Birth Story, Part Four

Oh my, oh my! Looks like those other two babies either have beaten me (I'm guessing, here) or are poised to do so! Squeeee!

Where were we? Ah, yes. Monday afternoon. We were on the subway. Of course. Where the hell else would we be, with me 4 cm dilated, completely effaced, having been contracting regularly for twelve hours or so? Surely not NEAR THE DAMN DOCTOR’S OFFICE WE HAD JUST LEFT, WHICH IS FOUR DAMN BLOCKS FROM THE MOTHERFUCKING HOSPITAL.


A to B: A Rational Person's Route



A to B: My Route


It’s possible I’m not entirely over how incredibly boneheaded that decision was. All I can say is that denial is a powerful thing. (For more on how I got into this mess, see parts 1, 2, and 3.)

To make sure you understand how stupid this was, please note that not only is it 45 minutes to an hour to get home from the doctor (actually a bit faster than driving, which was part of the attraction), but also: we don’t live on that train line. Or the train line we transfer to next. So that’s three trains home, and one of the transfers is up stairs. But I wanted to be at home. I didn’t feel good. I didn’t want to eat any of the food I could think of getting in Midtown, and I certainly didn’t want to walk around there in the cold drizzle. And cabs are expensive and nerve-wracking, and the subway is familiar and cheap. So off we went.

The story would be more exciting if my water had broken on the train, it’s true, but if that had happened even I might have had the sense to get off and hop a cab back uptown. In fact, the ride was okay. I had a few contractions; they didn’t really pick up until we were under the East River, leading me to believe that the Bean just wanted to be born in Brooklyn. And a little while later, I thought he might get his wish.

My sense of time gets pretty shaky from here on out. I think we must get home around 3:30. I am ravenous. I’d tried to eat the bland food they tell you to have in labor in the morning, but my bowl of grits was left to congeal. (Grits are my go-to bland comfort food, which I mentioned in our birthclass brainstorm only to have the teacher say that although oatmeal was a good labor food, grits might be okay in very early labor. Yankees! ) Bland food made me feel gross in the first trimester, and it seems gross now. So I eat the spicy beef leftovers. And they are awesome. And I am glad I was so shameless about asking for them.

Then everything starts to happen at once. Nature, as they say, calls. Insistently and for quite a while. I discover just how very, very, very much I hate having contractions on the toilet. I know some of you were into laboring there or in that position, and I am here to say that you are out of your tiny minds. Once my body has, erm, cleared the decks, the contractions go wild. Sixty to 90 seconds long, every three to four minutes. Instead of counting and groaning, I am counting and yelling and clawing the bed. I bend over the couch, I slow-dance with Sugar; nothing helps. At one point, I accidentally bite Sugar’s leg (which doesn't help that much either).

Even before the tooth marks can fade, Sugar calls the OB office to say we’d like to go to the hospital. (For me, not her leg. I didn’t even break the skin, okay?) While she’s talking to that dumb bitch of a nurse you remember from the Vasospasm Chronicles, I have a contraction. And Nurse Helpful says, “You have to get her to calm down.” Because you know, being quiet while in bone-crunching pain is really, really important. There goes my Good Girl Gold Star for Laboring Like A Lady, I guess. (Sugar, who is wise beyond comprehension, doesn’t tell me about that comment until much, much later. I PROBABLY wouldn’t have insisted we stop by the office on the way to the hospital and throttle her anyway.) However, the nurse agrees that if I want an epidural, we should head in. So we call a car again.

Only now it’s rush-hour.

While we’re waiting for the elevator, I feel a little excited. Mostly afraid I’ll have another contraction and fall down in the hall, but a little excited. I am in labor! This is happening! Who’d have thought it would happen today? (You know, besides anyone who’d thought rationally about the events of the previous 36 hours.) By the time we get to the stoop, I am back to petrified. I get walloped with more contractions; when the car arrives, Sugar has to run tell it to wait until I can walk again. I curse my decision to deliver at Kips Bay Mega Hospital rather than one in Brooklyn. Sure, I had my reasons, but LICH is so close.

In birth class, there was a lot of talk about how giving birth in real life isn’t at all like giving birth in the movies. In some respects I guess that’s true: my water didn’t burst out all over the stage while I gave a speech for my entire company and Dr. Baby Factory didn’t just happen to poke his head into the room during the pushing so that I could grab him by the neck and scream, YOU DID THIS TO ME!!!! But this part of the story, from when Sugar trundled me into the cab until the epidural was in? This part was exactly like the movies.

Cab driver, I wish I knew your name, because you deserve a medal for patience, fortitude, and grace under fire. You could give a seminar in how to treat a laboring woman, and several of the medical professionals we dealt with ought to be required to attend. You did your job without comment and you did it well. I cannot have been your favorite fare that day, but I trust you at least got a good story out of the deal.

What he didn’t get was much peace and quiet. For the whole ride in — at rush hour, remember — I am doing my level best to cope like they said at birth class. So Sugar and I are counting out my contractions, in eights, the whole way in. And I by God keep up the counting, even though my yelling progresses rapidly to screaming.

About five blocks into the trip, I begin to wonder if I could be in transition. I can’t make any other sense of what was happening. My autonomic nervous system has gone completely haywire; I am roasting to death and convulsed with chills. The contractions get longer and longer and closer and closer together; at times there are no breaks at all. The advantage to counting through contractions is that it gives me a sense of when one might end (at about 14-2-3-4-5-6-7-8); the disadvantage is how terrifying it is to be still counting in the twenties and thirties. (Sugar says she remembers being in the forties at one point, which I have blessedly forgotten.) I am out of my mind with pain. At one point, between contractions, somewhere still deep in Brooklyn, I look up at the brick tower alongside us and it occurs to me that there will be a time in my life when I no longer feel like this. The idea is so strange that it transfixes me for a moment, until I feel a gush and yell out that my water is breaking.

(What an unwelcome thing that must be to hear as a cab driver. Luckily, we have a towel.)

At around this time, I start to feel a strong urge to push. Oh, God, the baby is going to be born in this cab and I’m never going to get my epidural. I stick a hand in my pants, but I don’t feel a head, so I try not to push. Or at least not hard.

At some point, it occurs to me that this back labor thing really is happening. To me. I’ve long ago stopped feeling anything in my belly, nor do I feel anything there for the rest of the labor. What I feel in the car is that someone has decided to replace the bones in my back and my thighs with iron rods. The rods are set on the ends of my bones, and at each contraction, they are slammed into the bones over and over like jam-hammers, reducing me into rubble. Absolutely nothing about this feels “natural” or “productive” or any of those other reassuring things. At one point, alongside the ruined houses of Admiral’s Row, I wonder if I will die.

I know I am given to hyperbole in my writing, but in life, believe it or not, I don’t go in for hysterics. (My preference to be left alone and not bother anyone when I’m sick or in pain is what leads me to do dumb things like this.) Part of why it’s taken me so very long to write this story is that I spent a terrifically long time crippled by shame over how I behaved at the points of labor when the pain was at its worst. I didn’t hurt anyone or endanger the baby or say anything rude (that I regret), it’s just that I didn’t expect to be so out of control. After everything was over, I felt so embarrassed about it (no thanks to some of what was said at the hospital), and I felt that I hadn’t lived up to the example of your stories, that I hadn’t been strong or powerful or amazing but rather weak and overwhelmed and whiny and over-dramatic. When they said in birth class that being in labor meant letting go of your “social self” I thought that meant I would shut down the way I do during the GI/endo bouts, that I would not want to talk or be talked to and that I would do some moaning. I didn’t expect to be screaming — scream-counting, but still — or making these terrible dry-sobbing noises.

But there I am, making them. When I am able to think, I am beset by a series of fears:

• What if the baby is born in this car?
• Or, oh, God, what if the baby isn’t born in this car and I just have to keep doing this?
• What if I get to the hospital and the baby isn’t born yet but they say it’s too late for an epidural (never mind that the “it’s never too early or too late” policy was part of the appeal of Kips Bay) and they make me just keep going even though I’ve made it in?
• Oh, God. They’re going to make me be on an IV for an hour, like the books say, and I’ll have to be in the hospital knowing they could give me an epidural but that they won’t.
• Oh, God! Before they’ll even do that, I’ll have to go to triage. Triage! I cannot handle triage! They’ll make me move from room to room and I will die. Or kill someone.

I interrupt my anxiety spiral to notice that we are SO not on the way to the hospital. Car service drivers tend to have their own opinions about how best to get to the bridges and it doesn’t do to tell them their business, but it has been forever and we are still in fucking Brooklyn. Traffic is heavy, and we really do hit every light. I am bent over sideways in the backseat, looking up at the world as I did on long car trips as a child stretched out across the backseat. At some point, I lift my head up and see that we are at the Navy Yards. Does this guy think we’re going to Queens? What if he’s taking us to the wrong hospital? WHY ARE WE STILL IN BROOKLYN?????

So calmly, so beautifully calmly, he answers, because it is rush hour and I am avoiding the traffic jam downtown approaching the bridge. Cab driver, I mentally send you flowers every time I think of your gentle tone and your impressive withholding of epithets at that moment. God bless you. Later, when I screamed at you that you were driving past the hospital, it was kind of you only to say that the hospital I was seeing was Bellvue and withhold any suggestion that perhaps I belonged there.

I had a few moments of clarity before arriving at the hospital. I remember thinking that because each of our cabs had chosen different bridges, we would be able to tell the baby about going over both the Brooklyn and Manhattan bridge while he was coming. That seemed really cool for some reason. Later, as we crawled up First Avenue (thank you, cabbie, for not taking the FDR), there was this strange break from everything and it seemed perfectly normal to remark to Sugar on the unexpected presence of a European restaurant in the heart of Chinatown. ( “Look, they sell Swedish food.” ) Sugar reports finding that a bit surreal.

Another thing I had imagined was at least kind of being able to walk when we arrives at the hospital. Instead, I only have eyes for the lone wheelchair mercifully abandoned by the entrance and scream until the driver backs up, switches lanes, and brings me to it. Sugar runs around trying to figure out how to push me and deal with the luggage. Some presumed neurologist (bow-tie) leans over and asks if my “erm, companion” has gotten help. This all seems to take forever, but then Sugar is back, rushing me to the elevator. Which is absolutely packed, naturally, so I try to scream quietly while the neurologist and others chat about their weekends.

