Bionic Mamas

you're not losing a vagina, you're gaining a son


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Gravid Grief

The TLDR version: It sucks. Horribly. No, worse than that. Don’t do it.

Oh, internets. This is the worst dream I’ve ever had. I’m ready to wake up now.

PicsArt.com
Not pictured: more handkerchiefs

I keep trying to tell myself it could be worse. This might have happened when I was a child. It could have been violent. She might have suffered and suffered — and point of order, people telling me “suffering is over now,” but this is not the same situation as dying at the end of an increasingly painful bout of cancer or similar. Yes, she was sick, but she’d been sick for my whole life, and it’s a bit hard to tell me to think of all of that time as pure suffering. Yes, she’d had some particularly unpleasant migraine and tendon problems recently, but when I talked to her on Sunday afternoon, she said she was feeling much better. Nor did any of that have to do with her dying, though I’m sure plenty of people who don’t know the details basically think, “Bionic’s mom was sick for a long time,” as if that explains it in any meaningful way.

She had a pulmonary embolism. At home, alone. No warning. Given her propensity towards large bleeds under her skin and a fear of stroke, no one would have thought she should have been on a blood thinner (find more info about this type of medicines and troubles they can cause, including class actions – like in the case of Xarelto). Not much narrative satisfaction to be found there, sorry.

(May, please go give H an extra hug for me.)

So, yeah, no warning at all. And hey, there’s could-have-been-worse there, too. We might have been fighting. I think I forgot to say I love you on our last phone call, but at least I’d been saying it pretty often. It might have been the long, drawn out, cancerous sort of death more typical in my family. I’m not sure if that’s worse or not. It might well have been, given her auto-immune disease, some awful series of infections. Cascading, horrible medical interventions. Tubes and wires. Disagreement on the definition of “hopeless.” Soul-rending decisions.

It could have been worse.

The trouble, dear internets, is that it turns out that the Pain Olympics don’t make me feel any better, even when it’s me versus hypothetical me.

Given that focusing on the supposedly positive isn’t doing a damn thing for me (read: I am crying in public, bawling at (mostly) home, and have the emotional reserves and cognitive abilities of a newborn), all I can give you is a list, in no particular order, of things that make grieving while pregnant especially awful. You know, in case you were considering choosing this course.

  • You have to eat. At a time when renunciation of the flesh seems so right, too bad. You aren’t in charge of that anymore, and the very small person who is, is extremely determined. But Bionic, I hear you say, some of us like to eat our feelings. And being pregnant means you can eat as much as you want! To which I reply, hope you like wet sand, because that’s what everything tastes like now.
  • You can’t drink. Yes, I know, I know: plenty of people think a glass of wine doesn’t matter this late in the game. But I don’t want a glass of wine, and I’m pretty sure getting regularly blind drunk is still a no-no.
  • None of the good drugs, either. Sorry, they’re all category D. I checked.
  • You know that thing where you wake up and can’t remember what you were sad about, and then you do remember and it’s like being thrown off one of those 700-foot fjord cliffs all over again? Being pregnant means you get to do that four or five times a night, every time you need to pee or feed the tiny tyrant. See also: crying yourself to sleep.
  • Oh, were you happy about being pregnant? Maybe even enjoying it, despite the discomforts and indignities? Too bad about that. Now you’re not happy about anything. You do get to keep the discomforts as a parting gift.
  • Meanwhile, you’re supposed to “take care of yourself,” which means take care of the baby, even if you don’t feel like it. Vitamins, for instance. Trying not to get listeria. You’re supposed to keep going to your prenatal appointments, even if you’re pretty sure your mother died during your last one, right around the time you started shaking and crying in the waiting room for what seemed like no reason but is in retrospect exactly like what happened when your grandmother died.
  • Speaking of PTSD, guess how much cerebral CPU processing capability is now available for dealing with all that birth stuff you were trying to sort out? What, this isn’t what you meant when you said you wanted to stop obsessing over those fears? Your therapist, who is trying to break up with you*, says it’s appropriate that you aren’t thinking about all that, which makes you wonder if she owns a calendar and knows the basic theory of its use. Of course it’s appropriate, but it’s also a bit dangerous, no, given that this baby is likely to be born more or less on the original schedule? If there were any justice, you’d be allowed to hit pause on the whole gestation thing while you get your sea legs, but if there were any justice, you wouldn’t be in this position.

*Well, what she said was I could keep coming if I just wanted a place to cry and say whatever I feel like, but that doesn’t seem all that useful, really. I’m not working on the birth stuff at all, things being how they are, nor do I need therapizing about the grief in a way I can’t get from people I actually know and trust more. I’m not depressed, per se; I’m just really, really, really sad. Surely I could do something else with the money.

PicsArt.com
Are those clouds? Hills? Giant, fluffy carrots?

  • Speaking of that baby, whose arrival you were already scared about, how on earth are you supposed to take care of it while you’re like this? Let alone do a better job than you did last time, the way you had promised yourself you would? (You know, so your mother wouldn’t worry so much.) Do a little poking around the Internet on the topic, and find reports of a study showing babies born to grieving mothers have a higher rate of serious illness in their first four years of life, plus the news that you are basically guaranteed to get postpartum depression.
  • For the sake of your electronics’ integrity and not being yourself reclassified as an inland salt water sea, try really, really hard to avoid thinking about how this baby won’t know your mother (and your two-year-old probably won’t remember her). Don’t worry; you will fail in that attempt one thousand times a day.
  • In case you manage to steer clear of that thought for a minute, apparently a cavalcade of perfect strangers — work colleagues of your father, that sort of thing — now feels empowered to stand too close to you at the visitation, the last time you will see her body, and tell you how sorry they are WHILE RUBBING YOUR BELLY. This ranks among the most profoundly inappropriate experiences of your life, and it keeps happening again and again and again.


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Sunday Snapshots

Morning.

No coffee, or rather, no milk, which means no coffee for me, given present esophageal conditions. Sugar and the Bean get dressed, count down the minutes until the local grocery store opens, and return victorious, bless them.

~ ~ ~

Sugar and the Bean make pancakes. Banana for me and Sugar, chocolate chip for the Bean, because calories he will eat > calories he will not eat. (He didn’t eat much yesterday and was up repeatedly in the night, until applesauce and milk finally applied at 4:30 in the morning.) He eats a whole one, cut in squares! He asks for another, a dinosaur this time. I do my best with a paring knife.

Dinosaur pancake

He smiles. “No, I don’t want a dinosaur. I want a square instead.”

~ ~ ~

It’s my father’s birthday. He was going to come to the East Coast for a meeting next weekend and spend a day with us, but my mother is too sick to be left alone. It will be easier for us not to have him, as Sugar’s mother is coming that weekend, but I am still disappointed. And envious.

~ ~ ~

I unaccountably find myself crying over some dumb article about baby shower etiquette. Rude to plan one for yourself, they say. Unless someone offers, have everyone over for a cookout to meet the new baby, instead.

