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Follow up appointment - these are our issues

CurlySue

P.I's Mummy
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1. IVF info evening was very informative and enlightening and made us feel very hopeful. This was a good point.

2. Initial IVF consultation was unpleasant. We were made to feel like if we spoke for more than three seconds that we were overstaying our welcome. It was rushed. Not once did the woman ask our names or even introduce herself. She referred to “normal women” in contrast to myself, a term I found offensive. We were made to change consent forms which were labelled ‘optional’ before we could proceed. “You have to say yes,” she said, which made me wonder why the form said “optional” next to these sections. I was made to feel stupid for asking questions and when I did ask I was given conflicting answers that made no sense (i.e. she asked me if I was polycystic, I told her no, then she went on to talk to me as if I was indeed polycystic, as if I should have KNOWN I was polycystic even though I had previously been told that I was not!) I was told that I was high risk for OHSS and would need extra scans and a lower dose of stimulation drug so that I did not develop this dangerous condition yet neither of these things happened. Was what she told me completely wrong or did they give me dangerous treatment? She laughed in my face when I questioned her. Seriously. Laughed in my face, the heartless bitch. The list could go on and on…

3. Consultation above was so rushed, baffling and confusing that I had to spend 30 minutes on the telephone seeking clarification the following day (this is after spending four hours trying to get through on the phone!) Nothing from the consultation had been written down in my notes so I was left none the wiser.

4. Before egg collection we were handed a leaflet on a luteal support trial which we were told showed evidence of reduction of risk for miscarriage (25% to 10%). Again, after egg collection we were told of this trial twice, once by a man named Richard and another time by the nurse that came in for discharge. Three times, this was offered to us. When we got our positive result and asked to be placed upon this trial we were told “No.” How can you place the idea of a reduction in miscarriage risk into an IVF couple’s head and then deny them the ‘fantastic’ study you have offered them on no less than three occasions? Inevitably, we miscarried two implanted embryos. It’s hard not to ponder the “what ifs”…especially when the leaflets for the very same trial were still all over reception when we were going in to confirm our miscarriage.

5. After embryo transfer the embryologist quickly went through the progress of the other embryos (hindsight makes me worry immensely that out of 11 or 12 embryos not a single one was good enough to develop into a baby even though they all fertilised!) There was an 8 cell and a 9 cell embryo that might be frozen for a FET in the future, she said, and she would write to let us know. No letter ever came. I tried chasing by telephone but could never get through. It is particularly upsetting to be told “none were good enough and you have nothing left” by the very doctor who is arranging your D&C when we should have been notified by post.

6. I realise that you have to be sure but when there are two blatantly empty sacs two weeks on the run and a nurse saying “I am 99.99% sure that this isn’t going to work and there is no baby” it’s incredibly difficult to go on yet another week when you’re in terrible pain and just want things over with, especially when no back up had even been scheduled despite asking for it to be. I wanted a D&C scheduled for the day of the final scan just so I knew that it would be over with. I was basically told “No can do” and never understood why.

I was just so glad that the conscientious nurse from the first scan had the niceness to phone me and ask if I wanted a D&C scheduled for the day after the third (yes third!) scan so that I would not have to wait even longer. The woman the week before (who couldn’t have been more cold and blunt, a common theme throughout – total lack of sympathy) totally disregarded my wishes. Why is that?

7. The same woman above, I might add, made a point of telling me just how horrendously painful a natural miscarriage would be despite me telling her I wanted a D&C and did not want to miscarry naturally. She more or less told me it was something I would have to be prepared for. Again, I ask, why? Why, when I have made it clear that’s not what I want? Did I really need to hear how awful something I desperately wanted to avoid was going to be?

8. We found out about our miscarriage on Wednesday. On Friday, a letter offering us antenatal care and a 12 week scan arrived on our doorstep. It was sent out on Thursday, the day AFTER I found out about my miscarriage. Clerical error it may well have been but it was upsetting nonetheless and it made me wonder if there is any communication whatsoever.

