Showing posts with label rotten things. Show all posts
Showing posts with label rotten things. Show all posts

Wednesday, December 22, 2010

Normal

Greetings from the snowy midwest, where we are visiting Sugar's family. The snow is not too deep and very pretty, but I am nonetheless grateful that my mother's giant grey marshmallow of a down coat still closes around me. It's touch-and-go after a meal, I tell you what. Luckily, we'll be out of the cold weather and down to my parents soon, so it only has to hold on for a few more days. Related gripe: why doesn't anyone make a maternity coat that is actually warm?

Perhaps because pregnant women are supposed to be warm all the time, but let me tell you, this one ain't. Obviously everything is going as it should in terms of the important aspects of gestation, but I do find it funny how many of the "typical" symptoms have not visited me. I am cold all the time. My skin has never been drier -- shea butter on the face every morning or the skin just peels away. And that business about your hair not falling out and then all coming loose after birth? I have very thick hair to begin with, but if it finds a way to fall out more than it is already, I will certainly be bald by the time The Bean sees me. (And yes, I will trade all that happily for the mildness of my morning sickness.)

I will also take it in happy trade for the nurse's call yesterday saying my glucose test results were normal, which saves me a fight with the doctors, since I had made my mind up firmly to refuse the three-hour test. It was just over 24 hours before I was recovered from the one-hour, by the way, with an additional 24 to get rid of the migraine it brought on. And meanwhile, I've been poking around the journal literature and have become increasingly convinced that nearly all of the GD paranoia is based on g-d horse shit. I won't bore you to death, but just for starters: in a study of outcomes for gestational diabetes patients and babies, wouldn't you suppose it a good idea to exclude women who had poorly-controlled diabetes BEFORE pregnancy? Of course not: that would exclude almost all of the scary outcomes, and then how will you get published?

Sugar is champing at the bit to do laundry, so I'd better get out of these very soft but somewhat whiffy pajamas. (Yes, Melody, they are pajamas. Garnet Hill German cotton flannel. Get yourself some; I promise you will not be sorry. This is my fifth set.) I will leave you with a picture of my rapidly expanding mid-section, circa 28 weeks, and a promise that I will be back to report on anything exciting that happens on Christmas day at Sugar's paternal grandmother's house, where we're not at all sure anyone has been told about the pregnancy. Last time I was there, one of Sugar's cousins refused to do anything but gape at me while I was talking to her (about such controversial topics as "your daughter is very cute"). This should be even more fun without alcohol.

P1000598

P.S. Yes, I'm beyond pissed about the legal goings on of my home state. Guess it's off the list of "states I will allow us to live in prior to being absolutely certain we're done having/adopting children." Nice feeling to have about a place my family has lived for 250 years.

Friday, December 17, 2010

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.

Friday, November 12, 2010

what the hell is going on in there?

Up until about three weeks ago, I thought of myself as a basically healthy person. I felt lucky for being so healthy, and thought often about how unfair it was for Baby to have to deal with chronic asthma, migraines, and the frequent pain of severe endometriosis.

Then I had an ultrasound, the intent of which was to see if I still had a small polyp in my uterus, that turned up the fact that I had an 8 centimeter endometrioma on one ovary and a 4 centimeter one on the other (!). Faced with how huge 8 centimeters sounds and with the prospect of a more invasive surgery if I waited too long to have them out, I went in for a lap on Tuesday.

When the surgeon looked inside, she discovered some unexpected things. First, both my ovaries are sitting underneath my uterus. Second, the left ovary had become so enlarged that it was as big as the uterus. Third, there are adhesions from endometriosis everywhere in there. And finally, one of my tubes is blocked.

Wow. Ok. I don't feel good about this at all.

First, somehow I feel like I should have known there was something wrong in there. Maybe I could have done something earlier, if I hadn't been in denial, except I wasn't really in denial, since nothing really hurt. But still, how could I not know?

