Monday, May 07, 2007

Photo gallery: the nursery

Our nursery is largely complete, if significantly less stylish than, say, Emmie's or Jennifer's. I present to you a gallery of shots taken not five minutes ago.

A few things to note:

1. The TV isn't staying in there. I'm not sure where it's going, but it won't be in the nursery. At least not until we resort to Netfl1x.


2. Our glider hasn't arrived, so we borrowed the brown rocker/recliner from one of my husband's colleagues. The new glider will be more appropriate, color-scheme-wise, but I must admit the recliner is very comfortable.


3. Please appreciate the little mobile I rigged up over the changing table so as to confuse the little guy into not squirming during diaper changes.


4. I admit: I have been too scared about SIDS to put in the v. cute crib bumper just yet.


5. But I did put a breathable bumper into the cradle in our room, which is where the little fellow will snooze for at least a few weeks. You will notice that the bumper isn't meant for a cradle, which means I've rigged it up, doubling it up in certain areas, which in turn perhaps defeats its safety purposes. (I did put my mouth to it to see if it is still breathable, and it is.)


One week from today! Egad!

Sunday, May 06, 2007

Photo gallery - recent belly shots

I've taken quite a few belly shots over the past week or so, so here you go. Meanwhile, off-camera, I am trying to appreciate my relatively decent nights of sleep, general freedom, and peace and quiet. I assembled the pack-n-pl.ay yesterday so that we will have a downstairs crib equivalent. Today, I am filing various documents, taking in the recycling, and putting more things in my hospital bag. I may even consider opening the breast pump box and taking a look at the contraption. It is so weird to think that a week from Monday - at the latest - we'll meet our little boy. It is just impossible to really envision what comes next, try as we might.

And now, the gallery, which I tried and failed to get into chronological order - I was thwarted by Blogger. So the order should go: blue shirt/black skirt Monday - shown for comparison to last week's shot in same ensemble; brown shirt/black shorts - Wednesday; green shirt/brown shorts - Friday night before bedtime.



Thursday, May 03, 2007

Tick, tock.

I had what should be my second-to-last OB checkup today. The waiting room there always has a cross-section of society, which is something I rather like, but today the clientele seemed to be putting on a clinic of bad-parenting skills. Now, I don't know much about parenting, and it seems to me that many methods could be effective, but I'm pretty sure that the following are not among them.

Scene 1:
A MOTHER reads a magazine while her SON (approximately four years old), holds a pen attached to a clipboard by a metal chain. SON, holding pen, proceeds to spin the clipboard around as if it is a tether ball, the chain is the tether, and he is the pole.

MOTHER: (not looking up) Stop that.
SON: (continues spinning clipboard, says nothing).
Repeat this "exchange" 9,000 times.

Scene 2:
A MOTHER and SON sit in chairs side by side. In a reversal of stereotypical roles, the SON is reading a book. The MOTHER is playing a GameBoy.

NURSE: Anne Smith?
MOTHER and SON stand up. SON neatly tucks book beneath arm and makes polite eye contact with NURSE. MOTHER, not removing her eyes or thumbs from GameBoy, stands up and continues to play game as they follow the NURSE into the exam area.

As far as my actual appointment went, I had gained zero pounds, even though I definitely look WAY more pregnant and have been STARVING for the first time this whole pregnancy. The little guy must be getting all those calories and also stealing nutrients from my body. I am being very indulgent with all ice-cream-related impulses of mine of late. Mmmm! I took some belly shots and will aim to add them later tonight. The heartbeat was at 136, and I measured around 37 weeks, meaning I'd caught up a week from my usual. Blood pressure was something like 113 over 76.

Now, I love the hospital I go to, and, believe me, I have hypochondriacally used many, many clinics there. People are always nice, and I've found it to be very patient-focused. But get this - today, I asked for all the pre-op info that they give out before a c-section, and they DON'T HAVE ANY. The OB said the OB clinic is very disorganized relative to the IVF and other clinics. All you get is a verbal spiel when you show up for the c-section. So I grilled the OB with all of my questions instead, but come on - I am very informed (or "insane") and could do this, but what about lower-maintenance, less-neurotic patients? I worry on their behalves.

After that appointment, I met with the main anesthesiologist for OB. We discussed my propensity for puking when confronted with anesthesia or any other stimulation of the vagus nerve. The upshot of our conversation is that it is likely I will experience nausea during my c-section (since the vagus nerve gets overstimulated due to all the hijinks occurring in one's abdomen) and may well puke some afterwards, but it can be managed so that it isn't severe. He then inspected my spine and said that its weird non-curvature is actually an asset for a spinal and that it should be easier to do one on me than on a normal person. He also indulged my many queries about freak anesthesia-related accidents I have accumulated over the years, such as my friend who had an inadvertent spinal tap with her epidural and had to get four blood patches before the crushing headaches would go away, or my other friend whose delivery involved a series of mishaps that culminated in her receiving ketamine and enduring a consequent psychotic episode. He was reassuring and also made a note that, should I be the rare case where ketamine is considered, I am not to receive it.

Yesterday, I had my last pre-delivery appointment with the PPD specialist. I am glad I did some therapy with her ahead of time - I'm probably still more likely than the average person to get PPD, but I don't feel doomed to have it at all. We will keep a watchful eye on the situation, however.

Thursday, April 26, 2007

OB & NN

Last night, I had my first Braxton-Hicks contractions - or the first ones I'd noticed, anyway. And I had like a million of them overnight, interrupting my precious ZZZZs. I wondered whether I might be going into labor, but fortunately I already had an OB appointment today. She checked my cervix and didn't think I'd be going into labor imminently, but who knows. I do feel better (ie, no more BHs), but I also now feel extremely motivated to accomplish a great deal in the next few days in case he does decide to show up. I've been a little crampy lately, too - like light menstrual cramps.

I had gained one pound since last week. My blood pressure was 115 over 78, and the baby's heartrate ranged from 140-150. My fundal height was 35 weeks, continuing its constant two-weeks-behind approach. My group B strep test from last week was negative. While I was waiting for the OB to come back to check my cervix, I overheard a nurse asking her whether she'd told her son about the "new baby" yet. Sure enough, when she came back, I did detect a bump beneath those scrubs. I still feel a jolt of jealous hostility when I find out someone is pregnant - or, namely, when they are pregnant sans fertility treatments, as I'm sure this doctor is.

After a totally disgusting lunch in the hospital cafeteria (since all the cafeteria there offers is totally disgusting items), I had my neonatology consultation. They will check our little guy's chromosomes at birth to see if he still has t20 mosaicism. The doctor's opinion was that even if he does have some of those cells, the good cells will dominate and he will be normal. As for the clubfoot, the pediatric orthopedists will take a look at it early on and start casting it if necessary. All of this was reassuring. He did then add one more thing to my list of worries, however - because of the baby's breech presentation, he will have to be tested at two months for some congenital hip-dislocation thing. If he has it, the pediatric orthopedists will have to correct it somehow.

The weekend cannot get here soon enough. I'm pooped these days! Next week, I'll have another OB appointment, and also an anesthesiologist consult. I want the anesthesiologist to look at my weird spine (it sticks out in the lower back where most people's curves in) and also tell me whether there is any way that I can be prevented from barfing as the result of anesthesia. So far, the evidence suggests that I will barf no matter what. I've barfed from general anesthesia, twilight anesthesia, m0rphine, and perc0cet. Clearly, I have a very sensitive vagus nerve.

Wednesday, April 25, 2007

I am going to be a wonderful mother


Here's a photo from last week, when our dog turned two. I made him wear a hat.


This little fellow will be awfully disconcerted when the new little fellow arrives. Aside from the forced hat-wearing, his life is pretty awesome at present.

Lies!

Warning: belly shot appears later in this post.



So, my MIL had said my husband was blond at birth. Or he thought that's what she said. Those possibilities are equally likely.

Anyway, she mailed us photos of him as a baby, and he had a full head of brown hair at birth. Sure, it was blond a few months later, but it was brown at birth. He was one cute little kid, too. He's very handsome as an adult, which he'll be happy to tell you. I wish I had a scanner so I could post the photos him as a plump little fellow with a rosebud mouth. So cute! I wonder if our little fellow will be that cute. I sort of hope he's not too cute, since I don't think it's good for kids to be too good-looking at an early age (apologies to any consistently gorgeous readers out there). I endured an extended awkward phase, and it is the memory of those years of ostracism that keeps me from being even meaner than I naturally am.

My adorable husband was 8 lbs., 1 oz. at birth - that's bigger than either me or my brother (we were both high 7s), even though his mom is quite petite (5'2") and my mom is above average (5'7"). He must have taken up a lot of space in her little frame.

Tomorrow, I have an OB appointment, and then an appointment with a neonatologist to find out what tests they'll do at birth (re: clubfoot and T20 mosaicism). I've been interviewing pediatricians and navigating the myriad insurance possibilities we need to choose from when the baby arrives. I feel very productive! 19 days! Ack!



For your viewing pleasure, here is a belly shot of me last Sat., at 36 weeks, 2 days. It's kind of distorted because of the sunlight. Anyway, that's nine full months for ya.