Our arrival in L&D is also cinematic: I am sprawled across the careering wheelchair, wailing. I hope I wasn’t screaming “give me my damn epidural,” but the possibility exists. However, one fear is instantly assuaged: turns out that if you arrive at Kips Bay L&D having clearly lost your tiny mind, you do not have to go to triage.

In the room, off go my rather soggy corduroys and everything else. As the nurse starts my IV, I whine at her, “Am I going to have to wait a really long time for my epidural?” She says no. “Are you lying to me??”

I am sure she is lying to me. Hell, I would lie to me. But she isn’t. The anesthesiologist comes in right away. He is a short man with comically tall hair and a horrible, sing-song, chipper-camp-counselor voice. He introduces himself and commences cheerfully upbraiding me for yelling.

I know how this works. I know that I will need to sit up, bend over, hold still. I am trying to move between contractions, only there isn’t any “between” anymore, so it’s hard. And his stupid monologue about how I need to stop carrying on is not helping.

This is when Sugar and I learn something about what is and isn’t part of that social self that disappeared on the ride in. Apparently preferring silence while in pain, which I would have bet was pretty deeply part of me, is surface stuff. But the Teacher Voice is primal.

So here I am, screaming, moaning, trying to turn to sit, wishing there weren’t so many people touching me and talking all at once. And then Dr. Jerkwad comes out with his most enraging and unhelpful line thus far, a merrily hostile, “You’ve got to get some self-discipline.”

And, reports Sugar, I go suddenly silent, to everyone’s surprise. And out it comes, low and loud and firm and clear, the Teacher Voice. And it says, heedless of the fact that this is maybe not the brightest remark to make to someone poised to put a needle in my spine,

“Sean.

"Don’t be an asshole.”

Birth Story, Part One

This is hard to write. I still feel strange about parts of this story, and I can't seem to get it to coalesce into better writing. But I told myself I would get it done before the arrival of several specific babies, two of whom are now past their due dates. So here goes. The first of ...4, maybe? [Ed. -- who am I kidding? Maybe 8.] parts, which I'm going to post as soon as I have them written, since sitting around thinking about how to do it better isn't getting me anywhere.



Right after the Bean was born, people started asking whether it had been a long labor. I always said emphatically not, that it had been the shortest first-baby labor imaginable, barely a blink of an obstetrical eye. …Which is only true if you take in account that I was in deep, deep denial about what was happening until nearly the end. So while I want to include the week before, which now seems part of it, keep in mind that any sense of inevitability is strictly revisionist.

Since this is so long overdue, let's start with a little context, shall we? Y'all might have forgotten what brands of crazy I was.

Monday, 2/21: Week 37 begins. Sugar and I meet the pediatrician our friend has recommended, who holds information sessions for expectant parents on Monday nights. Sugar thinks she’ll be late because she’s coming from work; instead, she is on time and I am 20 minutes late because I’m too tired to walk there and the subway is all messed up. I use both hands to haul myself up the railings of the subway staircases.


Tuesday: Hahaha, Tuesday. That was a fun one. Crampy. Exhausted. I get told my insurance has been canceled. This is all my disastrously fragile mental state needs. (I’d forgotten how bad it was until I reread this post. Yikes.)


Wednesday: First cervix check. One cm dilated, 50% effaced. Or one of them is; Dr. Skinny claims only one is active, which she somehow knows without checking. I don’t argue, because ouch. Spotting afterwards and feelings of general emotional turmoil, such as always seem to accompany any cervix-poking. I trot out my fancy math skillz and figure I’ll be pregnant for another six and a half years.

I spent another hundred years on hold, trying to figure out what the hell is going on with my insurance, while I wander Target, looking for that dark-colored nightgown and robe they say you’re supposed to have for the hospital. I can’t find anything, which I figure doesn’t matter since I have another six and a half years to deal with it, and I can't bear the thought of taking off any clothes to try on nursing tank tops, so that will have to wait. I buy a pack of newborn onesies, since I’ve just found out that “newborn” isn’t the same as “0-3 months.”

I go to my last pre-term acupuncture appointment and plan to start the “preparing for labor” series in a few days. Oh, but supposedly my insurance is fine, no need to panic. (Aside: basically this same thing just happened to us again, only with Sugar’s insurance. And after the panic attacks and the insomnia and the endless waiting on hold, it turns out everything is okay, but I WANT EMOTIONAL REPARATIONS, DAMMIT. Or at least someone to really, thoroughly yell at.)

I am finally driven to drink.


Thursday: I visit Schroe and meet the illustrious Speedster, Speedy, and the whole marvelous menagerie. We eat cookies and drink tea while Speedy gives the dogs acupuncture treatments and exclaims over her new love of cooking dry beans. Speedy wins my heart by stating with absolute assurance that my didelphic tendencies aren’t going to be a problem in labor.

I spend 95% of the visit gawping at Schroe and internally (?) panicking. Look at the way she handles the Speedster! She knows what to do! She knows what he wants! She can nurse him and change diapers and everything. I have no idea whatsoever what to do with a baby, I realize. This is going to be a disaster. Also: they have a real washer and dryer! We just have a little washer that hooks to the sink, no dryer at all. We are so unprepared.

I spend the bus and subway ride home looking at the adorable newborn sized clothes Schroe has given us. At least the baby (Aaaahhh!! Baby! Aaaaahhhhh!!!!!) won’t have to be naked. There’s that.

I get home and the washing machine breaks.


Friday: We are having dinner guests! I drag myself to the hippie coop grocery — via subway and bus; the last time I tried to walk there and back, I couldn’t walk at all the next day — and undertake the first of what I plan to be two or three major stocking up trips. Two cases of cat food, that kind of thing. [Hindsight sez: Nesting. Check.] I assure my supervisor that I’ll be in for my next shift unless, haha, I go into labor. I look so pathetic when the cab arrives that the driver puts my bags in the trunk for me despite what I belatedly realize is a major hand wound. Blood is coming through the torn strips of cloth wrapped around his palm. Seriously: it’s like we’re in a movie about the Crimean War, shot in Park Slope. I tip well, at least. (I think. Car service tipping is confusing!)

On the way down the ramp of my building, my granny cart breaks.

In lieu of cleaning the house even a little bit, I collapse on the bed. Later, I stumble my way through a passable lamb tagine, and Sugar saves me from burning the couscous beyond recognition. I have to sit down a few times because of extreme, stabbing cervix pain, but that's been happening for at least a month. We show off our fancy stroller — the guests are the expectant parents of one of those aforementioned slightly overdue babies — and realize we don’t really know how it works. Suave. We show off the "nursery" and assure them there is a mattress in the crib, somewhere under all that junk. Good thing we have like 3 more weeks to clean up in there....

Better Living Through Chemistry

(It's taken me two days to write this, so the time references are all off. I know you don't care, but For The Record.)

This morning, during the twenty minutes that the Bean deigned to sleep not on me (not that it isn't adorable, but pretty soon I'm going to form adhesions to the Boppy and the couch) I wrote my GP a thank you note.

Now, I am southern and everything, but I am not that devoted to the note-writing -- I'm not caught up with the baby gift thank-yous (or COUGH the wedding ones) -- but sometimes it is just Called For. And now, a few glorious days into my new life as a person who doesn't spend six or more hours a day gritting her teeth and feeling her eyes protrude from the pain of invisible vice-grips on her nipples, now is one of those times.

In short: Nifedipine is amazing stuff. My GP rules. I am ever-more angry at Dr. Russian's nurse, the practice as a whole, and, sadly, Dr. Russian herself.

(Ha! I just got back from several hours outside, where I walked around pain-free in only a tanktop! I nursed outside, even, without agony! Yes, it's beautiful and warm today, but it is usually hot as blazes in our apartment at night, thanks to a very enthusiastic heater over which we have no control, and that never stopped my nips from seizing up for hours on end.)

In long: I started having vasospasms over a month ago. Or at least, that's when I realized I was having them. It took me a little while to sort out that pain from the typical surface pains of early nursing and the pinching of Mr. Crocodile-Jaws's lazy latching (corrected by the Hippy But Not Dippy LC), but those things don't turn your nipples white even when you haven't nursed in hours or leave you cussing like a sailor while clutching your chest in an attempt to warm them up through two layers of cloth nursing pads, two shirts, a thick sweater, a wool shawl, and a coat when it isn't even properly winter any longer. Once I figured out that's what they were, I told myself to be patient, that it was all due to an injury from a bad latch that was fixed now, that I was exaggerating. I also managed to repress that my mother has Reynaud's and that we both have migraine, which is related.

After a week, I called my ob's office and asked about nifedipine. The nurse called back, all patronizing and unhelpful. "Oh, we wouldn't do that." Why not? No reason, just vague admonitions about taking medications while breastfeeding. Use warm compresses. I am, I said, and it's not helping. Use warm compresses. I lost it. Not pretty. Crying. Raised voice. Accusations that they didn't care about my health -- I'm going to stand by that one. The fact is that they did not care enough to, you know, do anything about the quarter or more of the day (and I mean out of 24 hours) that I was spending in pain. Only it wasn't pain, I guess, since the nurse kept referring to it as "discomfort." (This is the same woman who, when Sugar called in to ask if we should go to the hospital and I was having a terrible contraction in the background, told her that I "needed to calm down." Because back labor is so much less painful if you're quiet about it. Very helpful bitch, she is.) She called back later, probably because I was so obviously enraged, said she'd talked to the doctor (whoever was in that day), confirmed that they wouldn't prescribe for me but here was the number of the LC around here who is also an MD...who doesn't take insurance (reprehensible) and who charges you to read her website (seriously).

So I wrote to the HBND LC, and even though it was Friday afternoon and she takes Shabbat seriously, she wrote back immediately with a number of suggestions. I dutifully added more horse pills to the supplement brigade (calcium/magnesium and oatstraw in addition to prenatals, brewer's yeast, folic acid, and vitamin D) and tried to soak my nipples in hot salt water (which is awkward as hell and just left me with a damp, salty baby nursing the non-soaking side while the first side went bananas the minute the air hit it anyway). I heated nursing pads in the microwave -- they went from scalding to clammy in a nano-blink -- and tried unsuccessfully to position a heating pad over the first boob without letting it touch the baby as he nursed side two, electric boogaloo. Eventually, I gave up everything but the supplements, dressing like a wrestler trying to sweat down a weight class, and weeping. I made extra-warm flannel nursing pads and layered them until I looked like I was stuffing my already ginormous bra. I tried not to scream at the baby for crying, although every time he did so, the let-down reflex made my nipples crush themselves. My efforts to avoid cussing while nursing met with mixed success. (Mother of the YEAR, I'm telling you.) I refused to leave the house.

