Wednesday, December 25, 2013

Merry Christmas

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I am a known disliker of Christmas. It usually involves going back to my home province, either driving on the dreaded highway 401 at the worst time of year or taking a couple of trains down the Windsor - Quebec City corridor. Neither options enchant me (although option 2 absolutely delights Mr. A). Then there is invariably my mother's craziness to contend with. In large fucking doses. I can usually manage two days, but inevitably, we visit for about five days, which is two and a half times my limit.

Last year, I made it clear to my mother that we would not be travelling with a baby. It did mean missing Christmas with her family, and not seeing my dad at all, but the thought of travelling with Gummy Girl at this point makes me want to insert sharp lead pencils into my eyeballs.

Hence, we are home.

And so far, it is a brilliant Christmas.



We declared the 24th and 25th days to ourselves, and so there is just the three of us. I have dreamed of this for years. A peaceful, simple Christmas at home with my husband and my baby.

We decorated the potted Norfolk pine and made pain au chocolat for breakfast. Later, I will make boeuf bourgignon. We might go for a walk in the snow. We'll listen to carols. We'll finish the Globe and Mail crossword. It's perfect.

I decided it would be good to attend the early church service at Mr. A's church last night (despite it overlapping slightly with Gummy's bedtime), and I was surprisingly choked up with emotion during the service. I thought about the grace symbolized in the birth of this special child, Jesus to all, and Gummy to me. How blessed we are.

I also feel like I am holding in my heart a very special place for those spending the Holidays with infertility as your constant, unwanted companion. I think of my friend Veronica, and of dear Suzanne who has just received very tough news. And Conceptionally Challenged, especially, who grieves for her beautiful daughters. May the years ahead bring you babies and happy Christmas morning.

Merry Christmas to all of you. May there be many moments of peace and joy for you during this time.

Sunday, December 22, 2013

the fertility clinic waiting room: part 2

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(see part 1 here)

I went back to the Fertility clinic a few weeks ago on December 5. The last time I was there was for u/s # 2 in August 2012. Earlier this fall, I called my RE's secretary to book an appointment. I needed to ask him some questions about my hormone replacement therapy and also, get his take on the birth and what he thought would happen with a potential second pregnancy.

I gave a lot of thought to the visit beforehand, starting with the waiting room. Was I even allowed to bring my baby to a fertility clinic waiting room? I asked the secretary, I called the nurse, and by all accounts, it was a-ok to bring Gummy Girl. But you know me by now. I still felt awful for the women/couples who would be waiting there and have to be subjected to the sight of my living, wiggling, super-cute reminder of their childlessness.

I also thought about how I would probably loose my shit and start bawling. Did I ever tell you about the phone call I made to our dear fertility nurse a month after Gummy was born? I got her voice mail and just said that I had given birth to a baby girl and....wah, wah, wah (I was unable to finish my message and just hung up, hoping she would understand). I found a parallel to the advice of not texting/phoning anyone while inebriated: Don't call your beloved fertility nurse within 6 weeks of giving birth. But now Gummy was 9 months, so more time had passed. Except that I would see my nurse and my doctor in person. So, I had real reasons to be concerned about lots of public crying on my part.

The three of us trekked down to Fertility Treatment Town on what happened to be a beautiful, warm late fall day. Gummy looked awfully cute in her green corduroy jumper with a mouse on the pocket. My heart was filled with pride and joy: I was taking MY daughter to meet the people who helped usher her into existence.

The fertility clinic where we've been treated used to be located at another hospital in FTT, but moved in the spring of 2012 to a different hospital in the same city. The funny thing about the new location is that it is directly 2 stories above where my office was as a resident. So going there brings back all sorts of memories. Overlaid are the memories of the early ultrasounds when I was pregnant with Gummy.

I got myself worked up about it all. As I do.

