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.”

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.

Good Morning

Hello, all.

It's 5 in the morning here. I've been awake for at least an hour.

Nuchal this afternoon. I sat down with a calendar yesterday to make notes: I've been spotting and/or bleeding for exactly one month.

Not nervous at all, why do you ask?

Heavy Lifting

Hey there, internets. How are you?

Things are basically fine around here. We've gotten several chances lately to spy on the bean, who seems to have arms and legs and a steady heartbeat. It even *moved* while we were watching last Monday -- a kind of quick sit-up, prompting my mother to observe that it obviously has genes not from our family.

The reason we've been getting so much screen time is more nerve-wracking. I keep bleeding. First was the two weeks of brown spotting leading up to the wedding. Once I'd gotten used to that, it turned pink, starting just before the sit-up look-see. A few days of pink, and I was feeling pretty proud of myself for learning not to panic at every trip to the bathroom, so my body upped the ante: bright red blood, and plenty of it, in the middle of the night.

PANIC.

After the long wait until the OB office opened the next morning -- I didn't see much point in waking up whoever was on call, since there isn't much they could do about it if I was miscarrying and at least one of us ought to get some sleep -- another scan. Less cute time looking at the bean, more v.e.r.y. slow examination of the ute, after which Sweet Sonographer said she didn't think there was any blood flow from in there, so it is probably my sensitive-soul cervices. (Why no one has cranked open a speculum or two and taken a look, I don't know.)

More brown spotting, plus a new, sandpapered sensation in my upper hoo-ha regions; a period of self-imposed, er, pelvic rest. Things seemed to be settling down. And then I cut the cheese.

Sugar and I belong to a hippie food coop (*the* hippie food coop, really) of the sort where all members work. (Well, almost all members -- as the underemployed member of the household, I do both of our shifts.) When we toured the place and entered the food prep area, our guide said, "this is where we cut the cheese. If you join the coop your job might be cutting the cheese." Naturally, I signed up at once.

It's not all fun and games. Besides cutting the cheese, I wrap it, weigh and label it, and carry it upstairs in grocery baskets. Because of summer school and the wedding, I am behind several shifts, which jeopardizes our access to Waldorf-educated kohlrabi, so I made one up yesterday. I was careful not to fill the baskets the way I normally would, but instead to go up when I had ten pounds or so ready. I had them ready at waist-height, and carried them held against my body, for minimal strain, as my back has been unreasonably testy these past few weeks.

After my 3-hour shift, I found a huge streak of red in my underpants. Slightly more controlled panic. Hovered in the public but uncrowded hallway, left a message with the nurse, did some speedy, highly disorganized shopping (extra shallots? Yes. Trash bags? No.), took a cab home. Nice Nurse called back and said that since the bleeding stopped quickly, I should just rest and stop lifting "heavy" things.

Relief, of course. Followed by a nap. Followed by some feelings of pathetic worthlessness.

I like being pregnant. I like how it feels, for the most part. But while I am hardly a tower of physical might, I am used to thinking of myself as strong enough to manage things. I don't like not carrying things, not being able to open the stubborn window. For that matter, I don't like being so easily exhausted that I had to stop gardening after an hour the other day, when I had planned at least two.

I can live with being lazy, but I hate being weak.

Bah.

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.

Updates and Such

Hey there, internet. It's been a rather rollercoaster-y day around these parts, so I'm not sure how peppy I can make this.

Let's start with good things:

• We now have two dozen fertilized eggs. Obviously 24 is too many to put back, but luckily vitrification and FET means we can have two, reasonable pregnancies of 12 each....
• The red gatorade isn't so bad if it's really cold.
• After no percocet overnight, I felt great this morning. Better than in a week, in fact.

...that's all I can come up with.

Less good things:

• Stopping the percocet was stupid, stupid, stupid. Midmorning, I was suddenly in so much abdominal pain that I freaked out. Luckily, I did the responsible thing and called the Baby Factory. The doc on call there said she wasn't a bit surprised, given my age, battery-hen-style egg production, and extensive endometriosis. She told me to get back on the percocet and stay the heck in bed. Although it took several hours for the percocet to get back to its former level of effectiveness (because it always works better if you don't let the pain get away from you), I am basically okay now. I am also still in pajamas, which now have gatorade stains. Classy.
• Way too sick to go to acupuncture, even if I hadn't been forbidden to leave the bed.
• The nurse who called with the fert report announced that I would be having anesthesia for my ET, per the doctor who did the ER (Dr. Saturday, not Dr. Baby Factory), who never introduced himself in the OR and put my IV in badly so it hurt like hell the whole time.

