This morning I had to go into my clinic for my second beta, a repeat TSH level, and a repeat immune panel. I am very happy to report that my beta went from 78.9 on Saturday to 165.2 today (9dp4dt)! My progesterone level is now >40 as well. Since my TSH spiked a couple weeks ago, I was a bit concerned that they were going to have to increase my Synthroid dose today. Dr. Braverman said that he wants it under 2.0 but closer to 1.0 is better. My level today was 1.49 so it is absolutely perfect. They will check it again in one month. I go back to my clinic on Wednesday for another Anti-XA level to make sure my Lovenox dose is sufficient. Last time they checked it, it was quite low so they had to up my dose.
My immune panel will take almost two weeks to get back so I will be anxiously waiting to see what they show. If for some reason my Cytokines or NK cells increased, I will need more IvIg transfusions but I guess it could be much worse!! The lab that I use in Chicago knows me quite well (from my many phone calls) and they will actually release the results directly to me once they are up. As soon as I get them I will send them over to Dr. Braverman for his analysis. I am praying that everything will come back perfect so I will have nothing to worry about.
My first ultrasound is scheduled for Tuesday morning (next week) so I am anxious to see what is in there. Everybody seems to think that there is more than one but I am mixed on this. My prayers have been for one healthy baby with a heartbeat that lasts for the next 100 years, that is what is most important to me. I did go on BetaBase to compare my HCG levels and my levels fall right in between twins and triplets but I don't think that things like that are very reliable. Fun, but not reliable. I have known many women who have had very high betas that have been pregnant with only one baby. We shall see though! After my ultrasound I have an appointment with my OB/GYN. She is having me come in to update her with all the changes in my medical history (as there has been so much) so she can send my referral over to our local medical center (45 minutes from my home) for an appointment with a Maternal Fetal Medicine physician. She has been quite vocal that she or any other OB in the area won't touch me due to the complexity of my history. To look at this positively, at least I know that I will be getting the best care possible. My clinic will release me at 9-10 weeks along and even though Dr. Braverman is all the way down in Manhattan (4 hours from me) he will still be collaborating in my care until I hit 12 weeks. Even though he will release me at 12 weeks, I know that he will continue to assist me if need be. He is a great doctor!!