I definitely feel like I'm in a foreign country without a map. This whole 12-weeks-pregnant-and-everything-looks-good thing is completely foreign territory.
Today I am 12 weeks. 12 weeks! Never would have thunk it. Can't decide if this is the start of the second trimester -- even the medical books don't seem to agree. I'm going to be literal (for a change -- NOT) and decide that I'll be in my second trimester at 13 weeks 3 days (divide 40 weeks by 3, etc.).
Last night I received my last intramuscular progesterone shot -- something I'd been getting daily for more than two months. Thank God. My ass is going to be confused when it doesn't get stabbed every night.
At this point, I'm like a regular pregnant lady, going to see the doctor every four weeks. Which means I don't go back to the doctor until 2008. After being wanded every two weeks at a minimum, it's bizarre to go four without seeing an ultrasound machine.
My newest worry: figuring out when to tell people, mostly at work. I would like to wait until the amnio results come back, but that won't be until around January 23, when I'll be 18 weeks (kenina hora). I can't imagine I won't be showing by then, and while I am generous of belly even when not knocked up, I think by then it will be obvious that I've gone beyond eating too many Christmas cookies.
So the question becomes, to tell before the amnio results? That terrifies me. I believe that everything will be fine, but at the same time, I am having a hard time balancing my desire to tell people before it's completely obvious and my desire to keep it quiet until I know the test results are okay.
Feedback welcome!
Wednesday, December 12, 2007
Thursday, December 6, 2007
CVS converted to amnio
We went to our appointment today. All looks good, but the doctor was concerned it might be difficult to get a sample of the cord for the surviving twin. He was having trouble telling what went where and felt it would be better if we wait to do an amnio, since at that point there will be no question of whether he's getting into the right sac.
So, no CVS today. However, we did get to see a bunch of really cool ultrasound pictures. We saw the head, the arms, and the legs! (It seems to have two of everything it should have, and just one head.) It seems to have my big nose, and it was really active -- moving around a lot, and it grew 4 mm just in the last two days! It had a heart rate of 170 bpm. We're 11 weeks 1 day today (cannot believe that!) but it measured 11 weeks 5 days. Maybe it'll take after its big momma.
The doctor was able to see that the nuchal translucency -- the fold at the back of the neck -- was nice and thin. That's good, because a thickened NT can indicate Down syndrome. He thought everything looked great, so we have to wait 5 more weeks for the amnio and 2 weeks after that for the results.
I was really nervous this morning about this test, and while I wish I didn't have to wait so long, I'd rather wait and know that the answers are pretty definitive instead of get ambiguous results and then end up having a CVS AND an amnio. So, provided nothing goes awry, we have no doctor's appointments until 2008.
So, no CVS today. However, we did get to see a bunch of really cool ultrasound pictures. We saw the head, the arms, and the legs! (It seems to have two of everything it should have, and just one head.) It seems to have my big nose, and it was really active -- moving around a lot, and it grew 4 mm just in the last two days! It had a heart rate of 170 bpm. We're 11 weeks 1 day today (cannot believe that!) but it measured 11 weeks 5 days. Maybe it'll take after its big momma.
The doctor was able to see that the nuchal translucency -- the fold at the back of the neck -- was nice and thin. That's good, because a thickened NT can indicate Down syndrome. He thought everything looked great, so we have to wait 5 more weeks for the amnio and 2 weeks after that for the results.
I was really nervous this morning about this test, and while I wish I didn't have to wait so long, I'd rather wait and know that the answers are pretty definitive instead of get ambiguous results and then end up having a CVS AND an amnio. So, provided nothing goes awry, we have no doctor's appointments until 2008.
Tuesday, December 4, 2007
My one and only
What was two is now one. And really, that's okay.
The ultrasound we had two weeks ago showed two embryos. One looked fine, and one looked a little small and had a rapid heartbeat. Today's scan showed one great-looking embryo (measuring 3 days ahead of schedule) with a good heartbeat, and one embryo that was half the size and didn't have a heartbeat at all. This is now a singleton pregnancy.
We are both sad and relieved. The idea of twins terrified me, and the idea of a selective reduction pained me. At least if I'm not going to have twins, I can be glad the decision was made for me.
