Thursday, December 29, 2011

2011-2012

So I recently started following Lanie's blog Unruffled Lanie and this morning she posted her New Year's tradition. I've never really been one to make new year's resolutions, but I really liked these questions and goals for the previous and upcoming year. Thanks for letting me borrow it!

1. What did you do in 2011 you never did before?
Hosted our first Thanksgiving
IUI's
Learned how to use injectables
Tried to branch off and specialize some with work
IVF
Started yoga and meditation
Started my own garden

2. Did you keep your New Year's resolutions, and will you make more for next year?
Like I said, I don't often make resolutions. I think I wanted to be relaxed and not stress about infertility last year. I really didn't think I would be sitting here, still not pregnant, again the following year. I think I also wanted to be better about exercise. This is something that comes and goes with me. I have been great at times and awful at others. I wish I were more consistent about it.

For 2012:
Be better to my husband and not take my stress out on him
Continue to practice yoga and meditation
Not take other people's pregnancies personal
Smile more
I read this is a magazine and it really struck home "Be aware of the difference between anticipating and living. Joy is rooted in the present." So, be more present day to day
Exercise regularly and consistently
Plan more meals so we eat out less

3. Did anyone close to you give birth?
A co-worker and friend. We were supposed to be pregnant around the same time (my baby 3 months younger), but then I miscarried. She had baby Max in June and he is super cute.

4. Did anyone close to you die?
The main nurse at fertility clinic #1 who was really great at her job. I wouldn't say we were super close, but it was really sad. She passed away at 38 from cancer.

5. What countries did you visit?
Dominican Republic

6. What would you like to have in 2012 that you lacked in 2011?
A successful pregnancy, more happiness and patience, acceptance

7. What dates from 2011 will be etched upon your memory, and why?
January 5- the day we started Lupron for my first IVF cycle which ended up being the date I ovulated
January 23rd- the day I found out I was pregnant
February 18- the day we found out our baby's heart had stopped beating
May 22- the day W graduated with his doctorate in physical therapy
June 8- 2 years at my current job
July 23- my sister's wedding
September 30- unfulfilled due-date
December 5- the day we transferred our embryos

8. What was your biggest achievement of the year?
Getting back on my feet after rejection at work
Strengthening my marriage (sorry Lanie, stole that one from you)
Getting back on my feet after a miscarriage

9. What was your biggest failure?
Losing a baby
Failed fertility treatments

10. Did you suffer illness or injury?
Infertility, but otherwise completely healthy and feeling lucky for that

11. What was the best thing you bought?
Kindle, Blue Ray player that streams from the internet, 3 rounds of IVF, a vacation, dahlia bulbs for my garden

12. Where did most of your money go?
Fertility treatments, house projects, vacation, student loans, acupuncture, eating out

13. What did you get really excited about?
A pregnancy, vacation, finally transferring our embryos after 6 months of waiting

14. What songs will always remind you of 2011?
Anything by Mumford and Sons, Not Over you by Gavin DeGraw, Keep Your Head Up by Andy Grammer, Tighten Up by the Black Keys, Fix You by Coldplay

15. Compared to this time last year, are you:
Happier or Sadder: Amazingly, I think happier. I am dealing with everything much better than last year
Thinner or Fatter: Probably about the same, maybe a little thinner
Richer or poorer: Richer! W graduated and got a professional job this year so we are officially DINK's

16. What do you wish you'd done more of:
Exercising, meditating, living life in the moment, smiling

17. What do you wish you had done less of:
Worrying, crying

18. How did you spend Christmas?
With the in-laws. W's Grandmother passed away so we didn't have our usual Christmas Eve dinner at his parent's house.

19. What was your favorite TV program?
Breaking Bad, Parks and Recreation

20. What were your favorite books of the year?
Naked by David Sedaris
I did a lot of reading fertility books and can't say any of them were my favorite's

21. What was your favorite music from this year?
Mumford and Sons, The Black Keys, Maroon 5

22. What were your favorite films of the year?
The Tree of Life, Harry Potter and the Deathly Hallows part 2, Bridesmaids, A Day in the Life

23. What did you do on your birthday and how old were you?
Went out to dinner with the hubby to our favorite Italian restaurant. I turned 28. We had a lobster dinner (as per tradition) with my parents the following night and went on the dinner with the in-laws a few nights later to a different Italian restaurant. I got wined and dined this year.

24. What one thing would have made your year immeasurably more satisfying?
I hate to say it, but having a baby.

25. What kept you sane?
"Super-hubby" as I like to call him and my fur babies. Meeting so many others going through the same thing through blogging.

26. Tell us a valuable life lesson you learned in 2011:
That I can get back up on my feet regardless of what happens. That life goes on whether you decide to join in or not. That sometimes you have to be selfish and make the best decisions for yourself personally.

Looking back on 2011, it had some good times and some really crappy times. I am hoping that 2012 is a great year for everyone and that I can stick to my personal goals now that they were written out. Happy New Year everyone!

Wednesday, December 28, 2011

A Big Fall

Yesterday I stopped at my mom's house to heat up my lunch. Since I drive around and don't schedule a lunch time for myself I often have to use whatever microwave is convenient. Is just happened I had a visit scheduled and a bit of time to waste beforehand and was in their neighborhood. They are in Florida so the garage doors were closed. This left the outside steps to go up. I remember thinking they were slippery going up, but obviously it didn't stick. 

I ate my soup, which was delicious, and gave the cat some love. I then headed out, glass pyrex container in one hand and some minty chocolate cookies in the other. We don't generally buy sweets but I can always count on my mom's house to get some. It was pouring so I was hurrying to get to the car. Well, that was a bad idea.

I slipped and fell down four stairs. It. hurt. so. bad. My butt was soaked and I spent some time moaning about it before getting in my car and driving away. Within a few minutes my arm had already welted up and I was sore. 

Today my arm has a big dark bruise on it. And my butt?? OMG, it's ugly! I don't think I've ever seen such a dark bruise before. It looks black. My back is also sore but there aren't any huge bruises or welts. 

Sitting on the floor on the butt all day wasn't the most fun and I wasn't able to use my forearm to steer while eating, talking on the phone, etc. while I was driving today. Getting in and our of the car and up off the floor was not easy. Not a huge deal, but not a whole lot of fun either. I'm hoping the bruises heal quickly since I already have a leftover knot from progesterone on my butt very close by to the bruise. Do those eventually go away? It's been like 2 weeks and it's still there. 