Point of order, I don’t want a shower, exactly. We don’t need much stuff. (Another chair. Maybe a few cute things that can belong just to this baby.) I don’t need to be treated like a princess or a well-maintained incubator or whatever. I wanted to be pregnant and I like being pregnant; I don’t think gestating makes me more special than those who aren’t. But it is work, especially while keeping the the Bean alive and my students more or less on track. And given how much of my work feels invisible at all times (see: daily parenting, adjunct professing), I admit a small desire to be noticed, just for a minute.

Sugar thinks we should just invite people over for champagne as a combination un-shower and early birthday party for her, since we are usually traveling for Christmas on her birthday. I seriously doubt any of our friends will actually care about the etiquette of such an event, especially if there is champagne.

I think the real reason the article got to me is that it presupposes a place in a social structure that doesn’t exist in our lives. We don’t have local family. (Well, one aunt I love and never see.) We don’t live near our hometowns or our high school and college friends. We don’t (and I’m not sorry) have a place in the cavalcade of heteronormativity these rules presupposes. I don’t regret the decisions that have led us here, but sometimes feeling different is too close to feeling wrong.

Moreover, I remain envious to an unflattering extent of people who are well enough to host parties two weeks postpartum.

~ ~ ~

The Bean naps today. Not for all that long, but it is sweet watching him fall asleep. For once.

~ ~ ~

In the afternoon, Sugar makes bread. The Bean is appalled.

“Punch down the bread?? That would be terrible!”

Yeah, Sugar. No hitting.

~ ~ ~

I vacuum the bedroom. It’s getting harder to do that sort of thing; I am not what you might call gainly. But it is worth it for the Bean’s praise upon inspection: “This looks beautiful to me!”


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Items, Glorious Items

Were you in Oliver! ever? I was. Eight grade. I do not love that show. Sorry if this song is now in your head for the rest of the day, too. I don’t know what gets into me. We were instructed to wear our fathers’ old shirts for that scene, so while the rest of the orphans (whose fathers were bigger than mine, I gather) looked waif-ish, I looked like a blue, permanent-press sausage. At least I got to sing the pretty rose seller bit later, in a peasant blouse.

Sorry, as ever, for the silence. I’d say it has been difficult to find time, but the real issue is energy. I am just so beat these days. I feel fine in the morning, but by evening, forget it. Makes me rather nervous about what’s coming next.

Meanwhile! Pease porridge and items:

  • Thank you for your many thoughtful, um, thoughts, about the doula situation. I/we have not decided what to do, but your comments have been very helpful. After meeting with friend-doula, I feel about the same as I did before: I think she is a good personality match for me, but I am worried about the experience issue. On the other hand, it is very, very valuable to me to know her personality well enough to trust that she won’t be crazy at me during labor. The doctors I have met at my new OB place all seem very nice and swear they aren’t insane, yet I find I am having enormous difficulty believing that. Just having that concern out of the way about a doula might be valuable enough to make up for a lot. As for the “morning-after” problem, I never saw my last doula after delivery, and I think that on balance that hasn’t been so great for my mental health. I do plan to have some pretty clear guidelines for anyone in this role, namely: pay more attention to me than the baby; tell me what a great job I did more times than anyone could possibly need to hear. Especially if this isn’t the kind of birth people carry on about the beauty of.
  • Speaking of mental health, I did go see that therapist last week, and I have an appointment for next week. She seems good, I think. She said several good things, things many of you have said, but it is different to hear them from someone who doesn’t like me, you know? (Wait, maybe you don’t like me, either? Someone who I’m not trying to have a friend-style relationship with, anyway.) I chose her because she has training in CBT and EMDR; a cognitive approach to this situation feels much more to the point than still more mucking about in my feeeeelings. Of course, what did I do? I talked about my feelings for a fifty-minute hour, that’s what. But I am a narrative gal, and I did need to tell her the story.
  • I only cried once! Rather suddenly, at the point where I said the thing about how, when I imagine things going well this time, I imagine myself surrounded by warriors. That was surprising timing, to me. The therapist — she might need a bovine name, not because she herself seems at all cow-like, but because the waiting room of her otherwise very midtown office (converted apartment, doorman, and so on) is entirely decorated in strangely urbane cow art. Let’s call her Caroline, as long as we’re on a musical kick, for the new, blue, true, moo cow in Gypsy, the one who is willing to moooove to the city with Baby June. Anyway, Caroline stopped me and asked me to dwell on the feeling that brought up, and woman, I wanted to shout, all I DO is dwell! But anyway, I think that went about as well as expected.

how bovine is thy dwelling place
How…bovine is thy dwelling place

  • I paid another visit to the high-risk place with the fancy u/s machines, for part two of the anatomy scan. It was…a bit of an ordeal, frankly. (With the obvious caveat that I mean “ordeal” in the limited way the word can apply to a situation with a good outcome.) Sugar had an important work meeting, so it was just me; God bless my friend the Dane for taking the Bean in addition to her own kids for the afternoon.
  • First, there was the Great Cervix Search, the longest stretch (as it were) of dildo-camming I have as yet experienced. My cervices, you may recall, are of particular interest because having the two of ’em means I am at increased risk of cervical incompetence, number two on my list of most-despised obstetric terms. (Number one is “habitual aborter.”) On the MRI I had prior to ever being pregnant, the two of them are smack next to each other; before the Bean removed my septum with his head, they were fairly easy to find on physical exam, since each had its own little vagina. How cute. Post-Bean, one — the one he used — has been easy to find by hand, as it were, one much more difficult. When I was in labor, they only found one, so my hunch is that the other made itself scarce in late pregnancy, and many thanks I send it.
  • So, back in the stirrups: the tech spent a while poking around with the ultrasound wand, pursing her lips and printing pictures and, as they all do in these moments, interrogating me about how I knew there were two, anyway. (MRI, plus I used to bleed out of the un-tamponned side, plus the other tech found it a month ago.) This is a slightly annoying conversation to have while being dildo-graphed. After a while, she stopped but told me to stay put while she found a doctor to decide if her pictures were satisfactory. Enter doctor. “I’ve never done this before,” she says, and off to the races we go, complete with the same interrogation. Eventually, she gives up, too, and in comes the senior doc on duty, who is very luckily the southern one I like so much. “How does it feel to be a medical marvel?” He has a firmer hand with the whole business (GOD, I do not like being able to compare technique in this way, but there’s only so long I can stare at the ceiling and think of England.) After quite a hunt, at least punctuated with jovial asides and no dubious eyebrow twitches, he declares himself defeated by my marvelous anatomy, too, but willing to assume things are okay in the absence of symptoms, given the fine state of the less shy cervix and the full-term status of the Bean.
  • Now is the part where I insert a little prayer that Jackalope doesn’t get any funny ideas about using the untested one. Do you hear me, young…person?
  • Jackalope, who has been kicking up a storm through all this, has fallen asleep, and in a position not conducive to measuring anything relevant. Now we see what fun toys the fancy place has at its disposal, like the tilt-a-whirl electric bed I am soon sliding off of, head first. (Seriously, I braced myself only by putting a hand on the wall behind me.) I am basted with more and more gel and rotated like a rotisserie chicken. The paper under me tears into little, goopy pieces. Just…yuck. Eventually the creature shifts enough to show off everything except what the tech keeps calling “the gender.” I resist the urge to parrot a women’s studies lecture at her. Jackalope has her feet between his legs, or the other way around. As I am instructed to roll over again, I mention that they did, after all, get a look last time, but apparently they have to look again. Lord knows why — is it all that likely to have changed? I guess that would be noteworthy.
  • Eventually, the tech’s rolling and prodding and jiggling pay off. She releases me to attempt to squeegie some gel off of myself, though it is clear this is more a job for a pressure washer than a paper towel. Dr. Southern returns to say everything is fine, Jackalope is a good size, the cord, which they couldn’t see well last time, is inserted in the expected manner, and while the placenta is still marginally previa, it’s only by 2 mm, which even I can’t manage to fret over. And no cervix searches again until the third trimester, though I’m back for another growth scan in a month. Phew.
  • Because she is an angel, the Dane has not only kept the Bean all this time but has also made enough quiche that I can inhale half a pie-plate’s worth upon my return to Brooklyn.
  • I did at least get lots of pictures to show to Sugar and the Bean, who respectively described the Jackalope as “a barracuda” and “scawy.” So now you have to look at them.

