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  1. #111
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    I am kind of in this business (not a doctor) so thought I might be able to add a little more to the Neupogen and IVIG discussion. Neither has white blood cells in it - they are made from the Plasma contained in blood (the watery yellow component if you have ever donated blood, which contains a gazillion proteins and antibodies, & other lovely things). Neupogen encourages the production of white blood cells within the bone marrow which is where the boost to the immune system comes from. IVIG provides the antibodies direct into the blood ****** in a more direct method of increasing Immunity. So, they act differently to achieve the same outcome depending on what the doctor thinks is the cause, which also explains why one might be used over the other ie if the person receiving it doesn't react with one, they may react better to the other. Personally, in IVF stuff, I think it is like Crinone v Progesterone Pessaries in that it is the doctors personal taste/preference. It seems to be all so much gut-feel and personal preference, I know I for one have spent an awful lot of time over the years trying to get a definitive answer over meds/treatment plans when in fact there isn't one - it is just the Dr's preference or experience ! Very frustrating...

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  3. #112
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    hi guys,

    I have been reading this thread and might help to my query, I have been trying for 4 yrs now and still negative with 2 IVF cycles, 35 yrs old, suspected pcos, transfer 1 embryo each cycle no frozen ones on both cycle. I decided to try to Dr. M but we are still waiting for our appointment which will be this coming week. May I just ask the girls who has been with Dr. M on how much is the IVIG, Intralipid, Uterine biopsy just to give me an idea just in case I will need it? Also if you've got the figure on how much is the 1st appointment and succeeding sorry for the questions and thank you in advance.

  4. #113
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    I havent been able to catch up all messages on this thread. So... @hancamp: are you suspecting immune problem? Thats the main reason for all of us seeing him.

    Intralipid is $650/dose (no medicare rebate).
    Biopsy ~$450 gap fee + $100--$200 OOP after medicare and priv health rebate
    no idea about IVIG $1--2k/dose(someone can answer here)?
    You have to factor in your annual hospital excess. For intralipid, you need 1 before transfer. If lucky with BFP, you will need few more dose.

    As for consult, there is no standard. Everyone seems to get a different rate. If you do phone consult like me, no medicare rebate. $360 first consult. $200 subsequent for me. I know someone else got cheaper rate. Don' know why. I got lucky once for the rebate because the admin sent off a bill with an item number. It is minimal, something like $37 before safety net.

  5. #114
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    Hancamp

    I am one that sees Dr M in his surgery so for all consultations so I always get a Medicare rebate for those - though as with all specialists it is a tiny portion. My follow up appointments have been $150 each and I have received $37 back from Medicare each time: I am also nowhere near the safety net threshhold so if you have been doing IVF and getting medicare rebates for it this year, you may get more back. IVIG is costed on your weight ie per kg of weight you are = per gram dosage and IVIG is charged per gram. I have heard costs of everything from $1500 to $3000. The reason a lot of Dr M's treatments don't have a medicare rebate is that he is using treatments that have not yet been accepted by the Health insurance commission as justifying an Item number (which you need for a Medicare claim). Dr M also does phone based consultations and Medicare doesn't cover them at all, hence no rebate (although sounds like bbhope hit pay dirt with one ).

    After having read these costs you are probably sitting there thinking 'no way I can afford that !' the rest of us will tell you that if you really do have an immune issue, you can't afford NOT to do something about it as you will simply continue to do cycle after cycle with no results HOPING that 'this one will work' and your OOP expenses will fly past an Immune cycle cost. If I had done the Immune stuff earlier, I would financially be ahead of where I am now comparing the out of pocket expenses on those wasted cycles that were never going to work, to the $2,500 I have spent so far with dr M's protocol on this successful cycle. (Admittedly I am doing Intralipids not IVIG but I my thoughts wouldn't change if I was doing IVIG, it would just take a little longer to breakeven.)

    Good luck.

  6. #115
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    ya, cathy69 is right. It is not about the money. If you really have immune prob, it is better to spend the $ for immune med now. It saves you in the long run.

    As i said, no idea why my consultation fee is higher. That's why it doesn't seem like a standard. Even with $37 rebate once, it is still higher than $150.

  7. #116
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    thank you nnhope and cathy69 yes I am surely gonna try Dr. M this time as I don't want to try cycle to cycle without result like you guys said it's better to spend on something that will probably give result and not wasting more money, time and emotions. I don't have Private Insurance and called the receptionist she said if ever I will need biopsy I will be looking for more or less $3000? That is a bit high but I will see what will happened this week. Will keep you posted guys.

    I just really feel that something is wrong because good embyo does not stick. I also like to ask my FS to change my protocol from a short one to long one as short protocol seems like not working for me, too many follies but just few eggs collected. She wants me to try another cycle but I am determine to see first what is the problem.

    Thanks again guys.

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    I should point it out that you don't have to do the biopsy via DrM. Any gyno can do it. All they have to do is sending the sample to test. It is a quick procedure. It is the same as endo scratch. With endo scratch, some do it without the use of Sedation. DrM uses GA because he does hysterscopy and D&C and biopsy. that's why it cost so much. It really depends if u think the extra procedure is necessary. My FS would do the endo scratch alone for free without sedation. My FS is also open to the idea of immune problem so sent me off with BT related to it. I saw DrM just for second opinion since FS doesn't do intralipid. Have you ever discussed this with your FS?

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    To add, it is certainly important to have priv health to embark this journey because you have to pay to be admitted to hospital for each intralipid. That's like $300+ per day. I don't know if it is too late now.

  10. #119
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    Cost of IVIG for me, weighing 75kg, has been $2250. It's to do with your weight - the heavier you weigh, the more grams you need.

  11. #120
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    I weigh 57kg and I've been paying 2250 too?!? Maybe he's got me on a hardcore dose.


 

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