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September 2006

September 25, 2006

12 Dot Over

I had an ultrasound this afternoon with my OB. I was saddened (but not particularly shocked) to see that the fetbryo no longer has a heartbeat. It had grown a lot since last week so we assume that it must have died in the past day or so.

So.

Well.

Yes.

I feel quite peaceful, actually. The uncertainty of the past week was very hard for me. Hoping and yet hopeless, I felt utterly drained and panicky and ... and just AWFUL. I know where we are now and I can live with it. Of the myriad horrible possible outcomes (postnatal death, stillbirth, genetically normal but irreparable defects, therapeutic termination) a gentle in uterine loss at 11 weeks seems fairly kind in the scheme of things. Having accepted that this baby could not live (for whatever reason, although I suspect the CVS results will confirm an unbalanced translocation) I cannot help but be grateful that I was spared worse. 

My OB said that at this stage miscarrying on my own is out of the question. She said the risk of winding up in the emergency room, bleeding profusely, is just too high. So I have a D&C scheduled for 7:00 AM (check in time 5:45 AM. which is completely depressing because the only tiny shining light in this painful mess is the promise of the sweet sweet embrace of Morpheus and his general anesthetic and you know what? even *I* don't need general anesthetic at seven o'clock in the goddamned morning. four in the afternoon maybe. lunch time perhaps. but DAWN? no) Wednesday morning. 

Obviously we wanted this baby. Obviously it hurts to lose it.

I don't know how to end this post. 

September 24, 2006

This Sucks, Frankly

I am not doing very well.

On the plus side, I suppose, the subchorionic hemorrhage seems to be have resolved itself. I went from thinking I was bleeding to death, to thinking I might be bleeding to death very slowly, to recognizing that I am not, in point of fact, either dying or even still bleeding. Spotting perhaps. Staining one might say. But bleeding, no.

On the minus side, so what?

I have spent hours and hours googling increased nuchal translucencies. Although generally I believe that there is little to be gained from the laypatient reading abstracts, I have to admit that I have learned a whole freaking lot. I did not, unfortunately, learn whether this pregnancy is doomed (which is of course what you are really looking for when you google "no fetal pole 6 weeks" and "slow heartbeat but appropriate growth") but I have been staying busy while processing what is ultimately totally crappy news.

When I wrote this post yesterday I proceeded at this point to fill you in on everything I have learned. Six paragraphs worth. You would have walked away from your computer with the ability to deliver a competent ex tempore lecture on nuchal translucencies and the significance of abnormal measurements in the first trimester. But then I asked myself, what if cramming this information into your unwilling minds accidentally dislodged a pleasant childhood memory or a few retained stanzas of Coleridge (in Cleveland did Kubla Khan a stately something duh decrease)? I couldn't live with myself.

So I deleted it.

But it all boils to this: nuchal translucencies over 3mm but under, say, 4-4.5mm are not necessarily all that big of a deal. If it weren't for Steve's translocation I would be concerned but not convinced that there is a serious problem.  Of course, if it weren't for Steve's translocation none of us would be here at all, would we? I would be googling range hoods (any suggestions? we ordered the new appliances on Friday and I need a 48" to 54" wall-mounted hood to go with the Wolf. Steve likes the Zephyr Okeanito but Steve is getting his ridiculous refrigerator and I think sustained indulgence of his whims is bad for his character) and you would... well I am sure you would be using your time wisely.

So in a world in which I was not already a 1-in-2 risk for chromosomal abnormalities, the increased risk that accompanies the nuchal translucency would be a leetle troubling but not so much so that I would assume this pregnancy is completely without hope. But how do you increase 1-in-2 odds and not get 1-in-1 (that is a metaphorical question, not a statistical one)? How can I possibly take the fact that the perinatologist thinks there is a genetic flaw as anything other than proof that there is, indeed, a genetic flaw?

I cannot. I keep trying to but I just can't. And it hurts tremendously. I feel pregnant. I sort of look pregnant (to me. naked. although I let Patrick talk me into making a birthday cake for one of the cats [NOT his real birthday by the way but whom am I to resist Patrick with a dozen eggs in his little hands?] and I have eaten over half of it, so maybe I am just cakeful).

