Us

Us

Thursday, December 30, 2010

12w0d - Doing great

Today we're 12 weeks pregnant, WOOHOO!!! Like I've said before, every week is a milestone that we truly celebrate. And by this time next week, we'll be in our 2nd trimester...that's really something to look forward to. This week I've been feeling yucky at night. Just some nausea and only in the late afternoon/evening but NOTHING sounds appetizing. I've ended up eating breakfast foods for dinner (brinner) almost every night because it's the only thing I could stomach.

So yesterday was DH's birthday where he turned the big 30 so a big HAPPY BIRTHDAY to him. I feel so old, I can't even remember turning 30 LOL. Anyways, we had a nice day together. Went out for lunch, picked up a cake, and had pancakes for dinner (yep, more brinner.) Just think on his next birthday we'll have a little smiling baby to celebrate with us, can't wait!

Monday's surgery is quickly approaching and I've surprisingly been able to distract myself from my nervousness. Been reading, a lot, which is one of my favorite pasttimes. Today I'm going to venture to visit the family since I visited DH's side on Christmas weekend (and my original planned trip on Monday got postponed with the snowstorm.) So I think that visit will keep my mind occupied quite a bit too.

The hospital called me yesterday and I need to be there Monday at 5:30am. The surgery should occur about an hour or so after I arrive and I'm super thankful for a really early surgery. That will give me a lot of time there on Monday to start walking around and hopefully (got everything crossed) I could be home by Tuesday morning.

Tomorrow I'll get the results from the 1st trimester blood work. So I'll let you know how those came out and I'll be sure to post the night before my surgery. Have a super Thursday!

Monday, December 27, 2010

11w4d - NT scan looked great

Back from our appointment and everything's looking great so far. The little one was so cute again on the u/s. When they first put the u/s on, it was laying there with it's back facing us. I was scared for a second because I couldn't see the h/b, but then that beautiful flickering appeared and I could breathe again. Then for the first minute or so it wouldn't change positions so the u/s tech pushed a few times on my stomach - we needed the baby to turn into the right position to do the NT measurements. Well after one of the pushes the baby flipped around a couple times, did some kicks and then settled into the perfect position for the measurements. Nice & easy the rest of the way. The u/s tech measured the nuchal translucency 3 times (per their procedure) and the measurements were 1.37, 1.43, and 1.3mm. Great measurements for where we're at at 11w4d. And a nasal bone was present and measureable (the absence of a nasal bone can be an indicator of Down's.) The nurse then did the finger prick for the bloodwork and I should have those results by Friday. But so far, we're looking good.

Next we were onto the vitals - b/p was 122/74 which is about my usual, pulse was 75. Weight gain so far in the first trimester is 3.5 pounds. The doctor listened to my heart, my breathing, and did a breast exam...a very thorough breast exam. I was wondering what DH thought about this very thorough breast exam as he sat in the room and watched - was he uncomfortable watching that? No. On the contrary his thoughts were - "Hell yeah" (a common reaction to the sight of my rack.) This was followed by him thinking "So it ain't just me -they really are that big. They don't fit in his hands either." Good god, my husband makes me laugh!!! I love you honey!

We then met with the doctor in his office to fill out the paperwork for surgery on Monday. I should get a call from the hospital this week telling me what time we have to be there on Monday. By this time next week, I'll be recovering in the hospital (oh, how I hate trying to sleep in a hospital bed, but it will all be worth it.)

Well, here are some pictures from today's u/s.

Baby with his hand up by his mouth (we could even count all 10 fingers on today's u/s.)

Photobucket

On it's side. The crown rump length from this angle measured 5.47cm making it measure a few days ahead at 12w1d.

Photobucket

Similar shot to the one above, but you'll notice the crown rump length measured slightly smaller, dating it to 12w0d. (You can see why the measurements can be off a little.)

Photobucket

Pic from when they measured the nasal bone.

