Thursday, December 29, 2011

Telling and the 2T

Hope everyone had happy holidays, whatever kind you celebrate or don't celebrate.  This time of year can be filled with contradictions of happiness and sadness and I hope the happy outweighed the sad.

What do you know, I'm officially in the second trimester, by whatever measurement you use!  I'm 14w2d today.  Which is crazy.  I am amazed and SO beyond thrilled to be here.  I know when I've seen other IFers reach this point I've commented "WOW, how did that happen so quickly" but seriously it feels like it's taken for flippin' ever to get here.  I can't even remember actually going through IVF it seems so long ago.

I'm doing pretty well.  My ovaries finally seem to be calming down.  They were only 8 cm at my scan last week!  And, I'm having fewer times each day when I feel like I just have to lie down before the pressure from my uterus on my ovaries has me bending over in pain.  I count that as a win!  My nausea had gone away but seems to be coming back.  I start feeling sick around 3 pm and can't make it go away until I go to bed at night.  I'm not complaining, it's just odd that it went away but came back again!

I'm eating pretty much all the time.  That's a whole other post, but I'm supposed to gain 20 pounds by 20 weeks with the twins (because I'm aiming at 35 to 45 pounds overall and it is apparently best to gain early with multiples both in case they come early and because it will get harder to eat a lot later on).  I'm not entirely sure how much I've gained right now (because I had a big gain at the beginning with the OHSS), but I think I still need to gain 10-12 pounds in the next six weeks to hit the goal the doctor set.  Trying to do this in an at least somewhat healthy manner is easier said than done!  It'd be easy to eat 2700 calories a day if I could just eat cookies and french fries all day... Luckily the doctors aren't concerned about my vegetarianism with all of this and I've been good about getting enough protein and the right kind of protein.  My DH has been great about finding me food and reminding me to eat before I start to get starving.  The hunger just sets in so suddenly if I miss a large snack.  (Yes, you may all whack me over the head about this as it is ridiculous to be frustrated at having to eat TOO much.)

Speaking of food -- have you tried Noosa yogurt?  Nectar of the gods, I'm telling you.  Expensive and full of fat.  But outstanding.  I'm loving it and loving having the excuse to eat it.

My parents' visit was great.  My mother took me maternity clothes shopping on Tuesday.  It's funny because I've been so conscientious about hiding the bump that I hadn't realized just how pregnant I look when I put on something form fitting.  It's kind of crazy.  My mother was overwhelmed and having a ball.  Every time I put the "fake belly" on to see how something would fit later on she'd just go "OH!!!!!!"  She bought the babies their first gift -- a stuffed bear.  It was really a great bonding experience.  We talked a lot about IVF and infertility and she told me about some of what she'd been fielding over the past three years from all of our relatives, etc.  Very grateful to have her deal with the "well, maybe they're just trying too hard" and "if they just stop working so hard it will work" so that I didn't have to.

We also went to see The Muppets!  LOVE LOVE LOVE.  Couldn't stop crying from nostalgic happiness.

We also baked some of my favorite Sephardic goodies which made me really happy.  We talked about my grandmother because we could both picture making everything with her and it was nice.  And, now I've got some yummy snacks.  They're heading out today which is a good thing because I really need to get back to work.  (Um, you know, after I finish blogging.)

As for the telling.  We've told family and my mother has told extended family.  The best responses so far:

My father-in-law:  My DH handed him a card with the twins' ultrasounds that said "congratulations, your grandparenting duties are about to double!"  He looked at it for a second but kept talking to my BIL.  Then glanced at it again, then kept talking.  The rest of us are all staring at him waiting for a response. Finally, someone said, "read the card."  He read it and looked at me with a gleam in his eye and said "Twins?"  Later he told me, "well, the twins could be from [wave of hand referring to fertility treatments] this, or it could be because I have brothers who are twins and cousins who are twins."  Um, yeah, it could be or it could be because they transferred two embryos directly into my uterus.  You know, whichever.

