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Archive for April, 2009

Ever since I got pregnant with my babies, I have endured an endless parade of questions dancing around the “Are they natural?” question. Most people simply come right out and ask it. Some people say, “Do multiples run in your family?” Some people say, “Did you know you were having triplets?” Others say, “Did you do fertility?” or “Did you take those pills?”

Personally, I find all of these questions offensive (with the possible exception of whether multiples run in my family, which I mostly brush off). I believe that asking me any question about how my children were conceived is flat-out rude and is akin to asking me about my sex-life. How would someone feel if my response to “are they natural?” was, “Did you have sex to have your singleton?” I’m quite certain most people would be quite taken aback, as well they should be. It’s not a polite question to ask, is it?

So there’s a prominent family in our community, and their daughter just had triplets a month ago. I was called upon to help them in a variety of ways. Their daughter came down to stay with them for the holiday (and probably will stay for several weeks afterward). We had lunch with them last week and it was lovely and I got to hold and feed the triplets and, well, I was in heaven. I do so love babies. It helped remind me of why I’m going through all this crap. I mean, not to have THREE at once. But that snuggly little baby. Oh yes.

Anyway, I mentioned to another friend that I’d had lunch there and she said, “Oh! Did you get to see the triplets?” Of course I did. “So, um, do you know if… well, you know, we’re all speculating… though I guess we really shouldn’t be, but you’d know better than any of us, whether they were – “

I cut her off right there.

“I wouldn’t answer that question, even if I did know the answer to that question. It’s not anyone’s business.”

I should mention that the friend I was speaking with is pregnant right now, with twins. This is her fourth pregnancy, a spontaneous, surprise pregnancy, with her fourth and fifth children.

I explained that the question is completely inappropriate and, in my opinion, is akin to asking about someone’s sex life because it’s asking about the conception of one’s children. “No it’s not! It’s completely different! There’s nothing wrong with that question!” She insisted. Furthermore, she said, “People ask me all the time if I did fertility treatment to have my twins and it doesn’t bother me a bit!”

“That’s because you didn’t do fertility treatment.”
“That’s not true!”
“You did do fertility treatment?”
“No, I didn’t. But if I did, I wouldn’t mind people asking me.”

Yeah.

I wrote about her earlier, actually. When I’d first found out she was pregnant. I couldn’t find the post to link to it. But she’s one of the sweetest, most generous, most supportive people I know. But she’s also one of the most clueless people I know when it comes to this stuff. She never could understand why I was petrified throughout my HOM pregnancy despite the fact that she was there through the times I was in and out of the hospital for preterm labor and through all the monitoring and bed rest and scary stuff that happened to me. But when I got to the end and had healthy babies her answer was, “See? You had healthy babies just like I said you would, I told you you shouldn’t be so worried.”

Right.

Here’s the thing. If you acknowledge that you’re speculating about something behind somebody’s back. And you acknowledge that you probably shouldn’t be. And if you’re not willing to walk straight up to that person and simply ask them the question outright, then surely you must recognize and acknowledge that there is something indecent and inappropriate about the question in the first place, don’t you??

The family isn’t sharing the details, and it’s none of anyone’s business. I know that I’m a bit of an enigma because I don’t exactly hide the fact that we did fertility treatment to get our three. But you know? There wasn’t really any hiding it anyway. We went through five years and a foster son before having HOMs – I’m pretty sure everyone figured it out!!! They’re not as dumb as I’d like to think they are. So I don’t hide it. But neither do I bring it up as casual dinner conversation, either, unless I’m with fellow infertiles or people who “get it.” It’s not something I expect people to bring up by asking if my children are natural.

All babies are natural. There’s no such thing as a baby made out of space-age polymer.

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I’m going to say something that’s going to sound absolutely contrary to common sense. I do realize that I’m taking Lupron every day and that likely has something to do with my lack of sense right now and I probably shouldn’t be held responsible for my actions. Hell, being on Lupron should be reason enough to keep me away from a keyboard at all times, lest I do something stupid, like type something as nonesensical as I’m about to type. But, alas, if I kept myself away from the keyboard every time I was on Lupron, how would I fill the (virtual) pages of my blog? How would I keep my faithful readers on the edges of your seats?

No, I simply cannot stay away from the keyboard every time I’m shooting myself up with that G-dforsaken drug. That wouldn’t be fun for anyone, would it?

ANYWAY. On to my complete lack of logic.

I am petrified to get pregnant.

No, really! I am. I’ve had such a phenomenally crappy year that… I just… There’s this huge piece of me that just feels like it just couldn’t turn out well right now if I did get pregnant. But then again? Part of the crappiness this year has been the NOT getting pregnant and the canceled cycle, etc. So I dunno.

