Us

Us

Monday, September 17, 2012

A tale of Midazolam...and a basket full of eggs

There's something to be said for the memorable side effects of a Midazolam and Demerol cocktail. When I say memorable, I do not mean for the person injected with this concoction. I fully mean this solely for her audience.

On Saturday, my beautiful wife and I went for our aspiration. For the IVF challenged, this is the procedure where we go in and try to retrieve all of the eggs that Heidi has spent the last month trying to make. We are hoping for a good number of eggs so we have lots of opportunities for success! The embryologist is there to find, rate and fertilize the eggs that we find. Also starring in this little event, the good Dr. Welden and his trusty nurse, Pam. It's a full house.

Prior to the actual procedure, she is injected with a little Midazolam and then a dose or two of Demerol. This puts her in a bit of a twilight state where she is able to communicate but has absolutely no recollection of the events that unfold. My friends...I learned something on Saturday about my wife. She's funny as hell. The irony...she doesn't remember how funny she was thanks to her special cocktail.

We went in for our aspiration. As is typical routine, Heidi spent the entire pre-procedure worrying that she might have ovulated and this would be all for naught. She does this all the time because, in reality, it's a huge deal-breaker if she does. She has never ovulated before she's supposed to (except for that one little IUI with RMG) but she worries anyway. At last count, there were about fifteen follicles so we are anxious to see how many eggs we'll fetch during the aspiration. As is standard, the preparations for our aspiration include cranking the AC down to sub-zero temperatures. Heidi was prepared this time! She brought socks to keep her tootsies warm. She also brought her own pillow with her instead of using the standard issue Care Bear. I'm sure this alone is sufficient for ensuring success! Work with me people ~ if baseball players can credit game wins on dirty socks, surely we can credit lesbian pregnancy on socks and special pillows. It would be nice if, for a change, you would just see my vision without me having to elucidate on everything. Digression...

So, all of the cast is present for the making of "Let's Make a Baby". Heidi is naked from the waist down, except for her trusty socks. I offered to also be naked but said offer was graciously declined by the nurse. Just wait until I give feedback on my comment card; this is absolutely going to come up as a "Needs Improvement".



The IV is placed in Heidi's arm and taped to a board. This is good because last time, during her drunkard Demerol state, she was very insistent on removing said IV. Taping it to a board will make it a little more difficult for her to try her own IV removal. We have a new addition to the procedure this time...a video monitor that links up to the embryologist microscope so we can see the eggs as he sees them. Correction...so I can see them. Heidi will be drunk on Demerol. She'll be communicative, but likely not able to remember or see or focus or you get the point. So, yea, a new monitor for me.

As the Demerol starts to flow, Heidi's eyes become heavy. Her words start to slur just a bit and I know...she's heading into the land of narcotic intoxication. The doctor comes in and starts making his preparations. It's a full on procedure so there are a lot of things to do...set up the ultrasound machine, set up the test-tube sucky-thingy, set up all of the test tubes, set up the guide for the ultrasound machine, put the dreaded speculum into Heidi's nether-regions...all types of pre-aspiration fun. As he is preparing his workplace (also known as Heidi's vagina), the Demerol kicks in and the first of Heidi's memorable moments occurs. In her sweetest slurred voice, Heidi says, "Dr. Welden...you're beautiful." Immediate laughter from me and the nurse. I don't mean a giggle, I mean I had tears coming out of my eyes. She's so fricking adorable! Dr. Welden just smiles and nods; I imagine he suspects it's the Demerol talking. LOL

As the procedure starts and the ultrasound wand is inside Dr. Welden's workplace (er, you know, Heidi's vajayjay), Heidi says, "Ow." Pause. "Ow, ow." Dr. Welden looks up from betwixt her thighs and little wifey says, "Just kidding". For real...my drugged up wife is playing a little vaginal practical joke. I thought I was the only Voci who did that?!?

She proceeds to ask Dr. Welden if she can have the rest of the Demerol to take home. Dr. Welden chuckles and says no. Heidi says, "Why not? I paid for it."

Throughout the procedure, Heidi does well but is in a little pain. She's also extremely thirsty. This results in me playing nursemaid to her with a small cup of water and a broken straw, which as we all know, means you suck in a lot of air and a little water. The last time she asked for some water, she said, "It was just right here on the nightstand." LOL My little Demerol darling. LOL

Now, the actual point of this blog isn't only to recap the musings of my intoxicated wife. It is to relay to you, my friends, family and some random strangers (what? It's a public blog!) the progress of our baby making efforts. The procedure lasted for a bit since there were so many follicles. Each follicle was sucked out, sometimes twice because eggs have a tendency to stick to the wall of the smaller, less developed follicles. Dr. Welden would suck the egg into the test tube and Dr. Clarke would look at the messy blob of bloody goo and announce whether or not an egg had been located. I would look at the monitor on the wall to confirm his findings. Really? No, I would look at the monitor on the wall and have absolutely no idea what the hell he was looking at. It was a blob of black and white. I'd like to say I could see it but it was really only when he actually pointed out the exact thing to me. Even then, I wasn't able to pick out the next one. LOL I could, however, identify the follicles on the ultrasound; I'm a frigging expert on that at this point.