Part of me wants to get the results soon so I can deal. Part of me wants to stay suspended in unchallenged denial, googling translucencies and translocations until the sun burns out.

All of me wishes that I could just go to bed and stay there.   

September 19, 2006

12 Dot Surely You Jest

Yesterday afternoon I had some cramping. By evening I noticed I was bleeding. It wasn't particularly heavy and I had just had a perinatologist and her staff threaded through my cervix, so I was not unduly concerned by this. However, I did what I had been intending to do anyway and I went to bed.

Twelve hours later I woke up and discovered that I was stuck to the sheets. Never before had the expression "lying in a pool of blood" been brought so vividly home to me. I staggered Carrie-at-the-prom-like into where Steve was on a business call (shocking him so badly that he actually said, "Excuse me, Joe, I am going to have to put you on hold for a second") and gesticulated mutely at all the gore.

"Did you... cut yourself?" my loving husband inquired. We are a fun couple, I'll tell you what.

I called the perinatologist's office and the nurse asked if I could make it to their other office (picture where you live. now draw an X a zillion miles away. that is how far the other location is from my house) in thirty minutes. I lied and said yes. I considered just going in my ravaged pajamas and then when I got pulled over for driving in excess of the posted speed I could show the nice officer my lap but changed into sweatpants when I realized how incredibly gross and sick and morbid I am.

Anyway, I saw the same perinatologist who did the CVS (and not a second too soon either! because! TODAY is her due date! mazel tov, I told her) and I learned some stuff:

1. I now have a subchorionic hemorrhage where they took the chorion sample

2. it is pretty big

3. IF (emphasis hers. and mine too I suppose. although god bless you people. I love your alternating vulgarity  and optimism on my behalf) this pregnancy is ok she does not think the bleeding will do it in.

much.

4. the nuchal translucency from yesterday was about 3.5mm. if she had handed me a tiny folded triangle of American flag she could not have been any more clear that she believes this one is unbalanced and will not live. I think that might be why she told me that I did not need to take any steps with regard to the hemorrhage. Cow, barn door, vade in pace, etc.

We left it that we would just wait for the CVS results. I asked if we could do FISH on yesterday's sample to at least see if we are dealing with a major trisomy unrelated to the translocation but apparently the sample was not big enough to do wily-nily testing like that. Sooooo, godspeed and all that.

High-maintenance OB patient that I am (one who is incidentally bleeding to death over here) I called my OB as soon as I came home and told their voice mail all my woes. I have not heard back from them yet but I expect they will let me come in for another ultrasound sometime to at least check out the bleed.

Who by fire, indeed. It is like someone has put a hit out on this fetbryo (who still looks fine by the way).

Cheer me up if you can. Either with your colorful profanity or stories of hope and redemption. I could use it. I am feeling positively hunted by the Furies.

Thank you.

September 18, 2006

12 Dot Horrible

This is really really bad.

They were able to do the CVS after all and everything seemed ok to us.

But when she was done the perinatologist said, "I have to tell you I am very worried about this one."

Apparently the nuchal translucency of the fetus is abnormally thick. In the absence of any other data this is a soft marker for a chromosomal problem, a reason to investigate further. In our case it is practically assured that the fetbryo is unbalanced.

We get the actual results in 10-14 days (no FISH for these chromosomes) but there is no reason to believe that they will do anything other than confirm the fact that the baby will not survive.

I feel sick.

12.9

Oh damn it.

After weeks of calm and collected waiting I have succumbed to uncontrolled, all-consuming anxiety. I spent the entire weekend googling god only knows what: "fetal heart rate unbalanced", "triggered IUI dating small", "ten weeks translocation alive good". Complete nonsense, really. And I know we did not actually do a triggered IUI but it was the closest approximation I could come up with to describe the situation. Google just shrugged anyway.

I don't know what happened. One moment I was peacefully contemplating the thirteen ways one really can look at a blackbird and the next I was curled around my keyboard frantically seeking reassurance from unrelated comments on a three year old message board.