And proceeding from this somewhat irrational reaction, I feel like I've been running my life wrong. Or something. Should I have been more invested in being the one to get pregnant? Baby really wanted to be pregnant, and I didn't really feel strongly that I did want to, so it seemed totally right to have her go first, (or just to be the one to do it, if we only have one). But now it's looking like I won't have an easy time if I do want to get pregnant. Plus I'm older that Baby. But I was just going right along assuming I could get pregnant if someone put some sperm up there, like an idiot, so I had all the time in the world (or at least 6 or 7 years).

Not helping is the fact that my really nice and cheerful surgeon keeps asking me about when I want to get pregnant. I know she is happy she was able to preserve both of my ovaries and concerned that my sudden endometriosis seems severe, but, hello, we are expecting a baby in March. I'm not going to try to get pregnant right now, because that would be a nutty thing to do. I was lying in bed, addled from pain medicine, the day after the surgery, when my surgeon called to check on me. After ascertaining that I was recovering normally, she launched into a discussion of how I would probably have to do IVF. Ack! At least wait until I'm off the meds!

Baby has been a great a help through all this. The poor thing is exhausted from being pregnant and has also been doing everything for me for the past three days as I lie here and moan about how percocet gives me a raging headache and the urge to weep. I will be happy to be on my feet again, which right now feels like it won't be until the distant future, but will really probably be something like three more days. I've been a bit surprised at how this recovery is sucking, but I'm not sure why I didn't put together the fact that getting abdominal surgery = getting stabbed in the stomach. As Nick Swardson says - "no thank you to getting stabbed. I don't want any part of that process"

Now with working link to the funny! -- Ed.

Sunday, June 20, 2010

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.

Tuesday, June 1, 2010

Memorial Day

Hello, internets. Welcome back -- physically, mentally, whatever -- from the holiday weekend.

Sugar and I took a last-minute trip to New Hampshire with Womb Buddy, stayed in the 200-year-old house she moved to after leaving our hometown when we were both little. I visited in the summers for a few years, sliding in the swimming hole under the covered bridge, getting locked in a horse stall full of kittens, and generally living the country life, oblivious to the fact that W.B.'s parents' marriage was collapsing. (The packet of old photos I found at my parents' house this Christmas suggests I was oblivious to everything except kittens. One picture of a person in the whole batch: a fuzzy me, holding a kitten.) Until last summer, I'd never been back, though I picture the house and its yard whenever I read Madeline L'Engle's Wrinkle In Time books, remembering lying on the glacier-scraped granite outcropping to watch the sky as Meg lies on the stargazing rock.

The house is different in some ways, despite its familiar creaking floorboards and narrow stairs. Parts have been remodeled, and its denizens now include W.B.'s step-mother and step-siblings. But the town is old and small and slow to change. There is still no mail delivery to houses, no stop light, no noise or light at night. Its valley of green fields and shuttered houses is still watched over by blue mountains, the postcard-perfect New England town.

On Monday, we walked down the road to visit a woman we met last year, who with her son raises alpacas and shetland sheep for wool. Last year, her fluffy tom cat herded geese away from us as we walked the road towards the swimming hole, and she insisted on taking us out back to meet the animals. We loved it, of course. She's a single mom, and she explained that this is an inexpensive way for her to keep her son close -- the animals themselves were gifts from 4-H. We wondered, a year later, if they'd still be at it, if her son ever was as invested as she, if he might have grown older and started racing dirt bikes or chasing girls.

Thumper and the Bug
W.B. and Thumper, July 2009


We found the shepherdess at work in her front garden, spending her birthday putting in new perennials. She was happy to see us and happier still to usher us back to the barn and pastures, where her son showed off two-day-old lambs with evident pride. The alpacas were overdue for a visit from the shearer, who is behind in his work. Our favorite ram, Thumper, died of bloat over the winter, but nevertheless, the little farm carries on.


Mostly, he looked happier than this, but I chose this picture because OMG I AM HOLDING A LAMB!

We continued down the road, over the covered bridge, and into the old part of the cemetery, where flags marked graves of those who served in wars all the way back to the Revolutionary.

