I recall there's no change fee, it's just have to get a new appt date to see the doctor again and just pay consultation ($90-$100 If I recall for senior consultant).
IVF/ICSI Support Group
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bourjorgal
Member
Yup, i agreed with you that success rate really depends on many factors. Actually i also did not have much experience with my Dr., everytime just a very short visit and started the process. and now it will be my 3rd time, so i am trying to maximize my chances cos no longer young
I guess seeing all my frens around me becoming mum really create hidden stress in me ....bourjorgal
Member
Yes, i know diff Drs sure will try their best right, so i can only blame my own body hahaha ... why is it so hard ? seriously....
Almondearie
Well-Known Member
Hugs, just do what you want to. Change doctor if you feel better about it. But have faith also ya...
Ya it's a rough ride..that's why we are here to support one another. I lied abt my HL, jus tell my male bosses n colleagues I go and remove cyst. I thk I'm gonna take my own leave for just half of the 2ww my next round. All the best to your ET tmr with dr tan. I recall When I lie on the table the first thing he said was, 'relax ah, don't be nervous. ' very reassuring...
Oops my info outdated, I assumed dr Jessie is on public queue. There's another dr lim shu ling associate consultant (small size quite sweet looking with short hair and big eyes), who is actually my sec Sch classmate so I actually had to Siam her each time I see her in the clinic because we are not that close and I dun wanna discuss my problem and she definitely knows what I'm doin there. She has 2 kids herself. I Dunno if she's on public or private and if she does ER and ET too.
AAOM
Member
Hihi,
Thanks for your reply. Well this is my 2nd failed IVF. For the first, it was done by lady Dr.S. and during my second try, she was on leave during the ER & ET, so ended done by Dr. JC (i have no choice!)). Actually initially I supposed to see Dr, THH, but cos I feel awkward with guy doc so i change to lady...now I am thinking if I had made a wrong decision and wasted so much time
So you mean we can just change doc through the nurse?
Well.. if you happen to read by ranting... I was also thinking if I make a wrong choice too...~
But I didn't choose, I was sort of assign to Dr K ....
Now that I have no choice like you... I got to carry on the procedure with Dr K.... ~ To have the mind-set there ALL Doctor maintain their professionalism on all procedure they do for patient...
AAOM
Member
In fact when im speaking to the IVF nurse... she was like saying let me help you see "Dr Tan HH schedule"..
Im thinking about him too....
We can understand the anxiety coz we are all here for the same reasons. If i were to recall, my consultations were also very short. The principal dr will just do scan, diagnose, recommend protocol then off you go to ivf centre. Subsequently will just see the dr-on-duty till ER and ET where our principal dr would "appear". This process is the same regardless which dr is your principal. I thought if you are ok with Dr S, can continue with her because by-far, she knows your condition best. Unless she is always sticking to the same recommendation and does not even try to tweak the medical plan to achieve something different. Still it is your own judgement call and you can also change hands for better luck.Yup, i agreed with you that success rate really depends on many factors. Actually i also did not have much experience with my Dr., everytime just a very short visit and started the process. and now it will be my 3rd time, so i am trying to maximize my chances cos no longer young
And indeed it is hard and demoralizing. The pain is tripled when ivf is just a number game where success rate is only 40% for women between 30 - 35 and lower for more than 35. But if we are lucky enough to find the right equation, our dreams will come true. If not, take a break, take care of our body and we move on to the next cycle and stop when we are stretched financially or when we decide to give up. Dun blame yourself or anyone coz no one is perfect. Jia you, ok?
AAOM
Member
Agreed with what you say....
1s thing : Comfotable
2nd thing : Can ANSWER my qns....
I carry on with my current Dr despite not feeling the above mainly because after gg to IVF side... my current DR is only gg to facilitate the transfer ... Which I believe all doctor will maintain their professionalism.... and he will be competent to the procedure for me...
But if it ever fail... the 2 above factor will be my main consideration... =)
AAOM
Member
We can understand the anxiety coz we are all here for the same reasons. If i were to recall, my consultations were also very short. The principal dr will just do scan, diagnose, recommend protocol then off you go to ivf centre. Subsequently will just see the dr-on-duty till ER and ET where our principal dr would "appear". This process is the same regardless which dr is your principal. I thought if you are ok with Dr S, can continue with her because by-far, she knows your condition best. Unless she is always sticking to the same recommendation and does not even try to tweak the medical plan to achieve something different. Still it is your own judgement call and you can also change hands for better luck.
