Will I be one of the lucky ones?

Last week I found out I was pregnant.  Told myself if I didn’t get my period by Thanksgiving I would test, but I couldn’t hold out.  Made it as far as Sunday morning, 15 days post ovulation, or so I thought.  I used one of my cheapy strips for the first test (didn’t want to waste the good digital test on a negative result). After three minutes there was still only one line, but sure enough by five, another had emerged.  Not feeling confident in the test or my vision when it comes to these things, I went for the big guns: yup, the last Clear Blue Easy test came out.  And fortunately there was nothing to interpret. “Pregnant” it read.  I couldn’t believe it.  It felt like someone was playing a cruel joke on me.  It had been just two months since my D&C, last time it took us 10 months to get pregnant again. Could I really be pregnant? They never checked my hcg levels post D&C, but I had taken a pregnancy test (or maybe two) since, which were both negative, so at least I knew this wasn’t remnants of the old, but instead, once again, a new beginning.

Red was in Vermont hunting for the weekend so I was home alone.  Good thing he left the pooch with me, because I needed “someone” to share the news with! My mind was racing.  I went for a long swim at the pool in an attempt to release some of the nervous energy and buy time until Red got home.  I wanted to wait to tell him in person, but when he called from the road I couldn’t resist.  We decided we would try not to tell people this time around, just because we feel bad bringing others on the emotional rollercoaster with us. But then we went out to dinner with my mom that night and just had to share the news!

I called the OB who performed my D&C  (Dr. B) the next day to see what sort of testing he wanted to do.  I know with progesterone replacement it is essential to start early so I didn’t want to waste any time.  Took a chance and called from the breakroom at work- a good friend walked in while I was on the phone so I shared the news with her.  Went down to the lab to have my bloodwork done as I was leaving work that night.  The diagnosis on the lab slip read “threatened abortion.” That’s a little harsh, I thought, but it makes sense for insurance reasons. Ran into Dr. B on the floor at the hospital the next day–

“How are you?!?” he asked as he gave me a hug.  

“I’m great. Did you hear? I just found out I’m pregnant again. In fact, whether you know it or not, you ordered blood tests for me yesterday” I attempted to whisper so my co-workers wouldn’t hear.  

“How’d that happen?!?” he asked jokingly (he did tell us to wait two months before trying, remember),

“That’s right, I remember them asking me about testing yesterday. Have them check your hcg on Friday, I’m working Saturday.  We’ll go from there.”

I called his office later that day after not receiving a call from them. Hcg of 347 and Progesterone of 21 (I think). “Your progesterone looks good so you shouldn’t need supplementation.” I told the nurse about my conversation with Dr. B that day- she said she would put the orders in. I had more bloodwork drawn on Friday, called Saturday to get the results, but got the answering service (and though tempted, was not about to have Dr. B paged so he could read me an hcg result). So I called again yesterday. 1354.  

“So now what?” I asked the nurse who seemed very excited it was almost 5 o’clock.  

“Dr. B signed off on the results but didn’t leave any further instructions so it looks like you’re all set.”

All set?

“So no further testing? There had been some mention of an U/S at 6 weeks.” “Yea, we wouldn’t do that unless there is something abnormal.” But for me and my past 2 miscarriages, there were no signs of anything abnormal until 10 weeks when we went to hear a heartbeat and there wasn’t one.  I had morning sickness until the day of my D&C, despite the fetus not having been viable for 3+ weeks prior!  

I was under the impression this time around that they would monitor me more closely and so we would know the minute the pregnancy became “abnormal”. But no.  Two blood tests and I’m “all set.” They never checked a single hcg level, or progesterone, in my last pregnancies so I have no clue if my levels were normal.  A friend and I were talking recently about how wild it is that in most cases they don’t ever confirm that you’re actually pregnant in the first 8-10 weeks, just go on your word.  As a nurse, I completely understand and appreciate a doc who doesn’t want to do unnecessary testing, there is so much waste in the system after all, but as I woman desperate to be a mom, after two miscarriages, any and all testing seems justifiable.  Part of me wants to go back to the midwives at the birth center who I saw the first two go ’rounds.  Though I love Dr. B, I know he is super busy, and the midwives were so good at communication.  