I stood outside the waiting room with Gummy after checking in. The nurse made a huge deal of how beautiful Gummy was and made us feel welcomed. But the waiting room was packed and my heart hurt for those couples. At the same time, I had a legitimate appointment for a legitimate reason. And the waiting room is where we would be fetched. Not the hall. So we went in, the three of us. I took Gummy to the end of the room, where there was a Christmas tree, and did what all good fertility patients do in the waiting room: avoided eye contact with anyone.

And it occurred to me: I was that woman.

That woman who brings a child to a fertility clinic waiting room.

But I couldn't/can't apologize for Gummy's existence. I am blessed beyond words by her precious life. I am just am sorry that there isn't a different, smaller, perhaps painted in brighter colours and filled with toys, waiting room for people who have kids and still need to go to the fertility clinic.

Strangely, I also could almost see myself sitting in that waiting room in years passed. At times hopeful. At times completely beaten down by failure. At times worried sick. And now I was sitting in the waiting room showing my daughter the Christmas tree ornaments.

A nurse called us in shortly after arriving to our seats in the waiting room. We got to see our dear nurse who was pleased to meet Gummy, and happy to see us. We waited a long time to see dr. RE. As always, I could hear the prosody of his speech, muffled through the walls of the exam rooms and knew he was taking the time he needed to consult with the couple in the other room. Hearing the sound of his voice through the walls always helped me wait. I knew when our turn came, he would give us the time we needed.

Dr. RE was pleased to meet Gummy, but wasn't really all that focused on her. It was the most striking thing about our visit: neither our nurse nor Dr. RE were all that focused on Gummy. Their attention was on Mr. A and I. They were happy to see us smiling, see us having become parents. It seems that when you have a child, everyone's focus turns so sharply to the baby, which is so wonderful. It really is. I'm saying that the contrast in this instance was noticeable.

It was a full appointment. The short version is that Dr. RE confirmed my fears that complications would be expected with a second pregnancy. He flat out said it would be a high risk pregnancy and I would need to be followed at the large University Health Centre nearest to Pleasantville. While I am worried about placenta accreta (what I had last time) or increta, Dr. RE went straight to worrying about percreta (where the placenta invades not only the wall of the uterus, but the adjoining organs). He did nothing to help me want to get pregnant again.

Despite that, I did agree with him that running some investigative tests right now while I'm on mat leave would be a good use of my time. He posited that my uterus might be in rough shape after what happened, and thought that I may end up needing one or two hysteroscopies, but that we should start with an u/s and a sonohysterogram. We also talked about interim and long term HRT strategies. I fell in love with him all over again. He's the only doctor whose ever really understood what's going on in my reproductive system.

He convinced me to come in for an u/s the following Sunday at 8 am (which means leaving my house at 6:30am). I did agree to it, and drove down that long highway at the crack of dawn like the good ol' days.

And just like that, on CD21 using my regular HRT regimen and nothing more, my lining was at 8mm. What. No coaxing? No del.estrogen shots? Just fluffed up to 8mm after 5 days of prome.trium!

That was a surprise. Crazy what having a baby can do.

I'll book a sono for the new year, and we will see how things look in there. But beyond that, I'm not looking to work up to a FET anytime soon.

I'm just thankful that we have one amazing little girl to call our own. And so grateful to everyone who helped us welcome her into our lives.
 

Monday, December 9, 2013

November

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It appears I missed posting in November altogether. I squeaked one post in at the beginning, but then I had to temporarily abandon this blog and spend time writing elsewhere. I wrote a novel in November, thanks to NaNoWriMo (National Novel Writing Month). I could have stopped in to write about the experience of writing, but there was no time for that. Every time Gummy napped, I wrote the novel. And I made it to 50 000 words by November 30. I'm not sure how.

Well, actually, I do know how. I focused on the quantity instead of the quality. I had an idea of the plot and characters, and made a rough plan ahead of time, but then during the month of November, I just wrote. I did NO editing. And I stuck to that rule, which is why I got to the end of the month with my 50 000 words.

