Friday, April 15, 2011

One or Two?...well...yes it is

Add this one to the ever expanding list of This Is A Little Bit Different Than We Expected. Everyone (meaning the medical professionals who knows these things) told us that at this ultrasound we would know if we were having one or two babies. Well, it didn't exactly happen that way. So much for "One if by land, two if by sea"....I guess we're currently in one of those vehicles that can travel on water or over land.

When the doctor doing the ultrasound started out with "Here's the first embryonic sac," I braced myself. I mean, when someone starts out a sentence with "Here's the first...." you automatically think that there's another. So the thought that runs through my mind is (as my breath catches in my throat) "OK, two, we can do this." The first embryo was a beautiful 7mm long, floating in a lovely sea of amniotic fluid. There was a strong heartbeat that we could see, a little blip-blip-blip on the computer screen.

Then he went to the second embryo. He pointed out that it was considerably smaller, that it hadn't consumed it's "yolk sac" and that he didn't see a heart beat. He said that the remains of that embryo would simply be absorbed into the body. So I took another deep breath, "OK, one baby, beautiful, great, healthy!"

He went back to the first embryo and took a picture (already added to the growing stack). Then he went back to the second embryo, paused and said, "Oh wait! I think I see a faint heartbeat!" So here's my inner monologue, "Holy cow! OK, so is it one? Is it two? What the heck do we tell people? What the heck do we plan for? This is so so so weird. Seriously, completely, utterly, totally weird."

So the main story is, we have one fetus that looks very healthy. The heart is beating strongly, the size is good, and everything looks good. The other fetus is about two thirds the size of the first one with a faint heartbeat. At this point it could survive, or it may not. The medical professionals seem to be thinking that it won't survive, and that at the next ultrasound, in two weeks, we'll find that we have one healthy baby. But no one will make an absolute call on that. "It's too hard to predict," one says. "There's a slight chance it may survive," says another. And my brain says, "OK. Another two weeks wait to see what happens. Breathe in. Breathe out. Repeat. Repeat again. Repeat until you can wrap your head around this one."

It was an odd appointment to walk away from. We had gone down there thinking that we would have an answer, and, as so many medical things go, it's not quite black and white. So much for definitive ordinal numbers. So once again...we wait. For another 2 weeks to see what God has in store for our family. If nothing else, I'm learning how to wait and rest in Him, knowing that He has it all under control. Thank goodness!

Nonetheless, it was thrilling to see at least one healthy, happy baby, and to see our good friends, "Lisa" and "Leon." Speaking of "Leon" (the surrogate's husband) he had a very interesting exchange with a friend on the phone the other day. He was talking to a friend on the phone and mentioned that his wife was pregnant. The friend launched into a "Hey! Congratulations on number 3...." at which point Leon interrupted him and said, "No, no. It's not mine!" There was a pause on the other end of the line. It's an interesting journey for all of us.

Tuesday, April 12, 2011

Interesting Feelings

It's interesting. One thing I had not anticipated was this acute sadness I am feeling. After spending time with a friend who is 3 months pregnant I came away with a longing to experience what she is experiencing, and an envy/jealousy towards our surrogate who gets to actually carry this pregnancy. The feeling grew even more this weekend when I spent time with a woman who is 7 months pregnant. We've been so focused on getting to this point of being pregnant and the ultimate goal of a child that I really hadn't anticipated this, and I don't quite know what to do with it.

I kind of feel like an involved and engaged bystander, but a bystander nonetheless. Everyone fawns over expectant mothers, asking them how they are feeling, telling them they're glowing and giving sage advice, wisdom and folk remedies on stretch marks. It's our pregnancy, sort of, in that it's our child, but I don't get all that part of being pregnant. And yes, I know I won't get sagging breasts, or morning sickness, or stretch marks which may all be a good thing, but I also don't get the joy of the sideways pictures taken of me every few weeks, or feeling the flutter of little feet and hands inside my womb or the knowing smiles from everyone I see, strangers and friends alike, that says, "I know what's up with you. What an amazing experience!"

In my philosophical moments I've been thinking about archetypal persona of what it means to be female, to be a mother. It's not exactly something Hallmark makes a greeting card for. It's not the 50s, there are so many acceptable roles for women other than homemaker, wife and mother. Nonetheless, when one talks about a 'Mother-To-Be' there is the image someone glowing with the anticipation of the life inside of them, the life that they get to support and nourish before the child is even born. What happens if you don't fit that image?

