Saying goodbye to my body parts…and hello to surrogacy

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IVF Cycle #3 July 5, 2012

My two weeks of relative bliss are almost up as I start up again with shots on Monday. I’ve finally felt somewhat like a normal person the last two weeks; the first time since the beginning of March which was the start of my first IVF cycle. I was finally able to go on walks again, do more than lay in bed, cook, help around the house, garden a little bit, walk our dog myself, and I even squeezed in a couple of bike rides! I had the good intention of trying out yoga again this week, but it hasn’t happened because of the holidays.

I had my ultrasound this morning and everything is a-okay. Tonight is my last birth control pill, I go in for another ultrasound Monday morning, and I start my shots Monday evening. My husband will be gone for most of next week on a business trip so I’ll be on my own; totally fine as long as my back doesn’t give out.

My acupuncture sessions have been going well, and my energy level has also been improving. Quality of sleep still remains an issue to be worked on. I’ve been taking 6-9 mg of melatonin for the past three weeks (but still napping for 3 hrs a day) and only added back the first dose of Xyrem this past week. So far this seems to be a promising combination because I haven’t felt the daytime side effects of Xyrem, and yet I’m able to fall back asleep within a reasonable amount of time even after waking up several times during the night. My naps are about 1-2 hours per day now. I figure if I can’t achieve deep sleep for most of the night, 3-4 hours of deep sleep is a good alternative.

I had a follow-up appointment with my breast surgeon (not the reconstructive surgeon) last Friday and she’s happy with how things look right now. She wants to wait until October (once everything settles down from my reconstruction surgery) for me to get a breast MRI to use as my new baseline for my breast images.

I’ll be going to acupuncture twice a week for the next couple weeks to help my body as much as possible. My retrieval will probably take place on the 23rd, genetic testing five days later, implantation of the embryos a couple days later, then the long 11-day wait to see if our surrogate becomes pregnant. I’m good mentally right now, but I’ll re-evaluate my mental and emotional health in a couple weeks. I’m hoping the emotional roller coaster ride this time around will be less intense, but I really won’t know until it comes. I remember the crazy ups and downs from Cycle 1 that started with the retrieval, so I’d be lying if I said I wasn’t feeling a bit nervous about this up-coming cycle.

I’m going to just really try to enjoy the next several days before my belly starts to over-distend; it’s actually still bloated right now from the last cycle. If I’m really ambitious, I might make it to yoga after all!

 

Starting Again Soon… May 22, 2012

Monday morning I went in for my pre-IVF check-up.  The doctor performed an ultrasound on me and said my ovaries looked great.  I then met with our nurse, and she went over paperwork, gave me my tentative IVF calendar, and gave me some donated meds.  The medications included four boxes of Follistim, two boxes of Ganirelix, and three syringes of 20 ml of Lupron.  Since she ordered 9 boxes of Follistim, 1 box of Ganirelix, and one HCG shot for me through the pharmacy, I will have 13 boxes of Follistim, three boxes of Ganirelix, and one HCG shot.  She told me to bring the HCG shot in to the office so they could store it for me until it’s needed.  Then she took four vials of blood for CBC (complete blood count) and disease screening because we are using a surrogate.   Monday night was my last birth control pill.

Friday morning I have another ultrasound appointment at 8:10 am, and my first shots of Lupron and Follistim will be in the evening.  For some reason, my right lower back started hurting late Monday night and continues to bother me.