It’s really stupid, I know. But there’s also the fact that my two pregnancy experiences weren’t… great. The first one I bled for the entire first trimester and then miscarried a day into the second trimester. The second one was an HOM pregnancy in which I went into preterm labor at 17 weeks and spent most of the pregnancy petrified of losing all of the babies. I know that we’re doing everything right this time to avoid exactly that scenario, but there is good reason to believe I won’t necessarily have the easiest of pregnancies. You know, if I actually got pregnant in the first place, and if it lasted long enough to get to be crappy.

Sigh. I know that I’ll be ecstatic if I get pregnant and devastated if I don’t, so this is probably an exercise in frustration and futility. I don’t know why I’m even whining about it.

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Left Ovary: 12mm and 11mm
Right Ovary: 14mm and 11mm

Do I sense the possibility of a lead follicle in the making? Does this sound familiar??

Yeah.

Edit: Results from clinic are in. E2 = 145. Endometrium = 8.1. Stay on same doses of medications and return to office on Tuesday. This gives me absolutely no information upon which to base my feelings one way or another, and I didn’t see a doctor today, so who knows.

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Back

So here I am. Now under lock and key, sort of. I’m nearly at my 100 reader limit, so I don’t know that I’ll really stick with this lock down for long, but I wanted it for now. Why? Because a friend of mine requested to follow my notaclowncar twitter account. The only place I’ve ever advertised that account is on this blog. So how else could she have found out about that twitter account than by reading this blog? I don’t want her reading this blog, really. There’s not a really good reason I don’t want her reading this blog, but honestly? If she’s reading it, why isn’t she just telling me that she’s reading it? I’m not in a really good place right now, and you know? If she’s reading my blog(s), she knows that, and she’s made no effort to reach out to me in any way. And if she’s not saying anything because she thinks I’d be upset that she’s reading … well, then maybe she should respect my space and not read it.

Anyway. Enough of that.

Here’s the update on me.

Firstly, Wednesday I proved that I am a Real Infertile. I mean, the 5 Clomid Cycles, 6 IUIS, 1 miscarriage, HOMs, 1 failed IVF, and 1 canceled IVF weren’t enough to prove it, right? Nope. But now? Now I’m really part of the Real Infertile club. Because I gave myself a Lupron injection in the car. I had forgotten to take my Lupron in the morning before I left for my appointment, but fortunately, my pharmacy is in the ground floor of the building with Ye Olde Fertility Clinic. So right after my appointment, I refilled my Lupron prescription, sat in my car, drew up the syringe, and stabbed myself with the needle before heading off to work (my office is way closer to my RE than my house is – so it didn’t make sense to go home).

(I will point out that I have previously given myself injections at the Opera, various restaurant bathrooms, at my office, in friends’ houses, and most recently in a Rabbi’s house in the middle of Shabbos dinner – so I’m no stranger to giving myself an injection in odd places. But I hadn’t done the car thing yet. At least not from the driver’s seat.)

So, Wednesday morning I went in for my Lupron Evaluation. This is where things started going wonky in my previous attempt to start IVF#2. At the LE, the RE wants to see the E2 level below 50. Last month, at the LE my E2 level was 98. Double what it should be. I was told to stay on Lupron for a few days and see if it came down. It came down a few points, but not enough, so we kept playing the dance for several appointments, until it became clear that it was time to cancel because I was going to ovulate on my own. Gah.

So this time, I went in for my LE and my E2 was… 89.

Fan. Tastic.

But, SuperDoc wanted to move forward anyway. I have to say, as joyful as I am not to be in an endless loop of canceled cycles? There’s a piece of me that worries that we’re starting this cycle under less than ideal circumstances. Would I have been better off if I’d canceled, gone on the pill for a couple months and started over? I don’t know. But then again, going on the pill for a couple months isn’t really an option for me. One month at a time is one thing, but extended periods of time on BCPs isn’t really an option with my health history. Anyway, my nurse said that after he reviewed everything, he didn’t just resign himself to starting, he wanted to start. He’s the expert, not me. I trust him.

Fortunately, SuperDoc agreed to let me wait until Sunday to come back into the office for monitoring, though normally they would have preferred to see me on Saturday. No doubt next week I’ll have to go in on Wednesday or Thursday, which are the last days of Passover, when I can’t drive, write, use the phone, etc…. but at least I didn’t have to go in on Shabbos.

