Hello Dr. Sher I’ve been seeing Dr. Paschall here in Franklin TN, I believe she has been speaking with you about my case. I have had 20 missed/miscarriages over a 14 year span with my spouse but I have two children from a previous relationship. I’ve miscarried all around the same time frame with is around 8 weeks each time. Fetal detection would be detected with a strong HR of 130-156 range then follow up again and no fetal HR. I’ve had a full work up Fertility Specialists here and Reproductive Endocrinologist out of state no success. I have MTHFR and PCOS. I was told I may have IID and may require Plaquenil for the first 12 weeks. My GYN wants to see about a Telehealth visit with you and hopefully she can monitor me here with you recommendations to help me achieve a successful healthy full term pregnancy. Please Advise. Thank You!