And indeed it is hard and demoralizing. The pain is tripled when ivf is just a number game where success rate is only 40% for women between 30 - 35 and lower for more than 35. But if we are lucky enough to find the right equation, our dreams will come true. If not, take a break, take care of our body and we move on to the next cycle and stop when we are stretched financially or when we decide to give up. Dun blame yourself or anyone coz no one is perfect. Jia you, ok?
I sometime feel that the principal doctor can be quite redundant as after we are assign to IVF side... The doctor also can decide on the protocol... in fact this Dr on duty at IVF are more pro in answering question, giving u example and such...
But at the end of the day if we ever fail.. We are still require to go back to our principal doctor ... I don know is just my personal experience.. but is like im paying to see him and instead of him answering my quries is more of me answering his qns when is in my file...~
towkayneo
Well-Known Member
Actually not really...the principal doc decides on your STIMM meds, does your ER and ET and discusses with you on your embryo condition, to see if you want to blast them or not..
Doc on duty is like a co-driver, whereby they assess your condition and then comes up with the dates for ER and ET.
Principal doc then goes through your file and then find out why you failed and stuff and makes changes to your STIMM meds, or recommendations like endo scratching, etc...
If i am not wrong, the dr-on-duty will recommend the protocol, in consultation with your principal dr de. But i can understand why. If all drs have to provide consultation to the many patients who need fertility advice and on top of that review and see patients who have already started their cycle, the queue would be so so long. The KPI to start a fresh cycle would no longer be 3 months but 6 months? Woah... wait 6 months to start 1 fresh cycle, i dun have that many 6 months to wait le. And that is why i always make my post cycle review with my principal dr worthwhile by asking lotsa questions and toying with different different permutation (on paper la) of the medical plan. So i always leave the review session with more question mark. Duno good or bad.
But if you think Dr K is really not living up to your expectation, make the change. Anyway your records would be in your case file mah so i guess whichever dr who takes over can keep it up to speed.
towkayneo
Well-Known Member
Actually it's good - me too, I read up more than go in and ask my doc with lotsa Q and many "what ifs". Consumer awareness mah
Must make the consultation fee more worthwhile, though it's very tempting to go in and just make small talk with the handsome doc michelle_baby
Active Member
I failed 3 fresh n 1 fet under dr s after that i switch to dr tan hh for my 4th fresh and i m 28 weeks now.
towkayneo
Well-Known Member
you must increase your egg white intake and drink lotsa water....
i don't eat eggs, so i take immunocal and just eat normally.. got drink alot of water too.. don't know why today suddenly so bloated and painful!
towkayneo
Well-Known Member
If you don't eat eggs, at least increase your protein intake. Else you may run a risk of OHSS...
LOL..oops so far my 1 Iui and 1 IVF cycle I nev kena her before, it's either dr Jessie or the African lady. Mayb she see my name on the file then ask her colleague take over haha...cos my name is quite unique and she will definitely recognize it's me. Plus ic number is same yr as her. But ya..I can't imagine gg thru follicle sizes with my classmate the next round. Alamak............
skyangel
Member
Mine lasted about 1 week post ER for bloating and cramps about 2-3 days. Pretty common phenomenon. As towkayneo mentioned, up your protein intake (if no eggs, take meats, protein shakes). Can take non-carbonated isotonic drinks too.
jeslyn1983
Active Member
Do u mean if subsidised patient cam request for change?
skyangel
Member
You can change dr. Have to make new appointment to see the dr, and it's considered as a new case consult visit (i.e. charged as 1st visit instead of follow-up visit charge).
For clarity, for KKH drs, Dr S, Dr TanHH, Dr K sees only private patients (meaning no way you'll see them if you go through polyclinic referral). For the rest (Dr JC, Dr Jessie Phoon, Dr Liu Shuling, Dr TanTY), they see both private and subsidised patients. If you go as a subsidised patient, you'll be randomly allocated to one of these dr.
Not sure if you can request for change as a subsidised patient. Technically speaking it's considered as choosing your dr, so considered as private patient.
jeslyn1983
Active Member
Im under Dr jessie phoon. Hws her reviews? I was assigned to her when I came in..
skyangel
Member
I was under Dr Veronique (subsidised patient), but Dr Jessie was the one who did the ER and ET for me. Got my BFP, and switched to being under her as a private patient, now at 24 weeks. She's someone who'll take time to answer your questions, yet does not beat around the bush, that is she will tell you straight to the point. Personally I'm comfortable with her.
i was quite ok after my ER, and yesterday i seemed to be well already, so i just ate normally.. n then BAM today after lunch.. back to super bloated and crampy.
can use heat pack??
so the bloatedness will last past the ET?
i only got 9 eggs also can get ohss?
jeslyn1983
Active Member
We r so called subsidised cause using govt grant correct?
skyangel
Member
Not advisable to use heat pack. Just keep tummy covered.