USWeek20001

I think all that dust is on the scanner and not in my uterus, but who knows?

USWeek20003

USWeek20004

Clearly, my mind is going, because I even thought the creepy 3-D ones were cute.
USWeek20005

…But maybe I also see where the “barracuda” idea comes from. Still not half as scary as the dragon-lizard the Bean appeared to be at a similar age.

 

  • Speaking of the Bean, he is charming, obsessed with street sweepers and the alphabet, awfully tall all of a sudden (36″), and still not much of a sleeper, very much to my consternation, though it is Sugar who gets the brunt of the night work, since he refuses to let me be the one to come in when he wakes. He mostly still naps (and is a holy terror if he doesn’t), but he rarely falls asleep before 10 pm. This would be annoying enough if he could be allowed to just stay up, but he really cannot function that way. So we start bedtime at 8 or 8:30, read books, brush teeth, all that, and then one of us sits in the dark for an hour or so. Every night. Thank God for iPads. (If he does not nap, he falls asleep much more quickly, but you will have to take my word for it that his mood and behavior for the last several hours of the day in that case are such that, NO. Artificially shortening his nap does not speed up bedtime.)
  • I did not answer the cat-torture question because I kept hoping I would find an answer or at least discover that his current delight in pestering the household felines was a short-lived phase. Ha. I don’t know what brought this on, but I know I want it to stop, pronto. Also a thing that could stop any time: “knocking” (read: hitting) his mothers.
  • He’s down to refusing all food except smoothies for dinner. (At lunch he will usually eat a peanut butter sandwich.) I don’t know anymore. He loves to cook and talk about food, just not so much to eat it.
  • He is very sweet about the baby, though, hugging and kissing my stomach and whispering, I love you, baby, in that not-very-whispery two-year-old way. This is very clever, as it is impossible to remain annoyed with whatever shenanigans he has been pulling when he does that.
  • Potty training is under way, in the most lazy way possible. His little butt is extremely cute in underpants. It is extremely hilarious when nude, as it often is, especially when he starts practicing being an acrobat.
  • This post is even more scattered than usual. Winning!
  • Sugar did come with me to today’s OB appointment, with the original doctor I know in the practice, the one who dealt with my Return To Stirrups last summer and also with Sugar’s menacing ovarian cysts, back in the day. She is very nice. She says no one at that practice is going to yell at me in labor. I have some trouble believing she can really know that about her colleagues, but I at least think she would not, so that’s a start. She did say, however, that she favors having women hold their breath while pushing, which I found ridiculous and panic-inducing. But we will work on that next visit, I guess. Time for another lit-review….
  • In the meantime, I am to acquire a blood sugar monitor in preparation for testing four times a day for two weeks, starting around week 26. This strikes me as overkill, but still better than having my brains scrambled the way they were by the glucola last time.
  • I asked whether it was really okay to be taking unisom every night, because if I don’t the first time I get up to pee is the end of sleep for me. “It’s not a great idea to take anything every night,” she started, but when I asked what I should do instead about being up for the day at 2am, it turns out she didn’t think half a tab was such a big deal, after all.

THE END.

  • (Don’t you always stick around, just to see if something comes after the credits?)
  • I’m going to DC for the weekend, for a baby shower. This is emphatically not the kind of thing I usually travel for, but the gravid friend in question organized my shower from DC, so it seems the least I can do. I will be there Saturday and Sunday, basking in the glory of the closed museums and terminally borked transit system, and while this was supposed to be sort of a treat, it isn’t feeling like much of one. So let me know if you are around or have great ideas for something nice to do that doesn’t involve alcohol or the federal government.


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Items From Our Catalog

Hi, Internets.  I wrote you such a post yesterday!  Well, we can all believe it was wonderful, because the WP iPad app ate it, and only the good die young, right?  In the interest of posting something, anything, here are some items:

Current Events

  • Sugar did not get the promotion/new job she has been waiting to hear about since, oh, February-ish.  (The actual interview was in August, but that’s around when she started the application process.)  Waiting to hear has been a stressful situation for our family, and this news is, of course, even more stressful.  The job would have meant more money and the kind of title and responsibilities that make it easier to move to another good job elsewhere, so that sucks.  Then there’s the part where she is a great employee who has been in this small department for eight years, doing the work of this better job for most of a year, and generally feels pretty damn shafted right now.  “We sure hope you won’t take this as a reflection on how much we value your [tireless, underpaid-even-for-this-department, grant-money-attracting] work in your current position,” says her boss, who can eat ALL THE BAGS OF DICKS, as far as I am concerned.
  • Her boss gave her this news following a big meeting about how there would be a lot of work for the department in February.  She stayed after to tell him that he might need to assign extra staff to those projects, since we are expecting a baby at that time.  Nothing like getting additional rejection immediately after saying things like “I might need to take time off if it’s like last time, because my wife almost died.”
  • No, I don’t think that influenced his decision.  He is not a quick decider, just an asshole.
  • She isn’t getting fired, but it feels a little like that, because if they aren’t willing to promote her to management after eight years, yeah, it’s time to move on.
  • There has literally never been a better time to convince us to come be your neighbors!  Seriously, if you have connections in educational technology and/or public health, be in touch, huh?  We are open to leaving the city.  Probably not — full disclosure — for Indiana.
  • Sugar left early this morning to visit her parents for the weekend, so we get to be apart while processing all this.  Whee.

Democracy In Action

  • We voted in the NYC primary this week.  Sugar tried to weasel out of it by saying she wasn’t registered to a political party (required for primaries in this state), but ha ha, turns out there’s a website to check that kind of thing.  The Bean was putting up a fuss about going, but the return of the old voting machines (with LEVERS!) and the advent of never-seen-here-before STICKERS may have won him over for life.
  • I kind of can’t believe that in a field that included a lesbian and black man, I checked the box by yet another straight white guy’s name.  But, hey, at least he’s married to a lesbian.  And I’m married to a lesbian, myself!