Monday morning I also had an appointment with my sleep doctor to check up on my dosing of Xyrem.  The doses I’ve settled on is 4.25 g for my first dose and 3.75 g for my second dose 3.5 hours later.  This combination maximizes my sleep while minimizing the morning side effects (nausea and fogginess) and feeling bloated throughout the day.  If I take my first dose at 10:30 pm, I usually wake up between 6 -7 am.  The doctor also added 150 mg of Nuvigil to my regimen.  Nuvigil is supposed to make me feel more alert (without feeling like I took a stimulant) while keeping the fogginess away; the dose is taken in the morning and is supposed to last all day.  I took one of the sample Nuvigil that the doctor gave me after the appointment, and I noticed that I am more alert, but with a little bit of jitters in my left hand.  I took Nuvigil again this morning and and didn’t have the jitters this time.  I haven’t had to nap either day.  However, I don’t feel quite as good when I used to be on my other prescribed stimulant.  Of course, I’m starting on the lowest dose of Nuvigil so I know there will side effects until I get used to the drug, and the lower dose may not be as effective.  My sleep doctor also said that Xyrem and Nuvigil should not adversely affect my IVF cycles in anyway, but to inform my fertility doctor regardless.

Today is three weeks after my breast reconstruction surgery which means I’m allowed to soak in a bath or a jacuzzi again.  I’ve been feeling a little off the last few days, but maybe it’s just the new medication I’m on, and possibly a bit of anxiety about going back to work in the fall when I still have so many things to do.

 

Ready for Tomorrow April 30, 2012

I felt much better yesterday and today, and just got the “all clear” from my doctor this afternoon that I’m okay to go into tomorrow’s breast reconstruction surgery.  I can actually go up and down the stairs all in one trip now and finally feel good enough not to be a hazard to myself.  My appetite was great yesterday and today, but I still seem to have symptoms of IBS (irritable bowel syndrome).  My sciatica has also improved enough for me to hobble from room to room at a decent pace, and my doctor said that I could take Neurontin for my sciatica pain.  I’m off my Xyrem as of last night to ensure it clears my system before the surgery, so even though I was really tired last night, I woke up and stayed awake for an hour and a half before falling back asleep (narcoleptics have very fragmented sleep; it’s as if you’ve only slept 3 hours even though you’ve been asleep for 8 hrs).  I was pretty tired today and already had two naps before my doctor’s appointment.

On the way home from the doctor, I also picked up my meds for tomorrow.  Keflex (antibiotics) three times a day for three days, and Vicodin 5-500 for every 4-6 hours.  Tonight I scrub with my Hibiscus anti-bacterial scrub and again in the morning.  My anesthesiologist will call tonight and if I’m counting correctly, tomorrow will be the 6th time I’ll be going under general anesthesia for a surgery within the last 8 years.  I will go under general anesthesia at least two more times before the summer is up (for IVF procedures).  Since my check-in time is 8:30 am, we will probably leave the house around 8 am, which means I’ll probably wake up at 7:15 am.

My husband and I are going out to dinner tonight because we deserve it.  🙂

 

Elevated Heart Rate Since Wednesday April 29, 2012

I’ve been dealing with an elevated heart rate since Wednesday.  I’m not sure if it was a combination of me not eating all day (I was too caught up in writing and wrote for seven hours straight) and the Xyrem, but my heart beat was at 144 for almost two days.  On Wednesday, I felt extremely light-headed every time I stood up and just felt really “off.”  When my husband came home in the evening, I finally realized I hadn’t eaten all day and suddenly recognized that I could be hypoglycemic.  The only other time I’ve ever felt this way was hiking treacherous terrain in Kauai for 8 straight hours.  I drank a cup of orange juice and had a little bit of food, but I still wasn’t feeling better several hours later.  I could barely feel my pulse (which really scared me), and I couldn’t sleep at all Wednesday night; I slept for about an hour and a half.

Luckily, I already had an appointment with my primary care physician (I check in with her every month or two because of everything that’s going on), so I just waited until the morning.  It was very difficult for me to even walk from the parking lot to their office on the first floor.  I had to walk extremely slowly and then was breathless by the time I reached the office.  My heart rate was 144 and my blood pressure was also elevated.  I usually have very low blood pressure as well as heart rate.  The doctor wanted to do an EKG on me, so I lay on the bed for about 15 minutes until the assistant came in.  My heart beat was normal but just elevated, and was still 114 even after lying there for 15 minutes.  When I sat up, I felt dizzy as if I was going to pass out.  The doctor wanted to see me back the next day before the weekend and prescribed me some beta blockers to slow down my heart rate for 12 hours.