Monday, April 23, 2007

Oh, crap!

That's what every day feels like to me, now that we have an official end date on this pregnancy (a date that is three weeks from today - egad). Obviously, this is irrational, since the baby could come at any time if we were just going the natural route, but somehow this seems more definite. And so each morning when I wake up, I know that I have one fewer night of restful (if interrupted) sleep. And each day requires that I accomplish a great deal. I guess it's good to have that incentive to keep me from foolishly procrastinating.

We've wrapped up our classes now, feeling only slightly more enlightened than when we began. The breastfeeding class last Thursday was quite useful, although when we have an actual squirming and probably disgruntled baby in front of us, I'm sure panic will set in. The upside of a c-section is that I should still be in the hospital when my milk comes in and will have access to the lactation consultants. The "parenting the newborn" class yesterday was taught by the woman who says "make for sure" instead of "make sure." My husband and I counted up 40 times that she said it. We did this because we are assholes. Anyway, that class was mildly useful - she kind of rushed us through the actual practice of swaddling and diaper-changing; I was hoping it would be a boot camp of those things so that we'd establish the motions in our muscle memory and would be able to execute them when in the throes of sleep-deprivation and panic. No such luck.

Despite my continued anxiety about everything, I am getting excited to meet the little fellow whose name I will not tell you just yet. Obviously, we sort of know what he looks like from the ultrasound, but not really. My husband had blond hair when he was born (it's now medium-brown), while my hair color has been a consistent medium brown from the get-go. No one in my family has blond hair - every single person who is relatively closely related to me has brown hair of some variety - so it would be bizarre to produce an even-temporarily Nordic-looking child. I suspect the child will be reasonably tall (I'm 5'8" and my husband is 6'1"), although my husband and I do both have short people in our families. I hope our son gets my husband's musical abilities, athleticism and muscle tone, and crisp jaw line. I hope he gets my organizational abilities, common sense, and lack of gray hair. I hope he is creative and brave and empathetic and hilarious. But on my side of the family positive traits have a tendency to be bred out, so he'll probably get my singing voice (caw! caw!) and eyesight (poor), as well as my husband's hygiene (disturbing) and absent-mindedness. Alas. We will love him anyway. And we hope the dog will, too.

Friday, April 20, 2007

I hate Target and Pottery Barn Kids

I have registries at these two baby-industry behemoths - there's no BRU nearby, so I went with these instead, despite bad things I'd heard about Target in particular. I now regret my insouciance.

Okay, so I had a pretty extensive registry chez Target. One item on there was a frame into which I could snap my carseat in order to create a stroller. This is a pretty essential item, right? Well, I saw that someone had ordered it back in early March, but I'd never received it, nor was there any way online to see who ordered it or check its status. Weeks passed. I still didn't receive it, and as I am an avid thank-you-note writer, I started to feel bad that I hadn't even sent the gift-giver a thank-you note. On PBK, you can see who ordered things for you, so you can write the note even if the item is back-ordered.

So I called Target this week and ended up in customer-service hell. Their policy, which they repeated to me over and over regardless of whether the question I had asked pertained to this or not was that that for "privacy reasons," they can't tell you who has ordered things for YOU, off YOUR registry, to be shipped to YOU. They also told me the buyer had been quoted "2 to 6 weeks" as the time it would take for the item to be shipped. When I pointed out that that window had now closed, they said that it was still showing "2 to 6 weeks" - ie, if you ordered it today, that's what you'd be told. I asked when it was REALLY going to show up, seeing as how I needed the frame in, oh, a few weeks, and they insisted there was no possible way to find out. I said it could say "2 to 6 weeks" forever and never arrive. They blamed Target's marketing department for this, as that department is in charge of inventory updates. I said I didn't care about Target's internal problems and asked whether someone at Target, which is obviously a big buyer of these products, could call the supplier. They said no. They said the only thing I could do is have them email the gift-giver and say that I no longer wanted the item, allowing the giver to cancel it. I said I'd think about it. I then called Graco, the supplier of the frame. In a call that lasted two minutes (in contrast to the 40+ I'd spent trying to go up the chain at Target), they told me that Target's distribution center would receive the item in two weeks, but that I could get it right now from BRU, which I did. It has already shipped. I then called Target back, asked them to email the mystery gift-giver (explaining that Target wouldn't tell me who they were) about cancelling the item. I also described my ingenious idea to call the supplier myself. Wow!

Anyway, meanwhile, one of my husband's relatives generously offered to get us a Pottery Barn Kids glider. She wanted us to order it ourselves and she'd pay us back. I did so a couple of weeks ago and was told it would take 5-7 days to ship. Meanwhile, I never received shipping confirmation. So I called today to find out the status, and they said it wouldn't even arrive at the manufacturer until May 10, at which time it would be at least 5-7 days to ship. Obviously, that doesn't help me, either. I'd like to cancel it, but I think most gliders are really ugly, and I'm not sure I can find one locally that appeals to my rigorous aesthetic requirements.

I resent the false inventory representations that are occurring out there on the Internets. Fist in the air, Target and PBK!!!!

Classic

On the message boards I read, women are always posting about a particular and apparently common problem: how to keep people (mostly family members, and often specifically in-laws) out of the delivery room or how to keep them from descending upon your residence and demanding to be entertained when you've just come home with your new baby. Apparently, lots of people get deeply insulted if you don't let them see your distended vagina or engorged boobs.

In contrast, allow me to share with you what my mother emailed me yesterday when I said I'd like her to come to town a week or so after the birth and stay for a week or two to help with cooking, cleaning, etc. (As context, she means this good-naturedly, not snarkily):

"That sounds fine to me. Hopefully, by then you will have figured out how to take care of a baby and won't be relying on me to show you!"

Thursday, April 19, 2007

D-Day Determined


At my 36-week ultrasound today, our little guy was still firmly breech, so we've scheduled a c-section for Monday, 5/14. If I go into labor earlier, I am to go to the hospital, and they'll do the c-section right then. If he turns, we can cancel the c-section and do a normal labor. My cervix is very competent and closed tight at present, so I hope he'll stay in until 5/14. He butts his head out all the time, which makes me think he's trying to get out, a la the aliens in the Alien movies (see image at right).

And he's not so little anymore. They estimated him at 6 lbs, 13 oz., which puts him in the 81st percentile. I know those ultrasound estimates are notoriously off, though, so who knows what size he'll really be. If this estimate is correct, then he'd probably be about 8.5 lbs. at birth. Like me, he has a big head - it is already the size of a 40-weeker. We had a very nice ultrasound technician (a woman I recognized from doing IVF ultrasounds), and she let us watch his fat little face for a while. We saw him open and close his eyes and mouth several times. He looks like a real baby now - so amazing! My husband was insulted that I hadn't taken him to prior appointments, so he went with me today.

The heartbeat was at 143; my blood pressure was 106 over 70 or something like that; and I didn't get my uterine measurement. Somehow, I hadn't gained any weight since the last appointment, even though the baby has and I feel much larger. This may have to do with, ahem, the recently emptied colon I had today. I will now be going to the OB every week until the bitter, surgical end.

Tonight, we have our breastfeeding class. Of all the classes we're taking, this is the one where I probably need to pay the most attention. I really want breastfeeding to work well for us.

In other news, one of my IF sisters in real life just had a BFP (and high beta) on her latest IVF. Aside from one's own BFP, nothing is more satisfying than when a fellow IVFer has success. I am keeping my fingers crossed for her. Yay!!!

Monday, April 16, 2007

Unexpected development

Well, I think we've picked a name - at least a first name. I always assumed we'd pick something fairly traditional, but with an edge to it - like maybe something just old-fashioned enough so as to be a bit out of the mainstream. Barring that, I assumed we'd pick a pretty common first name and go with a more unusual middle name.

Instead, we've picked a pretty unusual first name. Like, it's a name that exists (ie, we didn't make it up), but I've never known anyone with it. It's not a crazy-sounding name in and of itself (ie, it's no Balthazar, which we love but couldn't bring ourselves to use), but it is unusual enough that people will likely say, "What? How do you spell that? Is someone in your family named that?" the first time they hear it. I think some (perhaps many) of our friends and family will not like it and will talk about us behind our backs. Hey, is paranoia a sign of impending labor?

Anyway, it is far from finalized. In other news, my husband was poisoned on Thursday by our favorite local Thai-food place. Normally, I would have eaten the takeout, too, but I had prenatal yoga that night and thus wisely decided to skip the spicy meal right before class (or right after class and before bedtime). I was spared, but he spent all of Friday puking - and then some. I almost offered him Z0fran, but I figured it was good for him to get the offending bacteria out. I can't tell you how glad I was not to be the person vomiting.

I spent much of the weekend putting together the baby's room and doing other errands. The nursery is coming along. We had the handyman over on Friday to do a long list of easy things that we could probably do ourselves if we weren't stupid. The last major item we need is a glider, which should be arriving this week or next. Last week, I went to pick up a breast pump, an errand which seemed an awful lot like tempting fate since it was five weeks before our baby's ostensible debut. But I did it anyway! So crazy!