But let me be clear: the novel I wrote is a few neighbourhoods south of Terrible.

Seriously.

I don't think the grammar is even something recognizable as English (I know what you're thinking: that's not a far cry from these posts, which I do try to edit before posting. But at least I have the excuse of being an ESL person).

I did this to reclaim some of the pieces of my identity I felt have been far out of reach since Gummy's arrival. I needed something just to myself. Something contained, achievable, confidence-boosting, fun, engrossing. And it was all that.

When I asked Mr. A in October if he would support me in doing this, however he was able, he said yes. And he mostly did that. There were a few frustrating moments when I wanted to write but he couldn't take care of Gummy, but that's par for the course. He also pointed out when we talked about it in October, that doing NaNoWriMo might make me feel better than sitting on the couch watching shit TV every night. He didn't say this in a blaming or condescending way. He just wanted me to do things that make me feel better about myself.

He was right.

I like shit TV, but I like writing even more.

So, I'm trying to figure out the balance between relaxing while watching Girl (what a gem that is) and using what little free time I have to a) get shit done and b) pursue my interests. I figure I'll feel somewhat happy about my balancing skills the day before I go back to work from mat leave, and then I'll have to start over.

Friday, December 6, 2013

In and out: the nine-month mark

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I have plenty of other material for blog posts, but this will be a short and sweet post. If you are struggling right now, this one is all about unicorns and butterflies, so feel free to skip. I will come back with angst later. Oh, I do angst really well, and I promise you more. But for now, let me revel in my beautiful daughter.


This is Gummy after 9 months in-utero (well, 38w2d)

Gummy Girl, what do you see over there?
And now, she has spent 9 months ex-utero

Sitting with her is Big Hoot, her favourite owl
They aren't kidding when they say 'kids grow up so fast'. Gummy is about 29 inches long already. She babbles with great intent, and wants to grab everything in her vicinity, including poor Chicken's fur and ears. She is happy as happy can be (except when she's not). And she still makes us cry tears of joy and gratitude when we put her to bed. We are so lucky.

Wednesday, November 6, 2013

questions answered: sunshine award

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The lovely Suzanne, at Our journey to a baby bump nominated me for a sunshine award. Thanks, lovely woman.

I'm not really all that good at following rules around these things, but I did want to make an effort and answer the questions that Suzanne drafted. Otherwise, I nominate anyone still reading this blog for this award. And if you feel like it, you can answer Suzanne great questions, because my brain is apparently not coming up with its on (did I mention I was trying to do NaNoWriMo?)

Here goes:

1) Was there a particular moment in your infertility journey that made you realize that you wanted/needed to start blogging? 
We started looking into things in 2006. We knew we wanted children, but I also knew it would be a struggle. We treatments in early 2009. We already knew that the problem lied within my reproductive organs: I had never menstruated without the assistance of medication. We were told that a medicated IUI would be the first thing to try and so we did. The first one was in June 2009 and it was over almost before it begun. The menop.ur wasn't doing anything to my ovaries. Second IUI was in September 2009, after a long priming with estra.ce. After higher doses of meno.pur, still there was no waking up my sleeping ovaries. The cycle was a bust, and there was basically nothing the clinic could do for us unless we found ourselves a donor. I was in a grief-stricken state of shock for a few weeks. And was quite depressed for months. I felt isolated and I needed to talk about this experience. So I started writing on this blog. That was October 2009. 

2) What was your favorite vacation spot ever? 
I think my trip to the Yukon and Alaska when I was 25 was the most inspiring trip I ever took. I love hiking/backpacking and find myself at home in the mountains. It was awe-inspiring to be amidst the deep, northern wilderness. The highlight of that trip was a 7-day backpacking loop to the Donjec glacier in Kluane National Park. It was the most intense backpacking I've ever done, and it taught me much about my own strength.  

3) What food could you never live without? 
Yummy kitchen sink-type salads with my own dressing, honeycrisp apples, peanut butter, dark chocolate, coffee, club soda and red wine. 