The next step is a CVS, which happens (egads) Thursday. I had been advised that a CVS wasn't recommended with twins, though our perinatal clinic apparently does them on twins all the time. Their miscarriage rate is the same (1 in 1,000) with both CVS and amnio, and a CVS happens several weeks earlier. I realized that if this pregnancy isn't going to happen, I'd rather know sooner than later. So Thursday it is.
I seem to have produced a lot of chromosomally problematic embryos. Here's hoping the one that's left is perfectly fine.
The ultrasound we had two weeks ago showed two embryos. One looked fine, and one looked a little small and had a rapid heartbeat. Today's scan showed one great-looking embryo (measuring 3 days ahead of schedule) with a good heartbeat, and one embryo that was half the size and didn't have a heartbeat at all. This is now a singleton pregnancy.
We are both sad and relieved. The idea of twins terrified me, and the idea of a selective reduction pained me. At least if I'm not going to have twins, I can be glad the decision was made for me.
The next step is a CVS, which happens (egads) Thursday. I had been advised that a CVS wasn't recommended with twins, though our perinatal clinic apparently does them on twins all the time. Their miscarriage rate is the same (1 in 1,000) with both CVS and amnio, and a CVS happens several weeks earlier. I realized that if this pregnancy isn't going to happen, I'd rather know sooner than later. So Thursday it is.
I seem to have produced a lot of chromosomally problematic embryos. Here's hoping the one that's left is perfectly fine.
Sunday, December 2, 2007
Public service announcements
1. Pedestrians have the right of way in California.
2. On the BART escalator, you stand to the right and descend or ascend on the left.
3. Things not to put on a resume: "Typing speed: 48 wpm" or "GPA: 2.5." If it's not helping you sell yourself, skip it.
4. During IVF, embryos are transferred to the uterus. They are not implanted. If they could be implanted, a lot more IVF babies would be running around the planet right now.
5. I am sorry to say this, but implantation spotting is rare.
6. There's a Internet newsgroup called "alt.possessive.its.has.no.apostrophe." Consider this sentence: "It's cute that the dog is carrying its leash like that." "It's" is a contraction for "it is." It takes the place of a subject and a verb. "Its" is possessive. You use "its" just as you would use "his" or "her."
7. If you sell fish oil and dog food that contains meat, you are not a vegetarian co-op.
8. Everyone's height is proportionate to his or her weight, regardless of how tall they are or how much they weigh. If you are placing a personal ad and don't want to date fat people, just say "no fatties." It helps tell people more about you, and it does all of the rest of us the favor of not answering your ad.
9. Cappuccino doesn't have an H. Espresso doesn't have an X.
10. Panino means sandwich in Italian. Panini is plural. Therefore, a "panini sandwich" is both redundant and incorrectly plural.
11. Yes, your carry-on is probably too big for the overhead bin.
12. Al Gore won the popular vote in 2000.
13. Your golden doodle is cute, but it's still a mutt that cost $3,000.
14. No, I do not want a Jews for Jesus pamphlet, ever.
2. On the BART escalator, you stand to the right and descend or ascend on the left.
3. Things not to put on a resume: "Typing speed: 48 wpm" or "GPA: 2.5." If it's not helping you sell yourself, skip it.
4. During IVF, embryos are transferred to the uterus. They are not implanted. If they could be implanted, a lot more IVF babies would be running around the planet right now.
5. I am sorry to say this, but implantation spotting is rare.
6. There's a Internet newsgroup called "alt.possessive.its.has.no.apostrophe." Consider this sentence: "It's cute that the dog is carrying its leash like that." "It's" is a contraction for "it is." It takes the place of a subject and a verb. "Its" is possessive. You use "its" just as you would use "his" or "her."
7. If you sell fish oil and dog food that contains meat, you are not a vegetarian co-op.
8. Everyone's height is proportionate to his or her weight, regardless of how tall they are or how much they weigh. If you are placing a personal ad and don't want to date fat people, just say "no fatties." It helps tell people more about you, and it does all of the rest of us the favor of not answering your ad.
9. Cappuccino doesn't have an H. Espresso doesn't have an X.
10. Panino means sandwich in Italian. Panini is plural. Therefore, a "panini sandwich" is both redundant and incorrectly plural.