Tuesday, April 10, 2007

Oooof

I am beginning to emit lots of noises whenever I do anything like bend over, get up off the couch or bed, or sit down. Oooooof is my most common noise. Sometimes, inexplicably, I say, "All right," as in "All right, how the fuck do I get off of this couch?" It all amounts to rather old-ladyish behavior. My dog has been looking at me askance, even though he might deny it.

I have been lucky not to be too uncomfortable in this pregnancy, aside from the yarping and nausea and heartburn. I haven't felt bulky; I haven't had back pain; I haven't waddled or huffed and puffed or even lost too many steps at the gym. I haven't had swelling; I haven't fallen down (yet); and I can still wear high heels when I want. But now I'm really beginning to feel pregnant - the skin on my tummy feels streeeeeeeetched and resistant, and I am peeing 6-10 times a night. My dreams, which are always vivid and weird, are now so insane that I can spend 9 hours in bed and still come out of it feeling exhausted. And speaking of exhaustion, naps are beginning to sound appealing - I do just generally feel more tired now.

Re: dreams - I am now starting to have childbirth- or child-rearing-related dreams. Last night, I dreamed I was breastfeeding (improbably quite easily, I might add), but then my charming baby with a full head of hair was replaced by Ju.de Law, who was sitting in my lap and refusing to get out so I could return to my feelings of self-love over my natural breastfeeding skills.

I am also starting to feel more on edge emotionally. For most of this pregnancy, I've found that I'm not at all hormonal in the classic pregnancy sense - if anything, I've been less prone to tears and more prone to being mean (e.g., being very ready to deliver lectures to people cutting in line or otherwise violating the social contract) than usual. But now that the end date is approaching, the stress level has ratcheted up, the restful sleep has ratcheted down, and I feel as if I might burst into tears if a checkout clerk asks me if I'd like my receipt. Okay, it isn't that bad yet, but I could see it getting there. I'm always like this in stressful situations, like when a big project is coming due and I have 10,000 things to do in too little time. Let's hope this baby stays in for a few more weeks so I can get some shit done.

Random aside: my insurance covers renting or purchasing a breast pump. Does yours? I would never have known if Bihari hadn't told me this, so I thought I'd spread the word in case yours does as well. That said, my insurance does totally rock (hence my willingness to stay in a relatively low-paying job), so it may be an anomaly.

The baby is still breech. His head is in my ribs all day, and his feet are kicking me down below. We have an ultrasound next week, at which time I hope to get a good look at his fat little cheeks and full head of hair. And clubfoot.

Thursday, April 05, 2007

Movement, sort of

This morning, I awoke to rather painful machinations occurring in my pelvis. Could it be? I wondered. Did the baby flip? I began to feel lots of sharp pains near my cervix, which caused me to wonder whether those were his little hands down there now, punching away.


Well, it appears he is still breech and may have just unfurled his legs - ie, he has moved from the frank breech position (which is considered the least bad of all breech positions) to complete breech. See pirated image at right. This is my OB's best guess, based on her palpation and my description of cervical/vaginal pains.



I made the mistake of asking her why some babies are breech. She said no one really knows, but perhaps it could have to do with an anatomical abnormality (like his possible clubfoot) or maybe it's related to his tris0my 20 mosaicism. I've penciled "worry constantly" into my calendar for the next five to six weeks.

If he hasn't magically turned by my next appointment (two weeks from now), we will be scheduling a c-section to take place between 39 and 40 weeks. While I am attempting various DIY turning techniques, I am not going to try the external cephalic version; I realize this decision may seem foolhardy to many. But the issue is that they give you a uterus-relaxing drug, and it makes your heart race like you're having a panic attack. This is my least favorite feeling in the entire world, aside, perhaps, from what I might feel if I were forced to tell Dick Cheney that I esteemed him greatly and considered him a paragon of virtue. And also it doesn't work that well for first pregnancies, and if anything goes wrong (e.g., cord compression), you have to have a c-section right then. Anyway, I hope not to regret this decision, if it indeed comes to that.


In other news, I was up three pounds in two weeks, which pleased me, even if it may have been partially due to the fact that my appointment was later than usual, giving me more time to stuff things down my gullet. My blood pressure seemed higher than usual - 118 over 62 - but they said it was fine. Uterus is measuring at 32 weeks; it's behind but growing at a steady rate. I don't think she told me the heartrate, now that I think of it. I also got a swab for strep throat, since one tonsil has been sore for a week, but I don't really think I have it.

One of my close friends was due April 17, but it was decided yesterday that she should be induced today for a variety of reasons (large baby, swelling, dilation, doctor going on vacation next week). She's running around doing last-minute logistics today. Luckily for them, they already have a name picked out, unlike us.

Wednesday, April 04, 2007

Two down, two to go

We went to our childbirth-education class on Saturday, then to an infant safety/CPR class last night. Now, we'll have a couple of weeks off, then a class on breastfeeding and another on parenting the newborn. We'll be experts! Ha.

In my opinion, the all-day childbirth-education extravaganza is the way to go (ie, instead of weekly sessions). I think I would have started to dread it if I had to do it every week for six weeks, but in this case we only had to get up the energy once. And it wasn't so bad. The nurse who was doing it was very competent, and she was debuting a brand-new PowerPoint, with brand-new videos in it. I was a little disappointed to miss out on the 1970s videos that so many of my friends all across the country have seen, but I appreciated the up-to-date nature of this. And the nurse communicated an approach that was anti-interventionist in many ways - low rate of episiotomies, etc. - which also seemed very sensible. That having been said, someone in my prenatal aquatics class went to a 'childbirth refresher' session at the very same hospital, and that nurse was cesarean- and induction-happy. So who knows. The highlight of the videos was seeing one woman with these incredibly gnarly stretch marks all over her belly - they were vertical and looked like flames.

The class itself was about half professional people in their 30s and half people who appeared to be unmarried and were between 16 and 20. There was one young married couple who didn't fit into either group. It was hard to be snarky, even internally, about the teenaged couples, since their lives are obviously not going all that well. I felt particularly sorry for one girl who was with a guy who was a bona-fide half-wit. Of the thirtysomething professionals, there was one extremely earnest man who was going to be a stay-at-home dad. When asked what he had liked most about his wife's pregnancy, he said that he was looking forward to reinventing himself as a "homemaker." He was one of those people who are so sincere and kind that you probably couldn't hang out with them for more than 10 minutes.

At the end of the class, we went on a tour of the labor and delivery and mother and baby units. Holy crap - they were nice! Hardwood floors (or faux hardwood, I suppose, given all the leakage that must occur), sleeper sofas for the partners, whirlpool tubs, DVD/CD players, internet access, etc. The M&B unit had double beds, too. They were all like hotel rooms, aside from the medical equipment discreetly hidden in closets or - I kid you not - behind paintings. The food will still be awful, though.

The infant safety/CPR class was taught by two nurses, one of whom was an IVF nurse. She hugged me when she saw me and remembered I'd had hyperemesis - nice memory for someone at a large IVF clinic. The other woman had just been certified as a lactation consultant, so I grilled her after class about how I can get help if I need it post-delivery. She was also very nice, although she had an incredibly irritating habit of saying "make for sure" instead of "make sure" - e.g., "make for sure that you babyproof your house." Anyway, the class was fairly useful, although I'm not sure (or for sure!) that I am a CPR expert just yet.

What else? The baby is still breech and still wiggles, punches, and head-butts a great deal. Sitting is sometimes hard when his little head is pressed up into my ribs. I'm definitely a bit more tired than I was a few weeks ago, and I am very conscious of time flying by. We still don't have a name picked out. Nor do we have a rocking chair/glider, swaddling wraps, a new roof, or childcare lined up. Apparently, I should have been on daycare waiting lists before I was pregnant. Yeah, like any infertile is going to jinx herself by doing that.

Tomorrow: my 34-week OB appointment.

Thursday, March 29, 2007

Nesting/procrastination

Suddenly, it has occurred to me how much I need to get done in the coming weeks (including minor tasks like, oh, picking a name for our tot). Is this nesting? I think nesting may just be the same thing as getting down to the wire once you've procrastinated for as long as possible. I'm realizing that I really should have everything ready to go by 38 weeks, since our baby will probably show up early, given his parentage. That's five weeks. Shit!

We had a successful visit last weekend to see our friends and stimulate the economy at Tra.der Joe's and IKE.A. We got some good hand-me-downs from the friends (including newborn diapers, a My Bres.t Friend pillow, and two types of baby bottles and accessories: Av.ent and Dr. Br0wn's), and we were also deeply impressed by the fact that they stayed out until 3am on Saturday night. Meanwhile, we were in bed by 10pm, as was their six-month-old. At IK.EA, we got some dressers, storage-related items, and a window shade for the nursery. They were out of a couple of things we needed, but the dressers were the main thing. Our nursery will be mod but frugal - ie, the very definition of IK.EA. (Pictured at right is my 32+ week belly at brunch on Sunday in Chicago.)

Oh! The best thing was that we went to the landfill before our trip to drop off three detergent bottles full of IVF medical waste, as well as many old gallons of paint. It felt good to unload all of that crap onto someone else. Why is that sort of errand so deeply satisfying?

