Newborn Poppy

Newborn Poppy

Thursday, July 10, 2008

And back on the pregnancy roller coaster we go

So I have my labs drawn this morning - as there is still no sign of my "vistitor" as my mum would say. No nausea this morning, slightly sore boobs. So I am technically now 3 days late. We all wait with baited breath - and wouldn't you know it the damn quantitative HCG was <6 - confirmed the pee test from a couple of days ago. Not pregnant again. I was so zen about it at first, made myself think about how it is more important to fix my fibroids and everything else first and then after putting my bid in on the book we have for one of the girls at work I kind of fell apart. it does seem however that in m y little corner of this city where I work I am definately not alone. One of my colleagues is going through it so we did get to vent a bit together. Here are some tips for those of you who have children:
1, If you are seeking fertility treatment for another one please don't bring the 1st , 2nd or which ever other child to clinic with you - it just rubs it in for the rest of us.
2, Little girls in Gloucester - get over yourselves
3, Angelie Jolie - just stop. You have adopted 3, given birth to 1 and now you get to have twins. (don't even get me started onthe fact that you got brad Pitt too)
4, Tabloids - enough of the "bump watches" already. Brtiney is not pregnant again - that's her meds doing that to her - it happens. Paris if she is pregnanct oh God help us there really is no justice in the world.

Maybe I should do the following:
1, Make out with my brother at an awards ceremony
2, Marry a white trash guy in a wife beater (yes Kevin Federline I mean you)
3, Weigh 80 pounds
4, Drink and drive
5, Snort lots of coke and take lots of vicodin
6, Shave my head in public
7, Find L.Ron Hubbards stash of sperm (I assume Tom and katioe know where it is)

Ah. vent over feel a bit better about my rebellious uterus, poor responder, limited egg producing ovaries for now at least. Oh, but I am genuinely pleased for Nicole Kidman and Keith Urban.

Wednesday, July 9, 2008

Email to the amazing Cheryl

Hi Cheryl
So I was getting myself all ready for the hysteroscopy but now I find I am 2 days late as of today. It has been a really stressful week so I don't know if that is contributing. I will be honest OB was not my fave subject when I did it 20 years in nursing school so I didn't pay attention......
After being so frustrated for so many months I am now just baffled - I am thinking stress, I really am pregnant or I am turning into pseudocyesis chick, ether that or menopause.......
My LMP was 6/11/2008. I started getting really nauseous Sunday, it's almost like a motion sickness. I wake up feeling sick and have to lay still for at least 30 minutes before I get up, drink water but can't eat for at least an hour and I am a total breakfast freak. I did a pregnancy test yesterday - it was negative. It was not first thing, and I think I was a little dry so it wasn't that great a sample. Today I am still nauseous - had a favourite for dinner and it didn't taste right (nor did my favourite pizza on Sunday) and have this right lower quadrant pain that is intermittent but really sharp when I get it. I have had no spotting, no PMS type symptoms and I am usually very moody and weepy.
I still have to get my Hep B repeated tomorrow so should I add a HCG just in case?
Sorry if I sound neurotic but I am (after wanting this for so long) a little freaked out and I don't know what to do.....
Can you call me in my office tomorrow?
Thanks and I am so sorry to be a pest
Jo