At six weeks postpartum, I had my ob check-up, at which my mention of vasospasms was ignored. When, at the end of the appointment, I mentioned that I thought it would be nice if they made a postpartum phone call to check in before then, Dr. Russian treated me to a strangely vehement tongue lashing, complete with raised voice and pointed use of my first name. I was accused of wanting them to do things "no one" does, of asking them to follow up with the baby (which would have been strange, considering how many times we went to the Bean's pediatrician for weight-checks). It was strongly implied that I had called the nurse too many times, despite the fact that every call I'd made had been for something on the hospital discharge paperwork, like a high fever, UTI symptoms, and a large and terrifyingly hamster-like clot. She kept returning to the idea that "this" was a job for family -- "We're not your family, Bionic, we're DOCTORS" -- as if I'd asked for emotional support rather than medical help. As it happens, many of my family members are doctors, and try as I may, I can't imagine any of them behaving that way to a patient, no matter how pushy and crazy the patient was. It was horrible, not least because it forced me to admit that her similar behavior during labor wasn't clever tough love intended to motivate me but just plain emotional instability. Farewell, Dr. Russian. I liked your shoes and your sass and your meat obsession, but if you aren't family, I don't have to put up with that shit.

As a confident, independent, properly-raised woman, it pains me to admit what a funk that visit left me in, but there you are. More weeping, more telling myself that this pain was something I just had to deal with, that it wouldn't even bother a good mother. I wondered how soon I could give up breastfeeding without hating myself for doing so.

Eventually, my pissed-off, entitled side beat the weepy bit into submission. I read up on nifedipine and discovered that the bitchy nurse was full of shit -- it's perfectly safe for breastfeeding and plenty common enough that problems would have turned up by now. Even the NIH thinks so, and they don't even think you should take aspirin because your baby might magically get Reyes Syndrome from the teensy bit that gets into your milk (not to mention that the Reyes/aspirin connection is not actually that convincing, says my father, whose field this is, after all). I trolled PubMed -- and yes, I will totally be using this as an example of why my students should PAY ATTENTION on the days we spend in the library, learning database searching -- and found several articles to the effect that Reynaud's of the nipple is real, is serious, and ought to be treated, if only because it hurts like hell and will keep people from breastfeeding. (I suppose it is too much to ask that it be treated just because it makes the mothers' fucking nipples fucking hurt, regardless of whether it might mean the babies get formula and therefore become dyslexic, asthmatic axe murders.)

I called my GP, whose receptionist told me to talk to my OB, but she agreed to see me anyway. (Meanwhile, Sugar went to see her ob/gyn, who asked after me. When Sugar mentioned the vasospasms, she said, "Why isn't she on nifedipine?" She assured Sugar it was very safe and said I should come see their practice if the GP didn't prescribe it. I had wanted to go to that practice in the first place, but they weren't accepting new ob patients when I got pregnant. Now that I'm a plain old gyn patient again, though, I am so there.) At the appointment, my GP listened to my description and the logic of my self-diagnosis and asked, "is there a treatment?" I trotted out my notes; she copied down my citations and wrote me a scrip for the dose I had found in the articles.

Sugar and I go to the same GP, and at times we have wondered whether her willingness to put us on or take us off of drugs we ask about means that we like her for the wrong reasons, because she does what we want rather than saying no. But really, why shouldn't she? We don't come to her with frivolous or dangerous requests, for one thing, but also, shouldn't we have some say in our own healthcare? If I want to try a drug that won't hurt and has a good chance of helping, maybe my desire (and pain) should be important enough that my doctor is willing to learn something new. My GP didn't do anything Dr. Russian couldn't have done. Even if Dr. Russian and her practice do not generally treat vasospasms (which, PS, they should -- 20% of women in childbearing years have some version of them), she could have listened to me, read the journal articles and/or consulted with colleagues, and done something to help, instead of turfing me to another doctor (on my own dime, too), and blaming me for needing help. As a child of doctors, I've spent a lot of my life arguing with people who claim that all doctors are arrogant. Besides my own family members, I grew up surrounded by doctors, and most of them were more like my GP than not. Most of them were like my father, who works insane hours seeing patients with tricky diseases, dictates notes late into the night, goes into the hospital every weekend (which requires sacrifices from families, too -- no camping trips or even full Christmas Days together), and still finds time to listen to his patients and their parents and think more about their needs than his ego. It pisses me off to no end (though I will end this post someday, promise) when a doctor acts like such a stereotype.


Enough ranting for the moment. The nifedipine is wonderful. The Bean is wonderful, too. He's smiling more and spending a higher proportion of his waking hours not screaming. We take baths together every night, which I love -- I haven't had a good bath buddy in 25 years. This morning, I think he really saw one of our cats for the first time. I'm so happy to be out of pain and able to focus on having a good time with him and bombarding my friends and family with pictures of his every move. Since you've been so good as to suffer through this interminable post, allow me to bombard you:

Quick Questions

Hello, internets. I owe you a post or ten -- or at least some pictures (I got one with a smile yesterday! A smile!) -- but as I am typing one-handed, marooned under a finally-sleeping Bean*, I must beg your continued patience. However. I am seeing my GP tomorrow -- one of the stories I owe you is "In Which I Realize I Must Break Up With Dr. Russian" -- and, being sick to death of being in pain and (horrors!) losing precious sleep over this vasospasm business, I intend to talk to her about trying a low dose of Nifedipine (see here). She isn't likely to know much about it (as this is more in the purview of obstetrics, but See Above), but I've poked around PubMed and, since I'm already taking a large handful of supplements from the hippy-but-noy-dippy LC and doing everything else suggested in the article**, I think it's time to try it. I'd like to come to the appointment as educated as possible.

Right. The afforementioned Questions:

Any of you spasm-y sorts ever look into Nifedipine? Your thoughts appreciated.

Less pressingly but also of interest: What did your ob/midwife/Very Surprised Cab Driver do in terms of post-partum care -- appointments, calls, what-have-you?

And while we're here: 13 nursing sessions a day? Is it possible The Bean thinks he's a marsupial (as, in fairness, my mother says I did)?

*oh. He woke up. But he is nursing the non-typing side first. Score!

**except giving up my one daily cup of coffee, which, dear God, is an unacceptable request to make of a new parent, particularly one who is losing sleep above and beyond the usual and whose offspring refuses to sleep in the day except on her body or in a rapidly moving stroller near heavy traffic, making her own napping a difficult not to say dangerous thing to attempt. Next person who tells me to sleep when the baby sleeps gets stabbed right in the eye.

Happy Spring

...from a boy who has returned to his birthweight and a Mama who is beginning to have color in her cheeks again.



Now we are sprung from the pediatrician's until the Bean's two-month appointment, and we can concentrate on the more fun aspects of parenting, like the veritable poop fountain that erupted out of the bassinet yesterday. Bellagio's got nothin' on our place, I tell you what.

Well, Sort Of

Bunny asked to hear more about how breastfeeding was going well, but sadly, I guess it only sort of is.

From the perspective of my little world at home, it is going well. The Bean has gotten better at latching, my right nipple no longer feels (and looks) sandpapered, I have gotten well enough myself that I can nurse sitting up without passing out (the nurse at the hospital told me this was because the oxytocin -- which, paging Dr. Freud, I continually write as oxycontin -- was filling me with "feelings of well-being." I thought it was my crappy hematocrit and low blood pressure, but I do not have a medical degree.) and we've figured out a lying down method that works for all participants. The Bean nurses on a somewhat intense schedule but takes long-ish breaks at night, so we're even getting far more sleep than we have any right to. Now that my nips are no longer so scabby, I'm even enjoying it at times.

...and then we go to the pediatrician. The Bean, you see, is rather wee. Not compared to pre-termers, by any means, but still a bit small. He was born at 6 lbs 1.5 oz, having decided that he had met the terms of my "over 6, under 9" chanting and, at exactly 38 weeks, my full-term request. By the time we were at the pediatrician on day 3, his weight had dropped to 5 lbs 5 oz. Perfectly normal, which didn't stop me from bawling uncontrollably in the exam room. My milk wasn't in, and while colostrum is said to be just chock full of magical stuff, that stuff ain't calories. The pediatrician, for whom we will have to find a nickname shortly, mentioned something vague about supplementation and lactation consultants, but wasn't too worried, as long as we agreed to come into the office every day until he regained his birth weight. Stay in bed, she said, and nurse him every hour or two. He refused to eat that often, but my milk came booming in that afternoon, and the next day, he weighed 5lbs 7 oz. Success! Keep doing what you're doing, she said. The following day, 5 lbs 8 oz. Come in on Monday, she said. I bet he'll be back at birth weight already.

Or not. After a weekend of furious nursing, better latching, more diapers, and so forth, he had held steady at 5 lbs 8 oz. Come back Wednesday, she said, and why don't we time the appointment so you can go to the lactation consultant group session afterwards? Two more days of furious nursing; 5/8 again. I cried all over the LC, who was not at all dippy and who, despite her wig and frum dress, later laughed when I said that given my choice of partner, I wasn't worried about using breastfeeding as birth control. She evaluated his latch and showed Sugar exercises to improve it. I nearly passed out in the group session, in a combined assault of low blood pressure and what proved to be the violent chills of a fever that lasted the rest of the day. I also nearly died of my jealousy of the other woman there, so hale and hearty with her 8lb baby, especially once I found out she had given birth after me. Why was I shaking so hard I was afraid I'd drop the Bean while she was sitting there looking only a little tired?

Back home, we practiced those exercises and nursed even more. Surely, there was a little more of a double-chin, a bit more flesh under those arm creases. Nope: 5/8 again today. And so the Bean came to have his first mouthful of formula and I came to call the doctor's preferred LC and subsequently to break out the pump rather earlier than I had hoped. And I hate it already, for the record.

