Wednesday, December 28, 2011

2 weeks in Hanoi

This has been my longest trip back in Hanoi since I moved to Saigon. And it's winter time! The weather was perfect... Not too cold yet. I have always liked living in Hanoi and thought I would prefer Hanoi to Saigon but the truth is I have never truly 'lived' in Hanoi. It has always been about 'work'. Weekends was very often spent at the office. Friends consist of mainly colleagues. Housemates were colleagues. Conversations were always about work and office. Well, I guess now my preference has changed.

I had a good time to myself since the hubby is busy completing his thesis and meeting professors after professors. I spent my time going to yoga & pilates every other day. Did some acupunture sessions with Ms. Thuy at Yakushi Center. Had 2 good massages there as well. Very good business there.. Had 6 hair washes at different salons ranging from 50k-150k.. just trying to experiment their services and to my disappointment the cheapest salon actually gave me the best service! and she looked surprised when I tried to tip her. Well, apparently people do not tip so much in Hanoi as compared to Saigon.  Watched a French movie at Vincom and has countless number of hot lattes... feels so good to have a warm coffee in my hands during winter..

Had a great time on Christmas eve touring Hanoi with some ex-colleagues as if we are tourists... Visited the places I have brought visitors who came to visit me...went to the Temple of Literature and met the 3 Ly Kings (statue of cos), Saint Joseph Cathedral and saw beautiful Christmas story carved on the walls, had a delicious meal at the famous Bun Cha Hang Manh, told the story of the returned sword again at Hoan Kiem lake, had coffee while overlooking the beautiful lake, and typical hotpot at Truc Back lake like a Vietnamese on the floor.

Some changes since two years back:
- Airport taxis charges almost double. Used to pay VND160k, now it's VND315k... wah lau...
- The hairdresser & waxist at my regular salon (Hair Workshop at Hanoi Tower) has left to open their own shops now.. and Hair Workshop looks totally revamped
- My favourite pho stall has turned into a hair salon
- Xe om to Tay Ho now costs double as well...
- Hoan Kiem lake looks cleaner now after a cleanup by the goverment



Best view of Hoan Kiem Lake
   


Thien Quang Lake
 


Walls at St. Joseph's Cathedral (can u see my name??)
  

Thursday, December 22, 2011

Postcrossing

There is something magical about receiving mails that comes with stamps...

Friday, December 9, 2011

Vietnam hospitals

I was ranting about my hospital experiences recently. The stories that I hear from my husbands and his doctor friends are true.

There has been many articles about it recently on vietnamnet.vn.

About the 'super-fast one minute medical examinations' given by doctors, causing doctors to rely on machine generated diagnosis which can be inaccurate!
http://english.vietnamnet.vn/en/special-report/16180/super-fast-medical-examination--one-minute-per-patient-.html
http://english.vietnamnet.vn/en/special-report/16272/super-fast-medical-examination--patients-suffer-the-consequences.html

About the mystery 'envelopes' that patients have to give to the doctors and nurses to receive better care (and not necessary proper care):
http://english.vietnamnet.vn/en/special-report/15730/-envelope--and-medical-ethics.html

Vietnam hospitals are EXTREMELY crowded:
http://english.vietnamnet.vn/en/vietnam-in-photos/12236/vietnamese-hospitals-extremely-overloaded.html

Patients wait for hoursss to see the doctor for a minute. They have questions but daren't ask. Those who did ask never got their complete answers. They leave with a list of prescriptions not knowing whey they need them for. Are they being naive? They are never given an opportunity to understand their disease. Whatever the doctor says has to be right. Patients don't get to make any decisions.

Doctors see an aversge of a hundred patients each day. Their monthly salary can be comparable to a maid's salary. They have no motivation to work. Is it ethical for them to receive those 'envelopes' from patients? You tell me. I don't really know anymore. Can you feed your family with a salary of USD150? Yea, u might think poor families do it all the time... Would you ever imagine a doctor as one of those poor families?