But maybe it’s me just trying, once again, to have control over a process I have very little control of.  I have my first appointment in two weeks, which is 8 weeks since my last period, but given that I’m pretty sure I ovulated late it will be closer to 7 weeks. Considering 7/8 weeks seem to be when things like to go downhill, I will press for an u/s then. Until then, I will keep swimming, keep going to acupuncture, and keep loving that little orange seed with all my heart. And keep hope, that maybe, just maybe, I will be one of the lucky ones.

Stillness.

I love this time of year.  You will find I say this about every time of year- since moving back to the Northeast ten years ago I have a profound appreciation for the seasons and sub-seasons, each year more magical than the last.  I love the stillness of November. The birds have gone south for the winter and everyone is hunkered down in their homes.  The lacy silhouettes of the trees stand out against the white morning sky, the last brown leaves hang on, threatening to break free with every breeze.  It is quiet. My mind is reflecting this stillness. The emotions of two months ago have worked themselves out, leaving me with peace.  At least I think that’s what it is.  I have been congested for the past two plus weeks, so it could be that I have no room for thoughts with all the slippery secretions running amuck in my head.  And I’ve been working and socializing a lot, leaving little time for thinking. Whatever the reason for this stillness, genuine or not, I will take it.  I remember being far more restless after my first miscarriage. Perhaps then I still foolishly thought I had more control of this whole process. I’d like to think that I have evolved in the past year and have actually been able to let go, but I don’t want to give myself too much credit.  “Letting go” has never been a strength of mine and I doubt it would happen without me even realizing it.  Perhaps it’s the acupuncture I continue to do on a weekly basis.  I haven’t noticed a drastic physical change since starting but maybe I was looking for change in the wrong place, as it’s my head that seems changed. I felt such a strong urge to distract myself with new hobbies, new recipes, new projects immediately following the miscarriage, now I just want to put my feet up, read a good book, and get some rest.  Sorry, honey.  Poor Red may have to fend for himself in the kitchen as a result (not that it would be a problem because he is a far better cook than I can ever hope to be!).  Next week when I get my period I’m sure that restless irritable energy will rear its ugly head again.   At which point I will run around trying to tame that wild beast that is my mind.  At least there will be family, turkey, and pie to slow me down.  Until then I will take a deep breath and enjoy the stillness, inside and out.

Harnessing my Qi

About five months ago, pre pregnancy and miscarriage #2, a LivingSocial deal for acupuncture landed in my inbox.  Acupuncture is something I know very little about, but had heard it could work wonders in the fertility realm and as I was 8 months post miscarriage #1 and was not having any success conceiving I thought, why not?  So I bought the voucher and scheduled my appt.  I ended up having to cancel my appt and before I was able to reschedule I found out I was pregnant so I didn’t bother making another one. Until last week.  I try to push myself outside my comfort zone on a daily basis in order to feel alive and maintain continued internal growth– sometimes it will be something big, like skydiving, others days it will be something small, like saying “hi” to the intimidating doc in the hallway.  This is one of the reasons I love my job- there is little predictability in hospital nursing, so I don’t need to look far for new experiences! Everytime I try something new I get that nervous energy that comes with feeling vulnerable- it’s so uncomfortable but so vital for living life to its fullest.