Saturday, July 5, 2008

Unless you have a cervix you don't have an opinion

So off I go to Philadelphia for Congress, and wouldn’t you know it I get my period while I am there so bang goes day 3 and day 6 anything for May. I reschedule my appointment with the doc and try to push it out of my mind. I haven’t had any more months where I have convinced of pregnancy and I am trying not to think about it. I am working on the assumption that if I just relax it will happen.
Vanessa comes to visit, we have a blast. I kind of view her trip as my final fling. She leaves I stop drinking altogether, make an appointment with the nutritionist – I need to get this weight off –and vow to spend six months doing whatever I need to do to get in shape. Losing weight will be good – I’ll feel better, I’ll look better and my fertility will improve. I don’t expect to ever be a size 0 or even a size 8 – but a 12 or a 14 would be lovely. I get my period at a convenient time so I finally get all of the tests done. The blood draw is fine although the volumes were a little shocking. I have a whole new respect for my patients when I take 75 – 100 mL off them. Then there was the hysterosonogram. Oh sweet Jesus. That was the most painful thing ever. I was told to expect some mild cramping. Mild? It felt like my ovary was going to come out of belly. The lovely young Fellow tried to be gentle but seriously with a speculum, a catheter in your cervix, a uterus with saline in it, and a vaginal ultrasound – it hurts! He tries to reassure me
“I’m taking the speculum out now and your cervix will relax and it won’t be so uncomfortable” he says in his soft reassuring voice.
I peer over my knees and reply “How do you know? You don’t have a cervix”
At least I get a laugh.
Then I get the results.
Day 3 Labs
LH – 4.7
FSH -11.7
Estradiol – 45
Free T-4 – 1.3
TSH – 1.75
Day 7 hysterosonogram
My uterus is sagitally 6.5cm
I have a paraovarian cyst measuring 1.9cm x 1.8cm x 2.5cm
I have 2 fibroids. One is 4.0 x 4.6 x 2.8. It is apparently intramural and approximately 25% submucosal and it’s doing something to the endometrial stripe. The other is 2.0 x 1.7 x 1.9. It is also intramural but is < 25% submucosal.

Why didn’t I pay attention in nursing school? I have no idea what any of this means. I make a fatal mistake and turn to the internet. I have a minor breakdown sitting at my desk 2 days running. I throw the results away so I won’t look at them; decide to write this so I fish them out of the trash. Throw them away again. Try to breathe but I think I may have just bought myself some surgery and some assisted reproduction.

Proactivity and Procreativity

The huge envelope arrives from arrives from Yawkey 10. It has enormous health questionnaires and even a rather spiffy DVD (I don’t watch it). I set about filling in all the forms which is really tricky because now I am forced to talk to my mother-in-law about that side of the DNA. She seems pleased, but cautious, and actually doesn’t lecture me – maybe when we finally have a baby I will let her be involved. The easy part however is Robert’s family is tiny with not too much exciting happening. It takes all of a page and a half to do a family history.

Then there is my huge family full of people who unlike me get pregnant just by sitting on a toilet seat (seriously), and they want history up to third degree relatives. My family history reads like a novel with various weird and wonderfuls like the cousin with AML, the one who was diagnosed with Langerhan’s as an adult, the one with the pituitary thing going on (who is also a bit crazy), the one with Fallot’s and the random craziness that seems to infiltrate certain branches of my family tree.
All of this when all I really want is an idea about what to do with the fibroids? At this point I am still firmly convinced that assisted reproduction is not in my future anytime soon. We’ll get rid of those pesky fibroids and then we’ll have a baby. Simple as that. But as I have already pointed out I am an oncology nurse, I nothing about reproductive medicine. I hated ob-gyn in nursing school and even thought childbirth was quite gruesome.
I decide to leave Robert at home for the first appointment; after all at this point it is all about me and my rebellious uterus. Dr. Styer is a total charmer. I even check out his left hand sizing up dating potential for single friends. Damn – wedding ring. I hand him my health essays – shrug and point out that OCD has some benefits – I keep great records and am a really good historian. Dr. Styer is also very pro-active I get a PAP smear and an ultrasound and an insurance referral for the assisted reproduction that I am still convinced I won’t need. The ultrasound and PAP are a little embarrassing as I had a “panty hose accident” a few days ago resulting in a nice abrasion/bruise on the top of my thigh. He of course asks how that happened. I glance at the medical assistant who I have already told about it and say:
“Nothing glamorous like kinky sex, just a very dull panty hose accident”
I get a laugh, but I also get orders for a whole bunch of labs on Day 3 of my next cycle and for a hysterosonogram on Day 6.
Why the invasive procedure? Seems my uterus is indeed being rebellious – one of the fibroids is making the shape all wrong. If it wasn’t for the fact that I am in stirrups with a vaginal probe insitu I would have hugged him. He actually tells me that this may have caused the miscarriage. After 2 and ½ years of “Don’t worry. These things happen” this is an incredible relief. Someone is actually listening to me.
Needless to say I leave his office feeling comforted and relaxed that everything will be okay.