Mill Cemetery, Meriden, NH

The cemetery is beautiful, shaded by ancient maples, in sight of lupin-covered hillsides. It is not so hard to think of spending eternity on the high banks of the fast river there, visited by hikers on their way down from the mountain behind it. We hiked there this weekend, as most of those buried here must have at one point or other. The forest shifts from dark hemlock to brighter groves of beech and maple. Where sun creeps through, forget-me-nots cluster around the path. From the bald on top, you can survey the valley.

View from French's Ledges

Hiking in the eastern mountains this time of year always makes me think of a college housemate of mine, who hiked the Appalachian Trail the summer after she graduated. I remember how excited she was for the trip, and also the quiet confidence that ran under her talking about it, the knowledge that she had the skills for the trip but also the right mindset, that she knew well how to break big projects into steady, determined days.

That attitude was typical of Roselle. She was so steady in every way, like a sturdy tree you know will always be there to be counted on. She was pre-med, and it was clear that she excelled in school not by lucky flashes of brilliance punctuating long weeks of sloth but by day after day of orderly studying. She got her work done without panic, and yet never shook her head over those of us who were grasshoppers to her ant when it came to laying up stores against the coming winters of exams and final projects. Her professors noticed, too:
"Roselle was smarter and more capable than the rest of us, and she held an almost tender benevolence toward others. She did not ask anyone else to work to the high standards she herself was working to achieve. "
Tender is the word exactly. She paid attention to you in such a quiet way that you could easily miss it, until you sat with her at dinner and discovered she remembered everything about that play you were in, that joke you told once. When I watered her plants while she flew to Texas for a med school interview, she brought me back a packet of bluebell seeds, having remembered a small picture of a blue-blooming field I'd had up on my wall.

If Roselle was a more diligent student than most of us, she seemed thrilled with the clownish ways we were different from her. If I close my eyes, I can hear her sudden, full-throated laugh, surprised at whatever we living room layabouts had invented to amuse ourselves while she studied in the dining room, somehow untroubled by the cacophony we regularly raised. And we all loved her. Of all the women I lived with those four years, Roselle is the only one I can think of no one's complaints about (unless you count her old roommate's assertion that she closed her dresser drawers too loudly in the early mornings). There simply wasn't anything to complain about.

Roselle died in Iraq in 2007. She was an Army doctor, and had volunteered for overseas duty because others in her group had small children. She was by all accounts tender and devoted as ever.

The news of her death was a shock. When another housemate forwarded me the email she'd received, I thought the dead Smithie in the subject line must be Madeline L'Engle, who died close to the same time. I didn't expect it to be someone I really knew -- but why not? Exactly how naive am I, that I expected to go without losing a friend with our country at war for so long? Did I think that the pins I'd worn (paltry activism), the letters I'd written (never enough) would somehow protect me? Did I think this was all just an intellectual debate? (Answer: of course not. Knowing how our volunteer army works, I instead counted on my race and class to insulate me.)

Soon, nausea set in. The Army would not release the details of Roselle's death, only that she'd died in Kirkuk not long after arriving there with her unit, that her death was not combat-related. Another soldier in her unit, a man, died the same day. I hate what I know of what women are too often subject to in our military. I hate that they are often raped, hurt, killed by their fellow soldiers, that the military doesn't seem to care enough rid itself of its old habits of misogyny (that seems too weak a word). Rape is twice as common in the military as in civilian life, a statistic all the more disgusting because the Army purports to teach unit cohesion, to protect one another. I hate that the only big name who ever seems to talk about this publicly, to admit that it exists, that it's not just isolated incident after isolated incident, is Garry Trudeau. Shouldn't we be reading about this outside of the comics section?

I didn't know that's what happened to Roselle, of course. I knew it could have been anything. A munitions accident in a warehouse somewhere. A car crash. A fall down a flight of stairs. But knowing that it was far from outlandish to imagine her attacked by a comrade is unacceptable.

The Army has since released its report. They say that she was overwhelmed, unprepared. That a senior officer berated her, that she told a fellow officer that she couldn't do it anymore. That she returned to her barracks and shot herself.