I've been in a logistical, money-hemorrhaging frenzy. I arranged for window washers to come tomorrow. I'm investigating IRAs so that our offspring do not have to care for us in retirement. I'm getting estimates for a new roof. I went to Tar.get yesterday to return a couple of things and ended up also stocking up on necessities like toilet paper, paper towels, saline solution, etc. so that I won't have to drag my ratty-haired, engorged-boobed self to the grocery store in those early post-partum days - or for six months afterwards. I am taking some clothes to the consignment shop this afternoon. I have completed all the tax stuff I needed to do and dropped it off with the accountant. I need to get estimates from gardeners, since I am physically incapable of bending over to weed at this point. On Saturday, we go to our all-day childbirth-education seminar. We will definitely be covertly mocking the other participants in the class. This will help pass the time, and also we are bad people.

The baby is wiggling and head-butting regularly. His hard little skull is usually right around my sternum or pressed up into my right ribs. I expect this will become even more profoundly uncomfortable as time passes. At this point, I am indifferent between a regular birth and a c-section because both seem profoundly unpleasant to me. I should probably just stop thinking about birth altogether - denial has its advantages.
(Pictured at right is the nursery that desperately needs to be organized....)

Thursday, March 22, 2007

Boring, laundry-list update #2 (Or: That's Our Boy!)

The ultrasound went well. I feel confident that there was no mix-up in the embryology lab, for our little boy appears to be exhibiting characteristics consistent with each of us. To wit:

1. He already has a full head of hair. (I was born with TONS of hair). The ultrasound tech marveled at it.
2. His head is big. (I have a large hat size myself.)
3. He is still breech. (My husband is stubborn.)
4. He had his hand on his testicles. (Also characteristic of my husband.)

He also has huuuuuuuuuuuge, cute cheeks. He may also have a slight clubfoot after all, but whatever - it's correctable, and I can no longer be bothered by such trifles.

If I had a scanner, I'd scan in the ultrasound shot of his fat little face. He's over 4 lbs. now, allegedly, and is in the 57th percentile for size.

Boring, laundry-list update #1

I saw the OB this morning; the ultrasound will be in the afternoon. (Fortunately, I work very close to my hospital.) The results: blood pressure 114 over 62; urine fine; fundal height measuring at 30 weeks; weight up 1 or 1.5 lbs; heartbeat 140ish.

My OB has decided no longer to care about my weight gain - whereas she used to be very by-the-book and harp on me if I hadn't gained precisely 2 lbs. since the last appointment, she now thinks that because I am consistent in my weight gain and because I am exercising and not on a donut-only diet (though that sounds appealing), everything is all right. I think I'll be up 30 lbs. by the end, which sounds just right to me. She is not concerned that my fundal height is two weeks behind my dates since it also has grown consistently.

I left with a prescription for Pep.cid because I've had a few episodes of waking up to find that (TMI alert) my most recent meal has traveled back up my esophagus and into my throat and nasal passage. It's Reflux Deluxe! I had tried to avoid this by changing my eating patterns such that I have my biggest and most complex meal at lunchtime - e.g., yesterday I had an XL salmon nicoise salad at lunch, then just had cereal and a banana for dinner at the judiciously early hour of 6:30pm, but I still got to meet that light meal again at about 11pm. I am forced to pull out a word from my youth (approximately middle-school-era) to describe this experience: GRODY.

Finally, I got a list of pediatrician recommendations from her. Most of them are men. My instinct had been that I'd want a woman pediatrician, maybe someone who'd had kids and breast-fed, etc. What are your thoughts on this? I've always strongly preferred having a woman OB/GYN, although it didn't bother me at all that several of my REs were men.

Wednesday, March 21, 2007

Insufficient update

I have been waiting to post because I wanted to upload some photos, but I haven't done that yet. Maybe I'll come back and add some to this post, since it's not much of an update otherwise.

Tomorrow, I have both an OB appt. and an ultrasound, though, so I can tell you more then. My trips to see my parents and to see friends in SF were both great, and the showers were successful and resulted in many gift cards, which are useful and easy to store. I nearly choked to death at the first shower - really, this was the scariest time I have ever choked on something (in this case, baked brie), but fortunately I could get in tiny gasps of air and ultimately managed to expel the offending morsel. This experience prompted me to consult Dr. Google later to find out how to adjust the Heimlich during pregnancy. The search results made me glad I didn't need to be Heimliched - sounds a bit dicey.

My little guy has been moving up a STORM. I hope this doesn't mean he's a total psycho. Also, after telling someone I was sure I hadn't felt hiccups yet, I realized later that I have in fact been feeling what are probably hiccups for some time now. I think he's still breech, but we'll find out for sure tomorrow. He put on quite a hyperactive display of wiggling, kicking, swatting, etc. last night for my husband.

This weekend, we head to IKEA (3+ hours away) to get some cheap dressers, bookshelves, and storage items. We're also going to visit some friends to borrow some baby items. And then I think we'll just be here for the next eight weeks. I can't believe it's that close - it's a bit frightening all of a sudden.

Thursday, March 08, 2007

Your advice needed.

Next week, my mom's friends are throwing me a shower, as are some of my friends in SF. In each case, there are seven hostesses. The first group is all women around 60 years old, and the second group is all professional women (some moms, some not) in their mid-30s. Any ideas for nice/clever/cute thank-you gifts I could give them that won't (in aggregate) break the bank?

I forgot to mention the most exciting thing of all!

I am off the Z0fran! Which means I am off the C0lace! Which means my digestive system is back in working order - and how! Apparently, some people see a resurgence of nausea around 36 weeks, so I will keep the drugs on hand and enjoy the next six weeks.

I just had my OB appointment. Somehow, I was only up 1.5 lbs., so I am supposed to gain more weight - this is surprising to me, given how much I've been eating. My uterus measured at 28 weeks (not 30, which I am today or tomorrow, depending upon how you count), but the OB said that this didn't concern her. I suppose my next ultrasound will check that growth is okay.

The baby is still breech - apparently, he finds the pike position quite comfortable. Heartbeat was 154. Results from last time: I passed my one-hour glucola test with a score of 79, and my hematocrit level was 40%, which apparently is fine (to my dismay, given my diet and my lack of iron supplementation). My blood pressure today was 104 over 74. So everything looks good - I felt blissfully normal.

I saw someone from my prenatal aquatics class in the reception area. She'd failed her one-hour glucola test by a mere one point and was sitting there enduring her three-hour test. That would stink.

Next OB appt. and next ultrasound are both in two weeks.

Tuesday, March 06, 2007

Embryo Motel: Swimsuit Edition

Warning: shot of bare, heat-rashed belly appears later in this post.

So, unsurprisingly, Hawaii was great! We went to the Big Island, which is lovely. Our typical schedule: (1) wake up weirdly early, (2) work out in amazing open-air gym, (3) eat many, many things at the breakfast buffet, generally including fresh fruit, scrambled eggs, turkey bacon, dried mangoes, waffles, and more, (4) establish position in desirable cabana next to desirable pool, (5) read books in cabana, (6) eat lunch in cabana, (7) work out again, perhaps at a class at the fitness center pool, (8) take a walk along ocean, (9) nap, (10) take outdoor shower (a feature of our room), (11) eat dinner with in-laws, (12) read more, (13) go to sleep weirdly early.

I did get a heat rash all over my body on about day 2. You can kind of see it in this 29-week belly shot. Now that we're back in the winter climes of our home state, it seems to be subsiding. I think my belly has really popped out in the past week - it's either from a growing baby or the breakfast buffet. Or maybe from the rootbeer float I had for lunch one day - it included two generous scoops of Haa*gen-Dazs, which means like 93 grams of fat.

While there, we met this Brazilian model who was 3.5 months pregnant with twins. She was still incredibly thin (as well as 6' tall). AND she'd just found out that she was pregnant. For those out there who find themselves wanting to ask someone if their twins are "natural," I think the way you can actually more subtly find out (if you must, you nosy boob) is to listen to when the woman found out she was having twins - if she found out at 11+ weeks, then she probably wasn't doing IUI or IVF. I hope that this tip spares many twin moms the exasperation of having to answer whether twins run in the family or whether they "meant" to have twins. Gah! Anyway, this Brazilian chick made me feel very portly.

Thanks to local friends TLB and Brando for clearing our walks and watching our house during a hideous week of weather here. They are saints!
This week: another OB appointment, another therapist appointment, then off to visit the parents and some friends for a week. After that, my air travel is done!

Friday, February 23, 2007

Discuss amongst yourselves

Here's a question for the lucky ladies out there who have had success with fertility treatments after having had some failures. What do you think made the difference in the cycle that worked? Was it the treatment? Tweaking the treatment? Just landing on the right side of the odds? I've been meaning to ask this for a while.

For us, my best guess at what made IVF#3 (FET#1) work was that we had good-quality blastocysts. Cycle 1 had been unlucky, probably because of too few days of stimming. Cycle 2 was a bust because we put back day-3 embryos, whose quality doesn't have as much correlation to ongoing quality as day-5 quality does. But we got some good embryos there, and they finally got to bloom at day 5 during the FET. My back-up theory would be that the FET was just gentler. My back-up, back-up theory would be that I had a piss-poor attitude, which shows that positivity means jack-shit.

