Mojo Request
Please send whatever flavor of healthy baby and strong mama mojo you have to offer, for a friend whose newborn is struggling.
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Please send whatever flavor of healthy baby and strong mama mojo you have to offer, for a friend whose newborn is struggling.
Categories Mojo
While we're talking mojo, here's a quick update on some mojo requests that I made a few weeks ago.
Categories Friends and Family, Mojo
I finally got our little baby mojo center completed.
Categories Attempts at Sibling-Making, Mojo
So, here's how this is going to work:
Shrike is at work right now. She took my car, with the carseat.
Peeper is napping, and I'm all-but packed for overnight.
(Cold things need to go into an ice chest at the last minute, and my pants are in the dryer. The ones I need to wear to not be naked.)
Around 7ish, Shrike's parents are going to come pick up Peeper and me (they have a carseat) and we'll go to a hotel near the fertility clinic. When Shrike gets off work (hopefully a little earlier than her usual 11:45ish) she will drive down and join us.
We've got reservations for adjoining rooms, and when Shrike's parents go to bed tonight, they'll leave their half of the connecting doors open.
In the morning, Shrike and I will get up around 5:15 and tiptoe around getting ready. I'll give Peeper a "dream feed" (get her all goodied up in her sleep) and then we'll open our door to Eena and Papa's room, and set up the monitor, so they'll be sure and hear Peeper when she wakes up.
We'll leave around (theoretically) 5:45 to go over the clinic, which is only about a minute away from the hotel.
We're supposed to be there at 6 am, to get Shrike all set up, and the egg retrieval is scheduled for 8 am.
Based on how things went last time around, by the time someone comes to let me know she's all done and I can go back to see her, we should know how many eggs they were able to get.
(Based on the sizes on Thursday, I'm thinking that maybe about 10ish should be big enough by tomorrow that they ought to be mature? But what the hell do I know?)
Again, based on last time, we're thinking we'll be free to go by 10 or 11, then back to the hotel to get Peeper and then Shrike's parents will head home in their car and we'll head home in ours.
We'll probably stop on the way for pancakes, because last time, that's what Shrike wanted when she woke up, and we're trying to do as much the same as possibly, because if it worked once . . . .
We'd appreciate all the egg-gathering mojo you've got!
Categories Attempts at Sibling-Making, Mojo
The firefighter husband of one our our MOMS Club friends was seriously burned while battling a house fire this morning. He's been flown to a hospital a couple of hours away and is expect to be there for at least a month.
His injuries are actually not quite as bad as it was originally feared, but he still has burns over a large portion of his body and will require surgeries for skin grafts on his hands, abdomen and possibly his legs.
His wife will be doing a lot of travelling back and forth, to be with him in the hospital and with their two kids at home.
Two other firefighters were also injured. One was treated and released, but the other was also flown out to a bigger hospital. (I assume the same one.) I haven't heard anything about his condition.
Categories Friends and Family, Mojo
That's the short answer of how things went this morning with Shrike's prescreening, which is a huge relief.
Of course, the long answer is more complicated. Of course.
The first big "whew!" is that we found out that, since we signed our consents on Monday and held our spot, they have closed the study and are not taking anyone else, so if we'd not gone when we did, we wouldn't have made it in!
When we got there, Shrike gave them a bunch of pee and blood, and got weighed and measured, and then had the "physical exam" which consisted of a doctor listening to her heart and breathing and then quite perfunctorally poking around downstairs, which I can't imagine could have told him any more than we were about to find out with the ultrasound, but whatever.
Then he left and a sonographer came in to do that. She was much friendlier.
I said something about "We'll feel a lot better after we see the follicle count," and she asked "Why are you worried about the follicles. Oh, you mean you're worried there will be too many?"
What?! We didn't know there could be too many!
Turns out that while, generally, more follicles is better, there is an upper limit for the study, because everyone gets the same dosage of the ovarian stimulation medications, and they don't want to risk hyperstimulation.
She wasn't exactly sure what the cut-off point was, but she was looking at Shrike's right ovary and counting "One, two. . . ten, eleven, damn . . . " and then said that it looked like thirteen.
When she went to the other side, she said she'd have to call that thirteen, too, "And we'll talk to AA and see what she can do."
"Is that too many?!" I asked, and she just said, "We'll have to talk to AA."
Then, as she was measuring, she said, "Wait, I just measured that as if it was the left, and, wait, I think I might have looked at the same one twice."
She looked around a bit and YES! - She had counted the right ovary twice, "So, if you have less on the left, you might be okay."
Then, over to the left side, where we found FIVE.
For a total of eighteen.
Now, between the two of us, we've done this antral follicle count thing quite a few times, and the two sides were 6/9, 4/6, 3/3, 5/6, 14/10 (all me), and 18/13 (Shrike) - This was the biggest left/right discrepancy we've ever seen.