It is a little after seven (a time of the day that I have not seen since there was a significant time change following overseas travel) and I was awake last night at 2, 4, and finally up for good at 6.

I seem to have freaked.

CVS, maybe, in three hours.

I'll check back in afterwards.

September 15, 2006

12.8

Ultrasound was fine. 10 weeks as scheduled. The whatsit flipped upside down while I was watching and what can I say, it's just so cool to see. I am trying (and mostly succeeding) to remain as detached as possible, but I am human after all so... I am hoping and I am continuing to hope. The sustained alive-ness puts this pregnancy into my exclusive Top Third. This is only the fourth one to still have a heartbeat at ten weeks- an illustrious cadre that includes Patrick. Also that last bad one and the one that was unbalanced but went to 18 weeks or so, but let's not dwell on those.   

CVS is going to be on Monday... maybe. They left a message yesterday saying they needed to reschedule me and I had to breathe into a paper bag for ten minutes before I was able to call back. I have a very specific time-table in my head which, if followed to the second, will insure that I do not completely freak out in the next few weeks. Needless to say, moving CVS and therefore the results back by an entire week is not part of that time-table.

The perinatology practice that I have seen in the past kinda screwed me last time (remember? the ultimately pointless but painful and complicated quest for a dignified termination that they essentially thwarted with their cowardice?) so I have switched to the other practice in town for this round of CVS. I have heard wonderful things about this group (so much so that I wonder why nobody mentioned this place to me five years ago) not the least of which is the fact that the new practice offers any support necessary in the event of bad genetic results. Novel ethical concept, no? To not only offer testing, but also a variety of support options in the event that what they are testing for is actually found? Eu-fucking-reka.

Unfortunately, for my time-table at any rate, the new practice does not offer CVS before 11 weeks and they had inadvertently scheduled me earlier than that. Since we have always done CVS (well, twice) between 10 and 11 weeks I asked the receptionist if I could talk to the doctor about doing it as scheduled at 10.5 weeks. She said, "You? Want? To? Talk? To? The? Doctor?" and offered to have  a nurse call me. I thought, oh damn it. Because clearly the nurse was just going to explain their policy, not offer alternatives. Imagine my surprise when a nurse returned my call (within the hour) and said that she had spoken with the perinatologist and they were proposing the following: I will come in on Monday as scheduled and they'll take a look. If she feels that she can take a chorion sample at that time she will. Otherwise I will have to come back. Fair enough?

Fair enough.

So there we are. Still in limbo but there is an end in sight.

In other news Steve couldn't stand it any more and he has charged ahead with his kitchen remodel. This actually started (restarted) a few weeks ago when he had the cabinet maker out to measure for the new laundry room cabinets. They were installed on Monday (quite nice actually. we now have a bench with shelves for shoes and an enormous cubby thing and a closet with partitioned space for the vacuum cleaner that makes my heart beat faster just thinking about it. I'll post pictures once all the crap is put away) so Steve was able to move the washer and dryer in there today. That left the old laundry room free to be demolished which somehow lead Steve to remove MY COOKTOP and place it (albeit functionally but still, MY COOKTOP) on sawhorses in the old laundry room space. I know I should be grateful that this is his hobby and not, oh I don't know, unprotected sex with hookers but.... gak. I am so very fond of food and the procurement of food and my eyes are crossing as I think about the months I am about to spend cooking on sawhorses. I even tried to play the pregnancy card (which works for NOTHING in this house. NOTHING. not even a nap) in an effort to put the remodel off for another year or so and Steve responded by saying "OK, you're pregnant. Can you name a time in the past eight years when you were not pregnant?" Which, um, ok, but my third husband is not only going to be a pastry chef he is going to be one of these internet spouses I keep reading about who strongly believe that pregnancy is a mystical, awe-inspiring time of great pith and moment and who cannot do enough to nurture and support the radiant goddess they are blessed enough to call Partner, Lifemate, Friend during this magical arduous process. Steve believes that the woes of the first trimester are roughly comparable to a broken nail.