I can't tell you how difficult I find it to square this story with the Roselle I knew, who seems just like the one described by medical school classmates and hospital colleagues who wrote messages of condolence after she died. Yes, I know that suicide is often an impulsive act, that there is no "type" of person who attempts it, that it can happen out of the blue. Maybe she was sent overseas without proper training, a less awful negligence on the Army's behalf. Maybe she was that thrown by whatever was said to her, though that's hard to imagine. I keep trying to build a version of Roselle in my head that allows me to believe this story, but it hasn't worked yet.

Instead, I am left with doubt and with anger at an Army that promises to take care of its own. At an Army I can't trust to tell the truth, when it has tried so hard to cover up or ignore other problems. At a war we had no business starting, made possible by jingoism and racism and calculated lies. It's not politic, I realize, to say such things on Memorial Day. We are to wave the flag and believe sacrifice makes every cause noble. We are to "Support the Troops," which means ignoring the kinds of support the troops may actually need, if the real circumstances of their service don't lend themselves to blockbuster movies. But Roselle didn't heroically give her life to keep us free and I refuse to forget her that way.


We college housemates, classmates, teammates, and friends of Roselle pooled money to have a tree planted on campus in her honor, a Cladrastis lutea "Rosea" -- pink-flowered Yellowwood. Sugar and I saw the young tree this month, growing on the street where we all lived together. It takes several years to begin blooming, but when it does, it sends out surprising, wisteria-like clusters of pink. I hope it will stand watch on our street for many years, steady and lovely and sometimes laughing with flowers.


Thanks to Tom Gill for the picture of a blooming Yellowwood.


Pictures of Roselle's tree are up here.

Tuesday, March 23, 2010

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.

Friday, January 15, 2010

Tuesday, December 1, 2009

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.

Tuesday, August 25, 2009

Best Planned Lays

This isn't going to be one of those well-made blog posts. This is one of those pissy lists. BUT: Before the ranting commences, Hello and Thanks for dropping by! to everyone, but especially to those of you directed here by the lesbian-lovin' Kymberli. It's a pleasure having you. If any of the rest of you don't read Kymberli's blog, you should certainly head over to read today's tale of accidental head-shaving.

1. LH surge: I can has one, pls? Still spending my days with legs crossed, still but the palest of lines on the OPK. Not yet out of bounds for my longest cycles, but getting close. Am secretly convinced I don't make LH.

2. Farewell, Mr. NMEBSI? It turns out he wasn't screened for a genetic disorder that I only just now got tested for. I won't know my results for at least another month or so. I had thought that no donors had been screened (so my own results would only be to help us decide about prenatal testing), but it turns out that some have. So we will choose a screened donor for September, at least, and maybe beyond (depending on my results).

(If you think I'm being over-cautious, please keep in mind that my father is a pediatric geneticist, who treats very small, very sick kids. This disorder is common, and although my parents raised me to be independent, he all but asked me to get tested.)

We were pretty upset about this, but we've since found some screened donors who also seem like good choices. Which means we have plenty of energy left to be upset that...

3. Dr. Baby Factory will not waive the $450 counseling session, nor will he allow us to see a counselor outside of the practice (who might take our insurance or just charge a little less than $9/minute). There are so many reasons this enrages me (and fills me with hopeless despair, but the anger is more interesting, I imagine) that it's hard to keep them all straight in my mind. I'll limit my rant to three. I'm realizing that they mostly come down not to the refusal to waive the counseling but to how it's been talked about.

a. There's equal ≠ fair aspect to the whole thing -- Dr. Baby Factory cannot or will not (as I find white men of privilege generally can't or won't) wrap his mind around the idea that treating all couples using donor-whatever in the same way may be equal but it isn't fair, in the sense that it is willfully blind to what brings each couple to this place. The best I can come up with is that this is like saying that it's fair that no employees get Jewish holidays off, when in fact that's equal but unfair. It bugs me that he won't acknowledge that our position is different from that of a straight couple using donor-stuff.

b. There's the giant fuck-you that is their counselors working with NO insurance. I don't think I'd be half as mad if they worked with some but not ours, though I'd still be pretty tweaked, since we chose this practice because it works with our insurance. But taking no insurance at all? So it's just an automatic "too bad you aren't normal" charge? Shitty, shitty, shitty.

c. There's the way Dr. Baby Factory distinguishes straight couples from us by referring to them as "married". GAH! I AM TRYING TO BE MARRIED, JERK-FACE. (How I wish we'd already eloped to CT, so I could tell him off properly for that one.)