The "Unexpected Moment" of the day came in casual conversation with the nurse. The last time we did IVF, we elected to freeze any unused embryos so all of the eggs retrieved were fertilized. Somewhere around sucked out egg #8, the nurse mentioned that only three would be fertilized since that was all we were putting back in. *Screeching brakes* What??? Why were we sucking out all of these eggs if only three were going to be fertilized? What if any of the three fragmented?? It happened the last time but it wasn't a big deal because we started with twelve eggs. What if they were all unsuccessful in dividing? For me, this was a holy shit moment. Heidi was in Lala Land and we hadn't discussed this. I told Pam that I wanted them frozen then because I wanted all of the eggs fertilized. I asked her why they wouldn't fertilize all of them. She responded that Dr. Welden wouldn't discard a healthy embryo. *Screeching brakes again* I hadn't thought of that. I mean, there are plenty of arguments about when life begins but I can tell you that for two lesbians trying to make a baby, for us, it begins the moment those eggs are extracted and they are introduced to a sperm or two. They are, for all intents and purposes, our babies. I couldn't imagine just discarding them either. I talked with the embryologist a little to see what he thought the chances were of successful fertilization with three embryos. He said he thought they were excellent because Heidi had great eggs PLUS there was a back-up plan. Four of the eggs were at the intermediate stage of maturity which meant they weren't able to be fertilized for a day or two. If any of the three that we had fertilized did not thrive or started to fragment, we still had four eggs that we could fertilize. OK. That didn't sound so bad. We didn't want to freeze eggs because, as we already knew, the chance of pregnancy wasn't so great (unless your name is Kyong) and we'd actually have to make contingencies for our frozen embryos. Meaning what would happen to them if we died. Didn't think about that either. So while my wife lay there in her little happy place, I made the executive decision not to freeze any of the embryos and rely on the success of three or the back-up of four. And if all of that failed, I would just tell her that she made the decision and I had to comply. I'd tell her that I thought she was lucid and legally able to make these kinds of decisions. Yea, that's what I'd do...

So, end of the day, we ended up with fifteen eggs. Not half bad for a girl weighing in at 98 lbs. If nothing else, my girl is a helluva egg maker...momma hen, if you will.



Oh, that's not quite the end of the story. What would this blog be without one more example of how darned funny my wife is. So, at the end of the procedure, after vitals are taken and she's stable and all of that good stuff, they slowly start to wake her up. They lift the table she's laying on up a little at a time. They move her legs from a nice comfy position to a sitting position. I rub her hair lovingly in an attempt to rouse her from sleep. I whisper sweet nothings to let her know we are done and to get her to come back to the land of the living. When those things don't work, I reach out, with only love in my heart and ever so gently, grab her boob. To which, she responds, "Thanks Pam." That's my girl. LMAO

We have spoken with the embryologist twice since the aspiration. Both times, he said the embryos are doing fabulously and no fragmentation has occurred. This is great news! His words today, "You're going to get pregnant this time." I hope his prediction is right. I hope this is our time...our turn to be mommies to a baby (or two!).

And now we wait until Thursday when we will hopefully put three healthy embryos back into the baby maker. Hopefully, all of the prayers we have received, good karma and the fact that Heidi made out with a fertility statue will bring us the success we so desperately want. Fingers are crossed!

Thursday, September 13, 2012

Doing the math...

Today represents 70, yes, 7-0 shots given to Heidi since the beginning of our "vitamin" endeavor. 70 times she's lifted her shirt, let me rub a cold alcohol swab across her little belly and then stick her on one side or the other and inject her with chemicals designed to make her follicles not grow, then designed to make them multiply and grow. Today, we stop those shots and at midnight, we do one more shot...one to make them mature. Thirty-four hours from that shot will be one of three very major moments we have remaining in this, our last journey. Thirty-four hours from midnight tonight we aspirate.

Over the last seventeen days, we have had a regimen of doctor visits, shots and oh yea, we can't forget, cleaning up puppy poop. Not really a vital component to fertility, but definitely worthy of mention. Why would poop be relevant to this blog? Well, first I will direct you to the last blog wherein I informed you, my dear reader, of our adoption. Second, I will direct you further to the end of said blog to remind you of my intent to effectuate a little duplicity upon the universe. Alas, the universe seems to have uncovered my attempted deception and has paid me back in triplicate by providing me with sleepless nights, countless piles of poop, puddles of pee and a missed opportunity to invest in Bounty and/or Lysol wipes. Checkmate, Universe, checkmate...