When I got home, I parked myself on my couch.  I had my husband pick up my medication for me because there was no way I would be able to walk from the parking lot into Albertsons.  I still didn’t feel any better several hours after taking the beta blocker, but I had parked myself on my couch because I was supposed to be working on a baby shower cake and cake truffles for a friend.  Every time I tried to sit up or move, I felt very faint.  From a lying down position, I would have to sit myself up for a few minutes before even attempting to stand.   One time when I stood up, I literally felt all the blood draining from my face and knew if I didn’t lay down right away I would pass out.  Finally around 11 pm my heart rate slowed down a bit and I was able to sleep through the night with Xyrem.

I went in at 10 am for another check-up.  They did another EKG on me again and also did a breath test (lung capacity).  My EKG was normal with slightly elevated heart rate.  It was as least 96, under 100; normally my heart rate in the upper 60’s or lower 70’s.  The breath test wasn’t good.  When I found out I had asthma, my lung capacity results were at 72%.  Most people are at least at 90%.  The test revealed my lung capacity was only at 66%.  They also took some blood to check my liver panel.  I was told to lay low all weekend and to come back on Monday.  They were concerned that my breast surgery on Tuesday wouldn’t be safe if I didn’t dramatically improve over the weekend.

Here’s a picture 2 days after my blood draw.  This is the worst blood draw I’ve ever had:

So far my heart hasn’t slowed down too much more, but I have felt some improvement.  On Thursday and Friday I couldn’t even make it up the stairs without sitting on a step to rest for a few minutes.  Walking to the bathroom was also difficult.  I had to move extremely slowly and would have to sit down every 7-10 steps.  I remember even crawling up the last few steps of the stairs one night to go to bed.  Making cakes is usually a passion and fun hobby for me, but this time it was so stressful because every little movement  took so much effort.  I sat at the dining room table and had to ask my husband to fetch things for me for that were only 7 feet away.  I had to strategically place chairs at certain “stations” around our kitchen/dining area so I could sit in them while getting the things I needed.  I barely finished 1/2 an hour before my friend came to pick up the goodies.

Right now my resting heart rate is about 88, my shoulders are so hard and tense from stress and trying to compensate for the rest of my body, and the kicker is that my sciatica flared up again.  I started feeling a little twinge of the sciatica on Tuesday, a little more on Wednesday, definitely on Thursday, and I’ve been in major pain Friday, Saturday and today.  I’m a mess.  I also have a headache but can’t take Advil because I’m not supposed to take any blood thinners for 2 weeks before my surgery (and I don’t have Tylenol on hand nor do I want to go get some).  I also don’t want to take Vicodin for my sciatica (it’s the only thing that brings relief) because I don’t want anything else messing my body up for Tuesday’s surgery.  My body is in so much pain I think it’s producing it’s own opiates which means that almost anything my husband says right now is funny.  At least yesterday I was finally able to go up and down the stairs without stopping, although really slowly; I would put both feet on each step before proceeding, which also alleviated the pain from sciatica.  I’m laying as low as I can these few days, and had to change my Saturday plans so I could stay at home and rest.

I hope my heart rate continues to go down, I hope my breath capacity test improves on Monday, I hope my sciatica improves at least a little bit before the surgery, and I hope I’m able to have my breast surgery on Tuesday.

Also, isn’t it ironic that I just made a cake and favors for a baby shower?  😉

 

It Still Hurts April 21, 2012

It’s been a little over a week now from when we found out we weren’t pregnant anymore, and if I’m being honest, it still hurts.