My stepmother-in-law:  My FIL handed her the card and said "B, look at this."  She read it.  Looked at my SIL and screamed "R!!!!  Twins?!!  Really?" And then ran over to hug her.  Um.   My SIL started backing away and said "NO!!"   Yeah.  Then, finally B figures it out and comes over to me and gives me a huge hug. 

The entire extended family on my mother's side:  My mother says "Rebecca's pregnant.  With twins!"  They say "No, you're joking."  See, after my cousin had triplets, they all seem to think that my mother is just kidding that I'm having twins to try to equal them.  Of course, then we'd have said we were having quads...  That would have been "funny." 

But, the number one response has to be my cousin.  The one whose brother just had triplets by IUI after 3 years of IF and two losses.  (The babies are doing great, by the way.  Still tiny but all looks good.)  My mother had just finished telling her all about the pregnancy and IVF and what we'd been through to get here.  She showed her the day 5 blastocyst pictures and all the ultrasounds and my cousin ooh'd and aah'd over it all and was incredibly excited.  Then, they went into the kitchen together and my cousin says "See, all they had to do was let go and let G-d."  My mother couldn't even respond she was so shocked.

Uh.  Really?  Let go and let G-d?  Or, you know, "pay lots of money, take lots of drugs, have a surgery or two, have eggs forcibly removed from your body, have sperm directly injected into your eggs, have embryos carefully selected and transferred back, have another one put into suspended animation, wait, stress, take more drugs, bleed, worry, bend over in pain..." 

More like "Let go and let science." 


I think there's a market for a maternity shirt in that.

Monday, December 19, 2011

Ain't we lucky we've got 'em -- GOOD TIMES

I don't know why, but that's been stuck in my head all afternoon.

(It's fighting off the Christmas music.)

Things are good here.  I feel so incredibly lucky and thankful to be where I am.  And, very thankful to have all of your support here.  It's amazing.

Anyway, all the good.  The semester is over!  Woohoo!!  I turned in my grades last night.  Graduation was this past Saturday and I said goodbye to a student I've grown very close to as he's worked for the past 5 1/2 years to finish.  He's had some struggles but he did it.  He's the senior research student in my lab so I'm not entirely sure what's going to happen now that he's gone (and I'm going to be a little preoccupied).  But, I'm so proud to see him go.  Between nostalgia and hormones, I couldn't stop crying at graduation.  It always gets to me, watching all those proud parents.  But, this time was ridiculous.

My parents are coming to town next week!  I'm very excited to have them here.  A little freaked out because I've got very limited time to get a brand new class ready for next semester.  But, it will be great to have them.  My mother is so over the moon excited about my pregnancy that she almost cries on the phone every time we talk.  We're going to have a great time hanging out and baking.  I've been craving all of the Sephardic baked goods my grandmother used to make that my mother now makes.  Yum.

Speaking of my parents, tomorrow is their anniversary.  Thirty years.  (It's my mother and stepfather for those who don't know.)  I can't believe it's been so long.  That's an impressive second marriage.  It's such a wonderful thing.

Most important good times -- we had our NT scan today.  And, it went really well.  Heartbeats were excellent (I was holding my breath waiting as always).  Baby B gave us the measurements we needed easily -- measuring exactly on schedule (12w6d) with a great NT measurement and an obvious nasal bone.  Baby A is impressively stubborn.  The sonographer had me on one side, then the other.  Then drinking some water and waiting around 5 minutes.  Then coughing.  Baby A just didn't want us to get the NT measurement!  But, finally, the incredibly patient sonographer got what she needed -- measuring 13w3d with a great NT measurement and, again, an obvious nasal bone.  Our overall chromosomal disorder risk went from 1 in 83 (expected for my age) down to about 1 in 166.  Our downs risk went down to 1 in about 500 (I missed the exact value).  (For each baby.)

We're opting not to do the blood work because the combined risk of false positive with twins, my age and, according to the MFM, egg retrieval is about 20%.  Our numbers are good enough that we're going to trust it.  The twins thing complicates what we'd do if there was an issue with either baby and we're not ready to risk CVS or amnio right now.  So, we're going to attempt to trust the statistics.