Obstetrics and Midwifery

  • My appointment last week went well.  I saw the midwife again, and I wish she were an OB.  This practice has two CNMs who work with OB patients, but only the OBs deliver.  I’m not sure why this is the system, but I wish I could see this MW more often.  If nothing else, it was a nice break from grilling everyone about whether they are competent/emotionally stable, since I’ve already told her my deal.
  • I had told her about the postpartum anemia last time I saw her, but I hadn’t known for sure it was because of hemorrhage (as opposed to general pregnancy anemia).  I told her the numbers from the hospital records, and she said they would definitely have offered a transfusion.  That is reassuring, vis-a-vis hoping to not be that sick again.
  • She noted in my chart that I had had a postpartum hemorrhage, but said she thinks it is unlikely to recur, since it was probably mostly the septum doing the bleeding.  If a septum includes an artery, she says, “those things can really pump.”  I guess that explains why the doctors used up all the gauze in the room and the supply closet both, stuffing my vagina full of it and pulling it out again.  (Which hurt a surprising amount.)
  • I made a supposedly off-hand comment about how maybe none of this will matter anyway, if the placenta doesn’t move, since I’d end up with an automatic c-section.  She waved her hand, as if dismissing a joke.  “Please.  It’s marginal at sixteen weeks.  It will move.”  I think she is likely to be right, but this was still a nice antidote to my mother’s gloom on the subject.  (My mother generally seems to think I don’t take bad news sufficiently seriously, and so takes pains to impress upon me that bad news is bad.  I’m not sure where she got the impression that I am an optimist.)
  • The most surprising aspect of the appointment is that we did not have a fight or even a lengthy discussion about my plan to refuse the glucose tolerance screening this time around.  I told her how sick I had gotten last time, confirmed that I had eaten beforehand and still was neurologically wrecked for three days, and mentioned my low risk factors for gestational diabetes.  (I restrained myself from opening with what BS I think most of the things written about GD are, at least when it comes to bad outcomes among patients without pre-existing insulin resistance.  And since when is an episiotomy in the same category of outcome as a c-section, anyway?)  I was all set to argue, with data and citations and everything (thanks to Dr. J. F. Scientist and my mother), but she said, “We had a patient like you really recently.  Are you willing to do some monitoring at home?” I am — what’s a few more self-inflicted stab wounds for a fertility clinic veteran, am I right?  “I’ll bring it up at the OB meeting this week, but I’m sure it’s fine.  You’ll have to get a meter.”  And then she got out the doppler and we listened to Jackalope’s galloping heart.
  • I feel surprised, relieved, and perversely thwarted.  I have data, damn it!  Don’t you want to even look at it?  Please?
  • In general, the visit was reassuring on the “have I once again chosen insane care providers” front.

Addled Brain, My

  • I am somewhat bemused to report that the one thing that would have irritated me about that appointment, in other times, namely the MW referring to the amount of weight I’ve gained as “not bad,” didn’t bother me at all, except in an impersonal, cultural-political kind of way.  Huh.  I realized that I never gave them the “please don’t bug me about eating/my weight” talk that led Dr. Russian’s practice to label me as an active anorexic (and therefore interrogate me about my diet at every opportunity, FAIL), partly because they have never told me anything dumb like some imaginary, ideal amount of weight to program my animatronic body to gain without exceeding.  Funny, how not setting a person up to think her weight in under surveilance is helpful in the not-feeling-under-surveillance department.
  • However.
  • I am not doing so very well in the “putting that birth behind me” category (the one comment from my last appointment with this MW that, while meant kindly, did in fact rub me the wrong way).
  • And so.
  • I have decided to look for a therapist.
  • I have very mixed feelings about that.
  • Bunny mentioned in a comment a few posts ago that she wasn’t sure of my feelings about therapy except that I had been utterly enraged by the Baby Factory’s requirement that we see their counselor.  For the sake of clarity, my feelings about Our Dumb Appointment are not my feelings about therapy in general, but are more to do with the screening-for-parental-fitness nature of that requirement.  Eugenics is so pre-war, darling.
  • That’s not to say I have no issues with the idea of going into therapy, many of which are conveniently wrapped up in my feelings about my mother, who is a psychiatrist.
  1. I prefer the convenience of boring and annoying my family, friends, and readership.
  2. My previous experience with therapy (in college) was deeply pointless.  I now realize that might have had more to do with my therapist being a 22-year-old intern from Alma Mater’s social work school than with therapy as a whole.
  3. A lot of therapists, however, are tremendous flakes.  I imagine it’s not a majority, but admit it: it’s a visible group.
  4. Therapy is the town pastime here, in a way that makes me feel ooky.  Woody Allen is much closer to a documentarian than I had realized when living elsewhere.  I am not interested in a lifetime commitment, let alone such an expensive one.
  5. While I think SSRIs and the like are very useful in some cases, I am unconvinced they are all they are cracked up to be for many people.  No, I don’t think you should stop taking yours, but I don’t want to start taking them, either.
  • However, I have to admit that while all the processing I’ve done here and elsewhere has been tremendously helpful (and you have been, you really, really have), I’m getting to a point where I could use some more help.  As much as it feels like heresy to claim this about a vaginal birth that brought me a healthy baby, I am beginning to think that the initials P, T, S, and D are not entirely inappropriate here.  I look at diagnostic checklists, and it’s increasingly difficult to deny that a lot of those boxes have x’s.
  • Thinking of this as PTSD and therefore a cognitive issue rather than only my special snowflake feeeelings makes me think that maybe I should talk to someone who has actually studied this stuff. Which brings me to more sub-bullets!  Criteria:
  1. No generalized wading into my feelings in a global sense.  I am not interested in analyzing my whole life and my relationship to food and my mother and the military-industrial complex.  I have a goal (not completely losing my shit as I approach my due date) and a deadline (my due date).  No quagmires.
  2. No support groups.  I have those, in a virtual sense (Hi!), and in-person ones I think will only feed my sense that what happened to me was not bad enough to feel bad about.
  3. No well-meaning idiots.  Or, as a friend put it, “you mean you don’t think talking to someone with no idea about how birth works and what you were going through will help you deal with feeling traumatized be being surrounded by people who seemed to have no idea how birth works and what was going on for you?”
  4. No “natural”-birth fanatics.  None of what happened was the fault of the epidural or modern obstetrics as a whole, and furthermore, I am planning to go back to the hospital, so I will thank you not to freak me out about that.
  5. Here’s the deal-breaker: takes my insurance.  This is hard enough without feeling I am spending money we don’t have on such a self-indulgent project.
  • So far, I’ve called one person, who has an opening at a difficult time for childcare.  Contrary to my desire, I did not spend the rest of the day hiding under the covers, but lordy, this is harder than I thought.  I can’t believe so many people do it.

And now it is past time to run off to the hippie food coop and cut the cheese for a few hours.  I’m going to publish this anyway.  Verisimilitude, all that.  Links later.


15 Comments

17.5 Weeks/2.5 Years

Hi, again — I say again because the blasted device ate the version of this I started in the afternoon. For the record.