So last Thursday I hopped in my car at 2:30, an hour before my appt. Google says it will take me 39 minutes to get there, so I gave myself an hour.  I always try to leave plenty of time when going some place new- I HATE being late, and it’s nerve-wracking enough to be trying something new in the first place. You can tell that I am not a parent because I forgot that school gets out between 2:30-3:30 so sure enough I get behind school bus, after school bus, after school bus.  Now I pride myself in being a courteous driver, I always try to stop for people in crosswalks and let cars in… except when I am running late.  That’s when the road rage sets in.  Every time I saw the lights go on and the stop sign pop out I forced myself to take a deep breath and focus on all the happy reunions between parent and child in an attempt to quell my nervous energy.  I made it to my appt a little after 3:30 and was relieved to find out that the practitioner was busy with another client.  So I took a deep breath and started filling out my paperwork.  I really had no idea what to expect- I only had stock photos I had seen in spa advertisements to go on.  I started looking around the waiting room, “Qi” this and “Qi” that, thinking what is the “Qi” business like a good ignorant American.  Then the lightbulb went on “Oh…. it’s Chi!” How many times throughout my life had I heard someone, myself included, say that they were going to “harness their Chi” without any clue as to what it meant.  I’ve gone twice now and I still don’t fully understand it, I know it’s about balancing energy flow in the body, but I realize I don’t need to fully understand in order to believe in its benefits.  I had a great introductory consultation with the practitioner (Qi Master or QM moving forward), who got an earful about my struggles with conceiving and pregnancy and then she showed me to the back room.  It is a community acupuncture center, so there is one large room with ten or so beds which allows them to treat multiple people at a time and keep prices low– so low, in fact, I was a little skeptical of the place!  But they are still able to keep the spa like atmosphere with the calming music and lighting and soothing artwork on the walls.  I was asked to wear comfortable clothing (as if I ever wear anything but) so they could gain access to elbows and knees.  I was a little nervous about the needles, but the only place I felt more than a slight prick was my feet.  With every placement of a needle I felt a warm tingling sensation (Qi, is that you???) that would then pass to the next needle placement.  She placed needles in my forearms, lower legs, feet, forehead, and belly- above my uterus and ovaries, I’m guessing. And then I lay.  And lay.  And lay.  As I felt the energy move from one needle to the next.  Nothing drastic, just very small sensations.  “Fertility treatment is a long process”, Qi Master said.  Don’t I know it.  And I’m only a year and a half in!  I did naively think that acupuncture would not require a big commitment- one or two treatments to realign my energy and then I’d be a fertile Myrtle, ready to roll! But that’s not how it works.  When treating pain with acupuncture, results are seen instantly, but fertility is, unfortunately, a much more complicated process, as everyone reading this blog knows.   QM wants me to go twice a week for 8 weeks and then reassess. While taking Chinese herbs. And charting my temp.  And the really kicker: she wants me to take time off from trying.

“Are you willing to take a couple months off from trying?” The question stung my ears. The people pleaser in me was tempted to shout out “Yes!” But the 32-year-old Liz who has been through many years of therapy to work on meeting her needs and learning when to say “no” hesitated. “I might be,” I responded hesitantly, before delving into my reasons. Bottom line, I know too many people who have gotten pregnant and carried to term immediately after having a miscarriage that I’m not willing to give up these potentially very fertile couple months to let my body rebuild, because, quite frankly, my body rebuilt for 10 months last time and that didn’t seem to help.  While in my head it makes sense that by taking the time to rebuild the uterine lining and “get healthy” I would be rewarded with a healthy pregnancy, in my heart I’m not convinced.  Because if there is anything I have learned through this process is that it doesn’t make sense.  If it was up to my head to decide what made sense, I would have two healthy babies right now.  But I have none.

I feel torn. I want to feel in control of the process of conceiving/carrying said baby when ultimately, as I have learned, I have very limited control.  Seeking out intervention, whether it be through acupuncture or a reproductive endocrinologist, makes me feel more in control, but it takes up time in my schedule and space in my mind that I could be using to focus on enjoyable, stress-relieving activities.  I had gotten to a point where a baby was not my first thought in the morning, but now that I am back to taking my temp in the morning it is.  And when an activity that is supposed to relax me has the opposite effect, I think I need to reassess. As much as I feel that I don’t have time, that the clock is ticking, fact of the matter is, I do have some time.  And as much as I want a baby, I don’t want to devote all my time and energy to having one at this point.  Acupuncture has been around for thousands of years, it’s not going anywhere anytime soon, it will be there when I need it.  In the meantime, I will focus on “harnessing my Qi/Chi”, however you want to spell it, in a place far away from slow school buses, at home.