And yes, the bloatedness can last past ET. Mine subsided only about 5 days post-ET, then came back again about 3 days before pregnancy blood test.
skyangel
Member
Not so. Subsidised in this case refers to patients referred through polyclinic. Private refers to self-referral or by GP.
Govt grant is available to patients doing IVF at restructured hospitals (KKH, NUH, SGH), regardless subsidized or private. The difference between subsidized and private for KKH is in the fees you pay for consultations and investigations at the outpatient clinics (clinic D, TPS, clinic A, etc) before and after the IVF treatment (which is done at KKIVF). Once you are referred to KKIVF for treatment (IUI, IVF) the fees are the same for all patients, of course not counting non-residents for which the fees will naturally be higher.
try going to pee more often. I read that having pcos also increases chances of ohss.
btw, if ohss comes back closer to BT usually means BFP.
https://www.asrm.org/FACTSHEET_Ovarian_Hyperstimulation_Syndrome/
AAOM
Member
Ic... I was asking my doctor why I fail....
He told me like weather... Unpredictable ... Haha!
Hi all, I just had my review today with Dr S after my MC. The queue now is at Nov! *faints
But as I'm originally an SGH patient and came over around Feb as they're having reno, Dr S askee me if I rather go back to SGH now as the queue may be shorter. Called SGH and they have slots at October..although they have technically put me in, I'm still deciding...
Dr S said she will pass me a note with the summary of my doses etc but not sure if I shd move? SGH is definitely closer to my home n work place plus I feel the nurses there are friendlier (maybe cuz KKH is always so packed and full) plus I was there for almost 2 years and have no complains. But am wondering if staying in KKH would be better in terms of continuity? I still need to go through the briefing and all again etc etc.
fyi I will be doing fresh cycle as I didn't manage to freeze anything..
But as I'm originally an SGH patient and came over around Feb as they're having reno, Dr S askee me if I rather go back to SGH now as the queue may be shorter. Called SGH and they have slots at October..although they have technically put me in, I'm still deciding...
Dr S said she will pass me a note with the summary of my doses etc but not sure if I shd move? SGH is definitely closer to my home n work place plus I feel the nurses there are friendlier (maybe cuz KKH is always so packed and full) plus I was there for almost 2 years and have no complains. But am wondering if staying in KKH would be better in terms of continuity? I still need to go through the briefing and all again etc etc.
fyi I will be doing fresh cycle as I didn't manage to freeze anything..
humbaobao
Active Member
I am under jessie phoon.. I got my ivf date in jul.. Last min call kkivf say wan to change to thh.. They told me as long haben start stimm i can change but i need to c thh once b4 change over to him.. Luckily i got a appt slot in 30jun
humbaobao
Active Member
Can change.. Once u change to him will bcome private
jeslyn1983
Active Member
Cz he see onli private patients？
can just take some salt also? i feel very xin ku all of a sudden! wanna make it go away ASAP.
Have you tried 100plus? It should help but don't drink too much. It's a carbonated drink afterall.
It is likely to stay for a few days but should get better. I feel better in the morning probably because of the OHSS med taken at night. It builds up again towards lunch/dinner but gradually not as much.
skyangel
Member
Salt as in eno salts? Doubt it'll help much as it's not caused by gas. The bloatedness is caused by the swollen ovaries post-ER and probable fluid accumulation in the abdomen. Nothing much to do except to drink more fluids and take more protein. If you really cannot take it then go to O&G 24 hours, but it's pretty much symptomatic treatment and waiting it out.
humbaobao
Active Member
100plus got non carbonated de if not try tomato juice
humbaobao
Active Member
Bcos subsidise patient cannot choose doc
there is meds for it?
thanks @humbaobao and @skyangel for your tips too. i am waiting for my husband to buy h2o or 100 plus home. really very xin ku like almost bed ridden! and feel very constipated???
humbaobao
Active Member
I got a dream this morning.. I dream i called kkivf they told me i left wif 3 hahaha dunno wan laugh or cry
We were prescribed Cabergolin for 8 days since ER. It's supposed to be for OHSS. Constipation also one of the symptoms. I didn't relieve myself until 3rd day and I'm still feeling that way despite taking fair amount of fruits. So hang in there! It will get better and if you really feel unwell, go seek consultation.
Btw, have you done any blood test for OHSS?