128/80
Weight = -1.5
Crown to rump = 4.08 cms
Heartrate 168= bpm
Bouncing up and down!
January 20, 2009 G (Dr. B's)
BP = 134/82
Weight = maintained
Crown to rump = 2.05 cms (8 wks 4 days +/- 4 days)
Heartrate = 164 bpm
Recommended 3 weeks stress leave (3 days taken)
Bloodwork:
Glucose Serum Random - 4.0 (3.6-7.0)
Ferritin - 41 (31-79= reduced iron stores, 80-300=normal iron stores)
T4 Free - 13 (10-20)
Free T3 - 4.1 (2.6-5.7)
Hemoglobin - 135 (115-155)
Hematocrit - 0.39 (0.33-0.45)
RBC - 4.43 (3.60-5.01)
RBC indices: MCV - 88.6 (80-99)
RBC indices: MCH - 30.5 (27-32)
RBC indices: MCHC - 344 (320-360)
RDW - 14.1 (11.5-15.5)
WBC - 13.1 (4.0-11.0) **HIGH**
Platelets - 264 (145-400)
MPV - 8.3 (7.4-11.3)
Differential WBCs: Neutrophils - 9.69 (1.8-7.0) **HIGH**
Differential WBCs: Lymphocytes - 2.49 (1.0-3.2)
Differential WBCs: Monocytes - 0.66 (0.0-0.8)
Differential WBCs: Eosinophils - 0.26 (0.0-0.4)
Differential WBCs: Basophils - 0.0 (0.0-0.2)
Folate, RBC - >3000 (>775)
MISSING TSH!!!
January 16, 2009 G (Dr. F, family doc)
BP = 122/76
Recommended 2 weeks stress leave
January 13, 2009 G (ultrasound clinic)
Heartrate = 175 bpm
Only one embryo (VTS?)
January 5, 2009 G (Dr. B's)
BP = 130/90
Weight = initial weight taken
Heartbeat visible; possibly two embryos!
December 22, 2008 G
17dp3dt; synthroid (50), metformin (1500), prenatal vitamins, low-dose aspirin, B6/12 + folic acid complex, estrace, PIO injection, folic acid 5mg
Beta HCG - 355 (still p/g), doubling time of 55.92 hours
December 18, 2008 G
13dp3dt; synthroid (50), metformin (1500), prenatal vitamins, low-dose aspirin, B6/12 + folic acid complex, estrace, PIO injection, folic acid 5mg
Beta HCG - 108 (p/g!!!)
August 29, 2008 G
CD7; synthroid (50), metformin (1500)
TSH - 1.74 (0.30-4.70) Recommended for P/G is under 2.5
T4 Free - 13.4 (9.1-23.8)
T3 Free - 4.6 (2.5-5.7)
Cholesterol (Random) - N/A
August 27, 2008 G
CD5; synthroid (50), metformin (1500)
Blood pressure - 114/92
May 7, 2008 G
CD23; synthroid (50)
TSH - 2.0 (0.30-4.70)
T4 Free - 13.5 (9.1-23.8)
T3 Free - 3.0 (2.5-5.7)
March 25, 2008 G
CD5; synthroid (25), 12-hr fasting
Insulin Fasting - 180 (40-190)
Insulin 2 hour - 1290 (120-1240) **HIGH**
Glucose Tolerance Fasting - 5.0 (3.6-6.0 normal; 6.1-6.9 impaired; >6.9 possible diabetes mellitus)
Glucose Tolerance 2 hour - 7.7 (3.6-7.7 normal; 7.8-11.0 impaired; >11.0 possible diabetes mellitus)
APTT - 34 (26-37)
INR - 1.0 (0.9-1.3)
Homocysteine - 9 (5-15)
Anti dsDNA - 5.0 (0-19.9 negative)
Antinuclear AB (ANA) - 1:40 (**POSITIVE**); Titre - 1:40, Pattern - homogeneous, speckled
Anti-Thyroid peroxidase - negative
Anti-Thyroglobulin - negative
Lupus anticoagulant - negative
Russell Viper Venom - negative
Protein S Free - 1.04 (>0.40)
Protein C Function - 1.35 (0.75-1.60)
Act. Prot. C Resist. Ratio - 2.8 (2.3-3.6)
March 24, 2008 G
CD4; synthroid (25 mg)
TSH - 3.24 (0.3-4.7)
T4 Free - 14.0 (9.1-23.8)
T3 Free - 1.3 (2.5-5.7)
LH Serum - 1.3 (follicular = 2.4-6.6) **LOW**
FSH Serum - 4.4 (follicular = 3.0-22.0)
Testosterone 1.9 (adult female = 0.3-4.0)
Estadiol - 181 (follicular = 0-921)
Prolactin 7.6 (3.3-26.7)
January 25, 2008 G
synthroid started later that day... (25 mg)
TSH - 2.95