When I saw it was snowing today I decided if I fell again I would just have to cancel the rest of my day and go home and hide in bed. Luckily, everyone had salted their walkways and I remained on my feet all day. Here's to hoping I don't fall again this winter. 

Monday, December 26, 2011

Christmas Festivities and a Fresh Start

I hope everyone had a great Christmas. We are lucky (and unlucky I guess) in that we get to celebrate three times, so next weekend the festivities will continue with my dad and sister (yay divorce). 
You can barely see Pepper (our other dog) in the right corner, he wasn't cooperating. This is the best shot we got using the timer on my camera. Merry Christmas from our furry family!
Last week we had my mom, step-dad and brother over for dinner to celebrate early. They go to Florida every Christmas to celebrate with my step-dad's mother, so they aren't ever around. It was really nice and relaxing. A few weeks ago I picked up my violin from my mom. I hadn't played in over 6 years but felt I needed a distraction during my 2ww. I have been practicing some and was able to play for my mom while she was over. That made her very happy. I played from second grade through my senior year in high school and was impressed by how easily I was able to pick it back up. We had a great dinner and exchanged gifts. My brother (almost 10) was literally kissing the Game Stop gift certificate we got him so you could say he liked it. 

Last Thursday we got the news that W's grandmother had a heart attack and passed away (3 days from Christmas). She lived to be 91 and was with it cognitively and lived independently up until the end. It happened really quickly so everyone is relived she didn't suffer. She was insanely generous in that she paid for her 7 grandchildren to go to college (Boston University, Yale, Columbia, Syracuse, Bates, Brown, and some art school in D.C.) She also gave us the center stone on my engagement ring which once belonged to her mother. Funeral services will be held on Friday and Saturday so we will be traveling to New Jersey for that. I think we will stop in Albany on the way for a night to stay with my sister and drop off our dogs and then stop on the way back through on Saturday and do Christmas Sunday with my dad and my sister. I hope she's ready to have 3 cats and 3 dogs at her house for a few days. Thanks K!

Due to the death in the family, Christmas Eve dinner was cancelled at the in-law's. We were invited instead to W's aunt and uncle's house and had a nice dinner. On Christmas day my in-law's came over for lunch and then we headed back to the aunt and uncle's for dinner again. I had a great time with W's cousin's boys (ages 5 and 8). D (the 5 year old) was too funny when he said "My most ticklish spot is my weiner." We all had a good laugh over that one. 

This is the painting W and I got each other for Christmas. We have two others by the same artist (who is local) and we really loved this one. It looks great on the wall.

Wednesday, December 21, 2011

If you can't make 'em, eat 'em

Welcome if you are visiting from ICLW. Thanks for stopping by! To catch you up to speed, I am Liz. I am 28 and live in NY. I have been seeing my RE for 16 months and have PCOS and one tube. During this time I have had 2 laparoscopic surgeries, 2 D&C's (one for a miscarriage and one for polyps), 2 failed IUI's and 1 failed IVF. If you want a more detailed history, feel free to read more

This may seem like a strange title for a post, but it stems from a joke I made during dinner tonight. W and I went out for a nice dinner and he ordered the osso bucco. Forever he had a thing against eating veal (which I completely understand but don't abide by). As he took his first bite he said, "I just remembered what osso bucco is... veal." So my reply was, "If you can't make 'em, eat 'em." We both had a good laugh and continued to joke about delicious baby legs.  

I got the phone call today to confirm what I already knew. To be honest, I stopped all my meds after I got another BFN on a pregnancy test on Monday morning. It was a FRER test which I know picks up HCG levels below 10. I knew if the number was going to be that low it wasn't going to be a viable pregnancy anyway. Well, big surprise my beta HCG number was zero. And the nurse I don't like called to give me the news. She didn't say anything other than that it was negative. 

To get it off my chest, the things the nurse did the day of the transfer the upset me were: 

1) She called me by the wrong name and had paperwork for me to sign with the wrong name on it. No, my name is not Tracy. Good thing I caught that one and corrected her. 

2) Saying to us about 20 minutes prior to the transfer "Everything is going wrong this morning" W looked right at her and said, "Don't say that." 

3) Referring to my embryos as "eggs." I had her double check we were transferring the right ones after the name mix-up. Even the embryologist called her out on that one. 

4) Completely losing her shit in the transfer room when the embryologist tried to hand the catheter with my embryos to her through the "window". The nurse starting yelling at the embryologist and said she was no longer sterile. Dr. S practically yelled at her and told her he had it. I just tried to close my eyes and relax. 

5) Rushing everything. Rushing me to go into the transfer room when they weren't even ready, and then trying to rush me to get up and go to the bathroom after. No, I didn't want to get up for 30 minutes, but after about 10 she was trying. 

I tried not to think of all these things that she did that day. I don't think it changed the outcome or anything, but it changed my opinion of her and the clinic for hiring her. I don't think she conducts herself in a professional manner and I'm definitely looking in a new direction for my next cycle. 

The nurse is honestly reason #2 to switch clinics. Reason #1 is financial. The clinic I currently go to charges about $6000/IVF cycle. To be honest, I haven't gotten the final bill and am not sure how much the assisted hatching cost. So probably, it will end up costing more than that. The other clinic with Dr. Gere (aka Dr. K) has package deals. I am looking now at one that includes 3 cycles for $7500. If it works the first time, great. If not, I know I will have 2 more tries and not feel so stressed about the money. 

I'm doing ok with the negative. I know Christmas isn't going to be easy, but I'm managing to put a smile on my face and continue on. Having a new plan in place is going to give me a positive direction to look in. I plan to call Dr. Gere's office tomorrow and ask my list of questions. I'm hoping to be able to start BCP's for another IVF cycle as soon as AF shows. Open the flood gates already, I'm ready to get this show on the road.

I really think a big part of IVF is a numbers game. If I'm going to gamble, I'd rather gamble in an efficient casino. 

Saturday, December 17, 2011

11dp3dt... One Lonely Line

I held out until this morning to test. Had you asked me before the test I would have told you I was 85% sure I was pregnant. Now? Well, I'm not holding onto much hope. I had the thought that maybe it was just a bad dream as I was standing there in the dark looking at that single line. I felt the worst breaking the news to W.

The hardest part is that I had lots of symptoms. I've been pregnant before and know how it feels, so was convinced I was again. 