Part of what's so frustrating is that when we're all at home, everything seems fine. He eats what seems like a zillion times a day, he pees and poops enough to keep the diaper companies happy, and so on. And then, every two days, we go in for what feels a very aptly named exam and find that we still aren't passing. We go home, study some more, work still harder, and think this time we might pass, but we don't. And we don't even know we're not going to pass until we're there. (I know some of you are seeing the parallel to follicle checks, right? And conception in general -- only this time I'm responsible for two bodies that, between them, aren't doing it right.)

Speaking of my body, that's another thing that's well, sort of. I'm doing better than I was -- I'm sitting up to type this, for instance, and today's attempt to take the subway to the pediatrician was successful (Wednesday I had to take a car home) -- but walking up the ramp to our subway station still left me light-headed. The OB nurse says I just need to drink gatorade. I'm a little tired of the OB nurse, frankly. Luckily, Sugar has been feeding me plenty of beef, which is, I think, a bit more to the point.

The silver lining of my being so wiped out is that I haven't so far experienced any of the sense of possessiveness of the baby that other bio-moms have reported. I'm so glad when Sugar can take him from me, because I need the rest and he's with his mom. I was overwhelmed with jealousy the first time we took the subway together, I admit. He was strapped to her chest, and people kept gasping over how tiny and cute he is, while I limped along ten feet behind like some troll aunt. That was no fun. Likewise when we went to the taco place around the corner for lunch last weekend and, as they left to go on to the botanic gardens and I began to lurch homeward on my still-unhinged hips, the pair of cops who'd just cooed over the baby saw my swollen belly and said, "You're next!" It did sting to be still so wrecked from labor and be invisible. (This interaction occurred more than once that day, and when I'd say I'd given birth to him, the follow-up was always, "You had a c-section?" Apparently vaginal birth is supposed to leave a person nimble and sprightly. I'll note that if there's a next time.) But none of that has made me feel possessive, per se, just ready to be healthier, so we can all three walk together.

As your reward for reading this far, here is a picture of my favorite bit of the Bean's hair, the hurricane cowlick on his forehead. I imagine it will fall out, but I hope it will take its time:

Resolve

Update: 1-minute contractions every 10 minutes from 4am on. They start in my back, then come around to belly and shoot down legs. Maybe a bit more frequent now.

Talked to Dr. Skinny late last night, because I didn't understand that this blood business was just going to go on and on (intermittently). Frankly, she was kind of a bitch about it. Poop on her. (Actually, if she ends up at the delivery, perhaps the opportunity to do just that will be the silver lining....)

So, FYI, since all the books and stuff just talk about "blood-tinged mucous": apparently if your bloody show looks like a heavy period and the doctor says that's okay, you should not expect it to stop.

I don't know if this is early labor or pre-labor or what, but I do know that whatever it is, it is not shaking my resolve vis-a-vis that epidural. Just for the record.

Reports of My DOOM Greatly Exaggerated

Good things happened today:

I took another look at those stretch marks. They haven't disappeared, but they aren't as bad as I'd remembered, either. As no one has ever thought my stomach was my best feature, perhaps I can Build A Bridge And Get Over It.

Following another 45 minutes listening to the same "song" on hold (I like synth glockenspiel and rhythmic static as much as the next lass, but I do wonder how much my tax bill would have to rise in order for buy them more than a 4-minute loop), today's phone agent says, no, my insurance isn't canceled, everything is as it should be, why would you think otherwise? I guess yesterday's report to the contrary was just a stress test of my cardiac function.

Cervix check was not super-fun but not really that bad either. And did you catch the use of the singular there? Dr. Skinny only checked one. I tried to figure out if she knew there were two without actually accusing her of not reading my chart. She said the Bean is pushing mostly on one -- as in my fondest hopes, as that is the way it needs to go for a vaginal birth to work. I'm a little skeptical that she could tell without checking both (they are *very* close together, unless pregnancy has changed the geography of my ute a great deal), but not nearly doubtful enough to have insisted she dive back in. It did hurt a bit, and I spotted quite a lot afterwards and am still a bit crampy (though that is likely partly because of wandering aimlessly through our mostly-useless Target while on hold), but on the whole it was much better than I'd feared.

Dr. Skinny says I am 1 cm dilated and 50% effaced. I know that can last for weeks, but I feel hopeful that my body is doing things on its own. I figure if 1 cm took 37 weeks, I should only be pregnant for another six and a half years.

The fruit stand lady on my way to acupuncture let me choose my own banana. That never happens. This is totally a pregnancy perk, as was the lady at the post office being nice to me. (Note: this was not my local post office, where I've had an employee threaten me physically; this is in a much nicer neighborhood. If it had been my post office, I would just assume I had slipped into a coma or was otherwise living in a dream world.)

The White House seems to have located their collective gonads. (Just as the legislative branch loses its mind -- Keiko has done such a fine job on this one; you should just read her post. I do not have her knack for explaining why this matters without insulting or enraging those who disagree with me.)

Finally, I have decided that I am having my own glass of wine tonight, dang it. Down with quests for perfection, up with rationality. Aside: I don't really mind not drinking per se, but I find it enraging to know that no number of studies showing that doing so is okay this late in the game will ever change the medical recommendation that the preggos OMG STOP KILLING UR BAYBEES WITH TEH DRINKKIN. 'cause if you give those ladies an inch...well, it's just Exhibit Z in Women Cannot Be Trusted With Their Bodies (see above). Whither science, I'd like to know.




Thank you for your hand-holding and other comments on yesterday's post. Much food for thought. As soon as I locate my brain, I will have to get on thinking about it all more.

Lucky Me

This was going to be a nice, neurotic little post about how I'm freaking out about the idea of having an actual baby in the house, how I still can't wrap my head around the idea, all that sort of thing. With some weepery about newly-discovered stretch marks thrown in, for spice.

But I just got off the phone with the Department of Civil Service -- I have been working for the state -- who told me that, contrary to what I'd been told by my own HR department, my insurance was canceled at the beginning of February. Not March. Close observers will note that it is FUCKING LATE FEBRUARY ALREADY. WAS ANYONE PLANNING ON TELLING ME THIS INFORMATION AT ANY POINT?

I am hopeful it will get resolved quickly and only require me to resubmit all my bills for this month or that, worst case, it will become clear in time for me to retroactively join Sugar's insurance, which was the plan for March (but costs more than mine -- let's not even get into the extra month of imputed income taxes, fuck you, DOMA -- and so would be nice to avoid as long as possible). Of course, that isn't even remotely the worst case.

Also, I am not going to insert the boilerplate here about how grateful I am that I can get on Sugar's insurance, because dammit, we're married, and having that relationship recognized in basic ways shouldn't be something we have to say "thank you" for every time.

Ahem.

Now do you want to hear about my stretch marks? Sure ya do.

They're on the part of my belly below my navel, which I can't even see in our one full-length mirror (which I rarely look in, as it isn't in our bedroom) without the extra effort of hauling my belly up to look. Consequently, I didn't see them until today and was blissfully ignorant of any marks other than the almost-cute dots over by my hips. Apparently, they've been there for several weeks. I am not best-pleased, although I know that's irrational. Partly, I don't like how they look (vertical, purple, angry); partly, it's unnerving to find out that I don't even know what's happening to the front of the outside of my own body.

(You'd think I'd be used to the idea that I don't know what's going on with my body by now, wouldn't you? What with the endometriosis and the cyst-riddled ovaries and the surprise cervix? I guess I don't learn.)

You might also think -- or hope, at any rate -- that I could be classy enough not to complain about stretch marks, sore hips, and exhaustion, given my great luck in being pregnant at all. Even if whatever the Bean is doing to my cervices does make me wonder at times whether we're having a unicorn, whining about it isn't seemly. I realize that.

As long as we're on unseemly topics, might as well go for broke:

I haven't been very interested in narrative in the past few months. I haven't wanted to watch movies and, very odd, I have scarcely been reading. (And I am always, always, always reading.) I couldn't figure out why until the other day, curled up on the couch with Sugar, watching something perfectly innocuous. Without realizing it, I had slipped into that state where you are so immersed in the story that you forget you exist outside of it. I love that feeling. More than anything else, that's what I read for. It is so freeing to forget myself for a while.

And then the Bean started kicking. And I jolted back to myself, immediately into a state of anxiety. It was like that moment when you wake up...and then remember you have an exam or a funeral to go to, that you got bad news yesterday, that the world has weights for your shoulders. Every time this happens, it takes a few minutes to calm myself back down, to remember to not be scared about the approaching unknown -- or at least try not to be scared. The truth is, I am pretty scared. About labor, yes; but even more about what comes next.

I am terrified at the idea of this baby actually being here. What was I thinking? What if it's all a terrible mistake, this parenthood thing? A bit late for cold feet on the subject, I know. And of course it is only part of my brain that's terrified -- much of it is excited and (guardedly) happy -- but boy is the scared part loud all of a sudden. Despite the very deliberate nature of all this, despite having pictures of the Bean as a blastocyst, for heaven's sake, I often feel like I'm having one of those dreams where you are suddenly in labor, never having known you were pregnant, and you're trying to figure out how this happened.

The IF-style kicker to all that, of course, is how damn guilty I feel for ever having thoughts like that, for ever allowing something other than pure gratitude into my heart. The sucker punch is knowing how deliberate all this was. We conscious conceivers -- lesbians, IFers, that sort -- talk a lot about how whatever situation has made us unable to have children easily has the silver lining of making us sure we want them, careful in our decisions, grateful in our parenting. To some extent, that's true, I think. But right now I am a little envious of those people who are surprised by pregnancy, who get to react it and know they are doing the best they can, rather than always knowing the decision was intentional and perhaps sometimes fearing that their choice was not the right one.

But, right or wrong, what is there to do but go forward in faith that it will all work out?

With that in mind, we have ordered a mattress for the crib. The stroller (so expensive and trendy that we won't discuss it, but I love it and am telling myself that it's a lot cheaper than the car we don't have) came in the mail today. Last night, we went to meet the Bean's probable pediatrician, whom we liked a lot. She recently parted ways with her practice partner and opened a new office next door, I assumed over something mundane like money disagreements. But from the way she talked last night about the search for new partners, for "more intellectual doctors...who like to discuss medicine," I wonder if there isn't a more interesting story behind the split. As you might imagine, I prefer intellectual doctors myself, and I'm happy to have found her.

I almost wish, seeing how small her hands are, that she were my doctor. Tomorrow brings my first cervix check, which I hear is a barrel of laughs. To answer the question on everyone's mind: yes, just as with pap smears, I get two. Lucky, lucky me.