Photobucket

I seriously think I'm going to need a photo album for this baby just for his/her u/s pics!

Sunday, December 26, 2010

Belated Merry Christmas!

Hello all! Hope you all had a very Merry Christmas! Mine was nice - went to the in-laws for the holiday and spent Christmas with them and some of our Rhode Island friends. Our trip was cut short slightly when we heard about the snowstorm coming so we high-tailed it home late last night. VERY wise decision...not only did we beat the snow but traffic late on Christmas night was super light. Awesome! And now we are snowed in quite nicely with nowhere to travel tonight, perfect.

Tomorrow we'll do our first trimester screening at 1pm (hmmm, I wonder if the snow will change this plan at all, I really hope not.) Anyways, I did not have these tests when I had my first two children ages ago. This test is made up of two components. A blood test and an ultrasound. The ultrasound is used to measure the amount of fluid behind the baby's neck (nuchal translucency.) A larger measurement typically equates to a higher risk of Down's syndrome, Trisomy 18, or Trisomy 13. But it's important for DH & I to remember that this is not a diagnostic test, this is just a screening test. There are a large amount of false positives in the b/w & u/s so that's something to keep in mind. If our risk is high, we could then decide to proceed with CVS (chorionic villus sampling) or amniocentesis to get an actual diagnosis (or to get the all clear.) To be honest though we most likely would not move onto any diagnostic tests. Partially because we don't want to add any additional risks of miscarriage and two, we would not terminate the pregnancy anyways unless the abnormality was incompatible with life. Hopefully we will not have to cross that bridge.

So some may ask, why bother even doing the first trimester screening? Well, it is optional so we certainly don't have to do it. However, if we find that our risk is very low we can have that piece of mind. And if we find that our risk is high, we know to look for other markers in future ultrasounds. Future u/s findings could confirm the initial screening results or completely dispell them. But if confirmed, we could begin to prepare and educate ourselves on whatever help our baby may need. So we're proceeding with the tests tomorrow and we should have the full results by the end of the week. Again, the results would not be a diagnosis. It will just provide us with our level of risk.

On another note, I can't believe my surgery is 8 days away. WOW! I can't even imagine how I'll be feeling next Sunday night. Ummm...I'll guess nervous, anxious, and more nervous. Will I be able to sleep? Oh, I so doubt it!! I'm already nervous just thinking about how I'll be feeling. I think I better dig out my old New Age CD's and get my meditation groove on.

Will report back tomorrow! For now, hope all my friends & family on the East coast are snuggling in with some hot chocolate while the snow falls and falls and falls and falls....

Thursday, December 23, 2010

11 weeks - another milestone (& some pics!)

No bleeding this morning YAY!! Just the familiar brown spotting, but hey, I'm ok with that. Just no more red please! As promised, here are some pictures for you. Here is the baby at 10w6d from yesterday's ultrasound. DH & I both have "prominent" noses and it appears our baby does too.
Photobucket
A shot mid-wave.
Photobucket
And the first of many baby bump shots. This was from this morning, so 11 weeks exactly. (And no, I did not grow to be 7 feet tall, we just have a very small Christmas tree so I am taller than it.)
Photobucket

Wednesday, December 22, 2010

All is a-ok

The spotting this week and bleed from this morning are mysteries but the baby is doing fine...phew!!!

The little one was doing great, kicking and stretching and flipping around (and DH got to see it this time.) Heartbeat was beautiful in the 160's. The cervix is closed and the length remains the same. The placenta looks good and is firmly attached - no sign of separation or anything like that. The 2nd sac is still there, still getting squeezed out of the way, but it's about the same size as last week so no real change there. It may be possible that the spotting & bleeding came with the stop in progesterone late last week, but it's hard to tell. At this point we're just relieved to hear that everything looked great with the baby & pregnancy. It won't be instant panic-mode if I have additional spotting/bleeding over the holiday weekend, thank goodness!