Thank you all for your kind, wise, compassionate comments on that bloody post of mine. I am sorry I have not responded to you; I need a moment more, it turns out. I said to Sugar around the time that I wrote that post that I did not know what to do with the apparent fact that my mind can’t begin to process this information, both the new information and the memories. She suggested that perhaps I should consider that I am processing it, and it just takes more time than I’ve given it. There is a bit of a deadline (see ticker) for some of that work, but still, I find her take on it more useful than mine. I hope she’s onto something.

Once and future birth/postpartum angst aside, the pregnancy business is going very well. I have my tired and sore days, true, and there is the slight inconvenience of a kind of emotional inertia such that if I do cry, I can’t stop for the rest of the day. But it is inertia, not depression, and objects in a good mood tend to remain in a good mood. So that’s nice. I sure wish I could get these particular hormones in pill form. They’d be nice all the time, but especially as an antidote to the breastfeeding ones, which are not so kind to my little brain.

Particularly surprising to me is the realization that I’m actually feeling quite happy about my body, to the point that I don’t find myself hating or otherwise disdaining even what it looks like. This is profoundly uncharacteristic; I can’t remember its ever happening before. I just feel so pleased with it for being pregnant, and whether I look as I “should” or not seems picayune. I’ve gained a moderate amount of weight, and so far, my determination to obsess less this round doesn’t even feel like determination. I’m sure it helps that, as is often the case with pregnancies after the first one, I have come to look far more pregnant far more quickly. (Awkward, decapitated belly-selfie here, for the curious.). Regardless, I hope this will help me keep my resolution to give a lot fewer fucks about losing weight on any particular schedule, postpartum.

We went last week for the first of two — times have changed already since the Bean’s gestation — anatomy scans. I’ll save you some skipping ahead: I did not peek during the Down There portion of the ultrasonic interview, and if Sugar did, she’s keeping her own counsel. (As with last time around, she would like to know and I would like to wait; more on that another time, maybe.) Everything is reported to be fine: the usual count of limbs, kidneys, heart chambers. We will have another one of these at the fancy place in a few weeks, and perhaps Critter/Axolotl/Jackalope (poor creature needs a better name) will let them see the cord insertion that time. The cervices are likewise behaving, much to everyone’s relief. The only potential problem is a marginal case of placenta previa. While this does nothing to alleviate my “am I going to bleed to death” concerns, I am trying to take the advice of the lovely southern doctor, who says it’s almost silly to diagnose such a thing at 16 weeks, since the placenta takes up a proportionally larger amount of uterine space at that point. Apparently the lower portion the uterus sort of unfolds later on, and a marginal previa may well be not at all close to the cervix/ces by delivery time. I’m glad he explained it that way; when I was told the Bean’s placenta was low-lying at a similar stage, they said it might move, which, given villi and all seemed unlikely and led me to envision the placenta as a kind of huge, blind slug.

Tomorrow is my first OB appointment in some time, as I was waiting to be on the better insurance. Or rather, it was supposed to be an OB appointment, but will actually be back with the nice midwife from last time, because of scheduling infelicities. I should be diving into meeting the people who might actually be at the delivery, but I’m glad enough for a respite from the “are you incompetent/emotionally unstable” interview questions I now feel compelled to ask them all. (I thought I didn’t need to ask those questions last time, and if you’re new here, click “Dr. Russian” to find out how well that went.) I do plan to make clear that the postpartum anemia I described when she took my history was definitely not a case of anemia in pregnancy (except maybe the last four hours). And I expect we will get to have a probably unpleasant chat about how I do not plan to do that awful glucose test this time, given an absence of significant risk factors and a skepticism about the existence of gestational diabetes — or rather, bad outcomes from same — in patients without previous insulin resistance. I am willing to monitor my own glucose at home for a week or two, which is a better source of data anyway, but I am not willing to make myself sick for three days again for such shoddy science. I have a small person to take care of, for one thing. I’m not looking forward to the monitoring, but what’s a few more stab wounds in pursuit of this baby, am I right?

So. I will report back.

Meanwhile! The Bean had his half-birthday last weekend. I made a tiny cake and everything. It was popular. Picture and recipe to follow; I am quite pleased with the results of my attempt to make a mini-loaf-pan chocolate cake. It’s a useful size for a small household.

Like most two-year-olds, at least in their mothers’ eyes, the Bean is an absolute delight except when he’s a holy terror. Sometimes he is both. Today, for instance, he contrived to discover Sugar’s oil paint box, complete with uncleaned palettes, in its hiding place under the chaise. He very independently figured out how to work the clasps and spread the contents all over his room. NB, for those unfamiliar with the medium, a good sized glop of oil paint, such as one might leave on a palette for later use, essentially never all the way dries. He was so pleased with himself. And surprisingly neat, considering.

Eating and sleeping are still…challenges. At least two of those lacrimae perpetuae days were set off by my frustrations with his diet and the sanctimonious attitudes of many parents on the topic, in particular in our area. Wait, three. There’s half a rant in my draft folder, and maybe I will finish it one of these days. Meanwhile, one of us is in his room until at least 10 every night, waiting for him to fall asleep. Unless he skips his nap, in which case…well, it’s not an acceptable trade-off. He does not often sleep through the night.

But. He does paint and ride his scooter and give the most wonderful hugs. He sings and cooks and wears underpants for increasing stretches of time, despite my refusal to engage in any form of potty training more vigorous than offering chocolate chip bribes. His trucks are grouped in two-mom families. He is obsessed with street sweepers and the alphabet. I know it sounds crazy, but he is desperately trying to learn to read. And who am I not to enable the heck out of that?

So here, to counteract the sleeping and eating complaints, is some unadulterated bragging. Shield your eyes.

I was at the big computer a week or so ago, trying to find some non-ugly maternity clothes, when the Bean came up behind me. “What’s e-da?” he asked. He likes to ask for definitions of nonsense words these days. (It’s fun when he hits on a real word by accident. “What’s a ne-ne?” “It’s a goose, the state bird of Hawaii, and a very useful scrabble word.” Hysterical laughter.) I assumed this was more of the same, and said I did not know. “What’s e-da? What’s e-da?” He kept asking, which is not the usual for nonsense. Finally he walked up to the computer and pointed at the corner of the screen. “What’s e-da?”

I looked. In the corner was the eBay logo, which is all lowercase, ebay.

“Is this what you’re asking about?” He said yes. “What letters do you see?”

“E D A Y. What’s e-da?”

So. He got the b/d thing wrong and missed the diphthong, but hell, I’m pretty damn proud, all the same.

My kid. I think I’ll keep him.

Underwear Model


24 Comments

Bloody Business

Before I begin, I want to just say, in a small voice, how crushed I feel by May’s latest news, by the utter un-rightness of it, by how badly the universe is flubbing its lines. This is not how the story is supposed to go, dammit. I know we talk a lot about how unfair all of this business is, but sometimes the unfairness is just so fucking unfair. It is not the only thing that has been Not Right lately; that doesn’t make it any less wrong.

I am wondering if any of you happens to know what counts as a normal postpartum drop in hemoglobin and what doesn’t. Imagine you have this patient who, after two days of fairly heavy vaginal bleeding, arrives at a hospital in labor. Her hemoglobin at that point is 13; her hematocrit is 37.8. Following a vaginal delivery, her numbers are 7.3 and 21.7, a drop in the neighborhood of 44%.