9. On the day of the D&C I had to sign a consent form in order for “the remains” to be disposed of and also so that a sample could be sent away for testing “to see if it truly was a baby” – yes, it was. It might not be a baby to you people, but to me it was. They were. There were two. Both were my fertilised embryos. What on Earth else could they have been?

10. On the same note…I was discharged after D&C without even being given instructions on what to look out for. “Sorry,” I was told, “we don’t have any advice leaflets left but…it’s pretty obvious what’s not right so if you experience anything unusual just give us a ring.” How on Earth do I know what is right and what is not right when I’ve never had a D&C before? And how on earth can you ‘run out’ of advice leaflets?

11. We were told that soon after the D&C a follow up appointment would be arranged so that we may discuss what had happened and also so that we could discuss a second attempt. As of three months after D&C we could try again, we were told (by the time of appointment it will have been 8 weeks already). Once again, no letter arrived offering us that appointment and I had to chase up the hospital, just as I had tried to chase them up in relation to the two embryos that I was so hopeful had made it. Would I have even got an appointment this YEAR if I had not chased up? It’s stressful enough as it is having to go through this without having to chase up at every opportunity and being left in limbo with no answers and no contact.


_________:cry::cry::cry:_________________

Would we sound like utter morons if we brought all of these up?

Bear in mind, we only have this appointment because I wrote a letter pointing out the fact that we were feeling utterly abandoned and confused by the hospital and totally stressed out by their lack of care.

These are the points I have. These are the points which are leading me to NOT want to go through IVF again.

Would it be wrong to actually take a list like this?
 
Absolutley not and I would take them in written form and demand a written explaination. Just because it's NHS treatment, doesn't give anyone the right to be rude, dismissive or unaccommadating to your needs.

I'm really sorry you've had to go through this. I had IVF in New Zealand back in April and the only issue I had was my consultant doctor kept changing and I never felt like I could really ask them anything but that's because I hadn't got the chance to know them, (it's a little hard to introduce yourself during an egg harvest!!!).

The care facility definitely need to know about your concerns and I would also copy the Ministry of Health and, if you don't go anywhere, maybe the media. Things need to improve and they won't unless people like you speak up.

I'm not sure what the success rate of IVF in the UK is but it's fairly low here (mine didn't take) so these medical professionals need to be trained and prepared to deal with the products of failure - emotional as well as physical. You should have had access to a concelling service at the very least.

Again, I'm really sorry you've had to go through this as well as the loss of your babies. I can't imagine how you must feel.
 


Would it be wrong to actually take a list like this?


Not at all. You have been through way too much torment from that hospital and they need to see exactly what they have done to you. Their lack of compassion is unacceptable. :hugs:
 
What you have experienced is completely unacceptable and unfair. You should inform them of all of this information - if you feel up to it.

My thoughts are with you.
 
Take the list honey, it is the best way to get all your points across when your in a stressful environment.
Take it and go through it ... and don't let them stop you or rush you out the door, you deserve a decent appt, with a real consult, explanation and some time.

Biggest :hugs: :hugs: :hugs:
 
Thanks for the responses. It's just very, very daunting. When I look at that list there is so much more I could add to it. Would you believe that was our conservative list? I feel like one of these people who contact Watchdog and just moan about everything but seriously, this has been the worst experience of my life and to think that other people are going through this too just makes me NEED to point these things out. I cannot go through this again unless these issues have been addressed. I just can't do it to myself.

It just makes me feel so bitter and angry and unfairly treated when I read about the care other people receive on their journeys compared to ours. It makes me realise that no, it's NOT right to be treated this way, it's NOT fair to have a hospital so lacking in care.

I honestly expect to be shown to another registrar tomorrow though. This is after sitting in the waiting room waiting for miscarriage confirmation seeing couple after couple go in for seemingly long introduction appointments with proper consultants.
 