I wasn't blogging about my symptoms because I didn't want to jinx anything. I guess it wouldn't have mattered. I had cramping on days 3-5 past the transfer. Around 5 days past my boobs got bigger and started to get more sore. On Monday and Tuesday (7-8 days past) my sense of smell picked up drastically and level nausea appeared. To be honest, I've been pretty tired all along since starting the progesterone. Wednesday and Thursday I had some crazy ass dreams. 

I know there's a slim chance it could have still worked, but I'm not really into alluding myself much longer. I felt sad for about 10 minutes but then decided it doesn't do much to dwell on it. 

It felt good to have hope again. That hope remains despite a negative result. I am hopeful that IVF will work for us. I just don't think this was the right time. There was nothing I could have done to change the outcome. I was so positive and peaceful that first week. If the embryos stopped developing it wasn't my fault. Arrggh and Matey just weren't meant to be. 

There's nothing I can do now but look to the future. I am now faced with the decision to stick with Dr. S or switch it up and try Dr. K (aka Dr. Gere). I love Dr. S and feel I get individualized treatment, but I REALLY don't like the nurse that replaced Becky. If you don't know or remember, Becky was the nurse I connected with for over a year and who I found out recently passed away from cancer. I don't think she is easily replaced, but this new person sucks! After the transfer I didn't want to dwell on it, but it my opinion the new nurse fucked up big time. She was really unprofessional and not pleasant, but I will add another post about that. It still makes me upset to think about it. 

I'm going to be OK. Sure, I'm disappointed and I'm not thrilled about the outcome but I still have hope. And to be honest, that feels good. 

It won't be official until Tuesday when I have my beta, but I'm pretty sure we know the outcome. Better luck next time.  

Tuesday, December 6, 2011

Embabies on board

Our transfer was at 9:30 this morning. Although I had trouble falling asleep and proceeded to have crazy dreams, I still woke up feeling rested. When we got there our embryos were up on the computer screen so I took a quick look. Four appeared fine and one no longer even looked like an embryo, more just like an egg. Dr.S appeared shortly after and began getting set up. They wanted to bring me into the transfer room at 9:15 but my bladder wasn't very full and I wasn't feeling the Valium. I've read too much about people being incredibly uncomfortable due to an over-full bladder, so I guess I didn't drink enough.
They gave me some time to drink more water and then we talked about the embryos. Of the four that survived two looked really good and two had yet to cleave or divide. I guess they were still viable, but hadn't shown any new growth. So...? We put them all back. I think it was the best choice because I would hate to think the two slackers could get tossed. 
Looking and feeling loopy, W has no excuse
It took a bit of time to get my uterus in full view on ultrasound, but once they did we were ready. They put the embryos in and then checked the catheter to make sure they were out. 

When they brought me back out to the original room to lie down I was super loopy. I was cracking myself and W up with my actions and comments. I had a bit of gauze and was using it as a pirate's patch. 

After a half hour I sent W to pick up the car and planned to walk out and meet him. When Dr. S saw me waiting by myself he offered to walk me out. He walked me out to my car and even opened my car door for me. 

My beta HCG test will be in 14 days, which is a bit of a long wait if you ask me. I am planning to test before then, but definitely not too early, I promise. I might even just test the day of so we can get the news together and at home. Dr. S told the nurse he would be the one to call me with the results. 

I spent the day lounging on the couch watching movies and shows: 30 Minutes or Less (ehhh, even though it had some of my favorites), 27 Dresses (always a good one), Parks and Recreation, The Office, and now America's Funniest Home Videos. No serious or sad stuff around here. Tomorrow I have to do an evaluation at 9:00 but plan to take the rest of the day off. W has been great today, doing everything for me and being super helpful. I will miss him tomorrow.

I will be thinking positive and hopeful thoughts for my embabies on board. How is it possible to have so much love for a little bundle of cells?

Monday, December 5, 2011

Surviving the ice age

Today my clinic will thaw and culture my embryos. I am scared and nervous, but hopeful and excited as well. Our transfer is tomorrow at 9:30 and we don't know yet how many embryos we will be putting back. 

I have been on progesterone for almost a week now. My butt is sore but it is getting better and more tolerable. Placing the vial of progesterone in hot water for about 5 minutes prior to the shot helps the progesterone to move more quickly. No big lumps or knots yet so I am thankful for that. 

If you could please send warm multiplying and dividing thoughts to my embryos today, we would all appreciate it. Thanks!!

And now, introducing, our beautiful embryos. I'm sure they'll look a bit different after the thaw but this was them in July. They were frozen on day 3.


Monday, November 28, 2011

Night and freakin day

Wow, I'm still digesting everything from my two appointments today. I couldn't possibly have two more different experiences.

First things first, my lining increased to 11 and everything looks great. No fluid, no cysts, great lining, no bleeding or spotting for a few days now. When I texted W after the appointment the adjective he actually used was "amazing". Can you tell we haven't had things look this good in a while?

Oh, by the way, music is my current anxiety cure for the clinic. OK, maybe not a cure, but it sure helped to have some good tunes to sing along to on the way there. I even brought my headphones and listened between the walk from the parking garage to the waiting room. 

The appointment was fast and I headed off to work in a fantastic mood. The day went by fairly quickly and before I knew it I was headed off to my second appointment. W met me there and immediately things were different. I have been in this clinic once before for a support group so the waiting room was no big surprise in how it looked. What did surprise me was how many people were there. Holy crap!!! 

They took us back fairly quickly and into a fancy room. We sat on a comfortable couch and waited a few minutes for the nurse to come in. When she did she didn't have much to say since she figured I knew most of her usual spiel about infertility and treatment options. Dr. Gere came in shortly after. He gave me a warm greeting and sat down to talk to us. His questions were flying at me so fast I had a hard time. I felt like he wanted an answer in 5 seconds or less and I crumbled under this pressure. W interjected and answered a few questions for me. This is not what I am used to. I never feel rushed with Dr. S and at times I am the one who gets impatient. Ha, what a difference.

Dr. Gere asked me quickly about my history and then basically asked why I was there. I told him we were interested in his package deals (amazing deals) and that I felt like I would like to be a bit more aggressive about things.

He first said I was going to get pregnant this cycle and that we weren't going to need him. I didn't get the impression he would have done things differently from Dr. S with the exception of the fluid. He said he would have used a transfer catheter to drain the fluid and then would have continued with the transfer back in July. He quickly asked about IUI's and got it that we weren't interested. He said our best option to get pregnant would be IVF and that he would probably use an antagonist protocol with Follistim, Ganirelix, and Menopur. We would take the pill for a month (with some possible overlap of Lupron) and then once I got my period I'd start stims. That all sounded good to me. 