Tomorrow I'll post a couple pics of the baby from today's u/s and will post the first (of many to come) baby bump shots. Right now, it's nap time.

10w6d - Where is this blood coming from?

So much for a quiet week with no doctor appointments. So much for a week with no worrying. Here DH & I have been admiring my baby bump and feeling more confident in this pregnancy. We listened to the heartbeat again yesterday, that reassuring galloping sound and we were going to post a picture of my baby bump tomorrow when we hit 11 weeks. But today's events and even those of the last few days remind me that this week hasn't been all sunshine and lollipops.

Let's backtrack to last Thursday morning, where on the day of my great appointment with a great ultrasound, I had a touch of pink spotting. Nothing major at all and it looked very similar to when I'd had a bit of spotting earlier in the pregnancy. That we'd chalked up to the progesterone irritating the cervix and there was no evidence of anything amiss in the u/s on Thursday so no big deal. Later that day, I finished my progesterone and hoped that the irritation to my cervix would be over now that I was no longer using the suppositories.

Well, the last few days I've had spotting, primarily brown in color, which generally indicates "old" blood. At first this didn't worry me much either because I figured it could be "old" spotting from the progesterone irritation. Or perhaps a bit of spotting after stopping the progesterone which is common also. No problem, right? Right - that is if it were not getting progressively heavier each day. This morning was the kicker though - when I went to the bathroom first thing this morning it was red and it was more than spotting. I'd call it a light flow. TMI alert - it was enough to cover the toilet paper I was using and drip red into the toilet. Now subsequent trips to the bathroom and we're back to the brown spotting, though cramping has been present all morning. So where did that red blood come from? It had pooled in there and all came out at once but where did it originate? Why am I cramping?

A call to Dr D and I'm reminded again why this guy is wonderful. The number he provides his patients forwards to his cell phone. Yes, no explaining what's happening to a nurse and then waiting for the call back. It's a direct line to him. I explained what's happening and I'll go see him this afternoon at the hospital he's at today. I've never been to this hospital before, it's a little further away but that's ok with me. If we can get any clues from today's visit maybe I can relax while we're visiting friends & family this Christmas weekend and not completely panic at every sight of blood (note, I still will panic, but will try not to completely panic.)

So, I'll post again later today once I'm back from the doctor. I seriously hope it's nothing and I come home feeling silly for even bothering him today with this. But seeing red is enough to warrant a trip to make sure all is ok. Please, please, please let everything be ok.

Thursday, December 16, 2010

10 weeks - fabulous appointment, fabulous pictures!

We're 10 weeks pregnant today and I got to take a nice long look at Baby Alvarez today!! (Unfortunately DH had to work right at the time of my appointment so he couldn't be there...grrrr!!) So I'll tell you about my appointment and then share some pics from it.

The u/s tech at the MFM's is just awesome. She was pointing out everything as she went. The doc popped in for a few minutes to say hi and see how things were looking, then let her continue on with the u/s. The baby was kicking and waving and stretching!! It was just absolutely amazing, especially considering the little one is only about an inch long. At one point when I was telling the u/s tech that DH is in the Army, the baby raised it's hand up by it's head - she's like "hey that looked like a salute!" (Oh how I wished DH could have been there to see it!) She then switched to another view to look at blood flow and you could see the heart area and umbilical cord light up. And lastly she switched to 3d a few times which was beyond cool and she gave me a couple of shots in 3d to take home. Amazing, amazing stuff! You have to remember the last time I had a baby, they did 1 or maybe 2 u/s for the entire pregnancy and they didn't give you pictures to take home. Also, the quality of the scans these days is like a million times better than 18-20 years ago so it really was astounding to see so much so soon. We could even see the fingers for crying out loud!!!