Notes from Week 36

Item: Thank you for the nice comments on Sugar's painting. The likeness is a tad off, but the boobs are exactly accurate. Um, Sugar? My face is up here.


Item: We had our last growth scan on Monday, and all is well. As Sweet Sonographer covered my midriff (sounds too cute...mid-raft?) with icy glop, I said lightly that she ought to make them buy her a fancy glop-warmer, like they have over at the high-risk place down the block. "Oh, I do have one. It's over on the counter."

I still love Sweet Sonographer, and it was cute that she tried so hard to find something adorable for us to see at this scan (we settled for hiccups, since the Bean's face/dragon snout was obscured by its low position in my pelvis), but I must admit that her halo is a bit tarnished by this revelation.


Item: According to the u/s, which I understand has a remarkably enormous margin of error, the Bean weighs in at a respectable 5lbs. 7oz. at 36 weeks, which means it's been listening to my chanting "over 6, under 9" at it. Good Bean.


Item: It has recently come to my attention that "0-3 month" size clothes (of which we have a respectable number) are not the same as "newborn" size clothes (of which we have none). What the hell is 0 months if not newborn? Do we need newborn clothes? How in the hell is a person supposed to figure these things out, anyway? And what hope have I of managing the actual work of raising not killing a baby if my limited brain power is being wasted on stupid clothing sizes?


Item: Thanks to Schroedinger, there are at least some diapers in the house. Lord knows if they're the right size, but diapers I know where to buy.


Item: Group B Strep test was also Monday. The GBS test involves a vaginal and anal "swab," which caused me much worry on Sunday, as Sugar had celebrated Valentine's Day early by giving me the GI bug she'd had on Saturday. (Sub-Item 1: despite what you may have assumed, bouts of diarrhea are emphatically not improved by having someone kick at your intestines throughout. Sub-Item 2: Nor by things-we-are-not-calling-hemorrhoids.) I needn't have worried. I scarcely noticed the butt part, so distracting was the vaginal aspect. "Swab" might be better described as "vigorous scrubbing with what appears to be an old mascara brush." "Just wait until the cervix checks," said Dr. Russian, with an evil grin.


Item: Dr. Russian loves shoes. On Monday, she was wearing black patent leather platform stilettos with wide ankle straps. They did complement the mood, I must say.


Item: I will not be in pretty shoes any time soon, as it's all I can do to waddle around in clogs. Speak to me not of stairs, either. I am even taking what elevators (not enough!) exist in subway stations, despite the aromas inherent in that process. Today, an old lady cut me in line for one, forcing me to wait for the next round. It was a blatant cut, too, no simple misunderstanding. Those hooligans think they can do whatever they please, all tricked out and speedy with their canes.

A Confession, A Rant, and The Rest

I keep thinking that if I wait, all these things in my head will coalesce into a real post, but it isn't happening. So here comes a big mess. If you'd prefer not to see a bunch of mental clutter, here is an alternate post for you:

What should we be registering for that we've forgotten? Discuss.

Still here?

Okay then.

First, the confession part. It concerns birth stories. Yours and yours and yours and probably yours, too. Your amazing, beautiful, dramatic, powerful birth stories that you put so much care into and that I never comment on, even though I read them again and again and again. Even though I can see page after page of comments making it perfectly clear that all I have to do is say, "Amazing! Beautiful! Congratulations! Thank you!" and my work will be done, I don't write a thing and (if you think about it at all) you must assume I don't read them, since half the time I'm writing a novel in your comment box. I hope that doesn't hurt your feelings.

The truth is that I don't comment because your stories scare the ever-loving crap out of me. Half the time I have to have a little meltdown after reading them. The other half the time, I have the meltdown while reading them, to save time. I know enough to know that I shouldn't say *that* in your comment box -- I am hopelessly self-centered, but I am aware, in a conceptual way, of manners -- and for some reason I can't bring myself to say anything else.

So now you know. I read your story -- and yours and yours and yours -- probably more than once. And I was glad it was there to read, because I am an emotional over-packer, and I know that stories help me. So please accept my inadequate thanks for writing yours.


Two, the rant part.

Dr. Sears, please go fuck yourself sideways on something pointy.

Ahem.

Maybe I should start by talking about Wednesday's birth class instead. This week was "Interventions and Things that Can Go Wrong," and I have never been happier that we picked this class over the others we were considering. Although most of the class (at least the ones that talk about it) seem to be planning for unmedicated births -- at least half of them in the local birth center rather than a hospital -- and although the previous three classes have been all about non-medical ways to deal with contractions and so forth, both teachers were calm and even-handed when talking about monitors and epidurals and all that. One even went so far as to suggest that even though lots of people love The Business of Being Born, that possibly it had gone a tad far in its excoriation of pitocin. [Holy Moly -- I just went to youtube and watched that part, since I've never seen the movie. Heart now racing. Talk about your scare tactics! What the hell is up with that cartoon?] Our favorite teacher talked about a patient of hers who had apologized to her when requesting an epidural and told us in no uncertain terms that she did not disapprove of that decision. The only editorializing -- and it was announced as such -- was a plea to please not ask for an induction for a frivolous reason, which seems pretty sound.

When we were shopping around for birth classes, I wrote to various teachers and explained that, due to the double-cervix situation, I am at a higher-than-average risk of needing a c-section, and that it was important to me not to set myself up to think of a vaginal birth as successful and a c-section as a failure. One of the major reasons we chose this class is because I felt good about the teacher's response, and last night bore that out. The whole course has been about letting your body do its thing, asking doctors and midwives for all the options, etc. Our classmates are not the elective c-section type -- if they were, they wouldn't be in this particular class. But who can predict what will happen in labor? I loved that the screen of notes on c-sections began with "C-Section: An amazing, life-saving procedure" (or words to that effect).

None of that stopped me from weeping through the discussion of how emergency c-sections worked, of course. Possibly I have a little hangover from all the furious speed of egg retrieval day. We learned that, in the event of an emergency, the surgical team would work efficiently and fast, "just like NASCAR." I can only hope the OR isn't covered in logos for Laughing Clown Malt Liquor.

The whole evening, I was impressed with how calm and open the teachers were, talking about things that probably weren't on their ideal birth list when they decided to become midwives. I'm sure they knew that the Other Pregnant Lesbian and I have been comparing notes on epidural policies at the hospital we're both going to, because I have a nasty habit of being that person still shouting as the room goes quiet after break, but neither had anything especially bad to say about epidurals during that section of the class. They passed around an epidural catheter so we could see how slender it is and explained how to keep changing positions even with one in. It's almost as if they meant it when their response to my email said their goal was,

"to offer childbirth education that focuses on making your birth experience a satisfying and joyful entrance into parenthood, no matter what twists and turns and challenges you face, no matter what your personal desires and goals."

Go figure.

And then there's Dr. Sears.

An old friend sent us a box of baby-related hand-me-downs recently, including the Sears' Pregnancy and Birth books. I tend to agree with Dr. Sears on about 80-90% of things, and find the other 10-20% hopelessly nutso, but I decided to take a look. In a bookshop, early in the pregnancy, I'd been very impressed with how calmly and thoroughly he dealt with first trimester bleeding -- most books just say "well, it might not be a miscarriage, but PROBABLY IT IS" which is silly considering how common it is -- and rather turned off by his section on weight gain, which took the usual tack of assuming you are just itching for an excuse to become morbidly obese and added the nicely tuned guilt trip of "plus you are making your baby fat, you lazy cow." But free is free, so what the heck. I turned to the birth stories section.

The stories themselves are what they are. Only one of them makes me actively gaggy. It is an induction story, and the second paragraph begins, "Dad likes having a baby this way." (I'm all for having both partners involved and everything, but I've already told Sugar that any statements like that of the father Dr. Sears praises for saying "we had a vaginal exam" are...unwelcome. Unless she's up for hopping in the stirrups alongside me for moral support.) Okay, I also want to do a consciousness-raising session with the author of "I Witnessed Myself Become A Woman -- VBAC Water Birth," but whatever.

Dr. Sears is a proponent of "natural" childbirth, by which he means no drugs. (I hate that term, personally -- it's a bit of an emotionally loaded dichotomy for my taste -- but whatever.) I'm a proponent of letting women decide for themselves what they do and don't want to be part of their birth. This is where we diverge. I expected that, but I didn't expect quite the level of paternalistic bullshit found in the commentary on the birth story of the Woman Who Dared Ask For An Epidural.

"A Medically Managed Birth" is about a woman whose doctor tells her to go the hospital when her water breaks. Ten hours later, she gets some pitocin. Some time after that, things get intense and painful, and she starts to feel hopeless. She can't concentrate on the baby, only the next contraction. She requests and gets an epidural, feels confident again, promptly dilates to 10, pushes the baby out -- able to concentrate on it again, rather than pain -- and feels happy about it.

How dare she! Incredulous, Dr. Sears, et al., "interviewed her about whether or not this style of birth ["American"] left her "less fulfilled" as a woman." Rude much? She says no, on the contrary, she feels great about it. "

There was no doubt in her mind that she gave birth, and the fact that she didn't experience the intense sensation of a drug-free birth did not lessen her fulfillment."

Mother gives birth to healthy baby, isn't hung up about it; everybody wins, right? Wrong. Dr. Sears goes on to remind us that she didn't have the chance to have natural, gradual contractions -- okay, fair enough. Everyone says pitocin sucks like that. It's the closing that pisses me off:

"We wonder whether her Lamaze instructor mentioned the importance of taking the contractions one at a time [...] thinking of the baby, not the next contraction."

I'm going to go out on a limb and guess the instructor did mention that, since the mother mentions the loss of her ability to do that after...chronology is a little unclear, but at least 12 hours, probably quite a bit longer. Maybe, just maybe, she was trying to do that and it was too damn hard. So she should have what, tried harder? What is the big fucking problem with an adult making a decision to use a very safe drug to lessen pain? Labor pain may be "pain with a purpose" or whatever, but so is the pain of passing a kidney stone, and no one talks about how virtuous people enjoy that.

I in no way mean to denigrate women who choose to give birth without painkillers. I really, really don't. But I think that the important thing is that the laboring woman -- not some moralizing jackass judging her story later -- makes that decision. There's so much B.S. out there about epidurals -- most of which was either never true or hasn't been true in 25 years -- that the last thing I consider acceptable is telling a woman with no negative feelings about how her birth went down that she should feel bad.


