Saturday, June 14, 2014

Life Ain't Always Beautiful...

Life aint always beautiful
Sometimes it's just plain hard
Life can knock you down, it can break your heart

Life aint always beautiful
You think you're on your way
And it's just a dead end road at the end of the day

But the struggles make you stronger
And the changes make you wise
And happiness has its own way of takin it's sweet time


Happiness does sometimes have a way of taking its sweet time.  Sometimes the joy of the journey is found on the ride to get to the destination.  Slow down, take it in, enjoy those small moments.

This week was not a happy one but it was full of happy moments.  That sounds weirdly optimistic doesn't it?  I am not happy how that cycle ended by any means.  But I am happy that I have my best friend and husband at my side to support me and that I have the best IPs any girl could ever ask for. 


My IPs and I are on the same page.  I caught some grief this week about posting a smiling picture after my D&C.  It was my FB but I could understand how it could potentially hurt someone who has faced infertility or a loss in whatever way.  I apologized for being insensitive.  My IM did not feel pain over my picture.  She felt relief that I was well physically and because of that, I am ready to cycle again whenever it is time to do so.  She was outraged that someone would suggest that maybe I hurt her by posting such a thing.  She is in my corner and I am so lucky that I have someone so supportive of everything I do and say.  She truly is a blessing and though this road took 6 years to get here, we know how this feels to go through this together.  We know what the feelings are.  This is not our first time at this particular rodeo. 


What is next? I have been asked this a lot.  Everything went well physically with my D&C.  I need to wait for my next period, then I would be able to start meds for our next transfer.  My period should be in 4-6 weeks with transfer another 2.5 weeks after that.  The clinic is closed for August for annual FDA cleaning so it looks like we won't be able to cycle again until September.  But that is okay.  I get to give my body 3 months of a break. I get to get back in shape and lose the weight I have put on from 2 back to back cycles and 10 wks of pregnancy.  I get to train for my half marathon in September and I get to enjoy my summer vacation with my family and as Dr. Steingold (My RE) put it "You get to drink heavily and enjoy your vacation!"  Well the doctor said to do it... so maybe just maybe at the Luke Bryan Concert I am going to at the end of this month, I will have a few adult beverages, let my hair down and enjoy this time that was stolen back for the summer.  It does not mean I would rather do this than being pregnant, but I have to find the silver lining somewhere.

Cheers! 

Wednesday, June 11, 2014

Update-- D&C Tomorrow

Just as an update since it has been over a week....

I went off of the meds on Wednesday and played the game with the Family Health Clinic vs the OB Clinic-- You're not my problem, you're their problem!  Then my PCM is on leave so I can't get any advice or treatment.  Gotta love the way the system works!  So anyhow, the OB clinic finally brought me back in as the miscarriage was not starting itself and had another ultrasound done.  The doctor was very very thorough making sure that there wasn't even the slightest of a flicker of the fetal pole.  The fetal pole was still visible where it should be beating, but it wasn't.  The yolk sac continued to grow the gestational sac continued to grow but the baby never grew and there was never an actual heart beat. 

These are ultrasounds done at 10w1d:




My body is not getting rid of the pregnancy even though the meds have been discontinued so at this point my options were either Cytotec or D&C.  I have had both (from the same miscarriage) and the Cytotec was the devil because I was prescribed 6 pills one night and 6 pills 12 hours later.  Seriously worse than a regular delivery and birth with no medication and on pitocin.  Yes I have had both-- at least there is an end in sight during labor and delivery!  The cramping was constant and made me so nauseous with the cytotec.  Now that I am on the eve of the D&C, I am nervous.  I know that its a 'routine' surgery and not a big risk but when you are signing waivers saying that you know that uterine perforation is a risk and asherman's syndrome and you have to go to the lab to be blood typed in case you need a transfusion-- then reality hits.  This maybe is a serious surgery!  (even if it is routine and outpatient-- the risk is real!) 

So tomorrow at 2, send prayers up for my IPs as this is finality for this baby for them.  This is the second time we have been through this together and they have been nothing short of amazing for my family.  They sent me a bunch of sunflowers through FTD and I sent photos of them to my IM and they weren't perky enough for her so she called FTD and had them send me a new bunch!  They also sent our family a check for 'the things I am going through' to help us to take care of the family for the time I might be down.  She also was going to come down but I told her to stay home but promised that I would call her the moment I needed help from them!  This is a true partnership-- their family and ours. And pray for my safety during the procedure. I can't help but be nervous, but I will be just fine! 

We have agreed to work together as soon as we can but unfortunately, August is the month that the lab closes down to clean the facility so it looks like the soonest we might be able to transfer again is September because I don't think July is gonna happen!  But we are working together again!!  It is in the works!