So then I met with Dr D. We reviewed my pap results and prenatal b/w results - all great - and now that we have all of my results back & saw the baby moving with that beautiful heart beating away, we've got the all clear for my TAC surgery on January 3rd. We went through my list of questions - and again I must say, I've never had a doctor take as much time with a patient as Dr D. does. While most docs rush you in and out and you completely forget what you were going to ask them in your "drive-thru" appointment, Dr D takes his time and explains everything. Then he sits back and asks "what other questions do you have?" and we move on to my next question. Never do I feel rushed and I just love that.

So we talked more about the surgery - I should be fine with an epidural/spinal type of anesthesia instead of general anesthesia which makes me very, very happy. Never having had an epidural/spinal (because back when I had kids they didn't offer it during labor like they do now) I was wondering how long it took to wear off. Depending on the type they give me, the surgery should take just under an hour, the block should wear off in 2-4 hours, and I should be out of my hospital bed and walking around as soon as it wears off. About 70-80% of his patients are discharged from the hospital in 24 hours so I'm going to try like hell to be part of that percentage. When I go for my first trimester screening on 12/27, we'll do all of the paperwork for the surgery and I'll go across the street to meet with the pre-op folks at the hospital to get that all squared away.

We also talked about those fun topics like constipation & sex...well, that's an interesting combination, huh? Right now constipation is not terrible, but history shows that surgery + painkillers are not kind to my bowels. After my last surgery in August I was eating prunes like they were going out of style and by the time I finally went, I was literally crying, I screamed once, and for a moment I thought I was going to die. (Ok, mild exaggeration on that last bit, but damnit that was fucking painful!!) So first thing I need to do is up my fluid intake to an 8oz glass every waking hour. I guess I will just move into the bathroom, but hey, whatever it takes. He also suggested having a cool air humidifier in the bedroom at night. Apparently with our forced air heat I could easily be losing a liter of fluids just breathing all that hot air at night so the humidifier should help with that. And then if I don't get enough relief with the increase of fluids & humidifier, I can add a stool softener before bed.

We also talked about sex and DH & I will continue our refrain until after the surgery. Boo hiss!! Oh, how we both miss it...I swear this is torture! But at this point it's safer for us to refrain. An orgasm on my part & prostaglandins in semen can both cause uterine contractions so we need to avoid those for now. It's been a long couple of months of waiting and we'll have to wait a bit longer, but hopefully after the healing from the surgery is done, we'll get the green light to live (and love) like a normal pregnant couple...well almost...we'll still have to use condoms to avoid the prostaglandin risk. Nothing like safe sex during pregnancy. :-)

So, onto the pics from today...

The first, a view from the side. Oh, it looks like a baby now instead of a blob!!

Photobucket

This one is looking straight at him/her. Love those little arms & legs. Some of the white areas on the head are where facial bones are forming.

Photobucket

This one is kind of looking down on him/her. Again, can see the arms and legs.

Photobucket


This is when the baby "saluted". Raised his/her arm up so the hand was right up by the head.

Photobucket

This is one of the 3d pictures. AWESOME!!

Photobucket

And this is my favorite. It's just an amazing picture and I could look at it all day. I love how you can see the whole baby and the umbilical cord. LOVE IT!!!

Photobucket

Well, I must go finish making dinner. But had to share my great appointment and great pics with you all!

Tuesday, December 14, 2010

Sorry, been a slacker!

Hi there! Long time no talk to. Well, it's been so quiet in my life, I haven't had much to report (and I actually still don't have much.)

In school news, I'm just waiting for my professor to post the final exam so I can take that and be done (my other class finished last week.) And this past weekend, we had my DD's baby shower. It was beautiful and she was soooo happy. DH & I spent the night before the shower at her house and she was hilarious. She was so excited for her shower she was literally counting down the hours until the party started.

I just worked my last day of 2010 today...ahhhhh...I am now officially out of the office until January 13th! My holiday break runs through the new year and then my surgery break will run from January 3rd - January 13th. I may not need all of that time to recover, but better to err on the side of caution instead of thinking I'm superwoman and trying to do too much too soon (wait, isn't doing too much too soon the Kling way?) Those that know my family know that stubbornly doing too much is in our blood.