So, Wednesday night, I started Follistim (166IU) and Luveris (50 units). Now, the thing about the Luveris is that it comes in 75 unit bottles. One vial has the powder, you draw up 1ml of sterile water, add it to the powder and draw that 1ml into the syringe, and voila! you have a 75 unit dose of medicine. In IVF#1, I took 37.5 units of Luveris, so it was easy – I just drew up .5ml and I had my dose. Fifty units is not so easy. I have to draw up .66mls, which I knew courtesy of my pharmacist husband. He rocks. But when I went to do that Wednesday night, I discovered that the syringes I had for the Luveris didn’t have sufficient markings on them to draw up .66 ml. Um, ugh? My husband did his best to draw it up for me. Afterward he asked if I had any insulin syringes because those would have better markings on them to draw up what I needed. The Lupron comes with insulin syringes (plus I have a whole box of insulin syringes leftover from my IUI days when I was using multidose vials of follistim), so I said I’d use those the next day. I hurried up and gave myself the shots and we ran off to our friends’ house for the first Seder.

The next morning, I took my Lupron, but realized later that I was supposed to have dropped the dose to 10 units, but I accidentally stayed at 20 units. Crap. I’ll have to own up to that at some point, won’t I?

Thursday night I drew up the Luveris with insulin syringes, but the Lupron insulin syringes are .5ml syringes, so I had to use 2 syringes to give myself the full dose, plus the Follistim, which was running low on the cartidge, so I had to switch cartridges partway through the dose – for a total of four injections for just two medications. My husband realized that my huge enormous box of insulin syringes upstairs were 1ml syringes, so… problem solved for subsequent evenings. Yeah.

I did remember to drop my Lupron dose the following morning. Good thing. Maybe I’m not such a screwup after all? Bah.

Tomorrow morning (well, I guess it’s really today at this point… golly it’s late!) I go in for more monitoring to see how things are going. I’m not holding my breath.

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Life. Falling. Apart.

2009 has sucked.  Royally.  Everytime it gets bad, it gets worse.  I have so many blessings and joys in my life and I know this and I'm not ungrateful for any of them, so please don't suggest that I am.  But honestly?  2009?  Sucks. 

I thought maybe getting past March would make things a little less stressful, but April?  Has been even worse.   Sam went to the ER because he got a cut above his eye that the pediatrician said was open too much to heal by itself.  It wasn't a huge deal, but it cost me a few hours of work, made for one unhappy Sammy. 

That same day, we found out what we'd be owing in Federal taxes.  It wasn't pretty.

This is my busy season at work.  When isn't?

I've been sick for two weeks with a "cold or something" that I haven't been able to shake.  In fact, it's only been getting worse.  I'm beyond exhausted and it's far more than my usual "I don't sleep much" kind of exhausted.  It's a beaten down with a stick kind of exhausted.  Small wonder… I've got a sinus infection and I'm now the proud owner of 40 Augmentin XR tablets.

My cleaning lady broke the inner glass on my oven door, then lied to me about it.  She also did a piss poor job of cleaning my house that day (and for the three years prior).  I couldn't care less about the oven door breaking – she did something stupid that caused it to break (no matter what her story is, my nanny was standing there watching it happen, and she doesn't have any reason to lie about it), but anyone can make an honest mistake.  What makes my blood boil is that she lied to me about it even after being confronted about it.  Then she had the audacity to tell me that I've been mistreating her for years.  This, coming from the woman who was only even in my house that day because she called me and asked me if she could please come that day so that she could do my Pesach kitchen cleaning "at no charge" to me because I've been so good to her for the last 4 1/2 years  and she knows how much I'm struggling right now.  Mistreating, indeed.

I didn't handle myself well that day, that's for sure.  I yelled at her more than I should have and told her to get out of my house.  I don't want people in my house who lie to my face.  I don't trust people around my children who lie to me.  Ever.  I'm sorry that I yelled.  I'm sorry that I lost my temper.  I ended up a sobbing ridiculous mess in my kitchen as she was leaving (calling me a drama queen, mind you, she can bite me). 

My nanny took me to my bedroom and laid me down on my bed and gave me a glass of water, told me I'm the best boss in the world and that D will never find a better boss and that it's she who should be apologizing for stealing my money without doing the job right.  I love my nanny.  Seth came home from work early because I was clearly in no state of mind to … um… function. 

We ordered a new piece of glass for the stove.  My handyman promised to come as soon as the glass arrived to install it for me.  The glass was scheduled to arrive Monday.  Tuesday at the latest.  We paid $50 in expedited shipping to ensure this.  Pesach is coming, after all. 

Monday came and went.  No glass.  At 3:30 today, the glass arrived.  I paged my handyman and he said he'd be over as soon as he finished the job he was working on.  He and I arrived at my house around the same time (5:30ish).  We opened the package with the glass and… 

It was the wrong piece of glass.  They sent the outermost piece of glass, not the innermost.

Fan.  Freakin'.  Tastic. 