As I see it, we have three options -- but please let me know if you think of any others, wise internet:

1. Suck it up, swallow pride, see if pooped-out pride sells on eBay, and pay for it.
Pros: Path of least resistance (except cost means less sperm means fewer tries before we have to store up money again).
Cons: Money, rage.

2. DIY at home, at least to start. (Assuming Dr. Baby Factory will still sign the home delivery release, as he said he would back at the HSG.) Reevaluate after a month or so.
Pros: No one involved who makes me want to spit nails.
Cons: Lower conception rate than IUI. Inefficient use of money, since we would be buying 2 vials/month and having to get them shipped every month (vs. getting 3 months' at once and storing at the clinic).

3. Change clinics.
Pros: I have another recommendation that my insurance will cover, with free sperm storage and no seekrit psych fees. Could work on details while trying DIY for a month.
Cons: Starting all over with intake, etc. More prodding of the vages. More theories. Sounds exhausting and like it will take forever.


Stay tuned, internet, to see down which path our heroines next gang agley.

Tuesday, August 18, 2009

I'm A Lesbian And I'm Okay

I should really put my insurance on speed dial. Not a day goes by, it seems, that I’m not talking to them.

This morning, I finally got resolution on the “will you pay for this genetic test” question I put to them in…June. That’s 2 months of their losing letters, requiring codes they hadn’t asked for in the first place, requiring still more codes, and so on. Every fax takes two days to process because they convert them to microfilm before reading them. This makes the bureaucratic aspects of my health care sound more like a James Bond movie, but also seems to negate the speediness of faxing.

Now I’m on hold to find with a different branch of the company. Rather than the Mozart the main line uses, the mental health section favors silence punctuated by a firm voice saying, “Please wait.” Repeatedly. I’m calling the mental health division because apparently, I’m cruising for a nervous breakdown by being gay. News to me, but hey, I’m no doctor.

The above is an oversimplification, but near enough to the truth. Sugar and I had been thinking we’d skip the Barry White and vanilla-scented candles portion of the TTC journey in favor of the favorable if florescent-lit odds of IUIs at the Kips Bay Baby Factory. Mr. NMEBSI* has more IUI than ICI vials available, and we have been starting to think that we should face the fact that we don’t have baby-making equipment in the house, rather than let sentiment stand in the way of a better chance of conception. In the aftermath of my HSG, I had been feeling reluctant to encourage any more catheter-on-cervix action, but now I’ve had two months of the least painful periods since high school. Some private investigation indicates that I’m bleeding almost exclusively out of the side that was — to quote my chart — “perforated” at the HSG, which makes me think that totally tubular experience left my cervix more open and that an IUI was therefore less likely to require overwhelming force. So today I called the clinic IUI nurse to find out the procedures. All fairly straight-forward, except, oh, had no one told me I’d have to meet with their psychologist first? Everyone using donor sperm does.

Let me be frank: I’d rather we didn’t have to use donor sperm. I’d rather bring home a bottle of cheap champagne, line a roasting pan for Ray’s lucky Beer Can Chicken, and end up with a kidlet who looks half like me and half like Sugar. I’d also like a magical flying pony who lives in the apartment and doesn’t poop. I suppose I can see recommending a sit-down with the counselor for het couples using donor sperm, who perhaps haven’t spent more than a decade considering the ramifications of having a child who isn’t genetically related to both of them, but come on. We’ve been over this, trust me.