Anyways, I've read many other women's blogs and stories of their TAC surgeries and many said it took them a good 3-6 weeks to recover. Most said they were able to work after 2-3 weeks so I'm thinking 10 days is a good number of days to plan to be out of work. After that I can work from my living room anyways and I'll just make myself as comfy as possible. Like I said, the incision is similar to a c-section incision but they pull the bladder and uterus out of the way to put the loop around the upper part of the cervix. Then you just have to account for the fact that I'll be 13-14 weeks pregnant during the first week or so of recovery time so that may make things a bit uncomfortable (think expanding pregnant belly pushing against c-section like incision - definitely doesn't sound like the most pleasant feeling in the world.)

So yes, the internet is both a blessing and a curse. I've read story after story of women undergoing the surgery I'll be having and it's wonderful to read so many experiences (especially the many that had the same doctor I have.) I definitely still get nervous at the thought of the surgery but every story is reassuring. So while I probably didn't need to look at pictures of the surgery with the uterus pulled out of the c-section incision (when I realized it will soon be my uterus hanging out there I realized that maybe there really is such a thing as too much information) the stories have been wonderful to help me know what to expect before, during, and after the surgery.

Lastly, we got our home doppler so we could listen to the heartbeat every few days. Last week we tried, but couldn't really pick anything up (we knew it would probably be too early.) But this week we tried again and heard that beautiful galloping sound with a reading of 155. Hmm...baby seems to like that range of the 150's which is making some people guess that we're having a girl. I think a gender poll is in order, you think?

Thursday we go see Dr D for an OB check and will get some more details about surgery prep & surgery day. Hopefully we'll get an u/s peek at our little gummy bear too. We'll be 10 weeks on Thursday so there should be lots more to see. But I'll post after that appointment to let you know how it went. Until then, thanks for putting up with my slacker ways.

Thursday, December 9, 2010

9 weeks today!!

It's been an incredibly busy week this week at work. After today I only have 3 workdays left in 2010 so I'm trying to wrap everything up before my long holiday break. So no lunch breaks here - instead lunches this week have consisted of scarfing down an PB&J english muffin with a string cheese on the side (or some days celery & cream cheese on the side) while I listened to a web meeting/conference call and furiously scribbled my notes. But today, I'm taking a solid 15 minute lunch break to catch up on my blog (I already ate my aforementioned PB&J english muffin with a string cheese on the side while listening to a web meeting/conference call and furiously scribbling my notes.)

So, 9 weeks today!! WOO-HOO!! Each week with this pregnancy feels like such a milestone. And I'm also enjoying a week of no doctor appointments. That's right - NO doctor's appointments this week!! I looked back on the calendar we keep hanging in the kitchen and I saw that the last time I had a week with NO doctor's appointment was the week of September 5th. September 5th?? Isn't that ridiculous?? Yes it is! But after that week of September 5th, I have had at least one appointment with a medical professional every week - whether it was b/w, u/s, e/r, e/t, physical therapy, or the dermatologist. Now you can really see why a week of no doctor's appointments is a welcome and refreshing change of pace!

I'm feeling great this week! Still craving cold fruit more than anything, not as tired (but not bursting with energy either) and my jeans are getting a little tighter. My weight hasn't gone up and I think a lot of it is still bloat (and the fact that I'm no skinny minny to begin with), but I think my time remaining in buttoned non-maternity jeans may be limited.

Ok, back to cramming in 3 weeks worth of work in 3 days. Later!!

Sunday, December 5, 2010

Quiet and uneventful...boy that feels nice!

It's been a few days since my last post and I'm happy to report life's been pretty quiet and uneventful...nice!

