Oops

Bill L imageSix cycles and too many injections to count. Calendars to follow and tracking injections on the right day at the right time on and off for the past two years. And we’ve done it perfectly every time. Until now. Last night was my first screw up. For this embryo transfer cycle (controlled cycle) I have to have an intramuscular injection of Delestrogen (which by the way is not an easy drug to get your hands on) on Tuesdays and Saturdays. I was supposed to start the Progesterone injections tonight. But, my brain somehow mushed the Tuesday and Wednesday calendar notes together and I did both last night. By the way, the calendar is color coded so the two drugs are highlighted in different colors. And, I wrote in large letters on the Wednesday date (START HERE), so I wouldn’t screw up the Progesterone start. My clinic had deliberately scheduled me to start Progesterone on Wednesday to enable a Monday transfer with MY doctor so that it would align with his schedule. After panicking last night and waiting for a call back from the nurse all morning, I found out that I did indeed mess up the transfer date since Progesterone is a trigger. It’s now on Sunday. Which should be no big deal (yay, one day earlier), but I know they do their scheduling to avoid transfers on the weekends. So, now I’ve made their weekend schedule more challenging for the lab and the doctors. And I don’t know which doctor will do the transfer. I was really relieved that I knew I would have MY doctor on Monday. Ugh. I’m trying to find a way to shake off my mistake Taylor Swift style, so I called up a good friend who has been through this same process. And she made me laugh. She re-enacted what the nurse was saying on the line while I was on hold…”dumbass on line 1, dumbass on line 1”. And in my head, I’m hearing that horrible boss from Office Space, saying to the doctors…”Yeah, I’m gonna need you to come in on Sunday. We’ve got a special embryo that needs to be transferred, ‘cause someone didn’t read her calendar.”

P.S.  While I was hard on myself, the nurse that I talked to was very helpful, understanding and sweet.  She made me feel better and they know that sometimes these things will happen.

Ummmm….No.

NoWhen I’m going through an embryo transfer cycle, I feel like I turn into the Queen of No…might as well call me Grumpy Cat. I feel like I have to defend my energy level, attitude and well-being, which means I have to say no to stuff. I have to stay focused on getting enough rest, exercising and eating right. And then I have to say no some more. And this applies to everyone (well, except the dog). But everyone else…husband, family, friends, work. My husband gets the worst of it.

Husband: We should adopt another dog! Let’s go look at rescue dogs next weekend!

Me: No.

Work: Do you think you can complete this project or take on this new assignment or travel to…

Me: No.

Dog: I love you! I love you! Play with me! Feed me! Cuddle with me!

Me: Well, ok…how can I say no to you.

Friends: We should go out to…

Me: No.

Husband: When do you think we can take a trip to…

Me: No.

Husband: Hey, let’s go…

Me: No.

Husband: Do you think you could…

Me: No.

Husband: Will you…

Me: No.

Chance #3/31: Day 2 (1/16/15) Stepping Forward

footprint imageI was feeling stable and strong showing up to my Dr. appointment on Friday for the baseline ultrasound to start our next embryo transfer cycle. I was looking forward to seeing my doctor and the familiar faces around the clinic. I was happy to get this baby-making project started again. I thought I had sufficiently put my recent pregnancy loss behind me (at least for the sake of getting through this appointment) and was focused on the forward march ahead. But then I saw a glimpse of the nurse down the hall who was with us in the room the day we saw our twins at the end of their short little life…and it all came rushing back. And then I was escorted to the exam room, where the site of the ultrasound television screen nearly brought me to tears. The last image I saw there was of complete stillness and shook me to the core and left me devastated. But I put a smile on my face and held it together as I shook my Dr’s hand and responded with “yes” and a smile to his question, “have you had enough time to refill your emotional tank?” The ultrasound showed that everything was fine. I had my blood drawn by a very sweet and friendly nurse where we had a chance to giggle. I asked her how best to break down scar tissue and referred to this as my “butt injury” as my glute muscles have still not recovered from all the intramuscular injections from the previous cycle and pregnancy. I had my new injection schedule in hand, and I walked away from the building focused on the next step with some hope in my heart.

Here we go…

Chance #3/31: Day 1

beach sunsetAnd so it begins…After waiting and waiting following my D&C (almost 2 months ago), I finally started a new cycle.  Tomorrow I have a baseline appointment at our fertility clinic to start another frozen embryo transfer cycle.  Medications, needles, syringes, gauze pads, alcohol swabs, sharps container and a dash of hope are ready to go.