This situation in Vietnam can be so complicated that I wonder how the government can clean it up... It saddens me to read about it and am very grateful that I have an option to get better treatment at a private hospital (though not as proper as back home in Malaysia). But yet, it is still lacking at private hospitals.

I pray that one day my other half will fulfil his dream to initiate a proper hospital in this country for his people.

Tuesday, December 6, 2011

Postcrossing

Despite the disappointment yesterday, I did have a happy moment when I got home.

I received my first Postcrossing stamp from Netherlands!

If you've never heard of Postcrossing, checkout it out! - 'send a postcard and receive a postcard back from a random person somewhere in the world'.

It has been fun sending and receiving postcards from a random person in a random country. I'm a stamp lover. I haven't been actively collecting since highschool. Now postcrossing has reactivated my interest.

Just last October, Post Netherlands launched a real stamp featuring Postcrossing and I am delighted to receive one so soon from someone random in Netherlands! It made my day! :)


I also received a postcard from Russia with these beautiful stamps just a few days ago...



FET cycle cancelled

Sigh... The bleeding did not stop. My lining did not grow from the last ultrasound. Cycle cancelled.

Lining measurements:
Day 6 - 4mm
Day 11 - 7mm
Day 12 - 6mm
Day 15 - 6mm

It was another young new doctor who saw me today at the hospital. I've never seen her before. Dr Linh was just walking around. I assume she was also suppose to 'watch over' the young doctors.

When it was my turn, the young doctor was nice enough to use some ultrasound gel but it did hurt quite a bit.. guess she is not so experienced yet. Dr Linh had a 2 second look and said 'continue taking the pills' and was about to walk away when I stopped her and said I have been bleeding for 2 weeks. She had a surprised look and I repeated myself. Then she said 'Omg' and had a closer look and also started looking at my papers.

Well, so she suggested that I should stop now as the lining isnt growing even though I am taking a high dosage of Progynova already. I could continue and the lining will probably grow with time but it might not be a good lining for pregnancy. Since my lining was really good in my last cycle, she thinks my body could do better next time.

She said I should come back next month and then she had another thought and said their lab and department will be closed for the month of January for Tet holidays (Chinese New Year). Vietnamese has the same new year celebraetion as the Chinese and its their biggest celebration of the year. But closing for the whole month?? Public holiday is only 4 days! This means I have to wait until February...

Two months seems so long to wait...

Location:Home

Sunday, December 4, 2011

Bleeding before FET

If you are reading this on the same day I post this, do say a little prayer for me that my bleeding will stop asap.

I have been bleeding for exactly 14 days now. I'm not sure why.

It started with my normal menstrual and I was prescribed with Progynova 2mg (4 pils a day), starting on day 2. The dosage increased to 6 pills a day from day 6 and then to 8 pills a day on day 10.

On my previous FET cycle, my menstrual ended after 4 days as usual. I did not have any spotting nor bleeding after that. So I'm a little worried that I have been having prolonged bleeding this cycle. The blood is too much to be just spotting and my abdomen feels like I'm having my period... cramps and easily tired. Was at church today and was dead tired when I came back home.

The doctor said to continue the Progynova pills and see how my lining goes. If the bleeding continues, they cannot do the ET and may have to stop the bleeding using contraceptive pills.

I'm back for ultrasound again tomorrow morning but am still bleeding today...sigh... will have to see what happens in the next few days. I don't want to cancel my ET...

Saturday, November 26, 2011

Are you a doctor???

A doctor without sympathy and compassion is not a doctor.

It makes a lot of difference to have a doctor that has compassion for what you are going through, be it small or big. Unfortunately, in this 'developing' country, some doctors think they are managing a mass production factory.

Sadly, I had to see Dr. Nhu again and she just had to ruin my day.