On to the ultrasound room we went. Even with wandy he was fast. My pulse and blood pressure were both higher than normal and it was good to know that I don't discriminate when it comes to fertility clinic anxiety. He said my lining was beautiful and that I was going to get pregnant. My ovaries were polycystic but I don't there was anything enlightening about the ultrasound. He said to me that he was more aggressive than most doctors, so I know I would be getting what I asked for. 

To make it all clear in my head I decided to summarize. Which doctor:

Is the best deal financially: Dr. Gere has package deals unlike my current clinic. Not sure about donated meds. They even have a money back package which is very appealing to me currently. The biggest thing is that Dr. S works for the University and has zero personal financial investment. Dr. Gere owns this clinic and two others in addition to a healing arts center that provides yoga, acupuncture, and many other services. 

Gives you his time and makes you not feel rushed: Dr. S In fact, when he called me to give me further directions this evening and gave me more of his time over the phone than Dr. G gave me in person today. He allows me to ask questions without me feeling pressured. Dr. Gere was rushing around that place like crazy. Dr. Gere's office had a revolving door feel. Granted the door is super nice, but man it feel like a factory in there. So many receptionists and patients in the room. Tons of nurses. We had to wait for a free room in order to do the ultrasound. There was actually a sign on the door in the ultrasound room that said if you have been waiting more than 15 minutes to remind them. They are so busy they forget about people?

Most optimistic: Dr. Gere and I loved it. I drove home convinced that we are going to get pregnant this cycle. 

Nicest office: Dr. Gere. Keurig machine in the waiting room, comfy couches, nice music, tons of reading material. A much better vibe than my current, somewhat ghetto office. 

Most aggressive in treatment: Dr. Gere and I feel like we may need this. At the same time, had we done the transfer with the fluid/polyps like Dr. Gere would have done, it would likely not work. I guess being aggressive isn't always the best. 

Most thorough: Dr. S. He fully informs me of everything and allows me to have a say in the decision making process. He often thinks out loud though which can be interesting. I know Dr. S has consulted the literature/research about me multiple times to guide his decisions. 

Treats each case individually: Dr. S. Dr. Gere didn't really seem to consider much about me specifically. He recommended the antagonist protocol since that is "what they have been doing a lot and what has been successful for many." 

I hope to not have to make any future decisions about who I will be using for my next round of IVF. There is a lot to process and digest, but it is good to know I have options. I feel great knowing that I could call either clinic and start another round of IVF if necessary. Let's hope I won't be doing any more and that this FET is the one. I really should take a page from Dr. G and keep convincing myself that this cycle is going to work. 

Out transfer has been pushed back one day to Tuesday. I started my IM progesterone tonight and the dosage is higher than last time. We did 2 ml and I know I will be feeling it tomorrow. I am starting to get really excited about everything. I should get a call tomorrow telling me what time the transfer is scheduled for and whether we will be doing assisted hatching or not.

8 more days!

Sunday, November 27, 2011

Thanksgiving success

Our first time hosting Thanksgiving was a complete success. We had my sister, her husband, my mother, my step-father, my little brother, my mom's friend, and my Dad, so 9 people total. This was the first time my parents celebrated Thanksgiving together in 20 years. The turkey came out amazing and wasn't dry at all. All of the food was delicious and I got my appetite back just in time. We did end up forgetting the stuffing on the table, but nobody missed it. Next time we will consult our menu when we put the dishes out on the table. The table looked great, and I got some fun ideas from Pinterest.

I also made a pie. Can you tell what the design is without me telling you?
My sister, her husband and I went black Friday shopping late Thursday night. We went to Wal-Mart (not my favorite place, but my sister's favorite place) and it really wasn't as crazy as I expected. Most people were there to get TV's and I managed to get a good deal on a digital camera for my dad. I also got some DVD's for myself (4/5 seasons of Six Feet Under) cheap. It was so nice to be able to spend time with my sister but not have to be at her house. She and her husband both smoke cigarettes and he loves the T.V to be loud. He also doesn't like bright lights so we often sit in the glow of the T.V. Being at their house means sitting in a smoky, dark and loud environment. It was nice to be able to control things but also spend time with K. 

K and her hubby have been TTC since their wedding in July. When we were in Wal-Mart K had to go to the bathroom. When she came back she said, "I am thankful for my period on Thanksgiving" and I could tell she was super bummed. Although she hasn't been trying for long, I can still feel her disappointment about getting her period instead of a positive pregnancy test. I am feeling better about her trying and the possibility of her getting pregnant first. I think because it didn't happen her first month of trying, I will be OK with it. I really hope we both get pregnant soon so that our babies can have cousins close in age. 

When K came she brought a flash drive with her wedding photos on it. I was able to look through her pictures and am amazed by how ballooned I look from the IVF. Her wedding was July 21 and I had my retrieval the 12th. I look so puffy in all of the photos, and I'm so glad we captured those moments in my life forever. Oh well, no one else knew and no one asked me if I was pregnant at the wedding, so maybe I just see it because I know. 

In other news the bleeding has stopped. I now know it isn't my period, it just isn't the same. I was bleeding heavy on Tuesday and Wednesday and by Thursday it had slowed considerably. Friday and Saturday I had the tiniest bit of spotting and it was brown rather than red or pink like previously. Nothing so far today. W and I have talked a lot about what we want to do and it is difficult. I think the spotting and bleeding will be gone by Monday, but I worry what this has done to my lining. The hardest part it is seems nothing is ever ideal. This month the issue is spotting and bleeding, but next month who knows what it will be. Obviously we want the most ideal situation possible, but I don't think it's ever going to be ideal. We will see what Dr. S's opinion is.

My anxiety has declined tremendously and my nausea is much better. I have an appetite again and know I need to get back to the gym. I'm sad its Sunday, but looking forward to my appointments tomorrow. Hope everyone is relaxing and having a great weekend. 

Saturday, November 26, 2011

I am thankful for

Supportive, entertaining, amusing, and helpful bloggie friends. 

Josey from My Cheap Version of Therapy was generous enough to award me the Liebster Award. This one has been floating around many of the IF blogs I read and I am grateful to her. Apparently Liester means "dearest" or "beloved" and the award goes to blogs with fewer than 200 followers. Thanks Josey!! I can't believe your little one will be here so soon.