Photo by CJE

Chance #1/31 (May-July 2014)

never give up_blogOur first embryo transfer with our donor embryos was a rather long but interesting process. Our clinic worked with both of us to coordinate our cycles through medications up until the embryo transfer. During month one, the medications set us up to synchronize our menstrual cycles. This allowed us to be working in parallel in month two so that she could go through the IVF and egg retrieval process, while my body was being prepared for the embryo transfer as soon as the embryos were ready.   While this feels like a complicated process for the patient, our clinic has the scheduling and coordination down to a science. Although it is a bit nerve-wracking to think that not only do I need to be on top of all the correct medications every day and coming in for doctor appointments on specific days, but my donor has to do that too. On top of which I knew she had flights to coordinate for the trips to our clinic for various steps of the process. I kept thinking to myself, “Please don’t let her have flight delays or canceled flights! Get her to the clinic safely! She’s carrying all my eggs! Her ovaries are saturated with my dreams!” One of my biggest fears was that something would not go right with one of our bodies and we’d have to abort the process and start all over. But it all went like clockwork and my donor was amazing! Her body made 42 eggs, 38 fertilized and 31 became high quality embryos that we would now own. My husband and I felt like we won the egg donor lottery! And all went as planned. My body was ready to receive an embryo on day 5 of their development and that was it. And then we waited…those 9 excruciating days to see if all that work (and money) created a pregnancy. During those 9 days our brains do amazing things to make us think we are pregnant or make us think we aren’t pregnant so that we will be prepared somehow for the outcome. Every time, I tell myself not to look on the internet for ANYTHING. But somehow I end up looking up every site that I can find that talks about early pregnancy symptoms and embryo development during those 9 days post transfer. The symptoms are evil tricksters because the medications to help foster the pregnancy (progesterone and estrogen) will also give you pregnancy symptoms. In this case, I thought for sure I was pregnant. And then for the fourth time reading the lab results (where our last two tries were negative) looking for an HCG level over 50, we saw zero…AGAIN. Three times in a row, not pregnant. It’s like running full force into a brick wall. That moment is one of the most painful, excruciating moments in the process. I try not to get my hopes up, but of course I do, because the dream of having a baby is just darn overwhelming and exciting and joyful. But every time I’ve seen the lab test come back as “not detectable,” it becomes the darkest, deepest, most intense moment of sadness and heartbreak. And for me, my brain tortures me with re-living the loss of my first pregnancy where I not only see visions of the horrific loss of our baby, but also start remembering the wonderful details of what it felt like to be pregnant. And all of it hurts. And it feels so far away and maybe even impossible to see a positive pregnancy test and fill the desperate need and desire to be pregnant again.  So, here I am sitting in my car with this piece of paper in my hand that just shattered my world and now what? How do I get strong enough to put myself through this again? Do I want to? But then all I can do for that moment is just cry while everything else in the world disappears except for that one thought…that I just lost this dream again. And then I pull myself together for enough seconds to realize that I better call in sick to work because I know the tears will not stop today. And I can’t bear to look at my husband through my tears because I know I’ll just see a face of helplessness, because he can’t fix it either and he just lost his dream too.

Then time passes…and somehow we do find the strength to try again.

The DNA Decision

child book ED storyWhen we dream of having our own children, we wonder how our looks and personality will pass down to our baby. Will they have our nose, our eye color or hair color? Will they laugh like us, look like us, smile like us? Maybe she will be my strawberry-blond mini-me bringing on comments from friends saying, “she’s so cute, she looks just like you!” But how does this all change and how do we accept that this type of dream is gone, when the genetics are not ours? How do we decide to move forward with the journey to baby when we can’t have “our” baby? Surprisingly, the decision turned out to be quite simple. Not that there weren’t fears that came along with it, but as options dwindle, the path becomes clear and now here we are with our donor embryos. When successful IVF with my own eggs became such a remote possibility, our next logical step seemed to be adoption. But then we found out about egg donation. Knowing my first choice is to carry the pregnancy on my own and be in control of the health of the baby from day one, this became our next best option. The process with our agency was so respectful and comforting that it became such an exciting new path for us. We chose a donor that resembled me as closely as possible to my eye, hair and skin color. We were able to review medical history and a thorough profile including photos from various years of her life. And then we had the option to meet her. While all personal information including names are kept confidential, we were able to sit with her for an hour with our conversation guided by a psychologist. I left the meeting feeling so thrilled to now have insight into her personality, her childhood, her family, her hobbies, music interests, travel desires and mannerisms. I left there hoping I would be able to share this with my child someday.

Here are a few things that I wrote about her shortly after meeting her:

…She has a cute smile. I hope we will get to see that smile again. She’s confident, witty, smart, a hard worker and likes reggae, rap, hip-hop and Jimmy Buffet. She has green eyes that sparkle with a daring and adventurous spirit. Blond hair that was dyed a bright orange-red with a short, spunky haircut. When we walked in the office to meet her I went to shake her hand and was surprised and happy to be met by a hug.

…She warned us that she is adventurous and daring, apologizing ahead of time that we could have a child climbing the walls.