Maybe if the distance were shorter between our surrogate and us I would feel a bit more like I was experiencing the pregnancy along with her. It's nothing she's done or said, indeed she and her husband keep talking about this being "our" (Aaron's and my) pregnancy. And we've bought some children's books to create audio CDs of our voices reading to play to the as it grows child (and her children). And I bought her a "pregnancy" journal that I hope she'll keep so that I can later share that with our child. I feel like I'm doing everything I can to feel involved. But it's just not the same. I mean, let's face it, nothing about this journey is the same as most people's journeys toward parenthood. And I'm mostly ok with that. Mostly grateful that there is a way for us to become parents. Amazed that someone will join us on this journey and help us become parents. But, to be totally honest and transparent, every now and then I do feel that ache of wishing it were different...more like everyone else.

Thursday, March 31, 2011

Yin & Yang

In traditional Chinese philosophy, Yin Yang represent all the opposite principles found in the universe.

"Yin and Yang are mutually-arising, interdependent, and continuously transforming, one into the other. One could not exist without the other, for each contains the essence of the other. Night becomes day, and day becomes night....Such is the nature...of everything in the relative world." -Elizabeth Reninger


I've been thinking about this concept a lot over the past week. The balance of the universe. The ability of horrible things to exist at the same time as wonderful things. The ability to feel devastated and feel hope and excitement at the same time. Aaron and I definitely had a Yin Yang week last week. On Wednesday evening Aaron got laid off. There was no warning, no real severance to speak of, and it was effective immediately. Thus we found ourselves mired in uncertainty, confusion and despair. Aaron's work colleagues are like family to him, and he loved his job. Then, on Friday morning, we found out that we were pregnant! I had always imagined that I would be over the moon with happiness, and while I am delighted and excited, I'm also cautious. In 36 hours we had gone from sobbing to dancing. And we continued to sob while we danced. The interconnectedness and ability of two seemingly opposite emotions to exist at once was never more apparent to me than last Friday.

And perhaps that's where my caution comes from. I wish, I wish, I wish I could just be solely ecstatically happy. Don't get me wrong, I AM thrilled and happy, but, experience over the last several years has taught me that being cautious might just be the healthiest thing for me emotionally. Maybe if you've never been on a journey like this you can't understand. With illness, surrogacy, and, frankly, with life, I've learned there are ups and downs. Everyone knows that. And so while I sit here, thinking positive thoughts, and feeling happy, I'm also not releasing myself to 100% joyful abandon.

The thing is, at this stage in pregnancy, about 1 month, most people never announce they are pregnant. Things happen during the 1st trimester. And maybe because I'm a pediatric OT I'm acutely aware of things that can go wrong throughout pregnancy. Maybe I'm removed from feeling totally connected to what's happening because there aren't any changes going on in MY body. With a phone call, we find out we're pregnant. Nothing has changed around me or in me as evidence of a pregnancy, other than that phone call.

I think I'll feel a lot better on April 14th. On the 14th we travel to Portland for the first ultrasound. We'll get to see "Lisa," and our baby's beating heart. Or maybe our babies beating hearts. We transferred 2 embryos, so who knows what we might see. For the safety of the pregnancy, for Lisa and for the baby, we're hoping for a singleton, but if God has twins in the cards for us, then that's the road we'll travel.

It's funny, I thought that when we found out we were pregnancy I'd write a completely joyous blog. But I guess when you've already been through so much trying to get to this point, the positive pregnancy test is just another step on the road to being a parent. Instead of being the beginning of a journey, for most couples who get the positive pregnancy test, for us, between working with a surrogate and doing fertility treatments, it's just the middle part of the journey. And that's what I keep reminding myself, this is a journey. But the 14th will be a big day. Maybe I'll be able to breathe a little bit easier. Maybe I'll be able to let my hope grow a bit. Until then, I wait with cautious optimism.

Saturday, March 19, 2011

Faith and Hope




Today is Aaron's and my 6th wedding anniversary, so it seems appropriate to post today. Above you'll see our blastocysts (that's what embryos are called after 5 days) that were transferred on Wednesday. It truly is amazing. The one on the right is a full blastocyst. It's about 200 cells. The darker mass of cells on the right is what will form the baby. The smoother cells to the left form the amniotic fluid. The thicker cells around the outside for the placenta. How amazing is that?!?!?! I could stare at this picture for hours and marvel at the intricacy, the ingenuity, the beauty. This picture was taken a couple hours before the transfer, and when the transfer was taking place we could see the one on the right emerging from it's cellular cocoon, "hatching" as they call it, and sliding out of its shell. A 5 day transfer like we were able to do this time has a greater likelihood of success, as they are able to choose the most developed embryos for transfer. In our case, on day 5 we had 3 embryos, one at the full blast stage (the one on the right) and two that weren't quite there (like the one on the left). After much thought and prayer, we decided to transfer 2. I'm really glad we did, because the next day we got some sad news. The 3rd embryo never developed into a blastocyst, and thus could not be frozen. So it's these two we're praying for right now. Aaron suggested we call them "blasty" and "cysty". I guess I'm more poetic, as I've decided to refer to them as "Faith" and "Hope" from Hebrews 11:1: Faith is confidence in what we hope for and assurance about what we do not see.