Dr. Baby Factory and I had already talked about ET procedures, as he knows my ornery cervices better than anybody, and he did mention that anesthesia was a possibility. He mentioned it in a "in case you think *you'd* like this" kind of a way, just as information. We decided that valium was enough. Now some guy I don't even know has just announced that my care is changing, because he feels like it. I feel out of control and angry.

I also feel really, really sad about the idea of not being conscious for the ET. So much of the IVF experience is so distant from what I want the conception of our child to be like. I am grateful that I have the opportunity to use IVF, grateful that it may save us from infertility. But the experience is not without loss, you know? I've read so many IVF blogs, and ET day seems for so many couples like the day it becomes personal again, as they watch the embryo on the screen, hold hands as it goes in. I want that.

Doctor On-Call wants me to come in tomorrow anyway, to get checked for OHSS and so on. Since Dr. Baby Factory is also Dr. Monday, I hope to talk to him about it. I just hope I can keep from crying. Because crying hurts my belly so much right now.

Oh, I forgot one other good thing: a big shout out to my wonderful acupuncturist, who wrote to check in on me and is just generally a blessing.

It's time

I've been in stirrups so many times in the past week that I've started wearing skirts to the clinic, just to save the trouble of taking my pants on and off. I take my shoes off anyway, because not doing so seems somehow inappropriate, even though there's no real need.

I went into the Baby Factory for blood work and ultrasound this morning, as I have for the past seven consecutive days. First stop: blood draw room. There are lots of nurses, most wonderful, and I hadn't had this one before. She said something sympathetic about how much time I've been spending there -- both arms are pretty bruised at this point -- and I said I didn't mind, that I appreciated being watched so closely, that it helps me worry less. And anyway, I like having more data.

Oh, she asked, do you work in medicine?

This question comes up a lot. I don't work in medicine, but I was raised by two doctors in an area where hospitals and labs are major employers. Medicine is my mother tongue.

So I told her no, that my parents were doctors, though. And then she said what easily fifty percent of people do after that revelation:

"Aren't they disappointed that you're not a doctor?"

Now I ask you, what kind of small talk is that? To tell you the truth, I'm not entirely convinced they're not disappointed, though they never say so. Heck, sometimes I'm disappointed in myself for not being a doctor -- I'm pretty sure I'd be good at it -- and I never wanted to be one. But is this really a conversation I need to have with a stranger first thing in the morning? Public Service Announcement: If you find yourself about to ask someone who is not a very close friend whether her parents are disappointed in her, JUST DON'T.

Onward to ultrasound.

At the Baby Factory, all IVF patients on a given day are seen by the same doctor, no matter who your regular doctor is. Each day of the week has a doctor assigned to it; Dr. Baby Factory, for instance, is Dr. Monday. Ultrasounds are done by one of a trio of lovely fellows -- all women, just to complicate the nomenclature -- or by the doc of the day. Today I met Dr. Thursday, a jovial, paternalistic jackass.

First of all, I appreciate it when folks introduce themselves before sticking anything up my privates. Call it a quirk of my Southern upbringing. Second, when I tell you, since I'm not counting on your having read the details of my chart, that I have a vaginal septum and that you should aim to the right with that dildocam, the preferred response is, "thank you for telling me." Not:

"Why didn't somebody take that out?"

Luckily, my pre-cycle anxiety dreams had prepared me for this moment (only with more knives), so instead of blubbering I managed,

"Because it belongs to me."

The examine continued in that vein. Dr. Thursday is the only one of the docs I've seen who didn't adjust the u/s screen so I could see it, and I bet he wouldn't have told me the follicle measurements I'd asked for if he hadn't had to call them out to the resident in the corner. He ended the session with a pat on my knee and a "Good job" that made me feel like livestock.

So now I know why they want you barefoot in the stirrups: a kick to the face is bound to hurt less that way.

ONWARD.

