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Archive for the ‘2ww’ Category

Finally heard back from SuperNurse. She didn’t realize I hadn’t gotten a call over the weekend (and apparently hadn’t gotten to my email from yesterday). So all is forgiven and she has been re-established in my book of people who are allowed to have snickerdoodles next week. Maybe. You’ll see why she may have fallen back out of status later.

Anywhozit, there was nothing to freeze. Everything tanked. Shocker. I know this is not an indication of whether George is resilient enough to have parked his little butt in place for the long haul, but it does give one pause, no?

.
.

Right. Well, I think that was enough of a pause. Anyway, it doesn’t mean a darned thing. My clinic has some pretty strict standards for freezing, and I’m cool with that. A lot of clinics would have frozen right then and there when they transferred George.

My nurse wasn’t worried that there was nothing to freeze, “because the six they transferred were real beauties, so I’m sure you’re going to have a positive beta next week.”

*blink*

Yeah, you read that right. SO not funny. She may *think* she’s funny, but she’s not.

I told her I was just proud of myself for not having peed on any sticks yet. “NO! DON’T PEE ON ANY STICKS!” she shouted through the phone!
“Oh for crying out loud, SuperNurse! I just told you I haven’t! And I don’t understand why you people get all ridiculous about not letting us pee on sticks – it’s not going to change the result. Either I’m going to be pregnant on the 18th when I come in for my beta or I’m not – it’s not like peeing on a stick will change that.”
“Yeah, but then you get a stick that tells you you’re pregnant, and then we have to tell you you’re not, and then…”
“Well that doesn’t change anything for me! I don’t get all weird about it! Hello? I’M totally rational, you know me!”
“Well then by all means! Pee on all the sticks you want! Go buy a box of popsicle sticks if you want! Whatever makes you happy!”

If it weren’t for that remark about the six transferred – she’d TOTALLY be on my cookie list right now.

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5dp6dt aka 11dpo

No word from YOFC. If they’re not careful, I may revert to the pseudonym I used in my original blog, transparency be-damned.

11 dippos. Think it’s too early to POAS? Last time I got a 2nd line at 10dpos, but admittedly that was with at least 2 having implanted already, and possibly more. G-d willing, that is NOT the case this time.

Well, I don’t have any HPTs anyway. Not YET! but SOON! 🙂 Yeah! Of course, I could always run out and head over to CVS… I might even get the sassy cashier – the one who when seeing me buy a couple packages of sanitary napkins and a couple packages of twizzlers … both were on sale, so sue me, okay?… said, “Well, I see you’re prepared for any emergency, aren’t you!” But no. My internet cheapies should arrive tomorrow. I can hold out. Honest.

Maybe.

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Now I'm annoyed

Have now left a voicemail message and sent an email re: the little blastocysts that weren’t. Am 100% certain nothing was frozen because I would have gotten a call from the financial folks telling me to pay up. However, I would have liked to have had a phone call telling me either way. Still have heard nothing. This is extraordinarily unusual for my clinic – you all know how highly I think of them. But I am annoyed. And since I have nothing better to focus on right now, I will focus on this particular annoyance right now. Because I can.

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I found an excuse to bug my nurse for the cryo report. For the sake of shalom bayis I must know the disposition of those struggling little blastocysts! Honest! For those of you who don’t want to click on the link, shalom bayis is literally “peace in the home” – it is the concept of peace and harmony in the household and good relations between husband and wife. In this case, I realized that if there was anything to freeze (again, I think not), then I’m likely to get nailed with ~$1500 bill for freezing and storage (it’s a little less, but just go with me, okay? And actually, it it was just one, it’s significantly less). A girl’s gotta prepare her husband for a bill like that, right?

So, for the sake of domestic tranquility, I emailed SuperNurse and said, you know, I hate to be nosy and all, but does she know the disposition of my struggling little life forms? And really, she wouldn’t want our marriage to be in jeopardy, right? It’s for the sake of our marriage! Plus, after all, enquiring minds want to know! This is front page news! Sort of.

Okay, not remotely, but I’m sure all of you are clamoring to know. Right? RIGHT?

Ahem. All righty then. So it’s just ME that wants to know. Yet another way for me to pass the time. The endless, boring time stretched before me. Another eight, looooooooong days before my beta. With nothing to do but sit here and whine, complain, bitch, blither to you about the mundanity of life when there is absolutely nothing interesting going on in my life. Absolutely nothing worth blogging about.

Nothing to see here, move along. Move along.

Oh! Hey! If there was *nothing* to freeze, maybe I can convince the man that since he just saved $1500 buckeroos, he should take me out to dinner next week to celebrate! Or, um, to console me in my um, sadness. That’s right. Because I’ll be all sad that we won’t have anything to save and therefore won’t have to pay out of pocket for freezing, storage and FETs that the insurance won’t cover… Yeah. Sad. That’s right.