We're starting to officially spill the beans bit by bit.  I'm going to tell my department chair tomorrow.  I'll ask him to keep it to himself until the Spring semester (we'll see if that works) but I owe it to him to let him know that there is a potential for complications next semester.  His boss already knows and staffing isn't an issue since we're already looking for a replacement for me for the fall for my sabbatical (assuming that still happens -- budget issues are making it questionable -- but at least I'll definitely have the fall.)  My DH is planning on telling his parents on Friday.  That's the day I'll let my mother and stepfather tell the rest of my family as well.

We don't plan on telling anyone else at work until we're back to school in January.  My DH is going to tell one friend in town tonight, though.  It's a complicated situation because we suspect this couple may have been trying for a year or so and we're trying to be careful how to let them know what's going on and give them a chance to process it.  My DH is going to tell the husband (they're the closest friends between the four of us) and let him tell his wife.  We really don't know what's happening with them and they don't know what's happening with us TTC or IF-wise.  Why do we all hide these things from each other?  If nothing else, I hope it will open a dialogue.  I hate to think that they've been struggling, too, silently and how this pregnancy might affect them.  I was so worried a year ago that they would soon be making an announcement and now I'm afraid in the other direction.

This "telling" thing freaks me out.   I wish we could just go on hiding it.  I don't think I'm ready to deal with "outsiders'" reactions, yet.  But, at the same time, I want to embrace my bump and scream about it from the rooftops.  It's all a bit contradictory.

Anyway, as I said, good times.  When I called my mother today she said I just sounded happy.  I don't remember the last time someone said that to me.  I think it's been years.  We're amazingly lucky.

Monday, December 12, 2011

Milestone

Hi all!

Today I am 11w6d.

(Unless you go by the weird math the MFM did last week which has me at 11w3d and makes no sense at all given that we know exactly the day these babies were conceived.)

Anyway...

The point is that today I am 11w6d.

And, that's huge.  Because, as of right now, I am more pregnant than I've ever been.

Yeah, I know that the last time the baby probably stopped growing around 7 1/2 to 8 weeks.  And, we passed that milestone a while ago and saw healthy babies.  But, last time, until 11w3d, I thought I was still carrying a living fetus.

And, 11w6d was the last time we saw the baby on ultrasound before I lost it.  And 11w6d is the day my body decided to give up and I had a very painful and scary miscarriage on my own the day before I was supposed to have a D&C.

My DH doesn't understand.  He keeps saying "we already passed that milestone a while ago."  But, as of tomorrow I'll be able to say "I'm 12 weeks pregnant."  And, that's a big deal for me.

Today we had a first appointment with a local OB to make sure someone nearby knows my history and knows us just in case we end up delivering here.  And, as one of the best perks of having twins, we got another glimpse.

So, now at 11w6d instead of remembering a picture with no heartbeat and a baby measuring 7w4d, I get to say that my two babies have heartbeats of 168 and 170 and are measuring 12w0d and 12w3d.

That's so much better.

Tuesday, December 6, 2011

Quick update

Hi everyone!  Just a quick update as I need to finish editing an exam but I wanted to get this all down.  Our first meeting with the MFM was AWESOME.  We got to see some incredible high res images of the ticks.  They were tumbling all around.  Kicking and punching and rolling over.  Amazing how much bigger and even more active in only one week!  Baby A had the hiccups!  We heard their heartbeats (this is the first time we've gotten to actually hear it and not just see it).  They both waved at us and we got to see little fingers and adorable alien baby heads.  Just incredible.

Unfortunately, they were a little too small, still, to do the NT scan, so we have to go back at the end of next week.  But, hey, that means more fun ultrasound images!!

We really liked the MFM and I think we've decided that we're just going to bite the bullet and go to him exclusively -- even with the driving.  It'll be a bit crazy when it comes to weekly appointments (and I'm huge) but, we'll figure it out.  I've been driving down there once or twice a week for two years now, what's 6 months more??  Between twins, my age, the early bleeding, the fibroid surgery and IVF, there's enough going on to consider me high risk.  And, it seems like the hospital up here can likely only confidently handle babies born after 34 or 36 weeks -- which is really average for twins.  So, there's a pretty good chance we'll be delivering down there, anyway.