I find this requirement annoying if not discriminatory, but I also remember my grandmother telling me not to cut off my nose to spite my face, so I called the office psychologist and made an appointment for next week. Sugar must have been able to tell over gChat how pissed I was, because she didn’t say boo about having to miss more work. At the end of the conversation, the receptionist says, “By the way, the fee for the consultation is $450 and we don’t work with any insurance companies.”

EXCUSE ME? $450 because you’re worried that I might not have thought about being gay? $450 so Sugar and I can put on our Happy, Well-Adjusted Couple Show for you? No matter what anyone who’s known us for more than an hour might think of our parenting ambitions; clearly what you think matters most.

Since I started writing this post, I talked to a very nice woman at my insurance company, who tells me that they’ll reimburse for 80% of the fee, less my deductible, which is $363. So it would only cost me $380.40 to be gay. Bargain prices! Everyone will want to be gay now!

I say “would” because this pisses me off way too much, even if we had $380.40 we couldn’t figure out how to use (answer: sperm). I have a call in to the doctor. If he won’t waive this, we’ll go elsewhere or just crank up the Barry White after all.


*I love this name, by the way. Mr. Nmebsi sounds like he would get his oil changed by Mr. J.L.B. Matekoni and perhaps respectfully consult Mma Ramotswe about his suspicion that his neighbor was pilfering from his garden.

Friday, June 19, 2009

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.

Friday, June 12, 2009

At The Baby Factory

Last week, Sugar Mama and I made our way over to the Kips Bay Baby Mill...and I'm a little in love. Our doctor is The Right Sort. He listens well, seems genuinely interested to know us, and Sugar Mama was particularly impressed by how naturally he treated her as my partner, not just as a more-or-less invisible friend. (In fact, the more I think about Dr. Baby Factory, the less I like the gyn who couldn't find my second hoo-ha.)

I was a little worried about the transvaginal ultrasound they do as a regular part of new patient intake, though it was inevitable that I would have one this month, since the gyn wanted one as follow-up on the ovarian cysts found on my MRI and I was glad enough not to have his hand on the dildocam, considering how uncomfortable I found his pelvic exam. Dr. Baby Factory was very gentle -- even the double-pap (the first pap of the rest of my life...) wasn't bad. Sugar Mama stayed with me the whole time, as did some new PhD who I took to be a med-student sort but turned out to have studied Zebra Fish embryology? (Why was he there? Oh well. It's getting so I don't care that much who sees my hoo-has.)

The bad news is that the cysts haven't moved -- or maybe that's good news, since I was a little convinced I had the Big C -- so I had another u/s this week. This one was with Dr. Demure, who managed the whole thing without even seeing my uncovered legs. He passed me the wand under the paper sheet and had me insert it, then daintily reached his hand underneath to maneuver it, eyes always on the u/s screen. It was a little reminiscent of the scene in Kandahar when the doctor can only advise female patients through a sheet, since he's not allowed to see their bodies.

The other bad news doesn't really count as a surprise: I, like every other woman in my family, have endometriosis. (Screw spell-check for not knowing that word, by the way.) I was hoping that if I just kept my complaints about my excruciating periods sub-medical, I avoid my fate, so chalk up another loss for magical thinking. Sigh. This will make conception harder, but I keep telling myself it's not impossible. My mother has endo badly enough that she had a laparotomy years before I was born, after which the doctor said her ovaries so badly messed up from intrusions that "we scraped together all the ovarian tissue we could find and pushed it into a roughly ovarian shape". And yet, here I sit.

So now it's an HSG to discover how messy my tubes are. I am terrified at the thought of this -- not only does the set-up sound bad (catheter through the cervix?? CLAMP if the cervix is shy????), but getting pumped full of X-rayable dye apparently hurts quite a bit if the tubes aren't open. Plus, Sugar Mama will be out of town for the only day the procedure can be done this month, and I'm scheduled to teach that night. Friend With Baby will probably come with me. Apologies in advance for any infertiles in the Bad Place who have to see the cute baby, but I've decided I'm looking out for number one this time, and Friend With Baby is the best choice for company.

Enh, sorry for the lack of funny pictures. I'm not feeling it.