Well, today's ultrasound was not very conclusive. There was still evidence of a lot of fluid, but the shape of it made my Dr lean more towards it possibly being pelvic fluid (cul-de-sac fluid is how it's referred to), rather than tubal fluid. She went back and consulted my other ultrasounds, and post-Peak I have always had this pelvic fluid. (Sometimes it was so much, that I literally would feel pressure whenever I sat down... it was like a really intense bloating.)
However, nothing could be ruled out completely, because when she tried to find the fondus of the uterus, to see if there was any fluid "coming out" from it (which would indicate that it was indeed hydrosalpinx), there was too much bowel in the way. Stupid bowels!
Even though my prayers were answered EXACTLY (I still have that glimmer of hope that maybe it's not hydrosalpinx), I started crying my eyes out as soon as I left the Dr's office. She had asked me if the insurance situation was settled with Dr. S.tegman yet, because it's really imperative that I get another selective HSG done.
When I got home, I was still on the phone with my Mom, crying about how we still don't know, and now if it is serious, we won't be able to treat it or see if we can salvage the other tube, since my appeal is STILL not settled with the insurance! (Dr S.tegman can't do any more procedures with me until the account is settled.) I kept telling her, it's not just the amount of $$ that's the issue (it's not insanely high, it's about $1400-1700, somewhere in there), but more the principle of it. I had resolved to NOT paying that bill because it was an error on H.orizon's part. But now, if I wanted to save any chance of ever having fertility, I would have to pay it because they took too long answering the 2nd appeal.
My Dad called back a while later to offer me the $ to pay off the Dr. Again, the tears started flowing as he told me it was more important to NOT put this surgery off if there would be medical implications in doing so. Now, my Dad was laid off (for about the 5th time) last October. He was actually pretty excited about it, because he was turning 65 this February, and on top of collecting SS, he could also get unemployment. But, they do not have tons of $$ to be throwing around, so this was a HUGE gesture.
While I was calling Dr S.tegmans financial office, DH got on the phone with the insurance (again!) to bitch them out about this appeal stuff. We have been on the phone with them just about 2 x week every week since last December. Last week, finally they told us that they were "taking care of it" and getting this 2nd appeal settled. They said a letter had been issued to us with the "results" of the appeal (which, of course, we took to mean it was again denied). Still no letter. As DH got ready to rip the insurance rep a new you-know-what, she tells him that a check was sent off to our Dr on May 1st, and that they "decided to pay this appeal in full." AHHHH!!!! FINALLY!!! It only took 13 months for them to do what they TOLD US THEY WERE GOING TO DO even before my surgery!
So, while medically I'm still freaked out, this is a MAJOR step in the right direction.
The financial office calls me back (I have this chick's direct line on my cell phone, which is how often I've spoken to her over the past year and a half), and I tell her the good news. She then tells me that she was going to call me this week, anyway, because yesterday, Dr. S.tegman sent her an email asking about me! He wanted her to contact me again to see if there was anything his office could do to expedite this process and get me in for my HSG. How nice! I didn't even think Dr S.tegman remembered me, let alone that he'd ask specifically about my case :) She said she would call me back tomorrow since he's not in the office today, and try to set up the HSG quickly. He has some openings for surgery coming up, but they may not fit in my schedule/cycle. I'm hoping this HSG can coincide with my uterine washes, which I'll be getting from CD 5-15 next cycle- because I know an HSG can carry infection into the tubes, which would obviously be detrimental.
So, today has been a never-ending roller coaster ride. I am still pretty upset about the possibility of hydrosalpinx, but the good news of the appeal being paid in full, and my HSG getting scheduled so soon, seems to be God's way of telling me I need to trust. I just need to trust. Why is that seemingly simple request so extremely hard??