There has been a number of new young doctors at the IVF department at An Sinh Hospital. As usual, I gave my patient card to the nurse in Room 1 and was asked to wait outside. It was packed today. When my name was called, I was surprise to enter into the small room where 4 other ladies were waiting for their turn to get ultrasound. There were only 2 chairs. One lady was on the bed with Dr Nhu sticking the ultrasound in her vagina while 3 other ladies already in the hospital 'skirt' waiting. I was wearing a dress, so I just stood there waiting.

My thoughts were... Why can't you just finish with one patient and call in the next? Well, if you wanted to save some time, you can call in two.. not four!! You only have 2 chairs in the room! And the women have to change in front of each other! You can see their panties and pants hanging on the wall. Apparently, they just don't have the word 'privacy' in their vocabulary. The last time this happened, I saw someone else's vagina.

Dr. Nhu does the ultrasound and tells the other young doctor what to write. When she finishes with one patient, she calls out 'Next!'... I never liked this doctor from the first time I had to see her. I don't see her every visit since they have their rotations, but when I do, she is always so cold and expression-less.

I had to remove my underwear in front of a lady. I lie down and Dr. Nhu asked me what's my name coldly although I think she would have known me already by now. Then the awkwardness of something poked into my vagina. Goodness! She didn't use the cold gel as they normally do. It felt dry and painful because she did it so fast! I frowned and the pain showed on my face and all she could say is 'Please put your hips down!' twice. Where is your compassion, doctor! Do you have to be that rough? She had the ultrasound stick in me for 3 seconds and she removed it as quickly and said 'finish'! What the hell... I wonder what could she see in that 3 seconds.

I was asked to wait outside for my prescription. I waited for a long time. I was called into the room again and she just said my endometrium was still thin and I will have to take the same pills at a higher dosage.

Although it was only a short encounter with her, she ruined my day with her cold and rough attitude as a doctor. I felt so tired after the visit. I mean comeon.. as a doctor,  have some compassion for your patients! This is not like we're going through the usual cough or flu. These are women spending a lot of time, effort and money to get pregnant in a PRIVATE hospital.

I can't help it but shed tears when hubby ask how my visit went. My hormones were talking as I think I would normally be able to control my tears over things like this. This is not the first time I felt this way if you have been following my blog. Hubby thinks she doesn't deserve to become a doctor. Well, he's just saying that to comfort me.

Having a other half as a local doctor, I do understand why some doctors in this country cannot spend too much time with each patient. Doctors working in the public hospitals have to see maybe 200 patients a day and get paid about VND3 mil a month. That's only USD150! A doctor! Yes! Amazingly, this country pays their doctors and teachers peanuts. Of course with that kinda salary, they will of course have to work extras at private clinics after official hours at the hospital. Some have clinics at their own home from 5-9pm.

Even with a salary disadvantage, many yearns for their children to become doctors as it is honorable profession. I would to. But if you cannot sympathise with people, becoming a doctor would be such a pain.

Having compassion and being gentle is what made me attracted to my other half in the first place. And until now, my hubby's heart grows bigger and bigger each time he sees a need (not want) for his patients. Being a cosmetic surgeon, many come to him to have their looks changed, eventhough some are already beautiful. He learnt to say 'no' to unreasonable requests and gives honest consultations.

A handsome young man came to him wanting to change his look because he believed that his destiny and career development depended on it. A poor young woman wishes to alter her looks because she wasn't married. Hubby learnt to show them the beauty they already have and spending money on cosmetic surgeries when you are poor can make you poorer.

If you are a doctor, have compassion your patients. Not because they pay you but a doctor that has compassion makes a difference.

Wednesday, November 23, 2011

Acupunture

I started going for acupunture a month ago in my attemp to improve my skin and also to complement my IVF treatment. The acupunture needles are very fine compared with those I had to use for IVF. So the slight discomfort of acupunture needles being poked into my skin is bearable.