He did have a doctor up here that he said he thought was pretty good (and she's been recommended to us before).  We may think about meeting with her just so we'll have a local back-up.  But, I absolutely loved the MFM's office and all of his staff.  Very peaceful place.  And, they know Dr. Smiles well and really seem to understand everything we've been through leading up to this.  I mean, I know they say "you may have been infertile, but now you're just a normal pregnant lady," but it's kind of nice to have someone who seems to realize that we really don't feel that way.

He also seemed to respect the knowledge we have and respect the fact that we are two scientists and we can understand risks, etc.  He was happy when we brought things up and we could discuss them without him feeling like he had to explain it all.  And, he was just a very calm, patient person.  He reminded me of my mother's cousin who was my dentist growing up who just always made you feel peaceful and relaxed when you went to see him.  My DH saw it, too.

I could use some peace at this point, you know?

Oh, and we celebrated by doing something crazy.  Buying maternity pants.  Just putting them on was such instant relief.  I felt really, really weird doing it.  Very much like an imposter.  But, it's been getting really uncomfortable!

OK, so that wasn't so quick.  I'd better get back to my exam.  I know my students are all excited about it!

Thanks for all your congrats yesterday!  I'm still in shock! :)

Monday, December 5, 2011

"And, Charlie, don't forget about what happened to the man who suddenly got everything he ever wanted...

 "...He lived happily ever after."  Roald Dahl

I may be the luckiest mom-to-be on the planet.

I found out this morning that the sabbatical application I put in for the 2012-13 academic year was approved.  It's a  competitive process on my campus with just a handful approved each year.  This means that, after the twins are born in the summer (because it is GOING to happen), I will officially be on leave from teaching and service work (committees, department duties, student advising, student group advising) until August of 2013.  You read that right.  August of 2013. The twins will be about 14 months old give or take.

Could everything possibly come together all at the same time?  I'm afraid to breathe for ruining it all.

I will still be doing research and I have lots of projects that I have to do -- things I officially have to do or they'll take back the partial salary they're giving me for the year.  But, to step out of teaching and service work for a year?  Priceless.  I love teaching, but I'm really burnt out.  And, to do it during the first year of my children's lives?  I don't know how it's possible for it to be more perfect.

After tomorrow's scan goes well (because it will), my DH and I are going to meet with our Dean and figure out if I should change the first semester to maternity leave and then keep the second as an official sabbatical.  That way I wouldn't feel like I was supposed to be getting something done during that first semester -- I'm not sure if the school will care which way we call it.  I think it depends on my accumulated leave balance.  We'll see what we work out.  We'll probably then look at hiring an at-home nanny during the spring semester for several days a week so I can focus on work and get more done.  But, I'd still be home!

I really am just afraid to believe it could all be true.  The application was due the week before I started stims for this cycle.  I couldn't have imagined both of them working out -- I could barely believe either one would have.

It's incredible.  I feel overwhelmed and amazed.

(Yes, you are allowed to hate me.  I understand.  I would totally hate me.)