After going through two partial pregnancies and experiencing the love for the life growing within me; there was no longer a fear or thought that “this baby isn’t mine.” They all felt like mine from the moment I heard a heart beat. The genetics did not mean a thing when I saw them on the ultrasound. All I saw were my babies and all I felt was love. And isn’t it exciting to think of creating a child where there are no preconceived ideas of what they should be like because you expect them to be like you? How wonderful to let go of that and just let them grow and blossom into who they are meant to be! So, if our miracle comes and someone says, “she’s so cute, she looks just like you!” I will smile and know that it’s because our love and our connected souls are shining through her eyes (or his, I’m not picky). We will belong to each other.

Every beating of my heart

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I REMEMBER YOU

The world may never notice
If a rosebud doesn’t bloom:
Or even pause to wonder if the petals fall too soon.

But every life that ever forms,
Or ever comes to be
Touches the World in some small way
For all eternity.

The little ones we longed for
Were swiftly here and gone.
But the love that was then planted
Is a light that still shines on.

And though our arms are empty,
Our hearts know what to do
Every beating of my heart says
“I Remember You”

-Author unknown

Holiday Tradition

picboatlighteiffel tower ornamentI am in a new family with my husband and step-son. Before this family, I don’t even remember if there was a time as an adult that I bought and decorated a Christmas tree. This was always something that was special to me in my parent’s house and I continued to collect ornaments all those years, but it wasn’t until four years ago that I started decorating a tree as a new family event. As a couple, we’ve started collecting ornaments when we travel and to remember special events in our lives, and it’s turned out to be a really fun way to decorate our tree. From our honeymoon, we have the Eiffel tower, a scene from Eze, France and Monaco hanging on our tree. We have the Seattle Space Needle, a lighthouse with Santa from New Hampshire and a cute Hallmark ornament symbolizing the purchase of our home in 2013. Last year, we discovered a local holiday community event – A Boat and Light show at our nearby harbor.   I decided this would be our new family holiday tradition. Boats were decorated in Christmas lights; there were lots of Santa hats, a large illuminated Rudolph and even someone dressed up as Bumble. Dogs were out and about, some of them dressed up too. Boat owners handed out cookies, hot chocolate, and other “special” drinks. There was even a boat with Christmas Carol Karaoke where every participant got to walk away with free crab. After experiencing one of my favorite Christmas events ever, this had to be our new tradition! This year, I made sure all of our calendars were cleared so that we could go again. Then an undesirable holiday tradition swooped in and I quickly realized I had the flu. My very own Grinch was holding me hostage and taking away the joy of Christmas.   I was in bed the entire day leading up to the event. I kept thinking that maybe if I stayed there all day, I would have the strength to go out and see the lights reflecting off the water and enjoy the holiday buzz. My plan didn’t work so well and I had to admit that I was still in the midst of a viral takeover. However, I thought if I could just get over there for thirty minutes and get some fresh air and see some of the event, then I would feel like our new tradition still existed. I bundled up, even though I was too hot with a fever and felt like shorts and a t-shirt would have been more appropriate, and we headed out. As the event followed the West Coast Stormageddon’14, the show was a lot quieter this year, but I was very happy that we made it. My husband had to stay close to me to ensure I didn’t fall over into the water or face-plant on the docks in my flu-fever stupor, but the three of us were a team and while they held me up with the flu, we held on to our new holiday tradition.

Happy Dog, Happy Me

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“Happiness is a warm puppy” – Charles M. Schulz

It is not easy going through the holidays when I thought I would get to enjoy it while pregnant and sharing this news with family. I had counted out the weeks and realized that the timing would work out for us to share the news with friends right after the New Year. And my mind had already fast-forwarded to the next Christmas where we would celebrate with ornaments saying “Baby’s first Christmas” (times two). So now, as I continue to recover from this abrupt change in plans, I’ve tried to focus on other things that I can still appreciate and be happy about as Christmas approaches. One of which is my new found hobby of dressing up my dog for the holidays and attempting to take photographs. I was very successful at this endeavor when I dressed her up as a skunk for Halloween, so I did not hold back when I purchased three different Christmas outfits. I learned a couple of important lessons this weekend: My dog has a two-wardrobe change limit and she is the one directing the photo session, not me. She shall sit or lie down where she pleases and any desired location change on my part requires many treats. I probably took over 150 photos and ended up with four that I could use for our holiday card this year. Not bad. I was very pleased that these four ended up with the Christmas tree in the background (kind of) and that her costumes remained in tact and were not torn to pieces. The photo shoot was a great distraction for me this weekend while trying to relieve myself from sadness and disappointment. She gave me these looks like she was perplexed but willing to tolerate it; as if she sensed somehow that I needed this silliness to happen. So she did and she made me happy.

Photo by CJE