(ooh! And Score! I totally bought a pile of HPTs. They should arrive on my doorstep tomorrow or the next day! They aren’t my beloved FRER’s, but I’m a girl on a budget now. And this should support my habit for at least a little while, right? Just, um, don’t tell my husband, okay? Oh for crying out loud, honey, they cost LESS THAN A DOLLAR EACH! And, no, I did not buy 300 of them. Just 297… KIDDING!)

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4dp6dt

bored now.

very proud of myself for not having purchased any HPTs yet. Not that they’d show anything, but you’ve gotta have them ready, right?

Bored.

Really, really, really done with this 2ww stuff.

Every one of my previous cycles I always had in my back pocket my exit strategy. So the 2ww never bothered me. I always knew that the cycle hadn’t worked (yes, I’m a negative nelly), so I was just twiddling my thumbs until the next CD3. I was completely surprised the two times it did work (and completely pissed off at the miscarriage the first time). But I always had the exit strategy: CD3, back to the clinic, start stims, keep going.

But I actually don’t exactly know what happens this time. PIO will keep CD3 from happening, so until I come off of it… no cycle start. And even if I do, what then? I don’t know if there was anything to freeze (I think not), so which is it, fresh or FET? Let’s assume fresh. If fresh, then what? I know you can’t move straight into another fresh cycle, but what does that mean? Does that mean straight to BCPs? Or does that mean waiting a month before BCPs? This is the missing piece of the puzzle piece for me. I think it means straight to BCPs. So 21 days of BCPs, Lupron on Day 19. Lupron Eval. on CD 2 or 3. Start Stims if it’s a go. I think. And I know SuperDoc said that this go around we’d be increasing my Follistim by 100IUs to start.

So is that the plan? I need a plan! I *always* have a plan, and right now, I’m a girl without a plan! This is not okay!

I *could* just make an appointment with SuperDoc to discuss said plan, but: 1. odds are good I won’t be able to get a consult appointment with him before my beta anyway, and 2. if I did, I’d feel ridiculous demanding a plan before I even get to a beta and then end up with a positive beta, as happened last time.

This is my fault. Normally I ask what my exit strategy is ahead of time – but I forgot that it’s all different now.

Now, see, I never used to be high maintenance. And then I went and had this super-high-risk, HOM pregnancy. And I *hated* to be a bother, but they put me on all this home-monitoring stuff and make me talk to a nurse three times a day and hauled me into the office twice a week and put me into the hospital a few times and, well… I learned how to be high maintenance, you see. And now?? I’m really good at it. So I blame the medical field for this. It’s all their fault.

Anyway, I’m not actually going to be high maintenance to them – I’m just going to be high maintenance here in my head. Oh wait, I’m typing all this out loud, aren’t I. Okay, fine. I’m going to be high maintenance publicly, to the blogosphere. But no one twisted your arm, put a gun to your head and forced you to read this blog. So, really? You asked for it!

Did I mention I’m bored?

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I swear, I am convinced that PIO makes my Allegra stop working. I cannot breathe, my eyes are all itchy, I’m sniffly, I’m stuffy, I’m teary-eyed, I’m sneezy, I’m ucky, I’m whiny (okay, that has nothing to do with Allegra except that when I feel this way, I get whiny). It’s like I have no allergy medicine on board. It’s as though the progesterone totally inactivates the Allegra. It’s completely ridiculous.

I cannot find appropriate google terms to bring my theory to life, but allergies can be aggravated during pregnancy – though this seems to be a phenomenon that is most severe in late pregnancy (29-36 weeks) so my bet is taking a few PIO shots is not the culprit. But, um. I still say the PIO is to blame. Because what else am I going to blame?

And I am getting too many darned migraines, which I know is the fault of the progesterone. And my screwed up body. Thanks for nothing.

And just think? If I get pregnant (hah!) I can stay on this stuff for EVER!

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No Cryo Report

I didn’t hear whether there was anything to freeze. I wasn’t surprised not to hear over the weekend, but I figured my nurse would call today. I didn’t want to bother her with a phone call – Mondays are busy days (understandably).

But…

You know…

I mean…

It’d be nice to know.

Frankly, it sounds crazy but I’m half of a mind that I’d prefer there wasn’t anything to freeze. Because…

1. if this cycle works (hah!)… well, then I don’t have to worry about paying storage fees or worry about what to do if we decide we’re done family building now. It’s just done.

2. If this cycle doesn’t work, I’d prefer to move on to a fresh cycle anyway. Let’s face it, these embryos were slow-growing crappy embryos. I mean, I *love* them, and they’re perfect in my eyes (just for the record should my future children ever read these posts… AHEM), but you know, they weren’t optimal. Furthermore, my insurance doesn’t cover FETs, which is phenomenally stupid. So it would actually cost me more to do an FET than a fresh cycle. Plus, if there was, say, only one that made it to freeze, what are the odds that it survives the thaw? Yeah.