So, how it works is I get to nominate 5 bloggers. Some of these people may have been awarded already, but I love you too! Here goes:

New Year Mum who is such a sweet and supportive blogger. She could really use some love and support these days after a failed FET cycle. 

Beth at Always Looking for Something New. She is a great blogger who although dealing with IF talks about lots of other fun and interesting things. 

Bio Girl who entertains and amusing with her stories, especially those that involve her sweet little boy Henry.

Unaffected at for we are bound by symmetry who just got a BFP after a clinical trial IVF cycle. 

and

Kat at I'm Very Far Way who is pursuing IF treatments half way across the world. Check her out.  

Thanks again Josie!!

Wednesday, November 23, 2011

Today's Appointment

I really need a cure for fertility clinic anxiety. The mix of Metformin, Estradiol and stress/anxiety is not working out so well for me. The estrogen leads to nausea which leads to Liz not eating a whole lot these days. The plus is that this also leads to my pants being a little looser, leaving a little extra room for our Thanksgiving feast. 

Any tips or hints to combat fertility clinic anxiety?

The clinic was empty today and I was the only person there. They had me undress from the waist down, gave me a real sheet to cover myself with, and I waited for Dr. S. He didn't take too long and immediately asked about the bleeding when he entered the room. I told him it's still going on and is heavy like a period. 

He then did the scan. My lining measured 6.5 and had a trilaminar stripe. He said this didn't correspond with me having a period. We talked about the dates I had spotting, how I had a positive OPK in October, and the plan for the future. He was confused that I was bleeding despite what my endometrium looked like. I never cease to have unexpected problems. 

We came up with a plan. The plan is for me to continue on the estradiol (vaginally rather than orally to help reduce nausea) and rescan on Monday. He sent me for blood work to measure progesterone, estrogen, and Vitamin D (per my request). If I am still bleeding or my lining has decreased on Monday we will cancel the cycle and look to do the FET with the Lupron protocol probably some time in January. If the bleeding has stopped and my lining is thicker, we will continue as planned and consider this bleeding "breakthrough bleeding" which apparently sometimes occurs on estrogen. I really don't know what the plan is if my lining stays the same, I guess that isn't very likely. 

So, my Monday will be spend at two different fertility clinics, getting two different ultrasounds. Doesn't that sound like a ton of fun? At least they aren't back-to-back. One appointment is at 8:30 and the other is at 2:00. Hopefully I can get some work done in between those times.

Until then I will be cooking, entertaining, black friday shopping (eek), spending time with family, relaxing, and trying to step away from thinking about this whole thing. I will instead focus on all the positive and great things I have going on in my life. I fully appreciate these things and am incredibly thankful. I got the sweetest card from a family of a little boy I work with today. It literally brought tears to my eyes (maybe hormones played a part) and made my day. A card like that beats any present any day. I hope everyone has a GREAT Thanksgiving!!

Tuesday, November 22, 2011

Changes

Leave it to my body to make up its own mind about things. I can't expect everything to go according to plan, can I?

I woke up to the tiniest bit of spotting. By 9:15 I was bleeding. By 10:00 I was ready to confirm it was my period. By 10:30 I was on the phone with my RE asking him if he still wanted me to come to my appointment tomorrow. Yeah, I made a lot of trips to the bathroom today. 

He said that the bleeding wasn't likely anything to be too concerned about, but that it may change our plans. Yeah, it definitely will. 

I'm bummed that things are going to change. There is a slim to zero chance we will be doing our FET on December 5th. 

On the other hand, I'm glad AF finally showed. I've NEVER skipped my period before, although I've had some cycles in the 40 day range. Today is 48 days since my D&C and hysteroscopy. It is 15 days since my last progesterone pill, so it is hard to say what is going on. 

When I was planning on a December 5th transfer I didn't think it was going to work. I didn't understand why I would skip my period for the first time ever and then transfer embryos something like 60 days later and expect them to hang around. I just wanted to complete this cycle regardless of the outcome. To move on and move forward from the IVF cycle from hell. 

I started Lupron for my original round of IVF last January. I never made it to stims. In July I started stims but never made it to transfer. I am SO READY to complete this IVF cycle already.

The fact that I actually started my period gives me hope and makes me much more optimistic for the success of this FET.  

I still have my appointment at 9:00 tomorrow. I'm hoping we can come up with a new plan that doesn't put us back by much. We had been considering 11/11 CD 1, so today is only 11 days after that. I would really like to complete 1 IVF cycle in 2011. Is that asking too much?

Monday, November 21, 2011

Thought Vomit... Monday??!!

Upon completion of this post I realized it was more of  Thought Vomit Thursday (TVT) kind of post, but hey, it's only Monday so I'll leave off the bullets.

Wednesday's ultrasound appointment is looming. I'm trying to stay relaxed and calm about everything and some days I completely forget that we are currently in a "cycle." It doesn't seem real when all you do is pop a little pill at night (estradiol) and then forget about it. 

Speaking of those little pills... holy side effects. Who would think something so small could pack so much feisty?? My mornings are rough and I try not to lose it each day. Little things frustrate me to no end and I have ZERO patience. It goes well with working with 2 year olds, ha yeah right! The mornings are the worse and by the end of the day I feel much less feisty. 


My appointment with Dr. Gere is in less than a week and I really need to get my file sent over. I am hoping to tackle that tomorrow. I was super impressed that when they called to confirm my appointment that they had also called my insurance to see what was covered. Although the information was nothing new, it really was nice that they had taken the time. 

Last weekend I went to the spa with my friend Caitlin. She had a gift certificate for a massage and I had a guest pass so spent the time she was getting a massage running. Totally equivalent experiences. The steam room, sauna and hot tub were thoroughly enjoyed by both of us. 

Caitlin has a 15 month old little girl who W and I adore. We have been spending a lot of time with Caitlin, her husband J, and their little girl E. Most weekends we get together with them. There are times when it is hard to watch them love and kiss their little girl, but E lets W and I love and kiss her too, so it's not all that bad. 

I got a really nice complement at work today which made my day. It's nice to hear positive things about your work performance. Speaking of work, I'm going to try to branch out again and work with another child who had feeding issues. I will have more support this time and I feeling positive about trying again. 

We are hosting Thanksgiving on Thursday. We won't have too many people (9), but my sister is coming out and I am really looking forward to that. We have been in our house 13 months and she has visited 1 time. She is the type who likes to be in her own comfort zone. Even though it is only 3 hours away you would think it was 30. I'm anxiously awaiting her pregnancy announcement, but hopefully it won't be during Thanksgiving. She started trying in August and it's only a matter of time. As long as I'm not far behind her that's fine. 