Oh, and when we talked to MG (who, along with AA, works with TN, the study coordinator), she said that the maximum allowed for the study is twenty.
So, huuuuuge whew on that one, too!
It occurred to me later that I guess that, even if everything else looked good on today's labs (won't know for a while) that if we go in next cycle and she has more than twenty follicles, we could get bumped at that point, and I've sent and email to confirm that, but I can't imagine that it wouldn't be the case. So, there's that to worry about.
When we were talking with MG, I also asked her if it would really take a week to ten days to get all the labwork back, or wouldn't they have some of it sooner than that. She said that most of the hormone levels would come back today, and she could email me when they got that.
Well, I was expecting to hear something like "Looked at Shrike's hormones and everything looks okay so far," but instead, she emailed me all the actual numbers, with no interpretation.
So, again, I turned to Dr. Google, and according to FertilityPlus.org, everything does appear to be within the normal range, except for LH, which was just the teeniest smidge elevated (normal is less than 7, hers is 8.14).
Her FSH is smack in the middle of the "good" range, (It was "a bit elevated" in May, and I think it's lower now.) and Estradiol is toward the higher end of the normal range. (Lower values are better for stimulation, and "abnormally high" values indicate diminished ovarian reserve.)
Of course, the specific ranges vary from lab to lab, so that's all sort of conjecture, too.
For those of you who've been down this road and are familiar with these things, here are the actual numbers:
Estradiol= 62.8
FSH= 7.96
LH= 8.18
Progesterone= 0.742
TSH= 1.64
PRL= 8.51
I emailed them back and said that I understand if they aren't allowed to really interpret the numbers, but asked if those numbers seem to be within the parameters of the study.
In the meantime, is there a reproductive endocrinologist in the house?
So, now we wait to get a call "within the next 7 - 10 business days regarding inclusion in the study."
And then, if that goes well, we'll still have to sweat her follicle count at the beginning of the next cycle.
So, to summarize, the correct mojo request is: Good numbers on today's labs, and 16 - 20 antral follicles four weeks from now.
And how am I doing? While talking to MG, we were talking about how stressed out I am about it all, and I said, "Well, I feel like I can't do anything except worry," and she said, "Well, you're doing a really good job of that!"
Categories Attempts at Sibling-Making, Mojo, Shrike
Long-time readers might remember the little "baby shrine" I set up on top of our dresser when we were doing our IVF cycle for Peeper.
Categories Attempts at Sibling-Making, Mojo
I just found out that C and S over at Journey to Om had their twins today, at 25w4d, weighing 1 lb 7 oz and 1 lb 13 oz. They are "holding their own" and one is on room air, but they are very early and very tiny. Please send some good thoughts, positive energy, prayers, and / or healthy baby mojo to little Lyncoln and Quinn, as well as their mamas and big brother.
Categories Mojo
Today was Peeper's big tooth-restoration adventure, and it started way too damn early in the morning. Shrike and I got up around 5 am, dressed quickly and quietly without showering, and had some breakfast, all in about fifteen minutes. Then I got Peeper up and nursed her pretty much right up until our 5:30 am cutoff, changed her diaper in my lap, and put her jammy pants right back on.
Categories Daily Peep, Health and Welfare, Mojo, Peeper, Shrike
May 10, 2010
This is a post that may never be published.
The thing is, that we are not ready to blog about this yet, but it really helps me to write about things, and if this pans out, I'm going to want to have a record of it all, so our compromise is that I'm blogging it as we go, but saving as one big draft, and if/when we decide to go public about it, I'll post it.
So, what the hell am I talking about?
We're thinking we're going to try to have a second baby.
I know, right?
Crazy, huh?
A bit of background, to bring you up to speed on where things stand right now:
When we decided to have Peeper, Shrike said, "One. Just one. That's it. No more." and I said that was fine, because one is all we had the time or money to make, anyway.
But. I've always wanted two. That just feels like the "right" (for me) number.
But, we were damn lucky to get Peeper, and that's that.
Or is it?
Around the time Peeper was eight, nine, ten months old, I started really feeling sad that we wouldn't be able to have another. I wished that she could have a sibling, and I missed having a newborn, and by golly, I really wanted to be pregnant again.
We talked about it a bit, and Shrike expressed a bit of the same regret, but that was pretty much all there was to the discussion.
Then, when she was maybe a year or so old, we started talking about it again, and suddenly went from "Gee it's a shame..." to "Well, how about..." and "What if..." and the next thing you know, I was on a phone call with Dr. E (our reproductive endocrinologist) asking her about pricing and odds and such.