I’ll call tomorrow and ask. I just *hate* calling for something this unimportant. I know they’re busy and it’s not like this is time sensitive information. I can certainly wait until the next time I have to talk to my nurse for some other reason and ask her then. But I’d like to know. But, I could wait, right? Of course right. So what to do. Sigh. I know I’m a client. I know I pay a lot of money for a service. And calling them for one tiny piece of information shouldn’t be a huge imposition. I just hate being a pain in the ass patient, so I try to avoid being one. And, um, I fail miserably at it.

But, you know, there’s not much else to do in this ridiculous 2ww. Ladeedaa…

I had a HIGH-LARIOUS conversation today with Barren about how long I’m likely to hold out before POAS. I’d share it with you, but my husband already thinks I’m psychotic when it comes to the whole POAS topic. Plus, J (Marketing Supervisor Extraordinaire) might rat me out to SuperDoc and tell them I’m planning on cheating.

Not that I’m planning to, mind you. I’m planning on holding out until the beta on the 18th. But hello??? You all know me, right? Of course right. There is SO no way I’m holding out that long. I can’t believe I haven’t already POAS’d. Puh-lease.

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Thumb Twiddling

“So… how’s that bed rest thing going for you, dear?” my husband sarcastically asked me while watching me clean up the living room.

Yeah. Um. So you know, now I totally get why it is that my perinatologist said that if I get pregnant even so much as with twins he’s admitting me to the hospital at 12 weeks. I thought maybe, just maybe, that was a little alarmist, but… no. No, it’s totally on the money, and I get it now. He knows me. He knows me very well. I was an extraordinarily good patient and did everything he told me to do in my last pregnancy, but it would be a physical impossibility this time around, and he knows it. There is just no way. I will absolutely shoot myself if I end up with monozygotic twins.

In other news, progesterone makes me hungry, I think. I am almost never hungry, but twice this weekend, I was suddenly ravenous. But absolutely nothing appealed to me. Sigh.

A bunch of you asked if I had anything good enough to freeze yesterday… I hadn’t said anything about freezing in part because I forgot to, and in part because I actually don’t know. As of yesterday, nothing was there yet, but they just didn’t know yet if anything would make it to freeze. I didn’t get any calls/messages today, so my guess is no. I’ll check with NurseAwesome (whose name, I think, I’m going to change to SuperNurse – I like the parallelism with SuperDoc) on Monday, but … I’m pretty sure the answer is no.

Speaking of your questions – Lori, the answer to your questions are 1. I live two blocks from my synagogue and 2. Yes.

Someone also sent me an email today asking me if I’d mind elaborating about who my clinic actually is – just for the record, if you’re looking for a clinic for treatment, and you’re looking for a referral, etc., I am more than happy to share this information (as was the case with this particular friend). If you’re asking out of plain curiosity, please respect my privacy. I use a pseudonym for the clinics for two reasons – to keep myself as ungoogleable as possible (in real life terms I mean) and also to protect the innocent – I’d hate to be having a bad day, accidentally say something not-nice about my clinic (not that I can imagine doing so, but you never know, right?) and have that be the impression I leave with folks. I have the highest regard for my clinics, the physicians there, the nursing and professional staff, etc. and I am thrilled to be able to refer anyone else to this wonderful clinic as I believe that they provide the highest quality of care available in a caring, compassionate manner with an individualized approach and proven success rates. And no, I’m not on their payroll.

Finally, I am annoyed with a friend. I made my standard remark about how I’d shoot myself if I ended up with monozygotic triplets. But I qualified it by saying that yes, I know the odds are certainly against it. But hello? I had like 5% odds of conceiving HOMs the last time! Heck, that last cycle, SuperDoc didn’t expect me to get pregnant at all. The whole cycle was a disaster that was doomed to fail, and in the eyes of reproductive endocrinologists everywhere, frankly, it did. Which is why when I walked back into SuperDoc’s office, he took one look at me and said, “Okay, so how about that IVF with elective single embryo transfer idea, shall we?” And there was no question that that’s what we’d be doing this go-around. ANYWAY, I made this remark to my friend and she, in her self-righteous way, as usual said, “I don’t know why you didn’t think you’d end up with HOM’s. As soon as you triggered with, what 12 follicles last time, I knew you’d be pregnant with HOM’s.”

Let me tell you something… no one. NO ONE knows what’s going on with my cycles as clearly as my doctors do, including me. Even I don’t have my entire chart with all the associated bloodwork and ultrasounds, etc. laid out in front of me when crucial decisions are being made.