I am triggering tonight. Ten minutes to midnight, which my sweet, strictly diurnal Sugar is bound to hate. I'm nervous as heck about the shot and mostly about the retrieval and continue to appreciate your reassurances and general support.

Biggest follicle is about 19.5 mm. Dr. Thursday said about 10 on each side. So now I'm nervous about OHSS, too. E2 is 3364. Talked to Dr. Baby Factory, and he sounds a little nervous, too, but not nervous enough to have me trigger with Lupron. So I guess we just hope for the best and stock up on gatorade.

Retrieval is Saturday.

Which means a 5-day transfer would fall on...Dr. Thursday's shift. Awesome Sauce.

Seven Swans A-Swimming

Hey, y'all. How's it?

On the blog and in my life, I'm feeling a need for spring cleaning. Got a number of projects malingering* around the house and mind, needing to get finished before I can move on to new things. So here's one I've been letting slide for too long:

April, of CD 1 Again -- and doesn't that title say it all? Don't you wish you were still back in the innocent past, when "CD 1" was the first disc in your compact disk changer? -- gave Our Dear Blog this award some time ago. Thank you, April! You're grand.



Here are the rules:
*Thank the person who nominated you and link to their blog.
*Copy the award and paste it to your blog.
*Tell us 7 interesting facts about yourself.
*Nominate 7 bloggers that you love and link to their blog.

(I know the purpose of these things is to tell you a bunch of random** details about my non-TTC life, like that I know how to eat fire and did so in several parades in college or that I was one of those super-nerd kids who took the SAT in 7th grade for no particularly good reason (but they gave me a book of timelines of European history (that I never read) because I got a good-ish score) or that my fingers are double-jointed, but really? All I want to talk about right now is TTC stuff. So here follow seven facts about our current TTC plans. You'll have to decide for yourselves whether they're more interesting than knowing that my geneticist father and I both have simian creases on our left hands and that he used to show his medical students slides of my xeroxed hand prints (Remember xeroxing your hands? Wasn't that the greatest?) and that I wonder if I'll one day have a child with the same crease (Oops, that one was TTC-ish).)

Seven Possibly Interesting Facts

1. We met with Dr. Baby Factory yesterday, so he could re-wand my cysty ovaries.

2. They look the same as last summer, which is something of a relief, as they hurt a lot of the time and I was worried they were worse or turning to the Big C or something. But they don't look good, per se. Two bigguns on the left (around 3 cm each -- no wonder it hurts), some smaller ones on the right. I could have the cysts out with laproscopy, but while that would help with pain, it might well hurt fertility, since some ovarian tissue would have to go, too. I feel down on losing ovarian tissue right when I'm hoping to use it.

3. Plenty of follicles, though. And E2/FSH levels are fine (58/4.3 vs. 74/4.2 last year).

4. Dr. BF thinks we've tried enough IUIs. If we had a free source of sperm or if my insurance wasn't as great as it is (and it is! the one good money thing about my job!) or if the cysts were smaller...but yeah. He thinks three tries was enough.

5. It's IVF time. Probably in June.

6. I feel partly scared about that, partly excited, partly hopeful that all that's wrong with me is that my eggs can't get to the ute, because they're stuck under cysts or getting hung up in scarred tubes.

7. But mostly right this minute I feel a little ashamed to be moving on after only three tries, even if the doctor does think it's the thing to do, that my odds without it are getting quite small. I'm afraid people -- and that's mostly you, internet, since not that many IRL people know about all this -- will think I'm cowardly or lazy or somehow cheating. HOW I WOULD LOVE to get pregnant in my own bed, with my pervy cats curled up and purring beside me. HOW I WOULD LOVE to not get poked and prodded in new, exciting ways. HOW I WOULD LOVE to never learn to give myself injections, let alone ones that will make my ouchy ovary ouchier.

But more than any of that, how I would love to have a child.

Seven Certainly Beautiful Bloggers

1. Mrs. Basement, whose blog I only found today, but whom I already adore.

2. Hairy Farmer Family, who has two cervices, like me! And also two utes. And she's named them. Also? She's brilliant in every way.

3. love+love=marriage, who are a whole lot of fun and have cutie-cute pictures of wee Mr. Holland.