Last Sunday after I published my last blog, I started getting dressed for the bridal shower.  I really wanted to go because it was for a good friend, but I also wished I didn’t have to go because I was feeling so crummy.  The invitation had said “Attire:  spring dresses (optional)” so I looked for a spring dress to put on (even though it was a cool day).  I tried on a few things, but nothing fit comfortably since my body has changed so much from my breast surgery last September (weight gain and bigger breasts).  I intend to go through my entire wardrobe after my reconstruction surgery (May 1st) and get rid of things I can’t wear anymore; I’ve already tried to clean out my closet once but with expanders (they are hard and firm and high and do not budge), it was really difficult to know what would or would not fit so I kept most of my stuff.

I finally decided to skip the spring dress and just wear pants with a nice top.  As I was putting on the outfit, I imagined myself at the bridal shower trying to smile and mingle because it was for my friend, and instead, I just broke down crying in my closet.  I couldn’t do it.  I tried to pull myself together and I just couldn’t.  I was still just always on the verge of tears, and I didn’t want to ruin someone’s shower by crying.  I called my friend and apologized to her about cancelling last-minute and gave her a brief explanation of why.  She said she understood and said we would catch up another time.  I really felt horrible not going to the shower, but it was all I could do to keep myself together.  I kept crying after I got off the phone with her, and a couple of hours later, ended up meeting a friend for a quick snack at a local tea shop.  This friend has been through all of this with me and seeing her cheered me up.  Later my husband came home from the zoo (he went to the zoo with his sister and niece because he thought I would be at the bridal shower) and I told him I ended up not going to the shower.  We hung out at home all afternoon, had dinner, and got ready to go to his Sunday softball game.  Several of the wives and girlfriends usually go every Sunday and cheer the men on.  I started feeling really anxious while getting dressed and my husband could tell.  I wanted to watch the game to distract myself and snap myself out of it, but at the same time, I wasn’t ready to see and talk to people even though the other women already knew about the whole surrogacy process.  He asked me if I wanted to stay home and I told him I was conflicted.  Then I said it might be hard for me to act normally around others right now and that I was afraid I would start crying.  I ended up staying at home that night too.

Monday we left to drive to Vegas (for my husband’s work), stopped by the outlets, and watched a show in the evening.  We saw the Jabbawockeez at Monte Carlo; they were highly entertaining and incorporated awesome dancing, great music, humor, audience participation, and a whole lot of creativity.  The next day I stayed in the hotel room while my husband worked.  Aside from walking my dog and getting breakfast, I mostly read the entire time.  I really didn’t have a desire to go anywhere in my state and I’ve been to Vegas many times already.  In fact, the smoke in the hotels and casinos gave me a huge headache every time I passed through the lobby to walk my dog (the casinos and smoke and loud noises really scared him).  The headaches would last about three hours, and even in the room, I felt as if I was still breathing smoke (I have asthma).  When my husband finished with work in the evening, we went to the buffet at the Bellagio.  Both feeling stuffed and sick from the salt of too many snow crab legs (I hate it when buffets do that), we drove back to our hotel to relax.  It was around 8 pm.  Originally we planned on driving back the next day, Wednesday afternoon, but one of us (I think it was me) jokingly said, “why don’t we just drive home now?  We’d be home by midnight!”  My husband caught on and neither of us really wanted to stay another night, and I also mentioned how nice it would be for us to sleep in our own bed that night.   So as he showered I packed, then we checked out of the hotel (it wasn’t a great hotel because we needed a dog-friendly hotel), filled our car with gas and was on the freeway driving home by 9 pm.  We arrived home at 12:30 am (not bad), I showered, and we went to sleep.  I hadn’t wanted to go to Vegas anymore after hearing about the un-pregnancy news, but it did serve as a distraction; it would have been worse if my husband was gone and I was just sulking in my bed at home.