So, for you: what made the difference? I am leaving town today (I hope - bad weather is movin' in), but I will eagerly check back in on the responses.

Thursday, February 22, 2007

OBGYNpalooza, day 2 (or: My Baby is Average)

Today's ultrasound revealed that my baby is breech, as usual. He is in a pike position with his feet up by his head. This explains why my bladder gets really whacked - he kicks it with his heels, I think. He is apparently 2.9 lbs, which puts him into the 55th percentile. The MFM doctor assured me that average is exactly where I want to be.

I had the MFM doctor look at my cervix on ultrasound, and I also had my OB inspect it in person. They concurred that it was high, tight, long, and closed. It had better be. It was so hard to get into that damned thing that at least I should enjoy the benefit of having it be hard for anything to get out. Anyway, I feel better about my long flights and my being far, far away from my team of experts.

The glucose tolerance test was, well, tolerable. They'll call today or tomorrow if I failed. I hope I didn't - the drink itself was palatable to me (as I have a sweet tooth), but it didn't feel great sitting there in my gullet afterwards.

Other stats: uterus is measuring a bit over 27 weeks, blood pressure was 113 over 62 (so somewhat higher than last time, but apparently not worrisome), and I was up a couple of lbs. I've decided to count my weight gain from my normal weight, so I am up 20 lbs now. That seems good, right, and just to me. They are checking my hematocrit level today as well - I hope that's all right, although I sort of doubt it, given my lack of iron consumption. I don't even take a prenatal vitamin, just a normal multi, since the idea of being even MORE constipated was a nonstarter for me.

Wednesday, February 21, 2007

OBGYNpalooza, day 1

Today, I had my appointment in the OB-GYN clinic with the psychiatrist who is an infertility/PPD specialist. I really liked her. She's probably younger than I am, like my OB, but I respect young people who have pursued one line of work and are thus quite qualified at this age to perform it (instead of being partially qualified to half-assedly pursue numerous lines of work, like me). We are going to have appointments every two weeks or so for a while, then we will ramp them up as my due date approaches. She's mostly focused on medication management, but I demanded therapy from her first.

Tomorrow, I have an ultrasound, the glucose-tolerance test, and my regular OB appointment. I have developed a fear/neurosis that I will go into preterm labor in Hawaii (or at 35,000 feet en route to or from), so I plan to have my cervix inspected for signs of misbehavior. I've had a few painful sensations while out walking the past couple of days, so my neurosis isn't as completely unfounded as it usually would be.

We leave in two days on our trip. Yay! Although it's finally warmed up here (from the snot-freezing cold we were experiencing just two weeks ago), I will be glad to experience some 85-degree days. I will also be glad to attack the breakfast buffet daily.

I'll be 28 weeks tomorrow. I will try to get another belly shot in before we go.

In other news, there have been a few BFPs out there in IF land lately, but I don't want to jinx anyone by naming names. So congrats to those who've received them, and lots of commiseration to those who haven't. And here's sending lots of easy labor vibes to Beth, who's suffered severe HG up until the bitter end but who will be induced tomorrow morning. May your labor be a breeze and may the nausea disappear as soon as LC debuts!

Sunday, February 18, 2007

Nursery, Phase 1

As an exercise in resolving marital disputes, my husband and I assembled the crib this weekend. We are generally not good at assembling things together, as (a) we are both quite moronic when it comes to putting things together and (b) we have historically engaged in - ahem - snippy behavior when reacting to the stress that comes with being faced with one's own idiocy while in the presence of another. I am pleased to say that we assembled the crib, even though the instructions were far, FAR from illuminating. We only majorly fucked up one thing, and we managed to fix it.


Anyway, here it is - the nursery's first few items: the crib and mattress (only Tar.get's finest, naturally) and vaguely colonial-feeling rug (Over.stock.com). I had hankered after a friend's lovely modern nursery set from this company, but when I found that each piece was more than 1000 clams at a local retailer, I decided that frugality is best taught starting at birth. Will our son's first word be "IKEA"? It seems likely.


Monday, February 12, 2007

Ah, 2006.


Last weekend, we were collecting our tax forms. In this process, I separated out all of our 2006 medical bills, since it is possible that we'll hit the threshold to deduct our expenses. Here's a shot of the file of just the bills - not instructions, waivers, clinic materials, photos of doomed embryos, etc., which make up a folder about twice this size.


One thing seems likely, though - 2007 will (knock on wood) be cheaper in terms of medical bills for one key reason: Z0fran's patent expired, and it is now available as a generic, and generics are free under my insurance. Wahooooooo! I shared this news with the barista at our local (non-Starbucks) coffee joint, since she'd had eight months of hyperemesis with her son, who is now two. She practically wept with joy and said she'd now consider a second child. She'd had no insurance with the first, so she would save up $600 at a time to buy 10 full-priced Z0fran.

Thursday, February 08, 2007

And this is the way I see it, Michele Johnson of Wamego, KS

You know how Starbucks cups have these little quotes from people on the sides? It's a series called "The Way I See It"? Yeah, I don't usually read them, either, but my cup today happened to catch my eye. Here's what #208 by Michele Johnson, a Starbucks customer from Wamego, Kansas, has to say. Allow me to apologize in advance for my reaction to it.

"I wish couples who desperately take every means to conceive a child would realize that adoption is a wonderful alternative. A child who becomes your child through adoption completes a family. Just as when you commit to your spouse or partner there are no biological ties, yet a family was formed. This child enters a family the same way! It is not blood and flesh that form a family, but the heart."

Thank you for your helpful insights, Michele, even though I would have put a comma after "partner." I don't even know where to start. First, who wants to bet that Michele has at least one biological child? Second, what's with the condescension? Does she think infertile couples don't realize adoption exists? Does she think that infertile couples think adoption is inherently odious? Does she think that people who do adopt have done so without trying anything else?

And then there's the word desperately. Yes, many infertile couples feel desperate - but the way it's used here is much more damning, much more patronizing, like You boob, can't you see how idiotic you look? And how about that lecture about what makes a family? Strong finish, Michele. Thank you for your helpful explanation. I'm sure Starbucks-drinking IVF patients everywhere will cast off their Folli.stim shackles, now that they've seen the light!

Discuss. Or respond.

Thursday, February 01, 2007

OB report

My visit to the OB was uneventful. I had only gained one pound since last month, even though I am much larger. I think this is because last month's stats had included a robust weight gain, and also I'd eaten an XXL breakfast right beforehand, which wasn't true today. My total weight gain is hard to measure. If you go by my post-IVF weight, I am up 13 lbs. If you go by my normal weight, I am up 18 lbs. If you go by my hyperemesis low point, I am up 28 lbs. So many choices!

My blood pressure was good - 108 over 62. The little fellow's heartbeat was in the 140-152 range, and he kicked the ultrasound probe (I do think it had it coming). My uterus measured perfectly on target for 25 weeks. The nurse thinks my rib pain is just expanding ribs, and the cramping I get during exercise isn't a big deal as long as it goes away within 30 minutes (which it does). I get the glucose tolerance test in three weeks, as well as another ultrasound. Yippee! Actually the real "yippee!" is that the day after that appointment, we go to Hawaii for a week! Hooray!

Wednesday, January 31, 2007

Navel Gazing

WARNING: belly shots appear later in this post.


Well, I had lots of ideas for posts, but I wanted to wait to include them with a belly shot, and now of course I've forgotten what they were about.


I have now been to two prenatal aquatics classes - very enjoyable, if also very effective at producing scalding heartburn - and one prenatal yoga class. My prenatal yoga teacher is also a labor doula, which is good to know in case I decide I need one. As predicted, I was among the least flexible people in the class, but at least pregnancy is a good equalizer of flexibility - it narrows the distribution of talent, so while I was still in the bottom 20%, there wasn't the usual gaping abyss between the top 20% and the bottom 20%.


What's that you say? Yoga isn't supposed to be competitive? Yes, I realize that. I don't begrudge anyone else their flexibility, strength, balance, etc., but I do hate to be the worst person there.


Anyhoo, I have my monthly OB appointment tomorrow. Topics to discuss include a strange pain I have in my ribs (expanding uterus? bra too tight? cirrhosis?) and some occasional light cramping during my spins on the elliptical machine.


After eating my way across Omaha last weekend, my belly is now OUT. But my belly button remains deeply in. I swear, it may even be getting deeper, although What to Expect assures me that everyone's navel pops out. We'll see.


24 wks, 6 days. Enjoy!
PROFILE & FULL FRONTAL BELLY


Tuesday, January 23, 2007

Among the Fertiles

Last night, I went to my first prenatal aquatics class. It was rather enjoyable, but the two other people there (the instructor and a woman who's a regular at the class) were blithe fertiles with multiple other children already. I did not reveal myself to be as neurotic as I am, although they may have sensed it when they asked whether I would be doing a natural childbirth with the midwives (which they are), and I replied something to the effect of Ahem, I don't do anything reproductive without a team of expensively educated experts. (Speaking of experts, when we have to talk about the birds and the bees someday with our son, that story will begin: "First there was Mommy and Daddy - and a team of experts....") In any case, the class was fun, and it was enjoyable to be weightless and bouncing about in the pool to hyperkinetic remixes of "It's My Party and I'll Cry if I Want to" and other classics. I start prenatal yoga later this week, which should be hilarious, given that I am less flexible than most men. Most ninety-three-year-old men.