4. The magnificent Mrs. Spock! Who is all kinds of wonderful and to whom I owe a proper thanks-for-the-socks-and-love post -- the next piece of spring cleaning business.

5. One of His Moms, who likely doesn't know I exist, but whose blog is one of the first lesbo-mom ones I found. I devoured the archives over the course of a few days last spring -- and even if I never got to try my, erm, hand at home insems, I credit her with teaching me how.

6. Madame X at The Young and The Infertile, who is not so infertile these days but remains eloquent and intellectually dashing.

7. And peg o' me heart, Starhillgirl at Caved, for whom I would log my lunch faithfully forever.

*Ed: GOD, I hate that "malingering" doesn't mean "lingering, but in a bad way". I've gotten over "nonplussed" not meaning "feeling "eh" about it," but "malinger" is still hard. I want to use it so bad, but I can hear my mother's correction, so I won't. (I can also hear her sigh over the colloquial use of bad as an adverb.)

**I know Mama hates this usage, too, but it's taken hold nonetheless. Sorry.

Quickies

I hate blog posts apologizing for not posting, so this won't be one.

Nor do I have a proper post in me now.

But there are a couple of things I think you should know:

1. It's CD1. Yeah.

Not sure what the next course of action will be, but at the very least we will probably switch donors, since we need to order more anyway. More on that later.

Also, I need to do my taxes so that we can see if we can even afford to order more.

2. Mrs. Spock made me cry. Practically everything's been making me cry lately, so that's not much of an accomplishment per se, but she made my cry in a good way. She sent me the ...I'm looking for a word, and all I'm coming up with is "bestest"... BESTEST! sock-gram package! It arrived when I was really at the very bottom of feeling crappy about everything, and it was just the very thing. Pictures to come.

3. A toddler I hang out with has been read somewhere -- I think in a Moomintroll book, but hers are in Danish, and I can only read the third-rate, adulterated Danish we call "English" -- about creatures cheering one another up by kissing sad creatures on the nose. She has become a dutiful practitioner of this technique, which is predictably sloppy and surprisingly effective.

Civic Duties

Hey, y'all. How in the world are you?

Sorry to be so out of touch in the past couple weeks -- I spent the week of the GI/Endo/Black Eye reading everybody's blog like crazy but too worn out to type comments, and then something went haywire in my brain and I spent this week too depressed to even read.

So...hi. I'm back. I've diagnosed myself with a critical chocolate deficiency, and the treatment seems to be helping. That, and I can feel my body getting closer to ovulating, which, while increasingly a time of emotional complexity, is generally the happiest time of the month for me. (We'll save my rant about how little I like the idea that body chemistry is in charge of my worldview for another day, shall we?) I'm also pleased to report that for the first time since its date with the bookcase, my right eye is as sharp as my left, which has improved my worldview in a very literal sense.

BUT. That is not what I logged on to say. Rather:

Perhaps you have heard about wonderful Weebles Weblog's Limerick Chick Contest, for which folks have been writing witty verse about other blogs. I had hoped to enter for myself, but, well, see above.

BUT!

It has come to my attention that Kym -- Kym, who has only lately organized the sensational Sock It To Me exchange (to say nothing of convincing poor, long-suffering Frank to trade his dignity for donations to the Parenthood For Me benefit) WHILE AT THE SAME TIME kicking infertility's ass for not just herself but now others (others! I can hardly stand the thought of doing this for myself!) as a surrogate -- that Kym, the Kym we're in awe of, has written a limerick about Our Own Little Blog.

Well. It's enough to force a girl not to be depressed, that's what.

So please, head over to Weeble's and vote for Kym's poem. Here's why you should vote for Kym (besides your devotion to her and your bemused interest in your humble servant, of course):


1. Kym's poem is a real limerick.

I don't mean to be more of a snob than usual, but it's a LIMERICK contest. We all love couplets and quatrains and even free verse, but these are not limericks. A limerick, to quote from Roy Blount Jr.'s Alphabet Juice, maybe my favorite book about the English language (and this is saying something for a nerd like me I am) is:

"...two lines of trimeter (three feet) followed by two of dimeter (two feet) with a different rhyme, and one more of trimeter returning to the first rhyme. Generally the intended effect is spicy. For example:

There once was a lady named Dot
Who said as we found a nice spot,
"I never undress
at a picnic unless
It's warm, and it is, so why not?"