Expectations are a b!@#$

When we made the decision to start trying immediately after tying the knot, I expected it would take us some time to get pregnant, I think. In retrospect, I don’t know if I had any idea what to expect, this was brand new territory for me.  I had been so focused on not getting pregnant in previous years, it was strange making the mental shift to it being okay.  Needless to say, when I got pregnant immediately I was surprised, and elated, “I don’t know what people are talking about,” I thought to myself, “this is easy!” My mindset and subsequent expectations shifted to “pregnancy will be easy for me.”  Boy, how quickly I was proven wrong.  After the first miscarriage, almost every woman I spoke with, with the exception of one,  had gotten pregnant again within 3 months. So that’s where my expectations lay. I was hopeful I would be pregnant by the new year.  So when that didn’t happen I was devastated, which continued each and every subsequent month.  After 10 months I finally got pregnant again, and with that my expectations shifted to, “after what I went through last time, this pregnancy is going to be easy.”  So I was blindsided when there was no heartbeat, especially because I felt so sick the entire time.

So now I am here.  6 weeks post-D&C. Trying to figure out what to expect. I feel very hopeful. I am an optimist, after all.  But am I just fooling myself? I want to be realistic. Statistically speaking, 1 in 4 women will experience one miscarriage, 1 in 20 will experience two miscarriages, and 1 in 100 will experience more… in this case, I don’t want to be the 1%. Do I expect the worst, hope for the best? How do you even do that mentally? If I set my expectations that I won’t get pregnant again for a long time, if ever, will that somehow have an impact on my fertility? Likewise, if I’m overeager with my expectations, will that make my eggs shrivel up? The mind-body connection is a powerful one, I see it’s influence everyday at the hospital.

At this point, I do expect that I will get pregnant again, whether it be in one month or twelve, but I don’t know what to expect regarding outcome.  I recognize that having no expectations would be ideal, but how is that humanly possible?  “It will happen when you least expect it.” “Life happens when you’re busy making other plans.” I get that. But for every person I know who got pregnant accidentally, there are at least twenty who planned it.  They expected they would get pregnant. They got pregnant. They expected they would keep the baby. They kept the baby.  As easy as that.  My life is very full, and I have plenty of things to distract myself with. But the bottom line is, I want a baby. Badly. And I want one ASAP, I don’t want to have to wait five, or ten years for it. I am a healthy woman of childbearing age with no obvious red flags and I know I am capable of getting pregnant.

Is that too much to expect?

You are not alone.

Last week, while searching for miscarriage blogs/resources on the interweb, it came to my attention that Oct 15th was National Pregnancy and Infant Loss Day.  I had been struggling with the lack of public discussion regarding miscarriage and though I write about my experiences here for the occasional friend/family member/passerby to read and talk about it with anyone who will listen, I felt like I needed to reach a bigger audience.  So, naturally, I turned to facebook.  I have such a love/hate relationship with the time suck that is facebook, but there are times when it can be really really great and useful.  This was one of those times.  

This was my “status update”:

“It just came to my attention that yesterday was Pregnancy and Infant Loss Remembrance Day. For those of you who have experienced such a loss, as I have twice, I feel your pain. You are not alone. And I think it’s time we started talking about it.”

I deliberated actually posting it for oh, an hour or so, thinking was it too personal? intimate? will people gag when they read it? Will they think I am just trying to gain sympathy.  By posting it, I was making myself vulnerable, which is never comfortable, however essential it may be (for more on that, I recommend Brene Brown. A-MAZ-ING.) I figured I wasn’t helping anyone, including myself, by sitting on my couch deliberating, so why not? To hell with ’em if they have a problem!  The response was wonderful, but then I had anticipated.  I had people writing publicly about their own experiences and people messaging me privately.  I’ve realized quickly, with each miscarriage, that I am not alone, there are women like me everywhere, even though it may not appear that way, and I want other women (and men) to realize this.  One friend sent a link to this great site: http://www.999reasonstolaugh.com/.  Not only is this site hysterical for us infertile types, it makes me realize just how common my “crazy” thoughts are.  Like when my period seems lighter than usual and I wonder if it is just implantation bleeding, or when I scour for baby bumps on facebook, or when… I could go on and on.  The point being, I’m not alone, others out there are not alone, and there are people out there who are making the most of a darn right shitty situation so I should too.  I’m proud of myself for saying something.