We both felt under the weather on Wednesday, and I felt sluggish and feverish without a fever on Thursday and Friday.  I had a pounding headache, swollen lymph nodes, a partial sore throat, felt aches all over my body, and couldn’t stop my hands from shaking.  Maybe it was my body detoxifying from the smoke of Las Vegas.  I might also have felt so much worse this time in Vegas because my body was already going through so much.  The only good thing is that my sciatica is diminishing (those stretches really helped) even though my lower back hurt yesterday.  I finally felt a little bit better last night.

The good thing about us coming home early was that we were able to move our fertility doctor appointment up from next week.  We met with him on Thursday, at 3:30 pm.  He reviewed our case and asked us if we had any questions.  My husband asked if any part of the failure of the pregnancy was due to our surrogate, and the doctor said the surrogate was perfect.  Everything happened the way it should have: she got pregnant, but unfortunately the pregnancy didn’t go as planned.  He said the surrogate was actually devastated for us when she heard the news, bless her soul.  The doctor informed us that miscarriages happen in 20-30% of normal pregnancies and that we can only hope I produce another plentiful batch of eggs and that we end of up with more implantable embryos, maybe 5 or 6.  I asked if the percentage of chromosomal abnormalities we had (70% of 10 embryos) was normal, and he said that because I wasn’t in any of the 4 high-risk groups (I don’t remember what they are), I should have had closer to 50% normal embryos.  My husband asked if there was anything about his sperm that contributed to the chromosomal abnormalities, and the doctor went over his report.  He was perfectly fine.  Because we’re using a surrogate, we can only use frozen sperms.  That meant it was my eggs and chromosomes that were contributing to the chromosomal abnormalities.  😦  Because of this, PGD is even more important for us.  The doctor said we should expect approximately the same results of implantable embryos the next round of IVF, but hopefully we will have more eggs that fertilize so they will be able to biopsy more than 10 embryos, and that we will have more than 2 implantable embryos.  He asked us when we’d like to start the next cycle (I guess some couples want to wait a few months), and I told him as soon as possible after my breast surgery.  I’m to contact the nurse after my breast surgery so she can set up a calendar for the next cycle.  The doctor asked us if there was anything else we needed to ask or discuss.  We said, “no,” but I said, “only that I wish I could start it again right now!”  The doctor looked over at my husband and said, “you’ve got yourself a wild one!”

On our way out we stopped by the financial lady’s office to go over costs for the next cycle.  She asked me how I was feeling, and I said “okay.”  She said “really?”  I replied, “well, not entirely okay, but much better.”  We have a lifetime coverage of $15K for infertility benefits, but that did not include the surrogate’s medication or procedures.  I used about $5K of medication last time and our PGD cost was about $9K.  This is not including the medical costs.   Needless to say, our $15K is readily being gobbled up, and since we didn’t have any leftover embryos, we’re having to do the entire procedure all over again.  Our first round of IVF cost $22K (including insurance).  Our out-of-pocket for this second cycle will be approximately $20K; having leftover embryos would have greatly helped with the cost.  We left the office very stressed out, especially my husband, regarding the costs.  At the end of all this, we will paying approximately $100K for the entire surrogacy process if the embryos had successfully implanted the first time.  Now it’ll be an additional $20-25K with each subsequent IVF cycle (special surrogate circumstance).  This is definitely stressful, without even considering what I’ll be putting my body through again.  My husband was bewildered how one cycle of IVF could wipe out so much money and contemplated the number of cycles we should do.  We had talked about doing this next cycle and possibly one in August if this one doesn’t work out.  He wondered if there was even a point trying after that.  Hearing him say that scared me.  We’ve been through so much, we’ve come so far, giving up wasn’t really an option for me, at least not yet.  But I saw his point; there had to be a limit.  We didn’t say much the next couple hours (I was giving him space b/c that’s what he needs when he’s stressed out) and then he got ready to go to softball practice and 2 games (he was subbing).  I thought it would be good for his stress release.