Tick tock tick tock

Robert gets his tonsils out in February and being a total dude he really isn’t up for much hanky panky for a few weeks so February was a wash. March however was a different matter. I think I know when I am going to ovulate – seriously my cycle even without the pill is 28 days. I time it perfectly. We actually have pretty mind blowing sex – almost like that we just met and can’t keep our pants on sex. We do this a lot.
I start getting really nauseous, and my boobs start to hurt more than ever and feel huge. So much so that one of my doctors can’t take his eyes off them while I am talking to him. I actually feel pregnant, or rather I feel vaguely like I did 13 years ago. I am actually so convinced I but a copy of “What to Expect When You Are Expecting.” (It lives in my desk drawer in the office). I don’t tell Robert this time – and I’ve given up alcohol for Lent. I wait. Then one day my boobs stop hurting and I get my period. Only thing is I am actually over a week early. What? I always have 28 day cycles. Where did this 18 day cycle come from? This time I fall apart.
It is really hard to get Robert to understand. I am plagued by guilt about the termination I had before I came to the States and by the miscarriage we had in 2005. As pro-choice as I am in the back of my mind there is a little voice telling me that I am being punished first by the miscarriage and now by not getting pregnant. I keep wondering about those two pregnancies being my only chances and that I blew them. It’s not a very nice feeling. I am also frustrated with myself because I don’t want to be that girl. I don’t want to be the one who obsessively counts the days in her cycle, feels her cervical mucous, takes her basal body temperature, forces sex on exactly the right days. But still that bloody alarm clock (it’s now a Mickey Mouse one) is there. Tick tock tick tock.

I finally get proactive about this. I take a deep breath and sick day to sort my head out. What do I know?
I can get pregnant – I’ve managed it twice by accident
I have been on the pill for an awfully long time
I have fibroids and a history of ovarian cysts
What can I do?
Continue the watchful wait on the fibroids?
Get myself a doctor who specializes in fibroids?
Number 2 – come on down.

Fertility schmetility - January

The New Year started with a “bang” quite literally and by January 8th I am so nauseous. Seriously I can’t eat, everything tastes bad, and everything smells bad. Surely it’s too early for morning sickness. Surely I’m not pregnant... Nobody over 35 gets pregnant within a month of coming off the pill. Nobody. What to do? Ask a doctor! So while walking around the Stop and Shop I call Lynn, she’ll know.

“So how early can you get morning sickness” I ask her as soon as she picks up
“I take it you think you’re pregnant?” she asks
“Well I don’t know I’m an oncology nurse my patients really don’t have to worry so much about fertility and I hated my maternity rotations so I didn’t pay attention and last time I had no symptoms” I blurted out. And it was one long almost incoherent sentence utterly devoid of punctuation.
“Well are you late?”
“No – I’m not due on ‘til next week” I say, “But I need to pee all the time, I’m nauseous all the time, and I’m dizzy”
“Needing to pee all the time comes later”
“No! The internet said it can happen right away because of the increase in blood flow to the kidneys” I protested, “It was on the internet – the internet knows everything”
“Jo, take a deep breath”
I stop in the middle of frozen deserts and take a deep breath. I’m being crazy, I must be.
“Maybe I’m being crazy” I say, a little ruefully.
“Look you could be, and if you are you are going to end up delivering at my wedding”
Damn Lynn and her ability to do math in her head.

