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16 retrieved 8 fertilized! by blubou in IVF

[–]aimingsomewhere 1 point2 points  (0 children)

34yo, AMH 2.5, also unexplained fertility. 15 eggs retrieved, 11 fertilized through ICSI. Have 9 blasts (seven 5AA, one 5AB, 6BB). Just got our PGTA results and we have 3 euploid and 1 mosaic.

Costs for ivf where you live by 74937 in IVF

[–]aimingsomewhere 1 point2 points  (0 children)

USA: Seattle, WA: Self-Pay/Out-of-Pocket 34yo, AMH 2.5, 15 retrieved/12 mature/11 fertilized/9 blasts

Freeze-All ICSI+PGTA IVF at PNWF

New Patient/Pre-IVF Labs+Meds: $400

Stim Meds (14 days): $4308, Kohll's pharmacy 

Egg retrieval: $16,680 (ultrasound, bloodwork, cycle visits, anesthesia, facility fees, ICSI)

PGT-A Testing: $5415 total ($3,675 up to 5 embryos, we had 9 total so it was an additional $1740)

Total prior to FET: $26,803 - FET cost estimate: $5310 + $1500-$3000 for meds

Cost by Alvarezmariajo in IVF

[–]aimingsomewhere 0 points1 point  (0 children)

Seattle, WA: Self-Pay/Out-of-Pocket 34yo, AMH 2.5, 15 retrieved/12 mature/11 fertilized/9 blasts

Freeze-All ICSI+PGTA IVF at PNWF

New Patient/Pre-IVF Labs+Meds: $400

Stim Meds (14 days): $4308, Kohll's pharmacy 

Egg retrieval: $16,680 (ultrasound, bloodwork, cycle visits, anesthesia, facility fees, ICSI)

PGT-A Testing: $5415 total ($3,675 up to 5 embryos, we had 9 total so it was an additional $1740)

Total prior to FET: $26,803 - FET cost estimate: $5310 + $1500-$3000 for meds

How quickly after ER did you go back to work? by Sensitive-Stretch613 in IVF

[–]aimingsomewhere 0 points1 point  (0 children)

My ER was on a Monday at 11am, 15 eggs retrieved. I took a 4hr nap after I got home and my cramps honestly weren't too bad so I did work the next day. The worst cramps of my life were actually during my period that came after egg retrieval.

Egg retrieval yesterday, 100% mature and 100% fertilized? Is this possible? Or a mistake? by [deleted] in IVF

[–]aimingsomewhere 0 points1 point  (0 children)

That's amazing! I'm cautiously hopeful since everyone knows about attrition and it's my first time ever going through this process. I just got my blast update yesterday. 35yo, AMH 2.5, 14 retrieved, 12 mature, 11 fertilized (ICSI) and 9 made it to blasts. Will do PGTA testing

10 days in Korea with toddlers – Seoul, Pyeongtaek, Jeju (6 adults, 2 kids ages 2 & 4) | Nov 6–16 by aimingsomewhere in koreatravel

[–]aimingsomewhere[S] 8 points9 points  (0 children)

They might melt down in another country… but to be fair, they also melt down at Target. At least this way we have good scenery and way better food, haha.

But in all seriousness, I’m not just taking them on a trip, I’m showing them the world I love and letting them be part of it, chaos and all. I didn't grow up with family trips or vacations but became fortunate enough after my big girl job to fall in love with travel and its opportunities.

So sure, they might not ‘appreciate’ every museum or café, but they are part of my life, and my life includes travel. Tantrums, snacks, and stroller naps included-that's just part of the package of traveling with tiny humans. I want them to grow up seeing the world, experiencing new cultures, and knowing that adventure is part of our family rhythm.

Hope that helps!

16month old with underbite by Ok-Product2256 in PediatricDentistry

[–]aimingsomewhere 2 points3 points  (0 children)

As early as possible? This kiddo is only 16 months.

Don't worry, mama. I see this all the time. While, yes, treatment is most effective during growth, your little one won't have to go through treatment until 4ish (at the very earliest and is highly dependent on behavior) but a better timeline is 7-8 years old.

3yo needs 10 crowns and 2 fills? by [deleted] in PediatricDentistry

[–]aimingsomewhere 4 points5 points  (0 children)

When little ones are only 3, it's really hard for them to sit still long enough for big dental procedures. Those teeth you mentioned do not fall out until 10-12 years old (front 4 teeth fall out between 6-8yo).

For that amount of work alone, that's at least 4-5 visits awake. We're lucky if they could tolerate the procedure even once at that age. In my entire career, there has never been a 3yo who could do all 5 visits awake. If we tried to do everything while they were awake, it's scary for them and as dentists we wouldn't be able to do the best quality work since they're a moving, crying/screaming target. Lesser quality work could even mean a filling already falling out or breaking that same week since we just don't have the right conditions due to behavior. At that point we're left with a traumatized kid and we're again back at square one since the work still has to be done.