Question one: Is that normal? If not, how abnormal?

Question two: Are there causes of postpartum decreases in hemoglobin other than blood loss? Does the placenta itself (or the baby) in some way count towards the starting number?

Question three: Do you do anything about those numbers, beyond suggesting an iron supplement? Do you do anything if the patient calls three weeks later complaining of continued extreme fatigue, dizziness, breathlessness, etc.?

Question four: Supposing a patient with this history is pregnant again. One likely source of postpartum bleeding (vaginal septum) is gone, though possibly the vaginal wall where it attached has scar tissue. Is postpartum hemorrhage in such a case likely to recur? Do you do anything in particular to lessen the chances of her feeling terrible for months again? Is there anything you can say to her to help her feel less frightened?

Question five: Is this patient a good home birth candidate? Just kidding.

My hospital records — the short version only — from the Bean’s birth arrived this week. I’d put off ordering them for a couple of years, which I guess is good, considering that I find myself a little taken aback anyway. This is just the abstract — test results and some nonsense from the lactation consultant, an extremely silly person. There are errors: I am listed as having a didelphic uterus (nope, not that normal), and hemoglobin and hematocrit are reversed in one place. (I flatter myself that a hematocrit of seven might have been more worthy of note.)

Also this week, I finally tracked down a picture I didn’t know existed until recently, of Sugar cutting the Bean’s umbilical cord. That is to say, it’s a picture of my crotch, post delivery but prior to the arrival of the placenta. I thought it might feel sort of empowering to see that, since I was scared to look at that part of my body for weeks after birth, not wanting to see all the stitches. Maybe it would have been, but I found it hard to pay much attention to my flesh, finding the pool of blood I was apparently lying in rather visually distracting. When I say pool, understand, I mean pool. I don’t mean the bed was a mess. I mean liquid. I mean depth. I mean volume.

I thought I was done finding new things to feel angry and scared about, regarding the Bean’s birth, but I guess I was wrong.

I haven’t written in much detail about how sick I was after the Bean was born, partly because at the time, I was filled with confusing hormones, alternately elated and distraught, and, well, sick. I’d been pretty thoroughly conditioned to believe that only people with (unplanned) c-sections were allowed to feel sick or sad after birth, anyway; the websites said I should be exulting in my all-powerful womynhood and resuming my exercise routine while teaching the baby French. All that matters, as you know, is that the baby is healthy. The vessel has done its job.

So, here: I was pretty sick after the Bean was born. For the first week or so, I had an annoying tendency to black out every time I tried to nurse him. The nurse I asked about it told me that was “oxytocin, filling your body with feelings of well being.” Later I realized that was the only time I wasn’t lying flat. I couldn’t hold him during the lactation class and was grateful that lesbian privilege meant I alone among the women there had someone to help. (Men weren’t allowed.) We left early because I couldn’t sit up anymore.

For the endless rounds of pediatrician visits for weight checks in the first few weeks, I took cabs. One day Sugar had a work meeting, and I couldn’t carry the Bean in his carseat. I could barely carry the car seat. We tried to take the subway once. Sugar carried the baby while I shuffled behind her, hips still entirely disconnected, like a troll aunt of some kind. (Sugar got lots of congratulations for her new baby in those days. She deserved them, but my own invisibility beside this gorgeous, healthy, thin woman and her perfect baby was sometimes hard to take. “Don’t worry, honey,” one woman said, “you’re next!”) Sugar went to the store for a different kind of iron supplement for me while I took the dwindling Bean to a lactation group. I remember feeling such utter hatred for the other woman there, so pink and healthy with her fat, pink baby, who was younger than the Bean. While Sugar was gone, I started shaking convulsively. I was losing my vision, trying to figure out how I was going to get myself onto the floor without dropping the baby, who was so, so heavy. Sugar arrived just in time, and held him while I lay my head on the desk and shook. No one asked if I was okay. I took a cab home.

It’s hard to write this without feeling I am exaggerating things, but this happened. Other things happened, too, many of them good. I stayed conscious for the ride home from the hospital, even if I did have to go immediately to bed and so missed the cats greeting the Bean. Friends came over, and I sat and talked with them. But it was months before I could walk around the neighborhood normally. Going up the gentle incline of the train station left me breathless, my vision blotchy. I feel existentially queasy looking at pictures of me with the Bean in the early weeks, because I am so very grey.

I got better. The human body really does have amazing powers of restoration. But does the patient’s recovery mean the treatment regime was wisely chosen? The heroic medicine doctors, the bleeders and purgers and givers of mercury, thought their treatments worked because their patients often survived, when the truth is those patients recovered in spite of the medicine. Regardless of whether I should have had different treatment in objective terms — and I gather from google that sources differ on the guidelines for iron infusions and blood transfusions and so on — I feel sure the other aspects of treatment could have been better. Only one nurse, when I was already in the process of being discharged, mentioned my hematocrit drop and asked if I really felt okay. (Desperate to leave, I said yes.) The nurse practitioner at my OB office told me I should expect to feel tired when I described my trouble breathing while walking. At the infamous postpartum appointment, Dr. Russian didn’t know my hematocrit levels and dismissed my questions on the topic. None of that was helpful, even if it was the case that the best course of action was waiting for my body to rebuild itself. It’s a kind of gaslighting, I think, not to tell a patient that how she feels is not in her head or her weak moral constitution.

Besides angry, I feel a bit scared by these new documents, in particular the picture. My septum is gone and presumably won’t break and bleed again. I expect it caused some of the trouble, in addition to other tears. The midwife at my new clinic says that didelphic cervices can bleed a lot, and suggested they might try rectal cytotec in addition to pitocin if it seems necessary. (I haven’t talked numbers with her, just my experience of being anemic.) If the pre-labor bleeding was a placental abruption — and we’ll never know, since the head of the OB practice didn’t see fit to take it seriously — there’s a chance that won’t happen again, and a 100% chance I won’t let it be ignored this time. I have the reassurance that I did survive, however sick I got. But there is still that nauseating feeling of almost having been run down by a bus, not realizing it was even there until it passed.


11 Comments

On Sympathy

Oh, internets. I am sad about something unbloggable. I don’t usually do unbloggable, though there are there are some subjects I’m not interested in having public discussions about (my relationship with Sugar, for a prime example). But this is is different. I have a robust sense of what stories belong to me, but apparently even I have limits.

After some consideration, I think what is bloggable about how I’m feeling has to do with sympathy. What are its limits? I don’t mean, when is it okay to not feel it, but more, is there such a thing as feeling sympathy to an extent that one’s own feelings intrude upon the right of the principally hurt party to be at the center of the concentric circles of grief (described here)? And how does one find the boundary line between the sympathetic part of grief and the part that is feeling one’s own, selfish sadness about a loss?

The closest situation to this one I feel I can write about now is not a perfect match, but it will have to do for an example.