In conclusion- ultrasound:great, outlook: promising, mood:optimistic. Oh and kitchen:smoldering ruin.       

September 08, 2006

12.7

Who? Julia? Oh you mean that blog writer who loathes Hungarians and jigs ambles lisps and mocks their culture in her wantonness? I hate her too. The curse of the Huns upon her poxy soul.

I didn't say there was anything WRONG with naming the child Attila, I was just wondering if I had heard it properly. It being, er, a less common name amongst the suburban Gymboree set. And as for our wee Odin his last name starts with the letters "Bj" so he gets a pass in my book to be as Norse as he wants to be.

Skål, Odin!

[Trivia for the day: skål, skol, skoal, is a Norwegian/Swedish toast that harks back to when the Vikings would unwind at the end of a hard day of raping and pillaging with a skullful of the blushful Hippocrene. Skull! indeed.]

The ultrasound was splendid. Truly. One of the best ultrasounds I have ever had. My bladder was regrettably empty (see: unfortunate water guzzle back-fire incident prior to departure followed by identically unfortunate incident in the parking lot) so it was hard to visualize anything very well but what we could see was a 9-weeks-to-the-day fetbryo (measuring perfectly from the last two ultrasounds) with a heartbeat in the 160s. Oh, and it wiggled. It wiggled its hand stubs and feet stubs and then undulated like a sound wave. OK, it actually seized more than wiggled but still... nice. Very nice.

I am going back for one. more. ultrasound a week from today and then CVS is a week from Monday. I feel happy and intermittently optimistic.

Oh and would you mind humoring me in one thing? I have absolutely no idea when this pregnancy would end under auspicious circumstances. Seriously. Spring but I have deliberately not thought about what month or anything. I have been saving myself the treat of having an actual due date until I, you know, am lucky enough to have an actual due date. Three and a half years and counting. So don't tell me, ok?

Thanks for checking on me. Have a wonderful weekend.    

September 07, 2006

Patchwork

Talking with Patrick is like conversing with an amiable but delusional eccentric, which I believe is typical for the age but boy howdy is it hard to know where to look sometimes.

Yesterday was the first day of preschool and it went beautifully. He is going to the same place he went last year (THREE DAYS, though, THREE)- same teacher, same rooms, same kids minus one plus five (as Patrick put it). He breezed in and promptly oiled over to the sensory table (bristle blocks) where he and one of the new boys built things together in harmony, albeit also in total silence. I did a little less well, discovering that I had: forgotten his backpack, forgotten two out of the three forms they needed, remembered that I needed to pay for the field trip but realized that I had left my checkbook at home, and learned that both Steve and I had written checks for September tuition but neither of us had remembered to buy our way out of volunteering for the Fall fund raiser (I don't want to stand in the cold at an art fair serving dubious chili to the masses- I don't want to, I don't want to, I don't want to. fortunately they accept cash in lieu of cooperation).  And I forgot to sign Patrick into the classroom and then later I forgot to sign him out. I DID remember to tell them that both Steve and I will be happy to chaperon the first field trip, though, so come September 20th apple orchard ho!

After bumbling my way out of school I raced home and spent three blissful hours alone in my house. Well, alone including Steve, but that was only about fifteen minutes worth. Maybe twenty (spotting be damned, although no sign of any as this goes to press). Last year I cried after I dropped Patrick off, this year I sang a lusty whaling song (Farewellllllllllllllllll to Taaaaarwathie...). Either I am growing as a person or atrophying as a parent. 

But back to my point about Patrick. Last year (all year) he was completely unforthcoming when asked to discuss his mornings. I would ask him what he did- nothing. Ate- nothing. Who he played with- nobody. Did he sit in the corner with a bag over his head- yes. Yesterday, in pleasant comparison, he was a veritable fount of information. It was just hard to figure out what the hell he was talking about, what with all the nonsense.

