Anesthesia – Sharp Curve Ahead

— December 2013 —

If I was to recap my experience during my previous egg retrieval in one sentence… it would be- Never, ever, again. It really wasn’t supposed to be this bad. The story was supposed to go something like being a tad nervous, getting the IV, getting virtually knocked out- suck the eggs out- wake up and ache a tad.

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Yes, that’s a giant needle sticking through me to get the eggs….

However, of course…. it wasn’t. The story was in fact a morning of pure torture. There were two reasons why this was so- the first was that the RN gave me the meds I need so I clot better too quickly which, in turn, made me so nauseous that I dry heaved into a bucket for while getting ready. This could be slightly fixed by slowing down the meds this time, but ultimately, this was an obstacle that one could overcome. On the other hand, the conscious sedation drugs not working at all… now that seemed to be medieval torture. They gave me a heavy mixture of versad and fentanyl… and then more as I started screaming when the needles started through my vagina into my ovaries to suck the eggs out. Yes, never ever again. I still have nightmares.

So the good news is that because we know that it didn’t work, the clinic referred me to the anesthesia clinic at McMaster Hospital. In order to proceed with this surrogacy cycle, I’d need to do another egg retrieval. So this appointment was a must. I was hoping that they would give me a script for some magic formula so that I could sleep through the procedure like the rest of the infertile world.

After chatting with the doc, he gave me the bottom line. My body must not react to one of the two drugs given during normal conscious sedation, so we basically would need to give me full sedation in order to ensure that it works. We know that ‘normal’ sedation works with me as I’ve had a knee surgery and a tonsillectomy successfully.

Well that seems easy enough- right?

Wrong.

The problem with being fully sedated is that there are only certain doctors that are able to perform this. The list is short and basically includes anesthesiologists and emerg room docs in emergency cases. The other obstacle would be that a higher level of equipment would be needed to perform this type of anesthesia.

Okay. Think logically. We can figure this out. As my chest starts to heave in and out quicker and quicker I start to think about what this actually means.

Problem 1: Since Ontario de-listed fertility treatments, I now go to a clinic that is private. It is literally an office that has a couple treatment rooms- not a hospital. That means that they do not have all the hi-tech and fancy equipment needed to do this. Nor do they have an anesthesiologist on staff.

Ok…. Maybe I could have the procedure in the Hospital where they have these docs and equipment.
This leads us to Problem 2: I would then need to ‘rent’ out a surgery room, a recovery room, plus the nursing and physician staffing to go with them. Ummmm…. I’m assuming this cost wouldn’t be minimal.

But… after calling the clinic and brainstorming, that wouldn’t work either.  The clinic staff no longer have privileges at the Hospital.  Plus, McMaster Hospital doesn’t have the right equipment nor trained staff to inseminate the eggs on site.  Therefore, the only option would be  to extract the eggs, then get them quickly to the clinic…. but that won’t work either.  It would take too much time to get them there… they wouldn’t survive.

everythinghappens

Cause if you say ‘Everything happens for a reason’ I may just punch you in the face.

Okay… so the only viable option at this point is to try and get an anesthetist to come to clinic on my retrieval day and put me out.  Again, not simple.  It’s not like it’s a dentist appointment where we can call the doc ahead and tell him to meet us at a place and time.  Nope, the date completely would depend on my cycle- which at the best of times was unpredictable.  This would mean we could give a doc 48 hours notice and we would need them to be at the clinic ready.

… sigh….

The fertility clinic received this report from the anesthesia clinic in the middle of December.  So now that they had it, they could start working on a plan for me.  I would ultimately need to pay the anesthesia  doc whatever they would want to charge for their services (which we have no idea as it would be private so up to them…. $$$$$$).  But ‘it’s only money’, right?.

Stress levels just raised at least 100%.  If they couldn’t get someone into the clinic- what would I do?

At this point, I’m about ready to have a nervous breakdown… and I know the dollar amounts left in our accounts.

Yep.  FML. Again.