You are all such clever people that you no doubt figured out 20,000 words ago what this post is really about: my fear that you'll think less of me if/when I get an epidural. Even that "if" was a pretty big lie -- birth is unpredictable, but the epi is in the plan, for sure. I've done my research, and I feel good about it from a scientific perspective: one reason I'm happy we're going to Kips Bay Mega Hospital is that their epi policies are excellent. (OB anesthesiologist on 24/7. Standard use is light-dose, patient-controlled, which all the studies agree is the way to go in terms of pain relief and side effects if you have the staff. The intent at least is to keep the dose light enough that patients can go to the bathroom themselves. No "window" -- you can have one whenever you want and the OB thinks is okay; Dr. Russian says I can have one now as far as she's concerned.) If the cervices don't behave and I need a c-section, I'd just as soon already have the epi in, and if not, I'd rather not be feeling every bit of my septum breaking, which it may well. Even without those special circumstances, useful as they are for shutting down any "your birth will be fine because mine was" stuff, I think I'd be leaning this way. I've experienced plenty of severe pain in my life, what with the migraines and the endo/GI situation, and I haven't noticed anyone giving me a medal for the times I've done so without painkillers. Other people have had worse pain than I have and make other decisions; that's okay. I'm okay with being a wimp on this one...

...as long as y'all will still be friends with me.

Tales from the Front

Hi, folks.

So much has been going on, and I haven't managed to tell you any of it. Mea culpa. Today's update post comes to you from the couch, where I am staring over the horizon of an empty ice cream container and into space (such as it is in an NYC apartment), worn out from a 12-hour weep-fest. (We'll get to that, but please don't worry -- everyone is healthy if not happy.)

Here are some updates and stories for you, in this so helpful style I have shamelessly plagiarized from our* May:


Item: Christmas, New Years, and the Great Middle Western Odyssey in general went fairly well. We met the famous TA, as sweet as they say, and her happy mother. I threw caution to the wind and ate my annual bratwurst at the Christkindlmarket. We went swimming at Sugar's mother's health club; after looking forward for months to the experience of grace and support I keep hearing about in re: gravid paddling, my attempts to avoid further rib injury lead to a kind of aquatic lumbering down the lane with a kickboard, a foam noodle under my ribs, and a foundering midsection intermittently covered by an old exercise top with shot elastic. Sadly, the ribs got angry anyway, possibly because of the indignity of being seen with me.


All the Grace of a Foundering Tugboat

I steered clear of Sugar's dumbest cousin on Christmas Day -- though I still managed to hear her dumb husband (whose last name is a synonym for "detumesces," which gives me great delight, even if detumesce isn't a real word, which it probably isn't) threaten to spank their child for...oh, I forget. Something dumb that all 10 (10!) kids in the house that day were doing, like being loud. So no stories for any of us there.

To celebrate arriving at my parents' house, I got a rip-roaring cold. After a day of utterly failing to breathe, accidentally overdosing on my inhaler, and subsequently freaking out about killing/brain-injuring the Bean, I was saved by Sugar's suggestion that codeine is a fine anti-tussive. My parents' house could easily be mistaken for a well-stocked pharmacy, and codeine not only stopped the coughing but also made me stop wheezing/turning blue. Mama made Dada listen to my lungs with the chimney of an oil lamp, since he had left his stethoscope at the office. I tried to teach Mama to cut and paste, so she'll stop sending me emails with instructions on how to google something she's found ("put X in. now go to the 4th result. in the corner, there's a drawing of a fish. under that, there are some words you can click on....") and instead caused a fight over dinner. We (98% Sugar) made a play-quilt. I was given (not "gifted," dammit) replacements for the water bottle and good gloves I've recently lost on my commute; I promptly lost my best wool shawl on the trip home.


Item: We returned home to a house empty of food and full of cats very pleased with the success of their efforts to drive away our vacationing guests (the Baking Dane's in-laws) by pooping all over their and our belongings. I walk the mile to the grocery store (over mostly-cleared sidewalks), discovering on the way that all that lying around in the midwest while steadily increasing in size has left me woefully out of shape for our car-less life. When I arrive at the hippie coop, I have a stupid exchange with the pregnant idiot working the front desk (this is the kind of coop where you work a shift to secure your right to Waldorf-educated kohlrabi) over her refusal to ask those working with her to rearrange the heavy carts (used to walk home shoppers who live closer than I do) so that those of us who schlep our own organic flax milk can hang our granny carts on the appointed hooks. Another woman sweetly takes my cart from me and says she'll fix it. While I am recovering myself (read: weeping in the corner by the signs about how evil Coca-cola is), Pregnant Idiot calls over to tell me it's done. I say thank you and think humiliated thoughts. On the way home, I get stuck in a pile of slush in the middle of a busy street at rush hour, oncoming traffic surging at me. Good times.


Item: We begin birth classes with the lesbian CNM and her somewhat dippy co-teacher, who keeps saying "dilatition." We are pleased at the first meeting to see that we know one of the 7 couples there: an extremely chipper lesbian and her partner, who has a very charming lack of filter between her brain and her facial expressions. I enjoy watching my own horror reflected on her gaping face all evening.

The class begins with introductions. We are all (partners/husbands/friends, too) to say our names, when the baby is due, etc., and tell a story about our birth knowledge/experience -- a birth we've been to, the story of our own, what have you. When the talking beanbag (not kidding) comes to us, Sugar goes first.

SUGAR: "Hi, I'm Sugar and this is my wife, Bionic. Our baby is due in March and we're delivering at Kips Bay Mega-Hospital. The story of my birth is that my mother gave birth in 45 minutes and is still mad that all she got for dinner was a ham sandwich."

DIPPY: "Wow! That's amazing! How lucky!"

SUGAR: "Yeah. Too bad I'm not related genetically to our child."

DIPPY: "But you're related to your mother!"

BIONIC: Yes, but not to our baby.

DIPPY: "But your hips! You'll have her genes! This is great!"

BIONIC: "BUT SHE'S NOT PREGNANT."

[Awkward pause, in which DIPPY flusters about how she couldn't really see us where we were sitting. Lesbian Teacher looks long-suffering.]

BIONIC: "Hi, I'm Bionic. My mother did not give birth in 45 minutes."

I then proceed to talk about my (not un-traumatic) birth, touching briefly on a few major anxieties. I do not cry, but I don't look calm either. Before I have collected myself, The door opens and the late couple walks in. If you've already guessed that the late couple was Pregnant Idiot and her identical twit of a husband, full marks.

Watch this space for further reports on the Happy Couple, who remind one nauseatingly of high school. Highlight of the first night came during one of the activity portions, when we were all draped on one another practicing slow-dancing to loosen back, etc. Sugar is admirably taller than I am, so my face was nicely snuggled against her chest, my eyes closed. I hear a *SMACK* on the Happy ass next to me, followed by "THAT'S a BOOTY!" Gorge rises.


Item: I begin to worry more seriously about this whole birth thing. I spend much of birth class freaking out (internally -- at least I think I didn't look as horrified as the Other Pregnant Lesbian, since the Lesbian Teacher never stopped what she was saying to ask me, "Do you have a question? Or is that just the face?"). It's all very well learning about what the cervix does, what the birth canal will do, and so on, but while I don't really wish to share the idiosyncrasies of my lady bits with the class as a whole -- Lesbian Teacher knows already -- it's frustrating that no one has a clue what my body might or might not decide to do when the moment arrives. I have found 3 anecdotal reports of cervices like mine: one reassuring, one cautionary, one horrifying. (There's much more out there on UD, but officially, single utes with double-doors do not exist, as we contravene the prevailing theories of fetal genital development.) I'm increasingly despairing that a vaginal birth will even be possible, which makes this all seem like something for other people. I know there are good reasons for us to take the class anyway, but it's still a bit hard to sit there and look like I believe this stuff will apply to me.


Item: Dr. Robot has quit the practice and returned to Canada, according to Dr. Sympathetic Noises (But No Answers To Your Questions), whom I saw last week. I was quite nauseated and asked Dr. Noises whether it could have to do with the Zantac I've been taking for reflux, given that it seemed to have coincided. No, she said sympathetically. Later, I asked Dr. Google, who reported nausea as the most common side effect. Back to pepcid, and it's a more acidic but less queasy life for me. Nice work, Dr. Noises. Thanks also for refusing to answer my questions about your practice's labor policies until week 36.


Item: We finally have our belated hospital tour, led by a horrible, scolding bitch. We chose this hospital largely because of how uncommonly NICE every staff member we've encountered, orderlies on up, have been over the course of several radiology jaunts, Sugar's surgery, and my BFF's terrifying 27-week bleeding incident while visiting us a few years ago. So we weren't expecting one of those bitter, angry people who loudly pretends to be cheerful while referring to all non-pregnant parties as "Dad," kvetching endlessly about why her department deserves more space than another, and generally yelling at anyone who asked a question. I also liked the part where -- apropos of nothing except a quiet moan from one of the rooms -- she snapped at us, "labor is PAINFUL!" Part of my reason for going on the tour at all was to see the space at a time when I wasn't feeling actively upset. FAIL. I was calmer when in the company of my bleeding friend.

The actual L&D facilities are nice, though it's a bit annoying that the much-vaunted TV/DVD/CD players are only allowed to be used with headphones -- bit of a reach from the bed. Post-partum, like everywhere in the city, is another matter. The rooms are clean and tiny. There are four, un-reservable private rooms that cost a fortune; the semi-private rooms are exactly big enough for bed-chair-crib, bed-chair-crib. There's no nursery anymore -- theoretically great; actually somewhat terrifying -- so they allow partners to sleep over...in the hard chairs, which do not recline. It's not at all clear to me how I'll get through this (especially with no nursery to give me a break) if I send Sugar home to sleep, but it's plenty obvious that she won't get any sleep in that wretched chair. Mostly, that horrid woman made me afraid the PP nurses will be like her. As far as I can tell, she's a lactation consultant. So help me, if she comes near my nipples, I will not be responsible for my actions. And I do think it would be nice to wait until we're home before beginning the Bean's profanity lessons.