The big catch, of course, being that we're now two years older - or, more specifically, Shrike's ovaries are two years older - so our odds have decreased, and we're no longer eligible for the Shared Risk program.
Yikes.
We discussed and discussed, all the while talking about doing it the same way that we made Peeper, until one day in January, at Dr T's office, Shrike said, " . . . and you want to have another baby, and well, what if maybe I want to have it?!"
Whaaaaat?!?
When they make the movie about our lives, this is where they'll insert that sound effect of lifting the needle off the record, and go to a freeze-frame, that alternates between me and Dr T, mouths agape, looking at Shrike, then each other, then Shrike.
Mind you, this is the same woman who told me, in a session just a few months before (when Dr. T was very pregnant, I might add) that "Anybody who wants to be pregnant and give birth is crazy!"
So, then we did a whole lot of talking about that, and I made another call to Dr E, to discuss our chances if Shrike were carrying.
Of course, we'd still have the same 41-year-old egg situation, but we also had another concern, which was that when we were working on Peeper, she'd noticed that Shrike had some uterine fibroids.
Depending on size, location and type, those could be no problem at all with pregnancy, or could need to be removed surgically, which might require a vertical uterine incision, and rule out the possibility of a vaginal delivery.
I figured that if that were the case, Shrike would change her mind about carrying, but she said that she thought she'd probably still want to, even if it required two surgeries.
Wow.
So, we made an appointment to get her checked out a week or so later, when she hit the right point in her cycle.
Of course, we still had huge financial concerns, which were basically threefold: the cost of the IVF itself, the cost of raising two children versus one, and the cost of me staying home two or three years longer if we have a second.
As we started looking into things, we realized that the money that's allowing me to stay home right now was only going to last until about the end of the year, so suddenly, we went from "Let's have another baby!" to "Oh shit! Am I going to have to go back to work in a few months?"
So, pretty pessimistic about our chances, we shelved the baby-number-two plan for a while, cancelled Shrike's appointment with Dr E, and concentrated on how to keep me home with Peeper as long as possible - ideally, until she starts school.
We found some places to cut, and some things to change, and some other money saved up, and discovered of the Earned Income Credit, it was looking like, especially if I could bring in just a bit (babysitting BabyJ was part of that plan) that we could swing at least another couple of years, maybe even more.
We'd not given up, but also didn't really see any way that we were going to make it happen, so we spent about three months trying to convince ourselves that it was better this way, that we could pour all our resources (financial, emotional, and otherwise) into Peeper, and that it was just as well that we wouldn't have to do those tough newborn weeks and months again, and so on.
Which was fine, until I'd hear about friends with kids Peeper's age, trying for - or pregnant with - their second babies, and I'd realize that, no, I really wasn't all that okay with it at all.
But, what are ya gonna do? If the money's not there, it's not there.
Then, when Peeper and I went to Texas in April, for the first few days of the trip, Anonymama kept bringing it up in conversation.
"If you have another. . . " and "Have you decided for sure who would carry it . . . " and other such questions and comments.
I answered her, but mostly just really wished she'd shut the hell up about it, because I really didn't think there was anyway it would happen, so it was kind of painful to speculate about such things.
Then, one evening over dinner, Anonydaddy asked "So, would $(large sum of money which I'd rather not specify here) help to make Peeper a little brother or sister?"
Whaaaat?!
Um, yeah. That would help a whole lot!
They went on to say that we're welcome to use that money either for making another baby, or to help subsidize me staying home longer.
So, now we find ourselves with a whole new dilemma.
Take the money and run (or rather, take the money and sit, at home, being a Mama without a paying job) or risk it all (or at least most) on trying to make a baby.
What if we spend it all and don't get a second baby?
What if we spend it all and do get a second baby? Then I'll want to be home an additional two or three years to get that kid to school age, so that's all the more money we'll need.
But, before we could really make a decision, we still needed to know what we were talking about, so we rescheduled our appointment with Dr E, and got Shrike checked out.
When I'd talked to her before, she'd said it was okay to take Peeper along with us, so we made a morning of it, visiting not only at the fertility clinic, but also at the perinatologist's office and the Learning Center main office, which you might remember, are all right there together.
We got a bit of good news right off, in that Shrike only has one fibroid, and it's not in the uterine cavity, nor is it very close to the cervix, so it should not be a problem at all!
The next day, we heard back on her blood work. Her FSH (10.1) and Estradiol (91) are a bit elevated, which shows some decrease in ovarian function, as is to be expected for a 41 year old woman, and our odds of pregnancy are about 15 - 20% per IVF cycle.
That's the same odds that Dr E told me back in December, based on a generic 41-year-old, so it was pretty much the news we were expecting, but not as good as we'd hoped.
(Well, it was what I was expecting. I think Shrike expected them to say "Oh, it's all good! Nothing's changed in two years! Guaranteed baby!" but that wasn't very realistic.)