11. Yes, your carry-on is probably too big for the overhead bin.
12. Al Gore won the popular vote in 2000.
13. Your golden doodle is cute, but it's still a mutt that cost $3,000.
14. No, I do not want a Jews for Jesus pamphlet, ever.
Monday, November 26, 2007
Follow your nose
I seem to be developing a supersonic sense of smell. I've always had a strong aversion to most dairy products, but lately cheese is showing up in unusual places. First, the squash soup at Thanksgiving tasted cheesy. It wasn't, because the chef had described to me, in detail, the vegan recipe. Then, at dessert, I took a slice of pecan pie, and as I raised it to my mouth, I thought, this smells like cheese. Now, I've never made pecan pie before, but I read enough cooking magazines to know that cheese isn't typically found in pecan pie. (Apple pie, maybe.)
I asked the baker if there was cheese in the pie. She thought I was insane, of course, and said no. But I was later vindicated when my partner smelled the pie and agreed about the cheese scent. The baker later recalled that she had used some kind of raw butter that's particularly cow-y. Hence the cheese smell. Later on, I found myself holding my breath every time someone opened the leftover-laden refrigerator. Bleah.
This is either going to launch my career as a private investigator, or become unpleasant really fast.
I asked the baker if there was cheese in the pie. She thought I was insane, of course, and said no. But I was later vindicated when my partner smelled the pie and agreed about the cheese scent. The baker later recalled that she had used some kind of raw butter that's particularly cow-y. Hence the cheese smell. Later on, I found myself holding my breath every time someone opened the leftover-laden refrigerator. Bleah.
This is either going to launch my career as a private investigator, or become unpleasant really fast.
Monday, November 19, 2007
Pretty, pretty, pretty good
I am still pregnant, and I am still pregnant with twins.
One embryo measures 20mm or 8 weeks 3 days, with a heartbeat of 183. That was deemed completely fine.
The second embryo either measures 18mm (8 weeks 2 days), as determined by the first doctor, or 15mm, as determined by the second, with a heartbeat of 197. The combination of the smaller size and rapid heartbeat suggests that this embryo may not make it. But it's hard to know.
If the second twin doesn't make it, I think I'll feel a combination of sadness and relief. If I'm not going to have twins, I vastly prefer that the decision be made for me.
I go back either next week or the following week for another ultrasound, and I'm going to schedule my genetic testing. Apparently CVS isn't recommended for twins (hive mind: input is welcome), so we'll probably do an amnio. I am concerned that I'll start to show before the amnio, and that I'll have to tell people before I'm ready, but perhaps I can cross that bridge, etc.
Thank you, as always, for your well wishes. And happy Thanksgiving -- I hope all of you have as much to be thankful for as I do.
One embryo measures 20mm or 8 weeks 3 days, with a heartbeat of 183. That was deemed completely fine.
The second embryo either measures 18mm (8 weeks 2 days), as determined by the first doctor, or 15mm, as determined by the second, with a heartbeat of 197. The combination of the smaller size and rapid heartbeat suggests that this embryo may not make it. But it's hard to know.
If the second twin doesn't make it, I think I'll feel a combination of sadness and relief. If I'm not going to have twins, I vastly prefer that the decision be made for me.
I go back either next week or the following week for another ultrasound, and I'm going to schedule my genetic testing. Apparently CVS isn't recommended for twins (hive mind: input is welcome), so we'll probably do an amnio. I am concerned that I'll start to show before the amnio, and that I'll have to tell people before I'm ready, but perhaps I can cross that bridge, etc.
Thank you, as always, for your well wishes. And happy Thanksgiving -- I hope all of you have as much to be thankful for as I do.
Wednesday, November 14, 2007
8 weeks, 3 days
That's how pregnant I am. I've never been this far along before, so this is uncharted territory. I have had some cramps in the last few days, which I do not appreciate, but the nurse said not to worry (yeah, right) unless I see blood -- not spotting, but actual red blood. (No spotting whatsoever, and you can bet your grandmother's Venetian glass collection that I check every single time I'm on the toilet.)
Our next appointment is at the clinic on Monday. If all goes well, I graduate to an actual OB -- just like a regular pregnant lady! -- and have an appointment with one later that afternoon.