Finally alone, I let myself cry.  I felt really crappy about everything.  I felt crappy that the first round of IVF didn’t work, I felt bad my husband was so stressed out, I felt bad that my body produced so many chromosomal abnormal embryos, and I was still grieving the embryos.  I texted my friend.  She told me to cry it out, to just let it all out.  I tried to, but my dog got scared and jumped off the bed.  He jumped off twice more and I felt bad for him, so I quit feeling sorry for myself.  I texted my friend that I was done crying, and in fact, I had just emailed the nurse case-carrier to update her of our tentative plans.  I also texted our surrogate to give her an update and asked how she was feeling.  She texted “That’s awesome!  I actually feel great.  🙂  I’m happy and thinking positive…”  She’s so great.  I have a feeling we’re being strong for each other.

When my husband called me driving from one game to the next, I proposed something to him.  I told him that I understood why he was so stressed, but I didn’t want to give up too early.  We were still young and I figured if I worked during the year, it would pay for two IVF cycles.  I asked him if it would be okay for us to go through two more cycles this summer if need be, and then we could hold off until next summer when I’ve made enough money for two additional IVF cycles.  I told him I didn’t want to give up.  Plus, I will be working full-time this fall which is difficult enough as it is with narcolepsy and prescribed stimulants, so I can’t even imagine having to go into the clinic at 6:30 am almost every other day to make it to work on time; I’d practically have to be on bed rest for 2 1/2 weeks anyway from all the back pain.  My husband sounded more hopeful and on board which made me feel better.  I figured it wouldn’t do any good to have both of us down, which meant I had to lift the both of us.  See, that’s why I’m a high functioning optimistic-positive-depressed person.

I think my own limit might be trying two more summers after this one.  I will be 36 by then.  After that, I would be really discouraged emotionally.  Physically, I’m not quite sure how long I can handle my uterus staying inside of me causing me to have UTI feelings every single day.  I’ve finally stopped spotting, but I’m still having a yellowish-brownish discharge.

Right now my Xyrem is doing weird things to me physically because my body is still adjusting to the increased doses, but I have no choice if I really want to see if it’ll help me.  I need to be patient with that.  I have four doctor’s appointments next week, my breast reconstruction surgery May 1st, two weeks of recovery, and the second IVF cycle the third or fourth week of May at which time I’ll have to get off Xyrem again.  I’m a bit overwhelmed, but I’m  functioning.  I’m functioning because I have to.

We have a get-together tonight at our house with some of my husband’s friends, but I’m still really hurting.  I don’t want to be anti-social but I also am not in the mood to be a host.  I think I’ll let my husband do the hosting tonight.

 

Morning Realization April 15, 2012

This morning I realized I am a high functioning optimistic-positive-depressed-person; I believe Xyrem is helping me more with just my narcolepsy.

Last night I had a very interesting session with my Xyrem (remember it lowers my inhibitions).  My husband’s family came over for dinner to hang out for a while, and while everything was fine and went well, I wasn’t really in the mood to hang out with other people yet.  I was still very sad about the embryos, and I don’t like to “fake” interactions.  Before they came, I took a Vicodin to help with my sciatica, but towards the end of the night, it started to wear away.  When my husband’s sister’s family arrived first, I showed them the picture of Number 5 and Number 7 because I wanted to share it with them, and I wanted to share the picture with them before the parents arrived.  They have a beautiful little girl who is 1.75 years old.  My husband’s sister is like my sister too, and during this time, having sibling support is really important.  Unfortunately, my own sister who I’ve been close to my entire life hasn’t been talking to me since last September, right after my breast surgery (a long story).  I emailed my entire family when we found out we were pregnant, and I emailed everyone again (on Saturday) when we found out the pregnancy would be terminated.  No response from either her or her husband after either email.  As my sister-in-law said to me, I’ve extended many olive branches and I just have to move on.  My mother also called me yesterday which was very stressful because she wanted to know why things went wrong with the pregnancy and every last detail about my future plans, including if I wanted to work or not.  Next time I’m not going to tell my parents until after the 1st trimester, like most other people.  I just can’t handle that additional stress right now.