My skin has been improving (so i think) with a combination of acupunture, essential oils, pure aloe vera (blended myself) and dermalogica facials.

I have been visiting the acupunturist once a week. Since I started Progynova again, I plan to visit her once every 5 days. I have read that acupunture can help thicken the endometrium (womb lining) effectively. I had to take Progynova estrogen pills for 25 days during my last IVF cycle before they can perform the embryo transfer. I hope this round it will be faster. These hormone pills makes me gain weight...

One side effect of acupunture... But of cos it will go away in a few days...

Tuesday, November 22, 2011

Back on Progynova 2mg

My endometrium wasn't looking too pretty last month so the doctor asked to wait for another month before trying again.

Was at the doctors yesterday and thank God my endometrium is all normal now so we can continue with the treatment...

Am back on Progynova 2mg pills (hormones again) 4 times a day. Will be back for ultrasound again after 5 days. This will probably go on for 3 weeks with increased dosage...

Progynova is suppose to make my endometrium (womb lining) thick. Hopefully my body will respond well and my endometrium will become thick enough quickly to receive the embryos. I had to take these hormone pills for 25 days during my last cycle. Some people have shorter days, some longer... nothing is standard.

The thing about taking pills 4 times a day is, it is easy to forget!! I was just typing this and realise I haven't taken any since yesterday! Got to set alarms now.


Tuesday, November 8, 2011

Rock Climbing in Vietnam

We finally visited the Sports Center's climbing walls after a few weeks of talking about it. My climbing shoes and harness finally made it out of the boxes!

The X Rock Climbing has 2 climbing sites here in town. However, the one near our home in District 2 doesn't open in the weekdays and will be closed for the rest of the month because the operators are going to competing in the SEA Games.

After 4 years of no climb, my arms were shaking after two climbs. Irene did really well for a first time climber!

Monday, November 7, 2011

International Church in Vietnam

Are you looking for an English service in Ho Chi Minh City?

This is the only legalised international english service in town!




And Christmas is around the corner!

Saturday, November 5, 2011

What's so great about Vietnam?

When I first decided to come to Vietnam to work few years ago....
'Vietnam... ReALLY??'
'Are you sure???'
'Are you going to be okay there by yourself??'
'Make sure you drink bottled water!'
'Don't eat food by the streets!'

Dear all, Vietnam is NOT a third world country as many may assume. Of course it is also not a developed country, but I guess it is developing. The tallest building is 68 stories high and it's actually fascinating to see it from afar. Check out Bitexco Financial Tower.

What's so great about Vietnam? Here's a list of good things that gives us comfort here:
(to be fair the sequence does not represent anything)
1. Convenient and cheap taxis. Call anytime and they come right away. There's also Xe-oms (motorbike taxis) if you want a cheaper ride.
2. Hot stone massages for as low as VND70,000 (USD3.5). (Of course you tip them if it is this cheap)
3. Cable TV will all channels for less than VND100,000 (USD5) a month (unlike Astro in Msia where we have to pay a bomb for all channels)
4. Free deliveries. Buy above VND200,000 (USD10) and they send your groceries to your doorstep. Food deliveries are everywhere. They send bottled water right to your house too.
5. You don't have to line up to pay your utility bills. They come to your doorstep each month for electricity, water, garbage, cable..
6. Manicures & pedicures, get them for as low VND25,000 (USD1-2).
7. Wifi connection is everywhere. Sit at any cafes and you will get fast wifi connections for free.
8. Dental charges are much cheaper than elsewhere. Get a crown done for as low as VND2 mil (USD100).
9. International food. You can find most kind of food in Saigon... Chinese, Japanese, Korean, Indian, Italian, Western, Malaysian, Singaporean, Thai,... you name it.
10. Need to get something but not sure where? Post it up on 'AnPhuNeighbours' google group, a forum set up by a kind expat for the neighbourhood to share experiences.