I had some spotting this evening but it has gone away. I'm hoping it's nothing since it's brownish, so hopefully my lining is getting nice and cozy for our little totsicles. 

Wednesday, November 16, 2011

Answers and a plan

Dr. S called on monday evening. He started to talk about protcols for the FET and I immediately interrupted him and said, "I think we might have a different problem." When I told him the spotting never turned into bleeding he wasn't really concerned. Here I was, stressing the f*&% out and he is all casual and says it's no biggie. He said with the D&C only being about 5 weeks prior he wouldn't have expected my lining to build up that much. He wanted to call my spotting on Friday as CD1 and start the frozen cycle.

He presented two option for the protcol. The first being estrogen only like I did previously. The other option involved suppressing me first with Lupron and then using the estrogen. He spent more time talking about the Lupron one. He told me when they discussed my case in conference that the Lupron seemed like the best idea. He then started to look at the calendar and count out the days only to find with the Lupron the transfer would fall the week after Christmas when there is a "skeleton crew" working.

I then asked if we could do the protocol without Lupron. He wasn't completely pleased at first but finally talked himself into it. By the end of the conversation he was in agreement that if we do the FET right now the estrogen protocol is the best one. He warned me that the fluid could return and that we could be in the same situation again, but I realize this can happen with or without Lupron.

So Monday night he called in oral estrogen to my pharmacy and I started. We chatted briefly yesterday and I received a call later in the day that I have an ultrasound scheduled for next Wednesday at 9:00. Transfer is tentatively scheduled for Dec 5th!!!!!

Monday, November 14, 2011

Monday

Did you know I'm glad today is Monday? I'm glad because Dr. S is going to call me and I'm going to get some answers. You guessed it, no AF yet.

I'm not glad the weekend is over and the workweek is starting. 

My sanity hit it's worst point Saturday night when I posted. I am feeling more under control now (as under control as I can feel about a situation that is out of my control). I calmed down and spent Sunday still wishing for AF to arrive but feeling less anxious about it all. 

We starting drawing lines, measuring and taping up the bedroom walls to paint. We are painting another design. Can you say huge time investment? Sounds like a great distraction!

Took another HPT this morning and got another negative. Bummer. 

Can I tell you how hard it is to see everyone who I cycled with in the past get through their first trimester, prepare their nursery, buy baby things, and then prepare for the delivery of a baby? Heck, I'm still just preparing for my period. I feel like everyone is leaps and bounds ahead of me.  

Adoption came up this weekend. There is some event this Friday in Syracuse for families who are adopting and both W and I looked at each other and considered it. I may attend and get more information. It sucks we have reached this point....

2 weeks from today we have our appointment with Dr. K (who will from now on be known as Dr. Gere due to his striking resemblance to Richard Gere. I am looking forward to getting a second opinion.
Dr. K

Richard Gere.
See the resemblance?


Saturday, November 12, 2011

I'm losing it

No changes. I'm still waiting on AF to show. Okay, maybe there are some changes. My mental status has gone from slightly insane to entirely off the deep end. I'm more anxious and stressed than when I last posted. This probably isn't helping to make AF show. I'm stressed that I'm stressing too much. Ahhh...  get the idea yet?

I've been having cramping on and off and it feels like AF is going to start. My boobs still are unchanged and don't feel sore, but my skin is still breaking out. I've been short on patience and snapped a few times at the hubby. I'm confused, frustrated, anxious, and pissed. 

I went back and my blog entries about my previous experiences with Provera/Prometrium. The first time I took Provera and got AF while still on it. The second time I took Prometrium and got AF the day after stopping. This time we are 5 days later and it's not looking good. 

The worst part?? I got anxious on Friday and called my clinic. I was told Dr. S was in emergency surgery and was put through to a nurse so I left a message. I planned to ask at what point I should get concerned about not getting AF after taking the Prometrium and ask questions about my concerns. In the time I waited for a return call I used the bathroom and saw some spotting. The first and only spotting I have had.

 I was so overly excited to see any blood I assumed it was the start of my period. Usually my period starts that way and within a few hours it is full flow. The nurse called me back and I changed my plan and told her instead that it was CD 1. 

I then asked her which protcol Dr. S decided to use for my upcoming FET. She told me she couldn't reveal that information. She also couldn't tell me whether to start the estrogen or not and could only leave a message for Dr. S to call me Monday afternoon.  

I have another number for Dr.S so used it and planned to leave a message. To my surprise he answered the phone and I talked quickly to him. He wasn't able to tell me which protocol he decided since he didn't have my chart in front of him. So basically the conversation didn't go anywhere except that he was leaning towards using a Lupron protcol. He said he would call me on Monday afternoon and let me know.

The spotting didn't turn into bleeding and I haven't seen anything since. I'm going crazy. My anxiety is sky high and it's not helping anything. Today is CD 38, 5 days after my last Prometrium pill, and 1 day after I lied to my RE and said I was on CD 1. Oh man, everything feels so out of control right now!

I'm thinking seriously about an acupuncture or massage session tomorrow so I don't end up in the loony bin by next week.

Oh yeah, negative HPT today so definitely not pregnant. 

Wednesday, November 9, 2011

Aunt Flo is a no-show

I popped my last prometrium pill on Monday. So here I am, waiting very impatiently for her to make her grand appearance. I know sometimes it takes a few days, but I am anxious to get started. I guess I thought the positive OPK would mean my period would come 2 weeks later. Well, 2 weeks and 4 days later I'm still waiting. 

I don't feel totally like I'm going to get my period. My boobs aren't sore at all which usually happens. My skin is breaking out on my chin which is generally an AF sign. I took a HPT yesterday and it was definitely negative. 

The main reason I am anxious is because we don't even have a tentative date for transfer at this point. At my last RE appointment he left it up in the air which protocol we would be following, perhaps one involving Lupron which means MORE TIME. I don't want to take the Lupron and I want to be able to avoid Thanksgiving and do the transfer this month.

I left it with Dr.S that I would give him a call with AF shows. Hopefully she will soon and I can convince him that we should do the FET this month. 