At the time we were trying to conceive the Bean, a good friend of mine was also trying to conceive her second child. I had every reason to believe she would succeed first. She had sperm in the house and no diagnoses of anything problematic, whereas I was still thrown by finally really knowing I had endometriosis (which had made it very hard for my mother to conceive) and couldn’t even try every month. She had gotten pregnant easily twice before (with her daughter and with an unplanned pregnancy years earlier, which ended in abortion). I was excited to have a TTC buddy in the neighborhood, but I was also constantly having to check my envious nature.

Sure enough, she got pregnant first, during the period when we had stopped trying IUIs and were waiting to do IVF. I saw a pregnancy book lying on her bed, and suspected she felt awkward telling me. So, when we took a walk to go shopping together later that week, I asked her. She was a little sheepish when she told me, but I had already gone through the worst flames of jealousy before asking, and I think I responded well. That isn’t my baby, I remember thinking. Anyway, I felt hopeful about going to IVF, and it seemed likely enough that we would end up with children very close in age, after all.

We had a nice conversation and a nice time shopping. As we left the mall, she asked if I would sit with her daughter while she went back in to use the bathroom. I was feeling pretty happy about the whole thing by then, as I recall. She returned ten minutes later and said she has started bleeding. And I felt like the Angel of Death, like I had killed her baby with the poison of my unspoken envy.

This was one of those miscarriages that seem to go on forever, with hope always very tiny but not fully extinguished for weeks of OB visits and ultrasounds and so on. Her husband was out of town for some of it and came with her to other appointments; I ended up doing a lot of babysitting.

The appointment that was supposed to yield a definite answer was in the early evening, and I was so glad the daughter (who was two and a half or so) just wanted to watch videos on the couch. Periodically she would ask after her mother, and I would say she was at the doctor, but not sick. I grew up with a very sick mom, and that is a scary thing. And she would look doubtful, probably because I was clearly so sad myself. I’ve never been any good at hiding that. It was so nice, the rest of the time, that we could just be warm bodies together on the couch, and I could pretend I was hugging her in case she was scared, instead of because I was sad. Toddlers are really great sometimes.

After a few hours, her mom came home and said no, it was definitely gone. And I burst into tears. It was just like with the daughter: I should have been comforting her, and instead I was drawing focus, to borrow an acting term. I mean, I did try to comfort her, but of course she ended up comforting me, too.

The friend in that story is the kind of person who seems to like comforting people — it’s very close to her profession, in fact. I think she thanked me for crying, maybe because it gave her something to do, or maybe because it felt good to know she wasn’t the only one this felt like a loss for.

And that’s the thing about this situation and the current one. In both cases, I am genuinely sad for a friend. But in both cases, I also feel a personal, selfish sense of loss. In the case of that miscarriage, it was the loss of the vision of our having babies together, with all the sepia-toned imagery that entails. That is a loss, but it is nothing to the loss my friend experienced. The current situation is similar in that regard: I feel selfish losses, but they are not of the same magnitude as the loss my friend is experiencing.

I don’t quite know what to do with that feeling. Much of the loss I feel is one of prospective bonding, in the way that I imagined having kids of the same age would bring my friend and me closer, but arguably a deeper bond in this current case. That seems noble enough. But noble or not, that loss does not put me in the center circle.

Kvetch outward, I know. Keen outward might be closer to the mark here. But is there a place to grieve with the centermost party, too? I mean to be a careful person, but I am afraid I am sometimes just a weeping bull in a china shop.


11 Comments

Southern Comfort Food

Happy Monday, internets. I hope you are well.

I am well but nervous. I’ve done a pretty good job, I think, at just relaxing and practicing belief and all that jazz vis-a-vis this month without medical reassurance of this probable pregnancy. It would be untrue to say I haven’t fretted at all, but most days, I’ve been okay. Fertile people do this all the time! And they are fine! But today is the day.

I am nervous for all the reasons you’d expect, gentle readers. I am afraid I am not really pregnant. I am afraid I’m being pregnant wrong. I am afraid this doctor, whom I have not met before (the known nice one wasn’t available for this appointment because of our travel schedule) will yell at me. I’m afraid I will get bad news in front of the Bean and never stop crying.

A friend has offered to watch the Bean, but I’m afraid to take her up on it because it will surely mess up her own toddler’s evening schedule and then she will hate me.

At times like these, nothing will do like the comfort of food.  I did not want to eat at all, but some small, beleaguered zone of rationality in my brain informed me, repeatedly, that this was a very bad idea. It moved my body around the kitchen until iced tea was in my glass, new water in the kettle to refresh the supply, grits* and eggs were boiling in their pans. The fretful majority of my grey matter distracted me into overcooking the egg (I favor a five-minute one with grits), but the rest survived. A little leftover salsa verde from this weekend’s trip to the Red Hook ballfields made everything go down easy; bland food gives my stomach too little to think about, and it starts making up problems.

image

And so, onward. Eight hours to go.

*I do not appreciate whatever Yankee wiseguy programmed Autocorrect on this phone to replace “grits” with “gross.”


12 Comments

Interim Items

Gosh, internets, thank you for all the love and enthusiasm. Warms the cockles, I tell you what.

I keep thinking I’ll pull together the mental wherewithal to organize a proper post, but I’ve been spending all my wherewithal talking to insurance companies and billing offices. Herewith, the Insurance Items:

Background Item: Since the Bean was born, I have been on Sugar’s health insurance (Aetna, lifetime health cover loading), first because I wasn’t working and then because I wasn’t working in the right place to have my own. However, that insurance doesn’t have the kind of gold-plated fertility coverage I require, so this spring I accepted two night classes with a wretched commute in order to return to my old insurance (Empire Plan) long enough for an FET or two. This coverage ends in late August, at which point I will be back on Sugar’s plan.

Item: I screwed my courage but good and called the office of the nice OB — you know, the one who said four hours of pushing didn’t mean I wasn’t trying and used the word “horrified” more than once as I quivered on her exam table, trying to explain why coming in for a Pap smear had me so anxious. I like her a good deal and trust her about as much as I’m currently able to trust any member of her profession (midwives included, I’m afraid), and even so, I was quite dizzy with nerves as I waited on hold. (This bodes well for the coming months, eh?) I finally made it out of the holding tank and then through the nine million questions necessary to schedule early pregnancy appointments (knock wood, practice belief, knock wood), at which I point I casually mentioned that my insurance had changed since my last visit.

Guess who doesn’t take my current insurance, only six or so plans with remarkably similar names?

Cue panic attack.

After a lot of phone calls and mental math, I decided that the cost of seeing the good practice for a couple of out-of-network visits before returning to their accepted Aetna plan (three, I’m guessing) is lower than the cost of patching my mental health back together if I have to find a new practice, even just for a couple of months. I have a few hundred dollars of deductible to cover, after which my insurance will pay 80% of “reasonable and customary” charges; someone from billing is supposed to call me back this week, but she sounded like she thought they would likely work with me to charge amounts my insurance finds acceptable. This will still end up costing us quite a bit more than seeing someone in network, but therapy ain’t free, either. Especially at a time when I can’t avail myself of the kind sold in fifths of a gallon.

And anyway, that deductible has nearly take care of itself already, because…

Item: I am suddenly outside the bounds of my coverage at the Baby Factory, despite not being released as a patient yet.

