Melissa & Nick Al-Eisa
Tubal reversal Dec 12,
Pregnancy #1 edd
Hi everyone, I am writing this letter through tears of joy. I just
had a positive pregnancy test this week, and I can't tell you the
wonderful feelings it has brought back to me with regard to my
experience in Rio Bravo!
Nick and I got married on Feb 15,
2004, and immediately started trying. I am extremely regular and
nothing happened the first five months. I was definitely ovulating,
so I kind of assumed that the TR was unsuccessful. I had just
decided to call to schedule an HSG, and realized that I felt a
little funny. Hadn't missed a period yet, but got a home test
to just "see", and there it was, that faint fine line. I still
can't believe it. I've now done six tests, and that little pink line
keeps getting darker. I can't stop grinning. I know that
I have the risk of ectopic, but I for some reason am really
optimistic, which is fairly unusual for me :)
Melissa (Nasser) Al-Eisa
(wonderful testimony from a 43 yr
old Physician's Assistant with special medical needs)
First of all, I, like most of the other found Dr. Perez on the
internet, through this wonderful website (RBR). I am 43 years old
now, and have a significant medical problem, which is a bleeding
disorder called von Willebrands' Disease. I have had three
healthy children (all boys) with my first husband, but hemorrhaged
horribly with each. I wasn't diagnosed with WD until after the birth
of my third child. I had to have some reconstructive surgery after
my last child, and my doctor at the time talked me into having a
tubal. Big Mistake. I knew, though, that I was going to get a
divorce, and I never thought I would meet/marry a wonderful man who
was a widower. His first wife died in childbirth, so now I'm the
mother of a wonderful little girl named Nora, who is 3.
When I decided to pursue a TR, I called several different centers
around the country. Most were just too expensive, but nearly every
one turned me down flat, over the phone, because of the WD, although
NONE of the people I spoke to, including the doctors and nurses,
even knew what it was. When I called Levi, he knew right off what it
was, and immediately told me that they would do the surgery, but
that I would have to take special medication, and even knew what it
was, right off the top of his head. Because I'm a PA myself, I felt
comfortable with his knowledge base. I immediately scheduled my
surgery, which was Dec. 12, 2003.
I went to Rio Bravo with a friend who speaks Spanish. The only
mishap we had was that we got lost on the way to the hospital,
because I had left the directions in the hotel room. We stopped a
police car, and they led us directly to the hospital. (we tipped
them $20 - not sure how we were supposed to handle that, but
everything seemed ok). When we got to the hospital, I have to admit
that I almost turned around. It was small, and looked more like a
small community health clinic in than a hospital. I swallowed hard,
and went inside. Everything was clean and neat.
I was immediately taken into a room, changed into a gown, and a
nurse came to start my IV. She was sweet and kind, but like most of
the nurses, she spoke very little English. I tried to tell her where
to start my IV, but she had picked her own vein, in my hand. I tried
to tell her that I had had chemotherapy for Hodgkin's in my 20's,
and most of my veins in my hands are ruined....by the time it was
out of my mouth, my IV was started. I was SHOCKED! I shut up then.
Had I had to wait, I might have gotten nervous, but within 15
minutes of getting there, I was in the OR. (Probably because we were
late from getting lost). The anesthesiologist was incredible - I
think my epidural was in in about 30 seconds (I'm sure it just
seemed that way). The surgery was fine - they said it took longer,
because I had two clips on each tube, and I therefore needed two re-anastamoses
on each side. I started to feel things toward the end, and they
knocked me out with IV sedation. I came too as I was being
transferred to my room, and Levi was telling me that my tubes looked
great, that I had 8 cm on each side. I remember crying like a baby.
There was some pain involved, I won't lie, but it wasn't what I
expected that day or the next. The nurses were flipping fantastic.
Not until I was being discharged did I realize that there was no
call button in my room - never needed it. The food was good, the
room was clean, and my friend was well cared for as well. We had
taken a cooler with bottled water, pop, and some snacks. That was a
At one point, a nurse came in with three syringes to give me in the
IV. I started panicking because I couldn't get an answer from her as
to what they were - there are some meds I simply can't take because
of the bleeding disorder, and others I can't take because of
allergies. I was sort of emotional and irrational, and scared for
some reason. When she saw my reaction, she went and found a
physician (not a gyn- not sure who he was) who could speak English.
He checked my chart and started laughing at me, and told me "Melissa
dear, we're Mexican, we're not stupid". I laughed so hard at that,
and it KILLED my abdomen. Darn him, although I deserved it. He made
me feel sort of foolish, because he told me something to the effect
that yes, they didn't have the same level of technology there that
we have in the states, but that therefore they do things like
actually read the patient's chart before administering meds. He's
right. I've been in big fancy expensive hospitals, and have never
had the pleasure of having such good care. And yes, the reason I was
scared is that I WAS given meds I was allergic to in one of those
big fancy hospitals.
I was charged $2025, which I guess is more than average, because of
the two re-anastamoses on each side. I thought it was a bargain.
The next morning we left, and Levi showed us how to get back to the
bridge - must have thought we were dummies since we got lost on the
way there. The trip back to Detroit was uneventful, although I
vomited once on the plane. No biggie. I had had the surgery on
Friday, traveled on Saturday, and therefore was pretty whipped on
Sunday. However, a friend came over and took care of me that day,
and I was fine. I was back to work on Monday (3 days post-op),
although I worked a shorter day and moved slowly. By Wednesday
(5 d post), I flew to Las Vegas to work for three days - not
necessarily a great idea, but it was a prior commitment that I
couldn't break). I made it.
I can't tell you how lucky I feel
to have found this website, and to have been a patient of Dr. Perez.
I wish it were feasible to go there to be delivered. Wonder
how he would feel about inducing me if I go over my due date??? Good
excuse to visit Mexico, don't cha think? For a multitude of reasons,
I just felt really comfortable there, felt well cared for. Obviously
thrilled with my outcome, although I know I have to wait and see.
Will definitely keep you all updated.
Give my best to Dr. Perez and Levi!
Hugs to all,