It all seems so trivial when I write it, but the aftermath of the tour has had me up weeping since 4:30 this morning. Okay, it's possible hormones are playing a role here. The basic issues, as I see them: terrible fear of being left alone; much greater comfort taking care of people than being taken care of (read: vulnerable); fear that I won't be able to take care of the Bean and Sugar and that no one will be taking care of me in that strange place.


Item: Sugar had to talk to the Stupid Cow at HR today, who deliberately refuses to understand that our relationship (our legally recognized, accorded benefits by the employer relationship) exists and tells Sugar she's single all the time. But that is Sugar's story to tell.


Item: I wish there were some useful guidelines on alcohol and pregnancy, short of ZOMG POISON. I know plenty of people drink in the third trimester; so far I haven't, beyond pilfered sips of Sugar's wine now and then. But boy, I could use a drink tonight.


*Brits: I have no idea if the "our ____" usage has some meaning that's inappropriate to this situation; I just love how it sounds. I am a dumb 'merican. Feel free to attempt to (gently) correct my heathen ways.

A Wish For Today

I'd like to find the fellow who invented the glucose tolerance screening procedure.

And then I would like to puke on him. And kick him for a bit.

Related: Should I really still feel like donkey shit, ten and a half hours after the test? Does this mean that my body is not, in fact, any good at processing glucose, that I will fail the test and be told to do the three-hour one? Because...no. Have no risk factors and no family history of diabetes. Am getting lots of scans of The Bean* anyway, because of the PAPP-A thing, so there will be plenty of chances to keep an eye on its growth and well-being.

Dammit, I was perfectly healthy** this morning, and then I went to the doctor and they made me sick as hell.

My apologies to any who are hurt by today's "pregnancy sucks" tone. Pregnancy -- at least this one -- does not suck. I am happy to be pregnant and enjoying it very much, I assure you. I do not enjoy being made to feel nauseated, faint, weak, disoriented, achy, and generally awful***, but pregnancy didn't do those things to me (at least not all at once).


*Including today! Everything fine! Pictures when one of us is well enough to scan them. Sugar remembers all kinds of cute things that are a bit of a blur to me, so maybe we should make her post about it, eh?

**If you don't count the heartburn and the rib thing, but let's not.

***And POSSIBLY a TINY bit emotionally overwrought.

Items From Our Catalogue

Item: This post is coming to you from my dismal office, as I wait an hour for the next bus to ferry me to the train station, the first step of my 2+ hour commute. It will be even longer tonight, because I missed the early bus. I had (somewhat irresponsibly) let class out early so I could catch it, and then I spaced out and missed it anyway. Is this "pregnancy brain" (gag) or ordinary incompetence?

Item: I have become too lazy/dull/generally pathetic to participate in my own meme. Will this be in the DSM-5?

Item: You should check out (and submit to, in all senses of the word) starhillgirl's very fun new tumblr blog, Lunch. Make your lunch famous on the internet! I'm going to pull a fast one and call my Thanksgiving Sandwich entry my Come And Eat post for this time.

Item: I made half as much sweet potato pudding this year, since Sugar had requested a savory sweet potato dish. I should have made more pudding -- it was gone in a day, and I only got one sandwich out of it. The savory option is currently dying a quiet death in the back of the fridge.

Item: All that frantic eating seems to have led to another growth spurt. Internets, I am certifiably enormous. I am back to running into things every five minutes. I am in denial about the fact that turning sidewise to slip by objects or people has become comic in the extreme. (Imagine it -- I, not un-wide, approach a narrow passage. I pause, turn 90 degrees, thus rendering myself twice as wide, and proceed to shove my way through.) I would say picture to follow, but I think we can all agree that said picture is more likely to actually happen if I don't make any promises.

Item: While spending a very nice weekend with friends outside of Boston -- and the fact that I can call the weekend very nice, despite how much of it was spent dealing with a teething toddler, a sudden lack of heat and hot water, and an obstreperous landlord ought to give you some idea how wonderful these friends are -- I discovered that I could cleverly heft my (considerable) self out of their comfortable but very low armchair by pushing down on its arms and hovering my butt in the air such that my legs swung perfectly underneath me. I was very proud of being strong (and short) enough to manage the feat and performed it more than necessary.

Item: Pride ever goeth before costcochondritis, as it turns out.

Item: This is plenty bad, but how much worse it would be without Dr. Russian, who was on call last night when I left a tearful message with the answering service, after a day of increasing agony. "Take the percocet!" quoth she. Good doctor, that.

23 Weeks 6 Days And All's Well

Hi folks. We are okay, just busy. Sugar is mending pretty well -- her post-op appointment is tomorrow, so I hope we'll know more then. Poor dear hates percocet, though. Isn't that the saddest thing you've ever heard? (More for the rest of us....) I've managed to mostly keep the household from falling down around our ears while she's been sick, but it's pretty darn shambles-y. And my mother is arriving on Tuesday (probably because I spent last Monday's commute weeping at her over the phone).

No, no hormonal craziness at all, why do you ask?

Everything medical seems to be fine. I have passed my cervix checks; first growth scan (because of low PAPP-A at nuchal) is Tuesday. I met OB 4 of 4, the one with the scary, super-skinny picture, and she was fine. She did not yell at me for gaining so much weight, contrary to my expectation. (And boy howdy, I have gained some weight. I have now officially crossed into "I have never weighed this much" territory. Yikes.) I get tired more easily and walking is beginning to be strangely exhausting for someone whose life involves so much of it. Like walking in sand. I have discovered that wearing the good ol' Bella Band over my maternity pants is the secret to not having to yank them up every 3 steps, at least.

Must get back to salt mines grading. But hello! and We Are Not Dead!

Here is a picture of my best pumpkin impression:

Quicker Still

Everything is fine! Dr. Fancy thought the issue might have been seeing the gallbladder, which looks fine on the fancy machine.

And the Bean looked far less dragon-y this time.

Related: if I've always been kind of grossed out by 3D u/s pictures but thought mine were cute, is pregnancy destroying my brain?

Okay! Back to work!

Exhale

Thank you all so much for your good wishes and encouragements and sympathies. (May, get your heart our of your mouth, darling, you're liable to chew it or something.)

The short answer is that everything is fine.

ETA: pics to come; I think Sugar took them back to work in her bag.

The bean was very reluctant to get into the necessary position, so we had a nice long spying session while the sonographer punched, jiggled, and generally assaulted my bladder. (I like her anyway.) Heart was visible even to me, amid the sea of static. It was beating away at 155 bpm, she said. Lots of wiggling and so forth.

Measurements are all good and put risk of Downs and Trisomy 18/13 at comfortably remote levels. HCG was also good. PAPP-A, less so. Dr. Southern said that was still fine vis-a-vis Downs and Trisomy 18/13, but did have a slight correlation with increased risk of Pre-eclampsia, IUGR, and Pre-term Labor. Yuck.

The math part, in case you're into that kind of kink:

My measurement for PAPP-A was 5th percentile -- still well below what they like (30th) for its principal use as a indicator of risk for DS and Tri 18/13, but not an issue in my case because all the other data was so good.

The study that found the correlations listed above found them at and below the 1st percentile. It wasn't, apparently, an amazingly significant correlation for all aspects. Risk of pre-e was about double the general population risk for the patient's demographic group, which is still a pretty low risk. (For instance, Dr. Southern said that if I had been 1st percentile, my risk would have gone from about 2.5% to 5%.) IUGR is associated with pre-e (because of blood-flow problems in the placenta), so it's not surprising that it made the list, too.

I'm not at the 1st percentile, though. I'm at the 5th. Which means the correlations in my case are less convincing.

/math

Dr. Southern said he would recommend keeping a closer than usual eye on me for IUGR and pre-term labor, but he didn't seem too worried. As it happens, that's already in the cards. Both are common complications for those of us with bionic anatomies, that is, Müllerian Anomalies. Dr. Baby Factory thought I wasn't at increased risk for incompetent cervix because, unlike most bionics, I have a uterus of normal size and shape. But then Dr. Robot mentioned, in our discussion (ok, her lecture and my attempts to squeeze in a question without being interrupted) of c-sections, that she wouldn't attempt a version on me in the case of a breech presentation, because even if my ute looks normal, it will be different on a microscopic level from a typical ute, and won't stretch as well. The wheels in my head finally got through processing that tidbit this week, so I called to find out whether that also put me back in the incompetent cervix crowd, and it turns out it does. So it looks like I shan't be lonesome for medical attention after all.

Speaking of Dr. Robot, who has the bedside manner of Henry Ford: Dr. Southern asked if I'd seen her and said she'd called recently to ask his opinion on a patient he was pretty sure was me. (They aren't in the same practice; my OB clinic sends all patients to this practice for NT.) Warms the cockles of me heart, that does. I guess she's not so bad. She needs some lessons on talking to people, but she both knows her stuff and isn't too arrogant to seek help with tricky bits. That's not such a bad kind of doctor, really.

While You Were BlogHer-ing...

...we went and got married again.

It was a perfect day, preceded by weeks of utter exhaustion and chaos. We have new respect for wedding planners: this was the most low-key party ever to be thrown outside of a parental backyard, and it nearly killed us. But it did not. The food was good (and the caterer's partner, a dentist, fixed our bridesmaid's broken tooth that morning), we didn't run out of wine (even if the champagne was served not at all when we'd intended), and, after an Indian friend bustled me off to a corner to pin me in more appropriately, the sari ended up being the perfect choice for glamorously concealing my lost waist.

Today is our real first OB appointment (not to be confused with the "holy shit, I'm panicking" appointment two weeks ago). Exciting, but terrifying. I'm convinced, now that we've told a few close friends and the parents and the aunts and uncles who were in town for the wedding, that the universe will take it all back. Hubris is a particular fear of mine, you understand.

It's also that the two weeks since the panic appointment are by far the longest I've gone without seeing a doctor in months. It is very difficult to believe that my body could know what to do without constant intervention, and knowing how little useful intervention exists at this stage of the game does not help.

(What also doesn't help is the light brown spotting I've had most days in between these appointments. It has never become any of the things the nurse told me to call back about -- heavy, red, very crampy -- but it is hard to be sanguine about it.)

(My God, what a terrible pun. Apologies.)

Egg Retrieval Story

Hey there, folks. How are you? I'm much better than I was, happy to say. I have been all blown up like a water balloon from a touch of OHSS, which wasn't particularly painful but was kind of tiring, but on Sunday night I peed like I have never peed before -- I think someone told my kidneys there was a talent scout in the house -- and suddenly I can wear pants again. If I do end up pregnant, I know this will be only the eye of the storm, but I am enjoying it nonetheless.