No you should bring up all the points and let them justify to you why you should do another IVF cycle with them. If you don't get any joy I would put in an official complaint letter with this list included as the way you have been treated is appalling IMO. Good luck x
 
No you should bring up all the points and let them justify to you why you should do another IVF cycle with them. If you don't get any joy I would put in an official complaint letter with this list included as the way you have been treated is appalling IMO. Good luck x

That's the issue I have, really. Why SHOULD I trust them for my final IVF attempt? After all of this, why should I be just another statistic to add to their records? That's how they made me feel, after all, like I am just another statistic. Just another number.

I didn't include the part about other people on this forum having a load of embryos frozen when I was told that only embryos they thought were going to make it were frozen, which was why they froze them when they'd been given a chance to develop. Why will they freeze day 1 embryos for some yet not others? It might've been false hope I was being given but at least it would've been hope. At least I wouldn't have felt that I was being given a short straw when they've got ample room for other peoples embryos.

Also - why were they disposing of my day three embryos when some of them were 7 cells? Some were 2 cell, fair enough, they were fucked up, but what of the 5, 6, 7 cell embryos? Since then I've done some research and I've seen people get pregnant from embryos of this cell number at this stage but she stated they were 'too slow'....

I want to encourage you. I just did my first IVF and only had 2 eggs retrieved. I was so discouraged. On transfer day (day 3) we had 2 embryos, 4 cell and 5 cell (both looked good but were behind in cell development). While I know it's really early for me, I just found out that I am pregnant today with a great Beta number.

So she got pregnant with day 3 4 and 5 cell yet about five of mine were 'thrown away' at this very stage and higher!!!
 
Honestly honey, it's important that you go through the list, its important for you to voice it, for yourself, for the consultant to know how you have been treated, it will hopefully help them create a better program for you, and in the longer run, may be even weed out the bloody useless, insensitive and down right negligent staff you have had to deal with.

And Carebear is right .... they should be convincing you why you should stay with them, and if they are crap and don't listen/act then do complain, formally.

I will be thinking of you
 
I didn't include the part about other people on this forum having a load of embryos frozen when I was told that only embryos they thought were going to make it were frozen, which was why they froze them when they'd been given a chance to develop. Why will they freeze day 1 embryos for some yet not others? It might've been false hope I was being given but at least it would've been hope. At least I wouldn't have felt that I was being given a short straw when they've got ample room for other peoples embryos.

Also - why were they disposing of my day three embryos when some of them were 7 cells? Some were 2 cell, fair enough, they were fucked up, but what of the 5, 6, 7 cell embryos? Since then I've done some research and I've seen people get pregnant from embryos of this cell number at this stage but she stated they were 'too slow'....

I want to encourage you. I just did my first IVF and only had 2 eggs retrieved. I was so discouraged. On transfer day (day 3) we had 2 embryos, 4 cell and 5 cell (both looked good but were behind in cell development). While I know it's really early for me, I just found out that I am pregnant today with a great Beta number.

So she got pregnant with day 3 4 and 5 cell yet about five of mine were 'thrown away' at this very stage and higher!!!

I would definately be querying this and don't let them say oh you can't trust the internet everyone's policies are different blah blah blah, I would ask them to explain what their criteria is for freezing embroyos and then go onto ask why you're weren't frozen. If they say they have to be 6 or 7 cel I would ask why so high and get a proper explaination and their poilcy and criteria for you to use for research to see if they are a lot different from other clinics. Hope I've explained that properly and I'm sure you've thought of this.
 
They told me, Carebear, that only 'the best' are frozen; that they do not have enough room for all embryos as if they froze them all they would need a whole new building. Why is it that about 8 were frozen on day 1 for someone on this very forum at the very same hospital? That is what gets me. That they had one rule for one couple and another for us. Did they know for sure that my other embryos would not 'make it'? They did not even let them grow past day 3. Like that woman I quoted said, sometimes they are just slow and catch up. Why were mine not given the chance?
 

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