Yesterday was the day of pregnancy related errands. First stop was the pharmacy up in Trenton that carries the fertility meds and related stuff. If you'll remember I'm still on the progesterone suppositories and estrogen tablets for another week and a half - until December 16th to be exact, when I will be 10 weeks pregnant. I will be sooooo happy to finish taking these meds. The progesterone suppositories are a cool $100 every week so I think my wallet will enjoy me no longer using them. I'll also be happy to ditch the pantiliners again for awhile. You can't use progesterone suppositories without "making a mess" so I'll be happy to say goodbye to daily doses of white goop. So yes, after spending another $200 at that pharmacy yesterday I was extremely happy to say thank you & goodbye to them for good!

Next stop was CVS to pick up my prescription prenatal vitamins. Interesting thing though - they are not covered by either of my insurance plans. WTF??? We encourage women to take their prenatal vitamins (I've been taking over-the-counter prenatals for 2.5 years now to keep my folic acid levels up) and yet they won't cover them under the insurance?? Weird stuff! I still wonder if the pharmacy tech screwed up, because it just seems odd. Ah well, the over the counter ones are just as good according to the doc so maybe I'll stick with them.

And while at CVS I stopped at the Minute Clinic for my flu shot. (It should have been named the 45-Minute Clinic as I was 3rd in line which meant a 45 minute wait for a 5 minute visit.) But I must say it was convenient to just walk in and get it there and not have to worry about finding a general doctor, making an appointment, etc. I've had the flu once in 20 years so I generally don't bother with a flu shot, but knowing how dangerous the flu/H1N1 can be to pregnant women, I was told to get it, and the sooner the better. So got that taken care of.

The rest of the weekend I spent writing my term paper for my art class. I should be wrapping up my 2 classes later this week. Then I probably won't take anymore classes for awhile given that life is going to change gears when the baby arrives. Hell, I've taken classes here and there over the last 20 years, what's another 10 or 20 years? I'm obviously in no rush to get a degree, it's just one of those things I'd like to accomplish before I die so I've got plenty of time.

How am I feeling in general? Really only symptoms at this point are I burp (a LOT), I become suddenly ravenous and must eat immediately, and I would like to nap every afternoon. In the earlier weeks I was craving salty stuff (green olives, spaghettios, etc) but that has changed. This last week I just cannot get enough fruit! Any kind of fruit is good but cold fruit is best: melon, a mango out of the fridge, jars of the ruby red grapefruit sections. The other day I finished the grapefruit and then stood at the kitchen sink to drink the juice right out of the jar...can anyone say attractive??

Hope everyone has a good week and for now we'll just keep plugging along quietly and uneventfully!

Thursday, December 2, 2010

In good hands

OMG, I could scream - I just wrote a big long post and something happened with blogger - I lost it all. It didn't even auto-save like it normally does every couple of minutes....UGH!!!! Ok, so now that I'm so super tired and just lost about 45 minutes of writing, I'm starting over...sorry if I seem to rush through portions.

Today was my appointment with the MFM who is an expert in cervix issues and the appointment was GREAT!! I spent 2 hours with the doctor, talking, having the exam, talking some more, asking questions, etc. A 3rd year med student accompanied us during the entire appointment (granted I'm generally not thrilled with the idea of an audience staring at my cervix, but hey, they've gotta learn somewhere.) The exam itself consisted of a visual examination of the cervix, a pap smear, u/s, and manual exam to feel the portion of the cervix at the top of the vagina. Oh, and during the u/s we got to hear the little baby's heartbeat again (today it was 156 and still sounding beautiful.)

So after the exam we went back to the office to discuss the results. Now, a typical cervix is 3-4 cm in functional length. Mine is 2-2.5 cm so I've lost about 1/3 from all of the surgeries I've had. I also pretty much have no cervix at the top of my vagina. That's obviously where all of the procedures were focused so there's really nothing left and what is there is just scar tissue. But given those grim sounding findings, it's actually not terrible. In fact Dr D said we have a few options.