As far as other ailments, I know Sugar told you I've been rather sick, but I want to make clear that pain and vomiting did at least happen on different days. The pain was very bad the day after retrieval -- probably because of all the endometriosis -- and then not. The nausea was bad around transfer (5 days post-ER), and I am convinced was a side effect of the progesterone. Now that my body's used to it, I'm fine. (The doctor tried to sell me on nausea as being because of the bloating, but I haven't felt sick when at my most bloated; when I felt nauseated was between the post-ER bloat and the real OHSS ballooning.)

I said before that your ER stories were all of so much help to me at my own retrieval, so I figured I'd better tell mine before it fades in the haze of the percocet-filled days that followed it. It's looooonnnggggg. I hope it will help someone later.


On the morning of retrieval, I was hungry and scared. My clinic says no food or drink at all after midnight the night before, and my procedure wasn't until midmorning. I have a touch of hypoglycemia, and that long without food leaves me a hot mess: shaky, frightened, easily confused, possessing the emotional self-control of a nap-less toddler. On the other hand, my ovaries felt so big and my back was so sore that if someone had handed me a grapefruit spoon, I might well have dug the eggs out myself. I was, shall we say, ready as I'd ever be.

We took a cab to the clinic, which was very empty because it was Saturday. After filling out payment contact forms for the anesthesiology department, we went up the the second floor of the clinic, where they have operating rooms. I really liked that I didn't have to go to a separate hospital. Not only was it less nerve-wracking to be in a familiar place -- a VERY familiar place, given how much monitoring I'd been having -- but it was also calm and uncrowded. Most of the nurses I saw that day I had met in the blood draw room at one point or other, which was comforting.

When we got to the second waiting room, there was one man by himself and one male/female couple. After a few minutes, the woman was called back. About ten minutes later, the nurse called her (presumed) husband back through a different door.

Wow, I thought, if he's already going to meet her in recovery, this really IS a quick procedure.

Very soon, a brusque nurse I hadn't met before called me back. "Okay, she'll come find you after she's done," she said to Sugar, prompting a freakout from me. The materials we'd been given all said that "depending on time and patient flow," she could meet me in recovery. Not anymore, the nurse said, new policy. I felt angry and even more scared. I would have been okay if I'd been expecting it, but I was in no state for surprises. I began to suspect that the nurse thought Sugar and I were just friends, that we weren't being treated like the het couple that had gone before us.

"What about that guy? How come he got to go, then?" I demanded. The nurse claimed no knowledge. I was rattled and pissed.

After that, I went to the locker room, where I exchanged my clothes for two nice, cloth gowns (one tied in back, one in front), little socks with rubber treads, and a shower cap that was extremely awkward for my long, heavy braid. The key was on a springy loop that I put on my left wrist. I then met the nurse in a tiny room with a table, where she took my pulse and BP (high for me -- "maybe you're a little nervous?" she said, rather kindly) and had me fill out more consent forms and so on. When we were done and the OR still wasn't ready, she totally redeemed herself in my eyes by fetching Sugar and letting us sit there together until it was time for me to go.

When they were ready, I walked with the nurse to the OR. The way there was through recovery, and I suddenly understood why Sugar couldn't meet me there -- there were just too many patients. The recovery area at the clinic is a series of curtained nooks (like you see in ERs sometimes) arranged around a nurses' station. Because some of the patients weren't conscious yet, all of the curtains were open. No partners were there, and I did understand that the nurse was right when she said that having partners come in had been a problem, since everyone was talking and people who were just coming to got confused. The atmosphere was very quiet and calm, even if it was still pretty weird to walk by the woman from the waiting room, out cold with her mouth wide open. She looked like a child or a rag doll.

The OR itself looked, well, like an OR. There was a table with white sheets and "stirrups" that were really just long things to put your calves in. I was standing in the big, open part of the room on the right hand side of the bed. To the left was lots of equipment. There were what seemed like a ton of people but was probably only 4 or so doctors and nurses bustling around. Everything was moving really fast. I got scared again.

"Hop up," they said, after having me take off one gown and "loosen" the other. (It turned out that by "loosen" they meant "completely untie." It would have saved some time and frustration on my part if they'd just said that. I felt like I was already supposed to know all this stuff, like in a weird dream.)

Hop up HOW? I thought. The bed was too high for me to get onto easily. They pressed something and it lowered down, I got on it, and everything started happening really fast. A man in green scrubs grabbed my left hand and pulled it out to the side, where there was a little table at a right angle to the bed. He started telling me to make a fist and so on, so he could start the IV. At the same time, a nurse I knew from the blood draw room was telling me to scoot down the table farther, so that my butt was at the edge of a hole in the bed that I could see because it was covered with a pad. Then she told me to put my legs up, then scoot more. Also at the same time, the anesthesiologist was asking me lots of questions about my history with IV anesthesia, my drug allergies, and so on. Only the anesthesiologist, on whom I have developed a bit of a crush, introduced himself.

At this point, I came a bit untethered. The man in scrubs -- who I recognized at some point as the surgeon, Dr. Saturday (and wouldn't it have been nice if he'd introduced himself?) -- put the IV in. It hurt like hell. In fact, it never stopped hurting for the rest of the day and I still have something of a bruise there, because it wasn't in right. I wish I had known that it wasn't supposed to be like that and that I should have asked him to do it again. (On the bright side, many people reported that the first stuff in the IV stings, and I barely felt that....) Everyone kept telling me to do things all at once. Someone put a BP cuff on my right arm, which inflated itself every minute or two. I started to cry, just a little.

"Oh, no! Don't cry!" said the sweet anesthesiologist, an Italian man of roughly my father's age. "Whenever I see a pretty lady cry, I start to cry too." I pulled myself together and explained that I was worried about the IV sedation, because when I had that for my wisdom teeth, I woke up in the middle and threw up for several days afterwards. He listened to that and to my saying I was going to need real pain medicine after, because tylenol doesn't do jack for me, and assured me that he would make sure everything was ok.

It was then that I really appreciated tbean's story, which scared the hell out of me when I first read it, such that I required much buoying from friends who'd done IVF themselves. As upset as I was at the time, my experience wasn't anything truly traumatic, but it helped during the worst part to remember what tbean had said about how this is surgery, no matter how much they act like it's just a "procedure." I looked up at the ceiling and told myself that everything that was happening was normal and how it was supposed to go, that these people were doing their jobs and that my job was to look at the ceiling, try not to think about how much my hand hurt, and trust that Dr. Italian would take care of me. The nurse tucked a white blanket around me so that my right hand was against my chest (nice touch), and the next thing I knew, I was in recovery.

My bed was facing the window, so I could see the green vacant lot next door and the bridge beyond. It was a sunny day, the view was pretty. I don't remember feeling anything but awake -- no groggy period or confusion. I knew where I was, why, and everything else. A nurse noticed I was awake and came over to check on me. She took care of me for the whole recovery period and was great in every way. She asked if I was in pain, and except for the &^$%ing IV, I mostly wasn't.

After a few minutes, I started to be. My belly was sore in the gas/endometriosis kind of way it had been that morning, my back was a little bit achey, as it had been for a week or more. My vaginal pain was very slight and never got bad, ever. Less pain than I have after a pap smear. I told the nurse and she said she would have the anesthesiologist see me as soon as he was out of the OR. That took 10-15 minutes, by which point my belly had started to be more of a problem.

Dr. Italian came out and gave the nurse something to put in my IV, and I started to feel better right away. He later gave her a syringe of the same something to give as an IM injection, which would last for the ride home.

I was my typically chatty self under the influence of drugs. I asked Dr. Italian to repeat his name a few more times. I ended up remembering it almost right. I told him, somewhat in awe, "I didn't wake up!"

"That's my job," he said.

The nurse brought me some apple juice and graham crackers, which were awesome. At some point, the nurse asked if anyone had told me how many eggs they got. She brought me a paper and pointed at the number 32. My eyes bugged out of my head.

I reminded her that I really needed a scrip for something that wasn't tylenol, and she had the fellow write for what turned out to be very necessary percocet. "Tylenol doesn't do anything," I said, "I might as well take water; it tastes better."

"That's my kind of lady!" said Dr. Italian, passing by.

A while later, she said it was time for me to try going to the bathroom, and helped me very slowly get up, carried my IV bag to the hook in the bathroom, and left me sitting there, with firm instructions not to try to stand if I felt weird.

So I sat there.
For a long time.
Nothing.

I had had two bags of IV fluid by that point, but nothing was happening. The nurse called to me that I should come out if it wasn't working. I was desperate not to stay longer than I had to, so I asked for an extra minute, turned on the sink, tried every mental trick I know, and peeds maybe 3 drops. When I wiped, I was shocked by how bloody the toilet paper was.

The nurse declared that even three drops counted, and I graduated to a recliner with the leg cushion out. Eventually I was allowed to sit up normally. Dr. Italian dropped by again and said "Good work, young lady," which I loved. (Seeing a theme? Why can't this man just be constantly passing through my life, praising me?) A while after that, she detached my IV from the cord (leaving it in my hand), and sent me to go put my real clothes back on. (I stopped to get a dreaded hospital pad from the bathroom, as I'd cleverly left the one I brought from home with Sugar.) Once in the locker room, I realized my fatal error: my key was attached to the wrist of my IV hand, which still hurt like hell. I had to gingerly stretch it over everything, which sucked. Nicole: put the dang thing on your right hand.

I returned to the chair, carrying my bra, because hell, no, it was not going back on. The nurse took out my IV, gave me my scrip, and sent me home with Sugar. As we left the 6th floor, I explained to Sugar my understanding why she couldn't be in recovery, but said I was still confused about where that first husband had gone.

"Dude. He went to give a sperm sample."

Oh. That's probably why the nurse didn't explain, huh? I hope the other waiting husband at least thought my outrage was funny.

We took a cab home, I retired to bed with my percocet, and everything was basically fine. I ate and drank normally. I peed. At some point, I stopped bleeding. The pain got bad the following day, probably as a combination of some OHSS and a lot of endo, but I don't think that's typical. In short (TOO LATE!), I was scared but nothing terrible happened. If I have to do this again, I don't think I'll be that upset.