Meanwhile, the Twin Freakout Level has been reduced to Schoolbus Orange from Blood Transfusion Red. I find denial is a wonderful thing. But it's hard to deny completely -- last week my pants began to be tight, and this week I had to raid the supply of clothes I saved when I lost a lot of weight four years ago, in the event someday I'd need them again. (I'm attributing my larger size to a twins thing because probably most women who are eight weeks pregnant with singletons aren't out shopping at Pea in a Pod.)
Even some of the clothes I saved are too small in the waist. I thought I'd just buy a few things in larger sizes at the Gap, but when I couldn't find what I wanted in the store, I ordered a few things from Gap Maternity. Of course I am conflicted about this: I fear I'm jinxing myself, but at the same time, since I work in an office rather than a gym, I need to attend my job wearing something other than sweatpants.
Viability is still a huge concern. I've had a few dreams where I started spotting, and at least one with a too-small embryo on an ultrasound. (I think there was just one in that dream. See? Denial.) Sometimes my breasts aren't as tender, or I feel more energetic, and I think, shit, this is already going downhill. But then a wave of nausea hits, or I feel assaulted by fatigue, and I think, this still seems to be happening.
Hopefully the doctors on Monday will agree.
Our next appointment is at the clinic on Monday. If all goes well, I graduate to an actual OB -- just like a regular pregnant lady! -- and have an appointment with one later that afternoon.
Meanwhile, the Twin Freakout Level has been reduced to Schoolbus Orange from Blood Transfusion Red. I find denial is a wonderful thing. But it's hard to deny completely -- last week my pants began to be tight, and this week I had to raid the supply of clothes I saved when I lost a lot of weight four years ago, in the event someday I'd need them again. (I'm attributing my larger size to a twins thing because probably most women who are eight weeks pregnant with singletons aren't out shopping at Pea in a Pod.)
Even some of the clothes I saved are too small in the waist. I thought I'd just buy a few things in larger sizes at the Gap, but when I couldn't find what I wanted in the store, I ordered a few things from Gap Maternity. Of course I am conflicted about this: I fear I'm jinxing myself, but at the same time, since I work in an office rather than a gym, I need to attend my job wearing something other than sweatpants.
Viability is still a huge concern. I've had a few dreams where I started spotting, and at least one with a too-small embryo on an ultrasound. (I think there was just one in that dream. See? Denial.) Sometimes my breasts aren't as tender, or I feel more energetic, and I think, shit, this is already going downhill. But then a wave of nausea hits, or I feel assaulted by fatigue, and I think, this still seems to be happening.
Hopefully the doctors on Monday will agree.
Wednesday, November 7, 2007
In which I reveal myself to be a horrible person
I'll just say it: I don't want twins. My partner, a reluctant participant in the Bun Project to begin with, definitely doesn't want twins.
Now, I recognize there are all kinds of horrible things about saying this. I have friends who have twins. I actually was a little obsessed with twins in high school (blame the Sweet Valley High books). I would like to have two children, if the first one doesn't kill me. I smile at women with twins in strollers just like you. I think there is something wonderful and special and unique about having two children at the same time.
But I don't want to do that myself. First, I worry about the complications of a twin pregnancy -- I've heard too many horror stories, even though I've personally observed some big successes. (Luckily for me, I have no medical problems other than the whole infertility thing.) I like to think I'm quite competent -- okay, I am quite competent -- but I'm not sure I can handle two babies. I have no close family in the Bay Area, and though my close family isn't that far away, they're not here. I have wonderful friends, but most of them have their own families to take care of. I have some financial resources, but I'm not sure that would be enough. I have a demanding job that I have every intention of keeping. (Hell, we can't afford for me not to work.) I have a partner whom I love dearly, but who generally would prefer not to have children and has described her ideal involvement with a child as being like a "50's dad." How, precisely, is this supposed to work?
This may be an awful thing to write, karmically, given the two embryos that seem to have taken up residence in my uterus. I know. And I know some people will say, "God/the universe doesn't give you anything you can't handle." At the risk of sounding ridiculously callous and practical (bingo!), I don't think so. People don't choose to get cancer, but I think my brilliant friend who recently died of cancer in her early 50s didn't get sick because she could handle it. She got sick because sometimes life sucks. People aren't given sextuplets because they can handle them; they, and their doctor, make a choice to risk and then have sextuplets. It's a choice.