Okay, that's the top 10 that I can think of at the moment. Of course each country has its own 'not so good' points and I believe it is often easier to list the bad points. But let's thank God for what we have. It is with God's provisions and protection that we are where we are today.

Monday, October 31, 2011

When to try again?

Well, I've had many advise from many people.

The doctor who did my dilation & curettage (D&C) told me I could try again on my next cycle. Family and friends have different comments ranging from 3 to 6 months break. I personally think if my womb and body is looking good, I can try again whenever that will be.

I went back to the IVF clinic last week. Unfortunately the doctor who saw me seems very unconfident in what she was saying. She was frowning at the ultrasound screen and looking crossed. She said there was something in my womb but she doesnt know what it was. She said I might have to do another D&C to remove it so they can see what it is. Oh, how shocked I was and I honestly didn't believe her.

I was asked to wait while she confided in her colleagues. She came back to ask me to do a beta HCG test, which seems funny to me cos thats the blood test to see if someone is pregnant. They took my blood and asked me to come back later for the results. When we went back in the afternoon, they have not done the test. I decided I wasn't going to make another trip back, instead I made another appointment at a better looking new women's clinic.

I found out at Hanh Phuc Clinic that the doctor who saw me at the IVF clinic doesn't have O&G experiences. She may be good at IVF but doesn't know much about O&G and thus gave her no basis comments. I had a gynaecology examination and ultrasound and all turned out well. My womb was looking normal.

I actually learned not to trust the first doctors you see.

My period came heavy few days ago. We went back to the IVF clinic and thank God we get to see Dr Khanh, who has been more friendly and convincing than the other doctors so far. He did another ultrasound for me (even though I was bleeding), and consulted the main doctor, Dr Lan. Well, it seems that though my womb is looking normal, it isn't very pretty looking. I was asked to take a break from TTC for another month.

Well, that's good too. I'll definitely go for rock climbing then and lose some weights.

Saturday, October 29, 2011

Why?

'Why' is such a common word to begin with. I bet you and I must have asked why questions a zillion times.

Surely there had been times when we ask why God allows certain things to happen. A while ago, one of those questions were asked in our ladies bible study and our cell leader directed us to this useful verse and this verse appeared again in yesterday's passage in Our Daily Bread.

'The secret things belong to the Lord our God'
Deuteronomy 29:29

It may not be for me to see
The meaning and the mystery
Of all that God has planned for me
Till 'afterward'!

In a world of mystery, it's a comfort to know the God who knows all things.
(Passage adapted from Our Daily Bread - October 28, 2011)

Tuesday, October 18, 2011

No Baby

It's been almost 3 months since I last wrote. I would have been 17 weeks pregnant by now...

Nope, no baby bumps. No more pregnancy symptoms.

I miscarried. At week 10. Not pregnant anymore.

God knows why I miscarried. Because I don't. At least not the real reason.

I could guess or play the blaming game but no one knows the actual reason.

So... we'll try again... when the time is right...

Thursday, July 28, 2011

Early Symptoms

We are in Week 5! Time seems to go by so slowly.... We can't wait for our first ultrasound! We have to wait till we are Week 7 for our next appointment.

Nope, no nausea or vomiting (yet?). Things have not been difficult. Symptoms up to now include breast changes (bigger and darker areola), fatigued and diarrhoea. Pretty surprised at having diarrhoea. I went to the toilet 4 times yesterday having diarrhoea. I was beginning to worry until I googled and read that it is also a pregnancy symptom, just not as common as the other symptoms. Funny also that I don't think I'm urinating more often as compared to before.

Friday, July 22, 2011

First beta HCG at 13DPT

Despite having many positive sticks, it's a relieve to get a blood test confirmation.

We were at the hospital early yesterday. The nurse took my blood and we waited. We waited and waited as time seems soo long to pass.. After 2.5 hours, the nurse finally called us in and handed us a slip for us to make payment for consultation. After paying at the counter, we waited again.