I asked him what he had for snack and he said, "Graham cracker sticks and yogs." What is a yog, I asked. "These colored round things. I got to choose between pink or purple and I chose purple." (quick note about Patrick. when presented with an array of multi-colored foods Patrick will ALWAYS eat things in rainbow order. all the red things first, then orange, etc. in the absence of the full rainbow he will start with the first of whatever is available and skip the missing colors. none of us have ever mentioned this and he doesn't freak about it or anything, he just does it. weird but not his weirdest habit I suppose).

Do yogs exist, do you know? I am willing to give him the benefit of the doubt and assume there is such a product. A yogurt ball snack food of some kind? However, he went on to tell me that they were given nothing to drink but it was ok because the graham crackers were the same as juice. And yogs, according to Patrick, are apparently bigger than Steve's head. Also they are just for cats.

Then he volunteered the information that at school there are bathroom rules.

"Oh yes?" I asked.

"Yes. No talking, no laughing and no showing our teeth."   

Somehow I doubt this is true. Maybe rules about the need to wash your hands and stay away from other people's zippers, but teeth baring? Not bloody likely.

Oh! I did challenge one thing he said and promptly went down in flames. Last year he kept talking about some kid named Bogan (who needless to say did not exist, but was probably an amalgamation of Ben and Morgan who did). So this year he said there was a new kid named Odin and I said no there is not (ok. I know. we live in Minnesota. Valhalla is practically next door. I was not thinking) and he said yes there is and I said... anyway, yes, there is an Odin. And I am pretty sure that the younger brother of another new kid is named Attila, although can that even be possible?    

Biiiiiiiiiiiig ultrasound tomorrow morning. I have no sense of whether there is still a heartbeat. None. No clue. No guess. Tuesday the morning sickness was gone and I moped while I ate a cheese steak because obviously the lack of nausea was grim. Yesterday I threw up a lot. This morning I started the day in the bathroom, then I felt great, now gross. If I was normal (excuse me, if STEVE was normal) I guess I would think this pregnancy is completely fine. The evidence of all the typical symptoms (breasts appetite nausea skin hair pants) would provide any reassurance I needed. But I have been disappointed so many times that it is impossible to not assume the worst. Not to mention the fact that assuming the worst helps. Being blindsided by a miscarriage is really really painful. Confirming one is much less so.

The wait for this ultrasound was easier than I expected it to be. I was afraid the days would drag and they did not. This last twenty hours, though... woof. I should go to the library and the bank and the good grocery store this afternoon but I do not feel quite well enough to drive. The alternative, however, is another afternoon of PBS Sprouts and Patrick and I are currently feuding over the Quicken Loans commercial they keep playing. Do you know it? Basically they offer to cut your mortgage payment by hundreds of dollars each month. They even have a little bar chart that shows your monthly payment with a typical 30 year loan compared to the much lower Quicken loan payment. Every time it comes on Patrick says, "Mommy! I need to call Quicken and cut my monthly mortgage payment!" And I keep telling him that it is a SCAM, an unethical SCAM, because what they are doing is simply having you pay the interest, with nothing towards the principal. Thus, comparing it to a thirty year loan is completely misleading. You can pay interest for three hundred years and never get any closer to owning your house. It is just like renting from the loan holder, with none of the advantages of either home ownership or renting. Hmmm, ok, unlike rent you can deduct that interest on your federal return. And paint the bathroom black if you like. But that's it! Patrick (some genius) refuses to see this and simply repeats his desire to start saving hundreds a month.   

Maybe we'll just go take a walk, although fresh air and sunshine and late summer flowers make me nauseous. That's not a pregnancy thing. Nature hikes give me the heebie-jeebies.

I will, of course, let you know what happens tomorrow. Keep your fingers crossed for me. I really want this.

September 04, 2006

Natural Born Buyer

Patrick and I went to the Land's End store the other day to return my internet-ordered, ludicrously sized petite pajamas. I was so excited to see that Land's End has brought back petite pajama bottoms (a void, a veritable void exists in the market for normal cotton pajama pants, size Short Legs. and you cannot just buy normal length and wing it unless you want to expend your energy hauling up your pajamas at the knees every time you go upstairs, a la Scarlett O'Hara minus the hoopskirt) that I ordered about fifty pairs in different colors, size medium. Now, I am as big a fan of vanity sizing as the next addle-pated Delilah but if those pants were anything other than SuperJumbo I'll eat my back switch. Thus the trip to the store to facilitate an exchange.