At night when the Xyrem started working, I started to speak more freely with my husband.  When I feel sad, I usually don’t voice it or I suppress it; I keep it to myself and try to compartmentalize it.  I’m also allergic to alcohol (asphyxiation) so I’ve never had that as an outlet to relax or relieve stress temporarily.   But maybe that’s a good thing, or I might have been an alcoholic (I told you I’m a positive person!).  I started telling my husband how the Xyrem lowers my inhibition because I was crying again Friday night when thinking about the embryos.  I said sometimes I feel like I could just really cry it out, REALLY cry and allow myself to feel all the emotions and just let it out REAL GOOD  just one time.  And then I said maybe I should just let myself cry right now and that it would probably be really good for me; I basically wanted permission to cry.  I told him that even though I was crying right now as we’re talking, I was still holding it inside in a big way.  I was still controlling the intensity of my cry. I guess I learned to control my crying when my dad yelled at me that one night in high school when I had my hypnogogic hallucinations.  I wanted to freely cry and for my husband to be okay with it and to not freak out, and for him to comfort me while I cried.  He didn’t say anything and I took that as a sign that it would be okay for me to cry, so I looked into myself more deeply and started sobbing; I really wanted to let go and sob and wail in despair without being judged.  Ten seconds later my husband asked me “what’s going on over there, huh?”  I replied that it was the embryos.  I told him I already really loved them, and it really hurts.  He said, “don’t worry, we’ll make more.”  I said, “I know, but I”m still sad.”  I just needed to grieve first to move on.  Then slightly agitated, he said “C’mon.  They were so little.  It was only two weeks.  They were like nothing!  Just focus on making more.”  I told him not to say that.  I told him “I know the process was very early but they were NOT nothing.  DO NOT say they were nothing.”  I sobbed a few more times and then I stopped crying but was still tearing in the dark.  He said, “you really want to have a baby, don’t you?”  I said, “yes, I really do.”  I told him I had always kept my emotions about whether or not I wanted kids at bay because I knew early on there was a good possibility I wouldn’t be able to have kids.  Even before we were engaged I made sure he knew everything going on with me medically (I had already had my surgery of 59 fibroids) and even had him go with me to a fertility doctor to make sure he understood all the risks and implications.  I didn’t feel sorry for myself and I didn’t want to be married to anyone that had unrealistic expectations or anyone that would make me feel guilty about things that were out of my control.  I am what I am.  I told him that once I knew our surrogate was pregnant, it was hard not to feel and think like a mom already, and I loved the embryos.  I told him that it’s been really hard going through everything I’ve been through, not being able to do so many things, not even being able to go up and down our stairs twice without feeling winded because my expanders pressing down on my ribs make it hard for me to breathe, not feeling awake during the day (although now it’s improving), and feeling pain and discomfort everyday.  I told him it’s…really…hard (I’ve never told him that), and I told him but despite all this, I still always think that whatever I’m going through is nothing compared to someone who is battling cancer or any other life-threatening illness, that I can’t even imagine how scared they would feel.  I told him that as a kid, I was always a naturally empathetic person (even if I didn’t necessarily express it) and that I wanted to take other people’s suffering away from them, to help them, to bear the pain for them.  But as a kid, I didn’t know how to handle those emotions.  I finally reached a point where I didn’t feel anything at all, happiness or sadness, and didn’t want to live the rest of my life.  I’ve since learned how to pick myself up and “compartmentalize” emotions which is why my husband always asks me how I can be so  strong.  I tell him you have to be strong and dare to feel and look at disturbing things and to keep yourself together in order to help those in need.  I told him this is all very hard for me too because I’m not really able to help others right now, and he told me that I need to take care of myself first.  I know.  I know that, but that still doesn’t make it any easier.  He said I already am helping others, with my blog, with my baking, when I’m teaching my students, which is true.  But the unfortunate truth of teaching is that everything else that teaching comes with (other than the students; I love the students) sucks so much more out of me than I can replenish, and when I have children, they deserve to have a mom that is full on the inside.