  1. We could take a conservative approach and not do anything. The doctor said there's about a 90% chance that if we do nothing the cervix will hold up just fine. He would feel comfortable if we decided to take this approach. The part that scares me about this option is that if it does start to cause problems, there will probably be no stopping it. There's not enough cervix in there to do a rescue cerclage (not that those are great anyways, but it wouldn't even be an option for us.)
  2. There is a type of vaginal cerclage that is done higher up on the cervix. It's almost as high as a TAC (transabdominal cerclage) but is placed through the vagina. What scares me about this is that vaginal cerclages can lead to infection which can lead to pre-term labor.
  3. The last option we discussed was the TAC. Some women like to call their cervix post-TAC a "bionic cervix" because it can hold in anything. This would give us the most piece of mind, but it is scary. It is a surgery, done while pregnant, via an incision similar to a c-section. It does require 1-2 nights overnight stay in the hospital so they can make sure you do not go into premature labor. And it will require a c-section delivery, because once the TAC is in, it's in there for good.

The doctor gave us these options but the decision was up to us. Part of us would love to go the conservative route and not do anything. But in the end, I'm afraid of doing nothing, having something happen to the cervix and losing everything, when we could have tried to prevent it with the TAC. So after some discussion between DH & me, we're going to go with the TAC. We just want to do everything possible to keep this baby in until it's full-term. We still have a few weeks if we do want to change our mind (the surgery would not be until January 3rd after the first trimester screening is done) but we're both in agreement that we feel this is the best option for us. (I know some of you may not agree, but hey, we all have different opinions so we can agree to disagree.)

Also in good news, this MFM is going to take me on for my OB care, woo-hoo!! This was great to hear - as a MFM he generally just treats the high risk situations, but he does keep a small patient load for those that may want or need the extra attention for their OB care. I told him about yesterday's dingbat doc and the crappy docs that were awful in February and he offered for me to stay on with him. I can stay on until I find a new OB or I can stay on him for the whole pregnancy, whichever is going to put my mind more at ease about receiving the quality care I've been looking for. (Can I just say I was thrilled with this and I was sooo happy to call that dingbat OB's office from yesterday to cancel my future appointments and say I'm going to a different practice! YES!!)

So I left feeling like I was in good hands. The u/s tech told me the farthest they've had a patient travel to come see Dr D for care was from Australia. People from all over have come to see him for his expertise and I feel lucky that he's so close to where I live. He gave me a hug before I left and said everything is going to be ok. And I'm really starting to believe that now!

Wednesday, December 1, 2010

Heartbeat 167 beats per minute = BEAUTIFUL!!

So onto my 2nd post here for the day. We got back from the RE's a little while ago and what a wonderful (and emotional) appointment.

Our little baby has grown a lot over the last week. It's now measuring 7w5d (and we're 7w6d) so it gained a few days. The heartbeat was 167 bpm and oh that was so beautiful. And we were so awestruck, we completely forgot to record it! But it was just the best sound in the world. The doctor pointed out the head, the heart, and we could even see limb buds. Oh, it was so cute!!!!

Then the RE realized that that was our last appointment with them. It was time for us to graduate onto an OB/GYN. We started saying our thank you's and our goodbye's and I burst out crying. It was the doc who saved my last ovary at my e/p surgery in August and if he hadn't managed to pry that tube off of the ovary we wouldn't have been doing IVF. He helped to make this all possible for us. So it was extra special that it was Dr. V who was able to see us for our final appointment (and a wonderful one at that!)

Here are some pics from tonight's u/s and I'll be back on tomorrow evening to tell you how the appointment with the specialist went.

This first pic is measuring the 2nd sac. It's measuring one week behind and is still empty so eventually my body will just reabsorb it.

Photobucket

This second pic is the baby measuring 7w5d.

Photobucket

Third pic has the two sacs side by side.