Land's End has a special little area just for catalog returns and that is where Patrick and I headed. And proceeded to cool our heels for ten minutes while we waited for someone to help us. I contemplated buying a plaid handled tote bag inscribed "Marisa" (neither my name nor my style but $10! which reminds me of a story: when I first started dating Steve he had two bath towels in his bathroom, a pink one and a blue one. The blue one had Jacqueline embroidered on it and the pink one was for Laura. Although I knew I wasn't Steve's first [several dozen] I was a bit miffed that he was so callous as to flaunt the loves and linen that had come before. I never mentioned it, though, preferring instead to downgrade those towels from Shower-Ready to Cat Vomit cloths, but they stung. Years [years] later I learned that his parents had given everyone monogrammed rejects one Christmas. Upon learning this fact I girlishly confessed my initial jealousy to Steve, who promptly told me, "No no, you were right. We got to pick and I took those two because I had once slept with a Jackie and a Laura." and then he looked all misty. because he's sentimental like that, you see.) 

So I was contemplating the discounted merchandise while Patrick milled around. Suddenly he announced, "I need to give myself a break, Mommy."

"Um, ok," I said.

He sat down in an armchair.

"Mommy? I need to grab a cup of coffee."

"What?" I said, meaning "what the fuck" but keeping it clean. "No, you don't. You wouldn't like coffee even if you were allowed to drink it which you are not because it is too hot and caffeine will stunt your growth."

He sat there.

"Mommy I can call in a callaga order as comumbly as from my own home."

At which point I realized he was reading the sign on the wall that urged: "Give yourself a break. Grab a cup of coffee. Call in a catalog order as comfortably as from your own home." 

Patrick has discovered the imperative tense and it is working him like a barbecued rib. As we left the store he told me that he needed to save. UP TO 65%.

Last week I decided I could either have morning sickness or be a creative dynamic parent. Since I learned that Zofran works when I take it every 8 hours BUT my insurance company will only pay for 9 tablets every 30 days (thaaaaaaaaaaaaanks. so I said to the nice pharmacist "Oh very well. I'll just pay for it then. How much is it anyway?" The nine tablets I got before, covered by insurance, were just under $4 total. The pharmacist looked it up. "$100," she said. "For how many?" I asked. "One." Oh.) They gave me Reglan instead but eh. Just not the same. So I stagger along every day and at 2:30 Patrick and I go curl up under a quilt in the basement and watch Sagwa and James the Cat together. Supposedly PBS Sprouts is a PBS cable channel but... remind me, wasn't the thing about public television the lack of commercials?

Since we have instituted Patrick's first taste of actual non-DVD'd broadcasting he has made the following announcements:

To my mother: "Hooked on Phonics will help me teach my child to read. And it is only available at Walmart."

To Steve: "I need to call the scooter store and get back my mobility back... TODAY."

And, this afternoon, urgently,

"Mommy! Mommy! In just one month I can go from a size 10 to a size 4!"

"Patrick my treasure, you ARE a size 4."

"Oh," he said, "nevermind then. But Mommy? Nutrisystem lets me eat chocolate every day."

I don't know what we are going to do with him. One of these days he is going to realize that he knows how to use the phone and we'll really be screwed.

Not much else going on. CVS is scheduled for two weeks from today (how is that even possible), but I have another ultrasound on Friday to see if there is any point. I had some spotting again yesterday. Brown, brief- still disconcerting but I am no longer freaked out by it. They didn't see any bleeding on the last ultrasound so... I don't know. I keep getting Leonard Cohen's Who By Fire stuck in my head: "who in her lonely slip, who by barbiturate/ who in these realms of love, who by something blunt." In this context I can only assume my morbid subconscious is pointing out that there is the greatest of likelihoods that I will lose this pregnancy one way or another, so stressing about dire anonymous messages from my nethers is just a waste of time. Why worry?

Tra la la.