In other news, I was solipsistically mulling over my symptoms so far, and I've determined that there are benefits to being someone who normally is absent-minded, pees frequently, sleeps poorly, has bizarre dreams, etc. - it means you don't even really notice severe effects of pregnancy! But there is an exception: clumsiness. Oh, I am definitely graceless normally, but I really have been dropping a lot of shit (not actual shit, mind you, which is still not dropped often enough, if you know what I mean). I don't know why it's so hard to hang onto things. Yesterday, I knocked a venti hot tea (fresh from the hot-water dispenser) all over my thigh, which resulted in five (5 ) blisters. Nice. And then I almost did the same damned thing today. I need a handler.

Today, I bought my very first nursery item: this rug from Overst0ck.com. I dislike blue stuff in the house (although I do frequently wear various shades of blue myself), so we're going with a cheerful yellow look and animal theme, I think - no going overboard on blue or, like, trucks until I'm sure that my kid digs that stuff, which isn't at all assured since I am probably secreting hormones to make him gay so that he will be especially devoted to his mommy. We'll also buy some IK.EA furniture, which will necessitate a trip into the Chicago suburbs, which I find harrowing in their indistinguishability (at least from a navigational standpoint). I was sure that my engaging in Internet commerce had doomed me when I felt a bit of a warm gush from my own personal South America, but nothing seems to have happened, and the little feller just keeps kicking me in the bladder.

Thursday, January 18, 2007

Naming and Necessity

That's the title of a philosophy book that I can never hope to understand. Since I can't understand it, I am instead using the catchiness of the title to refer to the naming of offspring. (How banal!)

Some of you know me in real life, and you know that I have a very, very boring name. All three of my names are common. To provide some context, at nearly every place I have ever been educated or worked, there is someone else with my name - first and last names, and even sometimes first, middle, and last names. My name is the equivalent of, say, Emily Ann Smith.

At my first job, when I was a young professional, I once found that suddenly I was receiving no emails at all. What soon came to light was that a secretary in the London office had recently gotten married, and she had changed her name such that she was also now Emily Smith. The IT department had simply changed her email without checking to see whether anyone else already had emily.smith@thiscompany. I distinctly remember being on a business trip and calling the Help(less) Desk from a pay phone (this was before the days of widespread cell phone usage; I am old), trying to get them to change her email to something else, and they kept trying to tell me that I had to change my email now to emily.a.smith@thiscompany, which resulted in my blurting out, venomously, "But she's a secretary!" Yes, I sold out the sisterhood. I am not proud of this. But I got my email address back and she had to be emily.a.smith. Ha!

I didn't change my name when I got married. I wasn't inclined to do so to begin with, since even though my name is dull, I was rather used to it. Also, I often sign my emails with my initials, and I identify with those initials - some people even just call me by my initials. Moreover, my husband's last name, while less common, isn't really any more exciting. It's no Spinoza or Slater or Del Toro, no Hamburger or von Trapp or Boutros Ghali. His whole name isn't much more thrilling than mine - and he's a Junior. His mother tried to lobby us to name our little fellow the same name, and I didn't even pretend for a moment to consider it. I may have even said, Pish-tosh! or Poppycock!

What I'm getting at is that I feel a burden to name our son something interesting. But then I am afraid of naming him something too interesting, since that isn't my style, either. We've bounced around a few candidates, all of which will remain secret until he debuts (knock on wood). There were a couple of names that looked particularly promising - slightly left of center, just like us.

Well, in the past three weeks, friends of ours have stolen our names! (Okay, "stolen" isn't the right word, since we uncharacteristically hadn't breathed a word of our ideas to anyone, but you know what I mean.) First, my husband's ex-almost-stepsister named her son one of "our" names. Of the two names in question, this one struck me as much more likely to become fashionable, so I rolled with it. But then today I learned that our across-the-street neighbors (and fellow IVFers) named their son the second name, which I thought no one would ever come up with. All this goes to show that we are all breathing in the same influences, I suppose, and that resistance is futile. We will just have to pick a name we like, even if that means "taking" a name someone else has already used. (But, for the record, note that I would never steal someone's, like, family name or really unique name or anything like that.)

What are your thoughts on names (your own, your existing or prospective children's, or other people's)?

Tuesday, January 16, 2007

22 Weeks, 5 Days

Warning: belly shot appears later in this post.


I may have mentioned this before, but I am too lazy to check. I once saw a post on a "Pregnant After Infertility" message board that was to the effect of, "Does anyone wish they could hide their pregnancy until the end?", to which several people replied in the affirmative. At the time, I was kind of like, you've got to be kidding me, but now I am totally with that woman, whoever she was.


I am now officially outing myself at work, but I can't rid myself of the feeling that I am going to jinx everything by making it more real. I haven't ordered a single piece of baby gear yet, even though I recently learned that some things, like cribs, take a while to arrive. So I need to get on that. But, damn, I'm superstitious. I was emailing yesterday with a friend of mine who had a miscarriage not too long ago, and she was complaining about a mutual friend who had just announced her (effortless) pregnancy - inexplicably, this woman had had CVS done, but was telling everyone before the results came back. What's the point? Anyway, my friend who had the miscarriage said she wouldn't announce any future pregnancies until twenty weeks. You can get away with that on the first pregnancy, so I say go for it.


Anyway, what a difference a month makes - I now have a gut! See photo below. I was wearing a loose sweater on top, so I probably could have gotten away with just looking tubby, but I started telling work people today. I'm pregnant. It's still so odd to say.


Friday, January 05, 2007

Welcome advice

When I was on my recent travels, I solicited advice on parenting and how to survive it. I thought I would share what I had learned; if you have anything to dispute or add, please do.

- Sleep when the baby sleeps. (This one came from multiple sources.)
- Steal as much shit as you can at the hospital, such as infant-sized caps and swaddling blankets.
- If you're having a boy, you will learn a lot about insects and dinosaurs.
- When someone comes over to see the baby, let them help - don't try to host them.

There may have been more pieces of advice, but those are what I remember.

I realize I have been over-blogging lately, but never fear - I am about to leave town again for a few days in NYC for work, so things should calm down, unless some extra-late amnio result comes back or something.

Thursday, January 04, 2007

Regular OB visits are very unsatisfying, since you don't even get to take off your pants.

First, let me say that my third wedding anniversary was yesterday. One thing that's bad about a January 3 anniversary is that it's right after the holidays and you're too wiped out to celebrate or exchange gifts, but of course that's also what's good about it. We were in bed reading by 8:20 - it was awesome. We did reminisce briefly about how friggin' drunk everyone was at our wedding, which we often cite as a point of pride. There were also at least five hookups, which is impressive for people in their thirties, don't you think? One of those couples is now engaged and planning a New Year's Eve 2007/08 wedding, extending the chain of love (we met at a NYE 2000/01 wedding).

In other news, I had another level II ultrasound today. I go to a huge teaching hospital, so there are always like 90 people in the room whenever I have anything done, and I seem to have established a rapport with one of the maternal-fetal medicine fellows. I feel that I am doing the various medical students, residents, and fellows a service by demonstrating how an overeducated, neurotic, infertile patient behaves. These doctors-in-training will be well equipped to take positions at clinics in affluent urban areas and college towns all over America.

The ultrasound itself was good. The technician was very verbal and helpful, showing me my baby's ass, brain, bladder, stomach, legs, perfect feet, hands, and nose, as well as my placenta, which is apparently very attractive. The baby was breech and I expect that he will choose that position again later on, since that's the way things go around here. The MFM doctor was not my regular doctor, but thankfully the stalwart fellow was there to provide continuity. They thought things looked fine, but they also grilled me for info as to what the UCSF people had said, which doesn't exactly inspire confidence. They agreed to schedule me for more ultrasounds to check the baby's growth - I'll get another in late February and then another at 34 weeks. Yay for me!

I then went to my regular OB appointment, which was - how shall I put this? - both quick and boring. Not much happens at regular OB appointments, you know? You pee into a cup; they check your blood pressure (111/67 today); they make you get on a scale (I'm now 10 lbs up); they measure your uterus (21 somethings - cms?); and they listen to the heartbeat (ranged from 150-163). It all takes about five minutes, and you don't even have to take off your shoes, much less your maternity jeans. I did manage to extend my visit for an extra two minutes since I needed to find out whether my OB had strong-armed my way into an appointment with the infertility/PPD specialist, and she did! I go in in late February. I wish I could have seen this woman during the throes of IVF, but I'll take what I can get.

Wednesday, January 03, 2007

The difference between fertiles and infertiles

Okay, this is a common topic of posts on infertility blogs, but that's never stopped me before.