Thursday, November 3, 2011

Strength

Sometimes when I don't update for a while, I don't even know where to start. I lot has happened, but nothing all that exciting. I started Prometrium (progesterone) on Monday and today will be day 3/7. I also did a HPT yesterday at 10 DPO and it was negative. It's amazing how the first week of the 2WW is all positivity and hopes, and the second week brings you back down to reality. Let's be honest, of the 5 eggs that were allowed to fertilize naturally during my IVF cycle (with exceptional sperm) only 1 did. The chances of me ovulating from the right side and that egg being fertilized? Not so great
Creepy Prometrium pills
I have been feeling really anxious about my upcoming FET cycle. There are so many unknowns at this point. When will I get my period? Will we be able to do the transfer this month? Will the transfer be around Thanksgiving? Will Dr. S decided to put me on Lupron and make this process even longer than it has been? Will I have fluid again? Will the estrogen lead to polyps again? I just wish I had my crystal ball. How does one not feel anxious after 5 months (retrieval was in July)? 

Last spring I decided I wanted to expand myself professionally. I work as a speech pathologist in early intervention. Typically children don't come to me until there are a little under 2 and not talking. It is rare that I get a child on my caseload who is younger. Since I don't have any babies and there are babies who receive early intervention services, I looked into how I could expand to include younger children. I found out that a lot of children need help with feeding/eating so I went and took a continuing education course on feeding therapy and babies. The course was great and I learned a lot. This was really my first true exposure to feeding and swallowing in pediatrics. 

Well, no feeding cases came along until late this summer a little boy D needed help. They decided to put me on the case after my request and I started seeing him last week. He just turned 1 but presents as an infant. He likely has cerebral palsy and has had numerous seizures. The physical therapist is working on head control with him and he is tiny, so he really looks more like a 2 month old. To be honest, just handling him was different for me. I've never really been around a baby like that. 

I went to his daycare provider's house this week. I observed her feeding him and talked to her. I asked a lot of questions and tried feeding him. I probably didn't come across as the most confident person on the matter since this was my first real exposure outside of the classroom.

The next day the parents called and asked for a different provider with more experience. It's true, I'm trying to get the experience and I don't really have much. I look super young (probably under 20) and I guess I just rubbed the daycare provider the wrong way. 
This lead to me being pulled from another feeding case I was just assigned. In a way I was relived that I didn't have to face the (possible) rejection again since my confidence was shaken. But, it really didn't make me look good professionally. 

After much thought and some tears I decided to put this on the back burner. I would love to get more babies on my caseload, but I'm not that confident feeding them, especially when they are really involved. 
On my drive home I called W and started crying. I said I feel like I can't do what I really want (have a baby) and if I'm no good at my job, that what am I good at? I could tell he felt really badly for me and tried to reassure me that I am great at other things. And to be honest, I am good at the parts of my job I do regularly. 

Going through infertility has changed me. Deep down, my confidence in myself is diminished. When something happens either personally or professionally I don't handle it well. I've always been a sensitive person and do tend to overreact, but now its to new levels. I allow something stupid to affect me for days, further crushing my self imagine. So my decision for now is to not push the issue with work. I will stick to what I know I can do well and perhaps extend myself again when I am in a better place personally. I am not strong enough to put myself out there personally and professionally at this time. 

I'm starting to realize that people can only take so much. I'm not sure how much longer I can continue on with fertility treatments and my full time job with children. It's hard to stay strong and put a smile on your face every day, and it's even harder when things aren't going well. If there's something positive to come from this, I know I am a stronger person for the things I have been through. Even though I know I will come out of this a stronger person, I'm not exactly in a strong place right now. 

Tuesday, October 25, 2011

Have you ever considered.....

Being your own RE? I joke with my hubby all the time about how I am going to become my own RE. I mean, I've talked to Dr.S enough and have a good enough grasp of this all, right? I mean, I do have a fridge full of all the meds I need. I have an idea of the dosage and at what time I ovulate, I should just go ahead, right? Who needs to pay big bucks for ultrasounds and blood work?

I am honestly just kidding. I have considered this before, but never very seriously. I guess all of our chats about OHSS did their job. This month I am off from cycling. I haven't had an active cycle since July when the transfer was cancelled. I have not had a legitimate chance of getting pregnant since May!! But I had a D&C on October 5th and my body needs time to heal and recover.

If you recall, I ovulated on Lupron during an IVF cycle (last January) and became pregnant. Forget IUI's and Clomid, apparently all I need is a little Lupron. And by a little I mean 1 shot. When we figured out how far along I was in my pregnancy we were able to figure out that I ovulated the day I started Lupron, day 21 of that cycle. Lupron triggered ovulation for me. So.... that makes me think. Would a little Lupron get me to ovulate and give me a shot this month at getting pregnant on my own (*sort of.) I'm not talking about injecting myself with Gonal-F at high doses for a few weeks, we're talking about a single shot of Lupron.

BTW, these were my thoughts last week leading up to day 14 of my cycle.

We came up with a plan at my appointment on Friday. I had been hoping Dr. S would give me the go-ahead to start oral progesterone on day 21 of this cycle so that I could have a 28-ish day cycle and get started of the FET. Well, he wants me to wait 28 days to see if I get AF on my own (yeah, I've never had a 28 day cycle). He wrote me a prescription and told me if I haven't gotten my period my Nov 1 I should start it.

Flash forward to Saturday (CD 17). We had a mellow day and were just hanging out. I decided to take a bath and saw the OPK's sitting on the vanity. I had one left and decided to take it. Well, what do you know, FIRST EVER TRUE POSITIVE on an OPK. I have always found them to be frustrating and difficult to read, but not this time. It was a clear positive. I couldn't wipe the smile off of my face the rest of the day. So the question is... should you call me Dr. Liz?

Friday, October 21, 2011

An unexpected loss

I haven't updated much since there really hasn't been much different or exciting going on. I had an appointment scheduled with Dr. S at 2:30 today. To say I had been looking forward to it is an understatement. I always feel better when we have a plan and are working towards that whole "getting pregnant" thing. 

I was running early so made a stop at an organic supermarket. I thought I left enough time to get to my appointment, but my GPS led me the most frustrating way. I had to stop at so many red lights that I arrived a few minutes late feeling super stressed and anxious. About 5 minutes later an unfamiliar nurse called me back. She told me Dr. S was with a patient but that she was going to get my vitals.

 I asked if my favorite nurse Becky was out. Becky is the main nurse at my clinic. I have gotten to know her very well over the past year + that I have been going there. The unfamiliar nurse then told me that Becky passed away about 2 weeks ago. 