So, throughout the injection of closely timed doses of lupron and follistem and ovidrel (oh my!), we have managed to create quite the collection of follicles. There are enough eggs in my little wifey to make the matron of any henhouse proud. Our first "measure" visit netted about twelve follicles progressing quite nicely. This is more than our last try by three...so this is good; more is good! Our schedule for the next couple of weeks will involve various trips across the pond to see Dr. Welden so he can count and measure follicles. Each trip to count and measure will hopefully amount to about 2 mm per day of growth. Doesn't sound like a lot BUT when you have a dozen follicles in there, growing at 2 mm per day in a really small space, well, it can definitely get a little crowded. For those of you gals really attuned to your girly parts...know how some months you can feel what side you ovulate from? Well, that's one egg. One. Let's revisit simple multiplication. What is one times twelve? Come on, seriously? I sense some of you looked up to do the math in your head. LOL It's twelve. So if you can feel one egg move when you ovulate, magnify that by twelve hanging out in your ovary. Get my point? Oh, and you suck at math. :)

This point in our journey is pretty critical. We are doing so many things at the same time, with everything being so calculated. The Lupron is draining Heidi of estrogen. This is the intent, however, it is not exactly fun for Heidi. By a show of hands...who has hit or is hitting menopause? Same effect. The girl who is cold in the dead of summer is now having hot flashes all the time. And, um, well, how do I say this the nice way...low estrogen can also lead to, well, um, a bit of emotional behavior. I'm sure I've mentioned in a past post that Heidi is not prone to emoting uncontrollably. Not so much the case with low estrogen. She sent a text to our nurse asking if it was normal, the nurse said, "yes, it's normal. You're beautiful and everyone loves you." Heidi cried. Add Kleenex to the list of items we should have invested in... After a blood test to measure her estrogen to confirm that they are, in fact, trying to throw her into menopause, we learned her level was 4. For a little estrogenial perspective, when she did her last IVF, her level was over 1300. Just a tiny difference (if you believe that, you really are mathematically inhibited). So our first week of IVF fertility mirrored that of a 54-year-old woman on the cusp of menopause.

Back to measuring...our next visit netted favorable results. The future eggs are maturing at just the right pace. Labor day began the introduction of follistem to our shot regimen. It's as handy-dandy pen used to inject very expensive medicine into Heidi's little bruised belly. We have two vials of follistem to inject through this process, designed to help those little follicles develop and multiply. So, two shots in the morning, one shot in the evening. Oh and prenatal vitamins every day.

With the introduction of the follistem, we had to make more visits to the doctor for more frequent measuring and counting. One of the risks with using meds to stimulate follicle growth is the risk of hyper-stimulation syndrome. I would interject that contrary to what my 17-year-old mind would translate this to, it is not sexual in nature. It has to do with over-stimulating her ovaries. Monitored, it shouldn't happen. Unmonitored, it could actually be very dangerous. So, more trips across the little pond known as Tampa Bay. Each visit nets us the same favorable results...excellent growth and at seemingly each visit, more follicles are located. We went from twelve to fourteen.

In the past week, we have been back to the doctor's office for, you guessed it, measuring and counting, four times. Each time, on track. Today was a great visit...fifteen follicles measured. Yea, measured. There are more follicles growing in my little tiny wife's body, but we only measured fifteen. Most measured around 16 mm. And now the pièce de résistance...drumroll please...Heidi's uterine lining measured in at a little over 14. Dr. Welden's words, and I quote (well, to the extent I can remember), "That is textbook, ideal. It's so ideal I could live in there." Hahaha...he could live in there. I guess you had to be there to appreciate the moment. Good thing you weren't...Heidi doesn't like her friends looking at her vagina. I digress.

So, we are at the beginning of the end of our IVF. Tonight, in less than three hours, I'll be shooting my wife up again, one last time before the aspiration. Then I'll be taking the dog out to poop. I digress again.

Aspiration is scheduled for Saturday at 10:00 a.m. What will you be doing then? Well, you'll be praying for us, of course! I will be doing the same...plus watching the most amazing thing a mother-to-be can watch...a pair of highly trained doctors extracting the eggs of our future child from my wife's ovary. I will be looking through a high-powered microscope to see what will be our son. Or our daughter. Or, both (we are, after all, trying to convince the doctor to put three eggs back in...the chances exist). So, download Brahm's lullaby from iTunes and think of us. And pray. Pray because you love us. Pray because you know how much we want this. Pray because you know God has a lot of people trying to get his attention, it wouldn't hurt if we had a few extra voices putting a bug in his ear for us.

So we are getting ready. We are acclimating to only three solid hours of sleep without a pee or poop interruption. We are acclimating to baby, er, puppy proofing our house. We are acclimating to having our entire lives redefined by an eating schedule, a doo-doo itinerary and cooing and cheering for a successful pee-pee outside. I think we're ready. I've done the math...we're in. We're good. We're going to make a baby...