THAT, my friends, is a limerick. Yes, it's a bit fussy, following the rules like that, but following rules is hot. See: BDSM.

(In his section on meter, Blount exhorts the writer lost in the drudgery of writing to ask, "WWJMD? What would John Milton do?" I think it's pretty obvious that John Milton would forsake the dreariness of vanilla metric-less freedom for the enlivening strictures of poetic submission. Ahem.)



2. Kym's poem uses slant rhyme

I am not an un-reserved fan of slant rhyme, which can be only laziness on the poet's part. However, when slant rhyme serves to emphasize the almost-rhyming word and that emphasis adds meaning or interest to the poem, I'm all for it.

The almost-rhyming word in Kym's poem is "vaginas."



3. Kym's poem has more vaginas than any other poem.

Not just than any other poem in the contest; I think it may have more vaginas than any other poem I've ever read. (And I've read some truly regrettable stuff, with lots of ocean/cave/shell metaphors and unnecessary goddess references.)

And that's before the poem even gets around to suggesting a threesome.

Roy Blount, again:

"The intended effect is spicy"

I can't think why you'd need another reason to vote for her; go to it.

Updates of All Sorts

One of those dreadful bullet-blogs.

-- Exciting things afoot (asnatch?) over at Two Hot Mamas! Go give 'em some labor-love!

-- Couple new things up on the Etsy site:
1. the aforementioned custom pet stamp by Bionic
2. a wickedly sweet/sweetly wicked skull pendant drawn and enameled by Sugar




-- Tentatively good news on the job/insurance front. After some serious hustle on my part, enrollment in the my endangered class is one student shy of "off the radar" for cancellation. I'm hoping that means they're likely to run it even if I don't get another one by Thursday. I also have calls all over the place to see if I could get coverage by taking a Saturday kids' class offered by the same department. I'd rather not have to, since my horrible commute becomes excruciating when it meets the reduced weekend bus service, but I'd also rather not lose my insurance.

-- I've been peeing on sticks and so on, and we've decided we'll climb back on the TTC horse this month, now that insurance looks less scary. Frankly, due date for a child conceived this time of year is still bad for us financially -- fall is my higher-earning semester -- but I'm not willing to insem only during the limited "good timing" months. Especially because...

-- I've talked to Dr. Baby Factory about my endo questions. He says yes, the GI badness probably is endo, but that there's not much to be done about it, as that location has particularly bad surgical outcomes. (Basically, the scar tissue from surgery between vag and rectum is likely to be much worse than any original adhesion. Cervix glued to rectum, that kind of thing.) He also said, "I hope I haven't given you the impression that I think everything is fine with your chances of conception," and brought up again the idea that going to IVF after 3-6 IUI attempts might be more cost-effective in our case. Sigh.

Okay, I know this is the part you really want updated:

-- Pee Stick Follies Update....I chickened out. I already know what happens to silica gel when it's allowed to absorb liquid for a few hours. And if Sugar came home to find quivering chunks of pee-jello on the bathroom sink, you can bet I'd lose all rights to talk about how icky her neti pot is.

If it's any consolation, I did have a hell of a time getting the packet out of the pee-cup neatly. In fact, such a thing proved impossible. Don't tell Sugar.

Last Night

I dreamed last night I was in my garden, in back of a house I don't own. I was quite covered in dirt when I noticed a long curve of something coming up from my left hip. I pulled it up and, as I was surprised to discover, out of my groin, which hurt but also felt satisfying. "Ah," I thought, "an old vein. Must have gone bad. Forgot I'm supposed to be pulling those out." But when I shook the dirt off and looked again, it was a tough runner of grass, which had evidently grown into me and rooted.

All of which is to say that I woke up with cramps.