T3 Free - 4.0
January 8, 2008 G
Thyroglobulin AB - negative
Microsomal AB - negative
TSH - 5.02 **HIGH**
T4 Free - 11.2
September 12, 2007 G
HIV 1/2 - nonreactive
HIV1 & HIV2 - no antibodies detected
HTLVI & HTLVII - no antibodies detected
Varicella-Zoster IgG EIA - reactive (evidence of past infection/vaccination; evidence of immunity)
March 26, 2007 G
CD23, luteal phase
TSH - 3.82 (0.30-4.70)
T4 Free - 11.2 (9.1-23.8)
Insulin Random 117 (30-1980)
T3 Free - 4.0 (2.5-5.7)
Vitamin B12 - 235 (>131)
RBC Folate - 1516 (>372)
Ferritin - 28 (13-145)
LH Serum - 1.1 (0.9-9.3) **LOW**
FSH Serum - 2.0 (1.0-14.0)
Free Testosterone - 6.8 (<9)>
March 6, 2007 G
CD3, follicular
LH Serum - 1.4 (follicular 2.4-6.6) **LOW**
FSH Serum - 4.8 (3.0-22.0)
Estradiol - 232 (0-921)
April 20, 2004 G
Syphilis Reagin Screen - non reactive, negative
April 17, 2004 G
Free Testosterone - 4.0
March 9, 2004 G
CERVIX CULTURE: No neisseria gonorrhoeae isolated. G.C. Culture reincubated for 24 hours. Further report to follow only if positive.
MYCO/UREAPLASMA GEN CULT: No mycoplasma isolated. No ureaplasma isolated.
CHLAMYDIA URO-GEN SWAB: Negative for Chlamydia trachomatis by Nucleic Acid DNA probe Hybridization.
March 5, 2004 G
HSG
Contrast was introduced into the uterus which showed normal appearances. There was good filling of both fallopian tubes with bilateral peritoneal spill indicating bilateral tubal patency.
CONCLUSION: Normal examination.
~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*
September 12, 2007 D
HIV 1/2 - nonreactive
HIV1 & HIV2 - no antibodies detected
HTLVI & HTLVII - no antibodies detected
September 13, 2007 D
HEP B Antigen - negative
HEP C AB - negative
July 5, 2007 D
Semenanalysis
Colour: Normal
Viscosity: Normal
Sperm count: 0
Viability: N/A
Fructose: Present (Absence of fructose in seminal fluid indicates bilateral absence of the vas deferens and/or seminal vesicles or an obstruction fot he vas deferens distal to the seminal vesicles.)
No spermatozoa noted in the seminal fluid.
Doctors
Urologists
--Dr. Peter Chan (McGill), March 31, 2008: intends to do aspiration near the head of the testes rather than in the vas, 99.9% plus positive that we can use hubby's sperm with no trouble at all. Hubby's testosterone is a little low but won't affect the sperm.
--Dr. Stuart Oake (Riverside), November 2006: reiterated that a second attempt at reversal would likely not work because vas is too short and can feel some scar tissue
--Dr. Collins (Ottawa), October 23, 2003: performed vasectomy reversal. Failed.
OB/Gyns
--Dr. Doug Black (Appletree Medical on Bank), Fall 2005-Spring 2006: agreed to remove cyst via laporoscopy, cyst removed April 2006.
--Dr. Beshara, Fall 2005: refused to do laparoscopy to remove ovarian cyst (right side 5x5 cm)
Bariatric Surgery
-- Dr. J.-D. Yelle (Ottawa Weight Management Centre), February 2014
REs
--Dr. Arthur Leader (Ottawa Fertility Centre), March 2008
--Dr. Seong Tan (McGill), February 2008
--Dr. Norman Barwin (Ottawa, February 2004)
Other
--Dr. Patricia Gervaize (Ottawa Fertility Centre), Infertility Psychologist, May 2008
GP
--Dr. Nicolette Fellegi (Greenboro Medical Centre)
Subscribe to:
Posts (Atom)