A short while later, our names were called and the doctor told us we were pregnant. We knew we were pregnant from the many positive sticks at home but it was good to hear a confirmation from the doctor and the blood test results. Our beta Hcg was at 197 on 13 DPT. It was within normal range.

No ultrasound was done. I was asked to continue to take Progynova, folic acid, prenatal vitamin and crinone gel. We were asked to come back after 3 weeks for ultrasound.

I'm currently at week 4 of my first pregnancy!

We truely thank God for his provisions, protection and his blessings!

Tuesday, July 19, 2011

More positive sticks!

Me and hubby can be 'kia-sus' at times.

Hubby peed on a stick himself to make sure that the sticks were reliable. I thought to myself, could the test kits be too cheap to be true?? We went out to the pharmacy to get more of other brands. At the pharmacy, we realised that the brand we've been using is supposedly the best ones there. Anyhow, we grabbed all the other brands available, which were priced between VND5.000 -8.500 (that's like USD0.25 - 0.40) wth!

We've been quite satisfied after getting many sticks peed on. Hubby would stare at the sticks. We can't wait to go to the hospital for blood test. 2 more days!

Monday, July 18, 2011

IVF Medications

This post accounts the medications I have taken throughout my IVF procedure in Vietnam, beginning from the 21st day of my cycle (Day 1). Acid folic is take throughout the entire procedure until first trimester of pregnancy.

Day 1 to 14:  Diphereline 0.1mg injections (one subcutaneous shot/day)


Day 15 to 24:  Diphereline 0.1mg (half dose) and Puregon 150IU injections using the Puregon pen (2 subcutaneous shots/day)



Day 25:   Pregnyl 5000UI (one intramuscular shot)



Day 27:    Egg Retrieval Precedure done. Augmentin 1g (2 tablets/day) and Crinone 8% progesterone vaginal gel (applied twice/day)


Came down with OHSS, embryo transfer postponed to next cycle. No medication for OHSS.



Next cycle
Day 2 to 7:                                     Progynova 2mg (one tablet, 4 times a day)

Day 8 to 24:                                   Progynova 2mg (two tablets, 3 times a day)

Day 25 until pregnancy test:            Progynova 2mg (one tables, 4 times a day)
                                                     Crinone 8% pregesterone vaginal get (twice a day)

Various injection needles used

BFP 10DPT!

See how the lines get darker?

Sunday, July 17, 2011

My first BFP on 9DPT!


Can you see the faint line??
Last night, I had to replenished my home pregnancy test kits. We went out for dinner and stopped by the pharmacy. I got 10 pregnancy test kits. I tested one when we got home but it came out BFN.

This morning, the first thing I did was to test again and wahlah... a big smile when I saw the faint line! Hubby was looking at it trying to compare the lines. We were staring at it for a while and started laughing! We are very thankful to God our Father.

Hoping for the best! And we know God doesn't fail us. Hope to see a darker line later!

Saturday, July 16, 2011

7DPT BFN!

On 7DPT, my curiousity increased, hoping that I'll get a BFP soon, I tested once in the morning and another in the evening. Both came out with a BFN. Consoled myself by reading more articles and blogs of personal experiences of other women.

Nancy  looked at the data for 20 available sucessful 3dt FET cycles and here's the stats she collected.
~ 20% got a BFP by 7dpt
~ 10% got a BFP at 8dpt
~ 10% got a BFP at 9dpt
~ 40% got a BFP at 10dpt
~ 15% got a BFP at 12dpt
~ 5% got a BFP at 14dpt

So if I am somehow pregnant from this cycle, I only had a 20% chance of it showing by today. A full 80% of BFPs showed after 7dpt!
We went to cell group last night at my neighbour's house. This lovely couple have just started wanting to try to conceive and she is not pregnant 5 weeks! I was really happy for them but at the same time felt uneasy with myself thinking what if i get a BFN at the end...