I don't mean to complain about that. For one thing, I wasn't thinking I might be pregnant this time, since I ovulated on the weekend of our wedding, which was beautiful timing for poetry but lousy for a trip to the Baby Factory, with all the scheduling and defrosting and spiking of my cervix that entails. For another, the cramps aren't that bad. In fact, the five periods since my horrible HSG have been the five least painful I can remember. I used to spend three days or so every month nearly incapacitated, popping Aleve until my stomach hurt, often swearing, sometimes writhing, rarely passing out. Now the pain almost goes away with Advil. My theory is that much of my pain was because my cervices -- despite having, in principle, twice the potential to admit blood -- were so circuitous and given to clenching that the blood couldn't get out, leaving my uterus Very.Angry. Now one entrance has been, to quote the note on my chart that I read over a nurse's shoulder, "perforated," and it's not so dramatic. (Unfortunately, even that side is still tough for the catheter to negotiate, which is why the new note in my chart says I'm to have Valium the next time we try to knock me up*.)

At the HSG, Dr. Baby Factory told me that my tubes were open, though the cysts on my ovaries still left him calling my endometriosis "significant." I could have surgery for it, if it was bothering me, or just try to get knocked up and hope for the best, if it wasn't so bad. I am, as previously noted, generally opposed to knives wielded at my person, so I politely declined. And then my cramps all but stopped!

Except. Now that I'm keeping better track of my cycles, I'm wondering if this insane GI awfulness I've been having occasionally for the past few years isn't secretly some kind of endo. It doesn't happen every month or usually during my period, but it has happened the past two months, both times a few days before my period started. Remember when I thought I might have super-early morning sickness but them decided it was the stomach flu? That. It happened again this month, on Thanksgiving (so I couldn't eat anything)**. Basically, what seems to happen is that my colon stops advancing (uh, TMI, sorry, but you are reading this because of my hoo-has, so only kind of sorry), I fill up with gas, and I lie on the floor writhing and screaming for 12-24 hours until things move along again. I went to the GI doc some time ago, pooped in lots of cups, and got told that probably I had injured myself getting food poisoning, that things were out of whack, that I should take pro-biotics and hope it got better, which it sort of seemed to, but only sort of. Now I'm wondering if the real issue could be that I have endometrial nodules on or near my bowel that get inflamed and mess everything up. I have a call in to Dr. Baby Factory to see what he thinks of this theory, but I know that the answer is likely to be that there's no way to tell without surgery.

Did I mention how I don't like the cutting? Oh, and how I'd like to get one with this TTC business already and stop having to hurry up and wait?

Did I also mention that the weather has turned cold? How about that this is my last night of 30, and that when my mother was my age, she was about 3 days from going into labor with me, after two endo surgeries and several more years of TTC?



*Which -- and believe me, baby-watchers, I am as impatient about this as you -- won't be until mid-January, at the earliest. Not only am I most likely to ovulate on the day we set off on our annual Middle-Western Odyssey, making timing a clinic visit stressful, but I would also, on balance, like to be drinking at New Years and also not weeping over getting my period while snowed-in at Sugar's parents'.

**but still had a nice time, because my super-awesome cousin was visiting. She was the most compassionate 18-year-old EVER about how sick I was, sadly because she was been so very much sicker with endo herself for the past couple years.

I Really Don't Think I'm Pregnant, But...

...my hoo-ha smells funny.


(Probably because I started taking different vitamins -- ran out of plain folate right around the insem, started taking regular prenatals 'cause why the heck not -- but that hasn't stopped me from furtive TP-sniffing and general obsessery.)


Thought you'd like to know.

On The First Day of Waiting

...I'll tell you a little bit about yesterday.

In the morning, we were still at the beach. I'd planned to be in the TWW while we were there, but my body had other ideas. We'll talk about just how damn many sticks I've peed on this month another time. At any rate, there seems to be something to this whole "stress can delay ovulation" theory.

The good news about all that was: no limits on hot tubbing or drinking red wine. And indeed, no limits were observed. It was beautiful and peaceful and -- here's the key, I think -- relaxing. ...The next thing I know, I've got EWCM out the yingyang, and a true, indisputable positive on my OPK. Since we were planning to leave the next day anyway, we took the early-squirrelly ferry and headed to the ol' Baby Factory.

Once there, I took off my pants and signed a lot of paperwork (including saying I am an unmarried woman -- but that's another post for another day). I had already talked to one of the IUI nurses about the peculiarities of my anatomy, why I thought the left side was the way to go, etc., but the other nurse was on duty. She sat down between my legs, syringe aloft, and I thought to say, "by the way, I know you've probably read my chart, but just in case...."

Her eyebrows rose just slightly. Here is a woman who knows better than to alarm a patient.