4) If you could spend one day with anyone (dead or alive) who would it be? Why? What would you do? 
It sounds weird, but I'm thinking I would pick Carl Rogers. I'd want to talk to him more about how psychotherapy has developed since his client-centered approach was hatched. 

5) Favorite article of clothing? 
Right now it's my oat-coloured cowl neck wool sweater, but my preferred article of clothing changes regularly.  

6) We have so many tears through IF...do you have a REALLY funny moment that you've shared with your husband through all of this? 
That is such a great question, Suzanne, but I'm racking my brain and can't remember any funny moments. Just dreary dread and sadness. 

7) Your child's 16th birthday present...a new car or a nicely wrapped stack of fertility bills and  bus pass?? 
Neither. Probably we would want to host a dinner with her friends, and let them drink wine, and ask about what dreams they are holding for themselves. 

8) What one thing would you go back and tell your 20 year old self? 
Find a way to be on your own team, 'gusta. Seriously, you have to find a way to make friends with yourself and SOON. Figure out all the ways you are awesome and focus on that, instead of thinking about all the ways in which you are not enough. You ARE enough. Now, keep going and have a great life! 

9) You are going on a trip and lose your suitcase. What one item are you going to replace first the second you get where you're going!?
my estr.ace and prom.etrium 

10) What is the best part of blogging your IF journey? 
The amazing connections I've been privileged to have with other women, and the sense of being held in the warm care of an amazing community. I remember sometime after I started blogging going to our clinic to have some procedure. I was tense and apprehensive, and trying my best to hold myself together. I went to the bathroom and on my way there, I thought about all of my online friends who would be thinking of me and hoping right along with me. Just thinking about that gave me a huge boost on that day, and so many days after that. I stopped feeling so isolated in my IF journey. I also could borrow from other women's hope for me when I had none left for myself.  

Sunday, October 20, 2013

Eat

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Gummy is eating food. Not just delicious sim.ilac, but real, honest to goodness food. Much to her mama's pride.

We started in the summer, when she was 5 1/2 months old. The WHO tells us to introduce solids at 6 months, but she was ready 2 weeks early. I wasn't going to make her wait, seeing as she opened her mouth every time I took a bite of something and then looked at me quizzically when I failed to put something in her baby bird beak.

I took that gift certificate for a big chain baby store and ordered me a high chair. It arrived. I put it together the same day. And we started.

Well, I should say that Gummy had carefully been given fruits and veggies to lick prior to that. I would hold a piece of apple and let her put it in her mouth, without letting go.

But it was time to let her try things on her own. I decided that baby-led weaning (BLW) was our method of choice. I knew a number of women I admire use this with their babies, much to their delight. I looked into it, and it seemed to fit with what I imagined feeding would be all about.

My main concern was the potential for choking. I had to review the infant cpr techniques we learned last fall when we took the class, and watch some youtube videos to see what the difference was between gagging and choking (well, I didn't see any babies choking, but I saw plenty of gaggers, and could extrapolate what choking might look like). I was reassured to hear from moms who were doing BLW and had seen their babies gag several times, without dire consequences. One of my local mom friends did say she and her husband grabbed the tray of the high chair, ready to take their baby out expeditiously a few times, but never needed to, as it was always just gagging and never choking.

The fear of choking remains. Yesterday was the first time in 2 months where we actually pulled Gummy out of her high chair because her gagging was starting to look like choking. But she gagged and was alright. She continued eating happily thereafter.

There are several things I like about this BLW:

1) The three of us can eat together at the same time. Because neither Mr. A nor I has to spoon feed Gummy, we can all focus on eating and conversing, instead of only one adult and one baby eating, while the other adult plays open-the-tunel-for-the-choo-choo-train with the spoon.