I do finally come clean and tell Robert what I am thinking. His reaction is initially exactly as I expected – he is mortified. I bite my tongue when he asks those two stupid questions
“How? Why”
Well, duh, I am thinking…penis, vagina, sperm, ova, blah, blah, blah, we had sex.
“But you had wine – how could you do that if you thought you were pregnant”
“Well I didn’t think I was pregnant when I drank the wine”
He makes that “harrumph” sound that always irritates me, narrows his eyes as if he has suddenly developed x-ray vision and can see into my uterus.
“Okay, “he says, suddenly becoming the grown up in this little drama, “We need to do a test, and we need to proceed as if you are – no beer”
I smile, for a guy given to tantrums over stupid little things he really does step up when it is something big. We wait patiently for the next week, wondering if the fact that every other commercial is for a pregnancy test is a sign of some sort.

The nausea goes on for another couple of days, until the morning I rush out to work and forget to take my Prozac. No nausea. Surely not. Prozac has never made me sick before. So I miss it another day, no nausea, and another. Damn. It must be the Prozac. I have an appointment with a new psychiatrist the following week so I stop the Prozac altogether.

I meet my new psychiatrist who tisks at me for restarting the Prozac at 50mg after a 3 month self-prescribed holiday and restarts me at 20mg. It seems that the nausea was indeed caused by the drug. I stop at the bathroom on my way out of the hospital and lo and behold – not pregnant.

I was actually surprised at the way my heart sank.

And that was how it all started. It was if that one scare set off a weird uncontrollable cascade in me. I had always scoffed at the idea of a biological clock, viewing it as something invented to force women into pregnancy. Not so much now. I suddenly discovered (what I picture as) a giant old fashioned alarm clock with bells on the top living somewhere inside of me. Tick tock tick tock.