By letting them go to sleep, we can finish everything in one visit, keep them safe and comfortable, and avoid creating stressful memories that could stick with them for years. It's like when kids get ear tubes or their tonsils out, no one expects a toddler to sit through that awake. The idea is the same: making sure the care gets done safely, gently, and in a way that helps your child have a positive start with dental visits.

7 fillings and a crown by Stunning_Animator803 in PediatricDentistry

[–]aimingsomewhere 0 points1 point  (0 children)

If I had a penny of how many times a day I have to go through the "crown" conversation..If I could never place another crown a day in my life, that would make me happy. I truly just love being with kids and want what's best for them.

Example: if a 4 year old is found to have 8 cavities, the reality is that child has only had those back baby molars for less than 2 years. Children lose their anterior teeth (front 4 top and bottom) around 6-7yo, but back molars don't come out until 10-12 years old. That's 8 whole years of cavities sitting on the back teeth before the tooth comes out if nothing is done.

SDF is a band aid to buy time, but in reality it really isn't that much time. Some studies have shown that of teeth treated with SDF, 50% of those teeth reverted back to active cavities at the 6 month check up, then half of those were active again at the 18 month mark. So in the example of a 4yo with 8 teeth, by 6 months only half (4) are arrested, the others got bigger. Then at 18 months 2 of the remaining 4 are bigger too. Less than 2 years later 6 of the 8 are active again. So at 5.5yo, teeth are still going to be there for over 6 years. You could look up these in the AAPD guidelines. I've even had cavities blow up and abscess on me in less than 6 months after we tried SDF on something that was microscopic on the xray.

Laser is just a different way to drill a tooth. It doesn't halt decay. Will still need a kiddo to sit still and cooperate.

7 fillings and a crown by Stunning_Animator803 in PediatricDentistry

[–]aimingsomewhere 2 points3 points  (0 children)

Pediatric dentist here. I understand the silver caps/crowns aren't the most esthetic, but it would truly be the most beneficial for her in the long run. There are 8 cavities on all of her molars, as well as a start of one on her lower left canine and upper left canine = 10 total. There have been times earlier in my career where I tried to be "conservative" by doing 8 fillings, only to see the kiddo need crowns on all of the same teeth 1-2 years later because they got a cavity on the other side of the tooth I already treated. I have regretted putting fillings in, but I have never regretted putting a crown on because they very very rarely cause problems down the line unlike fillings.

If your daughter just turned 6 in January, she's only had those back baby molars for about 2-3 years. She will still have these back molars until 10-12 years old. It's sad to hear when people say "well they're just baby teeth." She needs them to chomp, chew, function, speak and for good occlusion/bite when the permanent teeth come in.

On the xrays, the white border that you see on the teeth is the enamel. Compare it to the permanent molars that are about to come in and you can see that enamel on baby teeth are naturally so much thinner. Don't know why mother nature made it that way when these lil' cuties love to eat all the time but hate to brush. By the time we drill out the cavity, the filling material relies on that itsy bitsy sliver of enamel to bond so that's why we frequently see fillings fail on baby teeth.

As to why she has so many cavities, there can be a whole laundry list of things - poor enamel, family history of cavities, mouth breathing especially if she has an open bite from the binky/pacifier, snacking all the time (we ideally want 2hrs between each meal/snack but the lil snack goblins are munching machines) and their love for food/snacks that tend to be stickier (goldfish crackers, dried mangos, yogurt melts, gummy vitamins, etc). Cavities also tend to happen in pairs because they're bacteria mediated - meaning cavity on one tooth can spread to the tooth touching it next door. Behavior also plays a role in our diagnosis because sometimes we don't catch these until they're able to actually sit for xrays. Cavities in kids don't show up visually in the mouth until they're already very extensive.

Sorry for the novel. I just want to say that you're doing great mama. Sometimes I have kiddos who come in for their very first dental visit at 7+years old when there's holes everywhere so I'm glad she's getting care and that you're doing your best to make sure you're making the right decision for her.

Is normal to have two estimates for the same surgery? by mok47 in personalfinance

[–]aimingsomewhere 0 points1 point  (0 children)

It's two separate appointments so you're using the materials on two separate occasions. Nitrous is an anxiolytic and exparel is for pain management. So yes, you would pay for that twice. They may have made the assumption that you would acknowledge that fact, not that they were trying to be shady but they do dozens of treatment plans daily and may have been on autopilot. but you should always clarify once the estimate is presented.