I was staying with a very dear friend in San Francisco, a woman who has seen me through many difficult times and who has endured many difficult times herself. I say this as a prelude so that you don't think I am complaining about her - really, I am not, as she is a truly wonderful person and deserves as much happiness as the universe can muster on her behalf. Instead, I bring this up merely to illustrate the differences between the pregnant fertile and the pregnant infertile.

My friend and her husband recently succeeded in becoming knocked up (first or second try), and she is currently seven weeks along, or about fourteen weeks behind me, or about five "real" weeks pregnant (ie, three weeks post-BFP). She has not yet had an ultrasound since bona fide fertiles aren't allowed to have one until eight weeks or later. But here are the things I observed when I was staying with her:

1. She already had a subscription to the Ba.byCenter pregnancy magazine.
2. Her husband had already bought the baby a teddy bear that has "My First Bear" embroidered on it.
3. She was already heading out to buy maternity jeans, since hers were feeling tight. She also asked if I could send her the maternity things I had borrowed from a mutual friend but didn't want (which I am happy to do).
4. She and her husband were already clearing out and organizing their spare bedroom so that it can become a nursery.
5. They had already told many, many people that they were pregnant (some on purpose, some accidentally when the news just slipped out).

Meanwhile, I am still having a hard time not trying to hide my pregnancy (though it is physically difficult to do so at this point), and there have certainly been no baby-related gear purchases.

I've long read blogs of pregnant infertiles expressing this kind of sentiment, and I've always kind of thought that you'd get over the weird, superstitious infertile behavior at some point, but it sure is hard to rid yourself of the idea that everything is going to come crashing down, and that any presumptuous behavior on your part is bound to cause such a calamity.

(Speaking of calamities - on a happier note, Jane of Jane's Calamity has debuted her adorable twins, Clio and Elsa! And she gets the tax break on them for 2006! Good girls.)

Monday, January 01, 2007

Relapse: don't do it

So I'd been having some good days and some bad days, but my overall hyperemesis trend had been positive. I was most prone to nausea in the late afternoons, and had probably puked twice a week during that time for the last five weeks - not so bad.

Until yesterday (ie, New Year's Eve). I started feeling fairly nauseated in the afternoon. We were staying with friends who like to eat and stay up late, so I thought that maybe I was feeling ill because I hadn't slept well or enough. I took a nap, but when I woke up to help prepare for the NYE dinner party (which started at five), I was really not feeling good. I popped an extra Zo.fran, since Zo.fran is my BFF.

The party began, and I was really feeling like crap - huge waves of nausea, etc. I tried to nibble on some bread, but no luck. Fortunately, this was a dinner party of close friends, so no one really minded when I said, "Excuse me - I need to vomit." And vomit I did - oh, did I vomit! I believe the puke left my stomach at a rate of no less than 75mph and possibly as high as 90. I did make it to the toilet (bad form otherwise, though surely NYE has seen many non-toilet-based pukes). This turned into the heinous, heaving feeling that I knew so well from the early days of hyperemesis. I repeated this pattern several more times until finally I realized it would be more polite to excuse myself from the rest of the dinner and lie down in another room. My husband and I snuck out just after midnight to stay at a quieter friend's house.

I managed to keep down my Uni.som and B6 and a megadose of Zo.fran before bed, and I do feel somewhat better today. I am just relieved I didn't have to go to the ER in a big city on NYE - that is one experience I can live without, although I'm sure one encounters many colorful characters there.

We fly back today, and I am excited to see my little dog tomorrow. Happy 2007 to you all!

Tuesday, December 26, 2006

Holiday rundown

This will be brief since I am still a-vacationing, but here's my holiday, by the numbers:

49: The number of hours I spent staying alone at my mother-in-law's house because my husband was supposed to fly via Denver and got delayed by two days instead.

183: The number of farts I have emitted in the greater LA area in the past few days. I would particularly like to apologize to those of you who may have been shopping on the Third St.reet Prom.enade on Christmas Eve; if you wandered into a rank miasma, that may have been left behind by me.

7: The number of times I think I may have felt the little feller move inside my belly. I think I'm finally feeling that "goldfish" sensation that people cite.

Okay, this last one doesn't fit neatly into the numbering conceit, but I definitely have a belly now. If you didn't know me, you might think it could be a burrito gut, but if you did know me, you'd definitely think I look pregnant. My belly popped out in the past week or so. My husband immediately noticed it when he arrived two (2) days late after we'd been apart for a week.

I hope you are all doing well!

Wednesday, December 20, 2006

He who suffers remembers.

That's what my fortune cookie said last night. Nice, eh?

I had my appointment and ultrasound today with the UCSF people. The prenatal genetics doctor was reassuring overall: she said that they see a few instances of mos.aic tri.somy 20 each year, and her feeling was that if a detailed ultrasound showed no structural abnormalities, then the chances of a birth defect would be closer to that of the general population (4%ish) and not 10%. The ultrasound came back fine (and no clubfoot!), which was a huge relief, especially as the doctor doing it did not speak until she was done with the entire thing. My baby doesn't move much at all - he seems constantly to be asleep - but I will worry about that later.

The next thing to do would be an echocardiogram, which I may do when I get back home - this would just confirm no structural abnormalities of the heart. And I should get regular ultrasounds to check that the growth is okay. As of right now, the baby measures on track or maybe slightly ahead of dates. I would be happy to get frequent ultrasounds, so that is fine with me.

And the icing on the cake was that my insurance agreed to cover this visit - I had to keep going up the chain, but finally I traded messages with someone who agreed that it was necessary and that they would cover it (instead of trying to make me fly back home). I would have gone ahead with the appointment regardless, but I'm sure my adventures today cost at least a thousand clams, so it was nice to get official approval.

All in all, a good day! I will try to be optimistic, even though this might require a personality transplant.

Thanks for all of your kind wishes!!

Tuesday, December 19, 2006

The 5% Nation, Continued

Thanks for all of your posts below - they really mean a lot to me. I now have an appointment tomorrow at UCSF with the main prenatal genetics doctor, and then I have a level II ultrasound there as well. I was impressed that I got in there so quickly - either my doctor is very important or I am in a bad situation. I am assuming the former. Or, more realistically, he probably told the UCSF people that I am neurotic and high-maintenance and would likely spontaneously combust if I couldn't get some more information. We'll see.

It is difficult to be rational. Like, I know the chances are much better than not that things will be okay. One of my friends took her son to the pediatrician today (a very experienced, in-demand doctor) and she asked about trisomy 20 mosai.cism. He said that in 20 years, he'd never seen it actually happen - ie, people get the bad result on their amnios, then the kids are fine. But it is so hard for me to feel reassured by that, you know? And I know that this would probably come up in plenty of people who never have amnios, and thus never know. But it is still anxiety-inducing.

I was supposed to have lunch and go walking with a pregnant friend of mine today, but she had her baby a couple of days ago (two weeks early). I still went walking (running, even!), which was lovely, but I have since returned to the friend's house where I am staying and have basically been napping, crying, and consulting Dr. Google, who doesn't have as much info as I'd like.

Another thing that concerns me is that I can't feel this kid move yet, I don't think. I know there's a range of when people feel movement, but I know so many people who have felt it way earlier than this. I guess I'll find out more tomorrow.

Monday, December 18, 2006

The Five Percent Nation of Casiotone

The title is a reference to a lyric in a Soul Coughing song that keeps going through my head. Why? Because the 5% of a bad outcome seems to be where I continue to fall. I think Beth had a post to this effect on her blog.

So fewer than 5% of couples need IVF. Fewer than 5% of pregnant women get hyperemesis. We know where I/we fell there.

Now let me tell you that FISH results are supposed to account for 95% of the things that can be wrong with your baby as shown by the amnio.

Guess who's got that last-5% abnormal result? Us. 20% of our baby's cells have tri.somy 20 mosai.cism. Could mean nothing, could mean a bunch of terrible things. The chances are that nothing is wrong, but there's a 5-10% chance that something is wrong - it could be heart, kidneys, brain. It's hard for me to be optimistic.

I am away from home for two weeks. The doctor is trying to get me an appointment at UCSF tomorrow or the next day for a detailed ultrasound to see if any issues appear there, but of course they might not be able to see if anything is wrong, since what's wrong could be invisible for now.

I am so tired of being on the wrong side of the odds. I was just starting to feel happy and confident in this pregnancy, and now this. If they can't see anything wrong on the ultrasound, I am still going to worry for the next five months - and probably longer, since whatever's wrong (if something is wrong) could take a while to show up.

Thursday, December 14, 2006

Taking care of business (or not)

I realize that it's bad enough when an infertile blogger gets pregnant and starts complaining about side effects of pregnancy and posting belly shots, but surely it must be worse when that blogger starts describing her shits in detail.

But so it is.

Dear readers, although I was still constipated by the Z0fran, I felt that it and I had reached a sort of detente: the Z0fran would let me nominally move my bowels once a day, and I would deal with the fact that said movements were somewhat painful and, frankly, stingy. And, over time, with the help of more and more C0lace, those craps were at least less injurious than they had been - sure, there would be some straining, but no longer did I feel as if I were giving birth from an inappropriate location. Until yesterday.