The days leading up the transfer were crazy! Our surrogate and her family came into town on Sunday, expecting a Monday transfer and then a return to Portland on Tuesday. On Monday we got the news that we had enough embryos to wait until a Wednesday transfer. Thus "Lisa" and her family stayed in town for the Wednesday transfer and returned to Portland on Thursday. I felt so bad about the change in plans, but Lisa was great about it, and their family made a mini-vacation out of it. Perhaps best, Aaron and I got to spend a lot of time with them, dinner on Sunday and Tuesday, hanging out on Wednesday. It was wonderful. Tuesday was the hearing in the Senate committee...and let me tell you, that's a whole different blog entry coming up! The "Anti"s for our bill were out in full force spewing rhetoric that made me cringe. What was supposed to be a quick hearing lasted about 2 1/2 hours with a half an hour prep before. But, as I said, that's another blog entry. If you'd like a preview, another woman has already blogged about it: here.

The transfer itself was more uncomfortable this time. Lisa has to have a full bladder, and this time it was VERY full. The pressure of the wonderful "duckbill" holding things open, the tube for inserting the blasts, and the ultrasound wand pressing down were a bit much. And yet, I got a flash forward to 9 months from now. Lisa was grimacing and I reached out my hand and held hers. It felt so natural, and boy does she have a grip! I'll have to exercise my hand squeezing skills! It was wonderful to not just be an observer and watch our little embry-babies make their journey into her womb, but to really be in the moment with her. Breathing with her, following her lead, supporting her, and being actively involved in the process, not just a passive observer.

So now we wait. Next Friday is the date when we will get word. Until then, we pray, and hang on to faith and hope with confidence and assurance.

Saturday, March 12, 2011

Cheaper by the half dozen....

Someone today asked me how I was feeling. (ok, it was the nurse from YFCF21C) I replied, "Well not bad. Actually I just feel like someone repeatedly stuck a very long needle through an orifice that doesn't typically receive needles, and picked off small objects from my innards multiple, multiple times yesterday. I'm sure you know the feeling." Maybe a bit snarky, but the truth.

Yesterday I was really disappointed. Although I had 12 good looking follicles, they only managed to retrieve 7 eggs. The doctor said that she tried each follicle several times, but, from what I understood through my still somewhat foggy from anesthetic state, if the egg doesn't retrieve easily, then it's likely not mature and not going to fertilize anyway. Today, however, we received good news. Of the 7 eggs retrieved, 6 were mature and they all fertilized! That makes it twice as many as last time. We went from a fertilization rate of 60% to 100%. So maybe the acupuncture and herbs did do something! So we currently have 6 embry-babies doing their best to divide, conquer and grow in a petri-dish. The transfer is set for Monday. Grooooooooow little embry-babies!

Tuesday, March 8, 2011

Veins of Steel

For some reason, although my ovaries seem to be cooperating more this round, my veins have decided not to cooperate. Each time I go in for an ultrasound to check out how my little Easter baskets are doing, they draw my blood. Now I'll admit, I'm what's known as a "hard stick," in medical language. My veins are deep, move around, and generally try to disappear the minute a needle clears the skin. But the phlebotomist at YFCF21C was phenomenal last round. She managed to get my blood with the first stick each time it was drawn. I even thought that perhaps my "bad vein" days were over and I had entered into a more harmonious, symbiotic relationship with them. Alas, this has not been the case. I've had my blood drawn about 6 times in the last 2 weeks. And only once has it been done with one poke. Neither elbow vein seems to be cooperating this round. Even more distressing, about half the time it's taken 3 pokes to get blood, a try in each elbow, and finally, with much sighing on the part of the phlebotomist, moving to my hand.

So here's my concern. Let's say I pass out at the grocery store or something (I don't anticipate this happening, I' m just posting a scenario) and they call the paramedics. One look at my tummy will reveal a constellation of needle marks and bruises. At least 40 at this point. Then they'll look at my arms. My elbows are covered with needle marks. One look at my hands reveals the same. Thus, instead of searching for a deeper medical cause for my passing out, they'll label me a junkie, give me some narcan and toss me in the back of an ambulance. I mean, at least I look like one of the "Snooty, Upper Crust, Eastside junkies," but with the needle marks, a junkie nonetheless. I can see this case of mistaken identity leading to either tragic consequences, or a great number in the musical.