"Oh, just a minute, then. I'm going to get someone who will be very interested."

Great, I thought, another med student. Or that poor Zebra Fish guy again.

Instead, she brought the big guns: a doctor. And then the fun began. It was not on the order of the "fun" we all had at my HSG, but it was more like that than I had hoped. A tenaculum was involved. Ultimately, so was an abdominal ultrasound. (Given how pricey that pink (!) goo was -- and this was two vials-worth, as the clinic thought the counts were low -- I was glad enough that the doctor wanted to be sure she was in before pulling the trigger, as it were.) I tried to think relaxing thoughts, as Stephanie Brill has put the fear of God in me about the contraceptive properties of prostaglandins, but my cervix evidently has both ridges and bends, and that damn tenaculum did hurt.

But! The doctor says that if this one doesn't take, I should come early next time and they'll slip me some valium. So there's that.

Neither the doctor nor the nurse were overly excitable, which I think is good for us in re: not getting too worked up about any particular cycle. We're trying to think of this one as "getting started", which didn't stop me from waking up in the middle of the night a little freaked at what we just did. (Man juice. In my hoo-ha. Yowzers.)

Is so!

From Sugar Mama's latest post:

On having a pregnant wife
I'm going to be less inclined to the whole 'your body is a miracle' kind of shtick.

EXCUSE ME? My body is too a miracle, woman, and don't you forget it. Hello -- I have TWO VAGINAS. Two of 'em, I tell you. Sounds pretty dang miraculous to me. Are you a lesbian, or what? (see below.)

You see what I have to put up with, Internet? Sheesh.

As it turns out, my body is even more freakish miraculous than I thought. I've been doing a little poking around -- in medical journals, Internet; get your mind out of the gutter -- and while there's a fair amount out there about mullerian anomalies in general (It's estimated that something like 3-5% of women have one), I've only found two examples of someone like me, with duplicated vag and cervix, but a normal uterus. Both are written up as "Hey, check this out,"-type case studies and are fairly recent.

(Plus, Mel, a.k.a. Stirrup Queen, of the inestimable Stirrup Queen's Completely Anal List of Blogs That Proves That She Really Missed Her Calling as a Personal Organizer, says via email, "I think you just may have the most unique situation on the blogroll." And let's face it: this is a woman who knows from hoo-has.)

One of the journal articles pointed out how folks like me seem to contradict the dominant theory of fetal genital development -- because the order in which things are thought to fuse should mean that you can have duplication of upstream elements with normal downstream ones, but not the other way around -- but then went on to mention that really? We hardly know anything about fetal genital development.

This brings me to another point from Sugar's post,

Will my answer help you decide which one of us is more gay?

I'm not even going to get into a toolbox arms race or start talking smack about pool-playing skills. All I'm going to say is: I am challenging the hegemonically male-gaze-driven perinatal/OB-gyn orthodoxy with my cooter.

Your move.

Family Matters

Curiouser and curiouser. When I said that I figured my vag wasn’t all that weird after pap smears passed without comment, on the grounds it’s not the sort of thing people talk about, it turns out I was more right than I knew.

One of my many maternal aunts called me the other day. It seems that my mother had told her about my HSG but not the reasons for it. I came clean. She said “Yay!” about the baby-plans (especially nice since she’s the only one married to a bona fide conservative) and then casually mentioned that her uterus wasn’t normal. Wha??

I put Mom on the case, and it turns out that two of her sisters have “heart-shaped” — bicornate, I assume — utes (and children without surgery, I might add). Of the remaining four women in the sib-ship, three have had hysterectomies for endo. No telling what shape theirs were. Time to put in a call to maternal aunt number five....

Oh, did I mention that my father is a geneticist? I suppose I should call him and let him know that maybe there’s something to this heredity business, after all.

Totally Tubular

What did that mean, exactly, anyway? I remember that the connotation was positive, so I can only assume it had nothing to do with yesterday's "totally tubular" HSG adventure.

An HSG, for the blessedly uninitiated, is an X-ray of your more internal lady-parts, in particular your uterus and (if you're lucky) your fallopian tubes. Only if you're really lucky, you won't have to do this at all because let me tell you, it pretty much sucks.