Tuesday, December 18, 2007

Fun in blizzards

WOW! The weather forecasters here are pretty bloody good...they said we would get lots of rain earlier in the year and we had a wading pool in the basement...they said one day in the summer it would be over 100 because of the humidity and yup we were in a tunnel in a car with no air conditioning in a tunnel in the big dig....So last night we get the winter storm warning...snow about 1pm today...At 1230 I am wandering over to the Holiday Inn to meet my gal pal Christy for lunch..and the snow starts to flurry....by the time I am taking the short walk back to the hospital there is around an inch and half....I work a bit more...and leave at 3pm to go to Penguins....There is about 3 inches...And so begins crazy times....I get to the Charles MGH T stop and some little old woman literally elbowed me out of the way to get her ticket on the scanner...then I get on the escalator and in front of me is the crazy lady talking and cursing to someone the rest of us can't see...But wow the Ashmont train is pretty empty I was stunned and thrilled! Then I get to the Green Line...oh bloody hell...I wait through 3 B line trains, but there are no E line trains coming...Then he shows up...the boy who looks like he is wearing lederhosen....It is around 28 degrees outside and he has no bloody coat on...I am very glad that he is not standing near him..I look up again and he is staring intently at a pack of cards with his hand in a distinctly David Blaineish position...Then I realize...he isn't practicing card tricks he is trying to psychically guess what card is next! Then finally heaven...the E train is here! And there are only 2 cars....oh my god....how will I fit - so I just use the only Dooney & Burke as a batterring ram and I secure a small cozy space between 2 boys...who unfortunately do not look like Ben Affleck, Matt Damon or George Clooney ( sorry Dez...).During the wait for the train I have been texting my mum...The last text I sent her just before the train came was at 3.27...all about Mr Lederhosen wannabepsychic guy....next text is at 3.54pm...I am still on the train...we have stopped at every station (this is normal.....) we are still packed like sardines...actually my text is to my long suffering hubby...."I am at Northeastern - I have made lots of new very personal friends on the E line" I am not kidding...until the Symphony stop I was trapped between a seriously Voldemort look-a-like, very small Hispanic guy (he was resting his jaw on my arm......) and Asian dude in scrubs - he had a very nice bottom - I had very little choice but to feel it when the train driver kept stopping short.....The next text to my mum came at 3.58 - still at Northeastern..."am on a train to nowhere...the road is gridlocked with cars on the tracks so we are not moving" (Oh - if you are not from Boston or have never been here....the Green Line is part subway, part street car/tram...it becomes street car at Symphony and the tracks run down the middle of Huntington Ave)....Still at Northeastern at 3.59pm a text to my big brother "OMG so much fuckng snow"...4.02pm - yeah you got it still at Northeastern...a text to my hubby "OMG people r crazy - driving and walking over the train tracks.WTF its not like this was a surprise it started snowing right when they said it would!"....In the mdst of this are the cute texts from my mum....."Have u got enough food with u plus enough warm clothing? what about Robert r u anywhere near home stop so that he can come for u.? on foot"
OOPS time to come clean to mummy and tell her that we are actually meeting at the bar......"He is on another train coming 2 meet me @ Penguins. It is all quite a grand adventure. I have never been in a real proper blizzard" (this was 4.05...still at Northeastern...)...At 4.07 over an hour after I left work (I can usually get to Penguins in 20 minutes at rush hour on a Friday......) I text mum "It just seems to have brought out every idiot! It has taken me > 1 hour to go 4 miles...and I think the train driver is a learner driver" I mean at every station she had turned the bloody train off....no lights, no AC pepole packed like sardines and the MBTA wonder why there are always sexual assaults on the Green Line??????? (see above about me and the boy in scrubs with the nice arse...)...Finally we get the to the MFA stop (I still have 2 more to go....but is has cleared out now....) but it is 4.10 as I text hubby back after he asks where I am (he is already at the bar....after walking 10 mins to the orange line, riding one stop, and walking another 10 minutes...oh and it is still snowing.....)"Museum. Fckng idiot drivers are stopping on the train tracks have been on the E for 45 minutes..." quickly followed by the missive to mum at 4.13 (still at Museum) "At least peoiple have started getting off. I have never seen so much snow in my whole life...what a hoot. I could've done without farty old man when we were all up close and personal" (let me tell ya - old guy, with some really bad farts on a packed to the gills train.....UUURRRGGGHHHHHH). I was at this point enjoying having a seat finally, but the nice quiet girl next to me left and I inherited the tiny Chinese girl with the 3 bags of groceries and the awful cough....so to my mum...""At least I am almost there...oh no the driver turned the engine off again and I have the consumptive Chinese girl next to me" Seriously her cough sounded so consumptive and she was sooooo frail...And then she is talking onthe phone to her boyfriend/hubby/signif other...and saying how she had was so sick but had missed her doctors appointment...so I text mum again and we are stil not even at Longwood and it is 4.16..."Oh great and she is talking about how sick she is with her horrid cough...FABULOUS" We do make it to Longwood though...just one more stop and the insane, consumptive girl is now telling whoever she is talking to and I qoute her word for word here and am not being racist in any way"Why snow cause so much problem anyway" I am so sorry it doesn't bloody snow where you live in China but this has now been around 6 inches in 4 hours on a very busy day in one of the busiest parts of town GET OVER IT!!!!.... But we are almost at Brigham Circle...I am nearly there BUT then we stop right outside the Harvard School of Public Health ....and the driver says "Due to the weather conditions everyone must get off here...this train is going no further..." So I trudge to the bar, wishing I had worn my wellies instead of the "sexy boots" and even that I had tucked my skinny jeans into the "sexy boots"...I am relatively dry because of my waxed jacket, but I forgot my scarf this morning and the snow is dry powder blowing down my neck.....But like a beacon in the night there is Penguins, there is warmth and my hubby, and Pam and Yanna and my lovely pint of Stella.....
We have a couple of beers and a bite to eat and trudge off in the snow - this was a pretty awesome cardio work out by the way......Get home ....call mum and let her know that "Nanook of the North and her hubby made it home...then we let the pups out to play......they had so much fun....I trudged up to the drugstore for a prescription...and as cheesy as it sounds a hot water bottle...Seriously if my feet are cold I can't sleep.....And now it is 9.48 pm....and still snowing...last check in the neighbors (they live in Shanghai) yard where the virgin snow is was 10.5 inches.....and I have to go to work tomorrow...