And this twin pregnancy was, I regret to say, something of a choice. We had two embryos, and we could have chosen to transfer one. Given the embryo quality, we could have put in one, but given my history of miscarriage, the doctor (who described her approach as conservative after we said, adamantly, "We don't want twins!) recommended two. One would be a fail-safe measure.
We have discussed selective reduction, but I don't know that we could do it. We'll have to see how the next ultrasound looks, and later, what the genetic testing shows. (If you're really offended by talk of selective reduction, I'm sorry, but please don't flame me in the comments. The management has a strict no-abuse policy. Especially because the management, at the moment, is an emotionally fragile, bloated, and nauseous pregnant lady.)
In the meantime, I'm trying to balance my joy at getting asked back for a second interview here, and my absolute, utter terror at what it might show.
Now, I recognize there are all kinds of horrible things about saying this. I have friends who have twins. I actually was a little obsessed with twins in high school (blame the Sweet Valley High books). I would like to have two children, if the first one doesn't kill me. I smile at women with twins in strollers just like you. I think there is something wonderful and special and unique about having two children at the same time.
But I don't want to do that myself. First, I worry about the complications of a twin pregnancy -- I've heard too many horror stories, even though I've personally observed some big successes. (Luckily for me, I have no medical problems other than the whole infertility thing.) I like to think I'm quite competent -- okay, I am quite competent -- but I'm not sure I can handle two babies. I have no close family in the Bay Area, and though my close family isn't that far away, they're not here. I have wonderful friends, but most of them have their own families to take care of. I have some financial resources, but I'm not sure that would be enough. I have a demanding job that I have every intention of keeping. (Hell, we can't afford for me not to work.) I have a partner whom I love dearly, but who generally would prefer not to have children and has described her ideal involvement with a child as being like a "50's dad." How, precisely, is this supposed to work?
This may be an awful thing to write, karmically, given the two embryos that seem to have taken up residence in my uterus. I know. And I know some people will say, "God/the universe doesn't give you anything you can't handle." At the risk of sounding ridiculously callous and practical (bingo!), I don't think so. People don't choose to get cancer, but I think my brilliant friend who recently died of cancer in her early 50s didn't get sick because she could handle it. She got sick because sometimes life sucks. People aren't given sextuplets because they can handle them; they, and their doctor, make a choice to risk and then have sextuplets. It's a choice.
And this twin pregnancy was, I regret to say, something of a choice. We had two embryos, and we could have chosen to transfer one. Given the embryo quality, we could have put in one, but given my history of miscarriage, the doctor (who described her approach as conservative after we said, adamantly, "We don't want twins!) recommended two. One would be a fail-safe measure.
We have discussed selective reduction, but I don't know that we could do it. We'll have to see how the next ultrasound looks, and later, what the genetic testing shows. (If you're really offended by talk of selective reduction, I'm sorry, but please don't flame me in the comments. The management has a strict no-abuse policy. Especially because the management, at the moment, is an emotionally fragile, bloated, and nauseous pregnant lady.)
In the meantime, I'm trying to balance my joy at getting asked back for a second interview here, and my absolute, utter terror at what it might show.
Monday, November 5, 2007
Three words
Viable twin pregnancy.
Or, to use a few more: there are two embryos in there, two heartbeats, both good. Two sacs, one smaller than the other but still probably fine. The doctor gave it a 20 percent chance of becoming a "vanishing twin." In other words, he gave it an 80 percent chance of sticking around.
Excuse me while my partner and I completely freak out.
Or, to use a few more: there are two embryos in there, two heartbeats, both good. Two sacs, one smaller than the other but still probably fine. The doctor gave it a 20 percent chance of becoming a "vanishing twin." In other words, he gave it an 80 percent chance of sticking around.
Excuse me while my partner and I completely freak out.
Sunday, November 4, 2007
Tonight's fortune cookie
It read:
"You will pass a difficult test that will make you happier."
Sure hope so. My first ultrasound/viability check is tomorrow morning.
"You will pass a difficult test that will make you happier."
Sure hope so. My first ultrasound/viability check is tomorrow morning.
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