Listen, before I go into my story: If you're reading this because you have to have one and you're scared about it, do be aware that your experience will NOT be like mine. The part of my procedure that hurt was the part concerned with getting through my cervix, and that was because of the double-vag action. If you have the ordinary number of vaginas and cervices, then the speculum part might be ouchy and the dye might give you cramps, but that's it. And if your set-up is irregular, take heart: I survived. The anxiety was way worse than the pain. DO take a bunch of Advil beforehand, DO BYO maxi pad, and DO get someone to come with you, if you can.

Now back to our whiny story, already in progress:

It goes like this, in principle: You take a whopping amount of Advil and maybe some antibiotics and then report to Radiology, where you strip down and hop up on a table, all pap-smear style, except there are no stirrups. I have it on authority from several other victims patients that there are never stirrups. You didn't think the stirrups mattered, but you find yourself annoyed at holding your legs in place without them. Then the doctor gives you something to be annoyed about, and by "be annoyed" I mean "cry".

The next step is a yawning speculum, followed by a catheter through your cervix. Dye through the catheter into your ute and hopefully your tubes -- the idea is to see if the tubes are open -- quick X-ray shot of all that business, everybody out of the pool vag, and you're on your way, sorer but wiser, and leaking dye into the pad you brought with you or else one of those throw-pillow-sized hospital ones.

Aren't bones pretty? This is not me, by the way, but the internet says it is normal.

The speculum is not a picnic -- it has to be open more than for a pap -- and some people get some cramping from the dye. I didn't. Instead, I got endless horrible pinchingburning from the many attempts to get through cervix number one, followed by more stretchingaching from cranking open vag number two, followed by more digging around on that cervix. Holy crap, that sucked, not least because it was so damn demoralizing listening to the X-ray go off again and again and again and again, only to see no uterus onscreen, only the end of the speculum and a sad little pool of dye stuck outside.

Me, after watching nothing happen for the third time: I promise you I have a uterus.

Dr. BF: I know you do. I've seen it on ultrasound.

Me: I've seen it on the MRI.

Dr. BF: Yes, I know you have a uterus.

More burrowing around in my nether regions. More nothing happening on the X-ray.

Me: I further swear that I do get my period, every month, and that it comes out of my cervix.


Dr. BF: I like your logic.

My Cervices, after tries 1-5 (or 6? I lost count):
NOBODY HOME.
THERE IS. NOBODY. AT HOME.

Eventually, door number two yielded. Not without some burning pain, though, and I wish I hadn't glanced at the instrument tray later, because there was rather more of me on it than a girl would hope. And the news is good: though Dr. Baby Factory describes my endometriosis as "significant" and brings up IVF every time we talk, he says the tubes are open enough to give it a go on our own first.

Thank you, Nice Nurse, for patting my shoulder while Dr. Baby Factory cranked the speculum in my bigger vag up to 11 or so. I know you were right to stop me massaging my poor tum when he went for door number two, so I hope I didn't give you a very dirty look. Sorry I dissed your pad when it was all over, but seriously, by the time those things take two hands to carry, they are too big. Please tell the hospital to enter this century (or even the final decade of the last one).

When Hospital Pads Attack

Thank you Dr. Baby Factory for telling me when things would hurt, for apologizing repeatedly, for not sounding panicked or annoyed when nothing would get through cervix number one. It's a real pity the catheter would never go through. Thank both of you for not calling the extra clamps, pinchers, pipe-wrenches, and jaws-of-life required to get a catheter syringe into cervix number two by their names, instead saying things like, "Could you get me...one of the green things? Do we have one of those?" I bet this whole thing took much longer than you had scheduled, so thank you for sticking around to talk with me. If I'd known going into this that my procedure would be "what makes it interesting to keep doing these, even after 20 years," I would have run for the hills, but it was still nice of you to say something like that instead of acting like I was bad for having a difficult anatomy.


So sperm! We're gonna buy some! ...in August or September, finances permitting, because, frankly, I want to enjoy my week at the beach in July, not run around peeing on things and not getting to drink.

Right now, it's hard to think about putting anything in my hoo-has, though, because everything is still pretty ouchy. I'm on Cipro for the weekend, on account of all the digging around, and my poor old left ovary, the one that aches for days after dildo-cam-ings, is talking about moving out and getting its own place.