(they've refunded the expedited shipping cost, they're picking up the wrong part, and reordered the correct part, waived the cost of shipping the new part…expedited of course… and it'll be here on Thursday.  My handyman will come Saturday night or Sunday morning to install it)

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going private for a while

Am going to make this a private blog for a while. I’ll explain after I do so. If you want an invite, please email me directly.

chezperky [at] gmail [dot] com

I know it’s a HUGE pain in the neck to deal with checking private blogs. This is why I have an email subscription option on the right sidebar of my blog. Please feel free to use that as an option to receive reminders that I’ve updated my blog. I will be checking the email subscription list to ensure that only people who have permission to read my blog are receiving email updates, so please don’t sign up for email updates without also emailing me for an invite to the blog.

Thanks,
The Management.

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Well, it turns out reverse psychology works! What the heck? I have never, ever in my entire life had a period without at least one day of completely debilitating cramps the day before, and typically for the six-to-eight hours before it appears I am in total agony. So I knew with absolute certainty when I typed my post at 1:30am that there was no possibility that my period was going to arrive any time soon. Right? Of course right.

Except that she arrived at 7am.

Ooooooooookay.

So I shouldn’t be complaining, right? Of course right. I’ll make my CD2 appt. for tomorrow. (CRAP, my kids have appointments at 7:30 tomorrow morning. DAMMIT! Sigh. Whatever. We’ll work it out.) And that will mean they’ll want me back… (let’s see, Wed … plus three, carry the two divide by the square root of 17…) Saturday. FANTASTIC. They’ll probably let me hold off until Sunday. I hope.

Which will still probably mean me being back in the clinic on the last days of Passover, but it can’t be helped and I just… don’t care right now.

Edited to add: Hey, the lack of cramps could be related to the copious amounts of pain medicine I’ve been taking… except that pain medicine usually doesn’t help anyway. Hmmm. Anyway, it’s now 8am and the cramps are here to make up for lost time. This is going to be a *fun* day. Whee!

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No Sign of AF

So per my tentative cycle schedule given to me by my nurse, I should have been expecting my period around, oh… today. (er, wait, it’s now tomorrow… so what I meant by today was Monday, just so I’m clear) And if not Monday, then definitely Tuesday. But I’m not having any of the telltale signs that my period is imminent, so I’m thinking Tuesday’s out, also.

It’s weird. Because the one thing that’s been very, very predictable since my pregnancy has been my period. And now? Nothing. Despite having most definitely ovulated two weeks ago. And I must say, this delay is putting quite the wrench in my plans. This is most definitely going to mean a trip to Ye Olde Fertility Clinic during Pesach and/or Shabbos, which is not thrilling. I am not pleased. This does not make me happy.

Of course, it will only mean a trip to YOFC if it ever shows up at all. Which, you know, maybe it won’t. Becaue this is ME.

Everything else is going wrong right now. Why shoudn’t this go wrong?

Oh, right. Someone asked what the deal is with Passover and kitchens. Right. I don’t really have time to explain, because mine is in dissarray and I only have a matter of hours left until it needs to be totally in order again… but… for Passover, we turn over our entire kitchen… we use entirely different dishes, pots, sponges, etc. We cover all of our cooking and eating and preparation surfaces. We clean our sinks thoroughly and even pour boiling water in them to ensure any traces of chometz (leavened food) are gone. We kasher our ovens by bringing them up to extreme temperatures (either by running them on self clean cycles after leaving them empty for at least 24 hours, or by using a blow torch (literally). We lock up all of our normal every-day utensils and bring out utensils that we only use for this week of the year. We close all of our pantries and pack away all of the chometz. We buy special food. We clear our refrigerators and clean them thoroughly and fill them with only kosher-for-passover foods. We don’t eat any leavened foods (chometz) or any foods that have come in contact with leavened foods.

In short? We are insane.

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Lupron Day three. On Day 2 we found out what we owe in taxes. Not a good day. I’ve never seen so many zeros in my life. I’m not

Day three? Glass door on my oven shattered. And my cleaning lady (yes, the fired one) lied about it.

Yeah.

And I’m on Lupron.

And I had a complete, total, utter, nervous breakdown.

God bless my husband for not saying, “Maybe now’s not the time for IVF.”

Because that? Would have broken me.

The first one of you to say that maybe now’s not the time? Gets banned for life. Yes I’m stressed. Cancelling this cycle? Would kill me.

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2009 Can Suck It

And you thought March sucked?

Sam's been to the ER this month.  Pictures will follow in subsequent post.  He's fine.  He cut his face above his eye and the pediatrician felt like it needed to be closed.  It didn't even need stitches.  It's glued.  Glued!  They accidentally glued his eye shut, but they fixed that. That may have been the worst part.  He's totally fine. 

My oven door?  The glass part?  Shattered.  Five days before Pesach.

Our tax bill?  About the size of the National Debt.

Me?  Thinking about taking up drinking for sport.

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