I can't believe how much is going on at this point. OK, first of all, "Lisa's" lining. It's looking ok, but she's travelling from Portland to Seattle on Thursday to get that all checked out, and I'll be her wheels for her time in town. Then on Friday they're doing the retrieval. The excellent news is that I may have as many as....12 good follicles by then! Yes friends, God asks us to pray specifically, and praying for a dozen may have done the trick! The doctor keeps remarking that this, "is a very different cycle from last time." I don't know if it was the acupuncture, the herbs (oh gosh, another thing someone might overhear and think I'm a junkie!) the prayers, or just simply another month, but things are looking good. With the retrieval on Friday, depending on how the embryos look, the transfer will take place on either Monday or Wednesday. Here's where things get a bit complicated. On Monday, at 10:00, I have my every-3-months-oh-how-I-love-them botox injections. Which means I reduce down on my medications and go way up on the pain scale. (oh man, I get about 20 shots then. Yet another reason I will be mistaken for a junkie in my supermarket scenario) Anyhow, this should be ok because my physical labor will be done by then as far as baby-making goes. But it will mean that I have this am appt. then off to the train station to pick up Lisa, then off to YFCF21C, etc. On Tuesday I've been invited to testify to a Senate committee on behalf of the bill that passed out of the House. Then, if it's a day 5 transfer, I work most of Wednesday and will have to figure out a way to get around that one.

So things are super busy...but I also have much to be thankful for. For how well this cycle is going. For the support I'm getting from my family and friends. For our wonderful surrogate and her family. For the bill that I can speak on behalf of. For a medication like Botox which, although painful, does wonders for me.

And perhaps, for understanding paramedics who will look beyond the myriad track marks and consider the fact that, perhaps, I am not a junkie.

What you can expect is updates as often as I can over the next week to let you know how things are going, and what specific prayer needs are. Right now I've got 4 follicles that need to grow about 2 mm more to possibly be mature, and Lisa needs a safe journey to Seattle and back to Portland on Thursday.

Oh yes, and if that wasn't enough, I've taken a real step out now (not that I've exactly been hiding in the shadows up until this point or anything). Last night I received a call from the Seattle Times. They asked if they could interview me for an article they are writing about the bill currently going through the legislature. With Aaron's blessing, I was interviewed this afternoon. I really think this is the right thing to do. I think more people need to understand what gestational surrogacy is, and isn't, and the challenges that can arrive when Washington State makes it so difficult to do. At the same time, I've basically opened up our story for anyone who picks up a paper to hear. Sure a blog can reach a wide audience, but mostly it's my friends and family who are reading this, and other interested parties who have heard about it through word of mouth. Now, anyone from my kindergarten teacher, to the grocery store clerk (the one who is going to respond when I pass out in the grocery store), to someone very opposed to surrogacy is going to see my name associated with it. So I'm a little bit anxious about that. As I said, I think it's the right thing to do, but I'm still a little anxious about it....and the needle marks....all over my body. Thank goodness it's still long sleeve weather.

Friday, March 4, 2011

One Little, Two Little, Three Little Ovum.....

The numbers are in, and they are looking good! It looks like right now I've got about 10 good follicles. Last time I had 6 follicles and we got 5 mature eggs, and 3 embryos. I'm not all that good at math, but intuitively I know that having at least 10 good looking follicles is better at this point. I don't know if it was the acupuncture, or the viatamins, or the new protocol, or just luck and prayers, but inspite of all my worrying, things are looking good! Frankly, I'd like a dozen. It just sounds like a good number of eggs to have. Eggs are meant to come in dozens, at least, according to the grocery store. So I'm praying for an even dozen, and hoping that's not too greedy.

Now our concern is "Lisa," our surrogate. She gets checked, just like I do, except instead of follicles they're looking at the thickness of her uterine lining. Right now, it's not as thick as the doctor would like to see, that is, according to the doctor in Portland. Thus, like last time, she's probably going to have to travel up to Seattle to get her lining checked up here. We want to have a nice, thick uterine lining to create a hospitable, warm environment for our embryos to snuggle in.

With the size of my follicles right now, the retrieval will more than likely be Thursday-Saturday of next week, with the transfer 3 or 5 days after that.

In the meantime, I continue to shoot up, with 3-4 shots per day. The dots on my belly remind me of stars in the sky, and I almost want to create my own personal constellations out of them :)

Thanks so much for all of your prayers!