a random assortment of news tidbits follows.
School seems to be going well for Max so far. He is working at grade level and brings a good attitude with him to school most days. He has made some friends and is having fun. There have been a few minor things here and there but considering the challenge laid before him he is really doing great. He pretty much has the alphabet down, has learned his numbers through the teens and twenties (except for thirteen and fifteen, but they are weird ones that could take a while). I have been volunteering in his class one day a week which has enabled me to be in close contact with his teacher as well as observe for myself how he is doing and I would say he pretty much fits in, behaviorally and socially as well as academically. By which I mean he has good days and bad days…but they are mostly good days. That’s my impression anyway. We have PT conferences the last week of October so if I’m reading the situation wrong I guess I will hear about it then…but I don’t think I am.
Oleg is also doing really well in preschool. We are really blessed that the church we go to has this small preschool where Oleg can be around other kids and learn his Preschool curriculum and some bible stories in an environment where his teachers really care about and support him and our family. These were the folks that prayed us home, so they are kind of like a bunch of aunties who dote on him and think he is a pretty special kid. Not sure it is the most rigorous environment as far as kindergarten prep but that is not what we need since he won’t start kindy for two years anyway. And what kind of crazy world are we living in where that last sentence even makes sense? I remember kindergarten as mostly being about circle time, recess and snacks. The idea of having to “prep” for it does seem kind of ridiculous. Anyway his preschool teachers have also been a good support for me – a couple of the teachers are grandmas/experienced moms and are patient with my “am I screwing this parenthood gig up?” type of questions. They say not, which is reassuring.
We went camping down at the Long Beach Peninsula a couple of weeks ago, and the boys loved it. We took along their bikes, so the trip encompassed several of their favorite things: bicycles, camping and the beach. We were super lucky with the weather – it was the last nice weekend before the rains came. It’s been raining off and on since Friday of last week now and the air is really cooling down. Feels like Fall is here and Winter is not far behind.

What else?
Lets talk about my female problems, shall we?
I haven’t really posted about it but for the last couple of years I’ve been dealing with some health issues that I had to put on the back burner until the adoption was complete. A few years ago, my periods started getting closer together, which was consistent with low ovarian reserve – the cause of our infertility back when we were trying to obtain small humans in the standard fashion. (I also had fibroids but the docs never really considered this to be the issue…it was more the fact that my eggs were cooked that was the issue.)
Then I also started having some spotting, which had never happened before, but I just wrote it off as weird perimenopausal stuff.
Then in Winter of 2010 when we were in the middle of the adoption process, it started to become straight up bleeding at odd times of the month. I got concerned enough to ask my doctor about it. At first she said it was probably the fibroids and not to worry as I didn’t fit the profile for anything serious like uterine cancer. (The profile being, overweight smokers.)
My response was, well, how do we know its not cancer…it’s rare but not unheard of for women who don’t fit the profile to get cancer, right? She just kind of rolled her eyes – I could hear it over the phone.
Anyway, long story short, she finally agreed to do an endometrial biopsy just to put my mind at ease (or shut me up, take your pick). The results came back positive for complex endometrial hyperplasia without atypia, which is considered to be a precancerous condition with about a 3% chance of progressing to cancer. If it is WITH atypia your odds of getting cancer go up to around 30% and they pretty much rip out your uterus on the spot. But without atypia, you have some choices.
The treatment for this is usually to take a low dose of progesterone to get all the hormones in balance and reverse the hyperplasia. I did two rounds of that without any results. At the end of the second my doctor referred me to a surgeon for a D and C and to begin discussing other options, such as a hysterectomy.
The surgeon is pretty convinced I need a hyster, but then, that is his job – removing people’s lady parts. He tells me alarming things, such as that when people don’t fit the profile and don’t respond well to hormonal therapy, their condition tends to be more aggressive if it does progress to cancer.
I personally am hoping to avoid the hysterectomy for a couple of years, since you are not supposed to be doing any heavy lifting for a long time afterwards, and I have two very heavy boys who do, upon occasion, require some lifting. So we are trying some alternative therapies. I am now taking Megace, a high dose of progesterone that is given to young women who have uterine cancer (or precancer) and want to preserve fertility. Megace can sometimes reverse progression of the disease but there has not been a lot of study done on how it works for women my age – usually for older ladies, hysterectomy is the preferred treatment. Why give those pesky lady parts any more chances to get into trouble? By the time you get to be 40, they’ve already had their fun.
Realistically, I expect I will eventually have to have the hysterectomy. Probably sooner than later. I am not trying to take risks with my health, I am just hoping to keep the situation under control and put off surgery until it is a more convenient time. So for now, we are trying Megace…the downside of which is that it is also given to late stage cancer patients of all stripes to get them to gain weight.
I don’t know what is going on in my uterus yet, but I can tell you that the weight gain thing is working like a charm.
So that has been on my mind a lot. I have an appointment on the 24th of October to find out if the Megace is having any effect other than making me fat. I haven’t had a period since I started taking it in August so it seems like it is doing something, but other it is hard to know very much until I get another biopsy. And I will be glad when the appointment day comes…I’m a little trepidatious, but sometimes it is nice to get an answer even if it isn’t what you are hoping to hear. Then at least you know what you are dealing with.
Anyway other than the female problems things are good. And even the female problems aren’t so bad – at least we are on top of the situation so that we can prevent it from becoming something more serious.
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