Photobucket

Last pic was when we got to see and hear the heartbeat.

Photobucket

Not crazy about the OB

So I finally have a few minutes to write about this morning's appointment with the new OB. Let's just say I'm not thrilled. I didn't get a warm fuzzy feeling...at all. I didn't get that feeling of "I'm in good hands." That may sound silly but after having that one OB drop the ball in a big way in February, I DO want someone who is going to make me feel reassured. Maybe I've been spoiled by my RE's but I've gone through way too much these last two years. I'm not settling.

The office staff was nice enough, though I did have to tell the nurse my due date because she was a little confused as to how to calculate it for an IVF patient. They're used to calculating from your last menstrual period since most people don't know exactly when they conceived. But with IVF we don't go by the last period and we do know when we conceived - the day of egg retrieval is the day of conception. But I guess their handy little due date wheels don't take that into account. Anyways, from what I hear, people having trouble calculating an IVF due date so I'll let that slide.

Then I meet the doctor. At times she seems friendly and at times not so much. Little things like her order (and it really did sound like I was being harshly warned) that "You can gain a maximum of 25 pounds!" I felt like saying "And just what will you do if I gain 26 or really push my luck and gain 27?" It reminded me of years ago when I was pregnant with DS and had a month where I gained close to 10 pounds. Why that happened that one month I'll never know, but the nurse yelled at me and I cried the whole drive home in the car.

We then started talking about the screening for Down's syndrome, etc. I said that I was fine with doing the nuchal fold u/s (that looks at the thickness at the back of the neck) and any bloodwork but I'm not interested in any invasive procedures like amnio or CVS. She asked why. Why? Because if our baby has Down's syndrome then our baby has Down's syndrome. We're not going to love it any less and we're certainly not going to terminate. So then I asked her what else the nuchal u/s & bloodwork would screen for (in case it screens for abnormalities that would be incompatible with life.) Does she answer me? No, instead she thinks I should make an appointment with the genetic counselors. Oh for the love of Pete!!

Now I understand this could just be this one doc. I normally wouldn't base my decision to stay with or leave a practice based on a single physician. They have a lot of doctors so maybe I just don't feel a particular kinship to the one I saw today. But it was when we started talking about my cervix that my mood really started to sink. I had provided her with my history and mentioned that I do have a consultation with Dr D. tomorrow. "Why would you schedule that? He's not even part of our practice" is her answer. To which I say "Because he has a great deal of experience and I'd had another patient refer me so I would like his opinion." Well, whether this hurt her ego or just pissed her off I'll never know but she did not like this answer and said a few snippy things back.

She then went on to say that they have MFM's (Maternal Fetal Medicine specialists) on their staff if I would like their opinion (which I would.) But here's the kicker - her exact words were "but I can tell you right now, we don't generally do cerclages because there's no proof that they work. So you can make an appointment with Dr. F but a cerclage is not going to be an option he'll recommend." So, really? There's no proof? None at all? Now, I'm not stupid - I know cerclages don't always work, they're not always the answer, and heck I hope I don't even need one - BUT do you really completely exclude a treatment method from every patient in your practice because a doctor in your practice believes they don't work? Is each patient's circumstances not different? I guess not. So what's the back-up plan if my cervix starts to dilate at 18 weeks? No answer from today's doc, but I can make an appointment with Dr F to consult. Ummm, yeah, I called to make an appointment and they can see me on 12/22. That's 3 weeks away and sorry guys, with incompetent cervix time is of the essence.

So I'm going to get Dr D's opinion tomorrow and go from there. If it looks like I may need to go down the route of cerclage I think I need to find a OB group that is more supportive of that. I don't want to be frowned upon every time I go for an office visit.

Oh and p.s. - Our u/s with the RE got moved up to 7:00pm tonight so we do have that great appointment to look forward to with the doctors we love and we'll get to see our little bean again! Yippee!