My insurance considers the Baby Factory in-network for fertility care only, not for pregnancy care. This seems like no big deal, since the Baby Factory doesn’t do OB, but it did cause me some stress three years ago, when I started bleeding after they had released me but before I’d found an OB. At that point, Empire Plan considered a heartbeat on ultrasound as the boundary between fertility and obstetrics; I had a first beta, a second one week later, saw a heartbeat two weeks after that, and was sent on my way. It all seemed perfectly reasonable. We know too well that a positive first beta does not mean a Real Live Baby, but the rate of miscarriage drops significantly after a heartbeat.

Imagine my surprise, then, when having been relieved of yet another vial of blood this Sunday, I was handed a bill for the second beta (and progesterone and estradiol just for fun, I guess), to the tune of $300 and change. We can send it out to a lab your insurance pays for, said the lady in billing, but you won’t get results quickly. My cheapness fought my anxiety; cheapness is strong, but anxiety has throwing stars. So even though I had a sinking suspicion I wasn’t pregnant anymore, I decided to bet on good fortune and pay the bill, hoping that money would count against the deductible I’d spend at the OB’s anyway, assuming I got there.

So far, so good. Which brings us to…

Item: Ultrasound.

My father’s family has been going to this particular place on the shore of Lake Superior for a bit more than hundred years; there’s a gathering of cousins there planned for the end of June. We go there rarely, and I so want the Bean to see it. It is so beautiful, I won’t even pretend to do it justice in a rushed blog post except to say that it is what I picture when I think about heaven. And I’m not really a cold weather girl. It is also quite remote. The only telephone is several miles from where the cabins are; the nearest hospital certainly over an hour. It is sublime, but it would be a hell of a place to have an ectopic rupture.

I asked Dr. BF back in March what he thought of our going the on the heels of a May cycle. As long as your betas are unambiguous, he said. If they look potentially ectopic, I might have to tell you to stay home. Fair enough, I agreed. Just because this place is like heaven doesn’t mean I want to die there.

All this time, I’ve been refusing to quite believe that this trip will happen as planned, but the plan is to leave on Friday. (We are going to a wedding in DC, then to Sugar’s parents’ in lower Michigan, then to the UP, then home (Sugar) and Arkansas (the Bean and me, to see my mother). It’s quite the odyssey, even by our standards.) So after the first beta, I called Dr. BF to remind him of our deal, and that this means we will not be in town for their preferred viability ultrasound at something like 10 days past the second beta.

“You’re leaving Friday? Just come in Thursday morning for a scan. We won’t be able to see much, but as long as we can see something in your uterus, you can go.”

The first problem with this plan is the “Thursday” part. Thursday is Dr. Paternalistic’s shift. I do not want to get bad news from his mouth. I’m not even sure he’s capable of giving me good news without being an ass. But all my scheming about whether I could convince a babysitter to wait in a playground with the Bean (and our luggage?) so that I could go on Friday instead, on our way to the train (pause to appreciate the crazy scheme), was displaced on Sunday by fretting over the cost of the ultrasound without insurance. (Both, of course, a form of distraction from the more obvious anxieties attending such a scan.)

Happily, many phone calls later, it transpires that the prices of everything except the progesterone test are within the bounds of “reasonable and customary.” I confess shock that the blood tests are, frankly, and suspect this has less to do with chemistry than lab monopolies, but whatever, not my (immediate, individual) problem.

Item: The plan. Scan Thursday, very early so that Sugar can come before work. Probably too early to see a heartbeat, so we’ll try not to think about that part. I will see if I can sweet talk a nurse into jiggering the schedule so that we get the fellow I like instead of Dr. Paternalistic. If not, I guess I’ll live. On the other hand, this might be my last chance to kick him from the stirrups….

Item: this post is absurdly long. Sorry.

Item: I think that today I entered the part of pregnancy when I can’t have coffee anymore without feeling really sick. This lasted for the duration last time, and boy, is caffeine a more important part of my life with an early-rising toddler than it was pre-Bean.

Item: This morning also marked the first convincing nausea of this process (doxycycline excepted). Not so bad, as these things go, but still not my favorite.

Item: I’m not sure if this quite rises to the level of a craving yet, but holy Moses, is beef all I want to eat in the whole world. I could have wept for joy at the sight of hamburgers grilling at Sunday’s pool party.

Item: this post is absurdly unstructured. Sorry.

Item: I will leave you with some Bean cultural anthropology, inspired by his asking after the whereabouts of our local ice cream truck at six or seven on Saturday morning:

ME: Many people do not consider ice cream a breakfast food.

BEAN (thoughtful, serious): Maybe some do.

(And then, in the spirit of self-fulfilling prophecy, he fell backwards off a picnic bench while we were out to brunch with a friend, smacked his head on the concrete patio, acquiring in the process a magnificent goose egg and a free gelato from a sympathetic waiter. How is it so many people survive being toddlers?)


10 Comments

Optimism, Ahoy!

Hi, internets. Thank you for your many kindnesses in response to my last post. Progesterone and blogging really don’t mix.

I am feeling more optimistic today, and felt I should tell you that, so you at least see that these are mood swings, not just an endless sea of despair. I’m nervous to even post this, because, as some of you have pointed out, insisting I am not pregnant is partly a protective measure: if I admit I might be, I’m just opening myself up to be crushed when [grits teeth] IF I’m not.

Reasons for optimism:

  • am endulging myself in rereading Patrick O’Brian books, in celebration of summer’s arrival. (Hence the maritime metaphors all over the place.) This has nothing to do with pregnancy, but it’s cheering, all the same. I read most of the series during the Bean’s earliest days, and they saw me through some tough times. Stars in the heavenly crown of the intrepid librarian who snuck out an emergency exit and climbed in the window of a room closed for construction to get me my fix.
  • My nipples have been feeling funny, and maybe looking a little funny, too. I have not been pinching them. Very possibly this is just because progesterone has me so…figurehead-esque that my bra is hard-pressed to contain its inhabitants, but hell, at least my rack looks great.
  • My uterus feels funny. Okay, the progesterone gave me cramps all along, but there’s a steadiness to the aching that is maybe different? It just feels increasingly…full. I don’t think it’s constipation….
  • I’m drinking milk. I drank a lot of milk when pregnant with the Bean. In general, I drink more milk in the second half of cycle, and I might just be casting about for beverages to replace wine, but still.
  • Today, I can see (at least sort of) that this cycle’s not working is not the end of the world. It’s possible we could manage our travel to allow a July cycle (though if that means not getting to see my mom — the last leg of our upcoming trip — I’m not sure it’s worth it). It would cost a bit more to do a cycle after that, because my insurance will change, but not, as far as I can tell, an insurmountable pile of money. And it’s always been my theory that September is a terrific time to get pregnant, because then you never have to be pregnant in the summer. Or something.
  • Stay tuned! I will doubtless change my mind about all of this tomorrow! Beta Sunday*, after which point, I may be happier or sadder, but I will almost definitely be more sane.

    *I don’t plan to test early, because if it’s negative, I can’t stand the thought of going in for the beta. I tested early only the first cycle or two we tried, because even without a beta to attend, the “is it just too early?????” Is more mindfuck than I can handle.