Sunday, December 4, 2011

Some stuff -- much of it pregnancy related

  • Just wanted to make clear that the Kardashians make me nuts, too.  I've never seen their show (shows?) and for the life of me I can't understand what the fascination is with them. Actually, what I can't figure out is why they had a show in the first place.
  • Speaking of which, my DH and I were talking about that the other day when some new reality show was advertised and we were trying to figure out how on earth they found yet another random family business in some random city to feature.  We found a website, http://www.realitywanted.com/calls, where you can scroll through and find all the different reality shows that are casting in your area.  In addition, some are vague and say things like "is your family business interesting?"  So, I guess that's how you do it.  Anyone up for a show about two college professors in a small midwestern town raising twins post-infertility?
  • We have our first official OB appointment on Tuesday!  I'll be 11 weeks and we're going to be seeing a maternal fetal medicine specialist initially.  Our IVF nurse helped set it up.  We're hoping to work with him to help us find a local OB (since he's across the street from my RE -- so still 90 miles from here) we can work with most of the time and then have him and his practice available if we turn out to be more "high risk" and/or have to deliver early.  I keep going back and forth in my head about whether I should be considered high risk -- maybe medium risk -- so it will be nice to have someone officially tell us one way or the other.  Regardless, I know that all sorts of issues are possible and we've already dealt with some of them.  We'll be doing our NT scan then (how on earth is it already time for that??) as well.  So, yay for some great detailed pictures of the ticks! 
  • My DH is chomping at the bit to tell people.  Which is funny because he was the one who a few weeks ago said "maybe we'll wait until 20 weeks to tell my parents."  I think watching them move on Tuesday made it more real for him.  He's feeling nervous about the NT scan, but I think after that he feels like he wants to scream it from the rooftops.  Which I find adorable.  Personally, while I'm feeling much more confident about it all (note the tone of this post!), I still want to wait a little while.  (Part of me wants to tell no one ever.)   I have one more week of classes and then a week of finals.  I think I can hide my growing belly for at least those last two weeks (I've still got one pair of pants that fits, sort of, and belly bands holding up the rest and lots of big sweaters).  I'll plan on telling my department chair during finals week because he needs to know for scheduling purposes for the fall and for "just in case" purposes for the spring.  Other than that, I want to wait until the spring semester to tell the rest of work.  I'll be about 16 weeks, then, so time for my press release.  :)  And, I'll probably not be able to hide it at that point with twins.  We have some friends that we'll plan on telling locally during finals week, too, probably.  But, all of our local friends also work here, so it's a bit of a delicate situation. 
  • Still not sure exactly when my DH will tell his parents.  Although, he's all excited about how he plans to tell his mother.  We've been looking at double strollers, etc. on Amazon (because he feels all confident and stuff and I'm trying to stay zen about it and let his confidence inspire me).  He's making a "wishlist" and is planning on sending it to his mom when she asks him what we want for Christmas.  I'm assuming the "double snap'n'go" stroller and two infant car seats will clue her in and we'll get a phone call REAL fast.
  • We've also been talking about names.  Mostly in a joking manner of "what fun combos can we use for twins" that we would never actually use.  But, some more serious which is both freaking me out and making me immensely happy all at the same time.
  • I'm still having a lot of lower abdomen tenderness and pain but it has gotten better. I assume it's everything stretching and responding to hormones -- I've always had a lot of uterine/ovarian pain at ovulation and AF, so I guess I'm just sensitive that way.  It still worries me (of course it does) so I'll be checking with the doc on Tuesday about it.  I've already gotten checked for a UTI (negative) and talked to the RE and he didn't have much to say about it.  So, hopefully all is OK.  Oh, and I'm afraid to say it but I seem to be only barely, barely spotting brown, finally! 
  • My cousin's triplets are doing well.  All are off the respirators!  One needs to have some surgery next week so things are still uncertain, but everything is looking good.  Which is a wonderful, wonderful, wonderful thing.

Thursday, December 1, 2011

I'm not Kourtney Kardashian, either

I know, I know, you've all been wondering.  I mean, after I told you I wasn't BeyoncĂ©, I know you were wondering just which celebrity I was.

But, I mean, the differences are obvious, aren't they?  Kourtney Kardashian is 9 weeks pregnant and sending out press releases.  She says "You're supposed to wait 12 weeks to tell people, but I feel confident."   And, her boyfriend says "It wasn't like we weren't trying," ... "We kind of just said, 'If it's meant to be, it'll be.'" 

Me?  I'm 10 weeks pregnant with lots and lots and lots of trying and we haven't even told my husband's parents much less sent out a press release.  I think I'll wait until 16 weeks to send out the press release.  I mean, you gotta give the tabloids a chance to speculate about bumps, right?  Build up that buzz so you can sheepishly confirm it later.  I don't know what she was thinking announcing so quickly.  Without the buzz, no one really cares.  Oh, probably just trying to distract from her sister.

Must be a nice world to live in, huh?