She’s back.

Today Aunt Flo returned to my life after a brief hiatus.  Her return comes with mixed emotions.  On the one hand, I am happy that my body has returned to “normal” just 34 days post d&c, but on the other hand, it is once again a reminder that I am not pregnant.  Not to mention that I’m exhausted. And cranky. Part of me (more like all of me with the exception of the part that loves drinking wine and the part that didn’t want to get in “trouble” with the doc) was wishing that the tender breasts and bloated belly were a sign that once again my body was going to attempt to create another being, just as I had convinced myself every month in between pregnancies, but alas, it was just a sign that “she” was back.  It’s nights like tonight that I am glad I am not a mother.  Because I don’t want to deal with anything, let alone whiny needy little creatures.  I’m a bad enough dog mom on nights like tonight I can only imagine what type of real mom I would be.  Poor Red, I feel bad he has to deal with me.  I did manage to squeeze out dinner for us, but just barely.  Probably doesn’t help that I had all my labs drawn today, felt like any extra blood I had was drained out into tube, upon tube, upon tube.  Wonder if it will show anything.  Would be nice to get some answers, but only if the answer is a fixable problem.  So back to waiting. For the lab results. And the bleeding to stop.  So we can start again.  Time for me to attend to the chocolate that is calling my name!

Hair, hair, everywhere!

For the past couple weeks my hair has been falling out.  Not in clumps or anything drastic, but any time I run my hands through my hair I am met with loose strands. It’s most pronounced when I’m showering or cooking- I swear my hair will jump from my scalp into whatever stove concoction I am attempting to master.  I had heard that when you’re pregnant your body holds on to your hair, not sure exactly why, but I did notice my hair looking oh-so-fine. I also noticed a few new hairs cropping up in places where I had never noticed hair before, like my chin.  Can’t say I miss the chin hair, but my wayward strands are a constant reminder that I am not pregnant.  I figure the hCG has just about left my body, so hopefully soon the hairy madness will stop?  I was supposed to have bloodwork done this week to make sure my levels were back to normal but when I called the office yesterday they said my doc was on vacation this week.  The nerve!  Love him, but you can tell he’s never had a miscarriage before.  He’s never counted down the days until the next appt, ovulation, period, tests, etc.  I supposed I could take a pregnancy test, but I figure I’ve already wasted enough money on those over the past year and a half- trying to break the habit!

So now we wait. Wait for my period. Wait for the tests to be ordered so the blood can be drawn. Wait the for the results.  I’m good at being patient when I have a lot of stuff going on, but my schedule is such that I get chunks of days off, which is dangerous.  I’m currently on call for work, and I so hope I get called in.  I get so stuck in my hand when left alone with my thoughts for too long.  I have a lot of projects on my list, many involving making food and gifts for new moms and their babies, not the best for keeping my mind off of babies, but it makes me happy nonetheless. Time to tie this mane back and get my hands dirty!

Quote

A blessing

May you have enough…

happiness to keep you sweet,

trials to keep you strong,

sorrow to keep you human,

failure to keep you humble,

success to keep you eager,

friends to give you comfort,

wealth to meet your needs,

enthusiasm to look forward,

faith to banish depression,

determination to make each day better than yesterday.

May you have enough.

Someone posted this blessing on a board at work and I never noticed it until yesterday.  A nice reminder of the delicate balance of life.  As a nurse I see patients on a daily basis who have experienced all the trials and sorrow without any of the happiness, friends or success, many times through no fault of their own, and they are not sweet nor eager, you can see it in their bodies and their attitudes.  While my miscarriages have made me a stronger woman and certainly made me feel human and humble, due to all the fortunes that life has afforded me I feel happy and hopeful.  I feel balanced.