I don't know what the problem was. I try to eat a lot of fiber, even though I don't know if it makes a bit of difference when confronted with the awesome constipating power of Z0fran. It was true that I had experienced a bit of a nausea relapse and temporarily re-upped my dosage, so maybe that had something to do with my issue. Maybe that panini that I ate with local reader MSF a couple of days ago just had too much goddamned starch in it. Whatever the case, I found myself on the toilet yesterday. For forty-five minutes. As a turd got STUCK while I tried to get it out of my tortured ass.

Nothing worked. Not straining, not relaxing, not trying to stress myself out in the hopes that my good old nervous stomach would return. Not reading an entire issue of the alumni magazine, not praying, not cursing, not primally screaming, not even weeping (for, yes, a few tears were shed). I even resorted to more desperate measures that one can read about on hyperemesis message boards; no dice. I felt I might simply have to take up residence on the toilet while the concrete marbles and gravity battled it out. My husband would be home in just five short hours, and the dog had water in his dish. We could all live, right?

Finally, as I was considering whether dying was really such a bad alternative, I was saved by gas: a few bubbles percolated downward and shoved out the recalcitrant turd. I almost passed out from the effort. My poor, beleagured sphincter was so pummeled that every time I farted (and, hey, pregnant women fart) later on, it felt like a rubber band snapping against a sunburn.

Needless to say, to my normal evening cocktail of C0lace and various drugs, I added a double shot of Milk of Magnesia with a water chaser. Also, upon my release from the Abu Ghra1b of elimination, I immediately checked the baby's heartbeat with my rented doppler to make sure that he hadn't been rendered unconscious by the passing of a nearby piece of concrete.

Today was better, but I remain scarred by the experience. An elective c-section suddenly looks rather appealing.

Sunday, December 10, 2006

Old wives' tales, analyzed

Warning: belly shots appear later in this post.

Now, onto the topic of the title: old wives' tales, specifically those about gender prediction. Let's see how they did.

1. Higher heart rate = girl; lower heart rate = boy.

Clearly, the old wives failed me here. The heart rate of my little alien has consistently been on the high side - 150-160. I guess he's just high-strung like his mother.

2. Good skin = boy; bad skin = girl.

Give this one to the old wives. My skin has been very clear since BFP. Now, my skin isn't, say, as prone to eruptions as a teenaged fry cook's, but I do get a zit here and there. This isn't to say I look radiant - I am still as pasty as ever.

3. Morning sickness = either boy or girl, depending upon whom you ask.

I'd always heard that more morning sickness meant a girl, the theory being that you have more female hormones wreaking havoc on your body (which I think is the same idea behind #2). But some people swear that, no, it's boys that make morning sickness worse. I do know that with hyperemesis, girls are statistically more likely, though not by a huge amount (56% vs. 44% or so). So who knows how to score this one.

4. Craving for sweets = girl; craving for salty foods = boy

The old wives are clearly not to be trusted. I have heavily preferred sweets (during those times when I have been able to eat) to salty foods, although I do occasionally yearn for "all natural" cheet.os (those white puffy ones in a paper-ish bag).

I think that about covers it. Any other classics you've heard?

I continue to feel better, though not well. I am down to 16mg a day of Z0fran, but I still can't take a shit. On Friday, we went to my office holiday party, and I felt awful afterwards, although one can't help but guess that the all-fried menu (and my joyous embrace of it) might have had something to do with it. Chicken fingers, potato skins, etc. - mmmmmmm. I would have eaten 10 mozzarella sticks, too, if they'd had 'em.

Anyway, here are some belly shots - both at 17 weeks. One shows the bare belly, and the other gives you an idea of how I've been trying to camouflage it with clothes. Both pictures feature my new fleece yoga pants from Victo.ria's Se.cret - one of my friends told me these were all she'd worn in late pregnancy (well, she'd had the classic version, but it's cold here, so I went for fleece). I never ordered any since, well, I was never pregnant, but now that I have some, I can tell you that they would be PERFECT for day six onward of stims during a fresh IVF cycle. If only I'd known.

SHOT #1: The goods



















SHOT #2: Incognito (sort of)

Friday, December 08, 2006

Results, round one

The FISH results are back and the baby doesn't have Down syndrome or some other trisomies (15 and 18, I think; or maybe it was 13 and 18), nor any X or Y issues. And he is really a he.

I had my regular OB appointment yesterday and all seemed well then - heartbeat was chortling along at 154, and my blood pressure was something like 116 over 70, so pretty good, if a bit higher than my normal blood pressure. The OB does think I am "THE" prime candidate for postpartum depression (thank you very much) so she's twisting arms to get me into meet with this very in-demand combo OBGYN/psychiatrist who focuses on infertility and PPD. The hospital clearly needs about five of that woman.

Wednesday, December 06, 2006

Modest fetus

I had my amnio and ultrasound today. The baby had its legs crossed over its groin (and its hands over its face), but the ultrasound tech got some glimpse that made her think it's a boy. The FISH results will be back in two days, and those will tell us definitively. The full amnio results will be back in two weeks.

The baby looks more like a baby than a peanut now - he had real arms and legs and a little nose. He doesn't seem to move all that much, although he did flip over between the initial ultrasound and the one they did in conjunction with the amnio. He is one cute little feller.

Remember how I said I'd stop worrying if the amnio results came back fine? Well, I can already tell you that that is a lie. You see, the only thing the doctor didn't like on the ultrasound was the baby's feet - he wants another ultrasound in three to four weeks to check for clubfoot. He said it's early, and also the baby's position kept him from telling whether there was an issue there, but of course I will now worry about this. At least clubfoot is correctable. But it would nice to have no known issues for once. I will focus on retaining my excellent health insurance in the meantime.

The amnio itself was no big deal. I had the head of the maternal-fetal medicine group perform it, and I definitely felt like I was in great hands. It was short and practically painless - less painful than your average, well-executed blood draw - and the needle is inside this stabilizing contraption that keeps you from actually seeing its full length. Anyway, we'll now hope that no complications follow, and that the amnio results come back perfect.

I hope you are all doing well!

Sunday, December 03, 2006

The Week in Review; The Week Ahead

Thank you all for your posts below. I compiled the happy-ending brain-cancer stories and sent them to a friend who's kind of the point person for conveying info on my friend who just had surgery. They'll get the final path report on the tumor this week, which will then dictate treatment (and likely outcomes). I am keeping my fingers crossed that the news is as good (or as not-bad) as possible.

In other news, I found a dead mouse in our house this week. We have a bathroom that is off of our kitchen, and it contains a shower that never gets used since there are bathrooms right off of the bedrooms in our house. We do use this bathroom for quite a lot of peeing, however. But we never open the shower door - for reference, it's one of those hard-shell, frosted-glass varieties. Anyway, I went swimming one day this week (in my normal bathing suit, which was abruptly rendered nearly obscene since my tubby middle caused the high leg holes to ride up even higher, necessitating board shorts), and I figured I'd hang up my wet towel and swimsuit in the kitchen bathroom. I threw the towel over the shower shell, and, planning to hang my suit over the showerhead, I opened the door. There on the drain was a dead mouse (fortunately, a freshly dead mouse). I yelled, "Ack!" and then "Goddamn it!" (why not "Fuck?" Hmm.) and slammed the door shut. I considered getting rid of the mouse myself, but instead I just shut the door to the bathroom and waited for my husband to come home. Normally, I am the bug-killer in our family, but somehow I didn't feel prepared to be the varmint-disposer. A pest specialist visited the next day and posited that this mouse was a lone ranger, but he set up a bunch of traps anyway. I guess I should be glad I went swimming (which I rarely do) and thus discovered the mouse before he started to rot. But I also panicked about the disarray of our house. This weekend, I have undertaken an MCI (massive cleaning initiative). It is about 4 degrees outside, so I might as well be doing something indoors.

On another topic, I was emailing with an online buddy this week - we had our FETs the same day. I was saying that I was using the Bell.a Band a bunch now, and she said I should just go for maternity pants - that I'd wonder why I hadn't done so sooner. Well, the big box of stuff from my friend arrived this week, and I made the mistake of trying on some of the maternity jeans. Holy moly - I am almost afraid I'll never wear anything but elastic-waisted pants again! So comfortable. I am going to try, however, to continue wearing my stretchier normal pants and the Bell.a Band for two more weeks at work - easier to remain undercover that way. Then I'll be off for a month and no one will see me. I can then make a dramatic reentry in January, looking like a beach ball.

My amnio is on Wednesday this week. I asked for FISH results (in addition to the main ones), which you get sooner than the amnio results, which take two weeks. I learned about this on the Internets, and I am very willing to pay $524 that could otherwise be used on pest control or housecleaning services or Christmas gifts, just so that I don't have to suffer in limbo. Also, my amnio results should be back around Dec. 21, so I was afraid I'd be getting bad news right in the middle of the holidays. I keep saying I'll act more normal and confident in this pregnancy if the amnio comes back good, but I will probably be insane until the very end. They are going to do the level II ultrasound at the same time as the amnio, I think, so I do hope to know gender that day. If not, it will come back with the amnio results.