It’s Sunday and I’m off to a bridal shower in a little bit; time to hold it together after letting myself all out on the internet.

 

Sciatica/Piriformis Syndrome, and Two Days After April 14, 2012

So all this butt pain I’m feeling is actually symptoms of sciatica which probably stemmed from my egg retrieval (extreme lower back pain caused by enlarged ovaries).  So if I’m including this pain in my full recovery from my egg retrieval, I guess I’m still counting!

What I really have is something called piriformis syndrome because the sciatica isn’t caused by a herniated disk.  It’s “an uncommon neuromuscular disorder that is caused when the piriformis muscle compresses the sciatic nerve”  (www.webmd.com).  The piriformis muscles are located deep in the buttocks.  I guess that why the Salonpas patches I’ve been putting on haven’t been helping much.  “Piriformis syndrome can develop when the piriformis muscle becomes tight or spasms and places pressure on the sciatic nerve that runs beneath it. The pressure on the sciatic nerve can cause low back pain and/or pain that radiates to the rear and down the leg (similar to sciatica pain). From a technical standpoint, piriformis syndrome does not cause true sciatica (as sciatica is usually defined as a radiculopathy, or compression of a nerve root as it exits the spine). However, just like sciatica, piriformis syndrome can cause pain, numbness and tingling along the sciatic nerve, which runs down the back of the leg and into the foot” (www.spinehealth.com).   It’s definitely extremely painful in my left buttock and I can also feel the nerve running all the down to mid-calf and a bit in my foot.  It’s uncomfortable to sit for too long and feels better when lying down.  So I’ve mostly been lying down, and even then, lying mostly on my right buttock.

Last night it started hurting so badly I gave in and took  a Vicodin (leftover from all my procedures) which was the only thing that has made it feel better.  I even tried to soak in the spa last evening which did nothing to relieve pain.  This morning I found an awesome website about sciatica which had some exercises for stretching out the piriformis muscles; it’s really the only thing I can do to help it get better.  Here’s the website: http://www.spine-health.com/conditions/sciatica/what-piriformis-syndrome

Two Days After Finding Out We Weren’t Pregnant Anymore: I was still quite sad yesterday about the embryos and cried a bit more.  I tried to put forth a strong front but it only worked somewhat.  But sometimes that’s what you need to do to start.  It’s all part of the process.  I texted my surrogate yesterday to ask her how she was feeling, and she said she was sad the day we found out we weren’t pregnant and cried quite a few tears that day for us.  She ended up calling our nurse case-carrier yesterday who made her feel a bit better.  This is the text I sent back to her: “Aww…I’m sorry you’re feeling that way.  😦  Of course we were sad yesterday but we r much better today.  I cried myself some tears too but I also know we need to look forward.  The last thing I want is for u to feel bad.  We actually saw Dr. ____ this morning…and he told me to go ahead and get [my breast surgery] done first.  So I’m thinking the next cycle will be end of May or in June.  But we have a consult with him on the 24th.  It WILL happen.  It just wasn’t meant to happen this time.  You’ve been so great about everything.  :)”  Truly, I wanted her to stay encouraged and not deflated, and I REALLY don’t want her to feel guilty or to blame for ANY part of the process.  She’s giving us an immeasurable gift and she’s also going and will go through a great deal, and she should know that (Note to Self: I should text her that next time).  Plus, we’re in this together, so we need to raise each other up and stay strong together.  🙂

She texted me a little later yesterday and said “I’m feeling better today.  🙂 I know it will happen…”