I questioned my doctor’s decision to trigger me that day for nearly two years – you all know this. I went back to his office in January and told him that I couldn’t understand it. That while I love the smiling faces in the nursery that greet me every morning, and I’m grateful for the gifts he gave me, I’m still plagued by that decision he made that day and could he please tell me why, oh why he made that decision. Suffice it to say, I was more than satisfied with his response. It was clear that he had absolutely no reason to believe that I had any significant risk of an HOM pregnancy. In fact, in all of my other cycles, I had been warned whenever I had more than one dominant follicle, that I could have a twin pregnancy as a result. In that cycle, no such warning was presented to me. What I’d been told, quite clearly, was that I had very little chance that any pregnancy would result from that cycle, and we prepared to move on to my IVF cycle immediately.

There is no possibility that I would still be with this doctor at this clinic today if I thought that there had been any recklessness in that decision on that day. Believe me, I never sought to have HOMs. I love them. I can’t imagine my life without them. But it was never my goal, and it most certainly is not my goal to repeat the experience.

It is for this and similar reasons that I choose not to share with the group the logic behind the particular blastocyst that was chosen for transfer. SuperDoc shared with me the grade of the blastocyst that he and the embryologist had chosen, and what the other option had been, and explained why it was the best option. He also explained that he believed with this particular blastocyst, I have, perhaps, a 40% chance of achieving pregnancy (I didn’t ask if by that he meant implantation or ongoing pregnancy – I am not sure I want to know). I don’t wish to share the grade at this time because I find when people do such things that commenters start making their own judgments as to the odds and likelihoods and all that. And I already have a doctor for that and I just don’t want to hear it. I can’t hear it, honestly. I have put my trust in my medical team, and that’s where I need to leave it, for otherwise, I will lose my grip on what little sanity I have.

I leave you with a picture of George:


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Confession

I have a confession to make: I keep forgetting that I’m in the two-week wait. I mean, I know I’m waiting for my beta so that I can start birth control pills. But I keep forgetting that what it actually means is that there’s the theoretical possibility I could be pregnant. I’m completely serious. So much so that I keep forgetting to use the evil prometrium suppositories.

The cool thing about forgetting to take prometrium is that it means I don’t have all the progesterone side effects. Or so I thought!

I have the stabbing, white-hot, poker pain in my breasts, just like I always do during the stupid 2ww because of the prometrium. And I’m queasy, just like I always do with prometrium. And every time I start to feel a little dizzy, I think, “don’t worry, that’s just the prometrium.” Except, um, it isn’t.

I’m not trying to sound ungrateful that maybe there’s a possibility of anything interesting going on in my nether-regions, but seriously! This is ridiculous! There is no effing way that I’m pregnant and I seriously resent my body’s insistence on pretending like there’s even the remotest possibility. Worse, I still can’t get out of my head that a positive beta would only be an inconvenience at this point… I’m ready to move on. I’m not interested in having another 5 month delay for pregnancy, inevitable miscarriage, D&C, and following betas down. And there isn’t even the tiniest part of me that thinks it would be anything but that scenario. So this better just be God messing with me (as per usual), because I’d really like to be pregnant at some point when I can appreciate it and be happy about it, not now when I would only resent it.

I know that is completely screwed up. I know I’m an ingrate. I also know I’m not pregnant, so I don’t know what I’m complaining about. I’m a completely messed up person.

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Confession

I have a confession to make: I keep forgetting that I'm in the two-week wait. I mean, I know I'm waiting for my beta so that I can start birth control pills. But I keep forgetting that what it actually means is that there's the theoretical possibility I could be pregnant. I'm completely serious. So much so that I keep forgetting to use the evil prometrium suppositories.

The cool thing about forgetting to take prometrium is that it means I don't have all the progesterone side effects. Or so I thought!

I have the stabbing, white-hot, poker pain in my breasts, just like I always do during the stupid 2ww because of the prometrium. And I'm queasy, just like I always do with prometrium. And every time I start to feel a little dizzy, I think, "don't worry, that's just the prometrium." Except, um, it isn't.

I'm not trying to sound ungrateful that maybe there's a possibility of anything interesting going on in my nether-regions, but seriously! This is ridiculous! There is no effing way that I'm pregnant and I seriously resent my body's insistence on pretending like there's even the remotest possibility. Worse, I still can't get out of my head that a positive beta would only be an inconvenience at this point… I'm ready to move on. I'm not interested in having another 5 month delay for pregnancy, inevitable miscarriage, D&C, and following betas down. And there isn't even the tiniest part of me that thinks it would be anything but that scenario. So this better just be God messing with me (as per usual), because I'd really like to be pregnant at some point when I can appreciate it and be happy about it, not now when I would only resent it.

I know that is completely screwed up. I know I'm an ingrate. I also know I'm not pregnant, so I don't know what I'm complaining about. I'm a completely messed up person.

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