I wrote about how I learned Becky had cancer back in July. I'm not sure if I told the complete story at that time. One morning when one of the nurse practitioners was drawing my blood for my IVF cycle she told me more details. Becky was 38 when she passed away on October 8th. 10 years ago she was diagnosed with breast cancer. She went through chemo and radiation and was in remission. In June of this year she found out her cancer was back. It was in her kidneys, liver, and bones. It didn't sound good. 

To say that Becky was a great nurse in an understatement. She was a vital part of that office and my treatment to this point. She is who I called with questions or concerns and we often just chatted about life. She did one of my IUI's and was at my bedside when I woke up from anesthesia after my retrieval. When she pushed my wheelchair to my car after my retrieval she noticed my pedicure that no one else had. I felt so guilty being the one in the wheelchair since she was the one without any hair. She was there to offer her condolences at the appointment when we found out about the miscarriage. 

When I went in for my sonohysterogram on Sep 19th she looked great. Her color was much better and her hair was growing back. She seemed to have more energy and was positive. 

The unfamiliar nurse told me that she had gone on a cruise with her husband and became disoriented and stopped making any sense. They came home and her husband drove her from Boston to Syracuse where she died the following day. 

I spent the next hour in the waiting room waiting for Dr. S and feeling horribly sad about Becky. I will update about my appointment at another time. 


Tuesday, October 11, 2011

Anniversary

10/10/2009 was the best day of my life. I woke up and looked out the window to see this beautiful tree.
 We gathered with 60 closest family members for an outdoor fall wedding. The temperatures were a bit cold but the day was beautiful and perfect in every way.  

Yesterday W and I celebrated our second wedding anniversary. We both ended up working even though it was a pseudo holiday, but W gets out early (3:30) so that is always nice. We went to the spa for a relaxing afternoon filled with relaxation in the steam room, saunas, and outdoor jacuzzi. In addition, we got a 50 minute couples swedish massage. W hadn't ever had one and he talked about how relaxed he was for the rest of the night. We decided it should be a once weekly occurrence, when we win the lotto.

I realized yesterday that I need to be better to myself. I need to be more positive and thankful for all of the great things I have in my life and I need to focus less on what I don't have. There's really only one thing that we don't have, and a billion other great things that we do have. I have an amazing marriage to my best friend, we both have rewarding and well paying jobs, we have a beautiful house with an extra bedroom or two to fill, 3 great pets, a wonderful family, and some great friends. 

 In an effort to be more positive and grateful for everything that I do have, I am going to practice being thankful for something every day. Today what I am thankful for? Another beautiful October day with temperatures well above average. I'm thankful for sunshine and beautiful fall colors. 

We had a good laugh last night as we looked at the flowers W got me for the EDD of miscarriage #1. They were SO sad looking since they were over a week old and we laughed and laughed about the nice flowers W got me for our anniversary. 

Since we all love weddings and photos, I will leave you with some of my favorites from our wedding day 2 years ago. 





Love this picture, we had to get in the tub!




Everyone that was there that day















Saturday, October 8, 2011

Polypectomy

Polyp free is the way to be!! Surgery was Wednesday and everything went fine. This time it was at a surgery center instead of the hospital so I was there a much shorter amount of time. My doc said I started to shake and my body temperature dropped during the procedure, but it wasn't a big deal. I guess I will do anything for those heated blankets, conscious or not.

When Dr.S met the resident prior to the surgery and started to give my history he started with... "Elizabeth and I go way back." It seems his opinion about the miscarriage is that it was caused by low progesterone. Even though this is just an idea, it helps me feel more confident in preventing a miscarriage in the future.

I took Wednesday and Thursday off from work to stay home and relax. It was nice to not be working even though I didn't really feel like I needed the time off.

Dr. S removed at least 1 polyp, I can't remember if there are more. He took me off the BCP's and I need to go back for an appointment some time around 2 weeks. He mentioned doing another sonohysterogram before the FET to make sure everything looks good, but we will see.

He said it is unlikely the polyps would come back, but knowing me, this feels so much more likely. He said he is going to talk with his colleagues and do research to see if there is another recommended protocol. I'm nervous about the future but also feel so ready for another cycle.  

Friday, September 30, 2011

Unfulfilled

Today is the day that I could have become a mother. Instead I'm trying to stay positive, trying to keep my head up. 

My mood goes from feeling happy and satisfied to sad and like there are a ton of bricks on my chest. I thought I would be pregnant at this point. When I got pregnant I was convinced it would happen again easily. Easy is not an accurate word to describe this journey. 

 I thought having a baby was supposed to be fun, exciting, and pleasurable. Instead, the past 15 months have been trying to say the least. I have shed so many tears and learned a lot about myself. I felt sad, happy, excited, and depressed all within an hour's time a thousand times over. 

I wish I was holding an adorable lovable baby today. Instead, I will hug my hubby and furbabies and be glad for everything we do have. I'm not a mommy yet, but I know I will be someday soon. 

Thursday, September 29, 2011

Pre-Op Appointments and Life

I thought yesterday was going to be a nice break from the working norm. I had two separate pre-op appointments and they were scheduled at a range of times. The first one was with my RE at 11 and the other was with the hospital (nursing, anesthesia, phlebotomist) at 1:30.  It seemed to take my RE forever to fill out the paperwork and I felt like I was just sitting there watching him. 

Observations I made while sitting there: 
1. Dr. S has the craziest glasses. The things that keep them on his nose are always going in every direction. It doesn't look comfortable. At one point he got new ones and they looked normal, but now they are all wonky. 
2. There were little flies in the plant on his desk. They looked like fruit flies or something. 
3. Dr. S likes to write post-its about random unrelated things. I wonder what happens to them all.
4.  The chairs are really uncomfortable.

 Oh, I forgot about the bleeding/spotting. The bleeding did stop after the weekend and has since been minor spotting. Hello my panty liners friends, I've missed you. 

I arrived on time to my 1:30 appointment and didn't even get called back until 2:05. In the meantime, there was some decent people-watching in the waiting room. This woman was sitting there filling out paperwork so obviously getting surgery soon. She was VERY overweight and I just figured maybe gastric bypass...?? Well, then her husband shows up with a frozen coffee beverage complete with whipped cream and she starts chatting with the secretary. She mentions a baby who only lived 25 minutes. The woman then goes on to say it took her 8 years to get pregnant with her first and 10 years with "this one". Only then do I notice she's rubbing her belly. When she got called in and I saw her I still wasn't convinced she was pregnant. I guess that will teach me to make assumptions. Yeah, probably not.