2) The preparation of Gummy's food is minimal. I quarter an apple, and take off some of the skin. I steam some green beans. I slice a watermelon and take out the seeds. Done. We also sometimes feed her exactly what we're having. She had rice pasta the other day, and rice and beans last week. She loved it! In fact, she has tried EVERYTHING we've put on her tray so far (I know this can change).

3) I am not the one deciding what goes in her mouth: she is.

That last point, it turns out, is the most important to me. I want her to grow up trusting her own biology. I want her to know that her body will tell her when she's hungry and tell her when she's had enough. That sometimes she'll miss the mark on that by eating too much or too little, but that it will all even out if she keeps listening to her hunger and satiety cues. I want her to trust that if one day she is craving tons of fruit, that's fine. And if the next day it's fries, that's fine too.

I've been reading this book (recommended by Bunny*) and it is GREAT. The main premise is that there exists a division of responsibility in feeding our children. Parents are responsible for what, where, when their children eat. Kids are responsible for how much and whether they eat. And this is based on the fact that we can trust our biology, starting in infancy.

I think that's the ticket.

I say that as someone whose done academic research in the area of obesity and eating disorders.

I say that as someone who has treated adolescents and adults with eating disorders.

And, of course, I also say that as someone who had an eating disorder and recovered fully.

In other words, I say that I like this philosophy of feeding children based on the fact that I have spent A LOT of time thinking about eating. An obscene amount of time, to be honest. And after all that, the only thing that I'm truly convinced of is that trusting hunger and satiety signals, which are inherent in everyone but can be silenced by loudmouths like 'societal pressures to be thin' and 'your mother who thinks you need to have one more slice of pie', is the way to have a good relationship with food, and to have a healthy body. There are other important things for health, to be sure. Vegetables. Exercise. Etc. I don't disagree with any of those, but it comes down to eating when you're hungry and stopping when you're full.

It took me over 30 years to learn that. Closer to 35.  

I guess I knew it at birth, but I unlearned it. My poor 23-year-old mother was overwhelmed and figured out that dipping my soother in honey would shut me up (it was a different time in the early 70s). There is this family story about how I was such an overweight baby that my doctor told my mother to put me on a diet. And then there is my mom's own chronic eating disorder and it's impact on how she fed me. And seventeen thousand more layers on top of that, layers that made those hunger and satiety signals inaudible.

I want my daughter to hear her signals. I fear so much that she would ever go through the hell I went through. Bulimia. Anorexia. Cardiac issues. Suicidality. Psychiatric institution for months. I never want her to become familiar with any of those. I know that I can't stop society's influence on her in terms of body image (although there are things I can do to help mitigate its impact). But I can give her the chance to have a good relationship with food by following her cues. And right now, letting her decide what goes in her mouth feels like the best way to do that.
    


* Bunny who swore off reading parenting books, so when I saw that she was reading this one, I figured it must be damn worth it. And it is. 

Monday, October 14, 2013

Thanksgiving

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Yours may be 6 weeks away, but today is Canadian thanksgiving. I have so much to be thankful for. We are spending a quiet weekend just the three of us, and I love it. Mr. A's parents did come over on Saturday, while I conveniently went to lunch with my good friends. We cooked a duck yesterday (which is saying something for someone who was vegetarian for 15 years). And today, we'll go on a little hike to appreciate the fall colours and each other. Life is very good, my friends.

What I'm most thankful for is my daughter. I was looking at her during breakfast this morning and realizing how quiet the house would be without her exuberant joy. I thought about how I would be going to work tomorrow morning, still silently carrying the heavy shroud of my infertility and childlessness, while I continued assessing and treating other people's children. I thought of how if she wasn't here, I would not know how much love my heart can hold. But she's here, and I am blessed beyond measure.

Tragically, my friend Conceptionally Challenged is not counting her blessings, but instead suffering an unimaginable loss. After years of infertility, she got pregnant with twins and lost them both this weekend at 20 weeks gestation. Please, if you have a kind thought to spare, visit her blog and let her know you care.