Wednesday, June 4, 2014

Ultrasound #2 Update

Sometimes we don't have adequate or eloquent words to convey the message that we need to tell.  First I will just put it out there, then I will give the details.  Today at the appt, there was no heartbeat.  

Now that there is a big white elephant in the room, I will tell you more.  This is my second miscarriage, this is their second miscarriage.  The only time we have ever experienced a m/c is with each other.  That does not make today any easier.  They drove down here (a very turbulent and long trip laden with traffic) and we got to the appointment just in time.

The tech put the wand on my abdomen and immediately, I didn't see a heartbeat.  The tech wanted to do a transvaginal ultrasound so she asked me to undress while they were in the hall.  When they came back in, an OB came with her which further solidified my intuition.  


When they did the transvag ultrasound, there was one gestational sac with two yolks inside of it.  Those were both empty and still.  No flicker of a heartbeat.  The sac measured 7w6d so the baby (ies?) had stopped growing either last week or the week before.  What do you say about this?

I have always heard that surrogacy is a selfless act.  That one gives part of themselves to another person/family for 9 months (or more).  What is selfless is when you are faced with a situation like this and all you can think about is the other person before yourself.  Who cares about me medically?  Are they okay emotionally?  For me it is easy to discern my feelings of grief.  They are not for myself or even for the baby-- this is not my baby so it is hard to explain how removed I feel from the pregnancy.  My friends, My Intended mother and Intended Father-- they are my initial concern.  I can't imagine how they feel when I should be a part of the infertility solution and suddenly, I have become the problem -- twice.  

I cannot harbor the grief or the blame.  It was not my fault but I still dislike that inside of me, these embryos did not continue to grow.  My body did what it needed to, it just wasn't meant to be.

Waiting on the RE to call me back and tell me how he wants to manage this loss-- medically, methodically or surgically.  (Cytotec, natural m/c or D&C).  I don't know what will be after the m/c or if we will continue.  Right now we are handling this and getting through this before we make the next move... One step at a time.


"One Step At A Time"

Hurry up and wait
So close, but so far away
Everything that you've always dreamed of
Close enough for you to taste
But you just can't touch

You wanna show the world, but no one knows your name yet
Wonder when and where and how you're gonna make it
You know you can if you get the chance
In your face as the door keeps slamming
Now you're feeling more and more frustrated
And you're getting all kind of impatient waiting

[Chorus:]
We live and we learn to take
One step at a time
There's no need to rush
It's like learning to fly
Or falling in love
It's gonna happen when it's
Supposed to happen and we
Find the reasons why
One step at a time

You believe and you doubt
You're confused, you got it all figured out
Everything that you always wished for
Could be yours, should be yours, would be yours
If they only knew

You wanna show the world, but no one knows your name yet
Wonder when and where and how you're gonna make it
You know you can if you get the chance
In your face as the door keeps slamming
Now you're feeling more and more frustrated
And you're getting all kind of impatient waiting

[Chorus]

When you can't wait any longer
But there's no end in sight
when you need to find the strength
It's your faith that makes you stronger
The only way you get there
Is one step at a time

Tuesday, May 27, 2014

Week 8 Update and the not so desirable aspects of surrogacy

The baby has been growing for 6 weeks now and s/he started off as about 20 cells and is now the size of a raspberry.  Amazingly the baby will continue to grow at about a millimeter a day and looks more like a baby and less like a salamander.  I only have 32 weeks to go left of this pregnancy and only 4 more weeks of this stinking medicine!! 

This week I have experienced my first craving.  Salt and Pepper.  Really?  It can't be something fun like fruit or candy?  No it is salt and pepper.  I have been eating cucumbers everyday and putting salt and pepper on those, then taking the last few cucumbers and dragging them across the plate to get the left over salt and pepper.  When we were at Chick-Fil-A last week, I had a salad for dinner.  When I was up getting condiments, I smelled the black pepper through the packets and had to have it on my fries and salad!! 

While people think about the warm and fuzzies of surrogacy, I think many times they see the beauty (or money in some cases!) and don't realize that there is an ugly side too!

Here are some examples of the less desirable parts of surrogacy:

  • No sex now for 16 weeks.  That means nothing in the vagina except medication for 16 weeks.  I was joking with my IM the other day about this and she said to get creative.  That brings me to my next point.
  • Vaginal suppositories are no picnic.  One of my surro friends will not work with a clinic that uses vaginal suppositories.  The progesterone suppositories are the size of quarters and I have to do 3 of these a day. Gravity sucks and what goes in, sometimes comes out... A lot of oozy white mess.  Kinda hard to be 'creative' in the relations department when you have that going on down there... At least my husband is serviced.  Even worse when you are wearing a black bathing suit bottom at the beach and of course no panty liner... more bonus points when its Memorial Day Weekend and the beach is crowded and there is no TP in the bathhouse either DOH!
  • Pantyliners for 14 weeks during hot summer and while running sucks and its smelly.  I constantly smell like sweat.  Yuck!! I never wear pads/panty liners any other time but the constant oozing requires it.
  • The constant oozing has me running to the bathroom multiple times a day just knowing that I started severely bleeding.  It is never blood, but I am constantly worried that it is.  
  • Compensation-- Sometimes you don't get compensated until you are nearly in the second trimester.  Compensation is a touchy subject for most-- some people get a lot of money, some don't get compensated at all.  Some people start compensation at beta (I recommend this if you are being compensated or at least splitting the comp between beta and heartbeat because in the event that there is a miscarriage, then the surrogate is still compensated for the time she was pregnant and taking the medications because go back to the top-- medications suck!)
  • When making appointments, you are not the only person whose schedule must be considered.  Intended parents want to be there as much as you need to be there.  Sometimes it means changing your own schedule so that IPs can attend an appointment.  Considerations most don't think about when signing that contract...
  • Speaking of contracts, there are many things I am not allowed to do according to my contract.  Get dental cleaning in the first trimester, eat queso at Mexican restaurants, no manicures or pedicures, no lunch meat, no soft cheese, and darn it, I cannot change the kitty litter (most of these my IM said -- meh, it was in the standard contract, if my baby wants queso, give the baby queso!
While I just highlighted a half a dozen negative aspects of surrogacy, none of the negate the happy outcome of the journey itself.   The journey to get to the end result is beautiful, the scenery and the experience amazing, even if there are a few pot holes or wrong turns along the way.

As an update to the baby, we will be having another ultrasound next Wednesday, June 4 which is also my son's 4th Birthday <3 Wish us luck, prayers, good grow baby vibes-- whatever you've got!  We are hoping to see a nice strong heartbeat for this baby because the fetal pole was barely visible (if at all) at the last ultrasound.  At the time of the first ultrasound, we were 6w6d pg and the next one we will be 9w1d pg.  So we need good vibes! 

Monday, May 19, 2014

I will feel better when...

This is an ongoing thing.  I am not sure if it is surrogacy specific, but it seems to be worse in surrogate pregnancy.  This little saying goes a little something like this:

  • I will feel better when we find out the quality of the embryos after the thaw.
  • I will feel better when I get my first positive pregnancy test.
  • I will feel better when the lines get darker.
  • I will feel better when the test line gets as dark as the control line.
  • I will feel better when I have a positive normal beta.
  • I will feel better when I have a beta with a doubling time of 48 hours.
  • I will feel better when I see the baby on ultrasound.
  • I will feel better when I see the baby's heartbeat on ultrasound.
  • I will feel better when I make it out of the first trimester.
  • I will feel better when everything looks normal on the anatomy scan.
  • I will feel better when I make it to viability.
  • I will feel better when I make it to 32 weeks because the baby has an excellent chance of being healthy.
  • I will feel better when baby reaches full term.
  • I will feel better when the baby is born safely and into his or her mother & father's arms.
  • I will feel better when the baby is released from the hospital to go home.
  • I will feel better when I have enough milk that the family has a nice stash.

Does the worrying ever end?  The family has invested so many emotions and money into ME, into MY womb and I will just feel better when the baby gets here.  I never thought about these things with my own pregnancy.  You lose your own baby and its sad, its hard, but its a personal and intimate thing between you and your husband/partner.  You lose the baby of a surrogacy and you have added more people into that intimate circle-- not in a bad way, but you definitely have more people that can feel hurt or people that you feel that you let down.

Today was our ultrasound-- That is where all of this is stemming from.  My intended mother texted me yesterday from the urgent care clinic where she was just diagnosed with a double ear infection and a sinus infection.  She still wanted to come down for the appointment to see her baby, but she would need her mom to drive the 4 hours to my town.  She wanted to know the name of a hotel close by but I would not have that!  I love spending time with her (and her mom too!) so I opened my house to them and I am so glad I did.  We sat around the kitchen table last night and talked for hours.  My IM is a military brat herself, her dad was career AF and mom served in the Navy for several years.  It was nice talking to her mom about how things are now for spouses and how they used to be.  We could have talked for even longer but we decided to go to bed around 10.

This morning once they got up (they both got to sleep in and it was well deserved since IM chases preschool twin boys all day!), we went to breakfast where she gave me this beautiful, sentimental necklace for my birthday/Mother's Day.  



In the card it spoke of how she appreciated that I was making her a mama bird of three babies just like I was a mama bird of three babies.  I just Love this necklace!!  