To put things in perspective, when we made Peeper, we were told we had about a 35-40% chance per cycle.
But we had six cycles to work with, and a money-back guarantee.
But, we got pregnant on the first cycle.
So, make of that what you will.
Cue more stewing and debating and hand-wringing and such, trying to decide whether those odds were worth the financial risk.
Then, I remembered that before the offer from the Anonyparents, we'd been talking about using some money that we've got in an IRA (it's not a lot in terms of living on in retirement, but is about 2/3 of an IVF cycle) because we can get that out penalty-free, if we use it for medical expenses.
When I asked Shrike how she'd feel about using that, then just a bit of the gifted money, for just one cycle, she was much more comfortable with that.
Had we gotten any embryos frozen when we made Peeper, the cost of transferring them would be about the same as what we'd be using beyond the IRA, and if that were the case, we'd probably just do that transfer and not do a new IVF cycle - so, it's sort of the same thing.
For what that's worth.
Yesterday, I called the financial counselor, to get some more solid numbers on what a cycle will cost, and to get information about their "shared help" program, which is a 10-50% discount for people who make less than, well, about half-again what we make.
The discount doesn't apply to PGD and medications, but it would help quite a bit, so she's sending us the application.
The bigger (potentially) news from that conversation is that there's a medication study starting soon, and looking at the various criteria, it seems that Shrike might qualify.
I asked what it would mean, financially, to be in the study. "Would the medications be discounted, or would that part be free, or . . . ?"
"Oh, no," she said, "The cycle would be free!"
Oh. My. God.
Sign us up!
She emailed the woman in charge of the study and gave her our names, and the woman replied almost immediately to say that she'd put us on her list of potential participants.
So, fingers VERY crossed for that!
Categories Attempts at Sibling-Making, Mojo
I should've posted an update about BabyJ a couple of weeks ago, and another a week ago, but I shall get all caught up now.
Previously on The Adventures of BabyJ:
Birth Weight (3/24) - 7 lb 12 oz
Low Weight - 6 lb 14 oz
2 Months (5/24) - 7 lb 14 oz
She went back to see her family doctor two weeks ago (6/11) and weighed 8 lb 9 oz, which was a gain of about 2/3 ounce per day. That sounded really good to both me and DoulaK, (when Peeper was new, her doctor wanted to see her gain 1/2 - 1 ounce per day) but the doctor was concerned that she was "still gaining slowly" and "not gaining muscle mass," so he wanted her to see an actual pediatrician.
Last week, she saw a doctor at the same practice where we take Peeper and she weighed 8 lb 5 oz (but I don't trust any comparison between two different scales). She had blood and urine tests to rule out any metabolic problems (which came back fine), and was given a high calorie formula, that's often used with preemies, to offer after she nurses.
MommyA said that she's sometimes taking a few ounces of that, but not after every feeding, and she's only getting it when she nurses, not when taking breastmilk by bottle, since if she's not full then, we can thaw another bottle. I also have some on hand to give her if we run out of breastmilk. So far this week, we've had enough.
When she came here on Wednesday, we'd not seen her since last Thursday, and could tell that she had filled out a lot. Her arms and legs looked fuller, with no "saggy baggy" skin, and she's even starting to get some little butt cheeks! She feels heavier, and just a lot sturdier and less fragile.
She went back to the doctor today and the great news is that she weighs 9 lb 9 oz, and the doctor doesn't need her back for a month, when she has her four-month well-baby check!
The not-so-great news is that the doctor heard a heart murmur, and will be scheduling her an appointment with the cardiologist (I assume the same one Peeper sees) to check that out, probably some time next week.
As I reminded MommyA, the vast majority of murmurs are either nothing or resolve on their own, and very few actually require any kind of treatment or repair, but of course, I know that she (and we) would appreciate a heapin' helpin' of healthy-heart mojo.
Categories Friends and Family, Mojo
Projects
Remember that big mystery project I referred to a while back?
Well, it's still kind of in limbo. We've gotten a couple of pieces of good things-falling-into-place type news, one financial and one otherwise, but the big financial question is still pending.
Also pending is the question of whether or not to move forward with the project at all, which might well depend on the answer we get to that financial question.
But, a whole new, different, unrelated, but I suppose possibly sort of semi-related and perhaps complimentary, project has arisen, and it looks like we are going to be moving forward with it. I will blog about that when it's a little more solid, as well.
Mojo - financial and other - for both things is greatly appreciated.
And, So, It Begins
Over the weekend, I bought these, because Peeper saw the box on the shelf and said, "Panda!" (daah-duh). I said, "You like that? Okay, we'll get it!" and then, as I put it in the cart, I thought, "Oh, crap."