We went over to base and we all went into the ultrasound room.  That meant that Surrogate, Mom and Grandma all got to see first peek at baby!  When they did the ultrasound, they found ONE little baby in the uterus. My left ovary was angry with a cyst larger than an inch on it.  The sac was there with the yolk and a tiny little fetal pole.  The sac was measuring 6w0d.  We are currently 6w6d.  The tech said that usually this early, the sac measures 4-7 days small because there is a certain degree of inaccuracy with measuring it since it is so tiny.  I have to go back in a couple weeks to get another ultrasound so we can measure the heartbeat at that time since it is so early. 


These are photos of the sac and in the photo on the left, the little circle in the sac beside the other circle is the fetal pole.  The other larger circle inside the sac is the yolk.  The other one is a slightly zoomed out photo of the sac and the yolk inside of it.

Right now we will continue to be cautiously optimistic and send lots of GROW BABY GROW vibes!!


After my IM and her mom left, I went and took a nap with my husband who got off of work early!  Then got Leah off of the bus and Kurt went and got the little kids from daycare.  When I was sitting on the couch working on school work, the babysitter walked in and I was confused because I hadn't booked her.  Well my husband did for an early birthday dinner!  He took me to Chili's then Target to get my estrogen refilled.  Finally he took me to Lane Bryant to get some new bras because when I lost weight, I lost boobs.  I am happy to say I am a 35DD which makes it really hard to find bras, but I was able to order some from Lane Bryant in 36DD-- Their bras are THE BEST!!  I love them and I am sad that all of my 36DDD and Es are too big for me now...



Tuesday, May 13, 2014

6wks and cue the nausea!

We are 6 wks today.  After a bit of a roller coaster with the hospital, we finally have an u/s appt set up!  I have permission to deliver at Naval but some turd had a superiority complex and wanted to verify over and over if I was 'eligible' since I was a surrogate and they wanted to know who was footing this bill.  This guy is merely the person who makes the appointments for the OB department and I only need ONE appt there because my PCM will continue care after this one ultrasound that the RE requires... Needless to say, the person in charge of OIC billing gave me the approval and has our contract on file and she went ahead and called the OB turd and got the wheels spinning!  We now have an appt set up for Monday at 1150 for dating!  So excited!!  Only M can make this trip due to S's work obligations but that's okay-- many more appointments for him to come to and he will be able to see a photo of his baby growing!

This morning I experienced my first bout of nausea.  I am COMPLETELY convinced that sleep quality directly impacts intensity of morning sickness.  Too bad its not MORNING sickness for me but instead, all day sickness.  I woke up feeling shaky, dizzy and flat out nauseous but that didn't stop at morning, it continued... ALL day.  Add to that, sweating like I am having hot flashes in menopause and I was miserable.  It was because Piper was up many times lastnight for extended periods.  My sleep quality was nil and I totally felt it today!


Thursday, May 8, 2014

Beta Number 2 and 5w2d update

So I am running a bit behind with updating but we had our second beta on Monday.  The way this works is the faster the doubling rate, the more of a chance of multiples, the longer the doubling, it is more indicative of a pregnancy in peril such as a chemical pregnancy.  So the normal beta doubling rates for a healthy singleton is 48-72 hours.  Our doubling rate was 49.37 so we have a normal, boring doubling number which is FANTASTIC!  I need to schedule my ultrasound for 7 weeks but I have to wait for the referral to go through.  Other notes are that my estrogen is 722 (on the high end of normal so it is no wonder I am having headaches.)  My progesterone is also good at 39.5.  They won't change my meds or lower them until after my ultrasound. 


I thought it might be fun to update weekly or monthly with the current size of the baby and what is going on with the baby this week/month.  Currently their baby is starting to grow its heart the heart will be divided into 4 chambers by the end of this week.  Pretty awesome feat if you ask me.  Luckily I have not experienced nausea... YET, but according to babycenter, that should start in the upcoming weeks... swell.  I had the worst nausea from pretty much conception to 22 wks with piper resulting in only an 8 lb gain from conception to week 39.  Then I put another 8 lbs of water weight on!! I am hoping to avoid that mess this time around!  The only real symptoms I am feeling is extreme fatigue which was unfortunate these past two weeks with my midterms last week and a ton of writing this week.  I also am getting shaky between meals so I have to eat a little something every 2 hours.  Its funny how quickly our bodies change when when we get pregnant.  Finally.... pee pee pee pee pee!!  And not on sticks anymore.  I peed on 90 of those this cylce in case you were wondering!  
  
Just a little glimpse of the insides so you can see how small the baby is inside the uterus.  I love these images from babycenter!  The placenta is starting to develop this week too!  Pretty soon it will take over and start producing the hormones that I am taking to sustain pregnancy.  Usually you are done with those by 12 weeks!  I will be so happy to be done with the headaches and also done with the ooey gooey goopy mess in my undies!!  I won't miss having to wear panty liners 24/7!!  

Will try to update next week!!  Hopefully with an ultrasound date, maybe even I will set the appointment up by tomorrow!